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417 Third Avenue Albany, Georgia 31701(229) 312-1000
2000 Palmyra Rd. Albany, Georgia 31701(229) 434-2000
126 Hwy. 280 West Americus, Georgia 31719(229) 924-6011
807 S. Isabella St. Sylvester, Georgia 31791(229) 776-6961
361 Randolph St. Cuthbert, Georgia 39840(229) 732-2181
To receive the best care for heart failure, talking frankly with your health care team is a good place to start. It's also helpful to know about a resource published by health experts that outlines treatment plans recommended for patients with chronic heart failure.
Since 1980, the American College of Cardiology and the American Heart Association have jointly published clinical guidelines to help health care providers create good care plans for their patients. The guidelines are based on scientific research and medical evidence. One set of guidelines, published in 2013, is the 2013ACCF/AHA Guideline for the Management of Heart Failure.
The guidelines are written for medical people, so the language is technical and focuses on clinical information. As a patient, understanding the basics of the guidelines can help you take a more active role in your treatment. You'll also be able to ask questions that can help you receive the best care.
The guidelines offer tips for health care providers on performing a thorough checkup to detect heart failure and to evaluate how serious it is. They guide the health care provider in what symptoms to look for and what screenings may be needed (such as lab or exercise tests) to gather more information.
According to the guidelines, a person who is at risk for or who has heart failure falls into one of the following stages of the disease:
Stage A: A person who is at high risk for heart failure, but has no problem with his or her heart structure and does not have symptoms of heart failure
Stage B: A person who has a problem with his or her heart structure, but does not have symptoms of heart failure
Stage C: A person who already has, or who has had in the past, heart failure symptoms, which have to do with structural heart disease
Stage D: A person who has end-stage heart disease; this is the most serious stage
Only people in stages C and D are already in heart failure. There is an additional set of categories for the management of these people, called the New York Heart Association functional classification, which should not be confused with the ACCF/AHA staging method.
The guidelines suggest specific treatments and actions for each stage. Once you know the stage you are in, you can learn which treatments the guidelines suggest. For example, for people in Stage A, suggested actions focus on treating risk factors, such as high blood pressure, smoking, and drinking. For all stages, the guidelines suggest specific medicines and certain medical tests or procedures.
The guidelines also advise health care providers to take a "multidisciplinary approach" to your care. This means that, rather than working alone to treat you, your health care provider teams up with other health care specialists, such as nurses, exercise physiologists, and smoking-cessation experts. Your health care team may suggest that you participate in support groups or visit certain specialists to help you make lifestyle changes to manage heart disease.
The guidelines are designed to apply to most patients in most cases. They give health care providers a range of treatment options. The ultimate decisions rest with the health care provider and with you. Remember that you are the most important member of your health care team. Asking questions about your treatment is smart and responsible. It's your right to know your health care team's goals for you--and how clinical guidelines compare with your care plan.
The third-party content provided in the Health Library of phoebeputney.com is for informational purposes only and is not designed to diagnose or treat a health problem or disease, or replace the professional medical advice you receive from your physician. If you or your child has or suspect you may have a health problem, please consult your primary care physician. If you or your child may have a medical emergency, call your doctor or 911 or other emergency health care provider immediately in the United States or the appropriate health agency of your country. For more information regarding site usage, please visit: Privacy Information, Terms of Use or Disclaimer.
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Ernest Walbourn was born in Middlesex in 1872. His father initially wanted him to become an architect, but soon relented and converted the shed at the bottom of the familys garden into a studio for his son.
After numerous exhibits at the Royal Academy, Walbourn married Eva Knight, who was to provide both help and encouragement in his career. She often assisted him in painting the backgrounds of his larger works and later became an accomplished amateur painter of garden scenes.
Walbourn's work was in the classic tradition of Victorian landscape painting and earned him considerable popularity within his lifetime. He painted almost exclusively in oils and even his preparatory sketches were in this medium, such was his skill. His subjects were taken from the English countryside which he knew so well, and in particular from the Southern Counties, Wales and the West Country. Walbourn died in 1927.
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Gives the frame its character and provides the perfect setting for an artwork to be fully enjoyed.
Protects the artwork from dust and wilting so that it can be admired for many years.
Adds depth to an image and works with the moulding to enhance and protect the artwork.
Bonds to the artwork ensuring it is perfectly smooth and holds the whole frame together.
We partner with the world's top museums and galleries to bring you exclusive prints of the highest quality. Our teams of designers ensure the colours are accurate, papers are well suited and the best frames are suggested.
In the printing room, artworks are printed on state-of-the-art machines with a team of technicians checking colour and quality every step of the way.
After being cut down to size, our team carefully finish any stray edges, check measurements and prepare the prints for mounting and framing.
We have a team of master framers who work with high-quality, responsibly-sourced wood to create our vast range of framing combinations - each frame is bespoke and made to order for every print.
Our selection of hand-finished frames are painted or stained by hand in a variety of colours, and finished with a layer of wax - the end result is a uniquely crafted, beautiful frame that is made to last.
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The artwork is carefully mounted in preparation for framing.
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After a final, thorough check, the framed print is ready to be carefully packaged up and shipped to the customer.
For those who order their art as canvas prints, the same amount of attention and care goes into the process. Here, the print is being transferred to a wooden frame.
As with the framed prints, our canvases are all hand-finished in the workshop - a labour of love from start to finish.

subset: commoncrawl


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Search pictures and profiles of Senior Singles near you right now. Discover how online dating sites make finding singles in the United States, Canada, and all over the world simple, safe and fun! Once you browse profiles and pictures start flirting, messaging and connecting with other members of the SeniorPeopleMeet.com community. Search today and find other sexy, intelligent singles for casual dating or a serious relationship in your area.Search Single Senior Men | Search Single Senior Women
A little about me...
I love to go to places like art galleries, dances, museums, UP TOWN THEATER, great places to eat and have started to read and anything that has to do in the great outdoors,I have friends that tell me that I am very out going that I can talk to anyone. Never meet a stranger. I am very much into karate. I study 20 hours a week of Hawaiian Kempo . I also through in a little boxing in the mix as well! it also keep me sharp and limbers me up, do a lot of stretching also. I have a goal to start teaching self defense I am a very committed person.
About the one I'm looking for...
I will know it when my heart and soul tells me!
I'd just like to add...
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TA Training in Leeds from introduction to advanced TA training which can lead to TA psychotherapy qualifications with EATA and UKCP registration.
Special UK Workshops in 2015 - series of special 2 days workshops
TA Psychotherapy in Leeds - Individual and group psychotherapy, for personal change and healing the hurt of the past to live freely in the present.
TA Supervision and exam prep for trainees and qualified psychotherapists, counsellors, supervisors and coaches.
TA Coaching - Leadership development and executive coaching for groups or individuals. Conflict management and team development.
Email - email@example.com
YTC international - We have approximately 120 members of various TA training and psychotherapy groups in 4 countries: UK, Germany, Romania and Czech Republic.
All training is recognised by the European Association of Transactional Analysis, YTC is a registered ITA training centre, and the coaching course is accredited by the DGTA (The German Association of Transactional Analysis)
TA 101 & TA training in the UK commencing with the "101" on October 8/ 9th
TA coaching and leadership practice - New course in 2015 with Uta Höhl TSTA
Congratulations: Nicoleta, who qulaified in 2014 and Diana 2103 from Bucharest on passing their CTA examinations and also Sorin and Cristina from Timisoara who passed their CTA exams in July 2012.
Uta's book on mentoring is now in it's second edition.
Dave acting as the exam supervisor is pictured with one of the successful candidates at the CTA examinations in April 2013. See the photos at: www.ta-psychotherapy.co.uk/ita/index.html


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Facing a Disruptive BeastPosted by on September 9, 2009 – 1:40 pm
The Vikings play an unfamiliar opponent to open the season on Sunday. In fact, the Vikings and Browns have met just twice since 1995 and only 13 times in their history. But Vikings Head Coach Brad Childress and his squad will see a familiar face lining up against them in Cleveland.
DT Shaun Rogers, who was a member of the Lions from 2001 to 2007 and is a 3-time Pro Bowler, is now with the Browns and has been just as disruptive for opposing AFC offenses as he was for the Vikings and the rest of the NFC. At 6-4, 350 pounds, Rogers would fit in quite well between the likes of Kevin Williams and Pat Williams. The problem for the Vikings is that he won't be between the Williams Wall; he'll be lining up against 1st-year starter John Sullivan.
During his press conference today, Childress acknowledged Rogers' dominating presence on the Browns defense and said that even though he hasn't played in the preseason this year, the Vikings still have their mind on the powerful DT.
"What we know is that obviously he can be a powerful man inside there and be very, very disruptive, particularly for a first-time starting center," Childress said. "He knows, we know. [We] just have to be able to deal with it. I would say this: it's a good thing to be able to block a guy like Pat Williams every day in practice. It's not like we're blocking a piece of paper in there every day for a guy like John Sullivan."
Going against Rogers will be a new experience for Sullivan, who will take over for Matt Birk as the Vikings starter at center. But RG Anthony Herrera has played against Rogers and has recently watched film of the former Lion.
"He is still a dominant player," Herrera declared with conviction. "What makes him a dominant player is his combination of size, speed and strength. The man is just a big beast. He hasn't played this preseason because he's had some injuries. But he'll be ready for us. It's the first game of the season, it's the Vikings, a team he loves to play against. He's going to be ready."
Tags: Anthony Herrera, John Sullivan
Posted in All, Mike Wobschall | No Comments »


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Authors: Kyle, Kathryn
Title: Respect
Publisher: Chanhassen, MN : Child's World, c2003
Characteristics: 32 p. :,ill. (chiefly col.) ;,24 cm
Statement of Responsibility: by Kathryn Kyle
Notes: "A level three reader."
Summary: Suggests ways of showing respect for your school, friends, country, family, the environment, and others.
Branch Call Number: j 179.9 K99r 2003 Beginning Facts
Bibliography: Includes bibliographical references (p. 31) and index
Subject Headings: Respect Juvenile literature
Topical Term: Respect
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November 28, 2014
NASHVILLE, Tenn. (AP) -- A proposal that would prohibit smoking within 25 yards of a hospital was among several that failed in House Agriculture committees and are likely dead for the session.
The measure sponsored by Rep. Johnny Shaw, a Bolivar Democrat, failed 9-6 in the Agriculture Committee on Tuesday, while the others either failed or were taken off notice in an earlier subcommittee.
The companion to Shaw's measure failed in the Senate earlier this month, even though Shaw said it would have been reconsidered had the measure passed committee.
Opponents of the legislation say it's not necessary because hospitals can currently set such bans without a statewide mandate.
(Copyright 2008 by The Associated Press. All Rights Reserved.)
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http://apcmag.com –
Finally, that "Foxtel on your mobile" service has something worth watching...
(IT news)
Starting today, Monday 7 June, Telstra is streaming ABC1 and SBS One TV channels over the Mobile Foxtel service on its Next G network.
Telstra will launch, next Sunday June 26, a range of Foxtel content to users of its T-Box connected to Telstra's cable broadband services, with the same offering to be available over Telstra ADSL a couple of months later, all quota free.
Telstra has released a range of mobile plans saying they "follow the creation last month of Telstra Digital, a new business unit to expand expand Telstra's online self-service offerings."Telstra announced in February that it would create a new online customer service unit within Telstra Consumer that will "design and operate online self-service platforms that give customers the option of performin
The nation's number two telco Optus yesterday raised concerns about Foxtel's multi-billion dollar bid to acquire fellow pay TV operator Austar, claiming the merger would strengthen rival Telstra's ability to exploit bundled services. However, not everyone agrees with the SingTel subsidiary.
Microsoft and Foxtel today revealed that the cable TV platform would be offered as a streaming and video on demand service directly through Microsoft's Xbox 360 console.
With Foxtel already Australia's premier pay TV service, available on its own iQ2 boxes and the Xbox 360, Foxtel's 50% owner is set to unveil Foxtel on its own T-Box from Sunday the 27th of June.
The Australian Competition and Consumer Commission has given the go-ahead for the acquisition of satellite TV provider AUSTAR by cable network FOXTEL paving the way for half Telstra owned provider to assume a dominant position in the pay TV space. The ACCC gave its blessing for the merger to proceed after accepting court-enforceable undertakings from FOXTEL.
Insurance and banking company Suncorp has picked Telstra as its sole provider of mobile voice and data services for the next three years.
Written by: Alex Zaharov-Reutt | Published in: EntertainmentIf you're an existing Foxtel customer through satellite or cable, you can now watch up to 21 live Foxtel channels on your iPad, but only if you already subscribe to them – with Foxtel on Xbox 360, Internet TV or T-Box subscribers sadly excluded from Foxtel's iDelivered fun.


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Save to My Recipes
Thai Coconut Tapioca Pudding with Cayenne-Spiced Mango
Servings: Makes 6
- 1 2x1-inch piece fresh ginger, peeled, sliced
- 1 1x1-inch piece fresh galangal,* peeled, sliced
- 10 Thai basil leaves*
- 6 fresh cilantro sprigs
- 2 kaffir lime leaves* or 2 teaspoons grated lime peel
- 1 tablespoon sliced lemongrass*
- 2 cups water
- 2 cups whole milk
- 1/2 cup sugar
- 1/2 cup small pearl tapioca* (not quick-cooking)
- 1 13.5- to 14-ounce can unsweetened coconut milk*
- 1 large mango, peeled, cut into cubes
- 1 tablespoon fresh lime juice
- Pinch of cayenne pepper
- Thai basil sprigs
PREPARATIONView Step-by-Step Directions
Combine first 6 ingredients in food processor; blend 20 seconds. Transfer to medium saucepan; add 2 cups water and bring to boil. Remove pan from heat and let steep uncovered 20 minutes. Pour mixture into strainer set over heavy large saucepan; press on solids to release flavored liquid. Discard solids in strainer.
Add milk and sugar to flavored liquid in pan; bring to boil. Stir in tapioca; return to boil. Reduce heat to medium and simmer uncovered until pudding thickens and is reduced to 2 1/4 cups, stirring frequently, about 35 minutes. Stir in coconut milk (pudding will be runny). Transfer to bowl. Cover and refrigerate overnight.
Toss mango cubes, lime juice, and cayenne in medium bowl. Divide tapioca among 6 stemmed glasses or bowls. Top with mango mixture; garnish with basil sprigs.
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The BHI SBIR/STTR Federal Funding Assistance offers biohealth companies support in preparing applications for federal funding inclusive of SBIRs, STTRs, and other federal government awards. Companies submit their federal funding concepts and receive pre-proposal feedback to help troubleshoot and strengthen your application. Further support from professional consultants and service providers is available to assist in improving your application.
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Obama's Support for Marriage Equality Barely Caused a Ripple
They told us it would change everything. That it would carry with it destruction and chaos. They told us there would be nothing but tragedy in its wake.
But now it seems as though support for gay marriage will have about as much political effect as gay marriage itself has on society. Which is to say, not much at all…
Two weeks after President Obama announced he supports gay marriage, a new NBC News/Wall Street Journal poll shows that his announcement — politically — looks to be a wash.
In the poll, a combined 17 percent say it makes them "much more likely" or "somewhat more likely" they will vote for him. That's compared with a combined 20 percent who say the announcement will make them more likely to vote for Mitt Romney, who opposes gay marriage.
Perhaps more importantly, 62 percent say the president's support for gay marriage doesn't make a difference in their vote — including 75 percent of independents, 76 percent of moderates, 81 percent of African Americans, and 65 percent of residents in the Midwest.
Interesting! Of course, there's plenty of time between now and November for Western Civilization to come crashing down in a big gay avalanche of matrimonial carnage and life-partnering smithereens. And should that happen, it may shake the polls.
Photo by David McNew/Getty Images News/Getty Images
Tags: Barack Obama, LGBT, Marriage Equality, Polls
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