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Politics • 21 May, 2019
Askar Mamin instructs to systematize development of special economic and industrial zones
At the meeting of the Government chaired by the Prime Minister Askar Mamin, the development of special economic and industrial zones were considered. The reports of the Ministries of Industry and Infrastructure Development, Energy, Samruk Kazyna, and akims of the regions were heard.This was reported by the press service of the Prime Minister of Kazakhstan.
"Special economic and industrial zones with ready-made infrastructure and various benefits are a good platform for attracting private investment," said Askar Mamin.
To date, 183 projects with an investment of 910 billion tenge have been implemented in 12 special economic zones, 183 billion tenge have been invested in 24 industrial zones, and 8,500 jobs have been created. More than 1 trillion tenge of private investment have been attracted, of which a quarter of the capital — with the participation of foreign companies. From 2019 to 2021, 318 projects for a total amount of more than 2.5 trillion tenge are planned to be introduced in the free economic and industrial territories with the creation of 11,500 jobs.
The management of special economic and industrial zones marked the successful experience of akimats of Nur-Sultan, Shymkent, Almaty cities and Pavlodar region. For example, in the Ontustik special economic zone, 15.5 tenge of private investment was attracted for 1 budget tenge. In turn, the territory of Ontustik is actively developing: 55 projects have been launched for 38.6 billion tenge. The PAVLODAR special economic zone for 1 budget tenge attracted more than 12 tenge of investments. In the Astana – New City special economic zone, the production for the period of operation exceeded 1.4 trillion tenge. In 2018, over 9.3 billion tenge of private investment was mastered on the Khorgos-Eastern Gate special zone.
As the Head of the Government Mamin noted, it is necessary to work on attracting new projects and investments systematically, to create jobs. For this, the regions should involve professional management companies with successful international experience in the working at such zones.
In order to improve the efficiency of work and management of zones, the prime minister instructed to develop criteria for priority financing of successful and prospective zones. In turn, when including projects in the free economic zones, regional akimats need to focus on manufacturing with high added value and export-oriented.
Given the new legislation simplified procedures for investors and management companies. To further ensure the inflow of private investments, as Mamin noted, the work should be built on the principle of "one window."
Summarizing the consideration of the issue, the prime minister instructed to develop a development strategy for a separate special economic and industrial zonses for a three-year period.
"Special economic and industrial zones should be the growth points of the regional economies," said Askar Mamin. "For this, we need well-defined and coordinated work, high-quality projects."
Minister of Ecology, Geology and Natural Resources of the Republic of Kazakhstan appointed
President • Today, 17:35
B.Sultanov appointment as Minister of Trade and Integration of the Republic of Kazakhstan
Politics • Today, 17:30
Cooperation of Kazakhstan and India in the economic sphere
World • Today, 11:25
Jakob Fuglsang wins critérium du Dauphiné
Sport • Today, 11:12
Kassym-Jomart Tokayev meets with Emir of Qatar Tamim bin Hamad Al Thani
Politics • 15 June, 2019
The Kazakh President takes part in the 5th CICA Summit
World • 15 June, 2019
The training centre of the Port of Antwerp expresses interest in cooperation with Kazakhstan
Politics • 14 June, 2019
Investment cooperation is a solid basis for the development of Kazakhstan-Germany relations
President • 14 June, 2019
Public Council on the activities of the Ministry of Foreign Affairs holds its first meeting
Politics • 13 June, 2019
Kassym-Jomart Tokayev meets with Xi Jinping, President of the People's Republic of China
President • 13 June, 2019
Minister of Education and Science of Kazakhstan appointed
Politics • 13 June, 2019
Altai Kulginov appointed Akim of Nur-Sultan
Politics • 13 June, 2019
Critérium du Dauphiné. Stage 4. Top 10 for Jakob Fuglsang in itt
Sport • 13 June, 2019
President of Kazakhstan receives Prosecutor General Gizat Nurdauletov
President • 13 June, 2019
K. Tokayev had a telephone conversation with Turkmen President Gurbanguly Berdymukhamedov
President • 13 June, 2019
Kassym-Jomart Tokayev inaugurated as President of Kazakhstan
President • 12 June, 2019
Davide Ballerini sprinted to a third place in the bunch sprint
Sport • 12 June, 2019
Foreign investments — to build hospitals
Politics • 12 June, 2019
The official inauguration ceremony held for K.Tokayev as President of Kazakhstan
President • 12 June, 2019
Inauguration of Kazakh President starts in Nur-Sultan
President • 12 June, 2019
António Guterres congratulates K. Tokayev with a victory in the presidential election
President • 12 June, 2019
Ministry of Energy: Annual oil production plan will be implemented
Economy • 11 June, 2019
Production in light industry increased by 23% — Roman Sklyar
Economy • 11 June, 2019
Government of Kazakhstan sums up budget execution results for January-May 2019
Politics • 11 June, 2019
OSCE observers call presidential election in Kazakhstan successful
Politics • 11 June, 2019
For January-May 2019, GDP growth reached 4% - A.Mamin
• 11 June, 2019
According to results of five months in 2019, positive GDP dynamics maintained — MNE
Politics • 11 June, 2019
K.Tokayev had a telephone conversation with Prime Minister of Armenia
Election • 11 June, 2019
Inauguration of the President of the Republic of Kazakhstan is scheduled for June 12
President • 11 June, 2019
CEC of Kazakhstan held briefings on the opening of polling stations and the beginning of voting
Politics • 10 June, 2019
Prime Minister Askar Mamin votes at presidential election in Kazakhstan
Politics • 09 June, 2019
Gennady Golovkin knocks out Steve Rolls with devastating punch
Sport • 09 June, 2019
Presidential elections starts in Kazakhstan
President • 09 June, 2019
Kazakhstan: getting ready to make a new step forward
Election • 08 June, 2019
27th Anniversary of Kazakhstan's diplomacy in the UN
Politics • 08 June, 2019
Spring sowing area in 2019 amounted to 19 million hectares — Ministry of Agriculture
Politics • 07 June, 2019
Kazakh Delegation attends the Day of German Industry
World • 07 June, 2019
Gulshara Abdykalikova participates in VIII Eurasian Forum of Higher Education Leaders
Politics • 07 June, 2019
EAEU member countries and China agreed on cooperation in the movement of goods
Politics • 07 June, 2019
Astana Pro Team is ready for the next UCI WorldTour stage race
Sport • 07 June, 2019
Bakhytbek Imanaliyev relieved as chairman of Committee on State Material Reserves
Politics • 06 June, 2019
President of Kazakhstan makes personnel changes
President • 06 June, 2019
Development of online travel in Kazakhstan: What tourists need to know
Economy • 06 June, 2019
Nursultan Nazarbayev assigned the status of "Honorary Senator"
Politics • 06 June, 2019
Kazakhstan and Singapore enhancing trade, economic and investment cooperation
Politics • 06 June, 2019
227 foreign correspondents from 40 countries accredited
Election • 06 June, 2019
IOC President awarded international peace prize
World • 06 June, 2019
The Astana Opera expands its creative horizons
Lifestyle • 06 June, 2019
Masterpieces of Musical Art performed in Nur-Sultan
Lifestyle • 06 June, 2019
The President of Kazakhstan visits the Nur Astana mosque
President • 05 June, 2019
Foreign Minister Meets the Managing Director of ExxonMobil
Politics • 05 June, 2019
Islamic Development Bank intends to intensify cooperation with Kazakhstan
World • 05 June, 2019
Nur-Sultan Hosts the 9th Round of Kazakh-Mongolian Consular Consultations
World • 05 June, 2019
Air Astana offers special fares for registered Marathon runners
Economy • 05 June, 2019
Kazakhstan participates in the 14th OIC Summit in Mecca
World • 05 June, 2019
Kassym-Jomart Tokayev congratulates Kazakhstanis on Eid al-Fitr
President • 05 June, 2019
Certificates for new apartments granted to mothers of many children in Nur-Sultan
Economy • 04 June, 2019
Nursultan Nazarbayev receives Janseit Tuimebayev
Politics • 04 June, 2019
In 2019, water supply will improve in 68 villages — MIID
Politics • 04 June, 2019
The Ambassador held a traditional meeting with Kazakhstani students
Election • 04 June, 2019
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Hello Moodle community,
we would like to add course results from another platform to a moodle gradebook. Now suppose we have some kind of LRS set up, holding result data from our courses that is accessible through xAPI.
I have found some plugins allowing me to push moodle activities to another LRS. What we need however is the opposite: We would like to present statements (course results) stored in our LRS to a moodle user, in his gradebook. I am looking for some kind of generic plugin that allows pulling xAPI statements from an LRS and save them as moodle activities but wasn't able to find anything.
Is anyone of you aware of a plugin that roughly goes in that direction?
Plugin to pull xAPI statements from an LRS and add them to a Moodle gradebookNumber of replies: 1
Hello Moodle community,
Re: Plugin to pull xAPI statements from an LRS and add them to a Moodle gradebook
Bumping this in case anyone has any suggestions? Does seem like a pretty important feature in 2018 for academic scenarios, though not something we've seen as a requirement in more commercial environments.


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Children's Hospital of Richmond 2011-2012 SERVICES GUIDE INSIDE: •Provider Guide •Map of Locations •Service Descriptions •Hospital News Index of Services Children's Hospital of Richmond, a children's hospital within the VCU Health System, offers the widest range of pediatric services in the region and is Central Virginia's only full-service children's hospital. A guide describing the hospital's services and programs is featured on pages 8-15. For additional information, contact Cyndi Cline, Community Liaison, at (804) 228-5835 or [email protected] Inpatient Units Acute Care Units..............................................8 Bone Marrow Transplant Unit (BMTU)................8 Epilepsy Monitoring Unit (EMU).........................8 Evans-Haynes Burn Center................................8 Neonatal Intensive Care Unit (NICU)..................8 Pediatric Intensive Care Unit (PICU)...................8 Pediatric Progressive Care Unit (PPCU)...............8 Transitional Care Unit (TCU)..............................8 Virginia Treatment Center for Children (VTCC)/ Behavioral Health.............................................. 8 Medical/Surgical Services Outpatient Therapy Services Acute Care...........................................8 Neonatology (NICU).............................8 Adolescent Medicine.............................9 Nephrology........................................11 Allergy, Asthma and Immunology............9 Neurology.........................................12 Anesthesiology.....................................9 Neurosurgery.....................................12 Cardiology...........................................9 Ophthalmology..................................12 Cardiothoracic Surgery...........................9 Orthopaedic Surgery...........................12 Critical Care (PICU)...............................8 Otolaryngology..................................12 Dentistry.............................................9 Palliative Care and Pain Management......12 Dermatology........................................9 Pharmacology and Toxicology...............12 Developmental Pediatrics.....................10 Physical Medicine and Rehabilitation......12 Emergency Medicine...........................10 Plastic Surgery...................................13 Endocrinology and Metabolism.............10 Progressive Care (PPCU)........................8 Feeding Program................................10 Psychiatry/Behavioral Health...............13 Gastroenterology................................10 Pulmonology......................................13 General Pediatrics...............................10 Radiology..........................................13 Genetics............................................11 Rheumatology....................................13 Hematology and Oncology...................11 Surgery (General/ Trauma)..................13 Hospital Medicine...............................11 Transplant Surgery..............................13 Infectious Diseases.............................11 Urology.............................................13 International Adoption Medical Program.... 11 Weight Management, T.E.E.N.S. Program...13 Long-Term Care (TCU)...........................8 Assistive Technology......................................14 Audiology....................................................14 Early Intervention/Infant Services...................14 Feeding Program .........................................10 Nutrition Services.........................................14 Occupational Therapy....................................14 Physical Therapy...........................................14 Psychology..................................................14 Speech and Language Pathology....................14 Support Services Art Therapy................................................15 Hospital Education......................................15 Pastoral Care.............................................15 Safe Kids...................................................15 Care Connection for Children........................15 Medical-Legal Partnership............................15 Pet Therapy...............................................15 Social Work...............................................15 Child Life...................................................15 Music Therapy............................................15 Recreation Therapy.....................................15 Also in This Guide Hospital News.............................................................3-5 2 Provider Guide................................................................6 Map of Locations............................................................7 Hospital News Children's Hospital of Richmond JULY 2011 First Year Sets Stage for Continued Growth, Care Advances Dear Colleagues: reating a platform for advancing the level of pediatric care and specialty services in our region was the driving force behind the decision to join VCU Children's Medical Center and Children's Hospital in 2010 to create Children's Hospital of Richmond (CHoR) of the VCU Health System. Bringing together the services of both organizations established a full-service children's hospital that offers a continuum of pediatric care unparalleled in our region. Our unified organization fosters new opportunities for enhancing and expanding pediatric services, improving coordination of care among providers, and increasing access to specialty pediatric care for children throughout Central Virginia. The strong foundation of clinical, academic and research excellence of the VCU Medical Center strengthens our ability to recruit and retain top pediatric medical and surgical subspecialists and expand pediatric education, training and research programs beneficial to all children. Since joining operations last July, many plans for growth and advancement of care have been realized. We have hired In June 2011, CHoR eight physicians, making steady progress toward our goal of recruiting at least 30 new physician faculty within CHoR's received certificate of first few years. The Department of Pediatrics has added two endowed chairs – the William Tate Graham, MD Chair in public need (COPN) Neonatology and the John J. Mickell, MD Chair in Pediatric Critical Care Medicine. We created new programs, opened a approval by the new state-of-the-art pediatric emergency room, and advanced service provision in several areas. Highlights are featured in Commonwealth for a new the First Year Overview section on the following two pages and reflected in additions throughout our Services Guide. ambulatory care pavilion. Continued physician recruitment – integral to expanding access to services and supporting education programs and research initiatives – remains a priority. Surgical services such as our advanced pediatric surgical robotic program and our vascular malformation and craniofacial clinics continue to grow, and the recruitment of surgeons is an area of special focus for continued program development. In June 2011, CHoR received certificate of public need (COPN) approval by the Commonwealth for a new ambulatory care pavilion. This new CHoR Pavilion will consolidate pediatric outpatient clinical, surgical, diagnostic, treatment and administrative services on the MCV Campus into one location that is designed for and devoted to the care of children. Last summer, VCU was the first - ever academic health center in Virginia to receive a $20 million NIH Clinical and Translational Science Award (CTSA) grant to become part of a nationwide consortium of research institutions working to turn laboratory discoveries into treatments. Earlier this year VCU Medical Center was ranked the number one hospital in the Richmond metro area by U.S. News and World Report's 2010 -11 Best Hospitals metro area rankings, and in March the VCU men's basketball team reached the Final Four for the first time in the school's history. It has been a truly exciting year on many fronts, and we are extremely proud to be part of a medical center and university nationally recognized not only for clinical, academic and research excellence, but also for strength and perseverance. Inspired by the accomplishments of this past year – and always by the children and families we serve – we remain focused on our vision of advancing pediatric medicine, education and research and in doing so raising the bar for pediatric health care for all children. C Leslie G. Wyatt, RN, MS Vice President of Children's Services Executive Director, Children's Hospital of Richmond (804) 228-5928 Bruce K. Rubin, MD, MEngr, MBA, FRCPC Physician-in-Chief, Children's Hospital of Richmond Jessie Ball duPont Professor and Chairman Department of Pediatrics (804) 828-9602 David A. Lanning, MD, PhD Surgeon-in-Chief, Children's Hospital of Richmond Associate Professor, Division of Pediatric Surgery (804) 828-3500 FUTURE PLANS: New CHoR Pavilion and Parking Deck on MCV Campus Plans are in the works for construction of a new CHoR Pavilion to consolidate the majority of CHoR's pediatric treatment and diagnostic areas currently spread throughout the MCV Campus into one facility. In addition to being more convenient for families, having multiple physicians and services in one location will improve provision of care and care coordination. The new pavilion will house 72 clinical exam rooms organized for efficient multidisciplinary care; a surgical area with two operating rooms and two endoscopy procedure rooms; and areas for diagnostic cardiology, imaging, neurodiagnostic treatment, outpatient lab services and pulmonary function testing. The facility will be designed to create a child-and-family-friendly experience and will include a parking deck with 649 new spaces. 3 Hospital News Children's Hospital of Richmond: FIRST Year OVERVIEW FAST FACTS • • • • • • • • • • 172 inpatient pediatric beds 6 pediatric inpatient units 3 specialized inpatient units 41 medical/surgical services 9 outpatient therapy services 11 support services 11 locations 127 physician faculty 1,500 full-time and 1,200 part-time employees Scope of services: emergency, primary, secondary, advanced tertiary, rehabilitative and long-term care NEW PROVIDERS NEW CLINICS/PROGRAMS Since July 2010, CHoR has added the following new providers: Virginia Congenital Cardiac Consortium The University of Virginia Health System and VCU Health System formed the Virginia Congenital Cardiac Consortium to provide coordinated pediatric cardiac surgical care and adult congenital cardiac surgical care for patients in Charlottesville and Richmond. The joint program also provides treatment and educational and research services that enhance patient access to specialized surgical treatments with coordinated patient care. Adolescent Medicine General Pediatrics Stephanie Crewe, MD, MHS Angela Maxwell-Horn, MD Allergy and Immunology Hematology/Oncology Preventative Pediatric Cardiology Clinic Santhosh Kumar, MD Madhu Gowda, MD Critical Care Nephrology Evidence supports that atherosclerotic cardiovascular disease, the leading cause of death in the adult population, begins in childhood. To identify patients at risk for this disease and initiate multidisciplinary interventions to prevent its progression, CHoR opened a new Preventative Pediatric Cardiology Clinic (PPCC) in July of 2010. The target population is children with dislipidemias, hypertension and obesity, and the PPCC clinic team works in conjunction with endocrinology, nephrology and nutrition to provide medical management for hypertension; diagnosis, screening and treatment for cardiac causes of hypertension; and comprehensive care of obesity-related hypertension. Rodney Daniels, MD Norma Maxvold, MD Timothy Bunchman, MD Endocrinology Lauren Barnhart, CPNP Severe Asthma Clinic Children with asthma are often referred to a pulmonologist and an allergist for evaluation/management and CHoR opened a unique Severe Asthma Clinic staffed by both types of specialists in the fall of 2010. This clinic offers expert allergy and pulmonary assessment and other asthma-related services. It is the only pediatric asthma clinic in Central VA to combine specialties to provide a more comprehensive approach to asthma care. Melinda Penn, MD 4 Appointments: 804-828-CHOR (2467) Hospital News PROGRAM EXPANSIONS NEW FACILITIES Revitalization of Pediatric Nephrology New Pediatric Emergency Room on MCV Campus With the goal of continuing to serve as a regional provider of pediatric nephrology services, CHoR recently hired a new division chief, certified nurse practitioner, dietitian, nurse and social worker for its Pediatric Nephrology Program, which is Central VA's only pediatric program in this specialty area. This multidisciplinary team will provide comprehensive services and will support revitalization of inpatient nephrology services, pediatric renal transplant services, dialysis services and pediatric nephrology research programs. An additional new physician starts with this program in September. In December 2010, CHoR opened a new pediatric emergency room in the Critical Care Hospital on the MCV Campus. CHoR's pediatric ER is the only facility of its kind in Central VA to offer 24-hour access to every type of pediatric subspecialty – from trauma and neurosurgeons to cardiologists and dentists – for the care of critically ill and injured children. The new facility has its own entrance and waiting area, private rooms and a pediatric radiology suite. Newly Designated Concussion/TBI Clinic With concussions in student-athletes an area of growing concern among parents/professionals as well as the focus of July 2011 safety legislation in Virginia, earlier this year CHoR designated a Concussion/Traumatic Brain Injury (TBI) Clinic to meet the need for related services. Offered as part of Physical Medicine and Rehabilitation programming, this comprehensive clinic is the only multidisciplinary program of its type in the region. It brings together a variety of specialists to address the multiple needs associated with brain injury, mitigate potential long-term effects, and help with all steps of recovery – from neurological symptoms and school and social issues to medical clearance to return to play for athletes. New Center for Endocrinology, Diabetes and Metabolism Opened July 2011, CHoR's Center for Endocrinology, Diabetes and Metabolism improves access to care by bringing together clinical and specialized support services for children with diabetes, obesity and other endocrine disorders. CHoR offers the most comprehensive pediatric diabetes/endocrine program in Central VA and this new facility will be the region's only endocrinology center to offer treatment, clinical trials, education, medical nutrition therapy and psychological support in one location. The consolidation of services allows for additional clinic appointment availability, extended clinic hours, group classes and a new obesity clinic. The facility has support group space and a resource center with the latest educational and heath management technology, including computerized pump and meter data downloads and interpretation. Hematology/Oncology Clinic Expands to Fredericksburg The Division of Hematology and Oncology began offering clinic hours at CHoR's Fredericksburg Therapy Center in October 2010 with the goal of creating convenient access to their services for patients and pediatricians in the Fredericksburg area. RESEARCH AND EDUCATION UPDATES Clinical and laboratory researchers at CHoR are making medical advances in asthma, cancer, cystic fibrosis, infectious diseases, neonatology and many other fields. Last year, CHoR received over $3.5 million in research grant funding and managed over 100 clinical trials. Among recent notable achievements, the Rubin Lab filed a patent for a new aerosol drug. As part of the VCU Health System, CHoR is the only training program in Virginia that educates medical, nursing and dental students, pediatric residents and subspecialty fellows, advanced practice nurses, pediatric psychologists, and pediatric therapists. CHoR's full continuum of pediatric care gives future health care providers exposure to a wide range of cases. In educational programming news, last year CHoR received ACGME accreditation for a fellowship in endocrinology and a new fellow started July 2010. This program continues to grow with the addition of a second fellow starting summer 2011. Website: www.chrichmond.org AWARDS CHoR received numerous awards in the past year. Highlights include CHoR's Pediatric Intensive Care Unit becoming the first PICU in Virginia, and one of a handful in the country, to earn the American Association of Critical Care Nurses' Beacon Award for critical care excellence. Earning "excellent" in all 60 standards, VCU Medical Center was again designated as a Magnet hospital by the American Nurses Credentialing Center, the most prestigious honor for nursing excellence. Additionally, CHoR's Endocrinology, Diabetes and Metabolism program again received ADA certification for its diabetes education program and CHoR's Cystic Fibrosis (CF) Center was accredited again by the CF Foundation. Many providers were also recognized. Among highest honors: • Anne-Marie Irani, MD, Professor and Chief, Division of Allergy and Immunology, and William Moskowitz, MD, Vice Chairman of Clinical Affairs, Department of Pediatrics, Professor and Chief, Division of Pediatric Cardiology, were selected for American Pediatric Society membership, the AAP's most prestigious academic honor. • Barry Kirkpatrick, MD, Professor and Vice Chairman of Academic Affairs, Department of Pediatrics, was honored with the VCU School of Medicine's Irby-James Award for Excellence in Clinical Teaching. 5 Quick Provider Guide For physician-to-physician consults and access: Call the Physician Access Line at 804-628-1PAL (1725). VCU Medical Center and Children's Hospital. A New Day. Adolescent Medicine 804-828-9449 General Pediatrics Richard Brookman, MD Stephanie Crewe, MD Allan Friedman, MD Gauri Gulati, MD Nandita Kapa-Kalahasty, MD Barry Kirkpatrick, MD Philip Kum-Nji, MD Allergy and Immunology 804-628-7337 Anne-Marie Irani, MD Santhosh Kumar, MD Wei Zhao, MD Anesthesiology804-828-9160 James Dore, MD Arkadly Dubovoy, MD Lynne Gehr, MD Jeannette Kierce, MD Iolanda Russo-Menna, MD Jay Shapiro, MD Cardiology804-628-7337 Douglas Allen, MD Scott Gullquist, MD Cardiothoracic Surgery Sam Lee, MD William Moskowitz, MD In partnership with UVA Jay Gangemi, MD 804-628-4787 Critical Care 804-828-4987 Rodney Daniels, MD Mark Marinello, MD Norma Maxvold, MD Sue Sreedhar, MD Angela Maxwell-Horn, MD Sean McKenna, MD Linda Meloy, MD Bill Shaw, MD N. Romesh Wijesooriya, MD Genetics804-628-3266 Margie Jaworski, MD Arti Pandya, MD Hematology and Oncology804-828-9300 Kamar Godder, MD Madhu Gowda, MD Asadullah Khan, MD Hospital Medicine David Friedel, MD Infectious Diseases C. Gregory Childress, MD David Friedel, MD William Koch, MD Gita Massey, MD India Sisler, MD 804-628-1725 Michael Ryan, MD 804-628-7337 Suzanne Lavoie, MD Beth Marshall, MD Dentistry (MCV Campus)804-828-9095 Neonatology804-828-9956 Elizabeth Berry, DDS Tegwyn Brickhouse, DDS Gary Gutcher, MD Archana Jayaram, MD Alex Kordis, DDS William Piscitelli, DDS Russell Moores, MD Henry Rozycki, MD Dentistry (Brook Road Campus)804-228-5828 Nephrology804-628-7337 Elizabeth Bortell, DDS Holly Lewis, DMD Gardiner Packer, DDS Deepa Simon, DDS Timothy Bunchman, MD Dermatology804-828-9361 Lydia Kernitsky, MD David Leszczyszyn, MD Lawrence Morton, MD Laurie Shinn, MD Developmental Pediatrics 888-628-4240 Pasquale Accardo, MD Emergency Medicine Samuel Bartle, MD Robin Foster, MD Margie Jaworski, MD 804-828-9111 Steven Liner, MD Christopher Woleben, MD Endocrinology and Metabolism804-628-7337 Gary Francis, MD Anshu Gupta, MD Anil Kumar, MD Feeding Program Melinda Penn, MD Raul Ramirez, MD 804-228-5818 Satish Mahajan, MD Gastroenterology804-628-7337 Martin Graham, MD Ann Kessel, MD 6 804-828-9338 Ted Williams, MD Neurology804-828-0442 John Pellock, MD Jean Teasley, MD Jean Teasley, MD Neurosurgery804-828-9165 Ann Ritter, MD Gary Tye, MD John Ward, MD Physical Medicine and Rehabilitation804-228-5818 Charles Dillard, MD Plastic Surgery Eugenio Monasterio, MD 804-828-3042 Jennifer Rhodes, MD Psychiatry/ Behavioral Health Cheryl Al-Mateen, MD Nenita Estrera, MD Leslie Franck, PhD Julie Linker, PhD Katherine Macie, PhD Donald Oswald, PhD 804-828-3137 Roxann Roberson-Nay, PhD Neil Sonenklar, MD Bela Sood, MD Isaac Wood, MD Ross Yaple, MD Pulmonology804-828-2982 Bruce Rubin, MD Joel Schmidt, MD Ron Williams, MD Radiology804-828-6831 Lakshmana Das Narla, MD Sarah Fitch, MD Rheumatology804-560-8920 Lenore Buckley, MD Surgery (General/Trauma)804-828-3500 Charles Bagwell, MD Jeffrey Haynes, MD Transplant Surgery Adrian Cotterell, MD Robert Fisher, MD David Lanning, MD Claudio Oiticica, MD 804-828-4104 Daniel Maluf, MD Marc Posner, MD Urology804-828-9331 Harry Koo, MD Weight Management, T.E.E.NS. Program804-827-0661 Ophthalmology804-828-9315 Gary Francis, MD Christopher Leffler, MD Keith McNeer, MD This Provider Guide is not all inclusive of providers of pediatric services at CHoR. This guide lists the physicians and providers who have principal pediatric offices or clinics or who perform services on the CHoR campuses. For a full listing of physicians, nurse practitioners and ancillary staff, please visit www.chrichmond.org. Mary Tucker, MD Orthopaedic Surgery 804-828-7069 Gregory Domson, MD William Foster, MD Tory Kuester, MD Thomas Loughran, MD Otolaryngology804-628-4368 Daniel Coelho, MD Kelley Dodson, MD Charles Johnson, III, MD Edmond Wickham, MD For additional copies of CHoR's Quick Provider Guide/Locations Map, contact Cyndi Cline, Community Liaison, at 804-228-5835 or [email protected] The guide is updated quarterly and is available in a laminated format. Map of Locations Children's Hospital of Richmond has two main campuses – the MCV Campus (locations #1-10) and the Brook Road Campus (location #15) – and several satellite and outpatient therapy centers. The Services Guide on pages 8-15 references the numbers listed below to specify which pediatric services are offered at each location. Select services are also offered at additional satellite locations. 1 Children's Pavilion 8 West Hospital 15 Brook Road Campus 2 Main Hospital 9 Virginia Treatment Center for Children 16 Bon Air Therapy Center North Hospital 17 Fredericksburg Therapy Center 18 Glen Allen Therapy Center 19 Petersburg Therapy Center 20 Center for Endocrinology, Diabetes and Metabolism 3 4 5 6 7 1001 E. Marshall Street Richmond, VA 23219 1250 E. Marshall Street Richmond, VA 23219 Gateway Building 10 1200 E. Marshall Street Richmond, VA 23219 Critical Care Hospital 11 1213 E. Clay Street Richmond, VA 23219 Nelson Clinic 12 401 N. 11th Street Richmond, VA 23219 Ambulatory Care Center 13 417 N. 11th Street Richmond, VA 23219 Dental School 14 521 N. 11th Street Richmond, VA 23219 17 1200 E. Broad Street Richmond, VA 23219 515 N. 10th Street Richmond, VA 23219 1300 E. Marshall Street Richmond, VA 23219 VCU Medical Center at Stony Point 9000 Stony Point Parkway Richmond, VA 23235 Stony Point Surgery Center 8700 Stony Point Parkway Richmond, VA 23235 Center for Sleep Medicine 2529 Professional Road Bon Air, VA 23235 Seaboard Building 3600 W. Broad Street Richmond, VA 23230 2924 Brook Road Richmond, VA 23220 206 Twinridge Lane, Suite A Richmond, VA 23235 Lee's Hill Medical Center 10530 Spotsylvania Avenue, Suite 102 Fredericksburg, VA 22408 The Forum, Building 2 10124 West Broad Street, Suite P Glen Allen, VA 23060 321 B Poplar Drive, Suite 4 Petersburg, VA 23805 2305 N. Parham Road, Suite 1 Henrico, VA 23229 Opened July 2011 MCV Campus Fredericksburg 95 64 18 295 20 11-12 288 13 76 14 15 1-10 Richmond 16 64 150 Petersburg 19 VCU Medical Center and Children's Hospital. A New Day. 7 Inpatient Units I CHoR Services Guide 2011-12 Acute Care Units NICU continued The Acute Care Units serve children with acute or chronic illnesses and injuries. The units are divided by age with 17 infant/toddler beds and 24 beds for age 4 and up. Patient care spans a wide range of conditions including: asthma, cancer, cardiovascular problems, cystic fibrosis, diabetes, gastrointestinal problems and traumatic injuries. A large home-like palliative care room is available for patients in need of pediatric palliative care and pain management services. The NICU Follow-Up Clinic provides comprehensive services to children cared for in NICUs across the Richmond metropolitan area. This outpatient program focuses on the health, learning and development of NICU graduates. Infant/toddler wing: 804-828-4745 Age 4 and up wing: 804-828-4961 The 14-bed multi-specialty PICU is a state-of-the-art facility that accommodates the unique needs of seriously or critically ill infants, children and adolescents. A physician is in the unit 24 hours a day, making it the only Level 1 PICU in Central Virginia. The PICU provides care for children with conditions such as: acute respiratory failure, status asthmaticus, chemical intoxication, circulatory shock, diabetic ketoacidosis, status epilepticus, head injury, intracranial hypertension and major trauma. The PICU also provides postoperative care for a broad range of surgical subspecialties including neurosurgery and cardiothoracic surgery and runs a dedicated pediatric procedural sedation service for outpatient procedures requiring sedation. Location: Location: 2 2 Bone Marrow Transplant UNit (BMTU) The 20-bed BMTU offers expertise in pediatric and adult stem cell and bone marrow transplants. It is one of 70 Blue Distinction Centers in the country in recognition of depth of experience and positive outcomes. BMTU: 804-828-4360 Location: 10 Epilepsy Monitoring Unit (EMU) The four-bed EMU uses intensive specialized digital continuous video/ EEG to monitor seizure activity to aid physicians in the formation and implementation of seizure treatment plans. The EMU is designed for children and adults and is the only unit of its kind in Central Virginia. EMU: 804-828-3680 Location: 2 Evans-Haynes Burn Center The Burn Center is a 16-bed unit with eight general burn-care beds and eight specialized burn-intensive beds. The center is the regional resource for the care of acute burns and the reconstructive needs of child and adult burn survivors injured from: chemicals, diseases, electrical burns, fire, scalds and skin loss. Burn Center: 804-828-9240 Location: 4 Neonatal Intensive Care Unit (NICU) The private-room NICU is the only single-family room NICU in Central Virginia, and one of few in the country. The NICU was designed to control light, sound and stimulation as part of an overall commitment to creating an environmentally appropriate unit for neonates. The unit is equipped with the latest technology and can care for up to 40 premature infants with 32 single-family rooms and four double-patient rooms for multiples. The unique rooms include space for a family to "room in" with a sleeping area, storage and a desk. The unit also includes a comfortable home-like waiting room, family lounge, sibling playroom and resource room. The NICU team works in concert with pediatric subspecialties to care for infants with a wide range of medical problems. The NICU houses a highly sophisticated procedure room so fragile infants do not have to be moved out of the unit for surgical procedures. In caring for infants requiring respiratory support, the NICU employs high frequency oscillatory and jet ventilation, in addition to conventional ventilation. Nitric Oxide, ECMO and surfactant replacement are also provided. NICU & NICU Transport: 804-828-9956 8 Location: 4 NICU Follow-Up Clinic: 804-228-5818 Location: 15 Pediatric Intensive Care Unit (PICU) PICU: 804-828-4987 Procedural Sedation: 804-827-DOZE (3693) Location: Location: 2 2 Pediatric Progressive Care Unit (PPCU) The PPCU is a seven-bed step-down unit uniquely equipped to care for children with intermediate health care needs. The PPCU provides care to chronically ill patients with multiple health care needs as well as acute care patients with subspecialty needs. PPCU: 804-628-1530 Location: 2 Transitional Care Unit (TCU) The 47-bed TCU offers skilled nursing and respiratory care for children (birth to age 21) who are medically fragile and require complex care. TCU services are child focused and family centered and provide for the physical, emotional, psychological, educational, recreational and spiritual needs of the child and family. Depending on individual needs, children can receive long-term care, transitional care, palliative care and end-of-life care. An interdisciplinary team of pediatric health care providers, led by an attending physician, is available to each child. TCU Social Worker: 804-249-8620 Location: 15 Virginia Treatment Center for Children (VTCC)/Behavioral Health In addition to providing outpatient services (see Psychiatry/Behavioral Health on page 13 for details), VTCC has a 23-bed acute care unit that offers 24-hour admissions, seven days a week, and provides the greatest degree of structure and intensity for children and adolescents in need of short-term intensive inpatient treatment. VTCC also offers 30 and 15-day evaluations for children and adolescents who require a medically safe and secure environment for assessment. Inpatient Admissions: 804-828-8822 Location: 9 Location numbers refer to map on page 7 ACUTE CARE See Acute Care Units on page 8. Adolescent Medicine Primary care for adolescents and young adults (ages 12 to 21) with an emphasis on comprehensive health education and anticipatory guidance for patients and their parents. Services include physical exams; diagnosis and treatment of acute medical problems and adolescent gynecologic problems; and diagnosis, treatment and prevention of the consequences of adolescent sexual behavior. I Medical/Surgical Services Cardiology continued A Preventative Pediatric Cardiology Clinic is offered to identify patients at risk for atherosclerotic cardiovascular disease and initiate interventions to prevent its progression. The cardiology program also has the only echocardiography lab in Central Virginia accredited by ICAEL for transthoracic, transesophageal and fetal echo studies. Appointments: 804-628-HRTS (4787) Locations: 1 2 11 17 Additional Satellite Locations Appointments: 804-828-9449 Cardiothoracic Surgery Location: The University of Virginia Health System and VCU Health System formed the Virginia Congenital Cardiac Consortium to provide coordinated pediatric cardiac surgical care and adult congenital cardiac surgical care for patients in Charlottesville and Richmond. The program treats patients with: 1 Allergy, Asthma and Immunology A fully comprehensive approach to the care of children with allergies, immune deficiencies and rheumatologic disorders. Services include diagnosis and treatment of: • Allergic rhinitis (hay fever) • Anaphylaxis • Asthma • Atopic dermatitis • Drug allergies • Eosinophil disorders • Food allergies • Immunodeficiency disorders • Insect hypersensitivity • Sinusitis • Urticaria (hives) • Acquired heart disease • Congenital heart disease • Heart failure The joint program also provides treatment and educational and research services that enhance patient access to specialized surgical treatments with coordinated patient care. Appointments: 804-628-HRTS (4787) This program now offers the region's only pediatric severe asthma clinic staffed by both allergists and pulmonologists. Location: Appointments: 804-628-PEDS (7337) CRANIOFACIAL CARE Locations: 1 5 Additional Satellite Locations Anesthesiology A dedicated 24/7 pediatric anesthesia call team for neonates, infants and children with emergency or complex surgical needs. Phone: 804-828-9160 Locations: 2 4 Cardiology A full range of pediatric cardiology services including preventative and adult congenital heart disease services, non-invasive imaging and testing, and comprehensive diagnostic and interventional cardiac catheterization laboratory services. In-depth clinical evaluation, diagnostic testing and ongoing treatment are provided for: • Arrhythmias and conduction abnormalities • Cardiac rehabilitation • Cardiac surgical services • Cardiomyopathy • Chest pain • Congenital heart disease • Connective tissue diseases • Family sudden cardiac death • Fetal evaluation • Heart murmur • Hypertension • Obesity • Sports physicals • Syncope/palpitations 2 See Plastic Surgery on page 13. CRITICAL CARE See Pediatric Intensive Care Unit on page 8. Dentistry Comprehensive oral health care and dental services for children. Working with children with special health care needs and those with dental anxiety are areas of expertise. Services include: • Dental surgery with pediatric anesthesia • Emergency room intervention • Endodontics • Hospital consultations • Outpatient checkups and treatment Brook Road Campus Appointments: 804-228-5828 MCV Campus Appointments: 804-828-9095 Locations: 7 15 Dermatology Provides diagnosis and treatment of chronic and acute skin disorders in children including: acne, atopic eczema, hereditary and congenital skin diseases, and vascular malformations. Appointments: 804-828-9361 Location: 5 9 Medical/Surgical Services I CHoR Services Guide 2011-12 Developmental Pediatrics Feeding Program Comprehensive, coordinated, multidisciplinary services for children with developmental problems ranging from global developmental concerns to specific diagnoses. Evaluative consultations include medical, psychological, sociological and educational testing. Services include assessment, treatment and consultation for disorders and disabilities affecting development including: Designed for children who have a medical or behavioral issue that limits feeding and/or growth, Children's Feeding Program provides treatment geared to help a child overcome feeding issues and establish proper feeding and nutritional habits. The program's interdisciplinary approach addresses medical and developmental needs; behavioral, oral-motor and sensory feeding issues; and family education, training and support. Intensive cases are addressed in a day treatment program. Behavioral and feeding therapy are provided by behavioral psychologists and occupational and speech/language therapists with special training in feeding issues. Services include evaluation and treatment of: • ADHD • Autism • Behavior disorders • Developmental delay • Emotional disorders • Learning disabilities • Mental retardation • Pervasive developmental disorders • Failure to thrive • Food/drink refusal • Food selectivity (by type, texture) • Food or swallowing phobias Appointments: 888-628-4240 Clinic: 804-827-2100 Location: 14 Emergency Medicine Appointments: 804-228-5818 CHoR opened a new state-of-the-art pediatric emergency room with 12 private rooms in 2010. It is Central Virginia's only pediatric ER with 24-hour access to every type of pediatric specialty for the evaluation, treatment and care of critically ill and injured children. The facility has its own entrance, waiting room and dedicated pediatric radiology suite, and is part of VCU Medical Center, the region's only designated Level I Trauma Center in recognition of the high level of specialty care provided. CHoR's multidisciplinary team approach to emergency medicine includes surgeons, physicians, nurses, social workers, and physical and occupational therapists. CHoR's Pediatric Critical Care Transport Team, in combination with the VCU LifeEvac helicopter, is available 24/7 for the timely transfer of children from referring hospitals. Locations: Pediatric Transport & Charge Nurse: 804-828-9111 Child Advocacy Center (Child Abuse Clinic): 804-628-4020 Location: 4 Endocrinology AND METABOLISM Recognized by the ADA for diabetes education. Provides comprehensive care/services for children with type 1 and type 2 diabetes including: • Clinical trials • Continuous glucose monitoring • Diabetes education • Group classes and camps • Insulin pump therapy • Medical nutrition therapy • Psychology services • Support groups This program also provides comprehensive care/services, group classes and support groups for children with other endocrine disorders including: congenital adrenal hyperplasia, delayed or early puberty, endocrine hypertension, goiter, growth hormone deficiency, hyperthyroidism, hypoglycemia, hypothyroidism, metabolic bone disease, metabolic syndrome, obesity, pituitary abnormalities, polycystic ovary syndrome, and thyroid nodules or cancer. A new center housing all medical services and psychosocial resources for this program opened in 2011. Appointments: 804-628-PEDS (7337) Location: 10 20 15 • Inability to chew or swallow • Mealtime behavior problems • Recurrent gagging or vomiting • Tube-dependency 17 Gastroenterology Services include care and management of the entire spectrum of pediatric gastrointestinal and nutritional diseases from premature infancy to 21 years of age. Program provides comprehensive care of common problems including: • Chronic abdominal pain • Constipation • Formula intolerance and allergy • Gastritis • Gastroesophageal reflux • Growth failure • Hepatitis • Reflux esophagitis Subspecialists also provide management of less common conditions such as: • Celiac disease • Chronic liver disease • Chronic pancreatitis • Congenital bowel malformations • Eosinophilic esophagitis • Hirschsprung's disease • Inflammatory bowel disease • Short bowel syndrome Appointments: 804-628-PEDS (7337) Locations: 1 11 Additional Satellite Locations General Pediatrics Offers preventative and primary care, such as immunizations, wellbaby/well-child visits and newborn nursery care. Physicians provide diagnosis and treatment of acute illnesses in children while providing anticipatory guidance for their parents, including breastfeeding support. General pediatricians work in partnership with pediatric subspecialists to provide general pediatric care for children with chronic diseases and/or special health care needs. Appointments: 804-828-9338 Location: 1 Location numbers refer to map on page 7 I Medical/Surgical Services Genetics Infectious Diseases Addresses families' concerns about children's special health care needs, birth defects, and/or metabolic and inherited conditions, as well as genetic risk issues. A genetics consultation includes a review of medical records, family history and a detailed physical exam. Patients and their families are often referred for evaluation and comprehensive services for: Services include the diagnosis and management of any problems related to infection including: • Autism spectrum • Birth defects • Developmental delay • Failure-to-thrive • Familial cancer • Growth irregularity • Hypermobility • Metabolic conditions • Neurological symptoms • Recurrent vomiting All families receive counseling and written follow-up information describing child's genetic issues. Appointments: 804-628-3266 Location: Hematology and Oncology Dedicated to improving the quality of children's lives through the prevention, control and cure of cancer and other blood disorders. Multidisciplinary team includes physicians, pediatric specialists and nurses, as well as a child life specialist, social worker, psychologist and educational consultant. The team cares for children with: • Leukemias • Lymphomas and sarcomas • Severe anemias • Sickle cell anemia • TTP Specialty programs include: • • • • • • • • Blood and marrow transplant Coagulopathy (clotting problems) Comprehensive brain tumor clinic Comprehensive sickle cell program Hemophilia and bleeding disorders clinic Long-term cancer survivor clinic Neuro-oncology (brain and spine tumors) Pediatric oncology clinic Appointments: 804-828-9300 Clinic: 804-828-9300 ext. 3 Locations: 5 10 • Tick-borne infections • Tuberculosis • Viral infections Physicians are available for review and/or evaluation of: • Antibiotic and antiviral therapy • Fever of Unknown Origin (FUO) • Gastrointestinal infections • Immunologic conditions predisposing to infection • Infections in catheters and other devices • Lymphadenopathy A Travel Clinic is available to address issues of infection and vaccination for families preparing for international travel. 1 • Aplastic anemia • Brain tumors • Hematological disorders • Hemophilia • ITP • Bacterial infections • Congenital infections • Fungal infections • HIV/AIDS 17 HOSPITAL MEDICINE Appointments: 804-628-PEDS (7337) HIV/AIDS Clinic: 804-828-6163 Travel Clinic: 804-828-4515 Locations: 1 6 8 International Adoption Medical Program Serves the initial and ongoing medical, developmental and emotional needs of adopted children and their parents. Services include identification and treatment of nutritional, infectious, developmental and behavioral conditions so newly adopted children can reach their full potential. Appointments: 804-628-PEDS (7337) Location: 1 LONG-TERM CARE NEONATOLOGY See Transitional Care Unit on page 8. See Neonatal Intensive Care Unit on page 8. Nephrology Evaluation, management and care for a full range of kidney and urinary tract disorders including: • • • • Congenital renal diseases Glomerulonephritis Hematuria Nephrotic syndrome • • • • Proteinuria Urinary tract infections Vasculitis (HSP, SLE, Wegeners) Vesicoureteral reflux Hospitalists provide care to patients with a wide variety of illnesses that require hospitalization. They also coordinate hospital-based care with subspecialists on an as-needed basis. Available procedures, tests and services include dialysis (acute and chronic), renal biopsy, transplantation, blood work, ultrasound, urinalysis, x-ray and nutritional counseling. This program is Central Virginia's only pediatric nephrology program. Location: Appointments: 804-628-PEDS (7337) 2 Location: 5 11 Medical/Surgical Services I CHoR Services Guide 2011-12 Neurology Otolaryngology Comprehensive evaluation and care for neurological problems. Services are available for children with: Advanced evaluation and treatment methods – including laser and endoscopic sinus surgery – for conditions ranging from illnesses to hearing, speech, sinus and airway disorders. Services are available for: • • • • • • Developmental delay • Neuromuscular disorders, Epilepsy strokes and other disorders Kernicterus affecting the nervous system Migraines/headaches • Seizures Movement disorders • Sleep disorders Neurocutaneous disorders Appointments: 804-828-0442 • • • • • • • • • • Locations: Appointments: 804-628-4368 A comprehensive epilepsy center provides the latest assessments and treatment including new and investigative medical approaches and epilepsy surgery. 1 13 17 Airway management and reconstruction Allergic ear, nose and throat diseases Cochlear implants General pediatric and adolescent otolaryngology Habilitation of the hearing and language impaired child Hearing loss Infectious disease Multidisciplinary treatment of pediatric head and neck tumors Pediatric sleep apnea Reconstructive surgery of phonatory disorders Neurosurgery Locations: Focuses on the diagnosis of congenital or acquired diseases and injuries of the central nervous system and implements the most effective surgical procedures to treat these conditions. Services include surgery to treat: Palliative Care and Pain Management • Brain tumors • Developmental disorders of the spine • Disorders of skull development • Serious head injuries 12 Available in inpatient and outpatient settings, this service works with a child's primary team to provide pain/symptom management, assistance with complex medical decisions, counseling, and psychological support. The team promotes healing, comfort and hope and helps reduce distress and suffering for children with complex or life-limiting conditions. Minimally invasive surgical options are available to treat brain tumors. These options can reduce pain, blood loss and scarring and shorten recovery time and hospital stay. Consults: 804-828-6781 Appointments: 804-828-9165 Pharmacology and Toxicology Locations: Emergency and elective consultations for children and adolescents with acute/chronic poisonings, adverse drug reactions and drug interactions. 2 6 Additional Satellite Locations OpHthalmology Services range from general eye exams to the treatment of complex vision disorders. Appointments: 804-828-9315 Locations: 5 12 Orthopaedic Surgery Evaluation and treatment of a large array of problems of the musculoskeletal system including those caused by inflammatory, congenital, developmental, traumatic, neoplastic and metabolic disorders. Pediatric orthopaedic surgeons specialize in the treatment of: • • • • Cerebral palsy Hip disorders Juvenile amputees Muscular dystrophy • • • • Musculoskeletal tumors Scoliosis and spine disorders Spina bifida Trauma Appointments: 804-828-7069 Locations: 2 Additional Satellite Locations Location: 2 Phone: 804-828-0951 Poison Center: 800-222-1222 Physical Medicine and Rehabilitation Serves children/adolescents in need of rehabilitation due to congenital or acquired disability. Care is designed to help patients facing temporary or permanent physical disabilities and loss of function restore/improve mobility, physical and daily living activities, communication, social skills, and cognition. Diagnostic categories include: • • • • • • Brachial plexus and torticollis injuries Concussions/traumatic brain injury (TBI) Deconditioning and myopathies following prolonged critical illness Multiple trauma Spinal cord injury Sports injury A multidisciplinary Concussion/TBI Clinic is offered for student-athletes and others with acquired brain injuries. Specialized multidisciplinary clinics are also held for cerebral palsy, muscular dystrophy, spasticity and spina bifida. Appointments: 804-228-5818 Locations: 12 5 15 17 Location numbers refer to map on page 7 I Medical/Surgical Services Plastic Surgery Rheumatology Interdisciplinary care for a wide range of complex and unusual anomalies such as: Comprehensive services for children with arthritis and other rheumatic diseases. An on-site multidisciplinary clinic for children and adolescents with lupus is offered in conjunction with nephrology, women's health, dermatology and other specialty services. • Cleft lip and palate • Craniosynostosis • Genetic syndromes • Skull and face asymmetry • Vascular malformations Appointments: 804-560-8920 A variety of consultation services are offered including international pre-adoption consultations and prenatal consultations for expectant parents. Appointments: 804-828-3042 Locations: 4 6 PROGRESSIVE CARE See Pediatric Progressive Care Unit on pg. 8. Psychiatry/Behavioral Health The Virginia Treatment Center for Children (VTCC) provides specialty child psychiatry clinics that utilize an evidence-based multidisciplinary approach. Clinics are offered for ADHD, anxiety and mood disorders, developmental disabilities, and high functioning autism. An integrated substance abuse and mental health assessment and treatment clinic for adolescents is also offered. See page 8 for information on VTCC inpatient services. Appointments: 804-828-3137 Location: Location: 11 Surgery (General/Trauma) Diagnosis, treatment and follow-up care for a wide range of pediatric surgical patients. Many surgical services can be handled as same- day outpatient procedures. Robot-assisted surgery offers a minimally invasive option for complex and delicate procedures. Types of surgical procedures offered include: • Care for children with traumatic injuries • Gastrointestinal and biliary surgery (fundoplication, cholecystectomy, etc.) • Obtaining vascular access • Repair of anorectal malformations • Repair of hernias • Repair of a variety of thoracic and abdominal congenital anomalies • Resection of tumors in the neck, chest and abdomen Appointments: 804-828-3500 Locations: 1 9 Pulmonology In-depth diagnostic testing and treatment for infants and children with acute and chronic respiratory problems including: • Asthma • Bronchopulmonary disease (BPD) • Chronic respiratory failure/insufficiency • Congenital lung abnormalities • Cystic fibrosis • Neuromuscular respiratory diseases 2 Additional Satellite Locations Transplant Surgery Services include: dialysis access surgery; complex hepatoliliary surgery including liver tumor removal and congenital hepatobiliary defect correction; pediatric liver, kidney and pancreas transplants; and surgery for portal hypertension. Clinic: 804-828-4104 Location: 3 Urology A Pediatric Pulmonary Function Laboratory is available for spirometry, lung volumes and exercise testing. Patients can be referred directly for these lab services. Services are available for children with complex congenital genitourinary anomalies requiring reconstructive surgery, as well as for those who have episodic urological issues such as voiding difficulties or urinary tract infections. Appointments: 804-828-2982 Clinic: 804-828-2980 Appointments: 804-828-9331 Location: Location: 5 Weight Management, T.E.E.N.S. Program Radiology Consultation and interpretation of all aspects of pediatric imaging, including 24-hour call coverage for emergencies. Services include MRI and CAT scanning, ultrasound, x-ray and other techniques for diagnostic examinations of infants and children. Outpatient: 804-828-6831 Inpatient: 804-828-5498 Locations: 2 5 3 6 The VCU T.E.E.N.S. Program is a multidisciplinary weight management clinic and clinical trial for 11-16 year-olds. Offered at no cost, it is the only comprehensive program of its kind in Central VA and includes six months of medical screenings, exercise routines, counseling and nutritional education, followed by six months of follow-up care. To be eligible, participants must be determined overweight by a referring physician and meet other requirements. Program Office: 804-827-0661 Location: 14 13 Therapy Services I CHoR Services Guide 2011-12 Assistive Technology Occupational Therapy Occupational therapists and speech/language pathologists with special training in assistive technology provide evaluations and training services for children and adults for: Occupational therapists specializing in pediatrics provide team-based, individualized therapy for acute, short-term issues to chronic needs. Therapy programs address skills that include or relate to: • Assistive daily living aids • Augmentative communication • Classroom, home and work-related modifications • Computer access/adaptations • Daily living/self-care skills • Sensory integration/processing • Fine motor and handwriting skills • Visual motor and perceptual skills • Oral-motor and feeding skills • Environmental controls • Independent living • Positioning aids • Orthotics and headpointers • Wheelchairs and seating A state-of-the-art "Smart Suite" is available for evaluation and training. Locations: 15 16 17 18 19 Appointments: 804-228-5818 Physical Therapy Locations: Physical therapists specializing in pediatrics provide team-based, individualized therapy for acute, short-term issues to chronic needs. Therapy programs address physical and gross motor activities that include or relate to: 15 16 17 18 19 Audiology Provides testing, evaluation, diagnosis and rehabilitative audiologic services. Works closely with Otolaryngology (see description on page 12) on a comprehensive cochlear implant center. Appointments: 804-828-0431 Location: 5 Provider of Early Intervention (Part C) services for children from the City of Richmond and Chesterfield and Henrico counties. Early Intervention is a statewide program serving children from birth to 36 months who are not developing as expected or have a medical condition that can delay development. Services are provided in home and communitybased settings and may include occupational, physical and speech/ language therapy services. Through local lead agencies and service providers, children can receive screenings, eligibility determination, and, if eligible for services, assessment for services and service coordination at no cost to their families. Appointments: 804-228-5818 Location: 15 Feeding Program See Feeding Program section on page 10. Nutrition Services Registered dietitians/nutritionists serve children and adolescents with complex medical issues and/or specific concerns ranging from feeding issues and food allergies to obesity. Services include: • Management of ketogenic diets • Nutrition counseling • Medical nutrition therapy • Nutrition screenings Brook Road Campus Appointments: 804-228-5818 Endocrinology Program Appointments: 804-628-PEDS (7337) Locations: • Balance and coordination skills • Developmental skills • Flexibility and posture • Gait training • Gross motor skills • Orthopaedic/sports-related injuries • Strengthening Appointments: 804-228-5818 Early Intervention/Infant Services 14 Appointments: 804-228-5818 1 11 15 20 Locations: 15 16 17 18 19 Psychology Licensed clinical psychologists who specialize in the psychological needs of children and adolescents related to medical, emotional and behavioral issues provide services that include: • Individual and family therapy • Psycho-educational evaluations • Neuropsychological evaluations • Psychological evaluations Appointments: 804-228-5818 Locations: 15 16 Speech and Language Pathology Speech/language pathologists specializing in pediatrics provide teambased, individualized therapy for acute, short-term issues to chronic needs. Therapy programs address communication and other needs including: • Articulation and language • Oral-motor function • Cognitive skills • Pragmatic language • Feeding and swallowing skills and social skills • Fluency • Voice therapy Appointments: 804-228-5818 Locations: 15 16 17 18 19 Location numbers refer to map on page 7 I Support Services ART Therapy MUSIC THERAPY Art therapy incorporates the creative process of art-making to improve the physical, mental and emotional well-being of children in a health care setting. Art therapy provides a sense of normalcy as well as a creative outlet for children to express their emotions, cope with pain and stress, and have fun. Board certified music therapists use musical interventions to help patients meet individual goals. These goals range from improving mood to managing trunk control and other rehabilitative needs. Music therapy also engages patients to help reduce pain, stress, agitation and fear while increasing communication and coping skills. Sessions are customized to individual needs and include activities ranging from listening to music to songwriting, singing and playing instruments. Care Connection for Children A collaborative initiative between the Virginia Department of Health and Regional Centers of Excellence for Children with Special Health Care Needs, Care Connection provides services to families using a multidisciplinary approach involving medicine, nursing, social work, education, insurance/eligibility and advocacy. The team-based approach assists the family in "pulling together" medical personnel including primary and specialty care providers, educators and community resources to determine how children with special health care needs can reach their maximum potential. Care Connection for Children Office: 1-866-737-5965 Child Life The Child Life Department is designed to help children and their families cope with their health care experiences. Certified child life specialists provide a sense of control, safety and normalcy in the hospital environment through play and special activities. Child Life also prepares children and their families by explaining procedures, operations and treatments. A child life specialist will accompany children to procedures to provide support, relaxation and distraction. Hospital Education Certified hospital teachers provide year-round educational services for patients ages 2 to 21. Hospital teachers talk with patients, parents and personnel at a child's school; give informal and formal educational screenings or assessments; and talk with the hospital team about a patient's progress and needs. While a child is hospitalized, hospital teachers can provide early childhood stimulation activities and experiences; provide instruction designed to meet each patient's educational needs; gather books, assignments and tests from a child's school; and develop or modify a child's Individualized Educational Program (IEP). When it is time for a child to go home, hospital teachers will help make the transition of educational services as smooth as possible. MEDICAL-LEGAL PARTNERSHIP The Medical-Legal Partnership provides legal assistance to families in order to improve their children's health. These services are available to all income-eligible families whose children receive their pediatric care at Children's Hospital of Richmond (CHoR) or related clinics. This program is offered through a partnership between CHoR, Legal Aid Justice Center and University of Richmond School of Law. Referrals/Legal Aid Justice Center: 804-643-1086 Pastoral Care Chaplains are dedicated to helping patients and families cope during their health care journey. They provide counseling, spiritual guidance, sympathetic companionship, crisis intervention and, if needed, bereavement counseling. PET THERAPY The Center for Human-Animal Interaction's Dogs On Call Program enhances the well-being of patients through in-hospital pet visitation by certified dog-handler teams from the community. Visiting with a therapy dog can help reduce pain, lower anxiety levels and create a sense of normalcy for children and families. recreation THERAPY Certified recreation therapists provide individual and group treatment involving therapeutic play and recreational activities. These activities provide daily stimulation, help children adjust to hospital stays, and help improve physical abilities, social skills, attention span, confidence and more. Recreation therapists can modify recreational activities to meet a child's needs. They also organize community outings to enrich the lives of patients receiving long-term care. Safe Kids The Safe Kids Virginia Coalition works to prevent accidental injuries to children ages 14 and under. Prevention efforts include education, advocacy, enforcement and engineering modifications on the local level and across Virginia. Program services are available with support from Children's Hospital of Richmond and the VCU Medical Center. Website: www.vcuhealth.org/virginiasafekids Social Work Social workers provide numerous services for patients and families including: • Assessment of psychosocial needs and barriers to discharge/treatment • Coordination of facility to facility transfer and routine and specialized transportation • Counseling • Education about advanced directives • Referrals for financial assistance • Referrals to community agencies 15 CHILDREN'S HOSPITAL OF RICHMOND (CHoR) Virginia Commonwealth University (VCU) Children's Medical Center and Children's Hospital joined in 2010 to form Children's Hospital of Richmond (CHoR) of the VCU Health System, a full-service children's hospital offering a robust continuum of pediatric services, research and education. With six specialized inpatient units and 11 locations throughout Central Virginia, CHoR enhances access to all levels of health care for children – from well-child checkups to advanced medical and surgical services, therapy and long-term care. VCU Medical Center and Children's Hospital. A New Day. P.O. Box 980646 Richmond, VA 23298-0646 NONPROFIT ORG. U.S. POSTAGE PAID RICHMOND, VA PERMIT 1146 CHoR's 11 locations include the two main campuses listed below and several satellite and outpatient therapy centers. MCV Campus 1001 E. Marshall Street Richmond, VA 23219 Brook Road Campus 2924 Brook Road Richmond, VA 23220 LEADERSHIP Bruce K. Rubin, MD, MEngr, MBA, FRCPC Physician-in-Chief Children's Hospital of Richmond Jessie Ball duPont Professor and Chairman Department of Pediatrics 804-828-9602 Leslie G. Wyatt, RN, MS Vice President of Children's Services Executive Director Children's Hospital of Richmond 804-228-5928 Barry V. Kirkpatrick, MD Professor and Vice Chairman Academic Affairs Department of Pediatrics 804-827-1692 New Children's Hospital of Richmond Facilities For more on these new facilities and other hospital news, see pages 4-5. William B. Moskowitz, MD, FAAP, FACC, FSCAI Vice Chairman of Clinical Affairs Department of Pediatrics Professor and Chief Division of Pediatric Cardiology 804-628-4787 HKS Inc., Chris Cunningham Photography Opened December 2010 David A. Lanning, MD Surgeon-in-Chief Children's Hospital of Richmond Associate Professor Division of Pediatric Surgery 804-828-3500 CONTACT US Appointments: 804-828-CHOR (2467) Website: www.chrichmond.org Pediatric Emergency Room on MCV Campus Critical Care Hospital, Ground Floor •1213 E. Clay Street • Richmond, VA 23219 The CHoR Services Guide is published annually by Children's Hospital of Richmond. Please direct comments, questions and requests for additional copies to Shira Cantor, Public Relations Coordinator, at (804) 828-7035 or [email protected] Opened July 2011 Allen Jones, VCU Creative Services COMMUNITY LIAISONS For assistance with referrals, questions about CHoR services, and information about continuing medical education (CME) and inservice opportunities, contact CHoR's community liaisons: Cyndi R. Cline 804-228-5835 [email protected] Sherry W. Black, MBA 804-228-5971 [email protected] Center for Endocrinology, Diabetes and Metabolism 2305 N. Parham Road, Suite 1 • Henrico, VA 23229 Future Construction…CHoR Pavilion and Parking Deck on the MCV Campus
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I agree with you Richard, as a painting contractor for very many years, people are always looking to get more and more out of you. I had to give an estimate to a lady a few weeks ago who had more stuff around her home than a thrift store including heavy furniture, stuff all over the floor and junk everywhere. I knew if I accepted the job id be a furniture mover and cleaner. I also agree this article makes it seem like the contractor is out to rip off the customers. Fact is I always leave doing more work than agreed upon. It doesn't bother me since the customer is always satisfied. Just saying
Every home has details that can be accentuated for amazing looking visual appeal and first impressions. The key is to not make the wrong details stand out. Entryways, windows, shutters and other details on the home can be painted to make their design noticeable. However features such as gutters, downspouts, external air conditioning systems, unevenly proportioned windows and protruding garage doors should not be completed to draw attention to them as this will provide a negative results.
Paintzen matches every customer with an insured, professional paint crew from their local area, making sure the crew's skill-set matches the unique details of their job. Every paint contractor on the platform is background-checked and vetted for quality and expertise, so you know you're in good hands. You'll have a member of Paintzen's house painting team available to support you every step of the way, whether you need any last-minute changes or help answering any questions about your paint job. Home Painters Erie Colorado
"Service beyond Expectation" is our motto. I have 40 years experience in painting and the building/remodeling trades. I exclusively use Sherwin Williams, and am well versed in their products and utilize this to meet my customers needs. I am a small business with 6-10 employees. Service and dependability are my passion, and I strive to form relationships with all my customers.
Brett Clemons' professionalism, attention to detail and customer-focused enthusiasm are several of the traits you will quickly notice as you speak with him about your painting experience. His interior specializations include wallpaper removal, texturing, removing popcorn texture, and most importantly, protecting your floors, furniture and valuables. His exterior expertise is in beautifying your home while provide the necessary protection it needs from nature's elements. Brett achieves this by guiding you to colors that will best compliment your home, as well as knowing the most appropriate ways to prepare your home. In fact, his moto is, "Preparation is key." He will write a 'prescription' customized for one of your largest investments – your home.
House Interior Design 80026
If we're being honest, exterior house painting is a backbreaking task when you go it alone. Between vertigo inducing ladders, sanding down old paint, washing off dirt and taking caution not to paint the windows, there is a lot to think about. Our team of professional house painters make it easy. We are equipped with the right tools and training to get your house painting project carried out without a hitch.
One of the most popular painting applications in the industry, ColorSnap suggests colors that will work in at your job site. Simply take a picture of the room, entryway or whatever else, and the software will find up to eight colors that will create a beautiful space. In addition, the program will suggest coordinating colors and help you locate the nearest Sherwin-Williams store. House Painting Erie Colorado
I hired House Painting Inc to paint some new doors, a couple of hallways, and two bedrooms+baths in my house. The project took about 4 days, they even finished everything 1 day early, which was great since I had carpet installers scheduled to come right after them. They have been very punctual, professional, and helpful with things like color selection. They brought and painted a couple of sample colors, which helped in our final choice. The workers were very clean and came every morning on time. Extremely happy with their work and will hire them again for other projects.
I was taught to paint by a professional and when estimating the amount of paint needed, I always allow for a second coat just to make sure of coverage. We interviewed a painter who tried to tell me I bought poor quality paint without knowing where I purchased it, and stated he would have to buy all new paint. He had not seen the cans and was just guessing so I asked him where I should buy paint from now on. It was the same place I had purchased my paint and he wanted to charge me an extra 20 a gallon more than what I paid for. Needless to say, I have interviewed numerous painters and they are not all honest.
If you hire a contractor for a painting job, you'll want some assurances in the form of guarantees or warranties. Knowing the importance of warranties, some companies even give unrealistically long warranties such as 10 years, 20 years or even lifetime warranties. The sad fact is that most of these companies will be out of business long before their warranties expire. So what is a realistic warranty that you can trust? Here's what you should look for in a great warranty:
As you walk through your lighted rooms (preferably day light) see if the new coat has light spots showing the precious paint. This is call "bleeding through". This means that there's only one coat of paint or the paint was diluted or the trasition of colors were from light to dark (or the other way around) and primer was not use or the painter is inexperienced.
Painting professionals might charge more or less to paint your home's exterior based on its construction material. Some materials cost more to paint than others because of their texture, the paint required to properly cover them, and whether specialized materials are required to prepare them for painting or the elements. Find more information on the various types of siding available, as well as how much it might cost to paint or prepare each.
Take and pass your contractor's certification exam. Like the licensing requirements, the content and format of the exam will vary depending on your location. However, the test will almost always include a comprehensive written section, on top of which you may be asked to describe or demonstrate key skills. Upon passing your exam, you'll have between 1 and 4 years to complete the process of formally registering your business.[10]
Cost Of Painting Erie Colorado 80516
Take classes on business administration. If you're eager to learn more about what goes into operating a private business, consider furthering your education on the college level. You can enroll in business courses at your local university or community college. Look through their catalog and sign up for classes that you think will translate to the daily demands of the job, like cost management, staffing and tax fundamentals.[4]
First off all clients want a "deal" As a painting contractor for 38 years I can tell you that residential-commercial-industrial clients (and their needs are all diffrent. It seems this discussion mostly concerns residential repaints,so here goes--first off ALWAYS get a personal referance from a friend or co-worker. Always get an itemized contract that specifies the prep,color, number of coats, and specifics on payment. Remember you want to set up a relationship with the painting contractor of your choice. Bond, license and insurance are required to get a contractors license and are readily available online at your state Labor and Industries website. Second-- find someone you trust. He or his crew will probably be left alone in your home for most of the time. I always tell my clients that I wont bring someone to their home I wouldnt have in mine. Third--$$ Dont ever pay up front always insist on progress draws if the project is 2 or 3 phases remember If a contractor wants $3000 to do the job and you give him half up front he will be working for $1500. It WILL affect the quality of the product. In 38 years of business I have never taken a deposit and have never not been paid in full remember do what you said you would do for exactly what you said it would cost and there will be no problems with getting paid. one last reminder to clients you are also being evaluated when you interview a contractor. He is sizing you up as well. If he thinks you are a bit sketchy the the price will go up or he wont take the job at all. I have turned down some jobs that looked very profitable on the surface that turned out not to be so.(word gets around fast in the small painting community) Good Luck to clients and contractors
My husband has been a professional painter over 30 years. He prides himself in his high level of work ethic and customer satisfaction. He stays up to date on techniques and finishes. He gives Very detail and accurate appraisals with contracts. At an alarming rate, as he starts to finish the last day or the day before, the client starts nit picking and being disrespectful towards his work when every day prior to that, they were very pleased, as he request ongoing satisfaction throughout the job. Then they don't to want pay remaining balance, bicker about final cost, or stop payment. He has a crew he has to pay whether the customer does or doesn't honor the contract as well as our own household expenses. Wasted time ,labor, money and effort lost. Now how do we fix this? Remind yourself and clients that a contract is based on honor. House Painting Erie Colorado
On the exterior of your home, a professional paint job translates to beauty and elegance, but it also does much more; paint is a barrier against the elements that attack the integrity of your house. Since 1987, we've been beautifying, enhancing, and restoring some of the finest homes in the Greater Los Angeles Areas. Our experience, knowledgeable, and commitment to excellence make us the brightest choice for your exterior painting needs!
Actual fluid ounces in can/pails commonly known as gallons and 5-gallon will be 114 fl oz – 128 fl oz and 570 fl oz – 640 fl oz, respectively, based on customer's choice of paint/stain and color. Offer excludes mistints and can't be combined with any other offer, promotion, discount or coupon, including but not limited to any quotes or volume or special price discounts. Requests from or for groups or organizations will not be honored. Fraudulent submission of multiple requests could result in federal prosecution under the U.S. Mail Fraud Statutes (18USC, Section 1341 and 1342). Void where prohibited, taxed or restricted by law. While supplies last. House Painting Erie Colorado
I hired House Painters Inc. and set up a date for them to come. The whole operation took about 5 and a half days from start to finish. Sung and his crew were extremely conscientious of all our belongings and took great care preparing the house. They showed up on time at 8:30 everyday, and were completely unobtrusive with our comings and goings during their week here.
CTD Restoration LLC originated from Carlos T Dixon Resurfacing Company. This firm offers a full range of design/build, remodel and general contracting services to residential, commercial, and industrial companies, such as; Fort Worth Housing Authority. Headquartered in Dallas TX, the company was founded by Carlos Dixon in 2006. We stand behind our work one hundred percent. Our primary goal is meeting customers' construction needs through quality workmanship and successful relationship. If you are not satisfied, our mission is to make sure you are!! CTD Restoration LLC Services Include: Commercial & Residential Renovations, Kitchen R ... View Profile Home Painters Erie Colorado
The article was well-intended, but it makes it sound like painters are the crooks and consumers are innocent victims. That is blatantly un-true. Maybe there should be a follow-up article that educates consumers how not to be shysters by expecting a ton more than they said at the start, or not paying the balance of the job unless something else is done that was not in the contract. Tradesmen have a rough road when dealing with consumers that have short arms but long lists of by-the-way items. No, I'm not a painter...
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It is one of our core values to ensure our clients' dreams for their home comes true. So often, clients come to us for a new coat of paint or a repair but what they really want is so much more. We understand your house is your home and that when it is time for change or for a repair, you want a crew that will take care to make your home look its best. House Painting Erie Colorado


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Radiation can be described as a kind of high power energy that travels through waves or fast travelling particles. Light, heat, microwaves and wireless communications are all forms of radiation. There are three types of radiation namely, Ionising radiation, Gamma radiation and Beta Alpha radiation. For medicinal purposes we utilise Ionising radiation treatment for cancer, like in radiation therapy, X rays and various other scans.
Radiation therapy also referred to radiotherapy is the use of ionising radiation for the treatment of varied diseases. Radiation therapy is mostly use in the treatment of cancer to control kill the malignant cells delivered by a linear accelerator, like in Intensity – modulated radiotherapy or IMRT radiation is delivered through linear accelerator. In many cases radiation therapy for cancer has proved to be curative. Besides cancer not many people know that radiation treatment is also used for treating thyroid diseases, blood disorders and non – cancerous growth.
The section of Oncology dealing with radiation therapy is called Radiation Oncology. Radiation Oncology should not be confused with radiation therapy as Radiation oncology can only prescribe radiation therapy as part of curative treatment, adjuvant therapy, and palliative treatment or for therapeutic treatment.
There are 3 main types of Radiation therapy, namely;
Radiation therapy side effects mainly arise when normal cells are also affected along with cancerous cells by the radiation treatment leading to several short term and long term side effects.
The short term radiation therapy side effects are as follows;
The long term radiation therapy side effects are as follows;
Radiation therapy cost is pretty steep and is depended upon the radiation therapy packages and the associated side effects. The prices of radiation therapy also vary according to the treatment plan. The average cost of radiation therapy however, hovers between Rs 30,000 to Rs 70,000 per session.
Mr. Raj Shekhar
Age 32, Chennai
My father had a surgery and required regular healthcare services. Portea has greatly helped him with their in-home healthcare services.
Munilal Prasad
We are very pleased to say that ,we are lucky to have been served by very good hospitality at home provided by Portea Team of Kolkata co-ordinated by Ms. Reshma Yasmin. We are very satisfied and feel blessed to get served by you from 01/03/2019 at our home Liluah Howrah till 28/03/2019. We are very happy and feel secure by getting served by you.
ANN (Anita, Rena , Sa)
Mr Lakshmi Narayan Triwedi
Coordinator Joji worked very well and coordinating in a very well manner, which is appreciated. Nursing Attendant Staff Zafar Shaikh was very well and never troubled the . customer and helped the patient alot. He is an Asset of Portea.


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Kitchen Design / August 25, 2018 / Ashlynn Ricci
Extra sticky will undoubtedly be called tiles to possess more in-depth profile page or even pillars than spine hassle-free. One home upgrade acquires pleasure coming from appliance upgrade.
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