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Guide To Beating Hypoglycemia
I. Problem. A previously healthy 3-year-old boy is brought to the emergency department in the early morning after his parents found him difficult to arouse. The family had been traveling and the child had a prolonged fast. His blood glucose level is 28 mg/dL.
II. Immediate Questions
A. What constitutes a low serum glucose level in a patient of this age? Hypoglycemia in children is defined as follows.
1. Term neonate. Serum glucose < 50-60 mg/dL.
2. Infants and young children. Serum glucose < 45-60 mg/dL.
3. Older children and adolescents. Serum glucose < 60 mg/dL.
B. What is patient's mental status? An unconscious patient must first be stabilized. Quickly assess ABCs (airway, breathing, and circulation) and obtain access to draw samples for laboratory analysis and provide glucose.
C. Is patient diabetic? Excess insulin administration or administration of insulin in a patient who is not eating can induce hypo-glycemia.
D. Has patient had adequate intake? Was TPN abruptly discontinued? Often children who are sick have decreased oral intake and may not have had anything to eat or drink for several hours. Abrupt discontinuation of dextrose-containing fluids can also lead to hypoglycemia.
E. Is ingestion a possibility? Many different agents can induce hypoglycemia, including salicylates, alcohol, and oral hypo-glycemic agents.
F. Is patient a newborn, an infant of a diabetic mother, intrauter-ine growth retarded (IUGR), or small or large for gestational age (SGA or LGA)? Infants of diabetic mothers are often hyperin-sulinemic at birth and when glucose stores from the placenta are removed can become hypoglycemic. SGA infants (defined as < 10th percentile or < 2.5 kg at term) and LGA infants (defined as > 95th percentile or > 4.0 kg at term) are at increased risk of hypoglycemia.
G. What symptoms are associated with hypoglycemia? Symptoms include anxiety, diaphoresis, jitteriness, weakness, nausea, headache, and confusion. Infants with hypoglycemia can present with few symptoms.
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https://www.hudsonhealthcare.co.uk/wp-content/uploads/2019/12/79490584_4065771953448808_6998830224523657216_n.jpg 960 720 Hudson Healthcare https://www.hudsonhealthcare.co.uk/wp-content/uploads/2013/05/hudson-senior-living-autumn.png Hudson Healthcare2019-12-27 08:07:542019-12-27 08:08:14Gifts From the Local Community
Gifts From the Local Community
A huge thank you to the Portishead local community for their generous donations of a range of gifts for our residents to enjoy at Christmas! A massive thank you must also go to Dave Francis, who delivered the presents, in addition to the local Church for coordinating this initiative. Your kindness has certainly brought huge smiles to our residents' faces!

subset: commoncrawl


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Herbivore Club
Human beings have invented clubs for everything from chess, to movies. These are places where we can belong to other humans who have the same interests. Now, with this top, you can proudly show your allegiance to the one where people only eat tasty plants.
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Order ships in 2-3 business days.
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"Life is a journey, become a better navigator."
You have 35 days of your purchase confirmation to Return or Exchange your item(s).
To be eligible for a return, your item must be unused and in the same condition that you received it. It must also be in the original packaging.
Some goods are exempt from being returned. Due to the nature of custom products, we are also unable to accept returns for custom orders.
All orders are print to order and we typically process orders 1-2 business days after they're placed.
Note: if you place an order after 1pm PST on a Friday, your order may not be shipped until the following Monday.


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Premature ageing syndromes, also known as progeria, include two very rare inherited conditions, Hutchinson-Gilford syndrome and Werner syndrome. In both conditions, skin changes that indicate premature ageing include: Atrophy (skin thinning and loss of elasticity) Loss of cutaneous fat. Wrinkling.
This may be due to:
- You are eating more sugar.Excess processed sugar in your diet, even in small amounts can cause dark circles, wrinkles, dehydrate skin and can fast track the aging process.When you eat more sugar than your cells can process, the excess sugar molecules combine with proteins, creating "advanced glycation end products"appropriately referred to as "AGES").Ultimately, AGES may damage your skin's collagen (the protein that keeps skin firm and youthful).
- You dont use sunscreen.Dermatologists recommend to patient to wear sunscreen all the time.Wearing sunscreen on a regular basis can help prevent this. Harmful UV rays penetrate clouds and get to your skin if it's not protected.
- Putting your face on pillow while sleeping.Wrinkles are caused by the loss of collagen and elasticity, which reduces skin volume. But applying repeated pressure (such as sleeping with the side of your face on a pillow) or muscle motions (such as laughing and squinting) against the collagen will promote its breakdown, eventually leading to visible lines.
- Drinks less water.When your skin is less than 10% water it is considered to be dehydrated. Drinking 6-8 glasses of water a day is vital in hydrating the inside of your body.When your skin becomes dehydrated you experience symptoms of dryness, flakiness, roughness, irritation, and cracking; hence the look of prematurely aged skin.
- Tension.Chronic stress accelerates premature aging by shortening DNA telomeres. , long-term unemployment, anxiety attacks… … As telomeres become shorter, their structural integrity weakens, which causes cells to age faster and die younger.
- You sleep with make up.Sleeping with makeup on is not a good idea.Makeup can trap dirt and environmental pollutants inside the skin, and this type of environmental stress can result in increased free radicals which can cause DNA mutations, collagen degradation, and, over time, can result in premature aging.
- Smoking and drinking.The nicotine in cigarettes causes narrowing of the blood vessels in the outermost layers of your skin. This impairs blood flow to your skin. With less blood flow, your skin doesn't get as much oxygen and important nutrients, such as vitamin A. As a result, skin begins to sag and wrinkle prematurely because of smoking.Alcohol also depletes our body of vitamin A, which plays an important role in keeping our skin firm and youthful. Alcohol can cause premature aging to our eyes. Drinking causes irritation of the blood vessels in our eyes.
Skin is the soft outer tissue covering of vertebrates with three main functions: protection, regulation, and sensation.
What you eat can significantly affect the health and aging of your skin.Healthy skin is smooth, with no breaks in the surface. It is warm (not hot or red) and neither dry and flaky nor moist and wrinkled. Healthy skin is a mirror of a healthy body.If the color of your skin evenly distributed and pretty much all over the same, it means your skin is healthy and free of common skin disease.Have Good elasticity. Healthy skin can stretch and then return to its normal state. Skin with good elasticity indicates that it has enough moisture and also moist.
By drinking the following often,may help build and maintain a healthy skin:
- 8 glasses of water through-out the day.Drink at least 8 glasses of water per day and more when it is hot. Water needs to be your first choice, since it gives you radiant skin and zero calories.When your blood circulation is optimal, the results can be seen on your skin as well. With just the right amount of intake of water, you won't be needing a blush to makes your cheeks glow pink or a lip-gloss to make your lips look rosy.
2.Green juice in the morning.Fruits and veggies can be powerful detoxifiers and can help clear the toxins from your body, reduce inflammation and clear up your skin issues, like acne. Pairing your green juice with an all-natural skincare routine can help get you closer to that flawless glow you're after.
3.Pomegranate juice in the evening.Pomegranate for skin is a rich source of vitamin C-it is effective in treating dull and dry skin.When applied topically on a regular basis, it can reduce skin roughness. Also, around 82 percent of pomegranate's volume weight is water and thereby it's effective in keeping you hydrated.Good when taken in form of juice too.
4.Green tea in the afternoon.Most of the polyphenols in green tea are catechins. Catechins, which are antioxidants by nature,function as anti-inflammatory and anticancer agents. One of the major catechins in green tea has been shown to be the most effective agent against skin inflammation and cancerous changes in the skin.
5.Cucumber infused in water before bed.Cucumber water can help soothe your skin from the inside out. Staying hydrated helps your body to flush out toxins and maintain a healthy complexion.Cucumbers are also high in pantothenic acid or vitamin B-5, which has been used to treat acne.
NOTE>Your skin protects your body from the many viruses and bacteria you are exposed to daily.Healthy skin produces vitamin D when exposed to the sun, and vitamin D is important for many body functions. Having healthy skin also helps your body keep its temperature at a constant level.
- Decreased risk of diabetes.Weight loss is enough to restore blood sugar to a normal level, which eliminates diabetes. Even if it doesn't get your blood sugar completely back to normal, it may lower your need for insulin therapy or other medications to control diabetes.
- Lowered blood pressure.Blood pressure rises with body weight, so losing weight is one of the best ways to improve your numbers.Losing weight can lower both systolic and diastolic blood pressure — and potentially eliminate high blood pressure.
- Improved cholesterol levels.If you are obese and have high cholesterol, losing weight should help lower your cholesterol, as well as your risk for other obesity-related conditions including diabetes and cardiovascular disease.
- Decreased risk of heart disease.Even dropping as few as 10 pounds can lower your risk of heart disease and help you feel better. Keep losing weight, and you'll probably experience fewer joint and muscle pains, regulate your blood pressure, reduce the burden on your heart and circulatory system and even sleep better.
- Decreased risk of certain cancers.Excess body fat increases your risk for several cancers, including colorectal, post-menopausal breast, uterine, esophageal, kidney and pancreatic cancers.Therefore,burning and loosing that fat will be of great help.
- Improved mobility.Drop in weight cut the risk of mobility problems.
- Decreased joint pain.Being overweight may increase inflammation in the body that can lead to joint pain. Losing weight can reduce this inflammatory response.
- Improved blood sugar levels.If you are pre-diabetic or diabetic, then losing 5-10 percent of your body weight can help improve your blood sugar numbers. If you are pre-diabetic and can lose this weight, you will lower your risk of developing diabetes by 58 percent.
When you burn more calories than you consume, and lose weight too quickly as a result, your body produces fewer leptin hormones. Insufficient levels could increase your appetite, prompting you to eat more — making weight loss nearly impossible.
- Avoid Foods That Contain Trans Fats.
- Don't Drink Too Much Alcohol.
- Eat a High-Protein Diet.
- Reduce Your Stress Levels.
- Don't Eat a Lot of Sugary Foods.
- Do Aerobic Exercise (Cardio) .
- Cut Back on Carbs, Especially Refined Carbs.
- 1: Running.
- 2: Elliptical trainer.
- 3: Bicycling.
- 4: The bicycle exercise.
- 5: The Captain's chair leg raise.
- 6: Exercise ball crunch.
- 7: Vertical leg crunch.
- 8: Reverse crunch.
While any exercise can burn calories, brisk walking for 45 minutes mobilizes the body to dip into fat reserves and burn stored fat. It is especially good for burning internal belly fat, called visceral fat, that not only contributes to your waistline but also raises your risks for diabetes and heart disease.
- Chew Thoroughly and Slow Down. Your brain needs time to process that you've had enough to eat.
- Use Smaller Plates for Unhealthy Foods.
- Eat Plenty of Protein.
- Store Unhealthy Foods out of Sight.
- Eat Fiber-Rich Foods.
- Drink Water Regularly.
- Serve Yourself Smaller Portions.
- Eat Without Electronic Distractions.
- Oatmeal. You may think that eating less will help you lose weight, but you should never skip meals, especially the first meal of the day.
- Blueberries. Research has shown that a diet rich in blueberries may help diminish belly fat.
- Almonds.
- Salmon.
- Lettuce.
- Green Tea.
- Coffee. Coffee is used by people around the world to boost energy levels and lift mood.
- Black Tea.
- Water.
- Apple Cider Vinegar Drinks.
- Ginger Tea.
- High-Protein drinks.
- Vegetable Juice.
- Lemon water.
- Grape juice.
- Chamomile tea.


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Nurx is looking for an experienced Product Designer to work on the patient care web-app. You share in our belief that user-centered design plays a key role in transforming and improving access to healthcare. The ideal candidate for this team will be able to map out a diverse set of creative solutions and work with product and engineering partners to help improve patient care systems and tools supporting providers, customer care, and pharmacists.
What you'll do:
- Engage with a diverse set of stakeholders including clinicians, customer care agents ,and compliance experts to empower the patient care team to provide the highest quality care.
- Partner with Product Managers to simplify complex problems for users.
- Collaborate with Engineers to bring wireframes, mock-ups, and/or prototypes to life.
- Deliver a simple and elegant patient care system that supports distinctly specialized user workflows
- Work with other Designers to establish design system standards.
A bit about you:
- 4+ years of hands on Product Design experience, ideally at a fast-paced, startup environment - work in consumer web products and apps a bonus.
- You can think through user problems, explore reasonable solutions, draft wireframes/flows in detail, and work with engineers to build them.
- Excellent communication skills—be able to clearly present and articulate design decisions.
- Familiarity in using quantitative data to identify areas of opportunity for improvement.
- A portfolio demonstrating research, analysis, and synthesis of product requirements behind each design for both web and mobile apps.
- Experience being the design lead on at least two projects that went from concept to production
- Proficiency with industry standard design tools - the design team uses Sketch and Abstract + Adobe CC
About us:
At Nurx, we're creating a future where healthcare is easily accessible and affordable for everyone. We are building a platform that empowers people to be in control of their health and make informed decisions about their own bodies.
Nurx enables doctors to give more patients personalized care at lower costs; and patients can receive prescriptions delivered straight to their door. We are committed to revolutionizing the healthcare system and increasing access to healthcare for millions across the country, starting with birth control, PrEP, and HPV screens. That's where you come in!
- Talented and collaborative team who will both support and challenge you.
- Market competitive salary and equity.
- Medical, dental, commuter, and wellness benefits.
- 401(k) retirement plan.
- Paid holiday, vacation, and sick leave.
- Take what you need vacation (and we really mean it!)
This position is full-time and based in San Francisco, CA.


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It's our job to help you.
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FBI's Most Wanted Fugitives: 5 suspects in the last decade who remain at large
The FBI has maintained a "Most Wanted" list of the top ten most wanted criminals in the U.S. since 1950. In total, 523 fugitives have been listed, 10 of whom were women. Of that 523, 488 have been captured. Here are five fugitives added to the list in the last decade who remain at large:
Robert William Fisher
Fisher is wanted for allegedly killing his wife and two children, then blowing up their home in Scottsdale, Ariz., in 2001. Fisher, a cardiac technician and ex-Navy firefighter, was a child of divorce and vowed his children, aged 10 and 12, would never go through the same thing. Shortly before the mass killing, his wife, Mary Fisher, told friends that she was going to leave Robert.
Neighbors reported hearing a loud argument the night before Mary was shot in the back of the head and their children's throats were slashed from ear to ear in the hours before their house exploded at 8:42 a.m. on April 10, 2001.
Fisher was named the only suspect in the case soon after. On April 20, authorities found Mary's Toyota 4Runner and their dog, Blue, in Tonto National Forest, near the town of Young, Ariz., according to AZ Central. Police searched the area where the car and pet were found, but they allegedly did not search the complex network of caves within the forest. Some professional cavers suggested that Fisher could have used these to hide before either escaping, killing himself or dying of low levels of oxygen, as reported by AZ family.
He was added to the FBI Most Wanted fugitives list in June 2002.
Alexis Flores
Flores is wanted for the kidnapping, rape and murder of 5-year-old Iriana DeJesus in Philadelphia, Penn., in 2000. A Honduran itinerant worker, Flores is believed to have lived in the building where the child's body was found, sexually assaulted, strangled and wrapped in a trash bag. The itinerant homeless man was believed to have disappeared at the same time as the little girl. Flores was then arrested for shoplifting in 2002 and forgery in 2005 in Arizona before he served 60 days in jail and was deported back to Honduras. In 2007, the FBI noticed that the DNA sample taken from the Philadelphia crime scene matched that of the Arizona convict and he was added to the fugitives list.
Jason Derek Brown
Brown is wanted for first-degree murder and armed robbery at a Phoenix movie theater in November 2004, after he allegedly shot an armored guard outside the theater then ran off with the theater's cash on hand. He then fled to Las Vegas before driving to Orange County, Calif., to stay with relatives. When the FBI carried out an arrest warrant in December 2004, they missed him by two hours. Soon after, Brown became a "ghost" and went completely off the grid. In January 2005, authorities tracked down his abandoned vehicle at Portland International Airport, according to AZ Central.
According to the FBI, Brown "speaks fluent French and has a Masters Degree in International Business."
"He is an avid golfer, snowboarder, skier, and dirt biker. Brown enjoys being the center of attention and has been known to frequent nightclubs where he enjoys showing off his high-priced vehicles, boats, and other toys. Brown was a member of The Church of Jesus Christ of Latter-Day Saints, and completed his Mormon mission near Paris, France," the poster continued. The FBI is offering a $200,000 reward for information relating to his arrest. He was added to the fugitives list in December 2007, and he is considered "armed and very dangerous."
Yaser Abdel Said
An Egyptian resident of the U.S., Said is wanted for the murder of his two teenage daughters in Irving, Texas, in 2008. On January 1, 2008, Said lured the girls into his taxi cab under the pretense that he was going to take them out to eat.
Both of his daughters had confided in friends that Said had physically and sexually abused them. Shortly after Christmas 2007, Said's daughters, Amina and Sarah, and his wife, Patricia, ran away to Tulsa, Okla., before Patricia reluctantly convinced Sarah to return to the girls' abusive father with her, and later convinced Amina to return home from a friend's house where she'd been staying. Amina had already made extensive plans to run away with her boyfriend once they raised enough money.
Then on Jan. 1, Said took both of his girls into his cab, kissed them and told them he was taking them out to eat. Patricia initially wanted to come along but Said told her he wanted to take them alone. He drove around for a while before shooting both of the girls in the cab. Amina, 18, died instantly but 17-year-old Sarah managed to call 911. ""Help, help! My dad shot me, my sister, I'm dying, I'm dying!" she told the operator shortly before succumbing to her injuries, as reported by PIX 11.
It's believed that Said may be working as a taxi cab driver in New York City. He's known to always wear dark sunglasses, even inside, smoke Marlboro Lights and frequent diners such as Denny's or IHOP. He was added to the fugitives list in December 2014 with a $100,000 reward for any information leading to his arrest.
Eugene Palmer
Palmer was added to the FBI's Most Wanted list on May 29, 2019, for allegedly shooting dead his daughter-in-law Tammy Palmer in September 2012 in Stony Point, New York. Eugene lived next door to Tammy and her husband, his son John. Tammy and John's relationship soured and she filed for a restraining order against John. She threatened to file for divorce and sue for land which Eugene owned, which caused him to get into a bitter argument with Tammy
On the morning of Sept. 24, 2012, Tammy walked her two children to the bus stop. Eugene was believed to be lying in wait in the bushes. As she walked home, Eugene allegedly shot at her from a distance. Eugene then fled in his pickup truck, which he abandoned near Harriman State Park in Rockland County. Police called in search dogs, which followed Palmer's scent through the park for a while before losing track of it. Authorities never found a body, leading them to believe he is still alive. Authorities believe he might be hiding in either Upstate New York or Florida where he has relatives, according to the Rockland Journal News.


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Dr. James H. Sorrell has joined the psychiatry staff at the Methodist Fremont Health Behavioral Health outpatient clinic. He majored in philosophy and history as an undergraduate at the University of Nebraska-Lincoln before attending medical school at the University of Nebraska Medical Center (UNMC). He completed an internship and residency at George Washington University in Washington, D.C. He also completed a residency at Barnes-Jewish Hospital at Washington University Medical Center in St. Louis.
He spent 20 years as a member of the UNMC faculty and working with the medical center's organ transplant program. He also has served as a consultant for the Nebraska Department of Health and Human Services, assisting with child services and people with developmental disabilities.
Dr. Sorrell specializes in helping patients with brain injuries, developmental disabilities and complex mood disorders like depression.
"I'm very interested in that connection between people's character – who they are, what they bring to the experience of a psychiatric illness – and trying to work inside their experience, meet them where they are and help them move forward," he said.
Whatever the challenge, Dr. Sorrell is committed to working side by side with each patient to find long-term solutions.
"They're going to get the real me," he said. "They're going to get my attentiveness. They're going to get every best effort that I have, and they're going to get the answers that I know. And then the ones I don't have answers for, I'm going to explore. They're going to hear some 'I don't knows,' and they're going to hear some 'Maybes.' But what they're going to get the next time is the best answers I have."
Dr. Sorrell has five daughters and six grandchildren. Outside of work, his hobbies include running, cycling, reading and cooking.
He is now seeing patients at the Methodist Fremont Health Behavioral Health outpatient clinic (2560 N. Healthy Way in Fremont). Appointments can be made by calling (402) 941-7245.