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Antiretroviral therapy (ART) is now recommended for all people with HIV infection, regardless of CD4 count, by all major treatment guidelines including those issued by the World Health Organization (WHO), the European AIDS Clinical Society (EACS), and the United States (US) Department of Health and Human Services (DHHS).1-3
Goals of ART include
• Durable suppression of plasma HIV RNA (viral load)
• Restoring and preserving immunologic function
• Reducing HIV-associated morbidity, prolonging survival, and improving quality of life
• Preventing HIV transmission
The recommendation for all HIV-infections individuals to be on ART regardless of CD4 count is the result of an expert consensus that emerged over time but was confirmed by results from START and TEMPRANO, two large, randomized controlled trials, both of which demonstrated approximately a 50% reduction in morbidity and mortality among HIV-infected patients with CD4 counts >500 cells/mm3 who were randomized to initiate ART immediately versus delaying initiation of ART until their CD4 counts fell below a predetermined cutoff.4,5
The START and TEMPRANO results ended a long-running debate about when to initiate ART in HIV-positive patients on immunologic grounds: earlier is definitely better, and immediate is definitely best. But these clinical results did not occur in a vacuum; that is, patients did better on immediate therapy not only because of their more intact immunologic function, but also because ART is now safer, more tolerable, and more convenient that it was in the past.
In recent years, the efficacy of ART has been recognized for prevention of HIV transmission from infected patients to uninfected sexual partners. This strategy, known as treatment as prevention (TasP), was validated by two large clinical trials (HIV Prevention Treatment Network (HPTN) Study 052 and the PARTNER study) that showed minimal to no transmission when the HIV-positive partner had viral suppression on ART.6,7
However, adherence is a key to treatment success. Poor adherence may result in treatment failure and emergence of drug resistance. A number of factors may impact adherence to ART, including psychiatric disorders, neurocognitive impairment, active substance abuse, unstable housing, other unfavorable social circumstances, patient concerns about side effects, and irregular attendance at scheduled clinic visits. Providers should be confident that patients are ready to initiate ART from an adherence perspective.2
In rare cases, it may be advisable to delay initiation of ART to resolve issues that may seriously impact adherence. Note, however, that ART has benefit even in patients with relatively poor adherence and established drug resistance. Thus, serious mental illness, substance dependency, and psychosocial challenges are not reasons to withhold ART from a patient for who it is clinically indicated and who is willing to adhere to treatment. Rather, these issues indicate the need for multidisciplinary adherence support, and may impact choice of regimen.2


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'There came unto him a woman having an alabaster box of very precious ointment, and poured it on his head...' Matthew 26:7
To ANYONE in need of stress relief, I heartily recommend massage therapy, which I have enjoyed as provided by Kelly Johnson. Since June of 2007, I have added bi-weekly 30 minute massages to my schedule. Prior to that, I always thought of massage as a luxury experience not really necessary to most people's lives. After realizing the extent of the mental and physical benefit it provides, I now consider it a wise and necessary addition in caring for my overall general health. It has proven to be as helpful to me as any prescription I've ever taken or life style change I've made to improve my body and mind. Kelly connects with me during my therapy, not only through touch, but also with an indescribable openness of spirit that leaves me feeling totally renewed and refreshed physically and mentally. I leave there with an almost euphoric feeling of being cleansed of worries and refocused to effectively handle those little curve balls life throws from time to time. Somehow she manages to literally and figuratively, work the "kinks" out of me!! If you have not tried massage therapy before, I hope you will at least allow yourself to experience it once. If you have tried it with other massage therapists, I would also strongly recommend visiting Kelly Johnson to experience the level of expertise and skill she has attained, which I believe takes the experience to a whole new level.
Kathy Geoffrion
Kelly was professional and gave me a WONDERFUL deep tissue massage. I will definitely return for another massage as well as recommend her to anyone who will listen!
Joy Doerr
It was certainly a pleasure meeting Ms. Kelly. I look forward to seeing her again for another wonderful massage. One massage therapist to another....Keep up the good work!
Deanna Messer
Kelly was very professional and the environment was very serene and inviting. I had the swedish massage and it was wonderful. I was so relaxed and felt de-stressed which is just what I needed. Thank you, Kelly - it was a great massage!
One of the best massages I have ever had! Kelly knew exactly what I needed and provided it. She listened and made sure I was comfortable. Awesome!! Looking forward to many more massages with her.
Kelly did an excellent job with the massage and focused on the areas I wanted. This was definitely a deep tissue massage and she really got in and worked out the knots. I would recommend it!
When I said deep, she did DEEP! It was good though, and well worth it. She was very professional and I enjoyed working with her. I also enjoyed the chocolate and water after! Thanks!
"It's amazing to me to understand how much your mind, body and soul are really in sync. When your mind is tired so is your body. When your soul is weary so in your mind. It's important to me to have all parts of me in balance with one another. Massage therapy definetly allows me to slow down from my day to day activities and focus inward on myself. I need that "me" time to refresh my mind, body and soul. It's important to me to take care of myself. There is only one of me. I can't hit the rest button to start over again. Massage therapy helps to restore the damage I've already accrued and to prevent any damages in the future. I would recommend everyone to have "me" time on a regular basis."
Ryan Bennett

subset: commoncrawl


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I learnt to knit as a child and have continued to knit ever since. The first item I remember making was a garter stitch rabbit with long floppy ears and at school every year each class had to produce a garter stitch squares charity blanket and baby cloths.
I started by knitting from commercial patterns from women's magazines until my mid-twenties when I then began to design my own patterns. I left work to start a family and bought myself a knitting machine. Initially I tried to teach myself but then found out about machine knitting classes which I attended for the next few years. It wasn't until I started machine knitting that I realised how much I didn't know about knitting! I attended as many courses on machine knitting as I could while starting to run my own knitting business selling children's machine knitted garments.
In 1989 we moved to Fareham so I stopped running the business. This coincided with the opportunity to study the City and Guilds course in Machine Knitting as it was newly available in 1989. I completed the course within 2 years and then joined the Embroidery Part 2 course (as it was then called) largely to continue to develop my design knowledge and skills.
Around this time and through the '90s I also started to teach machine knitting courses at my local FE college together with teaching the City and Guilds course, initially in machine knitting and then in hand knitting as well.
The hand knitting course was offered through The Mohair Centre, an Angora goat farm near Lewis in East Sussex. While teaching the course there, I received enquiries from knitters wanting to study the course who were not able to attend the classes due to distance, so I started to teach the course as a distance learning option in 2000.
As well as teaching, I continued to develop my own knowledge and skills in both knitting and design. I have for many years run a design group taught by John Allen FRCA (who used to lecture at Middlesex University and the Royal College of Art) and through John had work included in a major knitting exhibition in 2000/2001. I have demonstrated both hand and machine knitting at the V&A Museum and have been invited to teach in both Australia and France as well as around the UK.
I still teach the City and Guilds Hand Knit Textiles course as a distance learning option as well as teaching a wide range of knitting technique workshops at venues throughout the UK and on a knitting holiday in France.
You can purchase my Knitting Patterns through my Fiona Morris Designs website at www.fionamorrisdesigns.co.uk.
Please contact Fiona for further information.


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April 1, marks the first day of fire season according to the Forest Fires Prevention Act. Although much of the province is still covered in snow, our FireRangers are beginning to return to the Fire Management Headquarters. By the beginning of May, the fire bases will have their full complement of staff back for the season. Crews will be hard at work in order to brush up on their skills through both hands-on and in-class training. This time of year is crucial for new firefighters to gain valuable knowledge and skills that will help them manage fires as part of a crew.
If you are planning on burning outdoors, be sure not to start a fire until two hours before sunset and have it extinguished no later than two hours after sunrise. Always exercise caution and ensure conditions are suitable for safe burning and that you are able to properly control your fire. Outdoor fires are regulated under the Forest Fire Prevention Act so be aware of the provisions under the Act. Check with your local municipal fire department for your local burning by-laws. Look here for the rules on outdoor burning.
The forecast is calling for a mix of weather across the province. Snow, freezing rain, rain and thunderstorms are possible over the next few days.
Fort Frances District has had the first fire of the 2015 season. Fort Frances Fire 001 started on March 24 and was fought by the municipal fire department with support from the Aviation, Forest Fire and Emergency Services program. The fire was located in the Township of Dawson and declared out on the same day at 4.0 hectares in size.
Northeast Region:
Shayne McCool
Fire Information Officer


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Courtesy Washington Beef Commission
Courtesy Washington Beef Commission
The Washington beef industry recently showed key decision makers how it's working to combat antibiotic resistance.
Members of the Washington State One Health Antimicrobial Stewardship working group toured a dairy farm and feedyard Sept. 6-7 while discussing its antibiotic resistance prevention efforts.
The working group is comprised of healthcare providers, researchers and public health experts representing human, animal and environmental health.
"We believe there is a need to reduce and improve antibiotic use in human healthcare, companion animal healthcare and animal agriculture in order to protect the usefulness of these essential medications," said Julie Graham, spokesman for the Washington State Department of Health.
The group wanted to learn how antibiotics are used in animal agriculture, how much, and what types, Graham said. They also wanted to know the differences between conventional agriculture and organic or antibiotic-free ag.
"The most important part of the story was the considerable amount of work that is done in the livestock industry to prevent the need for using antibiotics in the first place," said Patti Brumbach, executive director of the Washington Beef Commission. "It's all about animal care."
The tour included a panel discussion with industry experts on antibiotic resistance. The concern is that too much antibiotic use will create resistance in human and livestock medicine, reducing the ability to use them as a tool.
"Making sure that when we use the antibiotics, we really need to use the antibiotics," Brumbach said.
Dale Moore, clinical professor and director for WSU's veterinary extension, participated in the tour as a member of the working group.
She said the other tour members were "surprised" by the cleanliness of the facilities and enthused by their preventative medicine practices.
"They didn't really have an idea that was going on," Moore said.
There's still a lot to learn about the most important contributors to resistance, and transmission of antibiotic resistant traits and resistant bacteria between people, animals and the environment, Graham said.
"However, it is clear that more antibiotic use is associated with more resistance, and therefore we all have a role to play in reducing and improving antibiotic use – in human healthcare, companion animal healthcare and animal agriculture." Brumbach said the group responded positively to the level of tracking and veterinary consultation in agriculture.
"Our producers know exactly how many antibiotics they've used with their animals," she said.
Brumbach said the tour is a good first step in building a relationship with the working group.
"It was a good conversation about how we can work together and improve understanding," she said. "We'll want to continue to stay in touch to keep them informed of the progress on our side, learn about progress on their side and see if there are any mutual opportunities."


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1 pc. FleXtents sidewall print 70x70 cm
Product number OT103207
Why not go all the way and turn your pop up gazebo into a billboard that is noticeable from the other end of the square. Stand out from competitors at events. Get your company logo printed on the sidewalls of your pop up gazebo
Remember accessories
Sari Vuoristo
A good selection of affordable products that everybody may need! Fast and reliable delivery. Recommendation!
Darren Sturgeon
I ordered a beautiful marquee from these guys a couple of years back. Cannot fault the customer service nor the quality of their products. Highly recommended.
N. Owen
Great products and even better customer service. I've compared prices, quality and service, and none do better than Dancover
Jeannot Huijnen
I ordered a marquee from Dancover, plus some extra items like lighting and carpet. The service was second to none. Wholehartedly recommend these guys. By the way, the marquee looks fab.
BAR Events UK
We love their event flooring and their customer service is great too! Really helpful company with great offers. Would highly recommend.
A start up fee of £43 + VAT will be added to your order.
This product is not sold separately. It is only sold in connection to the purchase of FleXtents Basic, Pro and Xtreme.
Product specifications:
Product info:
Do you want to be noticed from afar at the event?
Extent the reach of your brand. Do not limit yourself to branding at close encounter when participating in events.
Dancover offers heat transfer printing in the best quality on your FleXtents pop up gazebo. Promote your company logo and slogan on your FleXtents pop up gazebo and be recognised from afar by people from your target audience.
Heat Transfer Logo print
Pop up gazebo printing of company logo and slogan via Heat Transfer Printing is done in 4 colours. Initially the design is printed on so-called ´commercial heat transfer foil´. Later it is transferred from the paper to the tent cover – much the same way as when you apply printing on fabric with a flat iron.
Send us your logo design
Once you have chosen and paid for this printing package, we will send you a confirmation of your order. In the order confirmation, we ask you to send us a vector based EPS file of the design you wish us to print. Please send it to this address: firstname.lastname@example.com.
As soon as we receive the design, we will prepare the layout and send it for your review and approval.
Please note! This product is produced on request. Consequently, the right to return does not apply.
To ensure the optimum result of any print job, no single element of the print can be smaller than 10 mm.


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A piece written in 1992 by Washington Post staff writer Toby Thompson centers around the release of Norman Maclean's beloved novella turned film by Robert Redford, "A River Runs Through It." It traces Redford's own artistic and personal development through its lens.
"As Maclean suggests, neither fishing nor fish were what drew his family to the river. It was the dream of communication," writes Thompson. Quoting, "Under the rocks are the words, and some of the words are theirs."


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No. 729-CCC
Seam Adhesive Applicator Bottle
A premium quality plastic bottle that features a cleverly designed nozzle that is adjustable for varying thicknesses of sponge backing. The adhesive can be applied precisely where it is needed to do the best job. Capacity is 8 oz., and bottle contains illustrated instructions. Supplied empty.


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Terminals Federal Credit Union of Carteret, New Jersey has been serving its members for more than 47 years. It is classified as a primarily chemical industry common bond.
Financial counseling is available.
Special offer to credit union members. See your instant credit report.
MidState Federal Credit Union , Carteret (0 miles.)
Port Ivory Federal Credit Union , Avenel (2 miles.)
Public Service Sewaren Federal Credit Union , Sewaren (2 miles.)
Merck Employees Federal Credit Union , Rahway (3 miles.)
United Investors Federal Credit Union , Linden (3 miles.)
Free credit report for Canada residents.
Monitor your credit and protect against identity theft! Who checked your credit report recently, and what did they see?
Also see our daily credit union news page.
Online newspapers and TV stations serving Carteret and New Jersey: The Home News & Tribune, The Courier News, The Journal News, or view a national listing of newspapers.
Thinking of buying a car? See New Jersey car dealers listed alphabetically by city.


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I tried to download Liberty Basic and an error popped up. It said something about Win32. Does anybody know what this is?
Where did you get it from? Did you get it from here? http://www.libertybasic.com/ Did you read the read me? And what was the exact error message? Did you get the free download, did you pay for it, or did you download a cracked version?
When death sleeps it dreams of you...
Errr....................if you do not tell us what the error message is, what Operating System you are running and so on.............how can we help you?
right nihil, ur example oh yea it said somethin about win32...yea that isnt enough but im guessing u downloaded a bad file so try downloading it somewhere else, google will be handy here
...if you still get the same message reply back and please tell us what it says
The Pow3r 0f Google
Selling my BMW
What it might have said is, "This file is not a valid Win32 application." If it said that, download the file again, it's got corrupted during the download. And use a download manager this time.
Buy the Snakes of India book, support research and education (sorry the website has been discontinued)
My blog: http://biology000.blogspot.com
The site I stated earlier would probably be the best site.
Forum Rules


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All of us intend to have a glowing face that attracts others. Females are fond of making their facial skin smooth and free from wrinkles or black spots etc. Many of them usually make use of traditional creams or face washes few of which put side effects.
Saundrya Face Wash benefits the users as follows:
- It is one of the best products that help in treating our face and its skin in good manners.
- Facial skin becomes soft and free from wrinkles or black spots.
- Irritated skin is relieved from strains and starts throwing enchanting looks on others.


text:
Models For Canopy Upper
Canopy Upper by Indesit
£23.46 Discontinued
Normally £23.72
Email me when back in stock - we'll try to re-stock quickly!
The product Canopy Upper is suitable for the models listed below.
View full product details for Canopy Upper.
Search our range of models by entering your model number to perform a search.


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On Tuesday, 7 October 2003 at 20:31:07 -0700, Chris P wrote: On Wednesday, 8 October 2003 at 10:25:52 -0700, Chris P wrote: On Wednesday, 8 October 2003 at 12:51:23 -0700, Chris P wrote:
Once is enough. Sending multiple messages is a good way to be ignored or removed from the mailing list. See http://www.lemis.com/email/email-format.html for more details. > Has anyone had any experience with getting email that has been > stored on a remote machine via uucp? Yes. > I have a friend who held my email while my server is down. He > cannot re-que it up, so I need to find a way to uucp down load it > via the net. Wouldn't fetchmail be easier? Greg -- When replying to this message, please copy the original recipients. If you don't, I may ignore the reply or reply to the original recipients. For more information, see http://www.lemis.com/questions.html See complete headers for address and phone numbers.
Description: PGP signature


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The transmission sensor of a vehicle is generally located directly below the actual transmission of the vehicle, which is usually positioned on the underside of the vehicle. The sensor could also be placed on the rear sides of the vehicle's transmission.
In order to actually reach the transmission of a car, it must be lifted above ground level, usually by the front end of the vehicle. A floor jack is the best method to achieve this. The sensor itself appears as a small plug on the transmission. It sometimes appears as a small magnetic coil. The sensor is also attached to an electrical chord.


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U.S. only
For compliance with international privacy laws, including the Children's Online Privacy Protection Act (COPPA), and NVIDIA's Privacy Policy, please provide your year of birth.
Deep Learning
Deep Learning is about using the power of GPUs to enable computers to learn from data and write software to solve some of the most complex problems in computer science. Whether your customers are focused on training or inference, this Competency authorizes you to deliver superior solutions. The Deep Learning Competency includes products such as DGX, Tesla P100, P4 & P40.
Gaming is all about delivering a visually stunning and immersive experience to the gamer, anywhere they want to game. This Competency is for partners who deliver products, systems, services, or DIY parts to gamers and includes the NVIDIA GeForce and SHIELD™ products.
GPU Virtualization
This Competency services markets that capitalize on graphics in the cloud. With NVIDIA GRID™ technologies, you'll focus on the markets that are benefiting from graphics-accelerated desktop and application virtualization.
High Performance Computing:
Today's High Performance Computing (HPC) data centers are key to solving some of the world's most important scientific and engineering challenges. This Competency focuses on leveraging GPU-High Performance Computing (HPC) to deliver scientific breakthroughs and game-changing innovations for Higher Education, Government, and Industrial market segments. HPC encompasses system solutions, infrastructure management, and communications for NVIDIA Tesla®, NVLink™, CUDA®, and PGI products and technologies.
Professional Visualization
Professional Visualization encompasses professional graphics, rendering, and scalable visual solutions for products like NVIDIA Quadro®, NVS™, and NVIDIA® VCA. Whether your company focuses on design and manufacturing, media and entertainment, science and medical imaging, energy exploration, or other markets, this Competency authorizes you to deliver the best solutions to your end customers.


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Yesterday night, being Friday night, the 3 of them got me out for an early birthday dinner. Wifey took the chance to go out with her group of colleagues - she doesn't like to eat alone.
After an enjoyable night, I got home close to 10pm, and manage to enjoy some of "me time" surfing the usual forums and watching dance videos on Youtube (Quest Crew rockz!).
At 11pm, I called Wifey to check where she is, and she told me she was going to get a cab back.
By 11.30pm, she was not home, so I thought she had hang around a little longer with her friends.
By 12 midnight, there was no sign of her, and I started calling her, and received an instant "Please leave a message".
At 1am, which is far past my sleeping time at 12 midnight, she has still not returned home. And she has almost never returned home past 1am. I was tired after a long night, but still, I was REALLY worried.
So I walked down the steps of my flat, stopping to hear any suspicious shouts or screams in the silence of the night at every storey. I know I was imagining things, but her being uncontactable was freaking me out.
At the ground floor, I started pacing around at the lift lobby, tired but alert to any movements. Gave a few more calls yo her phone, and received the same "Please leave a message" autoreply, which was getting irritating to my ears. I wanted to call her colleagues, but then I don't have their numbers.
I hope I wasn't mistaken for a pervert or anything loitering at the lift lobby. You know, those predators that dash into the lift when yummy yum yums step into the lift. So when ladies approached the lift, I walked away from the lift, didn't want to make anyone feel uncomfortable.
Coming back to the story, I had pondered about calling her brother and parents, but I didn't, knowing that this will achieve nothing but panic.
For the next 45 minutes, I watched cars and taxis come and go into the carpark, each time with expectation followed by disappointment.
What if something happened to her? Singapore may be low crime, but it isn't no crime. And there are always crazy drunk drivers out there who could .... oh never mind.
My feelings were tinged with both fear and anger. Fear that something bad might happen to her. And anger that I wasn't notified by her regardless of her reason for being this late.
As time went by, I rationalise and bargained, all I want is her to come home safely. If she does comes back safely (please do), I won't raise my voice at her.
And she did, coming out of a taxi closer to 2am. She was surprised to see me, and greeted me with a smile, explaining that she was late because they were too engrossed in their chats, and it's hard to get a cab.
I had to keep my side of the bargain now that she returned safe. But just because I don't scold her doesn't mean I can't tell her how displeased I was.
As a married couple, she is accountable for your own safety to me. This is basic responsibility. I need to be notified should there be any cause for me to worry.
She apologised, saying that she realised much later that her handphone battery went flat, and didn't call me using her friend's handphone because she knows I normally drop dead on the bed at the touch of midnight - the sweet girl doesn't want to wake me up.
Moral of the story - Married lady friends, please know this. If you have to return home late, you HAVE TO inform your significant other, even if that means you have to wake him up from bed. Don't let him worry about you. Thanks!


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NYC Angels: The Wallflower's Secret
NOOK Book(eBook - Original)
Some secrets are best shared
Since making the ultimate emotional sacrifice for her sister, counsellor Lucy Edwards has kept her feelings buried and her heart on lockdown. Enter neurosurgeon Ryan O'Doherty, complete with piercing blue eyes and roguish charm. Working with him on an emotive case brings all of Lucy's painful memories to the surface and even closer to Ryan. Lucy's finally tempted to let someone inbut will their fragile relationship survive her most difficult revelation?
Product Details
|Publication date:
|NYC Angels , #590
|Sold by:
|NOOK Book
|Sales rank:
|File size:
About the Author
Read an Excerpt
Pediatric neurosurgeon Dr. Ryan O'Doherty's attention remained on the child lying in the ICU bed of Angel Mendez Children's Hospital in New York City as he spoke to the father. "I removed as much of the tumor as possible. I didn't get it all because I couldn't risk additional impairment."
This father wasn't the first person to hear those words and he wouldn't be the last. Ryan made a point not to gloss over the truth when speaking to parents. Despite the fact that Ryan knew he possessed more than competent skills, he'd done all he could for the child. He couldn't fix them all. Parents had to accept that.
"I understand. His mother and I will take him home and love him for as long as we can," the father said in a voice filled with tears.
The father had courage. He'd have to cling to it down the road.
The sharp, shrill sound of Ryan's phone filled the air. He tapped the screen, stopping the offending noise, and looked at the message. Human Resources. He'd forgotten all about being expected down there. What could possibly be so important in the paper-pusher department that he was needed so urgently?
He glanced at the father again. "The neurologist will re-evaluate your son's case. I'll be here if needed," he said curtly. "Now, if you will excuse me "
"Thanks for all you've done."
Ryan nodded. It was his job.
Ten minutes later, Ryan walked through the network of gray hallways on his way to the human resources department. Hospital leadership was notorious for putting HR departments in the basement of the oldest section of the hospital and in the furthest corner, if they could accomplish it. Angel's was no different. Ryan hadn't seen this particular region of the building since he'd become an official employee five years earlier.
He wasn't sure why he'd been summoned, but he'd received an email the day before, requesting his presence. When he'd called to say he was too busy to make the meeting, Matherson, the HR director, had stated it was mandatory that he attend. Ryan was sure the trip down would be a complete waste of his time. Whatever he was needed for, surely could be handled by email.
Despite technically being an employee, he still wasn't used to being called into someone's office. If there was something to be said he was typically the one doing the calling. Expected for a surgery consultation in just a few minutes, he needed to get this over with. He made the final turn in the hallway and pushed the faux wood-grain door open, entering the functional waiting area that would have been drab if not for the colorful framed pictures of children hanging on the wall.
Ryan headed straight to the middle-aged woman sitting behind the L-shaped reception desk. "Dr. O'Doherty here to see Mr. Mather-son," he said with a smile he didn't feel. He'd learned long ago that it paid to mask your emotions.
"He's expecting you," the woman at the desk chirped, as if she'd said it hundreds of times.
Not bothering to sit, he stood over the receptionist as she picked up the phone and spoke into it, and looked around the room.
A young woman, maybe in her late twenties, sat facing the entrance in one of the three utilitarian chairs set against the office wall. She glanced up at him. Her large blue eyes reminded him of a summer afternoon, but held a sadness that contradicted their lovely color. With a single blink, the melancholy was replaced by an unwavering stare before she looked away.
"Dr. O'Doherty is here, Mr. Matherson." The receptionist listened a moment then glanced at the woman sitting in the chair.
Ryan followed the receptionist's look. The woman sat with her ankles crossed and her hands laced primly in her lap. There was little outstanding about her apart from those large eyes and a rope of hair that fell over her shoulder. She wore a business suit of light gray with a flimsy peach blouse beneath. A little too school-marmy for his tastes.
He could tell her clothes were of a fine quality. He snorted quietly. Must have been all those long-suffering shopping trips he'd made with his sisters that had given him that knowledge. He quirked a corner of his mouth. Should he be proud of that?
"Ms. Edwards, Mr. Matherson would like to see you and Dr. O'Doherty now."
Who was this Ms. Edwards and why would she have anything to do with him being here? Ryan's focus sharpened when she stood. The woman was tall, with a willowy frame that spoke of someone who took care of herself. Her gaze met his. The sadness he'd seen early in her eyes had been replaced by a resolute look.
She held his gaze a moment before her attention turned to the HR man.
Mr. Matherson, a round bodied man with a balding head, had come round a corner. "Dr. O'Doherty and Ms. Edwards, please come back to my office."
Ryan stepped back and allowed her to go ahead of him. Her head reached his shoulder. Her wheat-colored hair was controlled by a braid. What was it called? He'd heard his sisters talk about them enough. Something foreign. A French braid, that was it. Even with the braid her hair went midway down her back. Did it touch her hips when free?
Ms. Edwards's eyes narrowed. Had she guessed his thoughts?
"Please come in and have a seat," Mr. Matherson instructed as he stepped around the desk facing the door and remained standing. Ms. Edwards took one of the burgundy vinyl chairs and Ryan sat in the other before Mr. Matherson settled in his seat.
"Dr. O'Doherty, this is Lucy Edwards, and she's just recently joined the Angel family."
Ryan offered his hand and a half-smile. "Ryan O'Doherty."
For a flicker of a second she hesitated before her small fingers slipped into his. Her grasp was firm, her hand soft and the touch brief. He liked the feel of her hand.
He gave Matherson an expectant look. They needed to get a move on with this meeting. His colleague was waiting on that consult. "So what brings us here?"
Matherson regarded Ryan as if he wasn't comfortable with others taking over his meetings. Clearing his throat, the HR man said, "Ms. Edwards is a family counselor. She comes with the highest credentials and praise from her last position. As I understand, she was the person the families regularly requested."
The woman beside him shifted uncomfortably. Pink touched her cheeks. She obviously didn't enjoy being the center of attention. That came as a surprise. In his experience, woman generally enjoyed being the main focus. What made this one different?
Matherson continued as if giving a great oratory to be remembered. "Angel's is setting up a new program called Coordinated Patient Care, where we're pairing a counselor with a doctor. Ms. Edwards is your partner. You'll be working with her on all your cases."
What was this? Another hospital bureaucratic feel-good project? Ryan leaned forward, piercing the rotund little man with a look. "Didn't we try something like this a couple of years ago and decide it didn't work?"
Matherson had the good grace to look contrite. "Similar, but this is a little different. You two are the beta test. If it works then we'll require other departments to follow suit."
"Is all this necessary? I'm sure Ms .uh"
"Edwards," the woman supplied.
He sensed more than saw her stiffen. "I'm sure Ms. Edwards and I could both use our time more wisely."
"Please don't speak for me." The woman who had been sitting stiffly beside him said, shifting direction. "Doctor, I can assure you that the closer the doctor-counselor relationship is, the better it is for the patient."
Her words were said in a soft Southern drawl laced with an edge of steel. So the woman had some backbone. Interesting.
He cocked a brow and smiled. "So-o-o." He dragged out the word to match her drawl. "You believe that working closely with the doctor is important."
She rewarded him with a blush that added a brighter touch of pink to the ridge of her cheeks.
Matherson cleared his throat, but Ryan chose to ignore the man. He gifted her with a smile. The identical one he used when making an effort not to ruffle the nurses while at the same time trying to get his way.
"I didn't mean to imply that your job doesn't have merit, it's just that I don't think we need to personally discuss each patient. In fact, I don't discuss the same type of issues with my patients that you would be concerned with. You can make notes on their charts about any matters you think I should know about and I can read from there." Ryan stood. To his surprise, Ms. Edwards rose to face him.
"I can assure you, Doctor, our relationship will be strictly professional," she said through clenched teeth. She took a breath and continued, "Patients, as well as their families, need reassurance and comfort that you can't provide."
She couldn't have been more correct.
"That's my job and I do it well." She squared her shoulders, punctuating the statement.
"I'm sure that is true but I'm not going to waste my time in meetings when there is a perfectly good computer system we can use for correspondence. Now, if you'll both excuse me "
"Dr. O'Doughty," Matherson said with a pointed look at Ryan, "I don't know if you fully understand what's being asked here. This is a trial program. The board's supporting it unanimously. Your co-operation would be noticed and to your advantage."
Ryan compressed his mouth. Matherson was making a veiled reference to the fact that he hadn't been offered the head of neurosurgery position and that his co-operation would look good on his CV. By rights the department head job should have been his. Instead, they'd hired Alex Rodriguez.
Drawing his lips into a thin line, Ryan looked directly at Matherson for a long moment. The hospital pencil-pusher did have the good grace to lower his eyes. If going along with this ridiculous time-consuming coordinated patient care idea would make him look good on paper to the powers that be, then he'd make some form of an effort. He'd at least give it lip service, but based on his experience it would be a waste of time. Shrugging a shoulder, he said, "Okay." He looked at Ms. Edwards. "I guess we're a team, then."
Ms. Edwards angled her head, mistrust written all over her face. Was she questioning his motives? Would she let him get away with doing as little as possible? Maybe there was more to this unassuming woman than he'd originally supposed. If nothing else, it would be a challenge to see if he could get her to smile. Find out if he could make that sadness in her eyes disappear.
"So it's settled." Matherson sounded far more cheerful than Ryan felt. "Then I'll let you two get started."
* * *
Lucy glanced at the self-absorbed doctor walking half a pace ahead of her up the hall. It had been hard enough to leave her entire life behind to start a new job in an unfamiliar city but being forced to work with a person who resented her being foisted on him made it almost impossible. Left no choice, she had to make this partnership work somehow.
Matherson, with the syrupy smile still on his face, had inquired if the good doctor was going back up to the neuro floor. When he said he was, Matherson had the nerve to ask him to show her the way. She'd been horribly embarrassed that Matherson had relegated this surgeon to a tour guide but didn't know a graceful way to say she'd find her own way.
As they left the HR department, Dr. O'Doherty held the door for her to go ahead of him. Someone had at least instilled manners in the self-absorbed man. She'd seen little else to impress her. That wasn't exactly true. She hadn't failed to notice his wide shoulders, piercing blue eyes and height. Even now his long legs were eating up the well-worn tile floor beneath them. Not often did she find a man that she couldn't meet almost eye to eye.
Gripping her purse, Lucy found herself tagging along behind him. With each step she became more irritated with his attitude. He walked as if he couldn't leave the HR or her quickly enough. Regardless, she appreciated him leading the way as they made one turn then another, past another bank of elevators. She had no idea where she was in the vast hospital.
That morning when she'd stood across the street in Central Park, facing the front entrance of Angel's, and had looked up, she hadn't begun to count the number of floors. The building spread across an entire block. To say she'd been intimidated would have been an understatement. Still, there had been something about the mixture of old and new architecture that had appealed to her. If nothing else, the bright yellow and red awning leading to the front door had made her think the place had warmth.
Being employed by a large hospital wasn't new to her. Most children's hospitals were attached to a larger teaching hospital that was affiliated with a big university. But compared to Angel's, those she'd worked in were dwarfs in size. She liked the nickname Angel's. Glancing at the man beside her, she decided he didn't act very angelic or hospitable.
Dr. O'Doherty finally stopped in front of a set of elevators and pushed the 'up' button.
Her job required her to read people. Dr. O'Doherty's rigid stance and unyielding demeanor said he wasn't pleased with having to answer to the HR department and now to her in a lesser way. She wasn't surprised. Typical surgeon. Highly typical neurosurgeon. Confident, in control and with minds closed to anyone's ideas but their own. Still, she had a job to do, and that meant co-operating with this guy. She had no choice but to make it work.
Clearing her throat, she said, "I understand this arrangement isn't really your idea of a good plan."
He moved to face her. "No, it isn't."
His displeasure didn't encourage her. If this was the way he acted over a simple request, she couldn't imagine his reaction to a serious issue. She was well acquainted with lifealtering experiences. She wasn't going to waste her energy getting upset over anything as mundane as being partnered with the egotistical doctor.
"I'd like to make my end of it as painless as possible for both of us."
The elevator arrived, putting their conversation on hold. The doors opened and they stepped into an already crowded car. Dr. O'Doherty's solid frame brushed hers as they turned to face the front of the elevator. A prickle of awareness spread through her body.
On the ride upward, they stood close enough that the heat of his body warmed her down one side. It was the first time in months that the Arctic cold buried deep within her had melted even for a second. The numbness returned the moment the elevator doors opened and he moved away. She stepped out behind him, then paused.
He stopped and looked at her. "Something wrong?"
"No, I'm just always amazed at how completely different patients' areas are from the business parts of the hospital. These bright yellow walls are like coming into sunshine after being in gloom."
"I've never noticed."
She wasn't surprised.
"Can you get to your office from here?"
She glanced around, recognizing a framed picture of a child's artwork on the wall. "I know where I am now." He turned to leave and she asked, "So how're we going to handle this coordinated care plan, Dr. O'Doherty?"
Customer Reviews
Average Review


text:
Scales that measure your weight are high-quality if all you care about is how a lot you weigh. But there's way more to measuring your weight than simply figuring out how many kilos are registering on your rest room scale. Please observe that Samsung Well being is intended for health and wellness functions only and is not meant for use in the diagnosis of illness or other circumstances, or within the cure, mitigation, remedy, or prevention of illness. Samsung Health protects your private well being information securely. All Samsung Galaxy fashions released after August 2016, Knox enabled Samsung Well being service shall be available. Please be noted that Knox enabled Samsung Well being service will not be obtainable from rooted cell.
New research have left scientists divided over using paracetamol throughout being pregnant. Month-to-month membership fees at these amenities rely on the providers and facilities you join, number of months, … Read More


text:
Weekly Read "Season's End"
"When people discuss youth sports: the time, the energy, the cost, the travel, the injuries and the injustice, it is common to be asked "is it worth it?"
Season's End (Click to Read)
Weekly Column
Still crazy about DIY after all these years.
Click to Read More
Back in the Nest 💕
My baby chick is back in the nest!
Special gratitude as always to Southwest Airlines for safe travel and smooth operations and the entire state of Florida (with special emphasis on dear friends) for being such amazing hosts.
My "baby" (not such a baby" anymore but bear with me) has now flown twice as much in her life as I have. I'm proud of that.
Life as a mom of a not-so-baby also means accepting - and loving - the fact that she's super excited to see me, she just needs to greet this gem first.
(He got three hugs before I got a "hi" but who's counting? #YoungLove)
Cankles & Spa Day
Spa day in the heart of it all in January looks like this 💕 #Spa #Grey Finally using my 2014 Christmas gift. Also, there are not enough hot towels in my life. I also do not have cankles. They just appear that way in photographs (apparently).
Adulting is Overrated
I'm taking a not-sick day.
I got up,
Showered. Put on cute lounge clothes, blew out my hair, announced to Mr. Wonderful that he was getting me good pizza later, and that I would not be adulting today.
Queso dip and chocolate cookies.
It's what's for breakfast.
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text:
- Net Weight: 20 kg
- Product #: 550756
Lamb Milk (Mini-Pellet)
For Early Wean Lambs
Masterfeeds GoalMaker Lamb Milk (mini-pellet) can help early wean lambs without weaning set-back. Early weaning is key to reducing health problems present during milk feeding and lowering milk replacer cost. Feed this product along with normal feedings of milk or milk replacer as the first dry feed or mixed into the starter feed.
Feed as the sole ration along with milk from the ewe or milk replacer from three days of age until the lamb is 10 kg in weight or eight weeks of age. Total amount of feed consumed during this period will be approximately 0.5 kg.
Reduced need for milk replacer.
Reduces feeding cost and helps with the transition to Masterfeeds Goalmaker 18% Lamb Starter.
Cold pelleting process, no steam.
Durable pellets without fines; Protects vitamin activity and the effectiveness of several nutrients that are sensitive to processing conditions.
High milk, fat and energy content.
Lambs can be started on the feed while suckling.
Successfully rear orphans and improve health.
Ideal for weight gain in lighter weight lambs and helps rehabilitate sick lambs.
High intensity sweetener.
Stimulates feed intake, nutrient uptake and palatability.
Guaranteed Analysis:
Crude Protein (minimum)........................18.0%
Crude Fat (minimum).................................6.5%
Crude Fibre (maximum).............................1.8%
Calcium (actual).........................................1.1%
Phosphorus (actual)...................................0.6%
Salt (actual)................................................0.7%
Sodium (actual)..........................................0.3%
Vitamin A (minimum)....................15,000 IU/kg
Vitamin D (minimum).....................3,000 IU/kg
Vitamin E (minimum)...........................75 IU/kg
This feed contains added Selenium at 0.30 mg/kg.


text:
Tegucigalpa: Police say masked gunmen opened fire on four luxury SUVs as they left the parking lot of an airport in northern Honduras, killing six men and wounding another three.
Police commissioner Julian Hernandez says the assailants were waiting for the men at La Mesa international airport in San Pedro Sula.
Hernandez says the victims have not been identified and most were in their 20s. Police are trying to determine the motive for the attack.
He says the victims were apparently also carrying weapons but police found none of them, perhaps because the assailants took them.
The attack took place on Friday.
Authorities say Mexico`s Sinaloa and Zetas drug cartels operate cocaine-trafficking routes in northern and eastern Honduras.
Bureau Report


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Zaarly, Inc.
Attn: Clay Patterson
3520 West 75th Street
Prairie Village, KS 66208
[email protected]
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This list is an archive of past Flash Activities on Musical Exchange. Even though these activities have ended, they are filled with fun ideas, interesting questions, provocative posts, and cool apps that can inspire you.
What is Musically Meaningful to Me?
A Musician's Tour of Your City
What is a Traditional Song from Your Culture?
Flash Activities are Fun and Fast. They are quick activities that we can do collaboratively as a community. Flash activities take only a few minutes to complete, and you have only a few days to complete them. They are designed to help us get to know one another and share in something musical. You will see a current Flash Activity featured on the Musical Exchange homepage approximately every two weeks.


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The four components that make up the "tetralogy" include:
- a ventricular septal defect (VSD);
- pulmonary stenosis (subvalvar, valvar and/or supravalvar);
- an overriding aorta; and
- right ventricular hypertrophy.
The primary problem is the malalignment VSD, in which the infundibular or conal septum is malaligned anteriorly, thereby blocking the right ventricular outflow tract. The conal septum pulls the aorta anteriorly with it, into a position overriding the ventricular septum. The right ventricular hypertrophy occurs secondary to high pressure in the right ventricle (RV), created by the pulmonary stenosis and the large VSD. In the extreme situation, the right ventricular outflow tract is completely blocked off, in which case you have tetralogy of Fallot with pulmonary atresia.
The physiology is variable despite similar anatomy. The degree of RV outflow tract obstruction strongly influences the degree of cyanosis. With increasing degrees of obstruction, more and more of the desaturated (blue) blood is forced across the VSD and out into the aorta (a right to left shunt), thus never reaching the lungs to become oxygenated. On the other hand, if there is only mild RV outflow tract obstruction, there may be less resistance to blood flowing out the pulmonary artery than flowing to the systemic circulation. In this situation, excess blood tends to flow from the left ventricle to the right ventricle; i.e. a net left to right shunt. These patients are acyanotic ("pink Tetralogy of Fallot") and may actually develop congestive heart failure.
A patent ductus arteriosus (PDA) can play a very important role by providing an alternate pathway for blood to reach the lungs, allowing adequate pulmonary blood flow even in the face of very severe RV outflow obstruction. The flow across the PDA goes from left (the aorta) to right (the pulmonary artery) in this setting.
Children with tetralogy of Fallot are at risk of having hypercyanotic spells or "Tet spells". Spasm of the infundibular region (below the pulmonary valve) and/or a sudden increase in pulmonary vascular resistance produces a sudden decrease in the amount of blood getting to the lungs. Concomitantly, more blood is shunted from right to left and exits the aorta as desaturated blood. The resultant hypoxemia further increases the pulmonary vascular resistance and a downward spiral begins with the rapid development of acidosis. Older children learn to squat in order to prevent or alleviate a spell. It is believed that the squatting kinks the large arteries in the lower extremities, thus increasing the systemic vascular resistance and forcing more blood across the pulmonary outflow tract.
Surgical Management of Tetralogy of Fallot (TOF)
Definitive treatment of tetralogy of Fallot consists of surgical correction. Timing of surgery remains controversial but most agree that the presence of severe cyanosis or hypercyanotic spells necessitates surgical intervention. Complete repair consists of closing the ventricular septal defect with a patch and enlarging the right ventricular outflow tract. The latter usually requires incision across the pulmonary valve annulus and placement of a patch of synthetic material to widen the outflow tract at all levels of obstruction.
When surgical intervention is necessary in a patient who is not a good candidate for complete repair (i.e., very small patient size, tiny pulmonary arteries or an anomalous coronary artery course), a palliative procedure is performed. Palliation consists of placement of a shunt from the aorta to the pulmonary artery to increase pulmonary blood flow. The most commonly performed shunt today is the modified Blalock-Taussig shunt, in which a tube of Gore-Tex is placed between the subclavian artery and the pulmonary artery.
What Is Normal Cardiac Anatomy?
When your child has a congenital heart defect, there's usually something wrong with the structure of his or her heart's structure.
Heart With Normal Cardiac Anatomy
When your child has a congenital heart defect, there's usually something wrong with the structure of his or her heart's structure.
The heart is composed of four chambers. The two upper chambers, known as atria, collect blood as it flows back to the heart. The two lower chambers, known as ventricles, pump blood with each heartbeat to the two main arteries (the pulmonary artery and the aorta). The septum is the wall that divides the heart into right and left sides. The atrial septum separates the right and left atria; likewise, the ventricular septum separates the two ventricles.
There are four valves that control the flow of blood through the heart. These flap-like structures allow blood to flow in only one direction. The tricuspid and mitral valves, also known as the atrioventricular valves, separate the upper and lower chambers of the heart. The aortic and pulmonary valves, also known as the arterial valves, separate the ventricles from the main arteries. Oxygen-depleted blood returns from the body and drains into the right atrium via the superior and inferior vena cavas. The blood in the right atrium then passes through the tricuspid valve and enters the right ventricle.
Next, the blood passes through the pulmonary valve, enters the pulmonary artery, and travels to the lungs where it is replenished with oxygen. The oxygen-rich blood returns to the heart via the pulmonary veins, draining into the left atrium. The blood in the left atrium passes through the bicuspid, or mitral, valve and enters the left ventricle.
Finally, the oxygen-rich blood flows through the aortic valve into the aorta and out to the rest of the body.
From Nemours' KidsHealth
- Cardiac Catheterization
- ECG (Electrocardiogram)
- If Your Child Has a Heart Defect
- Atrial Septal Defect
- Arrhythmias
- When Your Child Needs a Heart Transplant
- Heart Murmurs
- Patent Ductus Arteriosus (PDA)
- Coarctation of the Aorta
- Congenital Heart Defects
- Ventricular Septal Defect
- Tetralogy of Fallot
- A to Z: Atrial Flutter
- A to Z: Hypoplastic Left Heart Syndrome
- A to Z: Patent Ductus Arteriosus (PDA)
- A to Z: Tetralogy of Fallot
- Heart and Circulatory System
- Congenital Heart Defects Special Needs Factsheet
Trusted External Resources
Trusted Resources
Heart Murmurs
What Are Heart Murmurs?
The human heartbeat is usually steady: lub-dub, lub-dub. In some people, though, the blood makes an extra noise as it flows through the heart. This sound is called a murmur.
Doctors hear a heart murmur as a whooshing sound between heartbeats. The whoosh is just an extra noise that the blood makes as it flows through the heart.
What Happens in a Heart Murmur?
Depending on a person's age, the heart beats about 60 to 120 times every minute. Each heartbeat is really two separate sounds. The heart goes "lub" with the closing of the valves that control blood flow from the upper chambers to the lower chambers. Then, as the valves controlling blood going out of the heart close, the heart goes "dub."
A heart murmur describes an extra sound heard in addition to the "lub-dub." Sometimes these extra sounds are simply the sound of normal blood flow moving through a normal heart. Other times, a murmur may be a sign of a heart problem.
Who Gets Heart Murmurs?
Parents might worry if they're told that their child has a heart murmur. But heart murmurs are very common, and many kids are found to have one at some point. Most murmurs are not a cause for concern and won't affect a child's health at all.
How Are Heart Murmurs Diagnosed?
Doctors listen to the heart by putting a stethoscope on different areas of the chest. It helps if kids are quiet as the doctor listens, because some heart murmurs are very soft. It's not unusual for a murmur to be noticed during a routine checkup, even if none was heard before.
Heart murmurs are rated on a scale from 1 to 6 based on how loud they are. Grade 1 is very soft, whereas grade 6 is very loud. If a murmur is found, the doctor may refer a child to a pediatric cardiologist for further evaluation.
What Causes Heart Murmurs?
Innocent Heart Murmurs
The most common type of heart murmur is called functional or innocent. An innocent heart murmur is the sound of blood moving through a normal, healthy heart in a normal way. Just as you might hear air moving through an air duct or water flowing through a pipe, doctors can hear blood moving through the heart even when there's no heart problem.
An innocent heart murmur can come and go throughout childhood. Kids with these murmurs don't need a special diet, restriction of activities, or any other special treatment. Those old enough to understand that they have a heart murmur should be reassured that they aren't any different from other kids.
Most innocent murmurs will go away on their own as a child gets older.
Congenital Heart Defects
Some murmurs can indicate a problem with the heart. In these cases, doctors will have a child see a pediatric cardiologist. The cardiologist will order tests such as:
- a chest X-ray: a picture of the heart and surrounding organs
- an EKG: a record of the heart's electrical activity
- an echocardiogram: a picture of the heart made using sound waves
About 1 out of every 100 babies is born with a structural heart problem, or congenital heart defect. These babies may show signs of the defect as early as the first few days of life or not until later in childhood. Some kids won't have any symptoms beyond a heart murmur, while others will such signs as:
- rapid breathing
- difficulty feeding
- blueness in the lips (called cyanosis)
- failure to thrive
An older child or teen might:
- be very tired
- have trouble exercising or doing physical activity
- have chest pain
Call your doctor if your child has any of these symptoms.
Pregnant women have a higher risk of having a baby with a heart defect if they get rubella (German measles), have poorly controlled diabetes, or have PKU (phenylketonuria, a genetic error of the body's metabolism).
Common Heart Defects
Several kinds of heart problems can cause heart murmurs, including:
- Septal defects, which involve the walls (or septum) between the upper or lower chambers of the heart. A hole in the septum can let blood flow through it into the heart's other chambers. This extra blood flow may cause a murmur. It can also make the heart work too hard or become enlarged. Bigger holes can cause symptoms besides a heart murmur; smaller ones may eventually close on their own.
- Valve abnormalities, caused by heart valves that are narrow, too small, too thick, or otherwise abnormal. These valves don't allow smooth blood flow across them. Sometimes, they can allow backflow of blood within the heart. Either problem will cause a murmur. Outflow tract obstruction might be caused by extra tissue or heart muscle that blocks the smooth flow of blood through the heart.
- Heart muscle disorders (cardiomyopathy), which can make the heart muscle abnormally thick or weak, hurting its ability to pump blood to the body normally.
Your doctor and a pediatric cardiologist can determine if the murmur is innocent (which means your child is perfectly healthy) or if there is a specific heart problem. If there is a problem, the pediatric cardiologist will know how best to take care of it.
Reviewed by: Steven B. Ritz, MD
Date reviewed: September 05, 2017


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In depth practice and Leadership training
2016 - 2018
Berkeley, California - Calgary, Canada - Germany/Switzerland
with Founder Eva Vigran, MA Psych and Senior Faculty Nadia Van Doren
Learn in-depth practices to work effectively with body, awareness, movement, energy and emotions to foster physical, emotional, mental and spiritual healing and well-being for yourself and your community.
During this training, Eva Vigran and faculty will guide you through powerful practices to successfully connect with your body as a resource and harness its potential.
Level 1: Basic Level: Re-inhabiting the body
Level 2: Growing the Practice into Life
Bringing Core Connexion into everyday life and the community
Basic level of embodied and authentic leadership. Become a Core Connexion teacher.
Level 3: Mastery
Advanced studies in embodied and authentic leadership
Prerequisite: 20 hours of Core Connexion classes with Core Faculty or Eva Vigran.
California: Starts October 22nd, 2016
Canada: Starts on April 28th, 2017
Europe: Starts on August 7th, 2016


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Salma Hayek: 'Puss in Boots' Gets an Oscar Nomination!
Salma Hayek is red hot as she goes shopping through the City of Light on Friday (January 27) in Paris, France.
The 45-year-old Mexican actress has been checking out the latest designs during Paris Fashion Week.
PHOTOS: Check out the latest pics of Salma Hayek
Earlier in the week, Salma received the good news that her animated film Puss in Boots received an Oscar nomination for Best Animated Feature Film of the Year!
The flick will go head to head with Kung Fu Panda 2, Rango, Chico & Rita, and A Cat in Paris at this year's ceremony.


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Mark Sparks is a great business owner who wants to help other people reach their potential. Over the course of his career, he has done a great job of building up companies to get acquired by larger ones. He has recently launched a new show called Spark Tank. This show helps aspiring business owners take the next step with their business.
According to Angel.co, over time, this is expected to be a great show that draws a lot of viewers. Mark Sparks loves to help other people with their companies, and with this new show he is able to do so with relative ease.
People come on the show looking for funding, and if he likes their idea he will gladly pitch in money to their business idea.
Business Funding
One of the biggest issues that many small business owners face is business funding. Few companies have the ability to fund their growth requirements. Over time, it is important to get funding from investors or in the form of a loan for many companies. Learn more about Marc Sparks: http://whoismarcsparks.com/
A lot of business owners would rather not take out a loan, and when they do so it restricts their future cash flow. Working with an investor makes sense from a financial and business stand point.
Not only do you get their new business knowledge, but you are also able to get their financing. Any business owner looking to scale up their business quickly should consider getting outside financing. Read more: Marc Sparks (Author of They Can't Eat You) – Goodreads
There are a lot of people who have had success working with Mark Sparks in the past on this initiative. Small companies are an important part of the economy, and helping business owners is a great way to increase jobs growth.
Texas Economy
Mark Sparks is currently based in Dallas. The economy of Texas is growing, and many people feel like their best years are ahead of them. Anyone who is looking for another option in their business should look to Mark Sparks.
The economy of Texas is helping a lot of small businesses grow at a rapid rate. Even with the recent collapse in the price of oil, which was caused by increased production at home, there are many new jobs being created every year. This is a great opportunity for people to take the next step in their business and come on the Spark Tank.
There are a lot of people who will see their dreams realized by working with him. Not only has he been able to help small business owners, but he has helped customers as well. Tune in shortly when the new show is on, and you may just learn a couple of things about starting a business. It is a lot harder than many people realize.


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Welcome to Temple B'nai Sholem! Our synagogue is more than a building, school or set of programs. It is its membership, pure and simple. Our members come from all over, and represent every stream of Jewish thought and practice. But with our membership, we commit ourselves to a journey of discovery, where each of us, in our own way, deepens our connection to Judaism and ties to Israel. Some of us will discover greater Jewish meaning in Torah classes; some with new friends in the Sisterhood or Men's Club; some from worship and singing; some through acts of Tikkun Olam. Our Temple family supports a wide variety of Jewish creativity. Join us and we'll help you discover your unique path.
It is more than a journey; it's a destination. The Hebrew term for synagogue is Bet Kneset - Home for Gathering. Some refer to a synagogue as a Bet Midrash - a Home of Study or a Bet Tefillah - a Home for prayer. By forging your own Jewish path with us, we can create a home together that honors all of the meaning and hope in our name.
Join us for Shabbat evening services or an event that interests you to meet the members and our Leadership. If you'd like more information, we can send you a packet of information including a newsletter, calendar of upcoming events, schedule of services and school brochures.
Provided are the most requested forms in PDF format for you to print and mail or fax to our office.
Or fill out the application, print it, and fax or mail it with your payment to our office.


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Great Cathedral Mystery
Season 41 Episode 5 | 52m 37s
Master craftsmen explore how Florence's monumental dome was built nearly 600 years ago.
Aired: 02/12/14
Expires: 02/11/21Video has closed captioning.
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Funding for NOVA is provided by David H. Koch, the Corporation for Public Broadcasting and PBS viewers. Additional funding is provided by Roger and Vicki Sant.


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FODT hit up Snowbird the other day and scored a day of epic resort pow with ya boy MFM and cockney geezer Stevie Bell. GoPro faceblammers all the way.
Last week the Bird got hit with a solid storm and Marco and Stevie were there to take advantage. Check the GoPro footy of some waist deep pow turns.


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- Etassy
- 5 years ago
- Wedding: May 2016
So I never expected to join a wedding site. As a kid I have always been focused on school. Planning on going to med school next year.Marriage has never been on my radar. Than my dream guy came into my life. And now I have marriage on the brains. ugh! It drives me crazy but he makes me happy. So we have a ring picked up and he being the financially stable/ responsible one Is waiting to buy my ring cash so that's the hold up. He gave me a budget up to ten. And I being the slightly spoiled girl that I am spent every last penny. He is set in stone in keeping the poposal a secret but I got to pick the ring. I am type A.
He is a bio medical engineering he is 27 I am 22. He is old fashions pulls out the chairs, always takes care of me, extremely laid back. He is sweet, hardworking, funny, and loves my crazy personality and handles me well. And trust me handling me is a full time job. I on the other hand am loud, picky, and a bit of a princess. So he balances me out. So he has made it clear that it can happen any month now and I must admit that I am excited.


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Legal Question in Real Estate Law in North Carolina
My family has a small piece of land they use as a family cemetery down a dirt road out in the country. A number of years ago a hog farm purchased the adjacent property and now claims that the family has no right to the burial site. They have even dug up one grave recently and just left the vault and it's contents sitting out in the open for all to see. They come to family funerals and shout at the grieving parties about how the land doesn't belong to them and that they should leave.
Can they legally dig up existing graves, some have been there more than a hundred years. Do they have a right to disrupt our funerals?
1 Answer from Attorneys
As far as the disrupting funerals issue, you might remember hearing about the Westboro Baptist church. Technically they can dot his as long as they stay on their property and away from the funeral site.
More importantly is the property issue. There are only two ways I can think of them claiming alleged ownership. First is adverse possession. With AP, a person takes over another person's land and keeps it for ten years exclusive of the other person. If this happens without the other person objecting, then they can file an action to quiet title. Most people do this wrong...it sounds like they may be claiming this.
Second, it could be that when they had someone actually check the property lines, the plot where the graves are located is not actually owned by your family. Further, you should ensure that this land is properly zones for burial and if it is not, you will need to take steps to make it such. You need to speak to a real estate attorney in your area.
Related Questions & Answers
What does a "ten day demand for rent" letter look like? Asked 6/26/13, 12:40 pm in United States North Carolina Real Estate and Real Property