is callahan an irish name

Callahan is a well-known Irish surname. The Callahan name means descendent of Ceallachán. He was the Eóganachta King of Munster from AD 935 until 954. The personal name Cellach means 'bright-headed.' These Irish counties claim Callahans: Armagh, Louth, Meath, and Monaghan.

Callahan Name History

Callahan Name History Callahan Irish Coat of Arms

Spelling variations of Callahan Variant spellings of the Irish surname Callahan include: Callaghan, Calahan, O'Callahan, O'Callaghan, Kalahan, Kallaghan, Kallahan, O'Kallaghan, Kellaghan, Kelleghan, Kellahan, Kelahan, Ceilahan, Ceilaghan, Callachan, Calachan, Callagan, Calagan, Kelagan, Keelaghan, Kealahan, Kelaghan, Callighan, and others. The Callahan family crest and coat of arms The Callahan coat of arms features a green field with a stand of trees, with a wolf emerging. For detailed Callahan name history information, our Framed Irish Family Name History (#1760) has more information on the Callahan family origins and surname. The Irish Rose has a large selection of Callahan coat of arms items. Items featuring the Irish counties connected to the Callahans include Irish County mugs and Irish county coat of arms flags. Find the Callahan name in Ireland Stay at the lovely O'Callaghan Stephen's Green Hotel in Dublin to celebrate the Callahan name and family. If you can't visit in person, our personalized pub gifts are the next best thing!Notable people named Callahan In the United States Armed Forces John H. Callahan, Civil War soldier and Medal of Honor recipient In sports Ben Callahan, baseball player Bill Callahan (football coach), American football coach Gerry Callahan, sports writer Henry Callahan, ultimate player Nixey Callahan, baseball player and manager Ryan Callahan, ice hockey player Viviana Callahan Vargas (b. 1980), Chilean ski mountaineer In politics Bob Callahan, former member of the Legislative Assembly of Ontario Deb Callahan, former president of the League of Conservation Voters Dennis Callahan, ran in the 2006 Maryland county executive elections Donald A. Callahan, 1938 Republican nominee for the U. S. Senate seat in Idaho Ed Callahan, former Chairman of the National Credit Union Administration (NCUA)James Yancy Callahan, former Delegate from the Oklahoma Territory to the U. S. House of Representatives John B. Callahan, mayor of Bethlehem, Pennsylvania Laura Callahan, former senior director at the U. S. Department of Homeland Security Sonny Callahan, former member of the U. S. House of Representatives for Mobile, Alabama Victor Callahan, current Missouri State Senator In music Bill Callahan (musician), singer-songwriter In show business Bill Callahan (producer), producer and writer of Scrubs John Callahan (actor), actor in All My Children Noel Callahan, actor in Romeo!Dennis Callahan, choreographer Mars Callahan, actor, director, producer and writer Others Americus Callahan, inventor Consuelo María Callahan, judge Daniel Callahan, philosopher David Callahan, writer Gene Callahan (disambiguation), multiple people Harry Callahan (photographer), photographer John Callahan (disambiguation), multiple people John Ross Callahan, dental researcher Kenneth Callahan, artist North Callahan, historian William P. Callahan, Roman Catholic bishop Click here to shop for Irish coat of arms gifts


what injectable meds treat cervical dystonia

BOTOX ® is a prescription medicine that is injected into muscles and used to treat the abnormal head position and neck pain that happens with cervical dystonia (CD) in people 16 years and older. IMPORTANT SAFETY INFORMATIONBOTOX ® may cause serious side effects that can be life threatening.

"An effective treatment approved by the FDADoctors have been using BOTOX ® (onabotulinumtoxin A) for cervical dystonia and its symptoms since it was FDA approved in 2000. For the majority of patients in the clinical study, BOTOX ® injections were effective.¹Results from a key clinical study showed that after receiving BOTOX ® treatment (as compared with placebo), people with cervical dystonia had: Improved head posture¹Reduced intensity and frequency of neck pain¹Did you know? *The BOTOX ® Savings Card can help eligible commercially insured patients get money back for remaining out-of-pocket costs that aren't covered by insurance. Learn more about benefits and eligibility*The BOTOX ® Savings Card can be used for up to 4 treatments and/or related procedures in a 12-month period. About Cervical Dystonia Why BOTOX ®BOTOX ® Treatment Savings and Support Find a BOTOX ® Specialist Personal Journeys Upcoming Programs Indication

Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX ®: Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months. Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing. BOTOX ® may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX ®. If this happens, do not drive a car, operate machinery, or do other dangerous activities. Do not take BOTOX ® if you: are allergic to any of the ingredients in BOTOX ® (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc ® (rimabotulinumtoxin B), Dysport ® (abobotulinumtoxin A), or Xeomin ® (incobotulinumtoxin A); have a skin infection at the planned injection site. The dose of BOTOX ® is not the same as, or comparable to, another botulinum toxin product. Serious and/or immediate allergic reactions have been reported. They include itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you experience symptoms; further injection of BOTOX ® should be discontinued. Tell your doctor about all your muscle or nerve conditions such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX ®. Tell your doctor about all your medical conditions, including if you: have or have had bleeding problems; have plans to have surgery; had surgery on your face; weakness of forehead muscles; trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX ® can harm your unborn baby); are breastfeeding or plan to (it is not known if BOTOX ® passes into breast milk). Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products. Using BOTOX ® with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX ® in the past. Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc ®, Dysport ®, or Xeomin ® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners. Other side effects of BOTOX ® include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes. For more information refer to the Medication Guide or talk with your doctor. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Please see BOTOX ® full Product Information including Boxed Warning and Medication Guide. CARD USAGE Your BOTOX ® Savings Card may only be used at hospitals, physician offices, and pharmacies, and will not be accepted at any other location that normally accepts Visa ® Debit cards. The BOTOX ® Savings Card cannot be used at merchants outside the United States (including Internet and mail/telephone merchants). The BOTOX ® Savings Card is issued by Metropolitan Commercial Bank, member FDIC, pursuant to license by Visa U. S. A. Inc. ""Metropolitan Commercial Bank"" and ""Metropolitan"" are registered trademarks of Metropolitan Commercial Bank ©2014. See the Cardholder Agreement for Terms and Conditions. By accepting, signing, or using this savings card, you agree to the Terms and Conditions of the Cardholder Agreement. This savings card will remain the property of the issuing institution and the privilege of its use may be withdrawn at any time. TERMS AND CONDITIONS By participating, you understand and agree to comply with the Program rules as set forth below. Offer is not valid for any other products or other out-of-pocket costs, even if those costs are associated with the administration of BOTOX ® treatment. The BOTOX ® Savings Card will be funded upon approval of a claim. The claim must be submitted with an Explanation of Benefits (EOB) or a Specialty Pharmacy Provider (SPP) receipt. (If the BOTOX ® prescription was filled by a Specialty Pharmacy Provider, both an EOB and SPP receipt must be sent. )All claims must be submitted within 90 days of the date of service listed on the EOB. BOTOX ® Savings Card may not be combined with any other offer or discount. This BOTOX ® Savings Card is not health insurance. Offer not valid for patients participating in Medicare, Medicaid, or any similar federal or state healthcare program, including any state medical or pharmaceutical assistance programs. If patients are eligible for drug benefits under any such program, they cannot use this BOTOX ® Savings Card. Offer void where prohibited by law, taxed, or restricted. Offer good only in the United States. Allergan, Inc., reserves the right to rescind, revoke, and amend this offer without notice. "


how long does it take for the earth to make one revolution?

One rotation of the Earth takes 23 hours, 56 minutes, 4.090 seconds, plus or minus a few milliseconds. One revolution around the sun takes 365 days, 6 hours, 6 minutes and 9.764 seconds, on average. This is decreasing by about 0.532 seconds per century. Any one year can be a few hours more or less.

"Science & Mathematics Astronomy & Space How long does it take for the Earth to make one rotation? Also, can you answer this question...how long does it take Earth to make one revolution? Follow 11 answers Answers Relevance Rating Newest Oldest Best Answer: It takes Earth approximately 24 hours to make one rotation. It also takes about 365.25 days to make a whole revolution around the Sun. Commonly, a rotation is called a day and a revolution is called a year. Anthony E · 8 years ago2 2 Comment1 Rotation = 1 Day 1 Revolution = 1 Year Source (s):1) my clock 2) my calendar Roy · 8 years ago2 1 Comment This Site Might Help You. RE: How long does it take for the Earth to make one rotation? Also, can you answer this question...how long does it take Earth to make one revolution? Source (s):long earth rotation: https://tr.im/JMa4c Carisa · 3 years ago0 0 Comment

It takes Earth 23 hours, 56 minutes, 4.1 seconds to rotate 360 degrees. http://scienceworld.wolfram.com/astronom... It takes Earth 24 hours to complete one Day (slightly more than one 360 degree rotation). It takes 365 days 6 hours 9 minutes 9 seconds for Earth to make one revolution around the sun.

http://hypertextbook.com/facts/1999/Mitc... .aladdinwa · 8 years ago3 0 Comment

(Note: the Random House Encyclopedia is either (1) just plain wrong when it says 365 d, 6 hours, 9 minutes and 9 seconds, or (2) they are using some kind of ""year"" instead of a sidereal revolution. )Source (s):http://www.iers.org/nn_10406/IERS/EN/Sci... Morningfox · 8 years ago2 0 Comment Earth doesn't take 24 hours to rotate on its axis It's actually 23 hours, 56 minutes and 4 seconds. This is the amount of time it takes for the Earth to completely rotate around its axis; astronomers call this a sidereal day. Now wait a second, that means a day is 4 minutes shorter than we think it is. You'd think that time would add up, day by day, and within a few months, day would be night, and night would be day. Remember that the Earth orbits around the Sun. Every day, the Sun moves compared to the background stars by about 1Â° – about the size of the Moon in the sky. And so, if you add up that little motion from the Sun that we see because the Earth is orbiting around it, as well as the rotation on its axis, you get a total of 24 hours. Now that sounds like the day we know. Source (s):http://www.universetoday.com/guide-to-space/earth/10-interesting-facts-about-planet-earth/Anonymous · 8 years ago6 0 Comment Rotation and revolution are NOT the same thing. One rotation of an object means spinning on its own axis -- a day. Earth's day is defined as 86,400 seconds (24 hours). One revolution of an object means that object orbiting another body, in this case, Earth around the Sun. One revolution (one orbit) is 365.25 days (yes, it has decimals). Source (s): Geologist http://cse.ssl.berkeley.edu/lessons/indi...http://en.wikipedia.org/wiki/Dayhttp://en.wikipedia.org/wiki/Year Earth Man · 8 years ago1 1 Comment It takes all day for the Earth to do this...harmonograph · 8 years ago2 0 Comment The Earth is flat and everthing else spins about us, Earth moving indeed!Nicholas · 2 years ago0 0 Comment24 hours. Revolution and rotation mean the same thing. Steven B · 8 years ago1 6 Comment1 2 next Maybe you would like to learn more about one of these? Look For Franchises For Sale Consolidate Your Student Loans Interested in Life Alert? How Does Cloud Computing Work? "


how long do you cook pork tenderloin in oven

Best Answer: For your seasoned pork loin, preheat your oven to 400 degrees F or (200C). Place the seasoned pork in the preheated oven and immediately turn the oven down to 350F (175C). Roast the pork loin or tenderloin for about 70-90 minutes or until it reaches an internal temperature of 145-150F (73-75C) degrees. If you prefer your pork cooked to medium well, cook it to an internal temperature of 155-160F (78-80C) degrees.

Food & Drink Cooking & Recipes How long to cook 2.3 lb pork tenderloin in oven? I need to know at what temperature and how long to cook to well done?2 following 7 answers Answers Relevance Rating Newest Oldest

When the pork roast is done, remove it from the oven, tent with foil and let it rest for about 10 minutes before slicing. Resting allows the meat to redistribute its juices giving you a more moist and more evenly cooked roast. Works great with steaks also, but resting time would only be 3-5 minutes. I generally season then brown the pork tenderloin on the stove top burner. I then finish roasting it in a preheated 400F (200C) degree oven for about 25 minutes or until it reaches an internal temperature of 145-150F (73-75C). No longer do we have to cook pork until it is well done, pink is fine, according to the USDA, I believe you may have a boneless pork loin as the tenderloins usually weighs in at not more than a pound.pennybarr · 5 years ago1 0 1 comment1Source (s): Delicious Paleo Recipe Guide : http://Paleo Cookbook.raiwi.com/?x Wt FKristine · 2 years ago0 0 Comment Allow 30 minutes per lb at 180C (350F) and allow 15 minutes resting time Hman H-man · 5 years ago2 0 Comment How Long To Cook Pork Source (s):https://snipurl.im/a YUz O? · 2 years ago0 0 Comment30 minutes Sarah · 5 years ago0 1 Comment About an hour and a half on 190.trish b · 5 years ago1 1 Comment About an hour on 450 F, but check if done.? · 5 years ago1 2 Comment Maybe you would like to learn more about one of these? Interested in Life Alert? Gourmet Chocolates, Eat Up Need a Home Security Safe? Consolidate Your Student Loans


minimum age to play ncaa sports

wer The NCAA does not impose an age limit on playing college football. There is, however, a four-year limit on the number of years a student can play football. Continue Reading

Sports & Active Lifestyle Classic Sports American Football Q: What Is the Age Limit to Play College Football? A: Quick Ans

Keep Learning What Is a Gray Shirt in College Football? How Do You Track College Football Scores During the Season? How Many Players Can Dress Out During a College Football Game? Credit: Ronald Martinez Getty Images Sport Getty Images Full Answer The length of eligibility rule is meant to prevent colleges from enticing their star players to stay in school for longer than they should. If a player starts playing football in his sophomore year, he could still have a year of eligibility left after graduation. Such a player can continue on to graduate school and play for one more year. Another rule governing college football is that the player cannot have previously played professional football. Learn more about American Football Sources: athleticscholarships.net al.com Related Questions Q: How Do You Access Division II College Football Scores? A: Access Division II college football scores online directly from the NCAA. Simply select Football from the Sports header at NCAA.com, and then click Div II ... Full Answer >Filed Under: American Football Q: What Is the Age Limit for College Sports? A: There is no age limit imposed by the NCAA on those wishing to play collegiate sports. While there are a multitude of other eligibility requirements, there ... Full Answer >Filed Under: Colleges & Universities Q: How Do You Check on Division I-AA Football Rankings? A: College Sports Madness, Sports Ratings, ESPN and the NCAA’s websites provide up-to-date rankings for college Division I-AA, or Football Championship Subdivi... Full Answer >Filed Under: American Football Q: How Do You Paint Your Face for a College Football Game? A: Once you decide the colors and design for your college football face paint, take a trip to an art supply or costume store. Supplies needed include skin-saf... Full Answer >Filed Under: American Football You May Also Like Q: What Factors Affect NFL Predictions? Q: What Are Some College Football Bowl Games? Q: How Do You Find Stats for the Super Bowl? Q: What Are Some of the Most Commonly Used Football Referee Signals? Q: Where Can You Find Football Scores for the Big 12 College Teams? Q: Where Can You View the Big 12 Scoreboard?


tinea pedis is also called

Tinea (TIN-ee-uh) pedis is also called athlete's foot. It is a skin infection (in-FEK-shun) of the bottom of the foot and between the toes. It can spread to other areas of the body, such as the toenails. The infection is usually gone in three weeks with treatment. It may take one to three months before it is completely gone.

Tinea pedis

Health Guide Health Encyclopedia Lab Tests Drug Guide Drug Notes Spanish Drug Notes Detailed Drug Information Alternative Medicine Tinea pedis What is it?

You may get athlete's foot more than once. Causes: Athlete's foot is caused by a germ called fungus. It can be spread to others by sharing towels or shower stalls. You may also get it more easily if you use public locker rooms or swimming pools. Your chances of getting it are greater if you do not wash your feet or change socks every day. People in hot, humid weather or who have sweaty feet may get athlete's foot more easily. Signs and Symptoms: You may have one or more of the following on your feet: Bad smelling feet. Blisters that break and leave open, raw areas. Cracking. Itching and burning. Redness and swelling. Scaly or peeling skin. Thicker, darker skin on the bottoms or sides of your feet. If it has spread, you may have thick, abnormal looking toenails. Wellness Recommendations: Wash your feet every day and dry them well, especially between your toes. Putting talcum powder between your toes after washing your feet may prevent another infection. Change your shoes and socks every day. Use cotton or wool socks. Wear sandals, canvas tennis shoes, or go barefoot during treatment for athlete's foot. If you have blisters, soak your feet in an astringent (uh-strin-junt) solution for 20 to 30 minutes two times a day to dry out the blisters. An astringent solution may be bought at drug or grocery stores. Medical Care: There are many medicines that can be put on the skin to treat athlete's food. These medicines can be bought over-the-counter at drug or grocery stores. Herbs and Supplements: Before taking any herbs or supplements, ask your caregiver if it is OK. Talk to your caregiver about how much you should take. If you are using this medicine without instructions from your caregiver, follow the directions on the label. Do not take more medicine or take it more often than the directions tell you to. The herbs and supplements listed may or may not help treat your condition. Other ways of treating your symptoms: Other ways to treat your symptoms are available to you. Talk to your caregiver if: You would like medicine to treat tinea pedis. Your symptoms have not gone away or improved by these self-help measures. You think the infection is spreading. The infection is not better in 14 days or completely gone in 90 days. The skin on your foot or leg is red and hot. You have a rash on other parts of your body. You have questions about what you have read in this document. SEEK CARE IMMEDIATELY IF : You have a fever or shaking chills. You have a red line going up your leg. Care Agreement: You have the right to help plan your care. To help with this plan, you must learn about your health condition and how it may be treated. You can then discuss treatment options with your caregivers. Work with them to decide what care may be used to treat you. You always have the right to refuse treatment. References:1. Ledezma E, Marcano K, Jorquera A et al: Efficacy of ajoene in the treatment of tinea pedis: a double-blind and comparative study with terbinafine. J Am Acad Dermatol. 2000; 43 (5 pt 1):829-832.2. Tong MM: Tea tree oil in the treatment of tinea pedis. Australas J Dermatol 1992; 33 (3):145-149. Last Updated: 9/15/2016 Copyright © 1984-2018 Thomson Micromedex. All rights reserved.


limp meaning

A limp is a type of asymmetric abnormality of the gait. Limping may be caused by pain, weakness, neuromuscular imbalance, or a skeletal deformity. The most common underlying cause of a painful limp is physical trauma; however, in the absence of trauma, other serious causes, such as septic arthritis or slipped capital femoral epiphysis, may be present.

Limp

"From Wikipedia, the free encyclopedianavigation search For other uses, see Limp (disambiguation). Limp Limping Classification and external resources ICD - 9-CM 719.7Diseases DB 22069e Medicine article/802506 [ edit on Wikidata]

The diagnostic approach involves ruling out potentially serious causes via the use of X-rays, blood tests, and sometimes joint aspiration. Initial treatment involves pain management. A limp is the presenting problem in about 4% of children who visit hospital emergency departments. [1]Contents [ hide ]1 Definition2 Differential diagnosis2.1 Infection2.2 Mechanical2.3 Inflammatory2.4 Vascular2.5 Neoplastic3 Diagnostic approach4 Epidemiology5 References Definition [ edit]A limp is a type of asymmetric abnormality of the gait. When due to pain it is referred to as an antalgic gait, in which the foot is in contact with the ground for a shorter duration than usual; in severe cases there may be a refusal to walk. [2] Hip deformities with associated muscular weakness, on the other hand, may present with a Trendelenburg gait, with the body shifted over the affected hip. [2]Differential diagnosis [ edit]The causes of limping are many and can be either serious or non-serious. It usually results from pain, weakness, neuromuscular imbalance, or a skeletal deformity. [2] In 30% of cases, the underlying cause remains unknown after appropriate investigations. [2] The most common underlying cause of limping in children is minor physical trauma. In those with no history of trauma, 40% are due to transient synovitis and 2% are from Legg–Calvé–Perthes syndrome. [3] Other important causes are infectious arthritis, osteomyelitis, and slipped capital femoral epiphysis in children. Infection [ edit]Septic arthritis [ edit]Septic arthritis can be difficult to separate from less serious conditions such as transient synovitis. Factors that can help indicate septic arthritis rather than synovitis include a WBC count greater than 12×10 9 /l, fever greater than 38.5 °C (101.3 °F), ESR greater than 40 mm/h, CRP greater than 2.0 mg/d L, and refusal to walk. [4] People with septic arthritis usually look clinically toxic or sick. [5] Even in the absence of any of these factors, however, septic arthritis may be present. [6] Joint aspiration is required to confirm the diagnosis. [6]Other [ edit]Other infections that classically lead to a limp include Lyme disease (a bacterial infection spread by a deer tick) and osteomyelitis (an infection of the bone). [7]Mechanical [ edit]Trauma [ edit]Accidental or deliberate physical trauma may result in either a fracture, muscle bruising, or a contusion. [7] It is the leading cause of a limp. [2] Deliberate abuse is important to consider. Slipped capital femoral epiphysis [ edit]Slipped capital femoral epiphysis (SCFE) is a condition in which the growth plate of the head of the femur slips over the underlying bone. It most commonly presents with hip pain in males during puberty and is associated with obesity. [2] The majority of people affected have a painful limp and in half of cases both hips are affected. [2] Nearly a quarter of people present with only knee pain. [7] Treatment involves non-weight-bearing movement and surgery. [2] If not identified early, osteonecrosis or death of the head of the femur may occur. [7]Other [ edit]A non-painful limp may be due to a number of mechanical conditions including hip dysplasia and leg length differences. [7]Inflammatory [ edit]Transient synovitis [ edit]Transient synovitis is a reactive arthritis of the hip of unknown cause. [2] People are usually able to walk and may have a low grade fever. [2] They usually look clinically nontoxic or otherwise healthy. [5] It may only be diagnosed once all other potential serious causes are excluded. With symptomatic care it usually resolves over one week. [2]Juvenile rheumatoid arthritis [ edit]Juvenile rheumatoid arthritis presents gradually with early morning stiffness, fatigue, and weight loss. [5]Vascular [ edit]Legg–Calvé–Perthes syndrome [ edit]Legg–Calvé–Perthes syndrome is a degenerative disease of the head of the femur which results in bone loss and deformity. It usually presents as a chronic condition. [7]Neoplastic [ edit]Cancers including acute lymphocytic leukemia, osteosarcoma, and Ewing’s sarcoma may result in a gradual onset of limping in children. It is often associated with night sweating, easy bruising, weight loss, and pain most prominent at night. [5] [7]Diagnostic approach [ edit]The diagnosis of the cause of a limp is often made based on history, physical exam findings, laboratory tests, and radiological examination. If a limp is associated with pain it should be urgently investigated, while non-painful limps can be approached and investigated more gradually. [5] Young children have difficulty determining the location of leg pain, thus in this population, knee pain equals hip pain. [7] SCFE can usually be excluded by an x-ray of the hips. [2] A ultrasound or x-ray guided aspiration of the hip joint maybe required to rule out an infectious process within the hip. [2]Epidemiology [ edit]A limp at one hospital emergency department was the presenting complaint in 4% of children. [1] It occurs twice as commonly in boys as in girls. [3]References [ edit]^ a b Singer JI (March 1985). ""The cause of gait disturbance in 425 pediatric patients"". Pediatr Emerg Care. 1 (1): 7–10. doi: 10.1097/00006565-198503000-00003. PMID 3843430.^ a b c d e f g h i j k l m Laine JC, Kaiser SP, Diab M (February 2010). ""High-risk pediatric orthopedic pitfalls"". Emerg. Med. Clin. North Am. 28 (1): 85–102, viii. doi: 10.1016/j.emc.2009.09.008. PMID 19945600.^ a b Fischer SU, Beattie TF (November 1999). ""The limping child: epidemiology, assessment and outcome"". J Bone Joint Surg Br. 81 (6): 1029–34. doi: 10.1302/0301-620X.81B6.9607. PMID 10615981.^ Kocher MS, Mandiga R, Zurakowski D, Barnewolt C, Kasser JR (August 2004). ""Validation of a clinical prediction rule for the differentiation between septic arthritis and transient synovitis of the hip in children"". J Bone Joint Surg Am. 86–A (8): 1629–35. PMID 15292409.^ a b c d e Sawyer JR, Kapoor M (February 2009). ""The limping child: a systematic approach to diagnosis"". Am Fam Physician. 79 (3): 215–24. PMID 19202969.^ a b Caird MS, Flynn JM, Leung YL, Millman JE, D'Italia JG, Dormans JP (June 2006). ""Factors distinguishing septic arthritis from transient synovitis of the hip in children. A prospective study"". J Bone Joint Surg Am. 88 (6): 1251–7. doi: 10.2106/JBJS. E.00216. PMID 16757758.^ a b c d e f g h Frick SL (April 2006). ""Evaluation of the child who has hip pain"". Orthop. Clin. North Am. 37 (2): 133–40, v. doi: 10.1016/j.ocl.2005.12.003. PMID 16638444. [ hide]v t e Diseases of joints ( M00–M19, 711–719)Arthritis ( one joint / multiple)Inflammation Infectious Septic arthritis Tuberculosis arthritis Reactive arthritis (indirectly)Noninfectious1. Seronegative spondyloarthropathy : Reactive arthritis * Psoriatic arthritis * Juvenile idiopathic arthritis * Ankylosing spondylitis2. Rheumatoid arthritis: Adult-onset Still's disease Felty's syndrome3. Crystal arthropathy: Gout Chondrocalcinosis Noninflammatory Osteoarthritis: Heberden's node Bouchard's nodes Other Bleeding pain Osteophyte villonodular synovitis Pigmented villonodular synovitisstiffness Categories: Gait abnormalities "


where is chandler texas

om Chandler is a city in Henderson County, Texas, United States, at the northern end of Lake Palestine. The population was 2,734 at the 2010 census,

Chandler, Texas

"Chandler, Texas From Wikipedia, the free encyclopedianavigation search Chandler, Texas City Chandler Library Location of Chandler, Texas Coordinates: 32°18′26″N 95°28′46″WCoordinates: 32°18′26″N 95°28′46″WCountry United States State Texas County Henderson Government• Type General Law• Mayor Libby Fulgham Area• Total 6.20 sq mi (16.06 km 2)• Land 6.07 sq mi (15.72 km 2)• Water 0.13 sq mi (0.34 km 2)Elevation 404 ft (123 m)Population ( 2010)• Total 2,734• Density 451/sq mi (174.0/km 2)Time zone Central (CST) ( UTC-6)• Summer ( DST) CDT ( UTC-5)ZIP code 75758Area code (s) 903FIPS code 48-14224 [1]GNIS feature ID 1332643 [2]Website www .chandlertx .c

[3] up from 2,099 at the 2000 census. An American flag display at Winchester Park in Chandler Contents [ hide ]1 Geography2 Demographics3 Public amenities4 Economy5 Education6 Notable former residents7 See also8 References9 External links Geography [ edit]Chandler is located in the northeast corner of Henderson County at 32°18′26″N 95°28′46″W (32.307206, -95.479340). [4]Texas State Highway 31 runs through the center of Chandler, leading east 11 miles (18 km) to Tyler and southwest 24 miles (39 km) to Athens, the Henderson county seat. According to the United States Census Bureau, Chandler has a total area of 6.2 square miles (16.1 km 2 ), of which 6.1 square miles (15.7 km 2) are land and 0.1 square miles (0.3 km 2 ), or 2.13%, are water. [3] The city sits on high ground between the northern ends of two arms of Lake Palestine: Kickapoo Creek to the west and the Neches River to the east. Demographics [ edit]Historical population Census Pop. %±1970 765 —1980 1,308 71.0%1990 1,630 24.6%2000 2,099 28.8%2010 2,734 30.3%Est. 2016 2,988 [5] 9.3%U. S. Decennial Census [6]Chandler welcome sign As of the census [1] of 2000, there were 2,099 people, 817 households, and 588 families residing in the city. The population density was 598.9 people per square mile (231.6/km²). There were 877 housing units at an average density of 250.2 per square mile (96.7/km²). The racial makeup of the city was 84.18% White, 13.15% African American, 0.29% Native American, 0.76% Asian, 0.29% from other races, and 1.33% from two or more races. Hispanic or Latino of any race were 0.81% of the population. There were 817 households out of which 31.7% had children under the age of 18 living with them, 56.9% were married couples living together, 12.4% had a female householder with no husband present, and 28.0% were non-families. 25.3% of all households were made up of individuals and 13.8% had someone living alone who was 65 years of age or older. The average household size was 2.47 and the average family size was 2.96. In the city, the population was spread out with 24.4% under the age of 18, 6.1% from 18 to 24, 28.2% from 25 to 44, 21.2% from 45 to 64, and 20.2% who were 65 years of age or older. The median age was 39 years. For every 100 females there were 84.1 males. For every 100 females age 18 and over, there were 78.9 males. The median income for a household in the city was $38,641, and the median income for a family was $50,000. Males had a median income of $36,125 versus $26,615 for females. The per capita income for the city was $19,075. About 8.2% of families and 9.8% of the population were below the poverty line, including 9.7% of those under age 18 and 11.0% of those age 65 or over. Public amenities [ edit]Winchester Park is located on the southern end of Chandler. It boasts three baseball fields, a playground, two pavilions, two concession areas, a lake and a walking trail. Chandler City Hall East Texas Medical Center operates an outpatient treatment/fitness center near the central part of Chandler. Economy [ edit]An array of businesses can be found in Chandler, including a grocery store, two Mexican restaurants, three fast food restaurants, a post office, a florist, a women's clothing boutique, two auto parts stores, three fitness gyms, a home appliance business, and an air conditioner repair business. Education [ edit]Chandler is served by the Brownsboro Independent School District. There are two public school campuses located in the city: Chandler Elementary School and Chandler Intermediate School. Notable former residents [ edit]Ralph Yarborough, U. S. senator See also [ edit]Wikinews has related news: Small Texas town hosts large baseball tournament References [ edit]^ a b ""American Fact Finder"". United States Census Bureau. Archived from the original on 2013-09-11. Retrieved 2008-01-31.^ ""US Board on Geographic Names"". United States Geological Survey. 2007-10-25. Retrieved 2008-01-31.^ a b ""Geographic Identifiers: 2010 Census Summary File 1 (G001): Chandler city, Texas"". American Factfinder. U. S. Census Bureau. Retrieved February 12, 2018.^ ""US Gazetteer files: 2010, 2000, and 1990"". United States Census Bureau. 2011-02-12. Retrieved 2011-04-23.^ ""Population and Housing Unit Estimates"". Retrieved June 9, 2017.^ ""Census of Population and Housing"". Census.gov. Archived from the original on May 12, 2015. Retrieved June 4, 2015. External links [ edit]City of Chandler official website [ hide]v t e Municipalities and communities of Henderson County, Texas, United States County seat: Athens Cities Athens Brownsboro Chandler Eustace Gun Barrel City Log Cabin Malakoff Moore Station Murchison Seven Points ‡ Star Harbor Tool Trinidad Towns Berryville Caney City Coffee City Enchanted Oaks Mabank ‡ Payne Springs Poynor Unincorporated communities Aley Antioch Baxter Bethel Big Rock Buffalo Crescent Heights Cross Roads Dauphin Evelyn Fincastle Harmony La Rue Leagueville Mankin New Hope New York Opelika Pauline Pickens Pine Grove Ruth Springs Shady Oaks Stockard Sumer Hill Union Hill Virginia Hill Ghost towns Centreville Corinth Footnotes ‡This populated place also has portions in an adjacent county or counties Categories: Cities in Texas Cities in Henderson County, Texas "


what is spoofing in the context of it?

Spoofing, in general, is a fraudulent or malicious practice in which communication is sent from an unknown source disguised as a source known to the receiver. Spoofing is most prevalent in communication mechanisms that lack a high level of security.

Spoofing

Spoofing Definition - What does Spoofingmean?

Techopedia explains Spoofing Email spoofing is one of the best known spoofs. Since core SMTP fails to offer authentication, it is simple to forge and impersonate emails. Spoofed emails may request personal information and may appear to be from a known sender. Such emails request the recipient to reply with an account number for verification. The email spoofer then uses this account number for identity theft purposes, such as accessing the victim's bank account, changing contact details and so on. The attacker (or spoofer) knows that if the recipient receives a spoofed email that appears to be from a known source, it is likely to be opened and acted upon. So a spoofed email may also contain additional threats like Trojans or other viruses. These programs can cause significant computer damage by triggering unexpected activities, remote access, deletion of files and more.


does law enforcement have the responsibility to intervene?

I believe that bystanders have an ethical duty to intervene if they can do so safely, and most definitely to call for assistance from law enforcement. But this is a case where legislating ethics would go very, very badly, and the ensuing laws would be effectively unenforceable anyway.

SHAREIssues Should Bystanders Have A Legal Obligation To Intervene In A Rape? This, right here, is what we talk about when we talk about “rape culture,” that a group of men should be struck senseless in the face of rape, rather than being moved to step in or get to safety and call the police.se-smith January 8, 2013Tags: rape, sexual assault, crime, gang rape, bystander effect, the long arm of the law I’ve been thinking a lot about the bystander effect lately, especially in light of a series of horrific crimes where it was quite evident that bystanders knew what was going on and failed to intervene, sometimes actively cheering instead. Steubenville, of course, comes to mind, but I’m also reminded of a rape case in my own lovely state of California which was ruled “ not a rape ” because the victim was unmarried and initially thought she was having sex with her partner. Her rapist was cheered on by bystanders, just as bystanders cheered during a gang rape in Richmond in 2009. A Redditor recently asked whether bystanders who don't intervene during a rape should be prosecuted: I'm asking in relation to what happened in Steubenville in Ohio. Considering that people stood by and apparently did not try to intervene, I wonder if people should have a legal responsibility to intervene, as a moral responsibility apparently no longer suffices to mobilize people. What do you think? My first, gut response was, “Hell yeah, throw the book at bystanders. Who the hell stands around and does nothing when acts of violence and horrible crimes are committed?”And then I took a step back and thought about the issue, noting that it’s actually much more complicated than I was making it out to be. Many of the commenters also articulated the clear problems with making inactivity illegal, from a likely dip in reporting crimes (for fear that people would be implicated and charged) to more difficulty finding witnesses to the simple and poignant “put on your own oxygen mask before helping others” ethos. Intervention in a rape or any other violent crime can turn one victim into two, numerous responses to the original post pointed out. It’s a painful truth.

You can't legislate people into common decency. The problem with bystanders isn’t necessarily that they don’t do anything, although obviously that’s an issue. The larger problem is sometimes that they do in fact “do something” and that something is very unpleasant. They’re the ones cheering, creating a larger audience, goading the criminals on, feeding something terrible and monstrous that swells and grows as more people are attracted. They’re the ones who aren’t just condoning by remaining silent, but by actively high-fiving the criminals and creating a charged atmosphere. CRITICAL MASSBystanders here are actively contributing to the crime, but they are also products of the culture they’re socialized in. Male bystanders to violent rapes are put in the position of having to cheer or be jeered at, to prove their masculinity by being “one of the boys,” while women are reminded that they’re in danger of joining ( or becoming) the victim unless they play along. Never underestimate the power of a group when it comes to pressuring people into conformity. Those witnesses who take photos and video, who laugh, who talk about the crime later with their friends, could be dismissed as cold-hearted and evil, but the reality, I’d argue, is more complex. They’re products of a culture where women are stripped of their humanity and where violence is supposed to be a hilarious group sport, where going against these norms can endanger you. Are these reactions pleasure in brutality, or are they rooted in terror, shame, and confusion? In cases like Steubenville, where there are a lot of bystanders and there’s a collective effort on the part of the community to pretend nothing happened, there’s clearly a critical mass effect happening. No one wants to look anyone else in the eye and admit that something has gone horribly wrong and out of control, that the community as a whole bears responsibility for something awful. Rather than confronting it, dragging it out into the open and dealing with it, the response is to suppress it. And the more bystanders who flock to a crime, the more complicit they all become together. More and more people at the scene create pressure to at least act like everyone’s having fun, and like the victim is an object, not a human being. More and more people also create the sense that “we must hang together... or we shall all hang separately.”As the masses grow, there is a sense that the crowd is too big to be held accountable, and there is safety in numbers as people look on for vicarious thrills, or struggle with social pressure to be one of the gang, or are horrified but feel frozen in the face of so many people. Suddenly bystanders become larger than themselves, part of a faceless mass. NATURE, NURTURE, AND CULTUREThe bystander effect is real, and it needs to be explored and confronted. But more than that, the culture that leads people to gather around the site of a violent crime and watch without acting needs to be explored and confronted. This, right here, is what we talk about when we talk about “rape culture,” that a group of men should be struck senseless in the face of rape, rather than being moved to step in or get to safety and call the police. We must not only teach boys not to rape, but also teach boys their ethical responsibilities as witnesses. “If you see something, say something” is a saying for a reason, but it's a surprisingly difficult one to put into action for many of us, because there are so many obstacles in the way of saying something. Fear of being mocked or attacked, worries that you won't be believed, the threat of punishment or being viewed as complicit in a crime. Should bystanders be prosecuted? No. Should we as a society be asking why it is that bystanders continue to be such a huge problem? Hell. Yes.


how much weight can i lose with shakelogy

While you will lose some weight with the Shakeology 3 day cleanse, that is not the main purpose… But people have lost on average 5 to 11 pounds in only 3 days.

Shakeology 3 Day Cleanse: INSTRUCTIONS & REVIEWJune 2, 2011 Coach Julio Diaz Leave a comment The Shakeology 3 day cleanse is a form of detoxification that makes use of the super food, whole food ingredients found in the Shakeology shake. The prebiotics and enzymes in Shakeology along with all the superfoods found in Shakeology, will kick your digestive system and health back into high gear. During the 3 Day Shakeology cleanse your body will return to homeostasis by creating a healthy balance of the living organisms in your digestive system.. Homeostasis is important because when you’re out of balance it can lead to diseases, low energy, and other health problems. Plus… those who have gone through the Shakeology 3 day cleanse have reported healthier skin, nails, and hair, as well as weight loss and other health improvements. Sponsored Links Personally, I have done the Beachbody Shakeology Cleanse three times over the course of a year. Always after completing a round of P90X or Insanity. What makes this cleanse different from all the others is that you’re filling yourself with nutrients that your body needs. It’s not a total starvation cleanse and you’re not keeping away nutrition from your body. I recently, completed a 3 day Shakeology cleanse that lasted from May 29 to May 31. Here are some numbers: Day 1: 159 lbs, waist: 32.25 inches Day 3: 151 lbs, waist: 31.75 inches On average, people lose 5 to 11 lbs by the time they finish the Shakeology Cleanse. As you can see, I lost 8 pounds and feel great! Now I’m ready to hit my next workout hard. In this Shakeology 3 Day Cleanse: Instructions & Review, we’ll go over: Commonly Asked Questions About The Shakeology Cleanse Shakeology Cleanse Reviews and Results And How To Do The Shakeology 3 Day Cleanse3 Day Shakeology Cleanse: FAQs Everyone seems to have some cleanse on the market these days. Some cleanses are about drinking sugary drinks, others on eating a certain vegetable, and still others might only be about teas. The 3 day Shakeology cleanse is different than the rest because it’s about giving your body a huge amount of nutrition for 3 days. Through the Shakeology nutrition, you’re basically giving your body a quick tune up that will make your body run better. Here are some frequently asked questions about the Shakeology cleanse…Why should I do the 3 day Shakeology cleanse? Some goals of the Shakeology 3 day cleanse is To get your body ready for a new workout. To help you break through those annoying plateaus. To lose a few pounds fast in a safe and healthy way. During this cleanse you will remove harmful toxins from your body and flush the colon in three simple days. By flushing your body of junk… your body will begin to process nutrients more efficiently which will in turn increases your body’s ability to lose weight through exercise and healthy eating. The ultimate goal of the 3 Day Shakeology Cleanse is to optimize your body’s performance!

When should I do the Shakeology 3 day cleanse? People do cleanses for a number of reasons, but the most popular reasons are to lose weight, and/or to “cleanse” your body of toxins and the junk that collects in our bodies over time. Here are examples of when people decided to do the 3 Day Shakeology Cleanse: After coming home from a vacation where they were eating lots of junk and drinking lots of alcohol. Before a wedding to lose a few pounds quickly. To relieve bloating and from feeling lethargic. After the holidays. And several people have completed the 3 day Shakeology Cleanse before starting a fitness program or to help break through a weight loss plateau. Why and when a cleanse is done varies from person to person, but the one fact that remains is that if you’re going to do the Shakeology 3 day cleanse and you want to see results, you MUST stick with it and follow the regimen exactly as it’s laid out. Is the weight you lose during the Beachbody Shakeology cleanse fat? The straight and direct answer is no. You will lose SOME fat because your calorie intake is lowered during the cleanse, but the majority of weight loss will come from water weight as the toxins flush out, plus whatever else has been stuck inside your colon for who knows how long. Like many other cleanses, the Shakeology 3 day cleanse is designed to help cleanse your body of all the toxins that have built up over time. Some people will see and feel a huge difference and some not so much. It all depends on how healthy you are now. Will I be going to the bathroom a lot during the Shakeology cleanse? If this is your first time using Shakeology, you may feel a higher cleansing effect than others because Shakeology will bring back your digestive system to how it should be. The nutrients found in Shakeology will make you regular and help you develop the healthiest digestive system ever… For some people, gas can be a common concern while drinking Shakeology. With that said, drinking Shakeology can take a while to get used to. It’s often recommended for those new to Shakeology to only take 1/2 a scoop a day until they feel comfortable going to a full scoop (normally a week or two of taking it everyday). Regular Shakeology users may notice little to no difference in this area because their digestive system has already been regulated. However, during the Shakeology 3 day cleanse, you may feel yourself going to the bathroom more often than normal. This is ok and is expected because it helps eliminate toxins from your body. Will I be hungry during the Beachbody Shakeology cleanse? Shakeology is very filling, especially if you’re taking it three times a day. The majority of the time, hunger happens because your body is asking for nutrients. Not because it’s hungry but because you’re lacking something your body needs. This is solved with Shakeology because of how nutrient dense it has. Plus you will be consuming other foods and drinks according to how the cleanse is set up (plenty of water, fruit, salad, green tea and one lean protein at dinnertime). Some Shakeology Cleanse reviews stated having a greater difficult time during the first day then the second and third. Are there any problems that might happen during the Shakeology 3 Day cleanse? There shouldn’t be any problems while doing the Beachbody 3 Day Shakeology Cleanse. The Shakeology Cleanse was designed to be as safe as possible and to benefit you the most. It was researched and tested for max results. The only problems that can occur are outside forces. By that I mean your friends or family trying to get you to stop your cleanse in order to go out to eat. It’s not going to be easy to say no to food but stick to the program and you will get the results Shakeology Cleanse Reviews and Results Me telling you about the Shakeology 3 Day cleanse is one thing, but what kind of results have people been getting with it… and what has been their struggles? I found 3 Shakeology reviews for you to check out…. Shakeology 3 Day Cleanse Results & Insanity Workout? Mother of two shares her unbiased results and thoughts about completing the Shakeology 3 Day Cleanse. Plus, her Insanity workout results. Cookie Partyy completed her Shakeology cleanse during the recovery week of Insanity and got the following results: Lost a total of 5 pounds in 3 days. Maintained her muscle tone. Found it easy after the first day. Didn’t feel hungry while on the cleanse. Started with a clean slate to continue with month 2 of Insanity. Your browser does not currently recognize any of the video formats available. Click here to visit our frequently asked questions about HTML5 video.0:00 / 0:00Shakeology 3 Day Cleanse Results: So Close to Quitting Michelle was close to giving up on the Shakeology cleanse. How did the Shakeology Cleanse go for Michelle?…Felt full drinking her Shakeology shakes. Felt like she had more energy. Didn’t have a craving for sweets, even with her kid’s Halloween candy around. Lost 4 pounds. Lost 3 inches total around her body. My Shakeology 3-Day Cleanse Review Your browser does not currently recognize any of the video formats available. Click here to visit our frequently asked questions about HTML5 video.0:00 / 9:57Shakeology 3 Day Cleanse: Review and Results What is possible with a 3 Day Shakeology Cleanse? Here’s a Shakeology Cleanse Review and a review on Chocolate and Greenberry Shakeology. With the help of Shakeology and the Cleanse, Fredericka was able to: Lose 4 pounds in 3 days. Has lost cravings for many sweets and carbs. And enjoys Shakeology more than other meal replacement shakes she has had. Shakeology 3 Day Cleanse Instructions The Shakeology 3 Day Cleanse is very simple to follow but can be challenging if you’re not ready to really stick to the cleanse. For the complete instructions, you can download the image below or check out the Shakeology cleanse instructions below: Beachbody 3 Day Shakeology Cleanse Instructions:3 Shakeology shakes per day2 cups of green tea per day1 or 2 pieces of fruit per day (optional)Fruit is optional, and is discouraged (however, some people will need the calories while other will not)1 salad for dinner – plenty of greens and can include 1 oz of fish or poultry Only use low-fat dressings, and go easy on the salt and/or pepper to taste No dairy or extra sugars (that includes almond and soy milk)Drink 2 to 4 liters of water every day2 snacks before/after any of the major meals (breakfast, lunch, and dinner)Power-workout participants (those who are already super conditioned) are recommended to take in a higher number of calories For maximum results, do NOT use additives Dinner salad may include White Grilled Protein– poultry or fish only Shakeology Cleanse dinner. Example of Daily Menu: Breakfast1 scoop Shakeology with 8 to 10 oz water (ice to taste) (140 calories)1 cup of green tea or detox tea1/2 cup of fruit (60-90 calories) — optional Snack 11 Piece of fruit (apple, pear, orange, banana, mango, etc..) (85 calories)Lunch1 scoop Shakeology with 8 to 10 oz water (ice to taste) (140 calories)1 cup of green tea or detox tea Snack 2 (before or after dinner)1 scoop Shakeology with 8 to 10 oz water (ice to taste) (140 calories)Dinner Salad with plenty of greens (3 servings of vegetables)4 oz white grilled protein (poultry or fish)2 Tablespoons of Low-fat dressing — optional What do I need to buy for the Shakeology 3 Day Cleanse? Here’s your shopping list so that you can get started with the Shakeology 3 day cleanse. Remember… to have maximum results; follow this program completely for 3 days.1. Bag Of Shakeology. When you buy your Shakeology bag, it’s recommended that you order with Monthly Autoship because you’ll get a huge savings on shipping!Don’t worry, you can cancel your Shakeology monthly autoship at any time by calling Beachbody’s A+ Customer Service according to the Better Business Bureau at: 1-800-470-7870Place your order today:2. Green Tea. You can buy individual bags of green tea at just about any grocery store. You’ll need at least 6 tea bags.3. Fruit (optional). This is optional, but if you need the added calories then you’ll need to have some fruit that you enjoy such as apples, oranges, bananas, pears, etc. You’ll want to have enough so that you can eat 1 or 2 pieces of fruit per day.4. Salad. A bag of spinach leaves or other dark green salad is recommended. You cannot use any salad dressing during your Shakeology Cleanse but you can use lemon and pepper.5. Chicken Or Fish (optional). This is also optional but helps keep your calorie count high if you need it during your Shakeology 3 day cleanse. You’ll need enough for 3 dinners (about 4 oz per dinner) to either go on top of your salad or with your salad. And it needs to be natural, white grilled with no additives (nothing fried). Why Order Shakeology After the Shakeology Cleanse The Shakeology 3 Day Cleanse will help you to not only lose weight but to tune up your body to work better. While the Shakeology cleanse works great, you’ll want to continue using Shakeology in order to maintain your results. Just check out what a Shakeology survey revealed below: After your 3 Day Shakeology cleanse, keep drinking Shakeology. You’ll be surprised by how much your health will improve. Contact me with any questions you may have and enjoy your Shakeology!Work With Me – Leaders Only P. S. If you are looking for a way to increase your fitness, nutrition, social, and even occupational wellness, be sure to start with a FREE Team Beachbody Account and you will get support, motivation, and gain access to free tools to keep you on track with your wellness goals. P. P. S…. Want to do a REAL DETOX Cleanse in only 3 days?… Then you want the Beachbody 3 Day Refresh!Check out the video below to learn more about the 3 Day Refresh…. Sponsored Links Related Articles to Check Out!Beachbody Ultimate Reset Reviews (21 DAY CLEANSE) 3 Day Refresh Reviews & Results: UP TO 10 LBS LOST Beachbody Ultimate Reset Results (RESULTS IN 21 DAYS)150+ Weight Loss Tips: BEST WAYS to Lose Weight FAST 21 Tips On Eating Proper Portion Sizes (LOSE WEIGHT) How Many Calories Should I EAT TO LOSE WEIGHT? Shakeology, Supplements 3 day shakeology cleanse, shakeology 3 day cleanse, shakeology cleanse


who is the ceo of enstar legacy

). Following the transaction, which is expected to complete in the first quarter of 2018, Enstar will take responsibility for claims handling and provide complete finality to Neon. Completion of the transaction is subject to regulatory approval. Commenting on the transaction, Dominic Silvester, Enstar's Chief Executive Officer, said:“This transaction will build on an established relationship with Neon, having completed a successful reinsurance-to-close in 2016. It brings Enstar’s total completed legacy transactions in Lloyd’s to 21 since inception, which confirms our position as a leading provider of legacy solutions to the Lloyd’s market.”About Enstar

Enstar Announces Reinsurance-to-Close of Neonâs 2015 and Prior Yearsâ Underwriting Liabilities

"U. S. Markets close in 6 hrs 5 mins S&P 5002,798.75+ 15.73 ( + 0.57%)Dow 3025,350.84+ 172.23 ( + 0.68%)Nasdaq7,621.44+ 33.11 ( + 0.44%)Sign up Subscribe to Yahoo Finance's Morning Brief Newsletter Top headlines and a preview of the day ahead. Enstar Announces Reinsurance-to-Close of Neon’s 2015 and Prior Years’ Underwriting Liabilities Globe Newswire • December 20, 2017HAMILTON, Bermuda, Dec. 20, 2017 (GLOBE NEWSWIRE) -- Enstar Group Limited ( ESGR) announced today that its Lloyd’s managing agency, Star Stone Underwriting Limited, has signed a letter of agreement with Neon Underwriting Limited (“Neon”) for Enstar’s Syndicate 2008 to undertake a reinsurance-to-close transaction. Syndicate 2008 will assume the liabilities of the 2015 underwriting year of Neon’s Syndicate 2468 (comprising underwriting years 2008 to 2015). Enstar will assume net reinsurance reserves of £417.1 million (approximately $558 million) relating to the portfolio and gross reserves of £504.2 million (approximately $674.5 million

Enstar is a multi-faceted insurance group, with over $14 billion in assets, that offers innovative capital release solutions and specialty underwriting capabilities through its network of group companies in Bermuda, the United States, the United Kingdom, Continental Europe, Australia, and other international locations. Enstar is a market leader in completing legacy acquisitions, having acquired over 80 companies and portfolios since its formation in 2001. Enstar’s active underwriting businesses include the Star Stone group of companies, an A- rated global specialty insurance group with multiple global underwriting platforms, and the Atrium group of companies, which manage and underwrite specialist insurance and reinsurance business for Lloyd’s Syndicate 609. For further information about Enstar, see www.enstargroup.com. Cautionary Statement This press release contains certain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These statements include statements regarding the intent, belief or current expectations of Enstar and its management team. Investors are cautioned that any such forward-looking statements speak only as of the date they are made, are not guarantees of future performance and involve risks and uncertainties, and that actual results may differ materially from those projected in the forward-looking statements as a result of various factors. Important risk factors regarding Enstar can be found under the heading ""Risk Factors"" in Enstar's Form 10-K for the year ended December 31, 2016 and in Enstar’s Form 10-Q for the nine months ended September 30, 2017, and are incorporated herein by reference. Furthermore, Enstar undertakes no obligation to update any written or oral forward-looking statements or publicly announce any updates or revisions to any of the forward-looking statements contained herein, to reflect any change in its expectations with regard thereto or any change in events, conditions, circumstances or assumptions underlying such statements, except as required by law. Contact: Guy Bowker Telephone: +1 (441) 292-3645Recently Viewed Your list is empty. What to Read Next AP investigation: Justice elusive in child sex abuse on base Associated Press President Trump halts Broadcom takeover of Qualcomm Reuters Elon Musk: Mars will be great, if AI doesn’t kill us first Yahoo Finance Broadcom Gives Notice, and Street Debates Potential Intel Take-Outbarrons.com RBC: Mc Donald's hyped its new Dollar Menu so much that the real game changers were overlooked (MCD)Yahoo Finance Video Fitbit will help women track their periods Yahoo Finance CBS can run interview with Stormy Daniels: Judge Napolitano Fox Business Videos RBC: Mc Donald's hyped its new Dollar Menu so much that the real game changers were overlooked (MCD)Business Insider Tillerson Says Substance Used in Ex-Spy Poisoning Is From Russia Bloomberg Trump blocks Broadcom takeover bid for Qualcomm Associated Press U. S. regulator urges registration of cryptocurrency exchanges Yahoo Finance Video Small business and inflation — What you need to know in markets on Tuesday Yahoo Finance India Grounds All Airbus A320neos Over Concerns About Their American Engines Fortune Fitbit is dead set on taking down the Apple Watch Yahoo Finance3 Terrible Stocks to Avoid Motley Fool SSE-Npower merger ‘on track’ despite German utility mega-deal The Telegraph "


what is wells fargo go far reward

Reward Formula - The Wells Fargo Rewards Card allows you to earn one point for every dollar that you spend on the card. Points can be redeemed for a variety of rewards like travel, cash back, merchandise and gift cards. Fees - There is no annual fee for this card. A closer Look At Wells Fargo Rewards

Editors Review: Wells Fargo RewardsÂ® Card

Summary - The Wells Fargo Rewards Card is their new rewards card and an improvement over the old version (which required a $19 annual fee if you opted in for the reward program). In this review, we'll see how it stacks up versus the reward cards from the big boys.

To figure out how good this card is, we have to take a look at the reward program. At first glance, this reward program resembles many other credit card programs as in they offer travel rewards, cash back, merchandise and gift cards. So dissect them and see how it stacks up. Travel Rewards - The Wells Fargo reward program appears to be the old style reward system whereby you need a certain amount of points to get a flight within the Continental USA. In the example that they gave on their website, you need a minimum of 25,000 points. It comes with the usual restrictions like Saturday stays and booking 21 days in advance. Cash Back - If you wish to exchange your points for cash back, you need to exchange at least 25,000 points to get 1% cash back. As you can see from the reward table (or rather pictures below), if you exchange less than 25,000 points, the rebates you get are less than 1%. Gift Cards - You can also exchange your points for gift cards. However, the rebate equivalent when you exchange points for gift cards is less than 1%. What I mean? Well, for example, you need 650 points to get a $5 gift card and 1300 points to get a $10 gift card. The better program like Chase Ultimate Rewards program allows you to redeem 500 points for a $5 gift card and 1000 points for a $10 gift card as well. Online Shopping Portal - Like Discover, Chase and Citi, Wells Fargo have come up with their own online shopping portal whereby you can earn extra points when you shop with their merchant partner. You can see a full list of their merchant partners here. Other Rewards - The Wells Fargo Reward Program also has a merchandise catalog where you can exchange points for various merchandise. You can also donate your points to charity. Wells Fargo Reward Peer Comparison Comparing this card to others is essentially comparing their reward programs. There are a few things I do not like about this program. Firstly, the cash back option is less than desirable because you have to redeem 25,000 points just to get back 1%. In the past, that was how most reward programs operated and hence most folks have to choose between rewards or cash back. But today, the Chase Ultimate Reward program allows you to redeem points for cash at 1% for any level. The number of points required to redeem for gift cards also results in a payout of less than 1%. Many credit card reward programs like Citi Thank You and BOA's World Points also have this problem. But once again, programs like Chase Ultimate Rewards, Amex's Membership Rewards have a 1% payout for gift card redemption. The online shopping portal is a great feature to have and many other issuers have that program as well. For example, Discover has shopdiscover.com, Citi has their Citi Bonus Cash Center and Ultimate Rewards also has an online shopping mall. Wells Fargo Rewards Card - Good Enough? Verdict - The Wells Fargo Reward program on the whole is typical of most credit card reward program. But it is rather average and not the best. In my opinion, the Chase Ultimate Rewards program is perhaps the best (or top 2) reward program out there and is clearly better than Wells Fargo. Therefore, the question you have to ask yourself is why are you applying for this card? If it is for the rewards, then you are probably better offer looking at some of Chase credit cards. For example, the Chase Freedom Card that I have has the Ultimate Rewards program (which is better than Wells Fargo). But while Wells Fargo allows you to earn 1% cash back on every purchase (except for the online shopping portal), the Chase Freedom gives you to opportunity to earn 5% cask back on rotating categories. The Chase Sapphire Card allows you to earn double points when you book your travels with Chase's travel portal. So while the Wells Fargo Rewards Card is decent, it is simple an average card with an average reward program. I would high recommend that you consider the Chase cards that I have mentioned simply because they are better cards.


is ecpi an accredited college in virginia

ECPI University has programmatic accreditation for Surgical Technology with the Accrediting Bureau of Health Education Schools (7777 Leesburg Pike, Suite 314N, Falls Church, Virginia 22043, telephone 703.917.9503) at the Northern Virginia and Richmond, Virginia campuses.

ECPI University Campuses1-866-744-7617Online1-855-790-8952

ECPI University is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award Associate, baccalaureate, and Master’s degree and diploma programs. Licensures State Council of Higher Education in Virginia: ECPI University has authority issued from the State Council of Higher Education of Virginia to offer degrees, courses for degree credit, and programs of study leading to a degree. North Carolina State Board of Community Colleges: ECPI University is licensed by the North Carolina State Board of Community Colleges to award diplomas. The North Carolina State Board of Community Colleges is not an accrediting agency. South Carolina Commission on Higher Education: ECPI University is licensed by the South Carolina Commission on Higher Education to award Bachelor of Science, Associate of Applied Science degrees and diplomas (1333 Main Street, Suite 200, Columbia, SC 29201-3245, telephone 803.737.2260). Licensure indicates only that minimum standards have been met; it is not equivalent to or synonymous with accreditation by an accrediting agency recognized by the U. S. Department of Education. University of North Carolina Board of Governors: ECPI University is licensed by the Board of Governors of the University of North Carolina to award degrees. Virginia Board of Nursing: ECPI University has received approval for the Practical Nursing (PN) by the Department of Health Professions, Virginia Board of Nursing at the Newport News, Northern Virginia, Richmond/Emerywood, Richmond/Moorefield, and Virginia Beach, Virginia campuses. ECPI University has received approval for a Registered Nursing (RN) program by the Department of Health Professions, Virginia Board of Nursing at the Newport News, Richmond/Emerywood, and Virginia Beach, Virginia campuses. North Carolina Board of Nursing: ECPI University has received approval for a Practical Nursing education program by the North Carolina Board of Nursing at the Charlotte, Greensboro, and Raleigh, North Carolina campuses. ECPI University in Charlotte has been granted approval for an Associate of Applied Science in Nursing by the North Carolina Board of Nursing. South Carolina Board of Nursing: ECPI University has received approval from the South Carolina Department of Labor, Licensing and Regulation, South Carolina Board of Nursing for a Practical Nursing (PN) program at the Greenville and North Charleston, South Carolina campuses. Maryland Higher Education Commission: ECPI University is registered with the Maryland Higher Education Commission for the delivery of online programs to residents of Maryland. Other Approvals ECPI University is eligible to participate in federal Title IV financial aid programs administered by the U. S. Department of Education. ECPI University is approved for the training of veterans and other eligible persons. ECPI University in Virginia Beach is approved by the Federal Aviation Administration as an Approved Technical Operations in the FAA's Collegiate Training Initiative. This approval applies to the Electronics Engineering Technology associate's and bachelor's degree programs at the Virginia Beach, Virginia campus. ECPI University is an eligible institution to train students under the sponsorship of the Department of Vocational Rehabilitation. ECPI University is authorized under federal law to enroll nonimmigrant alien students at the following locations: ECPI University – Newport News, VA; Northern Virginia, VA; Raleigh, NC; and Virginia Beach, VA. Programmatic Accreditation ECPI University has met the standards of accreditation for the following recognized accreditation agencies. Copies of the accreditation approvals are available for inspection during regular business hours at the respective local campus. Commission on Accreditation for Health Informatics and Information Management Education: The Health Information Management program at the Newport News and Richmond campuses are in Candidacy Status, pending accreditation review by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). Accrediting Bureau of Health Education Schools: ECPI University has programmatic accreditation for Medical Assisting with the Accrediting Bureau of Health Education Schools (7777 Leesburg Pike, Suite 314N, Falls Church, Virginia 22043, telephone 703.917.9503) at the following campuses: Newport News, Northern Virginia, Richmond, and Virginia Beach, Virginia; Charlotte, Greensboro and Raleigh, North Carolina; and Charleston, Columbia, and Greenville, South Carolina.

American Culinary Federation: The AAS in Culinary Arts and the Diploma in Culinary Arts offered at ECPI University's College of Culinary Arts in Norfolk, VA (Virginia Beach) are accredited by the American Culinary Federation Inc., 180 Center Place Way, St. Augustine, Florida 32095, (940) 824-4468, www.acfchefs.org. Commission on Accreditation for Health Informatics and Information Management Education: The Health Information Management program at the Newport News and Richmond campuses are in Candidacy Status, pending accreditation review by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIM). Commission on Physical Therapy Education: ECPI University has programmatic accreditation for the Physical Therapist Assistant program by the Commission on Accreditation in Physical Therapy Education (CAPTE) of the American Physical Therapy Association (111 North Fairfax Street, Alexandria, Virginia 22314; telephone 703.706.3245, email: accreditation@apta. org, website: www.capteonline.org) at the Newport News and Richmond/ Emerywood, Virginia campuses. Joint Review Committee on Education in Radiologic Technology: The Medical Radiography program at the Newport News, Virginia campus is accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT, 20 N. Wacker Drive, Suite 2850, Chicago, IL 60606-3182; telephone 312.704.5300, fax 312.704.5304, email: mail@jrcert.org ). Graduates qualify to sit for the national exam of the American Registry of Radiologic Technologists (ARRT). Accreditation Commission for Education in Nursing: ECPI University has programmatic accreditation for the Bachelor of Science in Nursing program with the Accreditation Commission for Education in Nursing Inc. (ACEN), 3343 Peachtree Road NE, Suite 500, Atlanta, Georgia 30326 (404) 975-5000.


what does raci stand for?

RACI stands for Responsible Accountable Consulted Informed. While its origins are murky, the RACI matrix has been adopted by many organizations to associate roles with project deliverables. One Six Sigma tutorial describes RACI this way:

"A Comprehensive Project Management Guide for Everything RACITry Smartsheet for Free To ensure collaboration and project success, it is crucial for all project stakeholders to understand their roles and responsibilities and those of other project members.

This is especially important when project teams are more complex due to their large size, involvement of distributed team members, or reliance on staff from multiple departments.

“Typically a task is associated with at least one role or in some cases multiple roles. This ‘Association’ of the role with a task can be divided into the following four association types: Responsible Accountable Consulted Informed The above four types of association of a role to a task represented in a simple task vs. role diagram or matrix is called RACI (pronounced ‘racey’) matrix. So basically the RACI matrix is a responsibility assignment matrix (RAM), designed to assign tasks, activities, responsibilities, accountability, decision making, support to team members of a process/project, and clarify expectations on the level of their participation.” Here is an example of a RACI matrix: This guide will explain when to use RACI, why it works, guidelines to use it effectively, and the role it can play in effective project management. Lastly, we'll show you that once you've created your own matrix, you'll need a collaborative, real-time tool, like Smartsheet, to manage the rest of the project details — from start to finish. The Four Association Types When to Use RACIThe Value of RACIRACI Matrices RACI Guidelines Finding the Right RACI Template RACI Project Management Improve Project Management Efforts with Smartsheet The Four Association Types RACI has four participant types that are explained below. It’s imperative to understand each of these before creating a RACI matrix. Responsible A role that is “Responsible” for completing the task or deliverable. If the responsibility role, for example, is technical writer, the technical writer may be responsible for writing online help files. A software developer wouldn’t write the help files, but might incorporate those files into the product, which would be a different task. Accountable A role that is “Accountable” has the final authority or accountability for the task’s completion. As with the previous example of a technical writer developing online help and a software developer incorporating the help files, a product manager might be responsible for seeing that the files are in the product. Consulted A role that is “Consulted” is an adviser to a task. For example, a Scrum Master might be consulted because they are a subject matter expert. Advisers should be considered carefully as too many people in this role can stretch the task time and raise the risk of poor performance. Informed A role that is “Informed” is kept up to date on task completion. Charting this role helps to illustrate dependencies and also ensures that transparency into task status exists. Identifying those who require status updates can be complex, so it is worthwhile to take the time to consult various roles to determine if they need to know when a task is completed. For example, the sales manager may require status updates because a customer has a special interest in the development of a feature. When to Use RACIA RACI Matrix is useful as a general practice of project management, but there are some definite indicators for implementing the RACI paradigm. If the approval process is bogged down, it may be due to role confusion. If decisions are being overruled often and seemingly arbitrarily, this is also a situation that can benefit from clarifying roles. Another situation that frequently occurs is that many people perform the same analysis tasks. When tasks are not getting done, it may be that nobody knows who should be doing them. When the authority to perform tasks is not understood, it may be time to define roles and tasks, responsibilities, and authority. Eliminating this sort of confusion and clarifying roles and tasks is the chief function of a RACI Matrix. RACI is among the most popular models, but there are several alternatives, including: PACSI – Used in situations where multiple stakeholders can review and veto the work of a single accountable person. The roles include Performed, Accountable, Control, Suggested, and Informed. RAPID – Created by Bain & Company to clarify decision accountability through clear role and responsibility delineation. The roles include Recommend, Agree, Perform, Input, and Decide. The Value of RACIImplementing a RACI model allows you to involve more qualified minds in your projects. And, it’s an easy chart to develop. Project managers will appreciate that they can use this method to develop a chart quickly that provides Project-Allocation-At-A-Glance. RACI benefits include: Eliminating role confusion. Preventing over-allocation of resources to one project and under-allocation to another. Clearly defining roles to all the people who fill them (clear understanding of expectations is key to a smooth project and reduces the need for conflict resolution later). Ensuring no task is overlooked when resources are allocated. Providing a fast and efficient way to re-allocate resources when there is turnover. New people can quickly identify their roles in a project and the roles of those with whom they must interact. Finally, because the Informed category is given equal weight, the RACI Matrix encourages communication between roles. Communication is the key to clearly understanding expectations, which results in a smooth proje

ct. RACI Matrices A RACI chart is a matrix of all project activities associated with the responsible people or roles. “All project activities” includes everything from the day you begin, such as planning, test, design, support, etc.

Creating a RACI matrix involves the following steps: Decide how to chart the matrix — You can use any number of tools or templates, including a spreadsheet, whiteboard, or software solution. Identify the project tasks (or deliverables) —Meet with key stakeholders to develop a list of project tasks. For this discussion, “tasks” include activities such as meetings or events that must take place, as well as deliverables such as features or products. Tasks are labeled across the X or Y axis of the matrix. For example, if you are charting a software project developed under Agile, the Sprint Demo Meeting may be a required activity and should be included in the matrix as a task. Don’t forget to add maintenance of the RACI Matrix as a task. The project manager usually maintains the RACI Matrix. Identify the project roles —Project roles are labeled down the axis of the matrix that was not used for tasks. The project roles make the matrix more understandable and can be useful for adding data you may have forgotten. As you identify roles, you’ll remember tasks for those roles, so add them to the task axis. Also, the task axis is useful for identifying roles and clarifying resource allocation. This is a good time to assign names to roles as well - one name per role is optimal. Label the intersections of the axes —Where the X and Y axes intersect, label the intersection with an R, A, C, or I to finalize the matrix with who is Responsible, Accountable, Consulted, or Informed on each task. RACI Guidelines Although a RACI Matrix is specific to a project, there are some broad guidelines or best practices to keep in mind: Avoid multiple levels of oversight – one level is enough Encourage teamwork Maintain chart fluidity – make changes as needed and let people know when things change Assign only one Accountable per task Ensure Accountable assignees have authority to ensure the task is complete Avoid too many consultants as they can take up too much time (waiting for answers, gathering input, etc.) while too few can damage performance, so try to find the ""sweet spot”Inform everyone with a role of their assignment Finding the Right RACI Template RACI templates will save you time and provide a starting point for building your chart. However, there are numerous templates available and you should review the varying styles to find one that fits your project needs. Some templates use the X axis for the tasks and Y for roles, and others do the opposite. If tasks exceed roles, as they generally do, it is easier to use the X axis for tasks and the Y for roles as you will be able to see the greatest number of roles per task at a glance on most computer monitors. On the other hand, you may find it easier to filter a chart based on role (for instance, filtering to show only the “I” roles for a given task) with the tasks on the X axis. In addition, most templates use some form of color-coding. Regardless of which template you select, using one will eliminate a lot of basic work in constructing the chart and will free your time to define roles and tasks. RACI Project Management RACI Analysis RACI project management is focused on analyzing and managing the RACI Matrix to identify problems, resolve conflicts in roles, revise role categorization, and provide the team an opportunity for feedback. Analysis should be done in a team meeting, though the meeting may not require every single role holder to attend. A RACI Matrix is analyzed vertically and horizontally. Here are some things to look for when reviewing the role axis (whether this is horizontal or vertical): If one role has too many responsibilities, should some responsibilities be reallocated or should more people be assigned to the role? If only one person is Accountable, is it reasonable to expect that person to make all decisions and could it threaten the project by creating a bottleneck? Here are some things to look for when reviewing the Task axis (whether this is horizontal or vertical): If there is a task with no one Responsible, should someone be assigned or should the task be eliminated? If there is a task where no one is Accountable, who has decision-making authority? If there are multiple people Accountable for a task, avoid conflicts by making a single person accountable. If too many people must be consulted, evaluate whether one person can be assigned who talks with others involved. Role Confusion It is common, during the life of a project, to have team members experience role confusion. A RACI matrix is useful for clearly identifying roles associated with a project and improving productivity, especially when you’re suffering from role confusion. Some signs of role confusion are: Concern over who makes decisions —Decision-makers are usually labeled as Accountable, but it may be that decisions are being made by the Responsible party. If that’s the case, the team should know who makes decisions in each situation. Finger pointing —If work is not completed on time, finger pointing may result. The key to avoiding this is knowing who is Responsible. Poor resource allocation —The RACI Matrix should make resource allocation very clear, but sometimes a single task can be extremely taxing, leading to some issues concerning who should be doing what and when. Lack of action because of ineffective communications —If someone is not Informed, they may not know to perform a task. Too many consultations because the wrong people are consulted —The Consulted should be clearly labeled to avoid jeopardizing the project schedule. It is the duty of a project manager to step in if role confusion is suspected and clarify roles to ensure that everyone is aware of expectations. Improve Project Management Efforts with Smartsheet Creating a RACI matrix is helpful to get started working on any project -- big or small, simple or complex. Once you’ve completed your matrix, you need a collaborative, real-time tool to help manage project details from start to finish. One such tool is Smartsheet, a work management and automation platform that enables enterprises and teams to get from idea to impact - fast. Top project management leaders rely on Smartsheet to help align the right people, resources, and schedules to get work done. Use Smartsheet to create consistent project elements, increase speed, and improve collaboration with scalable options that fit individual work preferences. Hold yourself and your team accountable, improve visibility into team priorities, and ensure nothing slips through the cracks. Discover how Smartsheet can help maximize your project management efforts, today. Learn More About Smartsheet for Project Management Want more project management tips and best practices? Check out our Project Management Resource Hub for the latest articles, templates, and more!Comments A Comprehensive Project Management Guide for Everything RACISubmitted by Mark Weeks on Thu, 09/08/2016 - 19:33Permalink I've found this page very useful in support of my work within the PMO and intend to promote to other fellow project managers.reply Add new comment Your name Subject Comment * By submitting this form, you accept the Akismet privacy policy. "


what is an anoscopy for

Anoscopy is an outpatient medical procedure where an instrument is inserted into the anus to allow a doctor to examine it in detail for signs of disease. This procedure is not very comfortable, but it should not be painful and it is not invasive.

What is an Anoscopy?

It can be used in diagnosis and treatment of patients with suspected disorders involving the anus. Proctologists, general practitioners, and gastroenterologists can all use anoscopy in their practices. In an anoscopy, the patient will be asked to remove clothing on the lower half of the body, along with underpants. Patients may strip and dress in a gown, depending on the policies at the office. The patient lies on an exam table on one side, with the knees curled up to the chest to expose the anus. The anoscope, a small rigid tube, is lubricated and inserted to allow the doctor to get a closer look at the anus. The doctor will usually examine the region around the anus during the process to look for issues like reddened or roughened skin. Ad Anal fissures, hemorrhoids, certain types of cancers, and inflammation can all be identified during anoscopy. The doctor may take a biopsy sample if there is a tissue change of concern. For patients with severe fissures or hemorrhoids, the procedure can be painful and there may be some bleeding and irritation. Other patients may feel discomfort and pressure like they need to make a bowel movement, but shouldn't notice any pain. If the procedure is painful, the doctor should be alerted, as this may be a sign of a problem. After an anoscopy, the patient may be given a medical wipe to cleanse the area around the anus, and then they can get dressed. The doctor can discuss the results of the anoscopy and their implications. If a biopsy needs to be taken, several days may be needed to allow the lab to examine the sample and write up a report. In other cases, results are immediate, and the doctor can discuss options like hemorrhoid medication and dietary adjustments. Risks associated with this procedure are very low. As long as the anoscope is used properly, no injuries to the anus should occur, and the anus is very flexible, allowing it to rebound quickly after an anoscopy. Patients should be able to defecate normally, without pain or irritation. If pain and soreness are experienced after the test, a doctor should be consulted. Ad You might also Like Recommended Related wise GEEK Articles What is Proctitis? What is an Imperforate Anus? What is a Proctoscopy? What are the Symptoms of Hemorrhoids in Children? What is a Fissure-In-Ano? What is an Anorectal Malformation? What is the Difference Between Hemorrhoids and Fissures? Ad Discuss this Article Post your comments Post Anonymously Loginusernamepasswordforgot password? Registerusernamepasswordconfirmemail


how long to wait for dental implant after tooth extraction

There are three different approaches to give dental implants after tooth extraction. Dental Implants can either be given-1. Immediately after tooth extraction known as immediate post-extraction implant. 2. 2weeks to 3 months after tooth extraction which is known as delayed immediate post extraction implant. 3.

Dental implant is a prosthetic device which is made of alloplastic material and is implanted in the oral tissues either below the mucosal layer or can be placed within the bone to provide support and retention for fixed or removable prosthesis. Dental implants are the best option for replacement of missing teeth. For the placement of dental implants, firstly case is selected and then implant is placed in the oral mucosal layer. Dental implant is placed in the bone. After placing the dental implants, post operative evaluation is done of dental implant and then abutment is attached to it. Abutment is attached when adequate primary stability is obtained. After abutment attachment to the dental implant, dental crown is placed over it.

After 3 months or more after tooth extraction which is known as late implantation. After implant placement, loading is done. Loading can either be done immediately after placement of dental implant or can be done 1 week to 12 weeks after implant placement (Early Loading) or can be done after 3 months of dental implant placement which is known as delayed loading. Immediate Post Extraction Dental Implant In case of immediate post extraction dental implants, Dental implants are given immediately after tooth extraction. Implant placement immediately after tooth extraction followed by immediate provisional restoration can be very rewarding to the patient. Before placing implants after tooth extraction, an implantologist will consider certain factors. There should be adequate bone present all around the implant covering to stabilize the dental implant and there should be no major infections or soft tissue inflammation present. If there is less of bone and grafting procedure is required, then loading is not done immediately after dental implant placement. Immediate provisional restoration is given to the patient if adequate primary stability is obtained after dental implant placement. If there is poor primary stability present, then the implantologist will place the cover screws and will submerge the dental implants. Patient will have to wait for 3-4 months for osseointegration before loading of dental implants. Extraction of Fractured Tooth Tooth Extraction Socket Placement of Dental Implant Abutment attachment to Dental Implant Temporary Crown cemented on Implant Temporary Crown after 1 Month In cases when there is loss of alveolar bone due to disease, trauma or surgery, then bone grafting procedure may be required. Grafted bone is used as a scaffold to regenerate bone which is lost due to disease, preserve the extraction socket and preserve the ridges. Guided bone regeneration can be done before dental implant placement or can be done simultaneously with dental implant placement. Various studies suggest that when dental implants are given to single rooted teeth which have healthy bone and mucosa around them, then the success rate is more as compared to delayed implant placement after tooth extraction. Advantage of Immediate Post Extraction Dental Implant1. Reduces the treatment time and surgical steps - Immediate post extraction implantation reduces the number of surgeries and thus is beneficial to both the dentist and the patient.2. Preservation of soft tissue drape and bone - If the dental implants are given immediately after tooth extraction, then it preserves the bone which further provides good aesthetic results.3. In some situations, it can even result in avoidance of bone augmentation and soft tissue grafts. Immediate implant placement can be done into extraction socket and provisional restoration can be given to the patient. It has an advantage that it gives immediate esthetics by fixed restoration and reduces the number of surgeries and time required for rehabilitation. It also prevents collapse of peri-implant soft tissues through support given by crafted provisional restoration. Disadvantages of Immediate Post Extraction Dental Implants Infections and dental implant failure can occur after immediate placement of dental implants after tooth extraction. After placing dental implant after tooth extraction, there might be some space or gap present between the socket bony walls and dental implant. Bone augmentation procedure is done in such cases. Delayed Immediate Post Extraction Dental Implants Delayed immediate post-extraction implants are given 2weeks to 3months after tooth extraction. This is done to allow for soft tissue healing. It further reduces the chances of wound dehiscence but prolongs the treatment time. It gives a satisfactory aesthetic outcome in patients with thin gingival type. To gain more of bone thickness, bone graft may be used prior to or along with implant placement. After tooth extraction, provisional bridge or an acrylic removable partial denture can be inserted immediately for soft tissue healing to take place. After 8 weeks, you can consult an implantologist. Before placing the dental implants, he will do clinical and radiographic examination. An implantologist may also take 3DCT scan of the extraction site before implant placement. 3DCT scan will give exact dimensions of height, width and depth of the jaw bone. Late Dental Implantation Late implantation is given after 3 months or more after tooth extraction. If grafting is not done after tooth extraction, then bone resorption occurs after 3 months and bone becomes stable in 9-12 months. Within 2-3 months after tooth extraction, healing is adequate but bone resorption doesn’t take place. In case of late implantation, bone replacement membranes and grafts are often needed. Complete bone and soft tissue healing takes place in case of late implant placement. Because of long healing time, vascularization of previously grafted bone takes place. If the ridge is narrow, then guided bone regeneration with an autogenous graft and or connective tissue graft is given prior to or along with implant placement to create contour of the bone and the gingiva. Main drawback of late implantation is that it prolongs the treatment time and needs 2 surgical procedures. On the basis of quantity and quality of bone left after tooth extraction, dentist will determine whether it would be appropriate to give dental implants immediately after tooth extraction or within 2 weeks to 3 months after tooth extraction or after 3months.