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Also called board back check back check verb (in ice hockey) to women's health promotion issues buy discount female cialis skate back towards your own goal while trying to pregnancy 1st trimester discount female cialis 20 mg otc block an opponent with the body or a stick back extension back extension noun an exercise in which the upper body overhangs a platform womens health 60 plus order female cialis 10 mg on line, with the body face down, and is moved up and down using the back muscles, like a reverse sit-up backfield backfield noun (in American football) the area of the playing field behind the line of scrimmage backflip backflip noun a backward midair somersault with the arms and legs extended, performed in gymnastics, diving and board sports such as skateboarding and snow boarding backhand backhand noun in tennis and other racket games, a stroke made with the back of the hand turned towards the ball or shuttlecock as the arm moves outwards from a position across the body i verb to hit the ball with a backhand back pass back pass noun in football, a pass from an outfield player back to the goalkeeper. Compare acid food basic skill basic skill noun a simple skill such as running, jumping or hand-eye coordination that is a basic requirement for involvement in many sports basket basket noun 1. Also called blood retransfusion blood flow blood flow noun same as circulation blood glucose blood glucose noun sugar in the form in which it is carried in the blood, an excess of which can indicate diabetes blood group blood group noun same as blood type blood homocysteine blood homocysteine noun the concentration of homocysteine amino acids in the blood stream blood lactate blood lactate noun same as lactate blood-pooling blood-pooling noun a situation in which blood collects in extremities. Also called blood group blood vessel blood vessel noun any tube that carries blood round the body. Also called body schema body language body language noun the expression on your face, or the way you hold your body, interpreted by other people as unconsciously revealing your feelings bodylink bodylink noun an interconnected set of devices that monitor your body during exer cise. Also called bone atrophy bone marrow bone marrow noun soft tissue in cancellous bone bone mass bone mass noun the concentration of fibres in bone. Also called bone density bone mineralisation bone mineralisation noun the absorption of essential minerals into bone fibres bone resorption bone resorption noun the breakdown of the calcium in bone that is then reabsorbed into the bloodstream bone scan bone scan noun the use of scintigraphy as a method of detecting bone fractures bone strength bone strength noun the ability of bone to withstand pressure and shock without damage bone structure bone structure noun 1. The punishment ranges from a simple warning to the player being permanently excluded from the game and possibly also banned from a number of future games. Also called sternum breaststroke breaststroke noun a swimming stroke in which both arms are extended and pulled back together in a circular motion while both legs are thrust out and pulled back together breathe breathe verb to take air into your lungs through your mouth or nose and let it out again, a process that is necessary to oxygenate the blood and keep tissue healthy breathing breathing noun same as respiration breathless breathless adjective finding it difficult to breathe enough air. Compare white adipose tissue bruise bruise noun a dark painful area on the skin where blood has escaped under the skin following a blow. Also called thyrocalcitonin calcitriol calcitriol noun a form of Vitamin D used to control or reverse bone loss 39 calorimetry calcium calcium noun a metallic chemical element that is a major component of bones and teeth and is essential for various bodily processes. Abbreviation cal calorie-controlled calorie-controlled adjective used for describing a diet that is low in calories for the purpose of losing weight calorie-dense calorie-dense adjective used for describing food and drink that is high in calories with comparatively few essential nutrients calorie goal calorie goal noun the number of calories that should be eaten each day according to an individual weight loss or exercise regime calorie intake calorie intake noun the numbers of calories consumed in a day calorific calorific adjective used for describing food and drink that contains many calories and is therefore likely to be fattening calorific balance calorific balance noun a situation in which the amount of energy being expended equals the amount being taken in through the diet calorimeter calorimeter noun a piece of equipment that measures the amount of heat given out or taken in during a process such as combustion or a change of state calorimetry calorimetry noun the science of measuring the heat given off in a thermal reaction camogie 40 camogie camogie noun an Irish stick and ball game that is a form of hurling played by women. Camogie was developed in 1900 by women in Dublin and the game has become increas ingly popular with more than 400 clubs affiliated to the Camogie League. Full form cyclic adenosine monophosphate Canada Games Canada Games plural noun a two-week multi-sport event that takes place every two years in Canada, in which the 13 provinces each enter a team of athletes cancellous cancellous adjective describes bone that has a mesh of hollows on the inside, as opposed to being compact or dense cancer cancer noun a malignant growth or tumour that develops in tissue and destroys it, can spread by metastasis to other parts of the body and cannot be controlled by the body itself cancer cell cancer cell noun a mutated cell in the body that quickly multiplies, forming a tumour that may spread into surrounding tissue canoe canoe noun a lightweight boat, pointed at each end, that can be paddled by one or two people and can carry passengers. Canoes were originally made from natural materials, but modern canoes are made of aluminium or of moulded plastic and fibreglass. Also called cardio cardioversion cardioversion noun a procedure to correct an irregular heartbeat by applying an elec trical impulse to the chest wall carnitine carnitine noun a derivative of lysine carnosine carnosine noun a sports supplement carotid artery carotid artery noun either of the two main arteries that carry blood to the head and neck carotid body carotid body noun tissue in the carotid sinus which is concerned with cardiovascular reflexes carotid pulse carotid pulse noun a pulse taken from one of the carotid arteries in the neck carotid sinus carotid sinus noun an expanded part attached to the carotid artery, which monitors blood pressure in the skull carpal carpal adjective relating to the wrist carponavicular fracture carponavicular fracture noun a fracture to the wrist caused by forcefully bending the hand back during a fall carpus carpus noun the set of bones by which the hand is connected to the lower arm. The most common cause is a ruptured artery caused by high blood pressure or degeneration of the blood vessel concerned. Also called thorax chest press chest press noun an exercise in which the arms are pushed away from the chest against some resistance. Also called blood flow circulatory system circulatory system noun a system of arteries and veins, together with the heart, that makes the blood circulate around the body circumduction circumduction noun the action of moving a limb so that the end of it makes a circular motion circumflex nerve circumflex nerve noun a sensory and motor nerve in the upper arm citrate synthase citrate synthase noun an enzyme that is involved in the Krebs cycle citric acid cycle citric acid cycle noun same as Krebs cycle classic classic noun a major sporting event. Also called collarbone claw foot claw foot noun same as cavus foot clay pigeon clay pigeon noun a clay disc thrown into the air from a machine called a trap as a target for shooting with shotguns clean and jerk clean and jerk noun a two-part lift in weightlifting, in which the bar is lifted firstly to the chest and then above the head clean and snatch clean and snatch noun same as snatch clean-living clean-living adjective never doing anything that might be considered immoral or unhealthy clearance clearance noun in games, the process of clearing the ball from the defence area cleats cleats plural noun same as spikes clenbuterol clenbuterol noun a banned substance that acts as a growth agent cliff-jumping cliff-jumping noun the sport of jumping from a high point such as a cliff into water climb climb verb to go up mountains or rocks on foot or using hands and feet as a sport climber climber noun 1. Compare open skill closed stance closed stance noun in sports such as baseball or golf, a stance in which the front foot is closer to the line of play than the rear foot clot clot verb to change from a liquid to a semi-solid state, or to cause a liquid to do this i noun a soft mass of coagulated blood in a vein or an artery club club noun 1. Abbreviation CoA coexistent coexistent adjective used for describing multiple injuries that exist at the same time cognitive 50 cognitive cognitive adjective relating to the process of acquiring knowledge by the use of reasoning, intuition or perception cognitive-affective stress management training cognitive-affective stress management training noun stress management training that focusses on the mental processes that trigger emotional responses and looks to develop strategies for recognising and coping with these. The term embraces thera pies such as acupuncture, herbal medicine and homeopathy. Compare interval training contract contract noun a formal or legally binding agreement. A player scores by batting the ball and running, while the defenders can get a player out by bowling and hitting the wicket, catching a hit ball, or running the player out. Full form computerised tomography scan cubital cubital adjective relating to the elbow cuboid subluxation cuboid subluxation noun misalignment of the middle bone of the foot, often caused by landing awkwardly from a jump cue cue noun 1. The events are long jump, high jump, pole vault, shot put, discus, javelin, 110-metre hurdles, and running over 100 metres, 400 metres, and 1,500 metres. Also called demineralised water delayed onset muscle soreness delayed onset muscle soreness noun pain in the muscles felt for one or two days after unusually intense exercise. Full form docosahaexanoic acid diabetes diabetes noun a disorder in which the amount of glucose in the blood is too high because the body does not produce enough of the hormone insulin needed to convert the glucose from food into energy dialogue dialogue noun a formal discussion or negotiation in which both parties put their views diamond diamond noun 1. Also called shaft diarrhoea diarrhoea noun a condition in which someone frequently passes liquid faeces diarthrosis diarthrosis noun free movement of a joint that is not restricted by cartilage or liga ments diastasis diastasis noun 1.

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During influenza activity: if testing will not change clinical management decisions uc davis women's health center buy female cialis pills in toronto, a clin • Clinicians should test for influenza on admission in all ical diagnosis of infuenza without testing can support empiric patients requiring hospitalization with acute respiratory antiviral treatment decisions women's health center in waco female cialis 10 mg amex. A test con patients who are immunocompromised or at high risk of frming infuenza may reduce the unnecessary use of antibiotics complications and present with acute onset of respiratory (especially if the procalcitonin level is low menstruation 9gag female cialis 20 mg for sale, suggesting that bac symptoms with or without fever, as the manifestations of terial infection is unlikely) and improve antibiotic stewardship. A study from 2 hospitals in Belgium during the 2015 • Mid-turbinate nasal swab specimens should be collected infuenza season reported that use of a rapid molecular assay over throat swab specimens to increase detection of influ in emergency departments helped avoid 10. Clinicians should not collect serum specimens, including admitted to the hospital with an acute respiratory tract illness single or paired sera, for serological diagnosis of seasonal resulted in shorter time to diagnosis, duration of antibiotic use, influenza virus infection for clinical management purposes and length of inpatient stay [141]. Despite the increased cost, respiratory tract of persons with uncomplicated influenza peak when considering the potential to reduce inappropriate anti during the first 1–2 days after illness onset, and decline to unde biotic use and other costs of care, the most efective test was tectable levels within a week [146, 147]. Other studies have reported that a piratory tract specimens from immunocompetent outpatients confrmatory infuenza test result reduced the use of unneces with influenza >3–4 days after illness onset may yield negative sary antibiotics and patient waiting time in outpatient clinics results because of substantially decreased influenza viral shed and emergency departments [136, 143–145]. Influenza viruses Laboratory testing is important for immunocompromised might be detectable in upper respiratory tract specimens for patients since the manifestations of infuenza virus infection in longer periods in some patients, particularly when molecular such patients are frequently less characteristic than in immuno assays are used. Immunocompromised patients may have prolonged influenza virus replication and shed infectious What Specimen(s) Should Be Collected When Testing Patients for Influenza Clinicians should collect upper respiratory tract specimens The appropriate respiratory tract specimen to collect depends from outpatients for influenza testing as soon after illness upon which infuenza test is used and patient acceptability. A large autopsy series of 100 fatal mid-turbinate nasal swab specimens are the preferred upper cases found no evidence of extrapulmonary infuenza A(H1N1) respiratory tract specimens. Terefore, except for research pur not be approved for all assays or accepted by all laboratories. Clinicians should check both the approved clinical disease is not routinely recommended. Clinicians should test specimens for a specifc assay and what specimens are accepted respiratory specimens for infuenza if infuenza-associated neu by clinical laboratories before collecting specimens. Testing combined specimens importance [38, 173–175]; therefore, testing of stool for infu from 3 sites (combined nasal and throat swabs plus a nasal enza viruses is not recommended. Addition of a throat swab to a nasal specimen using other available serologic assay to diagnose seasonal infuenza molecular testing has been shown to slightly increase recovery virus infection in a single serum specimen. Terefore, single of infuenza viruses in pediatric patients in some studies [159], serum or paired sera specimens should not be collected for but not in others [160]. For the detection of infuenza viruses infuenza serology except for research purposes. In the hospitalized patient, the use of What Test(s) Should Be Used to Diagnose Influenza Tese assays are also useful for testing geting a panel of respiratory pathogens, including influenza individuals with suspected infuenza during low infuenza peri viruses, in hospitalized patients who are not immunocom ods. Some commercially available molecular assays can distin promised if it might influence care (eg, aid in isolation deci guish between infuenza A virus subtypes. Clinicians should not use viral culture for initial or primary nity and hospital-based outpatient settings because of their diagnosis of influenza because results will not be available rapid processing times. The ideal diagnostic test should produce Recommendations rapid, accurate results with high sensitivity and high specificity 18. Clinicians should start antiviral treatment as soon as possi to detect influenza viruses in respiratory specimens at reasona ble for adults and children with documented or suspected ble cost. Clinicians can consider antiviral treatment for adults and symptoms by approximately 1–2 days were conducted among children who are not at high risk of influenza complica mostly non-high-risk adult and pediatric outpatients with tions, with documented or suspected influenza, irrespective uncomplicated laboratory-confrmed infuenza, enrolled within of influenza vaccination history, who are either: 36–48 hours of illness onset [188–191, 204–206]. Because high-risk outpatients with suspected or confrmed Evidence Summary infuenza are recommended for prompt antiviral treatment, Influenza can result in a wide range of clinical signs, symptoms, placebo-controlled studies are generally not possible in many and complications of variable severity, from self-limited upper countries, and the benefts of antiviral therapy in diferent high respiratory tract illness, to life-threatening illness with respiratory risk groups to reduce complications have not been reported in failure and prolonged respiratory tract influenza virus replica completed prospective, randomized, placebo-controlled trials. A meta-analysis of observational data for high-risk pedi treatment, did not have signifcant survival beneft, although atric and adult outpatients with laboratory-confrmed infuenza the low number of deaths limited statistical power [16, 195]. In studies showing a beneft, the consumption, and increased colloid oncotic pressure. Some studies reported that infuenza during pregnancy may Although prompt antiviral treatment is recommended for lead to preterm labor and small for gestational age infants [224, high-risk outpatients with suspected or confrmed infuenza, a 234–240]. In this study, 40% of high-risk persons pre sis reported an association of maternal infuenza to congenital sented for medical care within 2 days of illness onset.

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Observing that women's health clinic broward county generic female cialis 20mg free shipping, the doorkeeper laughs and says: "If you are so drawn to women's health clinic waco tx generic 20 mg female cialis otc it menopause reset discount female cialis 10 mg on-line, just try to go in despite my veto. From hall to hall there is one doorkeeper after another, each more powerful than the last. The third doorkeeper is already so terrible that even I cannot bear to look at him. He makes many attempts to be admitted, and wearies the doorkeeper by his importunity. The doorkeeper frequently has little interviews with him, asking him questions about his home and many other things, but the questions are put indifferently, as great lords put them, and always finish with the statement that Page 22 he cannot be let in yet. The man, who has furnished himself with many things for his journey, sacrifices all he has, however valuable, to bribe the doorkeeper. The doorkeeper accepts everything, but always with the remark: "I am only taking it to keep you from thinking you have omitted anything. He forgets the other doorkeepers, and this first one seems to him the sole obstacle preventing access to the Law. He curses his bad luck, in his early years boldly and loudly; later, as he grows old, he only grumbles to himself. At length his eyesight begins to fail, and he does not know whether the world is really darker or whether his eyes are only deceiving him. Yet in his darkness he is now aware of a radiance that streams inextinguishably from the gateway of the Law. Before he dies, all his experiences in these long years gather themselves in his head to one point, a question he has not yet asked the doorkeeper. Yes, before the assembled spectators of his death all the obstructing walls have been broken down, and on the spacious and loftily mounting open staircases stand in a ring the great princes of the Empire before all these he has delivered his message. The messenger immediately sets out on his journey; a powerful, an indefatigable man; now pushing with his right arm, now with his left, he cleaves a way for himself through the throng; if he encounters resistance he points to his breast, where the symbol of the sun glitters; the way is made easier for him than it would be for any other man. The hostess stood in the middle of the room and made graceful bowing movements, causing the dainty folds in her skirt to move up and down. I sat at a tiny table it had three curved, thin legs sipping my third glass of benedictine, and while I drank I surveyed my little store of pastry which I myself had picked out and arranged in a pile. Page 25 Then I saw my new acquaintance, somewhat dishevelled and out of shape, appear at the doorpost of an adjoining room; but I tried to look away for it was no concern of mine. We only met on the stairs this evening and exchanged a few words as guests of the same house. Then he pressed them back, his elbows pointed, and began talking in rather a loud voice: "Only a little while ago we were alone in that room, Annie and I. She helped us into our coats and then took a small lantern to light us down the stairs. Her neck was bare save for a black velvet ribbon around her throat; her loosely clothed body was stooped and kept stretching as she went down the stairs before us, holding the lantern low. Her cheeks were flushed, for she had drunk some wine, and in the weak lamplight which filled the whole stairwell, I could see her lips trembling. At the foot of the stairs she put down the lantern, took a step toward my acquaintance, embraced him, kissed him, and remained in the embrace. Only when I pressed a coin into her hand did she drowsily detach her arms from him, slowly open the front door, and let us out into the night. Over the deserted, evenly lit street stood a large moon in a slightly clouded, and therefore unusually extended, sky. I raised my legs, let my joints crack, I shouted a name down the street as though a friend of mine had just vanished around the corner; leaping, I threw my hat in the air and caught it boastfully. Page 27 this surprised me, for I had calculated that he, once I had got him away from the party, would give vent to his joy. No sooner had I given him an encouraging slap on the back than I suddenly no longer understood his mood, and withdrew my hand. On turning into the Ferdinandstrasse I realized that my acquaintance had begun to hum a melody from the Dollar Princess.

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When a school initially has a student or staff that tests positive menopause 12 months order generic female cialis online, the entire school will close for 24 hours while the local department of health investigates and sets forth a plan for any further precautionary measures that the school must take to pregnancy uti treatment buy cheap female cialis 10 mg contain exposure menstrual natural remedies purchase female cialis 10 mg overnight delivery, which may result in additional closure. Additional closure beyond the 24 hours is a decision that will be made on a case-by-case basis by the local department of health. Students and staff who appear to have an flu-like illness when they come to school—or who become ill during the school day— should be isolated in a room separate from other people if possible, or kept a minimum of 6 feet away from others while wearing a surgical mask until they can be sent home in accordance with district procedures. Environmental Infection Control routine cleaning and disinfection strategies applied for the environmental management of illness. Fever-Like Symptoms/Signs of a Fever a child has a fever when their temperature is at or above one of these levels: • 100. Non-Pharmaceutical Intervention a strategy to prevent the spread of disease without the use of drugs or vaccines. Respiratory or Cough Etiquette use of the following measures to contain respiratory secretions • Covering the mouth/nose when coughing or sneezing; • Using tissues to contain respiratory secretions and disposing them in the nearest waste receptacle after use. School Closure for purposes of this document only, means closing the school and sending all students and staff home. School Closing for purposes of this document only, means students stay home and the school may stay open for staff. However, educators should not take on the role and responsibilities of local public health authorities. Assure the provision of redundant communication systems/channels that allow for the expediated transmission and receipt of information. Learn more about reaching people of diverse languages and cultures by visiting. This is particularly important for school health personnel who will be in close proximity to persons who may be infectious. Collaborate with school mental health professionals and community-based providers on effective strategies. The earlier memorandum in response to the H1N1 pandemic informed schools that the school district Director of School Health Services (a. Additionally, we are providing additional information to schools on handwashing to review when developing their protocols and plans. Schools should promote hand hygiene to decrease the spread of disease in the school community. This can be accomplished by education of proper hand hygiene, posters, bulletin boards, communication to parents, through morning announcements, and in curriculum as appropriate. Schools should provide adequate facilities for hand washing which includes soap, paper towels or hand dryers, and trash bins for disposal of paper towels. During periods of high rates of transmission of disease such as the flu, schools should permit students time to wash their hands after using the restroom, before meals and after if needed, after recess or physical education, before and after using electronic devices that are used by multiple students, after coughing or sneezing, and other times as appropriate. Student use of alcohol-based hand sanitizers should always be supervised by adults. Parents/guardians should be informed of the use of hand sanitizers and allowed to opt their child out of using it by sending a written notice to the school. They must not be placed in hallways, or near an open flame or source of sparks. For a fact sheet and further information on the use of alcohol-based hand sanitizers in schools please visit the New York State Center for School Health’s website at. Specific high-risk schools should continue to educate locations warrant cleaning and students, faculty and staff about proper disinfection at least daily. School medical directors should approve and permit the use of alcohol-based hand sanitizers in their facilities without individual’s physician orders as alcohol-based hand sanitizers are considered over-the-counter drugs. Parents/guardians can inform the school that they do not want their child to use alcohol-based hand sanitizers by sending a written notice to the school. Respiratory hygiene: • Covering coughs and sneezes with tissues or the corner of elbow; and • Disposing of soiled tissues immediately after use.

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