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Discharge Instructions for Tuberculosis (TB)
Discharge Instructions for Tuberculosis (TB)
You have been diagnosed with tuberculosis (TB), a serious disease caused by a type of bacteria. It is spread from person to person through the air. TB may scar the lungs and other parts of the body, such as the kidneys, bones, or brain. Here's what you can do to take care of yourself and to prevent the spread of TB.
Prevent the spread of TB
Having TB means that tuberculosis bacteria are multiplying in your body and can be spread to other people. After taking TB medicine for a period of time, you will no longer be able to spread the disease. Your healthcare provider can tell you at what point this is true for you. To help prevent spreading the disease until then:
Make sure that your family, friends, and the people you work with are tested.
Avoid close contact with others until your healthcare provider says it is OK.
Keep your hands clean. Be sure to wash them every time you use them to cover your mouth when you cough.
When you cough or sneeze, take steps to prevent the spread of TB:
Cover your mouth and nose with a tissue.
Put your used tissue in a closed bag and throw it away.
If you don't have a tissue, cough or sneeze into your upper sleeve or elbow, not your hands.
Wash your hands often with soap and warm water for 20 seconds. If soap and water are not available, use an alcohol-based hand gel.
Home care
Take your medicine exactly as directed. Continue taking it even if you start to feel better. You will take medicine for at least 6 months and maybe longer. Not taking your medicine for the full course may lead you to get sick again. It also increases the chance of drug-resistant TB. Drug-resistant TB means that one or more of the usual medicines for TB don't work.
If you are taking birth control pills, use an additional backup method of birth control. Some TB medicines may interfere with the pill's effectiveness.
Check with your healthcare provider before taking any over-the-counter medicines.
Sleep in a room alone and with good air flow (ventilation).
Limit your activity to avoid feeling tired. Plan frequent rest periods.
Keep your healthcare appointments. You will need to be checked regularly for several months to a year to make sure you are free from TB bacteria.
Follow-up care
Don't leave until you have had a follow up-appointment scheduled. This is the law in most states. You will likely have follow-up appointments for a few months. These appointments are very important with TB. Keep these appointments as scheduled. If you must miss an appointment, be sure to reschedule it promptly.
Call 911
Call 911 right away if you have any of the following:
Chest pain or shortness of breath
Blue lips or fingernails
When to call your healthcare provider
Call your healthcare provider right away if you have any of the following:
Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider
Bloody material (sputum) that is coughed up from your lungs and into your mouth
Worsening or recurring night sweats
Increased coughing
October 06, 2017
Nahid, P. Clinical Infectious Diseases. Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis. 2016, pp. 1-49.
Reviewed By:
Holloway, Beth Greenblatt, RN, M.Ed.,Lentnek, Arnold, MD


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OVO A Payment Platform that Will Ease You
If you hear about OVO, you may will remember a payment system in one of ojek online companies in Indonesia or an app that used for paying your parking fee at Lippo Group malls. Since it has existed two years ago, OVO introducing itself with ensconce under merchants and units still connected to that big company.
But OVO is designed with open platform principle. That is what makes OVO become financial technology service who can penetrate its business to other business units outside Lippo Group and not depend on Lippo. Today, OVO has been collaborate with more than 32.000 merchants on its services and only 3 – 5% which are parts of Lippo Group.
At the beginning, OVO strive to attract customers or users with their promo and offer like 30% cashback at several f & b outlets. It is an effective way to attract people, but not only that, because OVO also targeting other achievements, not just adding users, but also make OVO as the main electronic payment for its users.
In the future, OVO will be expanded from mostly using as a payment, there will be other features such as loan, savings, to investment service. For now, OVO is not only giving you convenience for paying your parking fee, but also insurance payment, any kind of bills, and more. To top up the balance, aside at OVO Booth, you can also top up via ATM, Alfamart, internet or mobile banking, and using debt card. Recently, OVO has been collaborate with Tokopedia as one of their payment, replacing TokoCash.

subset: commoncrawl


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Anyone aged over 18 years who is registered with a GP in Cambridgeshire or Peterborough can now self-refer for physiotherapy treatment through Dynamic Health's Physio Advice Line. The service offers direct and easy access to an experienced physiotherapist regarding problems relating to bones, joints and soft tissue.
Our Healthwatch raised concerns about problems with access to physiotherapy services with local health commissioners back in 2016. Whilst people in some areas could self-refer to a physiotherapist, others had to see their GP first. Some people told us they were waiting too long for appointments.
We also spoke to Dynamic Health who provide some, but not all, physiotherapy services locally. Since then, Dynamic Health have redesigned how they provide services and created a new website http://www.eofemskservice.nhs.uk with advice, exercises and videos to help you manage your own condition.
They have told us that they are proactively looking to work with other physiotherapy services to help create more joined up services for people.
You can refer yourself to the service by contacting Dynamic Health on 0300 555 0210. If you cannot use Physio Advice Line, you can fill in an online self-referral form or get a copy of this from your GP surgery. http://www.eoemskservice.nhs.uk/physiotherapy-self-referral.
Talk to us
Everything we do starts with what local people tell us. Share your experiences and ideas to help services hear what works, what doesn't and what you want from care in the future. No matter how big or small the issue, tell us about it. If it matters to you then it's very likely it matters to someone else.
You can tell us your story here online or contact our friendly team:
Call 0330 355 1285
Text 0752 0635 176
Email firstname.lastname@example.com
You may be interested in:
8/12/2016 Healthwatch asks health commissioners to look at MSK physio services


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Lolita Lempicka Forbidden Flower Reviews
Lolita Lempicka's Forbidden Flower Perfume proves that new fragrances can be just as appealing as classic scents. Introduced in 2008, this casual scent for women combines a unique selection of fruity and floral extracts, including iris, violet, heart, strawberry leaf, mimosa, aniseed flower, peony, absinth flower, and other fruity accents. This delightfully feminine scent is intense enough for date night yet subtle enough for a day at the office. Apply it liberally and enjoy hours of long-lasting fragrance.
Review of Lolita Lempicka Forbidden Flower
I loved the smell, but on me it only lasted about 45 minutes. I tried it again after my shower the next day and it still only lasted about 45 minutes. the smell is soft floral/slight power, I do not smell any gardenia or vanilla, thank goodness, more of a soft rose maybe.... can't really tell since it doesn't last that long to get a good scent. I did purchase the edu parfume. I would say it's a good smell for the office/work since it's not very strong and should not offend anyone. ( beautiful bottle and color)
Written by Vanessa / Olympia on 04/19/2014
Review of Lolita Lempicka Forbidden Flower
I love Forbidden Flower. It is a very nice perfume. It smells so good. The flowers and sweets are truly amazing. My daughter that has Downs laid on my neck smelling me. Umh smells good! I put some on her this morning for school.
Written by Mona on 02/26/2014
It took me awhile to figure out how to spray thru the stem, after I had pulled top off. It is a light floral fragrance but didn't last to long on me. So I had to spray it on several times thru the day. Finally it stayed better and was a nice scent. I like most of her scents. It is not my favorite but comes close.
Written by peach on 02/06/2014


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If you are looking into Air Duct Cleaning in Mill Spring, NC, you need to think about a few questions: Have you considered your options? Have you considered what you can fund and what you want to invest? Are you new to this? Will you benefit from the help of Air Duct Cleaning industry professionals? You will get professional assistance with your task from Air Duct Cleaning when you call 800-239-9895.
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Fruit Service srl
Company ProfileOur company was born with the aim to satisfy the needs of everyone who requires home delivery of fruit and vegetable products, canned food, exotic fruits, etc.
It started as a wholesale specialised in fruit and vegetables distribution. Later it spread its business to all the products coming from the best national farms adding, in some periods of the year, fruit and vegetables grown abroad, so to grant the customers the always more requested continuous availability of such products through the seasons.
The company structure is characterized by people with a great experience in food and agricultural field, supported by dynamic young people in order to guarantee a professional continuity and to deal with the new commercial demand.
The Fruit Service srl, thanks to its professionalism and reliability, can satisfy the needs of all kinds of customers:
- hotels
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- campings
- rest homes
- green groceries
- restaurants
- chronic care facilities
- supermarkets
- cafeteria services
- catering services
Our aim is to guarantee:
- products quality
- quick deliveries
- immediate products availability
- most competitive prices on the market
- professionalism and reliability of our staff


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Allow me tell you a story, a story about me on how I almost got swallowed up by sadness or so I think a minor depression.
The year is 2014, and me and my so-called buddy at the time decided fuck this, we're starting a production house, Motion In Time we called it.
Straight out of a training program I thought I was well equipped to run a production house and having worked at SABC man I thought I knew it all. Me being me knowing all sorts of connects I managed to get us not only a fancy offices in Sandton but also an entry into a business incubation program.
This was dope…probably the best thing ever considering we had no money or experience but little savings.
Work was put in, and all of a sudden my partner started acting shady, poor guy was probably going through things I didn't understand.. ok fede I just needed to see this through so it didn't bother me as much.
More work, and the thing about me is that when I invest myself in something, I go in hard, I invest my everything, basically I fell in love with my all..
Months went by, business went by, so did our pockets too and yes shit started to hit a fan…
When shit hits the fan, real characters come out and disagreements starts. When a couple, in business starts to break out, anyone can see. The other half starts showing up in meetings alone lol, and people talk "What happened to Bonnie and Clide?'' Ya ne..
It's not funny, reality started to set in, I recall a conversation I had with my friend Tebza as I was leaving the offices after a heavy day. I was basically trying to explain how I put my everything in, and it has amounted to nothing. Basically it wasn't working..
You know that conversation girls have with their friends when they start doubting a guy? Yep! This was me.
Tebza suggested I leave, he could tell I was already dead inside.
I packed my bags. A story old as time.
This was an epic fail, first time in love and you get your heart brutally broken.
With no income stream you must go back home to your mom and rethink your game plan. Also, remember your siblings will be looking at you funny — hmm and friends?
Like any heartbreak, this shit takes time to heal, and if you're not careful it consumes you.
I found myself almost in the deep end.
Talking yourself out is not enough. I had to even leave home, ended up in Bloem, I thought shit would change but nha. It doesn't work like that.
I don't know if I was depressed or sad, but whatever it was I couldn't escape it except this one time when I encountered 'The Paradox of Prosperity' essay by Umair Haque — a simple read…but it knocked me off and sent my brains into a wild wild west.
It shook me so hard, I started writing, my first ever book came out and 'The Paradox of Prosperity' eBook was published.
And then boom!
I was fine.
My mind was clear, what I think was depression was gone and suddenly I was fine.
But now it daunts me. All along. All these things. All I had to do was give.
Is this how you heal depression or sadness maybe? I don't know, but there's something magical in giving, in teaching, in expressing yourself.
For all of us who are born creative we're lucky, but not all of us are actually creative, but we can give right?
We can give, create, heal, help, write, think, talk, and teach.
In a culture where depression is the deadliest weapon ravaging the youth, nothing can help you heal than the enduring desire to give.
For all those who know me, are always asking; "how are you not a drug or alcohol addict with this hard working you're doing?"
How do you even cope?
It's simple. I give. I produce. I create. I express myself in the best way possible because for me giving helps me more than it does the next person.
If I don't give I get sick, it gets bad — I get moody, oh help dear God!
How are you giving in your world?
An open letter to small business owners.
I'd like to offer my humble skills in advertising and brand strategy. It is not out of any financial desperation from my part, but from a real desire to see small brands grow into their full potential. FREE OF CHARGE.
Why am I doing this?
I'm hoping my small contribution to your business will make it a bit more profitable for you. And of course, black excellence all around. (Although, every race is welcome).
So, to you reading this, I have a small favor to ask, please share this with that business owner on your network.
Drop me an email on firstname.lastname@example.com
As a personal challenge, I would like you to help others with your skills. Copy the above and share on your social media page!
Happy Monday Motivation!
#Letsfixthecountry #MondayMotivation #Motivation # #Give #Create #Heal #Help #Write #Think #Talk #Teach.
November 2018,
Milpark, Joburg


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Modus Resort presents its guests each of the facilities you hope from a four stars hotel. Additionally, it great things about staying in an extremely trendy place of Istanbul.
The clinic is accredited because of the Turkish Clinical Association and every procedure is performed by a surgeon and his very own hand-picked team of assistants.
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The body ego, as Freud said, that is, the most primitive and physical and organic ego.
It becomes clear that the violent conceptual explosions that have recently taken place were decisively influenced the re-definition of body images, of body perceptions.
Fifty years ago, the Francis Bacon thought, aimed to restore the body "to a kind of dignified, animal resignation". For him, art was about ribs and forearms and eye sockets. "It was about flesh over bone. Bacon never forgets that flesh is meat".
In my case, the bone become excessory, the flesh becomes inflesh, an inorganic redefinition. The purveyor of inflesh of all kinds, as an inflection, of livid and brilliant hues: greens, eerie pale or saturate red and shocking yellows, sepulchral titanium whites and ritually primitive lines. The excessories of my sculptures, steel and fiberglass erection, conjure unlikely anatomies and intelligent devices, as prosthesis of actual humankind.
My artistic approach and acclaim the spectacular extremes of bodily manipulation by new technologies, the deconstruction of corporality and evaporation of the body into virtual, moving towards to a new aesthetics, butchering of the ideal body as a gift from nature. These departures first liberated the body from societal codification, aesthetics delimitation and the "prison of Godlike embodiment".
At the end, I could not ever forget the Fidias' ideal of the body monumentality – an intellectual intercourse between Antiquity and nowadays Western civilisation.
Dictated by its finality and its expression (a working process), the origins of movements and forms I did not conceive them totally beforehand, but by experimenting them physically. What is experimenting, "trying"? Arrive at a coordinating point such that the energy goes through naturally. These are flows of motion rather than shapes and figures. By "trying" a sequence of movements and verifying that the energy passes, I find myself in front of multiple possibilities of other movements (abstractions). Then I "try" again and choose, and so on, creating a flow of energy. (Gill)
This flow builds the body movements by transforming every conscious sense into an abstraction emerging from the unconscious of the body, from the communication and osmosis between unconscious. When it comes to the body movement, its choreo/ graphy "ecriture au corps" becomes abstraction and translates the embodied meanings into intensive paths, while evolving them in motion and acting through the passage of energy.
The primitive human has been tried to understand without the need for conscious reasoning what the contemporary human been is trying to understand through rational knowledge. (Wundt)
At the crossroads of a long-term conflicting body story, borrowing from prehistoric cultures, I have discovered new, pared-down primary expression. The primitive markings and proto archaic signs depict spiritual themes and hark back to the origins of humanity. Marked on my own raw sculptures (see LOEMIJ), in order to induce the effects of power, I have particularly emphasized nonverbal primitive rituals engaging the magic of drawing (Tylor), anthropomorphic symbols and the magic of dance (Richard).
Paper & book publication in Europe about Towards a New aesthetics or graduate research at University of Montreal including an urban intervention in Lower Manhattan, New York;
ARCHAIC Inspired by the prehistory of Transylvania (my home country), Neolithic culture between the 6th and the 3rd millennium BC. Fine Art Faculty of Timisoara`s studies and projects


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Haven't written in ages...for a time, I didn't think I would keep this blog running, but I guess it will be one of those 'when the urge to write hits, I will update the blog.'
So where has life been since I last wrote? Well, here is the text from our first family newsletter that we wrote for the new year. I will post sometime soon about that last four months of the new year...
The beginning of a new year allows us to reflect on the past year, and for us, it was quite an adventure. It's really amazing how much things can change in a year.
Karin spent last Christmas leading a Sterling College medical mission trip to Egypt, where they worked closely with a doctor, delivering medical supplies and providing clinics to impoverished areas in Cairo as well as Sudanese refugee camps. Ben's sister, Addie, was one of the students that was able to go and it was a great way for them to get to know each other.
After finishing his degree, Ben began volunteering with the Habitat for Humanity Restore. They run a used furniture store (basically a thrift store without clothes) and he worked his way up to "pick-up/delivery driver." Talk about climbing the corporate ladder.
February saw us both add a year, Karin turned a mere 23 and Ben began suffering through his "quarter-life crisis." (I realize that most people reading this are older than me [Ben], but most of the people I work with call me "Papa Swi" because I'm "so old.")
In March Ben was hired as a Resident Director in one of the men's dorms at Sterling College, Campbell Hall. His job includes a lot of mentoring/discipleship roles within the dorm community. He has really enjoyed sharing life with so many men in the hall. Many students have really blossomed in this intentional community, and he has taken such pleasure in being a part of that.
April 25th was a busy day that many of you were able to be a part of. At 9:30 am, Ben walked across the stage to receive a bachelor's degree in history with a minor in religion and philosophy. After lunch he changed clothes and at 7 pm, walked down the aisle and became a husband. We were married in Sterling, Kansas, and flew out the next morning to celebrate our honeymoon in Napa Valley, California.
Our summer picked up in June, when Ben led a team of ten Sterling students to New Reque, Peru. While there they participated in the building of a school. Poverty and violence were rampant in the area so the school and church became a true oasis for the villagers. The school that started out as a class of kindergarteners has now grown each year. That original class is now graduating next November (right before their summer break). The school is now thriving thanks to the recruitment of so many children from the area. The students are all sponsored by families in the States, and several of the students on the trip were so moved that they decided to "adopt" children to help pay for the uniforms, support the school's teachers, etc. When one of the students found out that a girl on our team had decided to sponsor him, he ran out to her while we were laying cement and gave her a big hug. After work was finished that night he ran home and told his parents. The next day his mother had baked us all the Peruvian equivalent of apple pie and was weeping profusely after sharing their story with us. We also got to swing by Machu Picchu and check out some ancient Incan ruins, and visit some cathedrals and museums in Lima before coming home. For more on this trip, visit PurInPeru.blogspot.com. (Quick note: We don't recommend leaving a new wife at home for almost three weeks)
Two days after returning, Ben repacked for summer (Peru-winter-Southern hemisphere) and tagged along with Karin to Phuket, Thailand. Karin led a team of nine down from Sterling College, where we worked with an organization called SHE (Self Help and Empowerment). SHE is an aftercare facility (kind of like a half-way house) for girls who are coming out of the commercial sex industry. SHE provides them with job skill training, English lessons, counseling and discipleship, and a safe place to live. SHE trains the women to hand-make jewelry, chocolates, and different types of bread. We also spent a lot of time recruiting for SHE in the places we would go, but we were also able to visit a few Buddhist temples including a giant Buddha that stretched up 45 meters tall, and it was already on top of a mountain looking over the island. To read more about our journey, check out thethailandexpress.blogspot.com
August came as kind of a relief. Even though school was starting and students were arriving, it was good to be back home. We were also blessed to bring home our beautiful little "girl." Thanks to Cash for Clunkers (big thanks Obama) we were able to get rid of a couple of junkers and buy our first car, a Kia Optima, which we christened Lola.
In September, Ben had another awesome opportunity as he was able to help chaperone a group of worship leaders from the campus worship bands to Dallas for conferences. They were even able to be the "guest audience" in a video they were producing about the theology of worship.
In October, Karin began a master's degree program from Eastern University in Philadelphia in organizational leadership. She has been busy with reading and typing ever since. Ben will join her in May as he begins his own master's program in international development, also from Eastern University. They are both distance learning programs, so we will be able to do them in our free time while maintaining our residence in Sterling for the next couple of years. As part of our residency, we both get to travel to Uganda this summer for a three week intensive. In summer 2011 Ben will travel to South Africa for his last residency.
And finally, Thanksgiving and Christmas were both a great relief for us, as we were able to enjoy the company of family and friends, many of whom we were able to spend lots of time with. It was our first holiday season together, so it was fun to be with both families for the holidays.
As we look back at the many events of 2009, we recognize just how blessed we are to have such wonderful friends and family members sharing our lives. We hope that all is well with you and yours and that 2010 comes with many joys and blessings.


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All persons depicted herein were at least 18 years of age.
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This time of year most of the coffee shop talk revolves around calving season. Why wouldn't it? It kicks off the beef production cycle (in a loose sense), we watch the cow herd closer than any other time of year it seems, and pay much more attention to our nutrition program. On top of that, there's calving schools to attend, conversations with your local vet, and many other things that all bring our mind back to the fact that it is just about time to start calving.
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