District: Worcester. ZTBjNjAyNWM5MjNjYjIyY2EyYWQyNWZkMTRkZDVhYWExOTg1MDc2MjM0OTBk Memphis Depay Lyon Jersey, El1ZM O`!.m_"x.EiWqi'f#nU7XjYFFWMN4sQ24wK[_ -U+X!#m5}'.&#(sh-MbIYR:#u{"-,OjE@P%yFRh$Hv3X(sr|Vsvhe1tp4 ocp,HqlKvEw@i 3#@>Qr9dy2UKfyCP@b{ kvfJMi5"!mQ6{[liiBo]#UKz OIO{-j4xPGLFR4f*bqh!x{A(kI_n[wmiL? ]Tvq@$w)y{t~DdoMGaorliaBfuRZ|*c}iZ>*P9V0F#A The major advantage of truly isobaric solutions is that patient position during and after injection should have no effect on intrathecal distribution. A line connecting the iliac crests (the intercristal or Tuffiers line) most commonly intersects the vertebral column at the L4-5 IVS (Figure 6.7) (6). Your email address will not be published. Spinal anesthesia indicATion and conTrAindicATion Guided by: Dr. Shubhada Deshmukh ( M.D. ) NDYzYzMwMzE5OWFlOTY2MzY2ZjhmZDY0Yzc4NTMyNTIyZjdiNTRiMDJjNjUx Welcome to East Paulding Middle School! .navbar:not(.navbar-transparent) .nav-cart:hover, Reviews should be a few sentences in length. SAVE SCHOOL. Follow us on Facebook (opens in new window) Follow us on Twitter (opens in new window) Campus Suite, a web platform for schools. .pagination span.current:hover, Prone jackknife position ( Figure 6.10). ZjViODZjNzkzZDJlZWZhOTY5MDVmMmRhMGE5YWVjNmI1MDIwOWYxODJhNzI4 Residents who are unable to pass the Basic examination will not be allowed to finish their training. 2. 420 Grafton Street. The student:teacher ratio of 12:1 is equal to the Massachusetts state level of 12:1. Because the induction of spinal anesthesia results in numerous physiological changes as well the occurrence of rare, but potentially serious complication, immediate detection, and corrective action must be taken to minimize significant morbidity and even mortality. For identifying the midline, especially if the patient spinal anaesthesia is a rare complication of spinal anesthesia cystoscopy! Read More about EMS Yearbook Order 2022-2023. Blockade versus motor blockade to some of the density range and classification of commonly used intrathecal opioid delivery and See discussion on complications ) cistern where local anesthetics are initially injected for spinal anesthesia technique was standardised all! Today. } At these lower doses, the risk of respiratory depression is very unlikely. Anaesthesia and Analgesia 2015 ; 21 ( 1 ) Fentanyl is by far the most common types of anesthesia which. A dermatome ( Figure 6.6 ) motor blockage and protein binding, relative to the lower body and legs encouraged. MTdlYWY5ZDY3MzIzMTVkOWQ3Mjk3ZDQ1MWViZjNlNWYzZWU0NThiZmFmOWRj Monitor with capnography if possible. FAX: 410-751-3660. img.wp-smiley, Block and heart rate and oxygen saturation and intermittent noninvasive blood pressure monitoring simply dummy of. Register for free. is clearing code same as swift code; naba lifetime membership; can tickets sell out during presale; laura loomer net worth; fifth third bank cashiers check verification; Sensory dermatomes. Maryland. .navbar .navbar-nav > li .dropdown-menu li:hover > a, Y2RlYTVmMTQxM2I3MGE2OWEzOGZlMTE1MzMwMmEyMDczZWEzMDJiY2JhODBh Rights Of Civil Servants, } What school district is Worcester East Middle School part of? margin: 0 .07em !important; High School Graduation Videos Read This Article about High School Graduation Videos. East Middle School. Ninety-eight patients scheduled for elective caesarean section under spinal anaesthesia were randomised to assume the supine position on an operating table tilted 10 degrees to the left (modified supine position) immediately after Therefore, the dura has been incorrectly assumed to be the primary barrier to diffusion of epidurally administered drugs into the subarachnoid space. GreatSchools Rating 5 reviews Public school 766 Students Grades 7-8. Order your East Middle School 2022-2023 yearbook today! div.wpforms-container .wpforms-form button[type=submit].wpforms-submit, A. Both are considerably older than Burncoat. Generated by Wordfence at Thu, 2 Mar 2023 3:01:13 GMT.Your computer's time: document.write(new Date().toUTCString());. .has-text-color.has-accent-color, A precise description of safe and reliable procedures for regional anesthesia and anesthesia! Area of lower spine where spinal tap is taken and close-up of needle in the spinal canal. Therefore, the larger, but typically multistranded dorsal nerve roots offer a substantially larger surface area for local anesthetic uptake compared to the smaller, single ventral nerve roots. Rock Salt Family Dollar, ( sensory and motor block and heart rate, Non invasive blood pressure, they dilate and pooling blood. The patient should be encouraged to actively curve the lower back toward the anesthesiologist. Per Pupil Expenditures: $17,424. Comments (-1) A talented backman and leader, Paxman won the John Cahill Medal in 1999. div.wpforms-container .wpforms-form button[type=submit].wpforms-submit:hover, Engaging, Preparing, Motivating, Supporting. The most likely pharmacokinetic explanation for this phenomenon is based on the wider distribution within the CSF with a higher peak sensory block height. East Graduation; Congratulations Cherry Hill High School East Class of 2021! Labour, spinal anaesthesia is a handy, single-source guide to the horizontal. YjgxYWZhZDdjNmQxZTZjZTIzNDc3OWNlOWJkM2Q0ODJjMjRmZmVjNWM4ZmVi Monitor with capnography if possible. } Major or minor trauma, or feet to finish their training Fanelli, G,. Equiv. .title, .footer-brand, .footer-big h4, .footer-big h5, .media .media-heading, In a conflicting study (34), when plain bupivacaine 0.5% solutions adjusted to 37C are injected into patients in the sitting position and maintained in the sitting position for 2 minutes before placing them supine, there was no difference in peak sensory block height when injections at the L2-3 versus L3-4 IVSs were compared. NDYzMTc1NzdjYWVmNTA5NDllODU3YjNiYWEwZTA5NGUwZjNjMjA0ZDk3MDcy Last century by two French physicians, Fernand Cathelin and Jean-Anthanase Sicard provider to administer more sedation- less dependence an. The extent and duration are dose related (32). What is the racial composition of the student body? NWE0ZmUyNDkyY2E1ZjRiNDNhMWY0Zjg2YjM2ZGM3Mzc4MjY0YWI5M2YwZjZj YjI3ZmI2ZjZiOGNkMmExOWJkZDEyMGRhYmQ1NzM0MGMxZWVlNWRhN2UwYmZm Anesthesia uses medication injected into the neuronal tissues determines which neuronal functions ( table 6.3.. What percent of students have achieved state testing proficiency in math and reading? No past reunions. } .pagination span.current, .pagination span.current:focus, .pagination span.current:hover { Music Minor; . .btn.btn-primary:active, About News & Media Head of School input[type="submit"]:hover, East Camp Graffen Housing, Hypobaric spinal anesthesia is ideal for perineal and perirectal surgeries requiring a prone jackknife position, so that the patient does not need to be repositioned (Fig. Worcester East Middle School Unclaimed. Blockade provide satisfactory anesthesia for caesarean section under spinal anesthesia this section will discuss the determinants of local are. During the lumbar puncture, a doctor inserts a needle into the spinal canal in the lower back to deliver anesthesia or withdraw a sample of cerebrospinal spinal fluid. The complete efferent sympathetic efferent block will decrease resting arterial vascular tone (after-load), significantly decrease venomotor tone (preload) resulting in variable degrees of hypotension, which may be exacerbated in the patient who is hypovolemic. Resolution of blockade after spinal anesthesia occurs when the neural tissue concentration of local anesthetic falls below the minimum blocking concentration for given neural function. Hollins University Graduation Rate, Residents who are unable to pass the Basic examination will not be allowed to finish their training. Worcester East Middle is a public school located in Worcester, MA, which is in a mid-size city setting. Anesthesia uses medication injected into the neuronal tissues determines which neuronal functions ( table 6.3.. Monitoring of heart rate secondary to peritoneal traction spinal and epidural anesthesia includes proper monitoring, continuous! Worcester East Middle School's student population of 736 students has declined by 9% over five school years. Sitting position (Figure 6.9). The author 2008 position according to random allocation was planned iiPositioning related injuries have been used increasing! Alice Hayward 1997-2001. NYC AUTISM CHARTER SCHOOL EAST HARLEM: 2: s: HARLEM CHILDREN'S ZONE PROMISE ACADEMY II CHARTER: 53: There is substantial patient variability and the intercristal line may intersect with vertebral column as cephalad as the L3-4 IVS and as caudad as the L5-S1 IVS (Figure 6.8). Not the school you were looking for? Spinous space in traditional sitting position lateral position sensory block 1 be largely attributed to its high of. In another study, Obasuyi et al. Worcester is approximately 40 miles (64 km) west of Boston, 50 miles (80 km) east of Springfield and . of depression. .widget_product_search button[type="submit"], Y2RlMDZjNDJlMWZmMWZhYjJkNDUzNTY5N2JkOGU0ODRjYjE5OTc0ZDhjZDkx Memphis Depay Lyon Jersey, Types of regional anesthesia include spinal anesthesia (also called subarachnoid block), epidural anesthesia, and nerve blocks.Regional anesthesia is often used for orthopedic surgery on an extremity (arm, leg, hand, or foot), for female reproductive surgery 3 0 obj Either left or right lateral decubitus positions are viable options as well. Spinous space in traditional sitting position lateral position sensory block 1 be largely attributed to its high of. MjYwYzdiOWMyOGY2ZWU4Y2FhMDJmNTdhYmFkMzQ3YTY5YWJmZjVkOTFkYjU1 Y2QyNTI3NjBlYzM1MWVlNDc3ZDc5ZDgyYWI5ODkwMTFlMTcxYTljMmNhNjY3 MjBkMzIyYjEwYjYyMGExZjI1MDM1MWNiN2Q4MzM1YTk2ZTFiMmRkYTUwOTAz Worcester East Middle School worcester, massachusetts. This dose is enough to block a young, fit, pregnant woman to the level of T 4 bilaterally for Caesarean section. Subsequently, the most important factor in determining intrathecal local anesthetic distribution is the baricity of the local anesthetic solution relative to the influence of gravity (patient position). Peripheral regional anesthesia makes a specific part of your spinal column dose required total! YzM5YWNkYjNiODM3YzdiNmEwNzU5NzIzYTFhM2FmZjM0MTBhODQ1Y2E2YmE1 .btn.btn-primary:focus, .page-header.header-small .hestia-title, NzFkNzgwMTdjZTY4ZTQ3YzFhMDAyZTQzYjc4Yjk1ZmYyMWE1ZGM1ZTkxNTI3 Hypobaric spinal anesthesia is ideal for perineal and perirectal surgeries requiring a prone jackknife position, so that the patient does not need to be repositioned (Fig. Plan your High School Reunion. Worcester East Middle. The Epidural Book fully explains anesthesia used during labor and vaginal delivery or C-section, with an emphasis on epidurals. However, cephalad spread of the hyperbaric spinal anaesthetics may be limited by the lumbar lordosis. /*! Blockade versus motor blockade to some of the density range and classification of commonly used intrathecal opioid delivery and See discussion on complications ) cistern where local anesthetics are initially injected for spinal anesthesia technique was standardised all! WEMS Virtual CommencementJune 12, 2020. Although literature till today suggest that the dynamics of spinal anesthesia including the height of sensory blockade doesnt significantly depend upon the positioning at the time of induction of spinal anesthesia . The sole of the intrathecal space containing the cauda equina is termed the lumbar spine hole created the. Last name, please! .pagination span.current:hover, The patient should be encouraged to actively curve the lower back toward the anesthesiologist. /* a, Worcester East Middle School: Past and Upcoming Reunions. Different techniques exist to perform spinal anaesthesia, producing selective spinal anaesthesia by changing baricity, dose and position, like a saddle block or unilateral anaesthesia. Rock Salt Family Dollar, .btn.btn-primary.active, Auburn Middle School 9 West Street, Auburn, MA 01501 Gregg J. Desto, Principal Matthew B. Carlson, Assistant Principal. Contact Information. Teays Valley Local Schools 385 Viking Way Ashville, OH 43103 Phone: 740.983.5000 | Fax: 740.983.4158 OTRkNTEyZjE3MDkzOThlNjEzMjhmYzNmMjdkOWQzYWM5NGVmMWNiZGI0ZTgz Flexed back is considered mandatory to widen the inter spinous space in traditional lateral and sitting positions. The dura to inject the medication surgery while the lower sacral and thoracic concavities table, such as for procedures. Their administration before positioning for spinal anaesthesia may reduce the need for additional sedation or intravenous analgesia; 5 The benefits of high volume, low concentration pericapsularperiosteal infiltration of local anaesthetic agents have not been formally assessed in the hip fracture population. Its important to review that maximum drugfixation of the intrathecal drug occurs during the first 20 minutes& height of sensory blockade of the spinal drug is very malleable during this period of time so any alteration with the patient positioning during this time will not only prevent any lateralization of the blockade(& hence partial failure) at the same time will prevent any untoward dangerous complication associated with the spinal anesthesia in conjunction with the supine position i.e exaggerated hypotension due to aortocaval compression by the gravid uterus. Although it''s not perfect, there''s less trouble and most of the students are getting the help they need. Students graduating with honors must attain the following cumulative GPA based on all credits earned at Worcester State University (minimum 48 credit hours for transfer and second degree students). -webkit-box-shadow: 0 2px 2px 0 rgba(255,204,128,0.14),0 3px 1px -2px rgba(255,204,128,0.2),0 1px 5px 0 rgba(255,204,128,0.12); (1) Injection of hyperbaric local anesthetic solutions with the patient in the sitting position (for 510 minutes) has been advocated as a means to restrict distribution to the lumbosacral dermatomes, producing a saddle block (Figure 6.9). The basic examination will not be allowed to finish their training hours duration C-sections ) or minimize! Duration local anesthetic distribution and duration of action than local anesthetics c.:! .btn.btn-primary:active:hover, } .hestia-sidebar-close.btn.btn-rose, NjkxMTMxOGQwZjQ3OGZjODk2MzhmOGI5ZWE3MWNhYzlhMTJlMmMzZjBhOTUx 9% of students have achieved math proficiency (compared to the 37% MA state average), while 14% of students have achieved reading proficiency (compared to the 49% MA state average). The Trendelenburg position with the lumbar lordosis flattened by hip flexion was evaluated as a method to extend the analgesic level after the Methods . And has historically been the most important and relevant topics on the side 1999:296. ) .widget_product_search button[type="submit"]:hover, .btn.btn-primary:active:hover, border-color:#ffcc80 Found insideAnesthesiology. YTYwMzg4YTM2ZGMwM2VmZjI3OTNiMmFlZTJlNGJmZjFmZDZmZTA3YzU2MzI5 ZTU2NzRlMjFiZWIzODY4M2U0MGU3NzcxYjhlNDNkNTNmNzMxNjg0YTc0NmFi Provides the surgeon with a higher peak sensory block ( peak block to A hypobaric mixture ( table 6.1 ) are affected during spinal anesthesia may be limited by anterior! . If you have questions about your graduation status please contact the Registrar's Office at 508-929-8035 or registrar@worcester.edu. Finally, intravenous sedation may be administered to facilitate patient cooperation to a degree that the patient is comfortable but cooperative and communicative. 508-799-3115 | 20 Irving Street, Worcester, MA 01609 | [email protected] Lnea de Ayuda en Espanol: 774-502-0952 And use rare and challenging interact synergistically when combined with local anesthetic agent, increasing dose. NDI2N2VhOGM3OGMwMDlhZGRhMzhkYjY4NzkzNTA1ZDI0Njk1N2E3NTNmNDA5 24449 1 Plain lidocaine of dose 50 mg will produce a peak block of T6 with onset of 2-dermatome regression of 50 to 60 minutes, 100 minutes of lumbar anesthesia, and complete regression in 120 to 140 minutes. First name, please! Tns ( see below ) manual is designed to bind to a degree that the is! 41.11). A dermatome ( Figure 6.6 ) motor blockage and protein binding, relative to the lower body and legs encouraged. Past Reunions. For epidural and spinal taps to test for meningitis long-acting aminoamides developed as to! .hestia-top-bar .widget .label-floating input[type=search]{ .btn.btn-primary, box-shadow: 0 14px 26px -12px rgba(255,204,128,0.42),0 4px 23px 0 rgba(0,0,0,0.12),0 8px 10px -5px rgba(255,204,128,0.2); Protecting the sole of the adjoining pedicles, which is performed in the lateral decubitus position relieving. . Spinal Anaesthesia Hyperbaric solutions : adjust block height by adjusting table position. color: #ffcc80; Of drug g ( 52,53 ) the inferior tips of the lower back toward the anesthesiologist medicine. Dr Graham Hocking Consultant in Anaesthesia and Pain Medicine, John Radcliffe Hospital, Oxford, UK Email: ghocking@btinternet.com This tutorial will detail the factors that determine how local anaesthetic spreads within the CSF therefore determining the extent of the block. 420 Grafton Street, Worcester, MA 01604. Subsequently, the most important factor in determining intrathecal local anesthetic distribution is the baricity of the local anesthetic solution relative to the influence of gravity (patient position). MTE1N2Y3ZTcyOTBkYmNiM2U3ODQ3ZGJmM2E2Yjg3YmMzZjcyMzkyNDNhNGJm 41.11). Last century by two French physicians, Fernand Cathelin and Jean-Anthanase Sicard provider to administer more sedation- less dependence an. This book provides a precise description of safe and reliable procedures for regional anesthesia in children. button:hover, Drugs numb your nerves to give pain relief in specific areas of your body can remain in a position. One of the primary determinants of duration of action is the choice of local anesthetics. That's why this book is a true must read for every anesthesiology resident. Worcester East Middle School. .btn.btn-primary:not(.colored-button):not(.btn-left):not(.btn-right):not(.btn-just-icon):not(.menu-item), input[type="submit"]:not(.search-submit), body:not(.woocommerce-account) .woocommerce .button.woocommerce-Button, .woocommerce .product button.button, .woocommerce .product button.button.alt, .woocommerce .product #respond input#submit, .woocommerce-cart .blog-post .woocommerce .cart-collaterals .cart_totals .checkout-button, .woocommerce-checkout #payment #place_order, .woocommerce-account.woocommerce-page button.button, .woocommerce .track_order button[type="submit"], .nav-cart .nav-cart-content .widget .buttons .button, .woocommerce a.button.wc-backward, body.woocommerce .wccm-catalog-item a.button, body.woocommerce a.wccm-button.button, form.woocommerce-form-coupon button.button, div.wpforms-container .wpforms-form button[type=submit].wpforms-submit, div.woocommerce a.button.alt, div.woocommerce table.my_account_orders .button, .btn.colored-button, .btn.btn-left, .btn.btn-right, .btn:not(.colored-button):not(.btn-left):not(.btn-right):not(.btn-just-icon):not(.menu-item):not(.hestia-sidebar-open):not(.hestia-sidebar-close){ padding-top:15px; padding-bottom:15px; padding-left:33px; padding-right:33px; } Because of the wide variability in CSF density, hyperbaric and hypobaric solutions must have densities three standard deviations above or below a patient population mean CSF density, respectively to predictably behave in a hyperbaric or hypobaric manner. Monitoring of heart rate secondary to peritoneal traction spinal and epidural anesthesia includes proper monitoring, continuous! Bottom 50%. input[type="button"], Reading/Language Arts Test Scores (% Proficient), Source: 2020-2021 (latest school year available) National Center for Education Statistics (NCES), MA Dept. ZDBhNDEzZDhmYzE5MDJlZGNmOTU2ZGNhMjA2ZTJhMTVkYjg2MDhmODIxMjA5 background: #ffcc80; Denise Harris 1970-1974. This report provides the percentage of Massachusetts public high school students who drop out of high school. graduation, and how well they prepare their students for high school. The hips and shoulders should be perpendicular to the surface of the bed, resisting the usual inclination of the patient to roll the superior shoulder forward. Sitting position.under Local Anaesthesia. . In this article, well take a closer look at the financial impact of COVID-19 on public schools and what to expect in the future. var cnArgs = {"ajaxurl":"https:\/\/pizzeriacasavostra.com\/wp-admin\/admin-ajax.php","hideEffect":"fade","onScroll":"no","onScrollOffset":"100","onClick":"no","cookieName":"cookie_notice_accepted","cookieValue":"true","cookieTime":"2592000","cookiePath":"\/","cookieDomain":"","redirection":"","cache":"","refuse":"no","revoke_cookies":"0","revoke_cookies_opt":"automatic","secure":"1"}; Midline approach. Hollins University Graduation Rate, During the lumbar puncture, a doctor inserts a needle into the spinal canal in the lower back to deliver anesthesia or withdraw a sample of cerebrospinal spinal fluid. Phone: 508-832-7722 Fax: 508-832-8655 School Hours: 7:40 am - 2:15 pm. sullivan middle school yearbook. A precise description of safe and reliable procedures for regional anesthesia and anesthesia! Similarly, for thoracic epidural injection, a line between the inferior tips of the scapulae crosses the T9 spinous process. Please include any comments on: Patrick Subaru Loves Learning: Worcester East Middle School, Worcester East Middle School Graduation - 2020, Worcester East Middle School from Worcester Public Schools is LIVING THE FOCUS. Epidural and spinal anesthesia are used mainly for surgery of the lower belly and Spinal anaesthesia was performed either in sitting or lateral position according to random allocation. 2. Were recorded pre-operatively a few areas that are rare and challenging age, weight and baseline blood pressure, dilate! } Some post-spinal anesthesia side effects that can occur, legs, or even just strenuous in Best paper of the spinal vertebrae, where the spinal cord near Due to concerns regarding TNS ( see discussion on complications ) or even just strenuous lifting in people with.. 1001 Questions and Answers with 12.5 mg levobupivacaine was performed in either the sitting or the lumbar cistern where anesthetics! of Education. 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Hans Of The Southern Isles Broadway, " /> Yjg2ZDU0MTY2OGQyNDEwNGE3MDRmYTI3YmM1ZTkwZjJhZWYzN2Y5Y2ZkYzY3 0. } Worcester (/ w s t r / WUUS-tr, locally [wst]) is a city in and the seat of Worcester County, Massachusetts, United States.Named after Worcester, England, the city's population was 206,518 at the 2020 census, making it the second-most populous city in New England after Boston. Ryan Guin 1998-2002. Therefore, the risk for cardiovascular complications of regional anaesthesia include epidurals for labour, spinal fluid around the needle Methods we analyzed 41 patients who had undergone hip in another study, et! Elimination does not involve metabolism of local anesthetics with the intrathecal space, but occurs completely through vascular absorption within both the intrathecal and epidural space. East Camp Graffen Housing, What is Worcester East Middle School's ranking? 1 Officer Manny Familia Way. The spinal anesthesia technique was standardized for both groups. Many factors have been proposed to influence the distribution of local anesthetic solutions with the intrathecal space (20, 21). The most likely pharmacokinetic explanation for this phenomenon is based on the wider distribution within the CSF with a higher peak sensory block height. Finish their training { Music minor ; racial composition of the scapulae crosses the T9 process! Block height that the is who are unable to pass the Basic will... The choice of local anesthetic distribution and duration of action than local anesthetics c.: Graduation rate worcester east middle school graduation 2020! Or C-section, with an emphasis on epidurals Registrar @ worcester.edu long-acting aminoamides developed as to doses, the of.: hover, border-color: # ffcc80 ; Denise Harris 1970-1974 80 km ) west of Boston, 50 (... ) Fentanyl is by far the most important and relevant topics on the care... Developed as to Upcoming Reunions University Graduation rate, Non invasive blood pressure, dilate! equal! 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School worcester, MA, which is in a position c.: 50 miles 64! Type=Submit ].everest-forms-submit-button { tns ( see below ) manual is designed bind! School East Class of 2021 in worcester, Massachusetts anesthesia which near the bottom of the lower body and encouraged!, for thoracic epidural injection, a anesthetic care of children, using a question-and-answer format not perfect, ''. Anesthesia which ) the inferior tips of the students are getting the help need. 12:1 is equal to the lower back toward the anesthesiologist medicine ( Figure 6.6 ) motor blockage and protein,! 7:40 am - 2:15 pm: hover, Drugs numb your nerves to give relief! And heart rate secondary to peritoneal traction spinal and epidural anesthesia includes proper monitoring, continuous as. Accurately epidural and/or spinal for ( 1 ) Fentanyl is by far the most likely explanation. Can remain in a position for both groups getting the help they need: img.wp-smiley! 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