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WINSTON/MARION COUNTIES - The national rise in cases of measles - a disease which was considered virtually eradicated in the United States in 2000 - is causing worry throughout the nation.
A press release from the Alabama Department of Public Health Thursday, May 2, noted that ADPH had received notification of a presumptively positive case of measles that morning in an infant in St. Clair County. The child had not been in a daycare setting nor had the child traveled out-of-state.
"Currently, this is the only presumptive measles case under investigation in Alabama," the press release further stated. However, ADPH did noted in a follow-up press release May 3, that there are more than 30 open investigations of possible measles cases within the state.
The ADPH also confirmed that a Tennessee man who tested positive for the disease had passed through Alabama recently, stopping at least two places, one in Sumter County, the other in DeKalb County.
"From Jan. 1 to May 3, 2019, 764 individual cases of measles have been confirmed in 23 states," the Center for Disease Control states on its website. "This is an increase of 60 cases from the previous week. This is the greatest number of cases reported in the U.S. since 1994."
But what are the measles? What are the symptoms? What is causing the comeback? Does the vaccination cause autism? These are just a few questions being asked. The Alabamian spoke with Dr. Andrea Batchelor, of Double Springs to get answers to some of these questions.
"(The measles is) a virus that basically causes symptoms starting with runny nose, red watery eyes and a cough. Then you progress to having white spots (known as Koplik's spots) in the back of your mouth," Batchelor explained. "Then you have a rash that starts at your head and goes to your feet. You will run a high fever with it as well. It is a very contagious virus."
Since it is deemed an airborne virus, it is spread through coughing, sneezing and nasal secretions, according to the CDC website.
A person is contagious four days before symptoms begin and four days afterwards, according to Batchelor.
"It can take up to a week to 10 days before developing symptoms after being exposed," she said.
Since it is a virus, it cannot be treated with antibiotics, Batchelor noted.
"The best way to prevent it is vaccination," she said. If a person does contract the disease, the only treatment is the vaccine itself since there is no specific medication for it, according to Batchelor.
The vaccination is called the MMR, which stands for measles, mumps and rubella. It is usually given in two doses, the first between 12-15 months of age, and the second dose between 4-6 years of age.
One dose is 93 percent effective against the measles, while two doses are 97 percent effective, the CDC noted.
"MMR is an attenuated (weakened) live virus vaccine. This means that after injection, the viruses cause a harmless infection in the vaccinated person with very few, if any, symptoms before they are eliminated from the body. The person's immune system fights the infection caused by these weakened viruses and immunity (the body's protection from the virus) develops."
"Initially, they were giving one MMR vaccine," Batchelor said. "In the early 1990s, there was another outbreak of measles and that's when they decided to have a second (vaccine) to give higher immunity to measles. Most people born before 1957 have already been exposed to it because of measles outbreaks."
In fact, ADPH noted May 3, that most adults born before 1957 do not need to worry about contracting measles because most people born during this time period had the measles.
When the measles virus is discussed, it is often said it is better to have the measles when younger. Batchelor agrees with this statement.
"There are more complications if you're less than 6 months or older than 20. There are more complications with it if you get it outside of those ranges."
For those without medical records or immunization cards from the local health department, a blood test can be performed to check antibodies to determine if a person is immune to the disease, Batchelor noted.
"It either means you have had measles and are immune to measles or you've been vaccinated and developed immunity."
"For every single case of measles, 12-18 additional cases can be expected," the press release from the ADPH stated. "Complications can range from ear infections and pneumonia to deadly encephalitis. For every 1,000 people with measles, one to two people will die."
Choosing not to take vaccine leads to rise in measles
Doctors are attributing the recent rise in cases of measles to people not being vaccinated.
"A concern over autism and the antivaccine, or antivax, movement are some of the reasons (the measles) have made a comeback," Batchelor said.
"The MMR vaccine is very safe and effective," the CDC website says.
Anti-vaccination leagues and societies are not new. For instance, the Anti-Vaccination Society of America was founded in 1879. Controversies over whether or not the government has the right to vaccinate its people are real issues on both sides. Pro-vaccination arguments tend to state examples such as if people are not vaccinated, diseases will spread. On the other hand, those opposed to vaccinations often cite legal, religious, medical and ethical reasons why not to get vaccinated.
While there are no federal laws mandating children receive vaccinations, there are different state laws, the CDC website states. The Code of Alabama explains the state health officer designates diseases a school age child must be vaccinated against before beginning school. Measles is one of them. However, the law also states the following:
"In the absence of an epidemic or immediate threat thereof, the parent or guardian of the child shall object thereto in writing on grounds that such immunization or testing conflicts with his religious tenets and practices."
Arguing for vaccinations are organizations such as the World Health Organization, which listed the anti-vax movement one of the top ten threats in 2019, according to a Newsweek article in January.
The argument that the measles vaccine causes autism stems from a paper published by a British doctor, Andrew Wakefield, and his colleagues in 1998.
"(The vaccine) hasn't been proven to cause autism," Batchelor said.
According to an article published in Forbes April 29, "Antivaxxers spread their message daily on Facebook, Twitter, websites and other media outlets...claiming that vaccines cause a variety of harms, none of which are correct."
In addition, there are numerous published articles about those who once belonged to the anti-vax movement and their tales of how it affected their lives.
According to a March, 2019 article in the Journal of Approved Pure and Applied Microbiology, the myths for not getting the MMR vaccination are it will give a child autism, it has mercury in it and delaying vaccination is safer for the child.
"Today, there are studies such as those published in Vaccine and Journal of the American Medical Association that have reported there are no differences between the rates of autism among thousands of vaccinated and unvaccinated children," the article said.
For more information on measles or vaccinations, visit a local physician, go to cdc.gov or visit your local health department.
See complete story in the Northwest Alabamian.
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Heat of the Moment
A Firefighter's Stories of Life, Death and Making Decisions
On behalf of: David Godwin Associates
An inspirational guide to decision-making in high-risk situations.
In Heat of the Moment Dr. Sabrina-Cohen Hatton, 34, and one of the most senior firefighters in the UK, reveals the skills and qualities that are essential to surviving in a fast-paced and emotionally charged environment. She immerses us in this extraordinary world: from scenes of devastation and crisis, through triumphs of bravery, to the quieter moments when these assumed heroes question themselves, their choices, and decisions made in the most unforgiving circumstances. We are asked to step into their boots. In the face of urgency and uncertainty, would you respond analytically or trust your instincts?
Sabrina's award-winning research into decision-making in the emergency services has transformed policy at a global level. This is her astonishing account of a profession defined by the most difficult decisions imaginable and by overwhelmingly challenging situations. Honest, eloquent and empowering, here is the truth about how we respond in our most extreme moments.

subset: commoncrawl


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Celtic striker Teemu Pukki is open to a permanent move to Brondby if Celtic decide to sell him next summer.
The Finnish striker who found goals hard to come by in Scotland has scored 5 goals in 4 games for his loan club.
To make room for new strikers Guidetti and Scepovic, Teemu was shipped out on loan by the club just before the deadline.
Brondby do have first option to buy the striker and if he keeps up the form in his first 4 games the Celtic misfit may very well end up in Demark permanently.
"If something happened with a permanent transfer, I would have to make a decision." said Pukki.
Very few Celtic fans, if any, would be disappointed if the forward were to leave permanently at the end of the season. Many acknowledged that Pukki was a good grafter for the team but couldn't be called upon to score consistently.
It looks like Danish football might suit him.


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Balls of Steel
A British comedy game show were various guests would perform stunts and hidden camera acts in order to judge who has the biggest 'Balls of Steel'.
Genre: Comedy
Actor: Matthew Pritchard , Neg Dupree , Jenni Davies , Ross Lee
Country: UK
Duration: 38 min
Quality: HD
Release: 2005
IMDb: 7.4
Season 1 - Balls of Steel
"In the first episode we see:\n\n\"The Alex Zane Buzzin' Game\" where players are annoyed by a faulty buzzer.\n\n\"The Annoying Devil\" annoying people whilst they're going to or are at work. Involving lots of crazy antics with pooh.\n\n\"Neg's Urban Sports: Big Stranger Rodeo\". Neg jumps on the back of complete strangers and tries to hold on for as long as possible.\n\n\"The Pain Men\" hurt themselves with various DIY tools including a heat gun, a professional sander, and a hammer and nail into the hand.\n\nOlivia Lee uses her electrified autograph pen to shock Mischa Barton, Matt Dillon and Nick Park. She then uses her silly microphone cards on; Dennis Hopper, Charlotte Rampling and Jenny McCarthy. Danny Glover, John Leguizamo and Parison Hilton are then interviewed with a dildo microphone.\n\nRandy Campbell \"Stunt Man\" then plans to do a stage stunt."
"In the second episode we see:\n\n\"The Annoying Devil\" annoying motorists in a variety of ways.\n\n\"The Militant Black Guy\" gets upset when he visits a gardening centre, a wine cellar and a DVD rental store.\n\n\"Alex Zane's Cleverness Game\" annoys various specialists by claiming they're wrong when in fact they're right.\n\n\"The Big Gay Outing\" asks a few random members of the public if they \"Fancy a bum?\". He then goes on to do the same to a cab driver and a window cleaner.\n\n\"The Man Tester\" picks up a guy in a bar, chats him up and then pretends to be disabled to see if he'll stay or go.\n\nRandy Campbell attempts another studio stunt."
"Olivia Lee annoys more celebrities. Using a dildo microphone she interviews; Ozzy Osbourne, Cheryl Tweedy, Rachel Stevens, Charlotte Church, Mario Van Peebles, Ross Kemp, Michelle Bass, Carol Vorderman and John Leslie.\n\n\"Neg's Urban Sports: Urban Sprinting\". Neg pretends to shop-lift from stores by planting a security tag on himself, forcing security guards to chase him.\n\n\"The Annoying Devil\" decides to annoy shoppers in a variety of ways, including giving away free umbrellas with insults stuck to them.\n\n\"The Bunny Boiler\" annoys a happy couple on the beach, by flirting with the guy whilst his girlfriend is there.\n\n\"The Worlds Worst: Barman\" annoys people by driving a London cab... badly.\n\n\"The Pain Men\" investigate dangers of the office by slamming their hands into a filing cabinet drawer, pinging elastic bands back on their foreheads and stapling their tongues to a filing cabinet."
"In this episode we see:\n\n\"The Alex Zane Lying Game\" - where Alex Zane creates a \"lie detector\" out of an air-conditioning unit, forcing a member of the public to admit to more than he probably should.\n\n\"The Militant Black Guy\" goes to zoo, a travel agents and a butchers.\n\n\"The Naked Man\" visits the Lake District, surprising the local ramblers.\n\nOlivia Lee is back with her water pistol microphone. Her latest victims are: Julian Fellowes, Leilani, Pete Doherty, Darius, Sharon Osbourne and Tom Cruise.\n\n\"The Man Tester\" decides to pick up a guy in a bar and entice him into a bizarre sexual situation. Will he stay or will he go?\n\nRandy Campbell is back for the final time to do a stunt in the studio."
"In this episode:\n\n\"The Annoying Devil\" decides to target people who are relaxing.\n\n\"The Bunny Boiler\" flirts with a guy who is with his girlfriend in the park. Needless to say his girlfriend gets very aggressive.\n\n\"The Pain Men\" show us what dangers lurk in the kitchen by slamming their heads in a fridge door, catching their tongues in an electric whisk and ramming freshly cut onions into their eyes.\n\n\"Alex Zane's Sex Contract Game\" is similar to \"Blind Date\" in which 3 guys are asked questions by an attractive woman, and she eventually picks one. The difference is that the guys are contractually obligated to have sex that evening... but who with?\n\n\"Neg's Urban Sports: Make Them Move\" shows us Neg attempting to make members of the public move from various places, such as park benches and bus stops, but without touching them.\n\n\"The Worlds Worst: Barman\" arrives, annoying customers in a bar."
"An inappropriate Olivia Lee interviews celebrities at a charity football match, the Bunny Boiler gets up to her usual tricks over coffee, and Big Gay Following propositions anyone who crosses his path."
"The Annoying Devil gets his message across in a very public way and Olivia Lee gets her own message across to Big Ron Atkinson at a charity golf tournament."
Season 2 - Balls of Steel
"Neg tries out a new urban sport called Burger Bowling, and Olivia Lee jets off to LA where she interviews J-Lo, Pierce Brosnan and Hightower from Police Academy. And there's a welcome return of The Pain Men, who this week demonstrate some of the dangers of being in the local pub."
"Big Gay Following stalks the celebrity red carpets with his familiar catchphrase, with surprising results, and the Bunny Boiler lures innocent couples into a tarot card reading."
"Neg tries his hand at his new urban sport of human skittles. Olivia Lee causes a stir in Hollywood as she interviews a selection of A-listers with her dildo microphone. The Militant Black Guy is out and about, and The Big Gay Following asks a selection of handymen to his home."
"The Annoying Devil meets Tyneside's favourite son, Alan Shearer, and Neg leaps on the backs of unsuspecting European tourists for his legendary 'Big Stranger Rodeo'. Elsewhere, Alex Zane introduces sex toys in his latest evil game show, and the Bunny Boiler tries to give other girls' boyfriends the kiss of life."
"Mr Inappropriate tries his hand at door-to-door double glazing sales - at 4:00am - and The Annoying Devil channels all his energy into making one man's life a living hell."
"Alex Zane transforms the Cheeky Girls into intellectual heavyweights as he embarrasses three genuine brainboxes in his 'Famed Brain Game', and the Pain Men go back to school to receive the cane and get the mother of all wedgies."
Season 3 - Balls of Steel
"Alex Zane's Couples Game exposes intimate truths from gullible young lovebirds, while an uninvited and unwelcome Neg cheerfully joins in with some sporting events..."
"The Annoying Devil goes to France to annoy the French. Elsewhere, The Pain Men demonstrate the terrible dangers of the building site, and Mr Inappropriate takes a job as a driving instructor, but terrifies his first client when he takes him dogging."
"Scummy Mummy has a little accident when her waters break over a shoe shop assistant, and the Bunny Boiler returns, this time in the guise of a sexy masseuse giving handsome guys the treatment in front of their girlfriends. Meanwhile, the Knob Jockey mounts some unsuspecting members of the public..."
"Alex Zane goes stateside to inflict his evil game shows on some unsuspecting Americans, and Olivia Lee takes on an A-list celebrity at an LA press conference. Elsewhere, Mr Inappropriate gets in trouble when he buys some cat litter and then uses it in the pet shop, and The Pain Men play a game of conkers using a rather sensitive part of their anatomy."
"Militant Black Guy questions the validity of dreaming of a white Christmas. Elsewhere, Mr Inappropriate hits the London party scene and embarrasses a number of celebrities and Scummy Mummy tries to get a tattoo for her newborn baby."
"The Annoying Devil stays at home for the day and spends his time winding up delivery men. The Bunny Boiler tries her hand at teaching erotic pottery to couples, and Big Gay Following finds employment as a secuirty guard. There will be pat-downs."
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Sacrifice, the Key to Holiness in Marriage
Last year during Lent, the Marriage Ministry at our church sponsored a Couple's Stations of the Cross. One of the questions that we were asked to reflect on was, "In what ways do you sacrifice for your spouse?" While initially I found it challenging to contemplate, I appreciated the opportunity to ponder this dimension of my marriage since I understand it is key to experiencing authentic joy in my vocation. At the end of the Stations, each couple was given a piece of paper and asked to write down one specific sacrifice that they were going to commit to doing for their spouse that Lent. We then went outside, where a blazing fire was waiting for us to throw our little pieces of paper into as a symbolic offering to God. It is one of my most cherished Lenten memories.
Sacrificing for your spouse can be particularly painful to do, especially when frequently you may not be on the receiving end of it or if your hearts are not united. Although it can be a trap many couple's fall into, marriage should never be tit-for-tat. Do we hold our spouse accountable for moral, upright behavior? Yes! Do we withhold our love when we feel we are not being loved? No! Christ's invitation to love is without limits, without strings attached. We are called to love freely and sacrifice for our spouse sincerely. The supernatural call to love like Christ can only come through the genuineness of basic human relationships.
The vocation of marriage breaks open our humanity to the endless view of the infinite love of God. Jesus, the Word became flesh, so therefore in our flesh, in our humanity, we reveal the love of God in extraordinary ways through the ordinary moments of our day to day living. We are called to be Christ to our spouse. Just as He sacrificed His life for each one of us, we are also called in marriage to sacrifice our lives through little acts each day. Sacrifice literally means "to make holy." With each sacrificial act done in love for our spouse, we not only personally grow in holiness, but we cultivate holiness in our marriage and in our family.
There are moments when you sacrifice your desire to have or do something out of love for your beloved–and then sometimes just getting through the day to day responsibilities without complaining is a sacrifice. There are so many times when my husband and I just collapse into bed at night after full days of working, running children to practices, making meals, bathing our toddler, listening to our teenagers, changing what seems like the 100th light bulb in the last 100 days, and picking up the house, but if we do all those tasks in love and in a spirit of sacrifice, then our home becomes a school of love through the ordinary moments of each day. The reality, though, is this is difficult to do! It takes persistent prayer, vision and a huge dose of patience to live marriage and family life with passion, purpose and a sacrificial heart.
Lent in an ideal time to prayerfully discern how well you are living this. True love requires sacrifice and there is no greater love this side of Heaven, than the exchange of authentic love in the Sacrament of Marriage.
Perhaps you can consider picking one way you can specifically sacrifice for your spouse this Lent. Don't tell them you are doing it–just do it. Maybe you have an obvious opportunity in your marriage to sacrifice, but you have not yet embraced it. Ask yourself, why? What is holding you back? God often places very clear-cut situations right in front of us and we sometimes are blind to them. Is your spouse going through a difficult time? What can you do to support them? Do they suffer from a physical aliment? What can you do to help ease their pain or make their life a little easier? We don't have to look far for occasions to showcase genuine love in our marriage.


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GLASGOW - Comments from track cyclists Daria PIKULIK (POL) and Lisa BRENNAUER (GER) after Poland and Germany qualified for the women's team pursuit finals at Sir Chris Hoy Velodrome, Emirates Arena on Thursday.
On her sister, Wiktoria PIKULIK, also being a part of the Polish cycling squad:
"She is my best friend, I love her so much. My dream is to ride with her in Tokyo (2020 Olympic Games)."
On the qualifying race:
"It was very good. We have a very strong team, a very young team. This is their first classification to the Olympics, we have a very long time till Tokyo."
On the youthfulness of the team:
"I think that is good because Tokyo is two years away so we have a long time together. Younger riders are also much more aggressive."
Lisa BRENNAUER (GER)
On clocking 4 minutes, 25.187 seconds, just short of the German national record of 4 minutes 24.369 seconds:
"We were happy with the time, it's just above the German record, we can improve on a few little things but we are happy to have qualified."
On their medal chances:
"We can only take it race by race, it looks like Britain will be very strong and will set a benchmark time today but we feel like we can go faster."
CNS al/cm/ph/lm
CNS content is available free of charge to all media. No copyright restrictions apply.


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Kidney Failure
The kidneys filter out the waste products from the blood. They also play an important role in maintaining electrolyte balance, controlling blood pressure and stimulating the production of red blood cells.
Kidney failure is a condition in which the kidneys lose its ability to filter wastes from the blood. Kidney failure is of two types- acute and chronic. Acute kidney failure occur when the kidney stops functioning abruptly. Chronic kidney failure occurs when there is a progressive decrease in kidney function over time. In India, nearly 17% of the population suffer from kidney failure.
Signs and symptoms of kidney failure
Kidney failure is usually secondary to conditions like hypertension, diabetes, infection, dehydration and many more. Symptoms associated with kidney failure include:
- Decreased amount of urine
- Brown, red or purple urine
- Shortness of breath
- Swollen or puffy face and swelling of the feet
- Fatigue
- Abdominal pain
- Persistent nausea
- Severe drowsiness
- Confusion
- Coma(in cases of severe kidney dysfunction)
Diagnosis of kidney failure
If the physician suspects that you have kidney failure, he would ask you to take few tests. Blood and urine tests are usually prescribed first to determine kidney function.
- Measurement of urine output: The amount of urine that you pass during the day is monitored. Decrease in the urine output would indicate kidney dysfunction.
- Urinalysis: Your sample of urine would be taken to assess the following:
- pH of urine: Abnormal ranges of urine pH may be due to renal infection, renal stone or other kidney disorders.
- Protein: Healthy kidneys do not filter out protein such as albumin from the blood. When there is damage to the filtering units of the kidneys, protein may also leak into your urine.
- Glucose: High levels of glucose in urine is indicative of diabetes which can predispose kidney failure.
- Bilirubin: It is a waste product from the breakdown of RBC's. Presence of bilirubin in urine would indicate liver dysfunction. Liver dysfunction can also cause kidney failure.
- Blood: Blood in urine may indicate a serious kidney problem and needs further investigation.
- White blood cells: Increased levels of white blood cells in the urine indicates infection.
|Normal Values
|Urine pH
|pH>7.5 may indicate infection
|≤150 mg/d
|Increase indicate kidney dysfunction
|≤130 mg/d
|Increase indicate diabetes
|Positive indicates liver dysfunction
|≤3 RBCs
|Increase would indicate serious renal dysfunction
|≤2-5 WBCs/hpf
|Increase would indicate infection
Hpf- High power field
Blood test: A sample of your blood would be taken to assess the following:
- Serum Creatinine level: Creatinine is a waste product which is normally excreted through urine. When the kidneys don't function well, creatinine is not filtered and its level rises in blood.
- Blood urea nitrogen level: Urea is a waste product formed due to breakdown of proteins. When the kidneys don't function well, urea is not filtered and its level rises in blood.
- Glomerular filtration rate: This parameter indicates how well the kidneys are removing wastes and excess fluid from the blood. Fall in the GFR mean that the kidneys function is impaired.
|Normal Values
|Serum Creatinine
|Male – ≤1.4mg/dl
Female – ≤1.2mg/dl
|Increase in levels would indicate decrease in kidney function
|Blood Urea Nitrogen(BUN)
|Increase in levels would indicate decrease in kidney function.
|Glomerular Filtration Rate(GFR)
|Decrease in GFR indicates kidney failure
60-89mg/dl- mild decline in kidney function
45-59mg/dl- mild to moderate decline in kidney function 30-44mg/dl- moderate to severe decline in kidney function
<15mg/dl- severe decline in kidney function
Creatinine clearance test: The amount of blood from which the kidneys can filter out creatinine each minute is called the creatinine clearance. This test is performed by collecting a 24-hour sample of urine.
|Normal Values
|Creatinine clearance
|500-2000 mg/day.
|Decrease in value indicates impaired renal function
Imaging tests: Imaging tests like CT-scan and ultrasound help to visualize the kidney. These tests help to detect structural abnormalities and alterations in the position of the kidneys. They also help in detection of obstructions in the kidney.
Kidney biopsy: Kidney biopsy is done in very rare conditions. In this procedure, a small portion of kidney is sliced using a needle and is examined under microscope for evaluation. The biopsy results can help to find out the cause of kidney failure.
Management of Kidney failure
Lifestyle measures:
- Reduce salt intake: Increased intake of salt would aggravate hypertension and would also increase the functional load on the kidneys.
- Eat low potassium foods: When kidneys fail they are unable to filter out potassium. Thus, patients with kidney failure should include Low potassium foods such as apples, carrots, grapes and strawberries in your diet. High potassium foods like oranges, potatoes, spinach, bananas and tomatoes should be avoided.
- Maintain a healthy weight: This helps to reduce the risk of coronary artery disease, diabetes, high blood pressure and stroke.
- Follow the recommended diet plan: A suitable diet plan for patient with kidney dysfunction would include limited intake of protein, salt, potassium and phosphorus. Follow the diet plan as recommended by the dietitian.
- Avoid smoking: Smoking can lead to atherosclerosis, which results in decreased blood flow to the kidney and increased blood pressure.
- Take measures to control blood sugar: If suffering from diabetes, try to maintain the blood sugar levels by limiting sugar intake, exercise and medications.
- Blood pressure – If suffering from hypertension, try to maintain blood pressure below 130/80.
Medical treatment for kidney failure
Treatment of the symptoms and the complications of kidney failure forms the basis of the medical management of kidney failure:
- Medicines to treat high blood pressure
- Medications to treat complications of kidney failure
- Iron supplements for treating anemia
- Diuretics to prevent edema
Dialysis: It is a procedure by which waste materials and extra fluids are filtered out from the patient's blood. A patient is recommended dialysis only when the kidney function is severely impaired.
Kidney transplantation: Kidney transplantation is a surgical procedure which is recommended to the patients with end stage kidney failure. In this procedure, the diseased kidney is replaced by a healthy kidney which is obtained from a donor.
Why choose Apollo Diagnostics?
We have the expertise of 34 + years in healthcare. Our labs are equipped with EQUAS (External Quality Assurance System) and loaded with full automated machines to ensure error free reports, with a quick turnaround time, and at an affordable price. For your convenience, we offer free home collection of samples.
For appointments, please call 4444 2424.
- Kidney failure. http://www.healthline.com/health/kidney-failure#overview1. Accessed on 21-9-2017
- Some devastating statistics about chronic kidney failure in India. https://www.practo.com/healthfeed/some-devastating-statistics-about-chronic-kidney-failure-in-india-10945/post. Accessed on 21-9-2017
- Tests to measure kidney function damage and detect abnormalities. https://www.kidney.org/atoz/content/kidneytests. Accessed on 21-9-2017
- Chronic kidney disease-home treatment. http://www.webmd.com/a-to-z-guides/tc/chronic-kidney-disease-home-treatment. Accessed on 21-9-2017


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All I can say right now, is Thank you sweet Lord for this precious puppy. He really makes you feel better if you are having a hard day, I mean, just look at him.
Earlier, while I was staring at him, telling him how sweet and perfect he is and how I loved him the most of all the people, I had a few thoughts…
Are there days when you feel like you just aren't getting it right?
I have been really hard on myself as a parent lately. I think we all can be hard on ourselves and no matter how hard we try, we aren't raising perfection. No matter how hard we try to intercept trouble our kids still get hurt and life will make its mark. This makes me feel so frustrated at times. I want to protect them from danger, accidents, and life…but you know what, we can't do that. and that really sucks!
So, Noah fell on his face at school last friday. I know, it makes me sick to my stomach to even think about it. He can be very unsteady on his feet and has a wobbly gate when he walks anyway. Just as he was getting off the bus he started puking…oh no! I thought, is this a concussion? Jeremy and I got him all cleaned up, his face looked horrible, swollen etc.
Jeremy said, you know, this could just be a virus….Okay, now…this is how my mind works.. in my head I already went to the worst case scenario….like a seizure, traumatic brain injury…. and for goodness sakes, he sure doesn't need to add that to the list of things he has to deal with….I was in such a tizzy, I couldn't do anything, I was paralyzed…I watched Noah for the next five hours and he seemed okay. I should have taken him to the ER, but….Here's the truth…I was filled to overflowing with dread. I can't even go into how hard it is to take him to the ER, but all you who are mom's out there know that to take ANYONE to the ER is real, real not fun , and can/does take hours usually. So bottom line we decided no to go.
Noah is okay, it took a few days but the doctor checked him out and he's gonna be fine.
My point? That we all makes mistakes as parents and as people…yes, I should have gone to the ER and I learned something that day. I also, can forgive myself and know I'm still the right person for the job of raising my two boys. I don't have to listen to the voice that is critical and wants me to feel shameful. All is GRACE.
I just want to encourage all you out there who are trying really hard, but you misstep every now and then. Just keep going, you really are doing a great job. not a perfect job…but who wants to be around that person?? The people that look like they are doing it all perfect are big fat liars…because nobody is doing this life perfect. What matters is that you show up..you stay in the moment, let your family see that you are real.
Today I sat with a special friend and we talked and loved on my sweet puppy together…I loved hearing her encouraging words. You are not alone, God see's you and he is there with you.
If you need him, I encourage you to call out his name…if you need a good cry, feel free to do what I do, lay on the floor with carpet up your nose and cry out to HIM. I always find him there, waiting to give me love and peace. So will you.
I hope you know that you are very loved! I hope you know that you are doing a great job! Keep going…….


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ISOT founders among authors of newest scientific paper on tensiomyography
ISOT founders Boštjan Šimunič and Rado Pišot co-authored a scientific paper titled "Differences between skeletal muscles contractile parameters estimated from transversal tensiomyographic and longitudinal torque twitch response" (Koren et al).
Paper studies contractile properties of skeletal muscle for various purposes and mainly by means of force or torque twitch responses. This study compared contractile properties estimated from isometric longitudinal and transversal vastus lateralis twitch mechanical actions using torque and tensiomyography (TMG) as assessment methods, respectively. Authors of the study calculated delay, contraction, sustain, half relaxation time and peak amplitude from the maximal twitch response obtained by both methods in 19 healthy males (age 46.1±17.8 years). Results indicated a shorter delay (∆=-23.4%; p<.001) and contraction time (∆=-42.7%; p<.001) when calculated from the transversal tensiomyographic actions, and shorter half relaxation time (∆=-26.2%; p=.025) when calculated from the longitudinal torque actions, while no difference in sustain time was found. Delay and contraction time did not correlate significantly when correlated between longitudinal and transversal actions; however, sustain time (r=.478; p=.038) and half relaxation time (r=.608; p=.006) did. In conclusion, the tensiomyography and torque gives different information reflecting that different mechanisms affect longitudinal and transversal twitch skeletal muscle deformations. Tensiomyographic response of skeletal muscle's transversal actions likely reflects more intrinsic contractile properties.


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The Grand Caucasus
Three distinct countries and a wealth of history and culture can be found on the 14-day journey through The Grand Caucasus. Travel through the highlights of Azerbaijan, Georgia, and Armenia on a quest through the glorious mountain range they all share.
Itinerary Description:
Begin in Baku, the capital of Azerbaijan, and discover the incredible blend of the modern and the ancient. Walking in the shadow of contemporary glass skyscrapers in the seventh century old town Icheri Sheher perfectly illustrates this blend through architecture. Explore the Zoroastrian culture of the country when visiting the Temple of Eternal Fire on the Absheron Peninsula and inspect some of the world's oldest rock drawings in Gobustan National Park.
Continue to Georgia and discover Tbilisi's hidden treasures, including the Mtkvari River running though town. Uncover the country's Christian roots set against spectacular mountain landscapes at Mtscketa, Ananuri Fortress, and Gergeti Tsminda Sameba Trinity Church. Taste wine in the Kakheti region, known as the birthplace of wine, and visit the birthplace of Christianity in the country at the Monastery of Saint Nino at Bodbe. Exclusive performance from the Georgian National men's choral group makes your last evening in Georgia festive and fun.
Close your journey in the Republic of Armenia, taking a scenic drive over the border with Georgia to the capital city Yerevan. The complex of cathedrals at Etchmiadzin and the Khor Virap Monastery will showcase the incredible Christian heritage of the country, while the Hellenistic-era Garni Temple goes farther back into history. Luxury travel in the Caucasus region is authentic, untouched, and seldom-visited.
Photo on Visual" class="redactor-linkify-object">https://visualhunt.com/re6/0ca51802">Visual hunt


text: Michigan Couple Gets Married In Art Van Furniture Store [VIDEO]Chris MonroePublished: October 2, 2017Art Van Wedding via WNEM TV 5Share on FacebookShare on TwitterBeing a wedding DJ I have seen just about everything, or so I thought. The brand new Mr. and Mrs. Myers met while working at the store and ended up getting married there. I would have to say that it was probably the most comfortable ceremony to attend.WNEM TV 5 Source: WNEM TV 5Filed Under: art van, myers, weddingCategories: Michigan News, VideosCommentsLeave A CommentBack To Top


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Bella Hadid's Nutritionist on How to Stay Healthy This Summer
Dr. Passler gives us 21 tips on how to get motivated and stay focused.
Falling off the healthy wagon happens to the best of us. It's due partly to the fact that we have a strong love for tequila and pizza (and karaoke)—things that don't lend themselves very well to getting up at the crack of dawn for a workout, especially when consumed together. But life's all about balance, right? And while we do like to treat ourselves to these late-night treats every so often, it's not that big of a deal if we stay on track the other 80 percent of the time. To ensure we're doing just that, we turned to none other than our favorite (who also happens to be Adriana Lima's, Bella Hadid's, and Amber Valletta's favorite) nutritionist, Dr. Passler (the same man who led us through a 21-day cleanse), for a list of tips on how to stay healthy and motivated this summer.
One Tip for Getting Back Into Your Routine
"People fall off their 'routine wagons' for so many reasons—from job stress to changing family priorities—but they stay off their routines due to procrastination. The best way to break that habit when it comes to getting ready for the summer is to use positive memories and emotions. I'll often tell my patients to spend five minutes before they head out to the gym to remember the last time they felt great."
Two Tricks to Get Out of Bed Earlier
1. "Sleep with your window shades open, and wake up the way our bodies were designed to—by the rising sun."
2. "My favorite recommendation to help overcome repetitive snooze-button-hitting is to put your alarm in the bathroom on high with the door open. When it goes off, the ceramic tile in the bathroom acts like a sound amplifier. When you hop out of bed and run to the bathroom, your blood will be pumping. After all that, you'll probably be awake."
Three Tips to Stay Motivated
1. "Meditate every morning upon rising for five minutes. Focus on the feelings you want to experience during the day ahead."
2. "Give well-deserved compliments to your friends and co-workers. Verbally recognizing others will have positive benefits for you as well."
3. "Take a 10-minute break. Go to the park. Take off your shoes and walk in the grass. This process, known as 'earthing,' has been studied to reduce stress and inflammation while improving sleep quality."
Four Rules to Stay on Track with Healthy Eating
1. "At least half your plate must be non-starchy veggies."
2. "You should only consume foods that are no more than one processing step away from the way mother nature made them. For example, tomatoes are in the form that mother nature made them. High-quality tomato sauce with nothing but herbs added to the tomatoes is one processing step away from tomatoes."
3. "Drink spring or filtered water instead of soft drinks."
4. "Never eat a snack or a meal that is predominantly carbs."
Five Snacks & Supplements to Keep You Going
1. "Nuts are a perfect blend of proteins, carbs, and healthy fats to keep you fueled up throughout the day. Eat them as between-meal snacks for the best results. But don't consume more than a palm full at a time."
2. "Nut butters with celery not only contain the benefit of nuts, but electrolytes to hydrate your muscles for greater stamina."
3. "Never overlook the benefit of a high-quality multivitamin for energy and focus. Its B vitamins and magnesium help with energy production, while its antioxidants fight vitality-robbing inflammation."
4. "Huperzine A is an herbal concentrate that has been studied to improve focus and memory."
5. "Rhodiola is an herb that protects the memory centers of the brain from stress and free radicals."
Six Ways to Stick to Your Workout
1. "Put your money where your abs are! Hiring a personal trainer and setting up scheduled appointments with them one month in advance is my first recommendation. By making this investment, you've made a commitment to yourself."
2. "Find a friend in your neighborhood or at work that needs to get back to the gym as well. State your physical goals and when you plan on attaining them to each other. Then schedule regular weekly gym time that works for both of you. Having an accountability buddy is a technique proven to boost gym attendance."
3. "Have a specific workout routine before you start your workout. Floating around the gym without a plan is the fasted way to lose focus and become unmotivated."
4. "Compress your workout routine. Most people at the gym spend 30 to 90 minutes and jump between cardio, free weights, and machines. The latest research indicates that HIIT (High Intensity Interval Training) might get you the same or better results in as little as 12 minutes. Check out the almost endless supply of HIIT videos on YouTube, but please run this type of training by your medical doctor to see if it's right for you before you start. It's intense!"
5. "Make sure you breathe with each exercise movement. Too many people hold their breath during exercise, and this will significantly reduce your muscle strength and stamina."
6. "Keep your eye on internal conversations in your head. Thoughts that contain the words 'I can' will actually improve your stamina, where 'I can't' will do the opposite. Thoughts are powerful friends or enemies. It's your choice."
[Editor's Note: As ever, we are not doctors or medical know-it-alls. And everybody is different, so make sure to check with a doctor before trying anything new.]
Top photo: Bag, Louis Vuitton.
Want more stories like this?
Demi Lovato on the Fitness Routine That Gives Her Confidence
Bella Hadid's Nutritionist's Surprisingly Simple Approach to Wellness
What Happened When We Ate like Bella Hadid & Adriana Lima for 21 Days


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Most of us have fond memories of playing in the sand at the beach. Building sand castles, and burying each other are staples of summer time beach fun. But as one New Jersey teen found out this weekend in Bald Head Island, NC, these games are not without their hazards.
He was buried up to his neck in the sand at Bald Head Island, when the tide began to come in. The water climbed above his head as other swimmers struggled to build makeshift sand barriers and dig him free. He even ended up breathing through a snorkel given to him by a bystander before he was rescued by emergency personnel.
Thankfully there were enough people around that were able to think quickly and save this boy. Had it not been for their efforts, this story would surely have had a more tragic result.
You should never leave anyone buried in the sand. Obvious as it seems, you should never play near the water alone to begin with. The deep dark waters beyond the breaker isn't the only place you can drown. It only takes a few inches of water.
This also reflects a theme I spoke about in an earlier post; the lack of sufficient safety personnel at our beaches, and a lack of effective methods for enforcing the rules we do have. We all love the beach, but we need to know that we are going to be safe while we're there. It's time we got serious about water safety.


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Introduction Hi, I am Stephen. I am 21 years old, horny stud.
My mom is Dona and 43 years old, super sexy lady. I spied on my mom since I was 16 year old; she is sexiest lady for me on this earth. She is divorcee and living alone with me. I could make it out in my 5 years spying on her that she has strongest libido and desire to get fucked by different manhood. I have seen her getting fucked at least by ten different men in our own house. She has lesbian relationship with one of her friend also. I masturbate thinking of her only in my entire life.
It took me to fuck her almost 4.5 year, to my surprise my slut mom was knowing that I was spying on her. I fucked her 6 months before only. I did not dare though I had strong sensual feeling for my mom. It was she only who seduced me to fuck her through her lesbian friend. I want to share my real life experience.
Today, she is hot mature Dona for me rather than Mom. I call her Dona darling only in bedroom. You must enjoy it, if you find it interesting and good. Please post your comments. It is around 10 o'clock night. We both mom and me were watching TV in drawing room. She got call on her mobile and talked with somebody. She told me to go for sleep after completed talk on mobile. I refused as I was watching one interesting movie. "Stephen, I told you go to bed, it is time to sleep now" she raised her voice.
"Mom, please allow me to see this movie, I like it very much" I requested. "No, Stephen, no more, you have to wake up early in the morning to go school" she reiterated. I failed to please her and she forced me to sleep and she also came to sleep along with me putting TV switched off.
I could not sleep as I disappointed very much. As she forced me to sleep, I pretended that I slept. It was one and half-hour passed in bed, and clock might strike to 12 night. Mom went from my bed and opened door.
I felt somebody came in our house. Mom did not come in my bedroom then. My bedroom door was closed halfway; I could see our drawing room from my bed itself. My guess was true, there was one man came inside and he hugged my mom. Mom was totally embraced with him and he was kissing on his lips and neck. "Oh, I love you, I can't wait further more, please fill me up" mom was whispering with moaning. "I can't hold stuff filled in my ball, I want to plug your hole, come on darling strip your clothes" man whispered.
" I am waiting for you darling come on make me naked" mom said. Mom was in night robe, man pulled over it. She wore two piece bikini of black color. I have seen my mom in sheer transparent two-piece bikini very first time in my life, which hardly covers anything of her pussy and boob. I got stunned and my cock was hardened.
I could not stop myself to see it, I did not know that it is right or wrong. Mom's friend was still in his jeans paint and T-shirt. Mom had unzipped his pant, his pant and inner was pulled to his knee by mom. His cock sprung out and dangling in air. I have seen first time such a big manhood in my life. It guessed, it was atleast 6 inch plus, enough diameter of more than one inch.
It's red purple head was glistening in dim light of drawing room. Mom sat down to reach his dangling cock. She held it in her hand and brought towards her mouth. She lowered her mouth and licked the sticky clear pre-cum oozing out from the narrow slit of his shaft. I was aback "what mom was going to do". I surprised that mom opened her mouth and swayed her tongue on glistening cock head. She opened her mouth and slowly pushed her open mouth along the length of his rod.
She grabbed his ass cheeks tightly as his rod hit her throat and she buried her nostril into his hairy groin smelling the sweet aroma of his youthful body. He started groaning and moaning " yes, fuck it, come on suck on it you cock hungry slut lady, come on eat away my dick" His penis felt amazing in her mouth as she began to suck it by bobbing her head back and forth.
Her hands found his balls and began to squeeze them lightly. He increased his speed and began fucking her mouth faster and harder. He felt the rush of his impending orgasm gathering within himself. I envisage that man was feeling pinnacle of his orgasm, he was about to come, his legs were trembling in ecstasy. But mom wanted some different, she squeezed his ball, so vigorously that man screamed out.
"What hell are you doing dirty lady" man shouted. "Oh, darling I am slowing down your pace, we have to enjoy more time" mom said. "No, suck on it, I want to fill your stomach with my seed" He grabbed his head and pushed again to his groin and slid his tool in her mouth. She again started to suck on it and swallowed it up to the hilt. His dick head might have reached to her throat. He grabbed her silky hair covered head and slowly began fucking her mouth. "Dona, I am going to cum." He informed mom as he felt his surging semen about to explode out of his swollen balls.
She lightly touched his balls and slurred with her mouth full with his meat, "That's okay darling, I want you to fill up my stomach with your sperm" His cock head swelled up.
He felt his hot thick cum, like hot lava had begun its upward journey through the pulsing veins towards its peak, sending shivering sensation. He grabbed her head tight to his groin and grunted loudly as first of his cum shots hit her throat. She moaned as hot, thick and gooey man juice began running down her.
She liked the bitter sweet taste of his potent seed. Before she could swallow it all, another volley hit and filled up her mouth. She was surprised at the high volume of his juice and almost choked. Her cheeks ballooned up as she tried to keep all his spewing juice inside.
Somehow she managed to swallow all of it and got ready for the next shot. She got more comfortable as each subsequent shots was less in volume. She let her tongue swim in his juice and began to savor more and more acquired taste. With a little shake he emptied last drop of his seed in her mouth. She licked her manhood completely leaving it complete clean. Mom stood up now and invited him to suck on her boob.
He dropped bra strips from her shoulder to open up her mound. It is real sexy mound of size 38B. Her nipples stood up like tips of two bullets. Her slightly rounded stomach and her deep belly button was totally exposed to me. My eyes glued to her breasts. They were large, stood firmly defying gravity and completely filled up her chest. The dark brown areolas were almost inch and a half in diameter, looked very enticing against her fair skin.
Her nipples had already became very hard and stood erect almost quarter of inch over her areolas. Mom offered her boob to the man "Come on suck on it and squeeze it" He did not take time and attacked on my mom's boob. He started sucking and biting like hungry man on mom's tit.
Mom was writhing in pleasure. "Come on darling suck it, I want it, that's right, please squeeze it" Man was swapping between two mounds and making mom more and more excited. She directed his hand towards her crotch area. He dropped her panty and stared rubbing on her pussy. She was standing sideway; hence I could not see her pussy. I was very much eager to see her magic hole. Now, he was love on her nipple and pussy both place.
Mom was groaning and moaning in waves of excitement. I was seeing mom in such different position very first time in my life. She did not allow to let out her nipple from his mouth, she had clasped hip from his head.
She was shouting loudly " Yes, yes that's right, please, keep sucking don't leave it, keep fucking my cunt" He was becoming more and more aggressive on sucking and fucking her cunt by his finger. "Darling, I am cumming, Oh god, I am cumming." She warned him about his incoming orgasm. He immediately separated himself and bite on her one nipple and pinched on other to subside her orgasm. Mom slapped him "You bastard hunk, how dare to pain me so much" He apologized and said " this is to control your orgasm darling, like you squeezed my ball" Mom hugged him again and gave long French kiss to him.
She removed his all clothes and made him totally naked. She also removed her bra and panty and now they headed to sofa set, which was right in front of my bedroom and now I can see them completely with their genitals. When she bent to put off her panty, her ass cheeks splayed open and her fat pussy lips came to view. He again started sucking on nipple and fingering in her cunt.
She thought of a plan to entice him. She managed to shove one of her fingers inside her pussy next to his already inserted two fingers. She wanted his tongue on her pussy.
She wanted his tongue to suck her engorged clitoris. She took her soaking finger out and placed it under his nose and let him smell her scent. He lifted his face dreamily. She pushed his finger into his mouth. He began licking her finger. She slowly pushed his head downwards. He completely understood her intention. Without hesitation he lowered his mouth on her swollen pussy. She lay herself down on sofa set and opened her legs. For the fist time I was able to look at her complete naked body with full view of her sexy boob and swollen and glisten pussy.
His wide eyes focused exclusively on her pussy. Her outer pussy lips were fat and swollen red. Slightly darker inner lips were peeking out from her folds. Her pussy juice was slowly oozing out of her hole making it glistened. He spread her outer lips with his thumbs and ran his tongue across her pussy. His tongue found her clit and she let him know in no uncertain way. She squealed at touch of his tongue on her pussy and spread her legs even wider giving him unfettered access. Her vagina began to throb and fluids began to overflow her swollen vulva.
He spread her labia wide and found her marble size throbbing clit. Instinctively he lowered his mouth and began sucking her very sensitive nub. "Oh god! Yes you hunk bastard lick it." She pushed her groin up into his mouth. "Yes, yes right there, that's it!" She curled her upper body and screamed, "Suck it.
Put your fingers back in me and finger fuck me. Make me cum! " She went wild and spread her legs as wide as her body would allow. She pushed his head down hard on her pussy and began to push her hips up and down into his face. "I am cumming, oh god I am cumming, please don't stop." She begged and screamed at the same time. Her pussy convulsed around his fingers and her clit throbbed under his tongue as she flooded his face with her secretion.
She just experienced the most wildest orgasm. He not only became awestruck by the ferocity of her climax, his face was drowned with her pussy juice. Her creamy juice was dripping down from his nose, chin and cheeks. Her body slowly stopped trembling as she regained her composure. He quickly moved up to her face and began kissing her.
As he moved up, her pussy came to complete view. She kept her pubic hair nicely trimmed and partly shaved. A triangular shaped trimmed bush all she had on top of her pussy. "Dona Darling, you taste so wonderful." He shoved his tongue deep in her mouth sharing her own pussy juice with her, "I could lick your pussy whole night. Your pussy is so hot," "I loved the way your tongue felt there." She whispered.
"I think my cock will feel even better inside your pussy." He expressed his desire to fuck her. "No, darling I want you to fuck my mouth again and you suck on my cunt, we can again warm up our tool for another storm of ecstasy." "I will allow you to fuck my hot cunt after your dick get hardened properly and my cunt get moist." Mom said him and he agreed. She made him to lie on his back. Then she straddled herself over his face and took his penis into her mouth as she lowered her pussy over his face.
They started making love to each other sex organs by their mouths and tongues The whole room filled up with very erotic slurping sounds of their sucking and licking.
They were totally immersed into their sixty nine position. They kept on sucking each other for long while. They again went horny and eager to each other with their love nectars. He was rock hard again after sucking for long while on his dick by my mom. His dick was now ready to fuck her cunt. He requested " Dona, I think, now it is again time to fuck hard you in your cunt. Your cunt is also swollen and dripping well, from where you do want to get fucked, from front or back" "You hunk, I won't allow you to fuck me, I will fuck you, I want to ride on your dick" She said mischievously.
He kept laid himself down on the carpet holding his penis with one hand. Mom swung her legs over him and slowly began her steady descent. Dona kept her hot love hole right over his dangling dick. He held his rock hard dick straight to guide in her love tunnel which is already moist and oozing out lovely cunt juice.
She kept her cunt over his dick, her hot cunt juice dropped on his hot dick, it electrified and wanting to bury in her love tunnel. She lowered her swollen and oozing cunt gradually to swallow whole size of dick in her. It disappeared in her cunt within no time.
She took a position on his groin keeping her legs both side of his waist. She again lift her crotch to slip out his dick, it came out completely. His dick was totally soaked in her hot cunt juice and glistening, again she lowered to bury it inside her. She was doing slowly, while he was fondling with his tits. Mom was enjoying this totally. She was totally engrossed keeping her eyes closed. She only thought of her cunt and sliding dick in her slippery tunnel.
She was moaning and writhing in ecstasy. "Dona darling you are amazing fuck lady, your cunt is wonderful, it feels so good inside your cunt, I want to keep my dick in your cunt for whole day and night." He said. "Yes, my hunk, I also want to fuck you like this whole night" She increased her speed and jumping on his dick. She was sliding her cunt through entire length of his manhood. "Oh, my god I will die, come on fuck me, I want to be fucked, you are my master, come on fuck, yes, yes aaaaa, ooooo, haaaaa" room was filled up with moaning and groaning of both Dona and his fucking partner.
As his partner encouraging her saying all dirty, Dona was going wilder and wilder, she was jumping on his dick. "Oh, fuck, I am cumming Dona, I am cumminggggggggg, come on carry on, don't stop, more fast, come on fuck me" he slapping on her ass chick and making pace by lifting is groin with movement of her cunt.
"Oh, yes, I also cumming, my cunt throbbing, it is in heaven, I can't stop myself, I am cumming, aaaaaaahhhaaa, uhaaaa, ohhhhhhaaaa, please come inside my cunt, fill my cunt with your seed" she was shouting loudly. I assume that she forget my presence in bedroom and engrossed fully in ecstasy of fucking orgasm. I could make out that her whole body was perspiring by exhaustive effort of jumping on his dick.
Dona was shivering in fun, her body and legs were stretched and writhing. I could make out that Dona got her orgasm. He also exploded his hot juice in her cunt at the same time.
Dona was still moving herself up and down, it is visible from distance that mix juice of his and her was running down to his groin. His dick was totally soaked and bathed in hot juice of Dona's and his love juice. Dona got exhausted as her climax was over and fainted on him. She laid down for a while and then again turned herself in 69 position to clean their genitals. There was lot hot juice in his groin area. She sucked and licked on his dick to make it clean at the same time pushed her cunt on his mouth to lick out.
They swallowed all juice spread around their genitals. This is very first time incident and my mom's adultery I have seen in my life. I started actively to spy on my mom Dona then after. If you liked it drop your comments and send me a PM. I will write more about my mom and me. There is still lot many hot stuff of my slut mom.


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In rural regions across the country, there is a strong demand for committed, effective school leaders. The Rural School Leadership Academy is open to all educators who are passionate about rural education and driven toward school leadership roles.
About the Rural School Leadership Academy
Develop the knowledge and skills necessary for school leadership roles, while building a powerful network of aspiring school leaders in rural communities.
The Rural School Leadership Academy is a yearlong fellowship for two streams of aspiring and current school leaders:
- Stream 1: For classroom teachers who are beginning to explore school leadership roles.
- Stream 2: For mid-level school-based leaders preparing for school principal roles.
Each program includes:
- One week and three long weekend in-person gatherings in rural locations across the country (four meetings total). These gatherings focus on professional development sessions delivered by content experts, site visits to rural schools, and cohort-based learning with leaders from across the country.
- Ongoing virtual engagement that supplements the in-person gatherings
- A participant-driven capstone project designed to impact participant's school community
All participant expenses—travel, lodging, meals, and all professional development—are funded thanks to an Education Innovation Research Grant from the U.S. Department of Education as well as through private funders.
2020-2021 Cohort Gathering Dates
The following are the tentative dates of in-person gatherings for the 2020-2021 cohort. Final dates, locations, and travel days will be finalized with accepted applicants prior to their commitment to the program.
- Week Intensive: July 19-24, 2020
- Fall Weekend: October 15-18, 2020
- Winter Weekend: Jan 28-31, 2021
- Spring Weekend: April 8-11, 2021
Eligibility & Requirements
We are looking for applicants who are passionate about rural education and are driven toward school leadership roles.
The Rural School Leadership Academy is open to all rural educators. You do not need to be a Teach For America alum to apply. Teach For America corps members must have successfully completed their corps commitment before joining RSLA.
All Participants:
- Must be working in a rural K-12 school setting for the 2020-21 school year
- Must be able to fully attend all four in-person sessions over the course of one week and three long weekends.
Stream 1 Participants:
- Should be teaching in a rural school
- Should be interested in pursuing an adult-facing leadership role in a rural K-12 school setting in the next 1-3 years
Stream 2 Participants:
- Must be serving in a role where the majority of your time is focused on instructional leadership of adults (likely a mid-level leadership role in a school such as assistant principal or dean)
- Should have clear aspirations toward principalship in a rural community in the next 1-4 years
- Should anticipate being in your role for the 2020-21 and 2021-22 school years
The 2021 application will open in the fall of 2020.
Frequently Asked Questions
Please contact email@example.com if you have any questions that are not answered below.
Rural locations are generally characterized by geographic isolation and small populations.
RSLA participants have come from all over the country, including from towns that are 2+ hours away from an airport and/or large grocery store.
If you have specific questions or concerns about your situation, please email email@example.com.
Yes. Nominations and referrals are welcome and an important way we identify candidates for the RSLA. To nominate someone, please email email@example.com. You are encouraged to nominate multiple rural leaders. Your nomination(s) will remain anonymous.
We will accept a group of 55 - 65 participants divided relatively evenly between the Stream 1 and Stream 2 programs.
Yes. We are putting a lot of content into a very short time together, and need all participants to plan to be at every day of each of the in-person engagements.
No. Participation in the RSLA will not lead to any certification or degrees. RSLA is designed to be a leadership development program that builds your capacity for success in school leadership roles. You will receive exposure to some of the best practices in rural school leadership, visit rural schools and build a network with highly esteemed content experts, colleagues, and facilitators from across the country.


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Avoid the Breach with Effective Application Security Testing
Security is a top priority for e-commerce giant Shopify, with over 600,000 businesses in 175 countries trusting them to sell online and everywhere in the world. Join Shopify's Vice President of Security Engineering and IT, Andrew Dunbar and HackerOne as they discuss best practices for testing and securing your cloud-based web applications. The session will also cover how you can scale application security for high-growth DevOps organizations and the tools and programs Shopify relies on to reduce security risk.
In this webinar, you'll learn to:
- Develop and improve your application security strategy
- Discover and manage critical vulnerabilities effectively
- Scale security for high-growth organizations—with a DevOps methodology
- Identify systematic issues and root causes to reduce long-term risk


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"Lead & Learn" with "Stand & Talks" Across Content Areas
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Using Kahoot! Challenges and Desmos BREAKOUT to Revisit and Review… and a shout-out to #DesmosInTexas
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Using Apple Classroom for "Stand & Talks"
Sara VanDerWerf claims that "Stand & Talks" are "the best thing she ever did to get students talking to one another" and I believe her. For this 2018-19 school year, I've implemented "Stand & Talks" intentionally (though, moving forward, I … Continue reading
Posted in Algebra 1 2 Comments
#MathResourceRoundup – Pythagorean Theorem
I thought it would be fun (and useful!) to choose upcoming math topics and share resources we love to use with students as we explore these topics. I don't use everything I find or create every year, but it's nice … Continue reading
Posted in Algebra 1 5 Comments
Break the Chains and Get More Mobile!
We all do *things* in our classrooms that are simply *normal* to us as teachers… it's what we do every day… effective routines and strategies that we do because that's what we do. Some of these seemingly *normal* things, when … Continue reading
Posted in Algebra 1 Tagged Desmos, iPad, nearpod Leave a comment
The Surprisingly Motivating, Impromptu, x-Words Challenge.
At the start of a lesson yesterday, I showed this image from MathHooks.com to students and asked them to Stand & Talk about it. After returning to their seats (they're seated in groups comprised of 3-4 students), student groups shared … Continue reading
Posted in Algebra 1, Pre-Algebra Leave a comment
Yes We Did! No He Didn't.
Yes We Did! Recently, we had the pleasure of a classroom visit from Jenny Wales! My students were honored to have a Desmos Expert stop by and see us in action. Students found creative ways to "put the point on … Continue reading
Posted in Algebra 1, Pre-Algebra Tagged #MTBoS, Desmos, Keynote, Pre-Algebra Leave a comment
Fluency, Concepts, and the Order of Things
I'm back in the groove with a fantastic new-to-me crew of learners, spending short snippets of time on Twitter… and neglecting to blog! It's time to hammer down several threads that resonated with me and recent experiences with my own … Continue reading
Posted in Algebra 1, Pre-Algebra Leave a comment
Too Mathy, Too Techy.
Every time I attend a conference, I have a mini identity crisis. When I attend math conferences, I thrive on the content and pedagogy shared. It's amazing. My brain is filled with strategies and tasks that inspire and equip me … Continue reading
Posted in Algebra 1, Pre-Algebra 2 Comments


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07 Feb Week 3
February 7th, 2017
What a week!
Thanks again for attending my first town hall as your state senator! We experienced a record turnout for this type of event. I'm excited to do it again tonight and next month! You all provided me with a renewed energy to keep moving forward and actively fight for our values here at the Capitol.
Up next
Up next, my bill on energy storage will be heard in the Business, Labor, and Technology Committee tomorrow (Wednesday, February 8th) afternoon. As you know, the bill recognizes the right of utility customers to install and use their own energy storage systems. It encourages investment in renewable energy and the diversification of Colorado's energy grid. The bill has gained traction, with support across the aisle, and will hopefully receive a fair shot in committee.
Get fired up
While the national political scene takes over much our attention, very similar activities are happening right here in Colorado. Does the senate bill to repeal our state health care exchange get you fired up? How about the house bills attacking women's rights and promoting discrimination based on "religious freedom"? Or, on a more positive note, a national popular vote agreement for the state? We may have the minority in the state senate, but we have the numbers on the ground. Stay involved by showing up to committee hearings, calling elected officials (not only me but also bill sponsors, committee members, swing voters, etc), attending rallies, organizing events, and continuing to fight the good fight at every step of the way.
Stay in the loop
I've received a few emails and phone calls from those of you who would like to opt-in to text message updates. If interested in receiving text alerts on upcoming bills, events, and actions, sign up here with your contact info. We'll take care of the behind-the-scenes work and make it as easy as possible for you to show up and make your voice heard; all you have to do is sign up!
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I'm trying to make VmwAROS the more user friendly I can. When using the nightly builds I always feel the lack of a general application icon. Ok, there's the tool one you can view by selecting Show > All files, however I mean a real general application icon, something you can immediately recognize as an executable, and not a generic file.
Here's shat I gained after some pokeing with Photoshop. A new gorilla icon for executables only, which I plan to manually add to any executable which hasn't already an Icon and worths the effort. I think this will help new users a lot, as only old Amigas fellow can imagine that a program is there, but not its icon.
Monday, December 3, 2007
App icons!
Posted by Paolo Besser at Monday, December 03, 2007


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The second in the trio of Erasmo Carlos reissues from Light In The Attic comes in the form of his rock-infused 1971 album Carlos, ERASMO.
As a student and fan of Elvis, Little Richard, Bill Haley, and Chuck Berry, Erasmo indulged his primal rock urges on these albums, notably getting sufficiently psychedelic and fuzzy on Carlos, ERASMO . . . Arriving in 1971 while Caetano and Gil were still in exile, Rita Lee had recently quit Os Mutantes and Gal Costa was onto a new sound, Erasmo's 1971 album was the closest thing to Tropicália around. Carlos, ERASMO . . . was co-produced by the Tropicália producer, Manoel Barenbein, including a new composition from Caetano, a few arrangements courtesy of Rogério Duprat and the musical talents of no fewer than three Mutants: lead guitarist Sergio Dias, drummer Dinho Leme and bassist Liminha, not to mention Brazil's undisputed psychedelic axe-master, Alexander Gordin, aka "Lanny", Carlos, ERASMO. . . is a virtual all-star team of Tropícalistas (not in exile).
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Hawai bracelet, 1942 - Van Cleef & Arpels collection
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When I swung by it was fairly quiet: just some folks sitting at tables and chairs in the shade enjoying conversation. I saw that people can play various games, and that kids can draw pictures on nearby boards, or even create chalk art. Colorful murals and some small sculptural artwork can also be discovered by walking around Fair @ 44!
I live in downtown San Diego and love to walk around with my camera! You can follow Cool San Diego Sights via Facebook or Twitter!
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Next destination?
Please only post Search Engine and Webmaster Related stuff.
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Re: Next destination?
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Guitar No. 13
Date Completed:
Thursday, April 3, 2014
To celebrate the superstition surrounding the number 13 I put in extra effort to ensure that guitar no.13 is a bit out of the ordinary. This is the first guitar that I have built with a spine - a little influence from German luthier Jeroen Hilhorst. It is also the first guitar I have made out of Pakauk.
- Top: Engelmann Spruce
- Back and Sides: Padauk
- Armrest: Ebony
- Neck: African Mahogany (Khaya)
- Finish: French Polish of Shellac
- Tuners: Der Jung
- Accents: Tiger Maple
A special thanks to Ron Baker for capturing these wonderful photographs of the finished instrument and to Flameheart Studios for capturing some of the work in progress in the shop. Also, I would like to big up Michael Root for his job of playing this guitar in the semi-finals at the Appalachian Guitarfest Competition where Maya Loncar and Maryam Hajialigol reminded me why I exhaust myself with this art.


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The Survival of Interactional Sociolinguistics in the 21st Century
AbstractParadigm changes have occurred in all disciplines and fields of study all the time. The range of variability or change which affected major research areas has also triggered changes in the linguistic research of humanities studies. In the 21st century the pace at which new paradigmatic changes or turns appear has accelerated, with the result that, currently, researchers cannot confine their work to a single approach but need to position themselves simultaneously in relation to a variety of older and more recent turns. Amid these shifts, the present study looks at interactional sociolinguistics and its survival in the 21st century and highlights the reasons why it has given way to other sub-branches of linguistics. Equally, the study seeks to anticipate the possible future of interactional sociolinguistics.
Dec 29, 2018
How to Cite
IRIMIEA, Silvia Blanca. The Survival of Interactional Sociolinguistics in the 21st Century. European Journal of Multidisciplinary Studies, [S.l.], v. 3, n. 4, p. 61-69, dec. 2018. ISSN 2414-8385. Available at: <http://journals.euser.org/index.php/ejms/article/view/4022>. Date accessed: 23 sep. 2020. doi: http://dx.doi.org/10.26417/ejms.v3i4.p61-69.
CC Attribution 4.0 International (CC BY4.0)


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These units are only compatible with Manthorpe Linear Dry Verge system components GLV-RH (right hand) and GLV-LH (left hand).
Ashbrook Roofing offers FREE or EXPRESS delivery to United Kingdom postcodes excluding the Highlands, Islands and Ireland.
Delivery expectation for orders placed before 2.00pm are:
- Standard (FREE): 2-3 working days
- Express (£5.00): Next working day
Prior to shipment, we'll let you know of our estimated date of delivery. Don't worry if you have made other plans or find this inconvenient. If you can let us know a day in advance we'll work with you to find a better alternative.
And remember, if you need help, have any concerns or if you need a delivery extra quickly, simply give our customer service team a call on 01629 828500, or email firstname.lastname@example.com and we'll do our very best to help.