Soulmate Gem
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7 Things To Do With Your Hands While Having A Cheeky Pash Hold Her Hands. Fingers are the lesser-known erogenous zones on a woman's body. ... Hold Her Waist. It's a tried and tested classic move all romantic films vouch for. ... Go For The Butt. ... Hold Her Face. ... Caress Her Breasts. ... Thighs. ... Run Your Fingers Through Her Hair.
Worst Things You Can Say to Your Parents "I wish you weren't my dad" You really don't mean it, but in the heat of the moment, that's what you said....
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First Recorded Kiss (circa 1500 B.C.) Judas' Kiss (circa 1st Century A.D.) Feb 11, 2022
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The short answer is “Yes”. Absolutely, anyone can learn to read tarot. But, Is there a specific way to read tarot? In fact, there is no specific...
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Caregivers, family, and healthcare providers should always act as if the dying person is aware of what is going on and is able to hear and...
Read More »Alprostadil is used to maintain the patency of the ductus arteriosus when a cyanotic lesion or interrupted aortic arch presents in a newborn. Prostaglandin E1 (PGE1) is most effective in premature infants.
Medication use in patent ductus arteriosus (PDA) is based upon the clinical status of the patient. In the presence of symptoms of pulmonary overcirculation or pulmonary hypertension related to a patent ductus arteriosus (PDA), closing the lesion is usually most prudent; therefore, anticongestive therapy is not discussed. Prostaglandins are utilized to maintain the patency of the ductus arteriosus until surgical ligation is performed. When surgical ligation is not indicated, prostaglandin inhibitors (eg, nonsteroid antiinflammatory drugs [NSAIDs]) are used to close the ductus arteriosus. Intravenous (IV) indomethacin or IV ibuprofen is used to treat patent ductus arteriosus (PDA) in the neonate and in premature infants. The dose used for ibuprofen is 10 mg/kg bolus followed by 5 mg/kg/d for 2 additional days. (IV ibuprofen became available in the United States on June 2009.) Ibuprofen was initially thought to have less adverse effects, such as a decreased incidence of oliguria, gastrointestinal (GI) toxicity, and cerebral hypoperfusion. The use of ibuprofen has been shown to increase the incidence of pulmonary hypertension and chronic lung disease. A Cochrane database review showed no statistically significant difference in closure between ibuprofen and indomethacin. [8] A decision to use one drug versus another should be based upon the infant's presentation and comorbidities. A similar Cochrane database article that looked at the initial treatment of symptomatic patent ductus arteriosus (PDA) in preterm infants showed no difference in risks or benefits of surgery versus the use of cyclooxygenase inhibitors. [30] In a prospective, randomized, controlled trial, Attridge et al found that patients administered b-type natriuretic peptide (BNP) received fewer primary indomethacin doses compared with those who were not guided by BNP concentrations. [6] Renal toxicity is associated with indomethacin, and dose reduction guided by BNP may reduce this risk. [6]
The Heart The Heart: The most popular symbol of love, a heart is used to represent the center of emotion, including affection and love, especially...
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People with high levels of narcissistic admiration experienced less anxiety and sadness after a breakup and maintained positive perceptions of...
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The 5 most powerful zodiac signs are Taurus, Leo, Scorpio, Sagittarius and Capricorn. Aug 31, 2021
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“The best way to truly learn about another person is to take the time needed to truly get to know them before making a commitment to them.” And...
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