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Continuously seek for pardon exams to endeavor out different things. Cosmetics responds diversely upon different pores and skin varieties and it is savvy to situate out which items may have a damaging effect back going by way of large amounts of cash. There isn't a marvel item that works for everybody correspondingly be gracious to test every little thing.
Within the occasion that you'll be open air for a long age of time, you must splash your hair previous a sunscreen bathe to watch your hair and scalp from the solar's harming beams. Sunscreen bathe will forestall your hair shading from blurring and can watch your scalp from solar harm.
Consuming bounty water day by day does some unimaginable issues in your skin. Consuming tolerable water is okay for hydrating your pores and skin. It'll end sun harm. It will think of the cash for you extra helpful skin.
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Cereal can be utilized as a wise shed on your level and physique. make a cereal veil by conveniently becoming a member of cup oats and cup water and cooking it for a few moments. After it cools, apply to your methodology and grant to sit for 10 to 20 minutes. To make the most of the cereal previous your whole physique, naturally place a few scoops into your shower water and let it douse since transferring in.
Put on a sunscreen cream like a SPF of at any fee 15 and has the mastery to sq. UVA and UVB beams. Apply to the skin previous entering the solar (in any occasion 20 minutes forward of time).
To spare skin wanting younger, take a stab at using cabbage juice to repair skin and forestall wrinkles. endure a half-cup of cabbage and crush down it to remove the juice. Apply the juice to your face and permit it plain completely before washing it off past excessive temp water. Using the cabbage juice, as portion of your healthy skin schedule, manufactures house and repair skin even supposing working to forestall these wrinkles.
On the off likelihood that you've teetotal pores and skin, select a rich facial chemical. Bar cleansers can regularly be unequivocally airing to the viewpoint and can exhaust effectively teetotal skin of much required dampness. make optimistic you are not washing your course repeatedly. For an ideal many individuals, washing their level merely behind a day is adequate.
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Whereas a long, steaming bathe or bathe might be completely engaging interested by you've simply present up in from a crisp winter's day, maintain a strategic distance from the impulse to soak up the tub or stay beneath the bathe for a very very long time. An excess of high temp water will austere out your pores and skin and lead to more harm.
In the wake of shaving, a cream is important to saturate the skin and forestall disturbance. Before you permit your skin to get teetotal and disturbed, utilize a pores and skin salve to improve the dampness it wants. Having moisturizer promptly shut by can maintain your pores and skin from the chance of getting excessively dry, and can spare you from having to cut price desirous about the throbbing that originates from having dried out skin.


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Scratching comes from the English word "scratch", which means "scratch." What does this have to do with endometrium? Endometrial scratching procedure is recommended for women before IVF.
IVF is prescribed to women who are not able to get pregnant themselves. The reasons for this can be many: from hormonal disruptions to the simple incompatibility of partners. The procedure is quite expensive, so every woman wants to get pregnant when she first attempts artificial insemination. In order to make this wish come true, doctors decide to "wake up" the endometrium with scratching.
Let's take a closer look at the essence of the procedure, its features and possible complications.
What is endometrial scratching and what is it done for?
Endometrium scraping is incisions or, to be more precise, scratches on the inner layer of the uterus. This procedure is quite simple and safe. The most important thing is that it increases the chance of successful IVF by 2 times! Why scratch the inner shell? According to observations, the best place for implantation of the fetus is the back wall of the uterus. It is in that part that the layer is incised. What does this give?
- stickiness of a uterine layer increases,
- additional hormones are produced,
- the embryo is often attached to the damaged surface.
These studies were conducted by Brazilian scientists. After applying this additional method, the birth rate of healthy children after IVF increased by one third.
The main advantages of endometrial scarring:
- security,
- quickness of the procedure
- lack of special training
- painlessness
- The procedure is performed on an outpatient basis.
- very high efficiency indicators.
Indications and contraindications for scratching
The main indication for scratching is an unsuccessful attempt of IVF and ICSI. Often, the procedure of artificial insemination is carried out more than once. And if the woman has not caught the embryo from the first time, when she tries again, she is scratched to increase the chances of pregnancy.
However, the procedure has contraindications. It is contraindicated for those who have inflammatory processes in the cervical canal.
Of course, if a woman has contraindications for IVF, then scratching is contraindicated. What are the limitations?
- Problems with fallopian tubes. If a woman has adhesions in the tubes, then before performing IVF, she should undergo laparoscopy.
- Severe diseases in which childbirth is contraindicated: heart disease, renal and hepatic failure.
- Pathology of the uterus.
- Cancer in any part of the body is a complete contraindication for labor.
- Diabetes mellitus of severe types.
- Psychoemotional serious disorders.
These are absolute contraindications. There are still limitations in which IVF and scratching are contraindicated, but the procedure is possible when troubleshooting. The following are the relative limitations:
- infectious conditions
- severe infectious conditions (AIDS, hepatitis, tuberculosis, etc.),
- benign lesions in the pelvic organs that require surgery,
- chronic diseases in the acute stage,
- recent injuries, surgery.
After stabilization of a woman's health, she can be scratched followed by IVF.
Methods for endometrial scratching in preparation for IVF
Thus, the IVF method implies the embryo insertion into the uterus for bearing and giving birth to a child in the usual way. It depends on whether this process is successful, whether the woman becomes a mother or whether she will have to carry out the procedure again and again. To create a favorable background, it is very important to scratch properly and choose the right time for this. Let us analyze the procedure in order.
Dates of the procedure
This process is carried out on a specific day. The date is chosen by the doctor. What does he focus on?
First, the thickness of the endometrium. For favorable conception, there is a standard for the thickness of the inner layer, which contributes to the implantation of the embryo.
Secondly, the date will be closest to the date of the IVF itself. After all, if you make this procedure long before the planning of IVF, then the scratches will have time to heal and will not give the desired result.
Hence the conclusion: the application of notches on the endometrium is carried out almost before the IVF process itself.
The procedure is painless, so it does not need anesthesia. However, a woman may experience some discomfort after the procedure. There may be pain and cramps. In this case, a woman can drink No-shpu or Spazmalgon. Such discomfort does not last long, and the woman quickly returns to her normal pace of life.
A woman is treated with an antiseptic cervix. After the soft tube is inserted into the cervical canal and the piston is released half its length. With this tool, the doctor as if scratches the surface of the uterus, forming incisions in the reservoir. When incising, a woman may feel some discomfort or cramps, but this quickly passes. After the procedure, the woman may observe a slight bleeding.
How does endometrial scratching affect IVF results?
This procedure has only a positive effect on the fertilization process! It doubles the chance of pregnancy. Due to damaged endometrium, the embryo will attach to the wall of the uterus with a higher probability than to a smooth one. Why is that? Because in the place of incisions of the endometrium increased blood supply. The embryo will choose this place for itself to better feed itself. The procedure is suggested to be done to all women who have gone to the step of artificial insemination.
Since the procedure is carried out according to the method of mechanical damage to the mucous membrane, there is a small chance of introducing the infection into the inner layer. In order to avoid this, anti-inflammatory and antibacterial drugs are prescribed immediately after scratching. It is recommended to do the procedure in a proven clinic with an experienced doctor who is aware of all the risks and knows how to avoid them. In this case, no complications will arise.
How often can the endometrium be scratched?
This procedure has no limitations. It can be carried out as long as necessary for successful fertilization.
Doctor's comment
Do you dream of a child, but you have had unsuccessful IVF attempts? Endometrial scratching is a procedure that doubles the likelihood of successful implantation during embryo transfer to the uterus. Moreover, the duration of the procedure itself is no more than a couple of minutes. For its implementation does not need complex training, the absence of pain allows the procedure without the use of anesthesia, thanks to the use of a thin catheter whose diameter does not exceed 3 mm, there is no need to expand the cervical canal. The procedure is carried out on an outpatient basis, immediately after the intervention, you can go home. In addition, after endometrial scratching, there is virtually no risk of complications. If you are only planning an examination, you can undergo comprehensive diagnostics in our clinic, the most modern equipment is available for patients. With us, the diagnosis of infertility ceases to be a sentence! The best methods of treatment have already helped hundreds of our patients, therefore, do not delay the opportunity to become a happy parent, make an appointment!
Head of the Department of Gynecology Lyubimova Elena Anatolyevna
Why is endometrial scratching in preparation for IVF better done at the Swiss University Hospital?
- We were one of the first in the country who began to carry out this procedure, on account of our gynecologists about 600 interventions performed, ending with the birth of a child with a previously diagnosed infertility.
- The specialists of our Center have tremendous experience in treating patients with gynecological pathologies, each specialist perfectly knows more than 100 methods of treatment according to his specialization.
- Our clinic is equipped with the most modern equipment that allows women to undergo examination and treatment according to the standards of European clinics.
- Each woman in our clinic can undergo the full range of diagnostic and treatment activities: from primary treatment to treatment - all in one place, own laboratories, operating rooms, equipped with expert class equipment and professionals, including well-known experts abroad, to the services of any patient.
How do endometrial scratching in preparation for IVF?
During the procedure, there is no need to expand the cervical canal, since the thinnest catheter is used, the diameter of which does not exceed 3 mm. Therefore, the procedure is painless, its duration is not more than two minutes. Inside the catheter there is a piston, which, after insertion into the uterine cavity, is drawn in half. Due to the negative pressure created, the particles of the endometrium are drawn into the inside of the catheter. At this point, the woman may feel a little discomfort, which quickly passes. At the end of the procedure, slight bleeding is possible, which also passes on its own. After manipulation, spasms may occur that go away on their own, however, they can be stopped easily with the help of drugs prescribed by the doctor. Immediately after the procedure, a woman can leave the clinic.
Are there any complications during endometrial scratching?
Theoretically, there is a slight risk of infection of the mucous membrane of the uterus in the presence of an inflammatory process in the cervical canal. Therefore, after the procedure, it is possible to prescribe antibacterial drugs. However, in our clinic, manipulation is carried out after a thorough examination of the woman, so the risk of complications is excluded.
Ph.D., professor
Board Member AGE Arbeitsgemeinschaft Gynäkologische Endoskopie e.V. (Association for Gynecological Endoscopy) of the German Society of Gynecology and Obstetrics (DGGG), since 2009. Member of the Board of the European Society of Gynecological Surgery, responsible for international cooperation.
Head of the Department of Gynecology
Extensive practical experience in the surgical and conservative treatment of patients with different genital and extragenital pathologies. Owns many types of conservative and surgical treatment of patients with endometrial pathology, benign ovarian neoplasms, infertility, uterine myoma, endometriosis, and pelvic inflammatory diseases.
Owns hysteroscopy, separate diagnostic curettage, colposcopy, treatment of cervical pathology using radio wave technologies, ultrasound diagnostics. Over the years, she gained experience in managing pregnant women.
Ph.D. professor obstetrician-gynecologist, endosurgeon
Obstetrician-gynecologist, endosurgeon,
Doctor of Medical Sciences,
Professor of the Department of Obstetrics, Gynecology and Reproductive Medicine FPK MR RUDN,
Head of the international scientific and clinical program and training courses in laparoscopy and hysteroscopy for doctors, master class
Head of the project of high technologies of the University group of clinics "I am healthy"
What should be the endometrium for IVF?
What should be the endometrium for IVF? The probability of successful implantation of the blastocyst in the uterus depends mainly on the function and thickness of the endometrium.
Qualitative changes (receptivity, the presence of pinopodia) can be determined only when performing a biopsy, which is done only by indications. But the change in thickness is easily monitored by ultrasound.
How much should endometrium be with IVF? Optimally - from 9 to 11 mm at the time of embryo transfer. If it is more than 14 or less than 8 mm, the chances of a successful IVF are significantly reduced. Endometrium 16 mm, as well as 6 mm, with a high degree of probability will lead to the failure of an in vitro fertilization attempt.
If a doctor sees an endometrium on ultrasound, the rate of which does not meet his expectations, embryo transfer is canceled.
How to improve the endometrium before IVF?
The preparation of the endometrium for IVF in the stimulated cycle is carried out in conjunction with the stimulation of superovulation. The drugs prescribed to the woman not only contribute to the maturation of the eggs, but also form the inner layer of the uterus.
When carrying out the procedure in the natural cycle, the endometrium for IVF can not be prepared at all. He himself grows to a normal thickness, if a woman has no dishormonal diseases. The doctor only tracks his growth by ultrasound.
In cryoprocoles on HRT, endometrial preparation is carried out with the help of drugs of esrogens (Proginova, Divigel) and progesterone (Utrozhestan).
Some patients are prescribed scratching of the endometrium, otherwise grooving. IVF in this case is more likely to end with the successful implantation of the embryo in the uterus with an increased thickness of the endometrium. The essence of the procedure consists in applying several incisions (scratches) on the endometrium. In the IVF protocol, scratching / grooving is carried out shortly before embryo transfer.
Endometrial pathology in IVF
The culprit failure in vitro fertilization can be a bad endometrium. IVF in this case is not carried out until the end of treatment of the disease, which has caused pathological changes in the inner layer of the uterus.
It may be observed too weak, or on the contrary, excessive growth of the endometrium. IVF with a high probability becomes ineffective in both cases, if not to take measures to restore the endometrium of the uterus. IVF is prescribed only after treatment and control of its effectiveness using instrumental methods of diagnosis.
Endometriosis, polyps, diffuse or focal hyperplasia of the endometrium can be the cause of excessive growth of the inner layer of the uterus, and IVF in this case is carried out only after hormonal treatment. There may be a need for surgery.
Endometrial hysteroscopy before IVF allows you to remove polyps, foci of internal endometriosis, but the fertilization procedure will have to be postponed until the end of the rehabilitation period, the restoration of the menstrual cycle and the structure of the inner layer of the uterus.
Endometrium before IVF may be on the contrary, too thin. This is a consequence of dyshormonal disorders, damage to the basal layer of the endometrium when performing medical manipulations (for example, surgical abortion), hypoplasia, or inflammatory diseases of the inner layer of the uterus, accompanied by atrophic processes.
How to prepare endometrium before IVF for pathology?
In the case of a pathological increase or decrease in the thickness of the endometrium, the disease is diagnosed, and then treatment is prescribed. Bacteriological examination of the endometrium, hysteroscopy and endometrial biopsy are used for the diagnosis. Before IVF, these methods allow you to identify the cause of the pathological process.
Endometrial biopsy before IVF can be performed simultaneously with hysteroscopy. If the doctor does not consider it necessary to prescribe an examination of the uterus with a hysteroscope, a pipel biopsy of the endometrium is performed before IVF.
This manipulation has only one goal - to take a piece of tissue for analysis (histology). Such a biopsy is performed in one minute. It is minimally invasive, and therefore does not require anesthesia.
Vitro Clinic patients are provided with a wide range of studies on the identification of endometrial pathology: from laboratory to instrumental.
After diagnosis, treatment is prescribed. In the event of infection, antibiotic therapy is carried out. For dyshormonal disorders, drug therapy is prescribed for several months. Endometriosis, intrauterine synechia, polyps may require surgical treatment. The scheme and timing of therapy depends on the identified disease and is monitored by a gynecologist.
In VitroKlinik Rachi, different types of endometrial pathology are treated, as a result of which natural conception or successful IVF programs are possible.
- What is needed for a successful IVF protocol?
- Why cancel embryo replanting?
- The quality of the embryo for transfer and timing
- What is window implantation?
- Current trends in successful embryo replanting
- Conditions required for successful IVF grafting
- What is good delayed transfer?
What is needed for a successful IVF protocol?
For successful embryo replanting 2 components are needed:
- receptive endometrium (hormonally active, able to "accept" the blastocyst),
- quality blastocyst.
At the same time, the embryo must not only correspond to the necessary quality classes, but be complete with respect to the chromosome set, which, unfortunately, is not always the same.
Why cancel embryo transfer?
In the absence of the quality of the two components listed above, the transfer becomes impractical. The lack of quality material for replanting or non-receptiveness (post-receptivity) of the endometrium. Reproductive scientists cancel the transfer of the embryo. In case of problems with the endometrium, the blastocysts are cryopreserved (frozen for storage), the endometrium is "prepared", or the implantation window is waiting. Перенос осуществляют, когда слизистая матки становится готовой к принятию эмбриона.
Причины отмены переноса эмбрионов
Репродуктологи могут отменить перенос по следующим причинам:
- Ovarian hyperstimulation or OHSS. Getting more than 20 eggs at the puncture, the appearance of symptoms of OHSS: shortness of breath, swelling, an increase in the size of the abdomen are very serious reasons for the abolition of the transfer.
- Endometrial hyperplasia is a less common cause of withdrawal. What should be the endometrium for replanting the embryo? Its size should be 9-12 mm. The excess thickness of the endometrium more than 14 mm makes it lush, but it is not suitable for implantation. It does not have the ability to turn into a secretory endometrium - the implantation window will not open. An effective way to improve the endometrium before embryo replanting is to transfer the procedure over time using cryopreservation. In parallel, it is necessary to find out the cause and conduct treatment (therapeutic or surgical).
- Increasing the level of progesterone on the day of the appointment of an ovulation trigger (values higher than 10–20 nmol / l) reduces the likelihood of "synchronization" of the graft into an open implant window. The low level of progesterone allows physicians to "open" the implantation window themselves using the prescription of progesterone dosage forms. If it is high, it means that it is already open and in this cycle the grafting will not be successful.
- Common diseases (injuries, acute respiratory viral infections, etc.)
The quality of the embryo for transfer and timing
At the dawn of reproductive technology could carry a two-cell embryo. They don't do that now. The reproductologist must be sure that the fertilized egg is transformed into a quality blastocyst. Blastocyst implantation occurs in 70–80% of cases if all other conditions necessary for successful transfer are met. Transferring the embryo of the third day of cultivation, doctors can not guarantee at least some result. Transferring such an embryo, there is no certainty that it will continue to develop in the uterine cavity and reach the blastocyst stage (on which attachment to the uterus wall is possible).
A common example from the life: a woman on the 3rd day of cultivation had 10 embryos of excellent quality, and for 5 days only one remained, suitable for replanting.
Worst of all, planting embryos at the morula stage is the 4th day of cultivation. This day is critical for the embryo - the launch of its own genome occurs. Until this day, cell division occurs "in stocks" of the egg (by inertia), on the 4th day our own genetic information is launched. If there are no disorders in the chromosomes - the morula develops further, if there are "breakdowns", then it slows down in development and dies.
What is window implantation?
Endometrium in IVF plays a major role in the success of the protocol. The implantation window is a period of up to 2 days, when the endometrium is receptive and is able to give an opportunity to adhere to the blastocyst.
During implantation, a biochemical "dialogue" takes place between the embryo and the endometrium. The blastocyst sends signals to pinopodia (micro-growths of the mucous membrane, which "attract" blastomeres) of the endometrium in the form of secretion of cytokines, growth factor, cyclooxygenase.
Current trends in successful embryo replanting
How to prepare for a successful IVF? You must follow 5 rules:
- Extended cultivation up to 5 days and, if necessary, conduct PGD - preimplantation diagnosis. PGD allows you to assess the quality of the genetic material and the numerical set of chromosomes of germ cells.
- Selective grafting of a single blastocyst. Choose one, the best embryo for replanting. The risks of multiple pregnancy with IVF are high and the patient may lose the long-awaited pregnancy in the middle of the gestation period.
- For transfer use soft, biologically inert (non-toxic) catheters incapable of harming the embryo. Catheters with such characteristics allow you to quickly and delicately place an embryo in the uterine cavity. Penetration into the uterus for the purpose of replanting occurs in 2 stages. The first - a hollow catheter, more rigid, the doctor passes the cervical canal. The second - a soft catheter, through the hole in the first catheter, the embryo is introduced along with the fluid for cultivation into the uterine cavity. This happens very smoothly, without sudden movements.
- Appointment of vaginal forms of progesterone to support implantation (before transplantation) and the post-implantation period of pregnancy. After puncture of the follicles, the doctor selects the dosage of progesterone. You can not replace or cancel his appointment on their own. This hormone contributes to the opening of the window of implantation and the success of embryo replanting depends on it. In addition, the drug has a tocolytic effect - the uterus relaxes.
- The use of low molecular weight forms of heparin for the prevention of thrombosis and the improvement of blood circulation in microvessels surrounding and feeding the embryo, starting from the moment of attachment. Patients with ovarian hyperstimulation, habitual infertility, increased blood clotting, heparin is prescribed in therapeutic doses.
What is good delayed transfer?
The otstopochennaya replanting provides cryopreservation in liquid nitrogen. Among the advantages of delayed transfers:
- severe forms of OHSS do not develop,
- children have a higher body weight, since the replanting is carried out on the "unstimulated" endometrium, the trophic abilities of the uterine mucosa are the same as in natural conditions.
When transplanted into the cryocycle, the effectiveness and probability of pregnancy are significantly higher.
Despite the fact that the procedure of scratching is quite simple, there are certain contraindications in which no doctor will take up work.
- Inflammatory processes in the fallopian tubes.
When a woman has inflammation in the fallopian tubes, adhesions are formed there that prevent normal functioning. Because of this, even with IVF, pregnancy will be difficult to occur.
If a woman has problems with the fallopian tubes, then she needs to undergo laparoscopy. This is a microsurgical procedure. From the bottom of the abdomen, small holes are made that do not exceed 5 millimeters. They introduce a special device that is able to show the whole picture of the fallopian tubes.
- Serious diseases of the heart and kidneys.
When there are diseases such as kidney failure, heart disease, it is impossible to bear a child, because during pregnancy the body has to work for two.
- Pathological processes in the uterus. Such processes may be congenital or acquired.
- Cancer of any type. If a woman has cancer, it does not even matter where it is located, most importantly, the generic activity in malignant tumors is prohibited.
- Diabetes mellitus in advanced stages. Since diabetes can harm not only the woman herself, but also the baby, pregnancy is undesirable.
- Mental illness. When a woman has mental abnormalities, it can be easily transmitted to the unborn child. Therefore, in this case, the IVF procedure and endometrial scratching will not be carried out.
In addition to the contraindications themselves, there are still restrictions under which pregnancy is not possible until they are eliminated. These include:
- Infectious diseases of the reproductive system. If a woman has a sexually transmitted disease, then when scratching the endometrium, even more infection is possible, which will only cause harm. This applies even to ordinary diseases not related to the reproductive system.
- Benign tumors. If the tumor can be removed, then after the recovery of the body, scratching is possible.
- Chronic diseases that are in the acute stage. When a woman has any incurable disease that needs to be maintained throughout her life, then she needs to transfer it from the acute stage to the remission stage, then screening is possible.
- Operations or injuries that occurred not long ago. After any injury or surgery, the woman needs to recover. Until that time, no doctor agrees to hold endometrial scratching, as the pregnancy will prevent the recovery of the body.
- Severe illnesses. If a woman has not yet started hepatitis or tuberculosis, with full recovery, she will still have a chance to become a mother.
Dates of this procedure. Scratching should not be done on any of the days. A specific day is selected on which the endometrial thickness will be standard for this procedure. If the endometrial layer is thin, then with IVF there will not be such effectiveness from scratching. In addition, the date of scratching and IVF should be as close as possible, otherwise the endometrium will have time to heal, and there will be no positive result. IVF is appointed no later than a week.
Equipment. Endometrium scratching is done with a special tube, with a piston inside. The diameter of the tube is quite small - no more than 3 millimeters. Because of this, it is not necessary to expand the channel before its introduction. That is why scratching is not a surgical procedure.
Anesthesia. This procedure is carried out painlessly, so no anesthesia or even local anesthesia is used. The only thing that a woman can feel is a periodical tingling. But such tingling cannot be compared, for example, with the pain from menstruation or other procedures.
If a woman is sensitive enough, then she needs to take an anesthetic pill, then she will not feel anything at all. After this procedure, occasionally abdominal cramps may occur, but they are not particularly noticeable.
Endometrial scratching technique. First of all, the woman is treated the cervix with a special antiseptic. This is necessary in order to destroy the bacteria. After that, a small tube is inserted into the cervical canal.
From this tube, a special piston is released by half, which will scratch the endometrial layer. The incisions are microscopic, but this is already enough for successful IVF. After the procedure, the woman appears small bloody discharge. However, they last no more than two days. Such secretions arise from wounds that form on the endometrium. A woman should not be afraid of them.
Preparation for the procedure. It is not necessary to prepare for this procedure, it is only necessary to undermine thoroughly, so that there is no accumulation of microbes. Everything else is decided by the doctor.
After this procedure, the blood flow from the endometrium increases significantly, thereby attracting the egg of the child. It is fixed precisely in the place where it feels the most blood circulation, it means that in that place there will be an optimal diet for it.
In order not to catch the infection after this procedure, you must follow simple rules.
- Regular hygiene. It is necessary to wash even more often than usual. For such purposes it is better to choose a special tool that does not harm the microflora.
Temperature mode. Immediately after scratching the endometrium, a woman should not sit on a cold one or overheat on the contrary, as this can cause inflammation. After the procedure, you can not go to the bath and take a hot bath.
- Non-admission of infectious diseases of the whole organism. A woman should ensure that she does not get sick. Otherwise, the infection will be able to get into the affected endometrium through the bloodstream. To do this, you need to eat right, to ensure that there is enough vitamins in the diet. If the immune system is weak, then it is worth drinking a course of immunostimulants.
- The use of gaskets. If after the scratching bleeding, then in no case can not use tampons, as they, filled with blood, begin to multiply in themselves bacteria that can easily get into the uterus and cause inflammation there. Discharges of this type are generally insignificant, so a woman can use a simple daily panty liner.
Endometrial scratching before IVF is a saving chance for many women who cannot get pregnant. If during normal IVF pregnancy does not even occur in half of the cases, then scratching allows you to increase this number by more than half.
A woman should not be afraid of this procedure, since she is not at all terrible and painless. Most feedback on the method is positive. Endometrial grating is not a surgical procedure, it does not have a large number of contraindications, and also causes almost no complications. The most important thing in this case is to find a qualified doctor who can really help.
Endometrial scratching and causes
In English, scratching means "scratch". This is a simple, safe, painless procedure on the endometrial layer, which increases the likelihood of pregnancy during IVF 2 times. Used by many leading clinics in the world.
The indication for scratching is the presence of several unsuccessful attempts to get pregnant after IVF. To secure the embryo in the uterus, it is necessary to ensure a sufficient level of hormones, the appropriate condition of the endometrium for conception. This method allows you to achieve the desired result.
It is possible to carry out scratching without special training, on an outpatient basis. After receiving the instructions of a specialist woman goes home. There are no restrictions on the procedure in the absence of contraindications. In case of unsuccessful implantation, it is not prohibited to resort to the method again. The day of the cycle is selected individually by the doctor (approximately 14 days before fertilization).
Impact on IVF results
The reasons for unsuccessful implantation after artificial insemination are insufficient preparation of the mucous membrane, an imbalance of hormones. Damage to the sexual organ causes the body to produce hormones that are necessary for tissue repair. The uterus becomes covered with mucus, the viscosity increases, the thickness of the upper layer increases, the probability of successful attachment of the embryo increases.
According to experts, the probability of pregnancy increases by 2 times, but no one can give a 100% guarantee. Side effects with proper carrying out the procedure is not observed.
Theoretically, the development of inflammation as a result of infection. In order to prevent such a situation, a course of antibacterial drugs is prescribed for several days. Pre-conduct a thorough examination of women.
How is the endometrium prepared?
If IVF is performed on the background of a woman's natural menstrual cycle, then no special preparation of the uterine mucosa is required. Experts simply assess the state of the functional layer, its thickness and other characteristics, without taking any measures.
But more often the preparation of the endometrium is carried out in parallel with the stimulation of the ovaries to ovogenesis (the formation of an egg). A woman takes hormonal drugs that contribute to its growth. The optimum thickness at the time of artificial insemination is from nine to eleven millimeters. It is determined in the process of ultrasound. Deviation in any direction adversely affects the prediction of manipulation.
Slow increase in thickness may be associated with certain uterine pathologies, previous surgical interventions (in particular, curettage, medical abortions), as well as the ineffectiveness of the prescribed hormonal therapy. The rapid increase in thickness may indicate the presence of pathologies such as endometriosis, endometrial hyperplasia, polyposis. In any case, repeated preparation for IVF with a deviation of the endometrial thickness from the recommended limits is carried out only after a thorough examination and treatment of the identified pathology.
How to increase the chances of success?
Modern studies show that the probability of successful attachment of a fertilized egg increases markedly if a simple procedure, such as endometrial scratching, is performed prior to the upcoming implantation.
Such a term is called medical manipulation, which consists in the fact that with the help of a special device, resembling a syringe with a very thin body, small notches (usually four) are applied to the inner layer of the uterine wall. Intentional damage to the mucous membrane stimulates it, activates the processes of reparation and the release of hormones, so that the fertilized egg is easier to engraft and less often rejected from the uterine wall.
Scratching does not require any preparation, the optimal day for it is determined by the doctor who directs the process of preparing a woman for IVF. It is performed on an outpatient basis, is not accompanied by discomfort or discomfort, does not require anesthesia. But by "waking up" the uterus mucosa with his help, the doctor significantly increases the likelihood that fertilization will be successful.


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We drive from Bohinjska Bistrica towards Stara Fužina. We come to a crossroads where we turn left at a chapel on the road rising steeply upwards. We soon come to a point where a toll payment is taken in summer season. Road rises steeply again and brings us to a meadow. A road going into a forest branches from this meadow and brings us to a crossroads. We go left here. We keep driving for some tome until we come to a crossroads for Vogar. We turn sharp right and keep driving couple of 100 metres till a parking lot on Blato mountain pasture.
Shortly before the mountain in the parking lot to shed kolovoz left up sharply. After ten minutes, come to a crossroads where we turn left. Wide kolovozu to follow up to the cabin at the lake in Planina. Of the huts going a few meters and follow the signs for the lake Triglavska. After a half-hour walk along a wide path get to the mountain hereditary box. Here stands pastirska house, where you can buy some sour milk or something. This house is included in the avalanche path cheesemaking. Here on the mountain hereditary box, turn right toward Zasavska cottage. Immediately above the mountain path is steep vzpne and after half an hour this steep discounts. The route then climbs to the south slopes of the first and Slatna Vogel. Soon we get to dolinico called for a wealth of. This valley follow up to the saddle Doors. Here we continue to be initially slightly down. Vršakov cut across the slopes, where a slight cut across a wide exposed briefly Políčko (limited), and for this we come to a crossroads where we connected with the way Hribaric. Turn left down toward the lake. Shortly before the green lake to the right path to shed Prehodavcih. Take the path that leads to the brown lake. From Lake povzpnejo is still on top, standing left of the lake. At the top stands Zasavska house. Shack also has a winter bivouac. The view is very beautiful on all sides. Sing-hereditary box 1:30. Hereditary box-Doors 2:30. Port-Zasavska house 1:00.


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Public hearing set on county road funding
September 20, 2019
The Carlton County Board of Commissioners will hold a public meeting on road funding Monday: specifically to get public input on the continuation of the excise tax authorized in 2014 for county transportation projects and improvements approved in July, as well as identify the estimated costs of those projects. The meeting is scheduled for 4:30 p.m. Monday at the Carlton County Transportation Building and all residents are encouraged to attend.
Carlton County road work is funded in five ways, with most income coming from state and federal funding through gas taxes and special Legislative loc...
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Senator Frank R. Lautenberg (D-NJ) called on both Senate Majority Leader Bill Frist (R-TN) and Minority Leader Harry Reid (D-NV) Thursday to join him in pressing the Attorney General for an investigation into whether top oil executives made false statements during a recent Senate hearing when they said they did not meet with Vice President Dick Cheney about energy policy. His call was subsequently joined by Senate Democratic leader Harry Reid (D-NV).
During a joint hearing of the Commerce and Energy Committees on Nov. 9, senators heard testimony from the CEOs of the nation's largest oil companies. When Lautenberg asked these witnesses whether their companies had participated in Vice President Cheney's energy taskforce in 2001, they denied -- answers that were later contradicted by a report in the Washington Post. Cheney has refused to disclose who he met with at those meetings, citing executive privilege.
"If witnesses believe that the laws requiring truthful testimony before the Senate will not be enforced, our hearings will lose their usefulness and the Senate's oversight abilities will cease," Lautenberg wrote in his letter to Senators Frist (R-TN) and Reid (D-NV).
Reid concurred.
"I find it deeply disturbing that energy company CEOs may have made false statements before Congress about their involvement in the secretive Cheney energy task force," Reid said in a statement to RAW STORY. "Despite the Vice President's active efforts to thwart open and transparent government, Congress has the right and the responsibility to seek and obtain information from witnesses that is honest and complete. When evidence arises that some of the statements made to Congress may be false, it calls into question a witness's entire testimony and undermines Congress's constitutional role."
Lautenberg sent a letter to Attorney General Alberto Gonzales Nov. 16 asking him to investigate whether oil executives violated the law by lying to Congress.
Almost two weeks since Lautenberg's request, Gonzales has not responded. Lautenberg's office says he was scheduled to speak Gonzales this morning, but the Attorney General's office cancelled at the last minute.
Originally published on Thursday December 1, 2005


text: Pinnum 784 Report post Posted February 28 1 hour ago, Housebuye said: Stealing bids when they should be earned is bad for the conferences. the system should allocate appropriately. If the solution is to steal a bid For a top wrestler, it means they are admitting the system needs to be improved. Every team and conference faces this potential issue. This isn't unique to ISU. But sure the whole concept of stealing bids isn't great. There should t be any allocations—only at large bids and conference champion bids. The system does allocate properly. You're just of the opinion that a wrestler should be worthy of a bid despite not being able to justify it with actual results at the weight. That is a slippery slope. it would be horrible for coaches to be able to use success at one weight to justify getting a bid at a completely different weight. I recall one wrestler I followed closely a while back changing weights and not being selected for the at-large. He missed out on the bid and likely would have done well at the NCAAs. It was unfortunate but I completely understood it. You can only compare athletes to others in the weight class and for that you need matches at that weight. What you're arguing is that if I have two good 125s, I should wrestle them both in tournaments and duals during the season at 125 and not bother having one wrestle at 133 to fill out the lineup. Then at the end of the season, the one that losses the wrestle-off for 125 should be submitted at 133 and get credit for all of their wins at 125 and steal the bid from someone who actually won matches at 133. Quote Share this post Link to post Share on other sites


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You are cordially invited to join us during the season of Lent for dinner
and Holden Evening Prayer worship.
There will be a sign up sheet available on the Narthex board. Anyone
can prepare a meal, or can join up with others. Individuals, or a committee
of the church, or a family can sign up to prepare a meal.
After dinner we will gather in the sanctuary for Holden Evening Prayer.
Dinner will start at 6pm, Holden Evening Prayer at 7pm.
If there are any questions about Lenten Dinners, please see Harold


text: Belgian cable operator Telenet and TV broadcasters RTL and VRT have acquired the TV rights to UEFA Champions League football for the 2012-15 seasons.Free-to-air broadcaster RTL has won the French-language rights to the best match in each kick-off slot every match week. RTL will show both live matches as well as a highlights programme each match week on Club RTL.Flemish-language broadcaster VRT will show live the best match of the week on its channel Canvas, while Telenet will broadcast a selection of matches each match night in both kick-off slots on its three Sporting Telenet-branded channels. Both VRT and Telenet will broadcast highlights programmes each match week in the Flemish language."UEFA is delighted to continue its successful relationship with VRT in respect of the UEFA Europa League in Belgium and also to welcome each of RTL and Telenet in to the UEFA Europa League family of broadcasters. Each of the three broadcasters has significant experience of working on the UEFA club competitions and their extensive broadcast knowledge and strong programming commitments will ensure significant exposure of the competition across Belgium," said UEFA.Current rightsholders AB3 and EXQI Sport will continue to distribute UEFA Europa League games.


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Web Development – one day we'll get it right
Web App Offense
A few tools and tricks can find and correct web app vulnerabilities.
So, I just checked – from January 1, 2010, to October 9, 2011, 8,917 Common Vulnerabilities and Exposures (CVEs) were issued. Of these, 873 were related to cross-site scripting (XSS), which is just a hair under 10 percent. Of the remaining webrelated vulnerabilities, cross-site request forgery (CSRF) [1], file source disclosure (whereby PHP contents are shown as text rather than a rendered web page), and so on were well represented. But over time, things are getting better, right?Not really; out of 51,353 total CVEs 6,580 are related to XSS, and if you plot the bugs over time, a generally upwardtrending curve appears.
So, how does one go about fixing this situation? The good news is that some excellent resources are freely available. The bad news is that people don't seem to be using them.
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Lenovo Now Offering Ubuntu 20.04 as an Option
Lenovo is making good on its promise to support Linux as a pre-install option.
Linux Deepin 20 Released
One of the most beautiful Linux distributions on the market has been refreshed.
A New Version of Zorin OS is Now Available
Fan-favorite, Zorin OS 15.3 is officially available.
Lenovo Now Offering Fedora Linux as an Option
Lenovo is making good on their Linux promise by adding Fedora into the mix.
System76 Launches new High-End Laptop
System76 has unleashed a beast of a mobile workstation.
Mozilla Lays Off Staff, Receives More Cash
In a restructuring move, Mozilla lays off 250 employees, but then inks large deal with Google.
LibreOffice 7 Now Available
The LibreOffice 7 office suite is now available with important compatibility improvements.
Microsoft Brings procmon to Linux
The creators of Windows have brought the sysinternals procmon tool to the open source operating system.
New KDE Slimbook Available
The makers of the KDE Slimbook have released a Ryzen-4000 powered laptop.
PinePhone Now Offers a Convergence Package
The makers of the Linux PinePhone are now offering a model that makes desktop/mobile convergence a reality.


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aisha about Karwa | Taxi Doha
aisha -- Doha (Qatar)
posted: 2014-07-02 10:45:23
My friend and i took karwa taxi today,were going to argument with the black driver... whe we took taxi from city center going to al saad he was not open the taxi meter then he asked us how much we will pay for the trip, i asked him about that then he started to open the meter.after a while i noticed that the meter ran fast only in a second its changed,i told him everyday ill take taxi from city center going to al saad and its only 13-15 qr.. with traffic or without. Hes getting angry and then when we go pay for the right amount same like everyday. He was angry he didnt open the door of the taxi and push us to pay 20qr.then if we not pay he still not open the door and drive the car.How come we pay that if we see that the service not good.were a customer of taxi karwa here in doha but some of ur staff have a bad service... we ask for your action about that cause its not about the money we will pay its all about the trauma that bring to us. Thank you and godbless
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The start of the new year marked the beginning of a four-year pilot project in Illinois that permits the use of marijuana for medical purposes. Illinois is the second state in the Midwest with such a law and the first in the region where it was initiated by the legislature. Medical marijuana was legalized in Michigan six years ago via a ballot proposal.
The State and Local Legal Center (SLLC) filed an amicus brief in Plumhoff v. Rickard, where the Supreme Court will decide whether police officers are entitled to qualified immunity for the use of deadly force in a high speed chase.
State and local government officials can be sued for money damages in their individual capacity if they violate a person's constitutional rights. Qualified immunity protects government officials from such lawsuits where the law they violated isn't "clearly established." Qualified immunity is intended to protect "all but the plainly incompetent or those who knowingly violate the law."
The Supreme Court hears cases on a few legal issues every term: preemption and Fourth Amendment search and seizure cases are two of the most obvious. Qualified immunity cases are another common staple of the Supreme Court's diet. In November the Court decided to hear two such cases and issued an opinion in a third case without oral argument. The State and Local Legal Center will file an amicus brief in both of the newly granted cases.
Human trafficking is often described as a form of modern-day slavery through which individuals are exploited through force, fraud or coercion for labor service or commercial sex acts. State legislatures are leading the response to this fast-growing crime, according to Britanny Vanderhoof, policy counsel for the Polaris Project, a national anti-human trafficking advocacy organization. "States have really taken up the issue of human trafficking as a state issue," she said during a recent webinar, "Human Trafficking: State Responses to Modern-Day Slavery," presented by CSG South.
The Supreme Court will decide in McCullen v. Coakley whether a Massachusetts statute prohibiting speech within 35-feet of a reproductive health care facility violates the First Amendment. The State and Local Legal Center (SLLC) filed an amicus brief in this case. From the perspective of the Massachusetts legislature, no good deed goes unpunished.
Massachusetts law, which was modeled around a Colorado statute the Court held constitutional, initially allowed protesters to come within six feet of those entering a clinic within an 18-foot buffer zone around the clinic. Protesters would crowd six feet from a clinic door making entry into the clinic difficult and intimidating. So in 2007 Massachusetts adopted a 35-foot fixed buffer zone around clinics. The First Circuit held that this statute is a constitutional time, place, and manner regulation of speech because numerous communication channels remain available to protesters.
Human trafficking, a form of modern-day slavery whereby children and adults are exploited through force or coercion for sex acts or manual labor, is purported to be a multi-billion-dollar worldwide industry and one of the fastest growing criminal enterprises. The U.S. Department of State estimates that there are approximately 40,000 men, women and children who become victims of human trafficking in the United States every year. States have taken action, setting up task forces to assess the extent of this insidious practice and experimenting with policies to encourage reporting, train law enforcement personnel and increase the criminal penalties for perpetrators.
The Senate Judiciary Committee in September considered state initiatives to legalize marijuana within their borders for the first time.
Stateline Midwest ~ July/August 2013
At a recent Minnesota House hearing on the proliferation of synthetic drugs, the head of the state's Pharmacy Board called it a "Whack-A-Mole problem." "Every time you stomp something down," Cody Wiberg said, "something else pops up."
The National Insurance Crime Bureau's Annual Report on Vehicle Theft shows that there has been a 1.3% increase in auto theft in 2012. This marks the end of an 8 year decline in auto theft. However, the Western region's 10.6% increase in theft since 2011 accounts for this change, as the Midwest, Northeast, and South have continued to see a decline in auto theft by 3.1, 7.9, and 2.9 percent, respectively.
The War on Marijuana in Black and White, a report published by the American Civil Liberties Union in June 2013, looks at marijuana possession arrest rates and racial disparities among these arrests, as well as the costs of enforcement for all state and counties from 2001 to 2010.


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Brevard Cinema House
Brevard Cinema House-An independent cinema venue in Cocoa Village.
February 01, 2019
Valentine's Day Special
Valentine's Day Special
Get two tickets and one popcorn for $10 plus tax! This special and tickets are valid for Valentine's Day only!
234 Willard St suite c, Cocoa, FL 32922, USA


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Heritage Woods
3812 Forrestgate Dr Winston-Salem NC 27103
for a local A Place for Mom advisor
Now offering virtual tours. Call us now to schedule.
Overview of Heritage Woods in Winston-Salem, North CarolinaAt Heritage Woods, we provide a host of community amenities. Regularly scheduled off-site experiences and trips are very popular with our residents. Dogs and cats are permitted in private rooms. Our campus is conveniently located near reachable public transit. Free wi-fi is offered to all our residents. Free resident parking and guest parking is available at our location.
Dining AmenitiesAll meals are provided to occupants. It's our pleasure to accommodate visiting company, meals provided. Dining includes restaurant-style dining and private dining rooms for residents who wish to celebrate special occasions or entertain visitors. Our residents can enjoy meals prepared by a professional chef. We offer specified meal options such as vegan options.
On-Site ActivitiesResidents can exercise their physical and mental well-being with specially curated on-site activities. Included in our exercise curriculum are chair yoga, a type of yoga that is modified to a seated position for those with physical limitations, Tai Chi(add TM) classes - a wonderful and effective exercise for maintaining health of body and mind, at low physical impact, and stretching classes. We love to host holiday parties, birthday parties and BBQ's, picnics, and outdoor parties. Our communal space has a piano centerpiece for musically inclined residents and scheduled performances. We provide regular musical entertainment for the use of our residents - and in some instances, to take a trip down memory lane. Our entertainment center includes Wii Sports(add TM) Bowling for bowling enthusiasts. Our community offers a healthy living program ensuring cognitive, dietary, and physical health to ensure residents live their best and healthiest lives. Residents enjoy regular trips and outings to local neighborhoods and towns. Residents may participate in recreational activities such as art classes designed to inspire and stimulate mental well-being. Our community activities roster includes trivia nights, regular educational lectures covering a wide range of academic topics, and dances and "Senior Proms". Happy hour has a positive impact on the community; residents enjoy lively camaraderie.
Outdoor Common AreasOutdoor common areas are designed with accessibility, flow, and movement in mind. Our community grounds includes an outside patio garden accessible to all residents.
Indoor Common AreasIndoor common areas are quiet and a nice place to enjoy the company of fellow residents or to just relax. The building design comes together with its airy, bright atrium space. Residents have access to our communal spaces including a fully-stocked arts and crafts center, a bistro, our community library, complete with a diverse selection of titles, a movie room, and a TV lounge, perfect for catching the latest episode of your favorite show or enjoying sports programming with other residents.
Community Attributes at Heritage Woods
Living Options and AmenitiesWe offer 1 and 2-bedroom units for potential residents seeking a roommate, 1-bedroom units, 2-bedroom units, for potential residents who would enjoy living with a roommate and studio units. Ground floor units are available. Free wi-fi is available to all of our residents. To accommodate our residents, our community has air conditioning, and temperatures are regulated to optimize comfort and safety. Some apartments are equipped with kitchenettes so that residents can make their own food.
Premium Amenities at Heritage Woods
TransportationOur community provides complimentary transportation services. All of our residents have access to our transportation services at a reasonable cost.
Personal ServicesWe have a beautician conveniently located on-site - residents can easily receive beauty treatments for all occasions. Personal housekeeping services are provided as needed. Our on-site beauty salon provides hair care and beauty treatments, and our on-site barbershop can take care of all your grooming needs. Both laundry and dry cleaning services are offered. We offer devotional services on-site, so residents can practice or worship in the privacy of our community. There are also several churches located within the surrounding neighborhood.
Medical Care ServicesOur 24-hour awake staff is available to assist your loved one in fulfilling time-sensitive needs, should they arise. This facility is not licensed by the state to offer medication dispensing services, however, residents are supported in their self-medication efforts as much as possible. Our residents can schedule reminders and exceptions for both medications and care activities. This community provides ADL assistance, administered injections, insulin injections, and medication administration. Services include incontinence care for bladder-related and bowel-related symptoms. The facility supports outdoor leisure hours.
Community highlights at Heritage Woods
Community CertificationsOur community is licensed for 136 residents. We are home to residents age 55 and above.
Local Emergency AssistanceLocal fire, police, and EMT services are nearby and ready to respond.
Local Area AmenitiesThere are shopping centers and beautiful parks located in the surrounding neighborhood. Hotels are conveniently located near the facility for residents' guests and visitors. Our community is located near a college, and interaction with students who reside in the neighborhood is frequent.
Pricing at Heritage Woods
By clicking Unlock All Pricing , you agree to our Terms of Use. You also consent that we or our customer communities may reach out to you using a system that can auto-dial; however, you do not need to consent to this to use our service. Our Privacy Policy describes information collection and use.
*Prices quoted are monthly rental charges and are provided by the communities themselves. Actual prices may differ due to one-time fees, timing and care services required. Speak with your Senior Living Advisor to learn more.
Reviews of Heritage Woods
Community Details at Heritage Woods
Senior Housing Types Provided at Heritage Woods
The features and amenities that are displayed on this page contain marketing information provided by the community. A Place for Mom has not confirmed the completeness of the provided information, and cannot guarantee its accuracy.
To conduct a complete investigation, seniors and their families should:
- Tour any listed location to confirm the accuracy of the community description;
- Confirm that the community offers services that are required for the senior's specific needs and budget; and
- Check additional licensing and state audit information.
If you become aware of any information that should be updated or noted, please contact A Place for Mom.


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Hi, I m offering Nanny Services. I m fluent in Hindi and Punjabi. I can guarantee to give your child all the support that they need. I have woked as a nanny for 10 years.
Nanny for 6 month old starting in September 2016. Must be able to work from 7 AM to 6 PM. Live in or live out is okay. Also need help with light housekeeping and cooking.


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Martin's Auto Electric – Car Repair, Grant County
Martin's Auto Electric
1114 N Main St, Williamstown, KY 41097, USA
+1 859-824-6663
(5 reviews)
4 Comments
October 27, 2017
Reasonably priced and excellent work. Found the problem right away. Thanks for all your hard work!
November 26, 2018
Have been happy with them in the past, but this last experience was not a positive one. They had the car for about 2 months and never fixed it. They would only work on it after calling multiple times. They didn't return one phone call even when they said they would call back the next day. The only thing they kept coming back to was they the tires were so bad that they couldn't drive it–the issue happened when it was sitting idling, so driving it wouldn't have replicated the issue anyway. Told them the issue from the beginning so they were aware. Finally, after 2 months, I went to go pick it up. Cost me $80 and still have a car with a problem.
August 23, 2019
Very friendly and very reasonable.
September 28, 2019
They have worked on a few of my vehicles. Knowledgeable, friendly, comunitive, fairly priced. Got right on the job and got my vehicle back on the road and to me.
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by Ana Ćakić
If you are wondering how challenging it is to be a tech coordinator at a fast-growing IT support services company such as Cosmic Development, it is time to get to know Atanas Arizanov and learn more about his scope of work, expertise and the way he overcomes the challenges he faces on a daily basis.
Atanas is a software engineer, PHP developer and tech coordinator, who has been with us for more than eight years. He has started his Cosmic career as a PHP developer. At first, he was in charge of building and implementing web solutions for various clients, but thanks to the dedication and professionalism towards work, Atanas soon became Cosmic Development's Internship Coordinator and guided many young professionals who were eager to upgrade their knowledge and experience through the hands-on training at our company. His incredible talent for working with people naturally led him to the next stage of his career – becoming our appointed Technology Coordinator.
What is the role of Tech Coordinator? Tell us more about your range of duties at Cosmic Development.
The responsibilities of a Tech Coordinator include acting as the link between end-users of a website and the high-level support, while at the same time providing technical support and advice on the most convenient IT choices. Apart from this, the Tech Coordinator of an IT company must not only know how to install and configure both hardware and software but also control the system and network performance. This role requires performing troubleshooting, maintenance activities, data restoration, and repairs. And finally, a Tech Coordinator must also possess excellent communication and people skills in order to solve problems on the spot and to be able to collaborate with other IT pros.
My job responsibilities as a tech coordinator include managing multiple projects, but most of all require regular and consistent communication with internal teams in the company. By this, I mean having weekly meetings with a group of team leads and discussing all the projects included in that group for existing, potential problems and issues, but also the team achievements, their success, and happiness.
What are the 3 top challenges you face as the Tech Coordinator, and how do you overcome them?
Race with time 🙂 I'd say that's the number one challenge for most tech coordinators in our industry. This role requires a lot of time and tons of energy to oversee all of the activities and keep everything under control in this fast-paced, ever-changing "game" of new technologies and innovations.
That leads to the next big test for every tech coordinator – staying calm no matter what. We are all only people, capable of great things but prone to mistakes. Sometimes it's not our day, but we have to do everything we can to control ourselves and not to allow our own frustrations and bad inner energy to pass to our co-workers and influence their workflow.
Last but not least: good organization. Every tech coordinator has to know how to organize their day really well. From time to time, the meetings may overlap as well as the tasks, so one has to make an excellent daily strategy to deliver daily tasks and achieve objectives.
I've been embracing those (and other) challenges for the last five years, and I can only hope that one day I will be able to say that I have mastered them all. 🙂
What is the most valuable thing you've learned working as the Tech Coordinator?
I've learned many valuable lessons since I took the role of the tech coordinator, but if I have to name only one, it would be this – Never make decisions by yourself. Even when you are sure that you are right about something, always consult with your co-workers and team-mates, ask them for their opinion and advice, and truly listen to what they have to say before you make your move. You know what they say: more eyes see better than a pair and more minds think better than just one.
How do you boost your productivity?
Coffee. Always coffee. Actually, several cups of coffee daily 😀 Of course, there are other practical (and perhaps healthier) ways to stay up in the game, like good daily organization and efficient team coordination. Furthermore, open communication with people involved in the projects for which I am responsible is also the key to success. Utilize this advice to boost your productivity and you will be able to accomplish anything.
You've started at Cosmic Development as a PHP developer and worked your way to a more complex role. What was your primary drive for professional and personal development?
Regardless of your current role, improving yourself and getting better at what you do for a living is vital if you want to advance in your career. I would say that my strongest motive is the desire to learn new things and grow my knowledge and skills. The best way to increase your professional and personal qualities is through hard work and aspiration for achieving a better version of yourself. Moreover, the constant will to improve and reach a higher level both as a human being and as a professional in the IT industry is what keeps me moving forward, one step at the time.
What is the most valuable advice you have to offer to your younger colleagues?
At the risk of sounding cliché, I'd say that the most important advice I have to offer to my co-workers is a straightforward one: always work hard, follow your dreams, stay in touch with yourself and do what makes you happy. If coding makes you happy – go for it. In case you feel you are the proper fit for the company you work for – revel in it. If you think that you are a valuable asset for the team – commit yourself to it. Do whatever it takes to upgrade yourself and constantly keep pushing forward. Prepare for the hard times as well, because after all, where's the challenge if things are too easy?
What do you like the most about your current role? What are you working on currently?
I genuinely enjoy having a job that I find meaningful and engaging, and which makes me fulfilled. The role of a tech coordinator gives me exactly that feeling of inner satisfaction and that is what I love about my job. Currently, I work on several projects that keep me occupied and engaged. One of the biggest perks of my job is the freedom to provide ideas and solutions for a range of different problems and help my colleagues on a daily basis. Another, less exciting but equally important part of my job is project planning, scheduling meetings, managing teams, developing and implementing deliverables, monitoring, and reporting.
Besides being an incredible professional, Atanas is also a caring husband and devoted father to their only child, and a massive fan of hard rock and metal music. How do you manage to balance between the technology coordinator position and the role of a father now?
The work experience that I have gained over the years as a tech coordinator helps me do things way faster than I used to do. Thanks to the direct and open relationship with the clients, it's easy for me to communicate and be honest with them and their requirements. The role of a father made my life more fulfilling and happier, but it also encouraged me to learn to balance things, to enjoy the smallest of things, and appreciate the time I get to spend with my family. Balancing my job position and the role of a father is something that you learn on the way. And while doing so, you realize that both of these things require good organization and communication skills and a sense of knowing when is the right time to do something.
Which superpower do you wish you had?
If I have to choose only one, it would definitely be the superpower of teleportation. Traveling to far-off places without physically crossing the space between would be ideal for me. Teleportation will enable me to do multiple things in multiple places, and see things from a different perspective. Teleportation will contribute to global transportation and people will be able to enjoy the world without borders.
What's your favorite band and what's the best concert you've ever been to?
This is probably the toughest question of them all !!! 😀 I have a couple of favorite bands which I love and respect a lot. But if I have to choose one out of my list of favorites, then I have to say that my most favorite band is Amorphis. I have attended many of their concerts over the last few years and each of them is a story for itself and has its own beauty. Amorphis's last concert in Sofia is what left me impressed and astounded. It was an amazing one!


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Look at these examples to see how participle clauses are used.
Looked after carefully, these boots will last for many years.
Not wanting to hurt his feelings, I avoided the question.
Having lived through difficult times together, they were very close friends.
Try this exercise to test your grammar.
- Grammar test 1
Read the explanation to learn more.
Grammar explanation
Participle clauses enable us to say information in a more economical way. They are formed using present participles (going, reading, seeing, walking, etc.), past participles (gone, read, seen, walked, etc.) or perfect participles (having gone, having read, having seen, having walked, etc.).
We can use participle clauses when the participle and the verb in the main clause have the same subject. For example,
Waiting for Ellie, I made some tea. (While I was waiting for Ellie, I made some tea.)
Participle clauses do not have a specific tense. The tense is indicated by the verb in the main clause.
Participle clauses are mainly used in written texts, particularly in a literary, academic or journalistic style.
Present participle clauses
Here are some common ways we use present participle clauses. Note that present participles have a similar meaning to active verbs.
- To give the result of an action
The bomb exploded, destroying the building.
- To give the reason for an action
Knowing she loved reading, Richard bought her a book.
- To talk about an action that happened at the same time as another action
Standing in the queue, I realised I didn't have any money.
- To add information about the subject of the main clause
Starting in the new year, the new policy bans cars in the city centre.
Past participle clauses
Here are some common ways that we use past participle clauses. Note that past participles normally have a passive meaning.
- With a similar meaning to an if condition
Used in this way, participles can make your writing more concise. (If you use participles in this way, … )
- To give the reason for an action
Worried by the news, she called the hospital.
- To add information about the subject of the main clause
Filled with pride, he walked towards the stage.
Perfect participle clauses
Perfect participle clauses show that the action they describe was finished before the action in the main clause. Perfect participles can be structured to make an active or passive meaning.
Having got dressed, he slowly went downstairs.
Having finished their training, they will be fully qualified doctors.
Having been made redundant, she started looking for a new job.
Participle clauses after conjunctions and prepositions
It is also common for participle clauses, especially with -ing, to follow conjunctions and prepositions such as before, after, instead of, on, since, when, while and in spite of.
Before cooking, you should wash your hands.
Instead of complaining about it, they should try doing something positive.
On arriving at the hotel, he went to get changed.
While packing her things, she thought about the last two years.
In spite of having read the instructions twice, I still couldn't understand how to use it.
Do this exercise to test your grammar again.
- Grammar test 2
Language level
Kaisoo93 replied on Malaysia
Hello Kirk,
Thank you for your explanation.
I wonder why "The policies in 2000 aiming to boost its economy had affected the environment badly = The policies in 2000 that aimed to boost its economy had affected the environment badly" but "The boy who passed the exam was very happy ≠ The boy passing the exam was very happy."?
While both "aimed" and "passed" are a single completed action, why "aimed" can be turned into participle clause but "passed" cannot?
Thank you.
Kirk replied on Spain
Hello Kaisoo93,
I think it has to do with the actions not being simultaneous. In 'The boy passing the exam was very happy', 'passing' suggests the boy was happy while he was passing the exam, whereas presumably he was happy after he passed it.
In 'The policies in 2000 aiming to boost its economy had affected the environment badly', the aim did not follow the policy. The aim existed before and during the implementation of the policy, whether or not it came to fruition.
All the best,
The LearnEnglish Team
Kapil Kabir replied on India
Hello sir,
I have a doubt regarding the usages of "another"
I was reading a news article about Covid-19 pandemic,
"But in the case of the novel coronavirus, 24 candidate vaccines are already in clinical evaluation and 'another 142 are' in the preclinical evaluation stage."
Here, I couldn't understand the use of another 142 are, we know that another is determiner as well as pronoun but it is used as a singular entity in questions
So, my question is how we can use the word another with plural verb inspite of it being singular entity.
Like these examples
1) Another girl
2) Another girls
Which one is correct?
Peter M. replied on Poland
Hello Kapil Kabir,
Another is used with singular nouns, so
another girls is not correct.
However, when another is followed by a number it can be used with a plural noun:
This is a big job. It will take another six weeks to complete.
Another four beers, please!
In these examples another has the sense of a further.
The LearnEnglish Team
Ujin replied on Mongolia
Hello Sir,
Where can I find more explanations about participle clauses? It seems to me like similar to reduced clauses. Besides, doing the exercises, I have got only half of it correctly.
Help me to use it accurately. Thank you
Kirk replied on Spain
Hello Ujin,
We're happy to help you understand a specific answer in our exercises if you let us know which exercise and which question you want to ask about. If you do ask us such a question, please explain to us what you thought the answer was and why -- this way we can help you better.
I'm afraid there is nothing else on our site about participle clauses, but I'm sure you can find some explanations by doing an internet search for 'participle clauses in English' or something similar.
I'd also suggest you pay attention when you're reading or listening so that you can analyse participle clauses when you come across them. It will probably take you some time to find some, as they are relatively rare, especially in speaking.
All the best,
The LearnEnglish Team
Karan Narang replied on India
After reading this lesson having understood how can I make sentence with these participle of present or past
And having been got good mark in these test.
Could you explain me in past or present participle form use past tent then how will I understand which is present or past participle sentence ?
Kirk replied on Spain
Hello Karan Narang,
Could you please rephrase your question? I'm afraid I don't understand exactly what you're asking.
It's also really helpful if you ask as specific a question as you can. It's very difficult to answer general questions about grammar.
All the best,
The LearnEnglish Team
Kapil Kabir replied on India
Hello sir,
I have a question and I couldn't understand it.
Money from poor countries is flowing into richer ones in large part due to active purchase of foreign assets by central banks.
Here, the correct word that is used is Poorer instead of poor. I want to know that why it is happened. Is there any rule for this. Please clarify sir.
Kirk replied on Spain
Hello Kapil Kabir,
I'm afraid I didn't understand whether you were asking about 'poor' or 'poorer', but in any case, both words are possible here, with little difference in meaning since they are compared to 'richer'.
I don't think there's any rule that explains this -- it's just that in this context, 'poor countries' and countries that are 'poorer than richer countries' seem to mean pretty much the same thing. I could be wrong about that, but without context, that's what it looks like to me.
All the best
The LearnEnglish Team