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In what countries is a kiss appropriate?

One kiss: Colombia, Argentina, Chile, Peru, the Philippines. Two kisses: Spain, Italy, Greece, Germany, Hungary, Romania, Croatia, Bosnia, Brazil (though, like France, the number can differ by region), and some Middle Eastern countries (though not between opposite sexes)

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The meaning of a kiss is different around the world. In some cultures, it may be an expression of admiration or romantic affection, whereas in other cultures, it may be considered offensive. On this special day of romance, learn the ins and outs of the social kissing etiquette around the world. Throughout all cultures people greet one another as a sign of recognition and friendship. In the UK, cheek kissing is ambiguous and sometimes uncomfortable as no one is sure when it’s suitable or even how many kisses there should be. According to Debrett’s, the authority on etiquette and behaviour, kissing is taking over from handshaking, almost as the handshake took over from the bow. Men kissing one another as a greeting is still unusual, and kissing is not appropriate in many professional situations. On the whole, Debrett’s suggest it should only be used among friends, not at business meetings. In France kissing is called “faire la bise”. A popular French joke states that you may recognise the city you are in by counting the number of cheek kisses, as it varies across the country. According to a survey of more than 100,000 citizens, Parisians consider two kisses the norm, while three is standard in Provence, and four throughout the Loire Valley. Cheek kissing in the Arab world is relatively common, between friends and relatives. Cheek kissing between males is very common. However, cheek kissing between a male and female is usually considered inappropriate, unless within the same family, e.g. brother and sister, or if they are a married couple. In New Zealand, the Maori greeting, called the "Hongi", means "Sharing of breath". In this greeting, the two people touch or rub their noses together and inhale. In Latin America, in business settings, the cheek kiss is not always standard upon introduction, but once a relationship is established, it is common practice. As with other regions, cheek kissing may be lips-to-cheek or cheek-to-cheek with a kiss in the air – the latter being more common. In the United States and Canada, in the business world greetings are typically casual with a firm handshake, big smile and a warm “Hello” is all that is needed. There are certain cultures in which any type of physical contact in public is mostly frowned upon. For example, in Japan, kissing in public as a greeting is somewhat new. Traditionally it was saved for only private moments. In Thailand, there's only one correct way – or wai – to greet and that's to press your hands together in a prayer-like fashion and slightly bow to your acquaintance. Similarly in India, Western visitors may receive a handshake, but if you're looking to seem culturally aware, place your palms together like a prayer, tilt your head forward and say "Namaste" which means "adoration to you". So what to do? One approach is to default to what is safest but take the other person’s lead. Even if you feel awkward or embarrassed, you’re demonstrating an important social signal that you’re aware of that country’s customs.

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When should you keep your PDA open?

With some congenital heart defects, such as D-type Transposition of the Great Arteries and Pulmonary atresia it is necessary to keep the PDA open in order to ensure the circulation of oxygenated blood to the body tissues.

(GIF Animation, less than 50KB)

How Is It Treated?

If the Patent Ductus Arteriosus remains open in a newborn, pharmaceutical treatment with indomethacin or ibuprofen may be used to encourage its closure. If the PDA still does not close, it is recommended that it be closed either by a cardiac catheterization procedure or surgery. For small to medium size PDAs, the PDA is permanently occluded using coils of spring wire or other devices during a catheterization procedure (see illustration, right). For larger PDAs and PDAs in small infants, the PDA is closed surgically by means of ligation and, in some cases, division (see animation, left). Ligation is the tying off of the ductus (PDA) with a "ligature" (or two ligatures) made of a synthetic material. The vessel may or may not be divided after ligation. With some congenital heart defects, such as D-type Transposition of the Great Arteries and Pulmonary atresia it is necessary to keep the PDA open in order to ensure the circulation of oxygenated blood to the body tissues. This may be achieved through the use of medications (prostaglandin E1) or through a catheterization procedure in which a stent is inserted to keep the PDA open.

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