From: owner-ammf-digest@smoe.org (alt.music.moxy-fruvous digest) To: ammf-digest@smoe.org Subject: alt.music.moxy-fruvous digest V14 #5169 Reply-To: ammf@fruvous.com Sender: owner-ammf-digest@smoe.org Errors-To: owner-ammf-digest@smoe.org Precedence: bulk alt.music.moxy-fruvous digest Wednesday, October 21 2020 Volume 14 : Number 5169 Today's Subjects: ----------------- See Photos of Mature Singles Near You Now ["Russian Girl For U" Subject: See Photos of Mature Singles Near You Now See Photos of Mature Singles Near You Now http://sleepbabys.co/ZXPifyg2N-wIlPqpKXBtM0M7W-_yzscaaDpzYqPgK2lhHAnC http://sleepbabys.co/OsmZ-imcji0Vi1cUufQjuPnGj00AIDFJ6C0jwsp_uDFqhBDR rule out conditions based on the information provided. During the encounter, properly informing the patient of all relevant facts is an important part of the relationship and the development of trust. The medical encounter is then documented in the medical record, which is a legal document in many jurisdictions. Follow-ups may be shorter but follow the same general procedure, and specialists follow a similar process. The diagnosis and treatment may take only a few minutes or a few weeks depending upon the complexity of the issue. The components of the medical interview and encounter are: Chief complaint (CC): the reason for the current medical visit. These are the 'symptoms.' They are in the patient's own words and are recorded along with the duration of each one. Also called 'chief concern' or 'presenting complaint'. History of present illness (HPI): the chronological order of events of symptoms and further clarification of each symptom. Distinguishable from history of previous illness, often called past medical history (PMH). Medical history comprises HPI and PMH. Current activity: occupation, hobbies, what the patient actually does. Medications (Rx): what drugs the patient takes including prescribed, over-the-counter, and home remedies, as well as alternative and herbal medicines/herbal remedies. Allergies are also recorded. Past medical history (PMH/PMHx): concurrent medical problems, past hospitalizations and operations, injuries, past infectious diseases or vaccinations, history of known allergies. Social history (SH): birthplace, residences, marital history, social and economic status, habits (including diet, medications, tobacco, alcohol). Family history (FH): listing of diseases in the family that may impact the patient. A family tree is sometimes used. Review of systems (ROS) or systems inquiry: a set of additional questions to ask, which may be missed on HPI: a general enquiry (have you noticed any weight loss, change in sleep quality, fevers, lumps and bumps? etc.), followed by questions on the body's main organ systems (heart, lungs, digestive tract, urinary tract, etc.). The physical examination is the examination of the patient for medical signs of disease, which are objective and observable, in contrast to symptoms that are volunteered by the patient and not necessarily objectively observable. The healthcare provider uses sight, hearing, touch, and sometimes smell (e.g., in infection, uremia, diabetic ketoacidosis). Four ------------------------------ Date: Wed, 21 Oct 2020 04:31:02 -0400 From: "CVS Opinion Requested" Subject: Your email has been selected Your email has been selected http://shopifortunes.us/nfEK1VwMOWoAiCfDrwQxTTVYahg0yBFJaJJGqEczuBrQvPwF http://shopifortunes.us/m84QXribqfWX5cwL_wClP9p0AU36ZnRx3l1_iM_LOhnFRS6p Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, during most of which it was an art (an area of skill and knowledge) frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism. In recent centuries, since the advent of modern science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science). While stitching technique for sutures is an art learned through practice, the knowledge of what happens at the cellular and molecular level in the tissues being stitched arises through science. Prescientific forms of medicine are now known as traditional medicine and folk medicine. They remain commonly used with, or instead of, scientific medicine and are thus called alternative medicine. As an example, evidence on the effectiveness of acupuncture is "variable and inconsistent" for any condition, but is generally safe when done by an appropriately trained practitioner. In contrast, alternative treatments outside the bounds not just of scientific medicine, but also outside the bounds of safety and efficacy are termed ------------------------------ Date: Wed, 21 Oct 2020 03:41:24 -0400 From: "Obamacare-Health-Plans" Subject: Compare Affordable Health Options in your Area Compare Affordable Health Options in your Area http://landscapsidea.co/vA_0yeFj29sVLfk6nCPP9ZRzOVyQbVsDMbMV3IaRDkWsjfhW http://landscapsidea.co/DyUvqAjzzGxP3jcpOk5YFqcBIq5UsiYxXNHuXsdQv9I_WheV Leeches are protandric hermaphrodites, with the male reproductive organs, the testes, maturing first and the ovaries later. In hirudinids, a pair will line up with the clitellar regions in contact, with the anterior end of one leech pointing towards the posterior end of the other; this results in the male gonopore of one leech being in contact with the female gonopore of the other. The penis passes a spermatophore into the female gonopore and sperm is transferred to, and probably stored in, the vagina. Some jawless leeches (Rhynchobdellida) and proboscisless leeches (Arhynchobdellida) lack a penis, and in these, sperm is passed from one individual to another by hypodermic injection. The leeches intertwine and grasp each other with their suckers. A spermatophore is pushed by one through the integument of the other, usually into the clitellar region. The sperm is liberated and passes to the ovisacs, either through the coelomic channels or interstitially through specialist "target tissue" pathways. Some time after copulation, the small, relatively yolkless eggs are laid. In most species, an albumin-filled cocoon is secreted by the clitellum and receives one or more eggs as it passes over the female gonopore. In the case of the North American Erpobdella punctata, the clutch size is about five eggs, and some ten cocoons are produced. Each cocoon is fixed to a submerged object, or in the case of terrestrial leeches, deposited under a stone or buried in damp soil. The cocoon of Hemibdella soleae is attached to a suitable fish host. The glossiphoniids brood their eggs, either by attaching the cocoon to the substrate and covering it with their ventral surface, or by securing the cocoon to their ventral surface, and even carrying the newly hatched young to their first meal. When breeding, most marine leeches leave their hosts and become free-living in estuaries. Here they produce their cocoons, after which the adults of most species die. When the eggs hatch, the juveniles seek out potential hosts when these approach the shore. Leeches mostly have an annual or biannual life cycle ------------------------------ Date: Wed, 21 Oct 2020 06:02:34 -0400 From: "Customer Survey" Subject: CashApp Rewards - $100 Value. Participation Required CashApp Rewards - $100 Value. Participation Required http://remediesbook.co/wJjhQrC9ymusDWWX-Pv90zjWhm0lpLSW6ERJs5Yfgce53oTh http://remediesbook.co/UxPpXXcgiwMUuYFVJm8G8HI1RCUx42BdPA1rdEzZbJ9K2Vpr Within medical circles, specialities usually fit into one of two broad categories: "Medicine" and "Surgery." "Medicine" refers to the practice of non-operative medicine, and most of its subspecialties require preliminary training in Internal Medicine. In the UK, this was traditionally evidenced by passing the examination for the Membership of the Royal College of Physicians (MRCP) or the equivalent college in Scotland or Ireland. "Surgery" refers to the practice of operative medicine, and most subspecialties in this area require preliminary training in General Surgery, which in the UK leads to membership of the Royal College of Surgeons of England (MRCS). At present, some specialties of medicine do not fit easily into either of these categories, such as radiology, pathology, or anesthesia. Most of these have branched from one or other of the two camps above; for example anaesthesia developed first as a faculty of the Royal College of Surgeons (for which MRCS/FRCS would have been required) before becoming the Royal College of Anaesthetists and membership of the college is attained by sitting for the examination of the Fellowship of the Royal College of Anesthetists (FRCA). Surgical specialty Main article: Surgery Surgeons in an operating room Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate or treat a pathological condition such as disease or injury, to help improve bodily function or appearance or to repair unwanted ruptured areas (for example, a perforated ear drum). Surgeons must also manage pre-operative, post-operative, and potential surgical candidates on the hospital wards. Surgery has many sub-specialties, including general surgery, ophthalmic surgery, cardiovascular surgery, colorectal surgery, neurosurgery, oral and maxillofacial surgery, oncologic surgery, orthopedic surgery, otolaryngology, plastic surgery, podiatric surgery, transplant surgery, trauma surgery, urology, vascular surgery, and pediatric surgery. In some centers, anesthesiology is part of the division of surgery (for historical and logistical reasons), although it is not a surgical discipline. Other medical specialties may employ surgical procedures, such as ophthalmology and dermatology, but are not considered surgical sub-specialties per se. ------------------------------ Date: Wed, 21 Oct 2020 03:28:06 -0400 From: "Survey Recruitment Center" Subject: Take Surveys, Get Paid! Take Surveys, Get Paid! http://relaxical.buzz/WfztV7Jv6NxOUUPaz1-WIYRhru1V9mtwrr0CgFH8MiF2jYvq http://relaxical.buzz/tlAMMuxdGy9SAudDryEeR_9UZ8c9vjH17X3KP3TgDK4pJg closely related to the oligochaetes, which include the earthworm, and like them have soft, muscular, segmented bodies that can lengthen and contract. Both groups are hermaphrodites and have a clitellum, but leeches typically differ from the oligochaetes in having suckers at both ends and in having ring markings that do not correspond with their internal segmentation. The body is muscular and relatively solid, and the coelom, the spacious body cavity found in other annelids, is reduced to small channels. The majority of leeches live in freshwater habitats, while some species can be found in terrestrial and marine environments. The best-known species, such as the medicinal leech, Hirudo medicinalis, are hematophagous, attaching themselves to a host with a sucker and feeding on blood, having first secreted the peptide hirudin to prevent the blood from clotting. The jaws used to pierce the skin are replaced in other species by a proboscis which is pushed into the skin. A minority of leech species are predatory, mostly preying on small invertebrates. The eggs are enclosed in a cocoon, which in aquatic species is usually attached to an underwater surface; members of one family, Glossiphoniidae, exhibit parental care, the eggs being brooded by the parent. In terrestrial species, the cocoon is often concealed under a log, in a crevice or buried in damp soil. Almost seven hundred species of leech are currently recognised, of which some hundred are marine, ninety terrestrial and the remainder freshwater. Leeches have been used in medicine from ancient times until the 19th century to draw blood from patients. In modern times, leeches find medical use in treatment of joint diseases such as epicondylitis and osteoarthritis, extremity vein diseases, and in microsurgery, while hirudin ------------------------------ Date: Sun, 18 Oct 2020 09:09:50 -0400 From: "Erase foot pain" Subject: Relieve tired feet and legs with CopperZen Compression Socks Relieve tired feet and legs with CopperZen Compression Socks http://miraclelife.guru/xXLVQ3lfID08tuZyflZVxTN6Y1lTT8w9lFDIHP7romFLWCdv http://miraclelife.guru/6hlNvP3EjdGvkQaNkrHLjtmSi-2hH2lxBeh39J7QRVeWZ4bh ns, has a somewhat higher rainfall and is, therefore, more cultivated than the Great Karoo. The Little Karoo is historically, and still, famous for its ostrich farming around the town of Oudtshoorn. The lowland area (700b800 m above sea level) to the north of the Swartberg mountain range up to the Great Escarpment is the lowland part of the Great Karoo (see map at top right), which is climatically and botanically almost indistinguishable from the Karoo above the Great Escarpment. The narrow coastal strip between the most seaward Cape Fold Mountain range (i.e., the LangebergbOuteniqua mountains) and the ocean has a moderately high year-round rainfall, especially in the George-Knysna-Plettenberg Bay region, which is known as the Garden Route. It is famous for the most extensive areas of indigenous forests in South Africa (a generally forest-poor country). In the south-west corner of the country, the Cape Peninsula forms the southernmost tip of the coastal strip which borders the Atlantic Ocean and ultimately terminates at the country's border with Namibia at the Orange River. The Cape Peninsula has a Mediterranean climate, making it and its immediate surrounds the only portion of Africa south of the Sahara which receives most of its rainfall in winter. The greater Cape Town metropolitan area is situated on the Cape Peninsula and is home to 3.7 million people according to the 2011 population census. It is the country's legislative capital. Spring flowers in Namaqualand The coastal belt to the north of the Cape Peninsula is bounded on the west by the Atlantic Ocean and the first row of northbsouth running Cape Fold Mountains to the east. The Cape Fold Mountains peter out at about the 32B0 S line of latitude, after which the coastal plain is bounded by the Great Escarpment itself. The most southerly portion of this coastal belt is known as the Swartland and Malmesbury Plain, which is an important wheat growing region, relying on winter rains. The region further north is known as Namaqualand, which becomes more and more arid as one approaches the Orange River. The little rain that falls tends to fall in winter, which results in one of the world's most spectacular displays of flowers carpeting huge stretches of veld in spring (AugustbSeptember). South Africa also has one possession, the small sub-Antarctic archipelago of the Prince Edward Islands, consisting of Marion Island (290 km2 or 110 sq mi) and Prince Edward Island (45 km2 or 17 sq mi) (not to be confuse ------------------------------ Date: Sun, 18 Oct 2020 05:49:22 -0400 From: "Eliminate fat Fast" Subject: No Diet or Exercise AND Still Lose Weight No Diet or Exercise AND Still Lose Weight http://massi.guru/vZqOyQNH8_NX6EjBQbqmV-KtlxKlSxK2zW9bmW2pzFLz2XFV http://massi.guru/r2QBRQQ8h6V87Q6BWkYgTvYgY96sjF5Lz0Kd3Ai9XR6K2-eh liamentary republic, although unlike most such republics the President is both head of state and head of government, and depends for his tenure on the confidence of Parliament. The executive, legislature and judiciary are all subject to the supremacy of the Constitution, and the superior courts have the power to strike down executive actions and acts of Parliament if they are unconstitutional. The National Assembly, the lower house of Parliament, consists of 400 members and is elected every five years by a system of party-list proportional representation. The National Council of Provinces, the upper house, consists of ninety members, with each of the nine provincial legislatures electing ten members. After each parliamentary election, the National Assembly elects one of its members as president; hence the President serves a term of office the same as that of the Assembly, normally five years. No President may serve more than two terms in office. The President appoints a Deputy President and Ministers, who form the Cabinet which consists of Departments and Ministries. The President and the Cabinet may be removed by the National Assembly by a motion of no confidence. In the most recent election, held on 8 May 2019, the ANC won 57.5% of the vote and 230 seats, while the main opposition, the Democratic Alliance (DA) won 20.77% of the vote and 84 seats. The Economic Freedom Fighters (EFF), founded by Julius Malema, former President of the ANC's Youth Wing (ANC Youth League) who was later expelled from the ANC, won 10.79% of the vote and 44 seats. The ANC has been the governing political party in South Africa since the end of apartheid. South Africa has no legally defined capital city. The fourth chapter of the Constitution of South Africa, states that "The seat of Parliament is Cape Town, but an Act of Parliament enacted in accordance with section 76(1) and (5) may determine that the seat of Parliament is elsewhere." The country's three branches of governm ------------------------------ End of alt.music.moxy-fruvous digest V14 #5169 **********************************************