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What is the postcode for bamford railway station?
S32 1eg
What is driving distance from Halifax to Memphis?
I-81 S32 hrs 56 mins / 2011.97 miles
What would s32 mean in the index of a encyclopedia?
S32 could represent a specific entry or topic in the encyclopedia's index. It may direct you to a page or section within the encyclopedia where you can find more information on that particular subject.
What are the new coordinates for reflection across the x-axis S32 B01 C34?
S' = (3, -2) B' = (0, -1) C' = (3, -4).
What is Maggie simpsons middle name?
Maggie Simpson is part of the Simpson family (it a TV program) and the meaning of the name is pearl the name is Greek.She is the youngest baby of Homer and Marge, the youngest sister of Bart and Lisa. She can't talk and no one has revealed her age. She is dependant on her pacifier and will cry day and night if she doesn't have one.
What is the scattering matrix of a circulator?
It's simple. Circulator is device which has a peculiar property that each terminal is connected only to the next clockwise terminal. Consider a 3 port circulator with ports 1,2,3 ( arranged in anti clock wise). As there are 3 ports, order of scattering matrix is 3 X 3. [S]ij i= input applied at port i, j= output taken from port j when input is applied at port 1, we get output from port 3 only. i.e,s11=0,s12=0 when input is applied at port 2, we get output from port 1 only. when input is applied at port 3, we get ouput from port 2 only. hence, scattering matrix is 0 0 s13 S = s21 0 0 0 s32 0
Why is the government not allowed to take away your rights?
The subject matter is rights: given my GOD and Canada law since 1896 July 1st. A right is different then privilege, you will agree. The Constitution of Canada called the Charter of Rights deals with rights on at least five different issues. Freedom rights not to be snatched by cops on the street. Life, liberty and security hat person. (Such encompasses a psychological , considered as bodily harm to ones mind and body. )No one on earth iis immune from facing the actions of our Government. The Canadian Charter spells it out shown in S.32(1),(a-b-) S.32(1a is the Federal persons Judge on down with all personal personal. The s32(1b belongs to the Government of each Province and to all the Provincial citizens, no exceptions. Take a right away one cannot do, a inherent right, a right to have freedom and not be as it was during the war as people all were, despondent and weak.
Is it possible that the divine message of Bhagvad-Gita got distorted by mundane insertions?
It is possible that over time, interpretations or translations of the Bhagavad Gita may have been influenced by personal beliefs or cultural contexts, which could lead to distortions of the original divine message. However, the core teachings of the Bhagavad Gita have remained largely intact through the centuries, with various commentaries and interpretations offering insights into its profound message.
Choosing a primary care provider?
DefinitionA primary care provider (PCP) is a health care practitioner who sees people that have common medical problems. This person is usually a doctor, but may be a physician assistant or a nurse practitioner. Your PCP is often involved in your care for a long time, so it is important to select someone with whom you will work well.Alternative NamesFamily doctor - how to choose one; Primary care provider - how to choose one; Doctor - how to choose a family doctorInformationA PCP is your main health care provider in non-emergency situations. Your PCP's role is to:Provide preventive care and teach healthy lifestyle choicesIdentify and treat common medical conditionsAssess the urgency of your medical problems and direct you to the best place for that careMake referrals to medical specialists when necessaryPrimary care is usually provided in an outpatient setting. However, if you are admitted to the hospital, your PCP may assist in or direct your care, depending on the circumstances.Having a primary care provider can give you a trusting, ongoing relationship with one medical professional over time. You can choose from several different types of PCPs:Family practitioners -- doctors who have completed a family practice residency and are board certified, or board eligible, for this specialty. The scope of their practice includes children and adults of all ages and may include obstetrics and minor surgery.Pediatricians -- doctors who have completed a pediatric residency and are board certified, or board eligible, in this specialty. The scope of their practice includes the care of newborns, infants, children, and adolescents.Internists -- doctors who have completed a residency in internal medicine and are board certified, or board eligible, in this specialty. The scope of their practice includes the care of adults of all ages for many different medical problems.Obstetricians/gynecologists -- doctors who have completed a residency and are board certified, or board eligible, in this specialty. They often serve as a PCP for women, particularly those of childbearing age.Nurse practitioners (NP) and physician assistants (PA) -- practitioners who go through a different training and certification process than doctors. They are often referred to as "physician extenders." They may be your key contact in some practices. All PAs or NPs consult with physicians.Many insurance plans limit the providers you can choose from, or provide financial incentives for you to select from a specific list of providers. Make sure you know what your insurance covers before starting to narrow down your options.When choosing a PCP, also consider the following:Is the office staff friendly and helpful? Is the office good about returning calls?Are the office hours convenient to your schedule?How easy is it to reach the provider? Does the provider use email?Do you prefer a provider whose communication style is friendly and warm, or more formal?Do you prefer a provider focused on disease treatment, or wellness and prevention?Does the provider have a conservative or aggressive approach to treatment?Does the provider order a lot of tests?Does the provider refer to other specialists frequently or infrequently?What do colleagues and patients say about the provider?Does the provider invite you to be involved in your care? Does the provider view your patient-doctor relationship as a true partnership?You can get referrals from:Friends, neighbors, or relativesState-level medical associations, nursing associations, and associations for physician assistantsYour dentist, pharmacist, optometrist, previous provider, or other health professionalAdvocacy groups -- especially to help you find the best provider for a specific chronic condition or disabilityMany health plans, such as HMOs or PPOs, have websites, directories, or customer service staff who can help you select a PCP who is right for youAnother option is to request an appointment to "interview" a potential provider. There may be no cost to do this, or you may be charged a co-payment or other small fee. Some practices, particularly pediatric practice groups, may have an open house where you have an opportunity to meet several of the providers in that particular group.If you do not currently have a primary health care provider, and a health care problem arises, it is usually best to seek non-emergency care from an urgent care center rather than a hospital emergency room. This will often save you time and money. In recent years, many emergency rooms have expanded their services to include reasonably priced urgent care within the emergency room itself or an adjoining area. To find out, call the hospital first.ReferencesMartin JC. The Future of Family Medicine: a collaborative project of the family medicine community. Ann Fam Med. 2004;2(1):S3-S32.Carryer J, Gardner G, Dunn S, Gardner A. The core role of the nurse practitioner: practice, professionalism and clinical leadership. J Clin Nurs. 2007;16:1818-1825.Staton FS, Bhosle MJ, Camacho FT, Feldman SR, Balkrishnan R. How PAs improve access to care for the underserved. JAAPA. 2007;20:32, 34, 36 passim.Gourevitch CE. Medical homes: challenges in translating theory into practice. Med Care. 2009 Jul;47(7):714-22.
Sinusitis?
DefinitionSinusitis refers to inflammation of the sinuses that occurs with a viral, bacterial, or fungal infection.See also: Chronic sinusitisAlternative NamesAcute sinusitis; Sinus infection; Sinusitis - acute; Sinusitis - chronic; RhinosinusitisCauses, incidence, and risk factorsThe sinuses are air-filled spaces in the skull (behind the forehead, nasal bones, cheeks, and eyes) that are lined with mucus membranes. Healthy sinuses contain no bacteria or other germs. Usually, mucus is able to drain out and air is able to circulate.When the sinus openings become blocked or too much mucus builds up, bacteria and other germs can grow more easily.Sinusitis can occur from one of these conditions:Small hairs (cilia) in the sinuses, which help move mucus out, do not work properly due to some medical conditions.Colds and allergies may cause too much mucus to be made or block the opening of the sinuses.A deviated nasal septum, nasal bone spur, or nasal polyps may block the opening of the sinuses.Sinusitis can be:Acute -- symptoms last up to 4 weeksSub-acute -- symptoms last 4 - 12 weeksChronic -- symptoms last 3 months or longerAcute sinusitis is usually caused by a bacterial infection in the sinuses that results from an upper respiratory tract infection. Chronic sinusitis refers to long-term swelling and inflammation of the sinuses that may be caused by bacteria or a fungus.The following may increase your risk or your child's risk of developing sinusitis:Allergic rhinitis or hay feverCystic fibrosisDay careDiseases that prevent the cilia from working properly, such as Kartagener syndrome and immotile cilia syndrome.Changes in altitude (flying or scuba diving)Large adenoidsSmokingTooth infections (rare)Weakened immune system from HIV or chemotherapySymptomsThe classic symptoms of acute sinusitis in adults usually follow a cold that does not improve, or one that worsens after 5 - 7 days of symptoms. Symptoms include:Bad breath or loss of smellCough, often worse at nightFatigue and generally not feeling wellFeverHeadache -- pressure-like pain, pain behind the eyes, toothache, or facial tendernessNasal congestion and dischargeSore throat and postnasal dripSymptoms of chronic sinusitis are the same as those of acute sinusitis, but tend to be milder and last longer than 12 weeks.Symptoms of sinusitis in children include:Cold or respiratory illness that has been improving and then begins to get worseHigh fever, along with a darkened nasal discharge, for at least 3 daysNasal discharge, with or without a cough, that has been present for more than 10 days and is not improvingSigns and testsThe doctor will examine you or your child for sinusitis by:Looking in the nose for signs of polypsShining a light against the sinus (transillumination) for signs of inflammationTapping over a sinus area to find infectionRegular x-rays of the sinuses are not very accurate for diagnosing sinusitis.Viewing the sinuses through a fiberoptic scope (called nasal endoscopy or rhinoscopy) may help diagnose sinusitis. This is usually done by doctors who specialize in ear, nose, and throat problems (ENTs).However, these tests are not very sensitive at detecting sinusitis.A CT scan of the sinuses may also be used to help diagnose sinusitis or to evaluate the anatomy of the sinuses to determine whether surgery will be beneficial. If sinusitis is thought to involve a tumor or fungal infection, an MRIof the sinuses may be necessary.If you or your child has chronic or recurrent sinusitis, other tests may include:Allergy testingBlood tests for HIV or other tests for poor immune functionCiliary function testsNasal cytologySweat chloride tests for cystic fibrosisTreatmentSELF CARETry the following measures to help reduce congestion in your sinuses:Apply a warm, moist washcloth to your face several times a day.Drink plenty of fluids to thin the mucus.Inhale steam 2 - 4 times per day (for example, sitting in the bathroom with the shower running).Spray with nasal saline several times per day.Use a humidifier.Be careful with over-the-counter spray nasal decongestants. They may help at first, but using them for more than 3 - 5 days can actually worsen nasal congestion.Also, for sinus pain or pressure:Avoid flying when you are congested.Avoid temperature extremes, sudden changes in temperature, and bending forward with your head down.Try acetaminophen or ibuprofen.MEDICATIONS AND OTHER TREATMENTSAntibiotics are usually not needed for acute sinusitis. Most of these infections go away on their own. Even when antibiotics do help, they may only slightly reduce the time you or your child is sick. Antibiotics may be prescribed sooner for:Children with nasal discharge, possibly with a cough, that is not getting better after 2 - 3 weeksFever higher than 102.2 Fahrenheit (39 Celsius)Headache or pain in the faceSevere swelling around the eyesAcute sinusitis should be treated for 10 - 14 days. Chronic sinusitis should be treated for 3 - 4 weeks. Some people with chronic sinusitis may need special medicines to treat fungal infections.At some point, your doctor will consider other prescription medications, further testing, or referral to an ear, nose, and throat (ENT) or allergy specialist.Other treatments for sinusitis include:Allergy shots (immunotherapy) to help prevent the disease from returningAvoiding allergy triggersNasal corticosteroid sprays and antihistamines to decrease swelling, especially if there are nasal polyps or allergiesSurgery to clean and drain the sinuses may also be necessary, especially in patients whose symptoms fail to go away after 3 months, despite medical treatment, or in patients who have more than two or three episodes of acute sinusitis each year. An ENT specialist (also known as an otolaryngologist) can perform this surgery.Most fungal sinus infections require surgery. Surgical repair of a deviated septum or nasal polyps may prevent the condition from returning.Expectations (prognosis)Sinus infections are usually curable with self-care measures and medical treatment. If you are having recurrent attacks, you should be checked for underlying causes such as nasal polyps or other problems, such as allergies.ComplicationsAlthough very rare, complications may include:AbscessBone infection (osteomyelitis)MeningitisSkin infection around the eye (orbital cellulitis)Calling your health care providerCall your doctor if:Your symptoms last longer than 10 - 14 days or you have a cold that gets worse after 7 daysYou have a severe headache, unrelieved by over-the-counter pain medicineYou have a feverYou still have symptoms after taking all of your antibiotics properlyYou have any changes in your vision during a sinus infectionA green or yellow discharge does not necessarily indicate a sinus infection or the need for antibiotics.PreventionThe best way to prevent sinusitis is to avoid or quickly treat flus and colds:Eat plenty of fruits and vegetables, which are rich in antioxidants and other chemicals that could boost your immune system and help your body resist infection.Get an influenza vaccine each year.Reduce stress.Wash your hands often, particularly after shaking hands with others.Other tips for preventing sinusitis:Avoid smoke and pollutants.Drink plenty of fluids to increase moisture in your body.Take decongestants during an upper respiratory infection.Treat allergies quickly and appropriately.Use a humidifier to increase moisture in your nose and sinuses.ReferencesCincinnati Children's Hospital Medical Center. Evidence-based care guideline for management of acute bacterial sinusitis in children 1 to 18 years of age. Cincinnati (OH): Cincinnati Children's Hospital Medical Center; 2006.Slavin RG, et al. The diagnosis and management of sinusitis: a practice parameter update. J Allergy Clin Immunol. 2005;116:S13-S47.Rosenfeld RM, Singer M, Jones S. Systematic review of antimicrobial therapy in patients with acute rhinosinusitis. Otolaryngol Head Neck Surg. 2007;137:S32-S45.Rosenfeld RM, Andes D, Bhattacharyya N, Cheung D, Eisenberg S, Ganiats TG, et al. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg. 2007;137:S1-S31.
