STD

Treatment

Guidelines

Introduction

and

Methods

Clinical

Prevention

Guidance

Special

Populations

Emerging

Issues

HIV

Infection

DetectionCounseling

and

Referral

Diseases

Characterized

by

Genital

Anal

or

Perianal

Ulcers

Syphilis

Management

of

Persons

Who

Have

a

History

of

Penicillin

Allergy

Diseases

Characterized

by

Urethritis

and

Cervicitis

Chlamydial

Infections

Gonococcal

Infections

Diseases

Characterized

by

Vaginal

Discharge

Pelvic

Inflammatory

Disease

PID

Epididymitis

Human

Papillomavirus

HPV

Infection

Anogenital

Warts

HPVAssociated

Cancers

and

Precancers

Viral

Hepatitis

Proctitis

Proctocolitis

and

Enteritis

Ectoparasitic

Infections

Sexual

Assault

and

Abuse

and

STDs

References

Terms

and

Abbreviations

Used

in

This

Report

Consultants

Evidence

Tables

Screening

Recommendations

Referenced

in

Treatment

Guidelines

and

Original

Recommendation

Sources

Questions

and

Answers

STDs

Home

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Treatment

STD

Treatment

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Emerging

Issues

On

this

Page

Hepatitis

C

Mycoplasma

genitalium

Hepatitis

C

HCV

infection

is

the

most

common

chronic

bloodborne

infection

in

the

United

States

with

an

estimated

million

persons

living

with

chronic

infection

HCV

is

not

efficiently

transmitted

through

sex

Studies

of

HCV

transmission

between

heterosexual

or

homosexual

couples

have

yielded

mixed

results

but

generally

have

found

either

no

or

very

minimally

increased

rates

of

HCV

infection

in

partners

of

persons

with

HCV

infection

compared

with

those

whose

partners

are

not

HCVinfected

However

data

indicate

that

sexual

transmission

of

HCV

can

occur

especially

among

persons

with

HIV

infection

Increasing

incidence

of

acute

HCV

infection

among

MSM

with

HIV

infection

has

been

reported

in

New

York

City

and

Boston

along

with

multiple

European

cities

These

men

usually

engage

in

highrisk

and

traumatic

sexual

practices

and

might

have

concurrent

genital

ulcerative

disease

or

STDrelated

proctitis

Other

common

practices

associated

with

new

cases

of

HCV

infection

include

group

sex

and

use

of

cocaine

and

other

nonintravenous

drugs

during

sex

Certain

studies

have

revealed

that

risk

increases

commensurate

with

increasing

numbers

of

sex

partners

among

heterosexual

persons

with

HIV

infection

and

MSM

especially

if

their

partners

are

also

coinfected

with

HIV

Persons

newly

infected

with

HCV

typically

are

either

asymptomatic

or

have

a

mild

clinical

illness

HCV

RNA

can

be

detected

in

blood

within

weeks

after

exposure

The

average

time

from

exposure

to

antibody

to

HCV

antiHCV

seroconversion

is

weeks

and

antiHCV

can

be

detected

in

of

persons

by

months

after

exposure

Chronic

HCV

infection

develops

in

of

HCVinfected

persons

of

chronically

infected

persons

develop

evidence

of

active

liver

disease

Most

infected

persons

remain

unaware

of

their

infection

because

they

are

not

clinically

ill

However

infected

persons

serve

as

a

source

of

transmission

to

others

HCV

is

primarily

transmitted

parenterally

usually

through

shared

druginjection

needles

and

paraphernalia

HCV

also

can

be

transmitted

through

exposures

in

healthcare

settings

as

a

consequence

of

inadequate

infectioncontrol

practices

Transmission

following

receipt

of

blood

tissues

and

organs

from

donors

with

HCV

infection

has

occurred

only

rarely

since

when

routine

screening

of

these

donated

products

was

mandated

in

the

United

States

Tattoos

applied

in

regulated

settings

have

not

been

associated

with

HCV

transmission

although

those

obtained

in

unregulated

settings

have

been

linked

to

such

transmission

Occupational

and

perinatal

exposures

also

can

result

in

transmission

of

HCV

but

such

transmission

is

uncommon

Acute

hepatitis

C

is

a

reportable

condition

in

states

and

matching

viral

hepatitis

and

HIV

surveillance

registries

can

facilitate

early

detection

of

social

networks

of

HCV

transmission

among

MSM

with

HIV

infection

Suspected

clusters

of

acute

HCV

infection

should

be

reported

to

the

appropriate

public

health

authorities

HCV

screening

is

recommended

by

CDC

and

USPSTF

for

all

persons

born

during

and

others

based

on

their

risk

for

infection

or

on

a

recognized

exposure

including

past

or

current

injection

drug

use

receiving

a

blood

transfusion

before

longterm

hemodialysis

being

born

to

a

mother

with

HCV

infection

intranasal

drug

use

receipt

of

an

unregulated

tattoo

and

other

percutaneous

exposures

Diagnosis

Testing

for

HCV

infection

should

include

use

of

an

FDAcleared

test

for

antibody

to

HCV

ie

immunoassay

EIA

or

enhanced

chemiluminescence

immunoassay

and

if

recommended

a

supplemental

antibody

test

followed

by

NAAT

to

detect

HCV

RNA

for

those

with

a

positive

antibody

result

Persons

with

HIV

infection

with

low

cell

count

might

require

further

testing

by

NAAT

because

of

the

potential

for

a

falsenegative

antibody

assay

Persons

determined

to

be

antiHCV

positive

should

be

evaluated

by

referral

or

consultation

if

appropriate

for

the

presence

of

acute

infection

presence

severity

or

development

of

CLD

and

eligibility

for

treatment

Nucleic

acid

testing

including

reverse

transcriptase

polymerase

chain

reaction

RTPCR

to

detect

HCV

RNA

is

necessary

to

confirm

the

diagnosis

of

current

HCV

infection

and

testing

of

liver

function

alanine

aminotransferase

level

provides

biochemical

evidence

of

CLD

Treatment

Providers

should

consult

with

specialists

knowledgeable

about

management

of

hepatitis

C

infection

Further

they

can

consult

existing

guidelines

to

learn

about

the

latest

advances

in

the

management

of

hepatitis

C

wwwhcvguidelinesorg

Management

of

Sex

Partners

Because

incident

HCV

has

not

been

demonstrated

to

occur

in

heterosexual

couples

followed

over

time

condom

use

might

not

be

necessary

in

such

circumstances

Persons

with

HCV

infection

with

one

longterm

steady

sex

partner

do

not

need

to

change

their

sexual

practices

However

they

should

discuss

the

low

but

present

risk

for

transmission

with

their

partner

and

discuss

the

need

for

testing

Heterosexuals

and

MSM

with

HCV

infection

and

more

than

one

partner

especially

those

with

concurrent

HIV

infection

should

protect

their

partners

against

HCV

and

HIV

acquisition

by

using

male

latex

condoms

Partners

of

persons

with

HCV

and

HIV

infection

should

be

tested

for

HCV

and

HIV

if

not

known

to

be

infected

Other

Management

Considerations

All

persons

with

HCV

for

whom

HIV

and

HBV

infection

status

is

unknown

should

be

tested

for

these

infections

Those

who

have

HIV

or

HBV

should

be

referred

for

or

provided

with

appropriate

care

and

treatment

Prevention

Reducing

the

burden

of

HCV

infection

and

disease

in

the

United

States

requires

implementation

of

both

primary

and

secondary

prevention

activities

Primary

prevention

reduces

or

eliminates

HCV

transmission

whereas

secondary

prevention

activities

are

aimed

at

reducing

CLD

and

other

chronic

diseases

in

persons

with

HCV

infection

by

first

identifying

them

and

then

providing

medical

management

and

antiviral

therapy

if

appropriate

No

vaccine

for

hepatitis

C

is

available

and

prophylaxis

with

immune

globulin

is

not

effective

in

preventing

HCV

infection

after

exposure

Persons

with

HCV

infection

should

be

provided

information

regarding

how

to

protect

their

liver

from

further

harm

ie

hepatotoxic

agents

for

instance

persons

with

HCV

infection

should

be

advised

to

avoid

drinking

alcohol

and

taking

any

new

medicines

including

overthecounter

and

herbal

medications

without

checking

with

their

clinician

In

addition

a

determination

for

the

need

of

hepatitis

A

and

B

vaccination

should

be

made

persons

who

are

not

immune

should

be

vaccinated

To

reduce

the

risk

for

transmission

to

others

persons

with

HCV

infection

should

be

advised

not

to

donate

blood

body

organs

other

tissue

or

semen

not

to

share

any

personal

items

that

might

have

blood

on

them

eg

toothbrushes

and

razors

and

to

cover

cuts

and

sores

on

the

skin

to

keep

the

virus

from

spreading

by

blood

or

secretions

Women

with

HCV

infection

do

not

need

to

avoid

pregnancy

or

breastfeeding

Persons

who

use

or

inject

drugs

should

be

counseled

about

the

importance

of

stopping

druguse

behaviors

and

provided

with

assistance

to

enter

and

complete

substanceabuse

treatment

including

relapse

prevention

Persons

who

continue

to

inject

drugs

despite

counseling

should

be

encouraged

to

take

the

following

additional

steps

to

reduce

personal

and

public

health

risks

never

reuse

or

share

syringes

water

or

drug

preparation

equipment

only

use

syringes

obtained

from

a

reliable

source

eg

pharmacies

use

a

new

sterile

syringe

to

prepare

and

inject

drugs

if

possible

use

sterile

water

to

prepare

drugs

otherwise

use

clean

water

from

a

reliable

source

eg

fresh

tap

water

use

a

new

or

disinfected

container

ie

cooker

and

a

new

filter

ie

cotton

to

prepare

drugs

clean

the

injection

site

before

injection

with

a

new

alcohol

swab

and

safely

dispose

of

syringes

after

one

use

Postexposure

FollowUp

No

postexposure

prophylaxis

has

been

demonstrated

to

be

effective

against

HCV

HCV

testing

is

recommended

for

healthcare

workers

after

percutaneous

or

permucosal

exposures

to

HCVpositive

blood

Children

born

to

women

with

HCV

infection

also

should

be

tested

for

HCV

Prompt

identification

of

acute

infection

is

important

because

outcomes

are

improved

when

treatment

is

initiated

early

in

the

course

of

illness

Special

Considerations

Pregnancy

Routine

screening

for

HCV

infection

is

not

recommended

for

all

pregnant

women

Pregnant

women

with

a

known

risk

factor

for

HCV

infection

should

be

offered

screening

Although

the

rate

for

transmission

is

highly

variable

up

to

six

of

every

infants

born

to

HCVinfected

women

become

infected

this

infection

occurs

predominantly

during

or

near

delivery

and

no

treatment

or

delivery

methodsuch

as

caesarian

sectionhas

been

demonstrated

to

decrease

this

risk

However

the

risk

is

increased

by

the

presence

of

maternal

HCV

viremia

at

delivery

and

is

two

to

threefold

greater

if

the

woman

is

coinfected

with

HIV

HCV

has

not

been

shown

to

be

transmitted

through

breast

milk

although

mothers

with

HCV

infection

should

consider

abstaining

from

breastfeeding

if

their

nipples

are

cracked

or

bleeding

Infants

born

to

mothers

with

HCV

infection

should

be

tested

for

HCV

infection

because

maternal

antibody

is

present

for

the

first

months

of

life

and

before

the

infant

mounts

an

immunologic

response

nucleic

acid

testing

is

recommended

HIV

Infection

All

persons

with

HIV

infection

should

undergo

serologic

screening

for

HCV

at

initial

evaluation

Providers

should

be

aware

of

the

likelihood

that

MSM

with

HIV

infection

will

acquire

HCV

after

initial

screening

Because

of

accumulating

evidence

of

acute

HCV

infection

acquisition

in

persons

with

HIV

infection

especially

MSM

and

costeffectiveness

of

regular

screening

periodic

HCV

screening

should

be

considered

For

persons

with

HIV

infection

HCV

screening

with

HCV

antibody

assays

can

be

considered

at

least

yearly

in

those

at

high

risk

for

infection

and

more

frequently

depending

on

specific

circumstances

eg

community

HCV

prevalence

and

incidence

highrisk

sexual

behavior

and

concomitant

ulcerative

STDs

and

STDrelated

proctitis

Indirect

testing

eg

ALT

is

not

recommended

for

detecting

incident

HCV

infections

because

such

testing

especially

if

performed

once

a

year

can

miss

many

persons

who

have

reverted

after

acute

HCV

infection

to

a

normal

ALT

level

at

the

time

of

testing

Conversely

ALT

can

be

elevated

by

antiretroviral

and

other

medications

alcohol

and

toxins

If

ALT

levels

are

being

monitored

persons

with

HIV

infection

who

experience

new

and

unexplained

increases

in

ALT

should

be

tested

for

acute

HCV

infection

and

evaluated

for

possible

medication

toxicity

or

excessive

alcohol

use

Continued

unprotected

sexual

contact

between

partners

with

HIV

infection

can

facilitate

spread

of

HCV

as

the

virus

can

be

recovered

from

the

semen

of

men

with

HIV

Specific

prevention

practices

eg

barrier

precautions

that

limit

contact

with

body

fluids

during

sexual

contact

with

other

MSM

should

be

discussed

Because

a

minimal

percentage

of

persons

with

HIV

infection

fail

to

develop

HCV

antibodies

HCV

RNA

testing

should

be

performed

in

persons

with

unexplained

liver

disease

who

are

antiHCV

negative

The

course

of

liver

disease

is

more

rapid

in

HIVHCV

coinfected

persons

and

the

risk

for

cirrhosis

is

nearly

twice

that

of

persons

with

HCV

infection

alone

Coinfected

persons

receiving

HIV

antiviral

regimens

are

now

being

treated

for

HCV

after

their

cell

counts

increase

optimizing

their

immune

response

Mycoplasma

genitalium

M

genitalium

was

first

identified

in

the

early

and

has

become

recognized

as

a

cause

of

male

urethritis

responsible

for

approximately

of

nongonococcal

urethritis

NGU

cases

of

nonchlamydial

NGU

and

approximately

of

persistent

or

recurrent

urethritis

In

most

settings

it

is

more

common

than

N

gonorrhoeae

but

less

common

than

C

trachomatis

While

M

genitalium

is

often

the

sole

pathogen

detected

coinfection

with

C

trachomatis

is

not

uncommon

in

selected

areas

Although

strong

and

consistent

evidence

has

linked

M

genitalium

to

urethritis

in

men

it

remains

unknown

whether

this

infection

can

cause

male

infertility

or

other

male

anogenital

tract

disease

syndromes

The

organism

has

been

detected

in

men

with

epididymitis

in

a

limited

number

of

cases

but

this

has

not

been

extensively

investigated

Similarly

M

genitalium

has

been

found

in

the

rectum

but

detection

is

infrequently

accompanied

by

rectal

symptoms

and

its

presence

does

not

appear

to

cause

a

syndrome

of

clinical

proctitis

The

pathogenic

role

of

M

genitalium

is

less

definitive

in

women

than

it

is

in

men

M

genitalium

can

be

found

in

the

vagina

cervix

and

endometrium

and

like

chlamydial

and

gonococcal

infections

M

genitalium

infections

in

women

are

commonly

asymptomatic

M

genitalium

can

be

detected

in

of

women

with

clinical

cervicitis

and

most

studies

have

found

that

this

organism

is

more

common

among

women

with

cervicitis

than

those

without

this

syndrome

M

genitalium

is

found

in

the

cervix

andor

endometrium

of

women

with

PID

more

often

than

in

women

without

PID

and

endosalpingitis

develops

in

nonhuman

primates

after

inoculation

with

M

genitalium

suggesting

that

this

organism

can

cause

PID

M

genitalium

has

been

detected

in

of

PID

cases

median

depending

on

the

setting

but

the

frequency

with

which

M

genitalium

infected

women

experience

PID

has

been

under

studied

Although

one

study

in

Sweden

reported

a

substantial

increase

in

risk

for

postabortal

PID

among

women

with

M

genitalium

the

proportion

of

M

genitalium

positive

women

who

subsequently

experienced

PID

in

two

other

studies

was

relatively

low

and

evidence

from

serologic

studies

assessing

the

association

of

PID

with

antibody

to

M

genitalium

is

inconsistent

Overall

evidence

suggests

that

M

genitalium

can

cause

PID

but

that

this

occurs

less

frequently

than

it

does

with

C

trachomatis

A

few

seroepidemologic

studies

have

found

that

women

with

tubal

factor

infertility

are

more

likely

to

have

antibodies

to

M

genitalium

than

fertile

women

suggesting

that

this

organism

might

cause

female

infertility

However

more

research

is

needed

On

the

basis

of

certain

reports

M

genitalium

was

uncommonly

identified

in

women

who

experience

adverse

pregnancy

outcomes

but

was

associated

with

increased

risk

for

preterm

delivery

in

one

US

and

another

Peruvian

study

Data

are

scarce

regarding

M

genitalium

and

ectopic

pregnancy

Diagnostic

Considerations

M

genitalium

is

a

slowgrowing

organism

Culture

can

take

up

to

months

and

only

a

few

laboratories

in

the

world

are

able

to

recover

clinical

isolates

Therefore

NAAT

is

the

preferred

method

for

M

genitalium

detection

In

research

settings

M

genitalium

is

diagnosed

by

NAAT

testing

of

urine

urethral

vaginal

and

cervical

swabs

and

through

endometrial

biopsies

typically

using

inhouse

PCR

or

assays

intended

for

research

use

only

NAAT

tests

polymerase

chain

reaction

or

transcription

mediated

amplification

for

M

genitalium

are

available

in

some

large

medical

centers

and

commercial

laboratories

but

there

is

no

diagnostic

test

for

M

genitalium

that

is

cleared

by

the

FDA

for

use

in

the

United

States

In

the

absence

of

validated

tests

M

genitalium

should

be

suspected

in

cases

of

persistent

or

recurrent

urethritis

and

may

be

considered

in

persistent

or

recurrent

cases

of

cervicitis

and

PID

Treatment

M

genitalium

lacks

a

cell

wall

and

thus

antibiotics

targeting

cellwall

biosynthesis

eg

betalactams

including

penicillins

and

cephalosporins

are

ineffective

against

this

organism

Given

the

diagnostic

challenges

treatment

of

most

M

genitalium

infections

will

occur

in

the

context

of

syndromic

management

for

urethritis

cervicitis

and

PID

Urethritis

and

cervicitis

The

doxycycline

regimen

recommended

for

treatment

of

urethritis

is

largely

ineffective

against

M

genitalium

with

a

median

cure

rate

of

approximately

The

single

dose

of

azithromycin

was

significantly

more

effective

against

M

genitalium

than

doxycycline

in

two

randomized

urethritis

treatment

trials

and

is

preferred

over

doxycycline

However

resistance

to

azithromycin

appears

to

be

rapidly

emerging

The

median

cure

rate

for

both

men

and

women

is

approximately

but

was

only

in

the

most

recent

trial

Persons

with

treatment

failures

after

the

azithromycin

regimen

frequently

have

macrolideresistant

strains

suggesting

that

singledose

azithromycin

therapy

might

select

for

resistance

A

longer

course

of

azithromycin

an

initial

dose

followed

by

mg

daily

for

days

might

be

marginally

superior

to

the

single

dose

regimen

However

in

some

settings

approximately

of

all

M

genitalium

infections

are

caused

by

organisms

that

are

already

resistant

to

azithromycin

and

persons

who

do

not

respond

to

the

azithromycin

regimen

generally

do

not

benefit

from

retreatment

with

the

extended

dose

regimen

Moxifloxacin

mg

daily

x

or

days

has

been

successfully

used

to

treat

M

genitalium

in

men

and

women

with

previous

treatment

failures

with

cure

rates

of

in

initial

reports

However

moxifloxacin

has

been

used

in

only

a

few

cases

and

the

drug

has

not

been

tested

in

clinical

trials

Although

generally

considered

effective

studies

in

Japan

Australia

and

the

United

States

have

reported

moxifloxacin

treatment

failures

after

the

day

regimen

PID

Recommended

PID

treatment

regimens

are

based

on

antibiotics

that

are

not

effective

against

M

genitalium

Therefore

clinicians

might

consider

M

genitalium

in

cases

that

do

not

respond

to

therapy

within

days

Where

validated

M

genitalium

testing

is

available

clinicians

might

test

women

with

PID

for

M

genitalium

When

M

genitalium

is

detected

a

regimen

of

moxifloxacin

mgday

for

days

has

been

effective

in

eradicating

the

organism

Nevertheless

no

data

have

been

published

that

assess

the

benefits

of

testing

women

with

PID

for

M

genitalium

and

the

importance

of

directing

treatment

against

this

organism

is

currently

unknown

Followup

In

settings

where

validated

M

genitalium

testing

is

available

persons

with

persistent

urethritis

cervicitis

or

PID

accompanied

by

persistent

detection

of

M

genitalium

might

be

treated

with

moxifloxacin

However

routine

testsofcure

in

asymptomatic

persons

are

not

recommended

Management

of

Sex

Partners

Sex

partners

should

be

managed

according

to

guidelines

for

patients

with

nongonococcal

urethritis

NGU

cervicitis

and

PID

In

settings

with

access

to

validated

M

genitalium

tests

partner

testing

and

treatment

of

identified

infections

might

be

considered

Special

considerations

HIV

infection

Persons

who

have

an

M

genitalium

infection

and

HIV

infection

should

receive

the

same

treatment

regimen

as

those

who

are

HIV

negative

Treatment

of

most

M

genitalium

infections

will

occur

in

the

context

of

syndromic

management

for

urethritis

cervicitis

and

PID

See

Mycoplasma

genitalium

Treatment

Page

last

reviewed

June

Page

last

updated

June

Content

source

Division

of

STD

Prevention

National

Center

for

HIVAIDS

Viral

Hepatitis

STD

and

TB

Prevention

Centers

for

Disease

Control

and

Prevention

O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O 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Animated

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and

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statistics

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vaccines

and

the

different

diseases

they

prevent

A

Public

Health

Achievement

seconds

Between

and

the

United

States

saw

big

declines

in

the

number

of

cases

of

vaccinepreventable

diseases

Because

of

this

vaccines

are

one

of

the

top

public

health

achievements

of

the

decade

Vaccines

By

The

Numbers

seconds

For

kids

born

between

and

vaccination

will

prevent

an

estimated

million

illnesses

million

hospitalizations

and

deaths

in

their

lifetimes

Hepatitis

B

VaccinesByTheNumbers

seconds

About

people

die

each

year

from

hepatitis

B

complications

Many

mothers

dont

know

they

are

infected

and

can

give

the

disease

to

their

babies

Additionally

about

of

every

infants

who

get

hepatitis

B

from

their

mothers

become

chronically

infected

Chickenpox

VaccinesByTheNumbers

seconds

Before

the

chickenpox

vaccine

was

available

about

children

died

and

more

than

children

were

hospitalized

each

year

in

the

US

Measles

VaccinesByTheNumbers

seconds

Despite

a

national

MMR

vaccination

coverage

level

of

nearly

one

child

in

in

the

United

States

is

not

receiving

his

or

her

first

dose

of

MMR

vaccine

on

time

Measles

outbreaks

still

happen

in

the

US

and

vaccines

are

the

best

protection

for

your

child

Pnuemococcal

VaccinesByTheNumbers

seconds

New

pneumococcal

vaccines

were

introduced

in

and

Since

then

they

have

helped

lower

the

estimated

number

of

cases

of

invasive

pneumococcal

disease

in

young

children

by

almost

Outbreaks

can

still

happen

but

vaccines

can

help

protect

your

child

from

diseases

including

pneumococcal

disease

by

age

Parents

and

Health

Care

Professionals

on

Childhood

Vaccines

seconds

During

National

Infant

Immunization

Week

NIIW

parents

health

care

professionals

and

partners

from

around

the

world

shared

why

vaccination

is

important

to

them

using

This

animated

graphic

highlights

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from

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Storm

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CDC

American

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BroadcastQuality

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PSAs

Spanishlanguage

and

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PSAs

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Resources

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Also

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English

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Protect

Your

Baby

with

Immunization

seconds

This

liveaction

video

provides

an

amusing

reallife

glimpse

into

the

world

of

parents

and

babies

The

emphasis

is

on

what

parents

are

willing

to

do

to

keep

their

children

protected

including

immunization

Babies

on

the

Move

Protection

Babies

with

Vaccination

seconds

and

seconds

This

animated

PSA

emphasizes

how

parents

can

protect

their

child

from

diseases

before

they

turn

years

old

by

making

sure

they

get

all

of

the

safe

proven

protection

of

vaccines

according

to

CDCs

recommended

immunization

schedule

Vaccination

A

Key

Piece

of

the

Puzzle

seconds

and

seconds

This

animated

PSA

emphasizes

that

vaccines

are

the

key

piece

of

the

puzzle

that

helps

parents

keep

their

babies

healthy

and

protected

from

serious

childhood

diseases

Spanish

language

Visite

al

Doctor

seconds

This

liveaction

video

depicts

parents

visiting

the

pediatrician

with

their

young

child

The

doctor

explains

to

the

parents

the

importance

of

timely

vaccination

BroadcastQuality

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messages

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broadcastquality

television

spots

The

English

radio

PSAs

emphasize

what

parents

are

willing

to

do

to

keep

their

children

protected

including

immunization

The

Spanish

radio

PSAs

depict

a

doctor

explaining

to

parents

the

importance

of

timely

vaccination

of

their

young

daughter

CDC

YouTube

Videos

The

Journey

of

Your

Childs

Vaccine

Learn

about

the

journey

of

a

childhood

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development

from

lab

testing

through

safety

monitoring

This

video

explains

the

three

phases

of

clinical

trials

vaccine

licensing

and

manufacturing

how

a

vaccine

is

added

to

the

US

recommended

immunization

schedule

and

how

FDA

and

CDC

continue

to

monitor

vaccine

safety

after

the

public

begins

using

the

vaccine

Make

Sure

Vaccination

is

on

your

BacktoSchool

List

Make

sure

that

your

children

are

up

to

date

on

vaccines

before

sending

them

back

to

school

Children

of

all

ages

from

preschoolers

to

college

students

need

vaccines

Making

sure

that

children

receive

all

their

vaccinations

according

to

CDCs

recommended

schedule

is

one

of

the

most

important

things

you

can

do

as

a

parent

to

help

protect

their

healthas

well

as

the

health

of

friends

classmates

and

others

in

your

community

CDC

Streaming

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Among

the

hundreds

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publichealth

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View

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O O O O O O O O O B I O B O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O B I O B O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B O O O O O O O O B O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O


Copycat Bojangles Biscuits The popular baking powder biscuits made at Bojangles Famous Chicken n Biscuits restaurants can be yours at home with this easy recipe servesmakes ready in under 30 minutes 16 reviews 1 comment ingredients 3 cups selfrising flour 3 teaspoons baking powder 2 teaspoons confectioners sugar 12 cup shortening 1 14 cup buttermilk melted butter as needed directions Preheat the oven to 450 degrees F Combine the flour baking powder and confectioners sugar in a bowl Mix well Add the shortening and cut into the flour mixture with a pastry knife until it resembles coarse crumbs Slowly stir in the buttermilk Knead the dough until it is smooth Roll out the dough on a floured surface and cut with a biscuit cutter Place the biscuits 2inches apart on a baking sheet Place the baking sheet in the oven and bake at 450 degrees F for 12 minutes or until golden brown Remove the biscuits from the oven and immediately brush the tops of each with the melted butter nutrition 199 calories 9 grams fat 25 grams carbohydrates 4 grams protein per biscuit Show full nutritional data including Weight Watchers Points cholesterol sodium vitamins and diabetic exchanges more recipes like bojangles biscuits Reba REVIEW September 11 2018 I have made these several times exactly as written and they are delicious The best I have ever made Thanks for the recipe Guest Foodie REVIEW July 13 2015 This recipe needs SALT Very bland no taste Pete Tybeck REVIEW April 17 2015 Great and quick recipe I made them for breakfast bacon egg and cheese rolled 34 high and 312 round The best dont over work Guest Foodie REVIEW February 28 2015 Great recipe very reminiscent of Bojangles As an aside it seems a bit cocky to be critical of a recipe if you didnt even try it Guest Foodie REVIEW March 1 2014 Great recipe How thick should dough be before cutting biscuits out Keyonna Lyle REVIEW December 29 2013 I absolutely love this recipe Ive never made good biscuits EVERand finallyI can say I have made the best biscuits ever No exagerationsBEST that I have tasted personally Thank you so much for the recipe Guest22 November 12 2013 Ive cooked biscuits all my life and I think you dont understand some fundamentals of baking You dont need both self rising flour and baking powder Also if you are using buttermilk I recommend using baking soda instead of baking powder and cut the amount in half if you are using all purpose flour But best yet just use buttermilk with self rising flour Self rising flour already has baking powder in it Otherwise your wasting baking powder and its best not to add salt if you use baking powder for taste CDKitchen Staff Reply Thank you for the untried suggestions since you didnt seem to indicate you actually made the recipe Wed recommend trying the recipe as written as its worked well for us for many years HOT in Dallas REVIEW October 31 2013 My husband never likes my homemade biscuits He says they arent quite right but of course cant possibly articulate what he doesnt like about them lol Tried these because I love love love biscuits and he finally after 22 years said theyre perfect WIN I still dont know what is so different about these but Ive made them twice now and he still thinks they are winners so Ill keep making this recipe Thank you SaraLK REVIEW March 18 2013 Oh my goodness I have been searching for a perfect biscuit recipe for a long time Ive finally found it This recipe makes fluffy light wonderful biscuits Think I will double the recipe next time considering how fast they disappeared jwatk256 REVIEW February 12 2013 Love this recipe Make the full recipe then cook 4 and put the remainder in 2 freezer bags and put in freezer for another day Great Jonesy REVIEW December 25 2012 These do not taste like Bojangles biscuits at all That being said they are still good biscuits with butter and jam Peggy REVIEW December 15 2012 Just made these biscuits and they are greatttttttttt I will be making these again My husband loved them too These were easy to make and the taste and texture was awesome Thanks for sharing Ashley REVIEW August 31 2012 This really is a perfect biscuit recipe I made them for the first time last night and they turned out great My husband and I had them for dinner as bacon egg and cheese biscuits I put frozen blueberries in half of the dough to make boberry biscuits Just drizzle the boberries with a little icing and you can have bojangles anytime you want Also I used butterflavored crisco as the shortening Brenda REVIEW April 13 2012 My eleven year old grandson loves Bojangles biscuits When I found this recipe I just had to try it I have never been able to make a really good biscuit until now My grandson is very picky but he loves them While visiting his family in Texas for a week I made these biscuits four times They had plenty in the freezer when I left These are a really big hit with all of us I did add 1 teaspoon of salt Anna REVIEW February 4 2012 I have made this biscuits many times since finding the recipe last month With a drinking glass I can get about 15 using a childs glass close to 30 One time I substituted butter for shortening and it was way too salty so dont try that I also use a buttermilk substitution of 1 14c milk 2tsp Cream of Tartar They really taste just like Bojangles I keep a large box of these around and reheat in the toaster oven for breakfasts snacks etc and they taste just as fresh even days later Guest REVIEW July 1 2011 These biscuits are awesome Just made a test batch for me and a few friends Better than can biscuits I brushed the butter on before baking and they turned out great Easy to make not very many ingredients Just like Bojangles REVIEW April 3 2010 Made these according to the recipe and they turned out great They taste just like Bojangles biscuits Be sure to brush plenty of melted butter on top right after they come out of the oven for the golden greasy Bojangles sheen

O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Board Certification as a Specialist in Renal Nutrition The Commission on Dietetic Registration CDR offers Board Certification as a Specialist in Renal Nutrition Board certification is granted in recognition of an applicants documented practice experience and successful completion of an examination in the specialty area General Candidate Information Examination Dates and Fee Schedule Eligibility Requirements Online Eligibility Application Anticipated Renal Exam Locations Exam Development Process Examination PassFail Statistics Candidate Handbook Confidentiality Statement Renal Exam Study Resources Renal Nutrition Content Outline Renal Reference List Renal Nutrition Specialty Practice Definition Current Specialist Information Current Board Certified Specialists in Renal Nutrition List by State Recertification Requirements Guidelines for Credential Placement Online Credential Verification Request for Subject Matter Experts SMEs Watch a short informational video on the CSG CDR the credentialing agency for the Academy of Nutrition and Dietetics is an equal opportunity organization and does not discriminate among candidates on the basis of race creed gender religion national origin disability or marital status

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Others Craig Melvin Craig Melvin Others 25 Ağustos 2018 870 views About Craig Melvin was born on 20 May 1979 in Columbia South Carolina Is an American journalist and news anchor who works for NBC News MSNBC He is one of the talented American journalist and news anchor Nickname News Anchor Spouse Lindsay Czarniak m 2011 An American sports anchor and reporter Parents Lawrence and Betty Melvin Children 2 One son and One daughter Siblings Ryan Melvin and Rev Lawrence Meadows Occupation Correspondent News Anchor NBC News MSNBC Year Active 2001 Present Net worth 35 million Ethnicity White Nationality American Residence United States Eye Color Brown Hair color Black Body type Avarage Skin type Dark skin Sexual orientation Straight Hobbies Music Travelling Reading Watching Comments Craig Melvin Real Name Craig Delano Melvin Birthday 19790520 39 Birth place Columbia south Carolina Height 183 cm 60 Weight Marital Status Married Education Wofford College Columbia High School Birth Sign Taurus Stefan Edberg Timucin Esen Anand Ahuja Dylan Pierias Feleknas Uca Karolina Pliskova

O B I B I O O O O O O O B I O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Jeff Goldblum Net Worth How much is Jeff Goldblum Worth in Richest Celebrities Actors Random Celebrity Jeff Goldblum net worth 40 Million Jeff Goldblum net worth Jeff Goldblum is an American actor who has a net worth of 40 million Jeff Goldblum has starred in some of the biggest blockbusters of all time Jeff Goldblum has also frequently chosen to portray unconventional characters in limited release indies Having made his big acting break as a drugaddled punk in Death Wish 1994 Goldblum spent several years looking for that one stepup role that would catapult his career to a sky level Such role was the one he played in 1983s The Big Chill when he portrayed a seedy magazine journalist who reconnects with Jeff B Davis Net Worth Emma Thompson Net Worth The 10 Biggest Box Office Flops Of 2015 Jeff Goldblum Actor Date of Birth Oct 22 1952 66 years old Profession Actor Voice Actor Film Producer Nationality United States of America Height 6 ft 4 in 194 m

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buprenorphine and naloxone Orexo AB For the maintenance treatment of opioid dependence Approved July 2013 Drugs Approved in 2012 Qsymia phentermine topiramate extendedrelease Vivus For the treatment of chronic weight management Approved July 2012 Quillivant XR methylphenidate hydrochloride NextWave Pharmaceuticals For the treatment of Attention Deficit Hyperactivity Disorder Approved September 2012 Drugs Approved in 2011 Intermezzo zolpidem tartrate sublingual tablet Transcept Pharmaceuticals For the treatment of insomnia Approved November 2011 Viibryd vilazodone hydrochloride Clinical Data For the treatment of major depressive disorder Approved January 2011 Drugs Approved in 2010 Latuda lurasidone Sunovion For the treatment of schizophrenia Approved October 2010 Oleptro trazodone hydrochloride Labopharm For the treatment of major depressive disorder Approved February 2010 Vivitrol naltrexone for extendedrelease injectable suspension Alkermes For the prevention of relapse to opioid dependence Approved October 2010 Drugs Approved in 2009 Edluar zolpidem tartrate Orexo For the treatment of insomnia Approved March 2009 Fanapt iloperidone Vanda For the treatment of schizophrenia Approved May of 2009 Intuniv guanfacine extendedrelease Shire Pharmaceuticals For the treatment of ADHD in children and adolescents Approved September 2009 Saphris asenapine ScheringPlough For the treatment of schizophrenia and manic or mixed bipolar 1 episodes Approved August of 2009 Drugs Approved in 2008 Aplenzin bupropion hydrobromide Biovail Laboratories For the treatment of major depressive disorder Approved April 2008 Stavzor valproic acid delayed release Banner Pharmacaps For the treatment of bipolar manic disorder seizures and migraine headaches Approved July 2008 Drugs Approved in 2007 Vyvanse Lisdexamfetamine Dimesylate New River For the treatment of AttentionDeficitHyperactivity Disorder Approved February 2007 Drugs Approved in 2006 Chantix varenicline Pfizer For the treatment of nicotine addiction Approved May 2006 Invega paliperidone Janssen Pharmaceuticals For the treatment of schizophrenia Approved December 2006 Vivitrol naltrexone for extendedrelease injectable suspension Alkermes For the treatment of alcohol dependence Approved April 2006 Drugs Approved in 2004 Cymbalta duloxetine Eli Lilly For the treatment of major depressive disorder Approved August 2004 Drugs Approved in 2002 Abilify aripiprazole BristolMyers Squibb Otsuka America Pharmaceutical Oral drug for the treatment of schizophrenia Approved November 2002 Geodon ziprasidone mesylate Pfizer To control agitated behavior and psychotic symptoms in schizophrenia patients Approved June 2002 Lexapro escitalopram oxalate Forest Laboratories An orally administered selective serotonin reuptake inhibitor useful for the treatment for major depressive disorder Approved August 2002 Paxil CR paroxetine hydrochloride GlaxoSmithKline Oral tablet for the treatment of depression and panic disorder Approved February 2002 Ritalin LA methylphenidate HCl Novartis Oral capsules for the treatment AttentionDeficitHyperactivity Disorder ADHD Approved June 2002 Strattera atomoxetine HCl Eli Lilly For the treatment of AttentionDeficitHyperactivity Disorder ADHD in children adolescents and adults December 2002 SubutexSuboxone buprenorphinenaloxone Reckitt Benckiser Oral tablets for the treatment of opiate dependence Approved October 2002 Zoloft sertraline HCl Pfizer Oral tablets for the treatment of premenstrual dysphoric mood disorder PMDD Approved May 2002 Drugs Approved in 2001 Adderall XR Shire Pharmaceuticals Oncedaily medication for the treatment of attention deficithyperactivity disorder ADHD Approved October 2001 Focalin dexmethylphenidate HCl Celgene For the treatment of attention deficit hyperactivity disorder ADHD Approved November 2001 Metadate CD Celltech Pharmaceuticals Oral capsules for the treatment of attention deficit hyperactivity disorder Approved April 2001 Prozac Weekly fluoxetine HCl Eli Lilly For the treatment of depression Approved February 2001 Remeron SolTab mirtazapine Organon Orally disintegrating tablet for the treatment of depression Approved January 2001 Ziprasidone ziprasidone hydrochloride Pfizer Oral capsule for the treatment of schizophrenia Approved February 2001 Drugs Approved in 2000 Concerta Alza For the treatment of Attention Deficit Hyperactivity Disorder Approved August 2000 Drugs Approved in 1999 Effexor venlafaxin HCL Wyeth Treatment for generalized anxiety disorder Approved March 1999 Paxil CR paroxetine hydrochloride SmithKline Beecham Treatment for depression Approved March 1999 Sonata American Home Products Treatment fo insomnia Approved August 1999 Drugs Approved in 1998 Celexa Forest Laboratories Treatment for depression Approved July 1998 Clomipramine hydrochloride Mylan Laboratories Generic equivalent of Anafranil Approved April 1998 Cylert Abbott Laboratories Treatment for Attention Deficit Disorder Approved October 1998 Marplan Tablets Roche Treatment of Depression Approved August 1998 Naltrexone Hydrochloride Tablets Barr Laboratories Generic equivalent of Revia Approved May 1998 Prochlorperazine IVAX Generic equivalent of SmithKline Beechams Compazine Approved January 1998 Drugs Approved in 1997 Effexor XR venlafaxin HCI Wyeth Treatment of depression Approved October 1997 Generic Transdermal Nicotine Patch Sano Generic equivalent of Habitrol Approved October 1997 LUVOX fluvoxamine maleate Solvay Pharmaceuticals Pharmacia Upjohn Treatment for obsessive compulsive disorder OCD in children and adolescents Approved April 1997 Seroquel R quetiapine fumarate Tablets AstraZeneca Treatment for schizophrenia Approved September 1997 Trazadone 150mg Teva Pharmaceutical Generic equivalent of Desyrel 7 Approved May 1997 Zoloft sertraline HCl Pfizer Treatment for panic disorder Approved July 1997 Zoloft sertraline HCl Pfizer Treatment of panic disorder in children ages 617 Approved October 1997 Zyban SustainedRelease Tablets GlaxoSmithKline Treatment for smoking cessation Approved May 1997 Drugs Approved in 1996 Adderall mixed salts of a singleentity amphetamine Richwood Pharmaceutical Treatment for attentiondeficithyperactivity disorder Supplemental NDA Approved February 1996 ARICEPT donepezil hydrochloride Eisai Treatment for Alzheimers Disease Approved December 1996 Depakote divalproex sodium Abbott Laboratories Treatment for migraine headaches Approved March 1996 Lithobid Lithium Carbonate Solvay Pharmaceuticals Treatment for manic depression Approved January 1996 NicoDerm CQ SmithKline Beecham Hoechst Marion Roussel Alza Treatment for smoking cessation Approved August 1996 Nicorette nicotine polacrilex SmithKline Beecham Overthecounter aid in smoking cessation Approved February 1996 Nicotrol nasal spray Pharmacia Upjohn Treatment for nicotine addiction Approved March 1996 Nicotrol transdermal patch McNeil Consumer Products Treatment for smoking cessation Approved July 1996 Paxil paroxetine hydrochloride SmithKline Beecham Treatment for panic disorder Approved May 1996 Redux dexfenfluramine hydrochloride Wyeth Treatment for obesity Approved May 1996 Remeron Mirtazapine Organon Treatment for depression Approved June 1996 Risperdal Oral Formulation Janssen Pharmaceuticals Treatment for schizophrenia Approved July 1996 Zyprexa Eli Lilly Treatment of the symptoms of psychotic disorders Approved September 1996

B O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


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Common Sense Economics Three complete semesterlong courses total of 27 modules including 19 core economics modules and 8 personal finance modules Covers 150 key terms and concepts aligned with national standards Intentionally designed for students who may only take one economics or personal finance course Modules 1 4 provide a great introduction for Advanced Placement economics students This course package contains 27 modules that can be arranged into three different predesigned courses or laid out into a custom format based on your classrooms needs Each module is paced at roughly one week per module No prior knowledge is required The course is not mathheavy Instead students are encouraged to develop their economic reasoning skills and apply them to the development of a more fulfilling life Common Sense Economics was intentionally designed to be the essential course for individuals who may only take one economics and personal finance course in their life It prepares them to think using economic reasoning and to become strategic consumers wise savers diversified investors and responsible citizens Each course layout includes a basic introduction to 12 Key Elements of Economics Subsequent modules are based on desired outcomes and objectives of the course Each module contains engaging reading materials videos and other media discussion questions homework assignments additional classroom activities quizzes and unit exams Included is a course key by module a description of each course syllabus and more to give you a helping hand when creating your course Download the course to get started Browse Course Content Here Whats included with all our curriculum packages Interested in our American History course Click here Interested in our Government course Click here WORD ON THE STREET Teaching with the Common Sense Economics curriculum this semester has reinvigorated my teaching and has been all I expected it would be and more Read More Derek DAngelo Teacher The most relevant part of this course is learning how wealth consumption and production work I think all of the information I have learned will help me in the future I learned how to save money how markets work creating value and how that Read More Forrest Lasher Student Wake Technical Community College You have excellent teaching method Im really impressed You have opened my eyes to things I would have never looked at before Youve taught me so much that I feel educatedsometimes the book will give an example but an additional reso Read More Jennifer Pesola Student Northern Michigan University This is the best econ class I have taken and thats no lie They are usually very vocabulary heavy with lots of graphs and numbers but I can honestly say I have learned more from Common Sense Economics than all the others combined and actually Read More Jesse Wery Student Northern Michigan University I just want to say that I have never received so much wonderful guidance and help setting up a curriculum The staff at Certell have been the most helpful EVER Especially since I am a technomoron and have needed more help than most Additiona Read More Liz Liefer Teacher Fruitland High School I absolutely love this course Ive taken Economics before when I got my undergraduate degree and again when I finished my masters I disliked it both times I had to drag myself to class This book and class is just what I needed to feel the e Read More Lori Gudmundson Teacher Wanted to drop you a note telling you how much your little lessons help me teach economics They are both informative and entertaining and the students really like them They are short enough to introduce a concept and then allow for time for d Read More Bradley Olman Middle School Teacher Union Beach NJ Thanks for teaching this course over the summer My 8th grade course coverage of the US Economic System has been lacking it was too sparse and did not highlight the importance of incentives personal consequences and choice Armed with seve Read More Collin Flynn Teacher Tucson AZ My husband has been listening to the videos and stuff when I play them at home and he thinks you guys are rock stars because of all the good stuff youve put together I just thought youd like to know its not just your students who think you Read More Demii von Mettenhei Teacher Economics Teaching with the Common Sense Economics curriculum this semester has reinvigorated my teaching and has been all I expected it would be and more Read More Derek DAngelo Teacher The most relevant part of this course is learning how wealth consumption and production work I think all of the information I have learned will help me in the future I learned how to save money how markets work creating value and how that Read More Forrest Lasher Student Wake Technical Community College You have excellent teaching method Im really impressed You have opened my eyes to things I would have never looked at before Youve taught me so much that I feel educatedsometimes the book will give an example but an additional reso Read More Jennifer Pesola Student Northern Michigan University This is the best econ class I have taken and thats no lie They are usually very vocabulary heavy with lots of graphs and numbers but I can honestly say I have learned more from Common Sense Economics than all the others combined and actually Read More Jesse Wery Student Northern Michigan University I just want to say that I have never received so much wonderful guidance and help setting up a curriculum The staff at Certell have been the most helpful EVER Especially since I am a technomoron and have needed more help than most Additiona Read More Liz Liefer Teacher Fruitland High School I absolutely love this course Ive taken Economics before when I got my undergraduate degree and again when I finished my masters I disliked it both times I had to drag myself to class This book and class is just what I needed to feel the e Read More Lori Gudmundson Teacher Wanted to drop you a note telling you how much your little lessons help me teach economics They are both informative and entertaining and the students really like them They are short enough to introduce a concept and then allow for time for d Read More Bradley Olman Middle School Teacher Union Beach NJ Thanks for teaching this course over the summer My 8th grade course coverage of the US Economic System has been lacking it was too sparse and did not highlight the importance of incentives personal consequences and choice Armed with seve Read More Collin Flynn Teacher Tucson AZ My husband has been listening to the videos and stuff when I play them at home and he thinks you guys are rock stars because of all the good stuff youve put together I just thought youd like to know its not just your students who think you Read More Demii von Mettenhei Teacher Economics Teaching with the Common Sense Economics curriculum this semester has reinvigorated my teaching and has been all I expected it would be and more Read More Derek DAngelo Teacher The most relevant part of this course is learning how wealth consumption and production work I think all of the information I have learned will help me in the future I learned how to save money how markets work creating value and how that Read More Forrest Lasher Student Wake Technical Community College You have excellent teaching method Im really impressed You have opened my eyes to things I would have never looked at before Youve taught me so much that I feel educatedsometimes the book will give an example but an additional reso Read More Jennifer Pesola Student Northern Michigan University

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Law Regulation Commodity Exchange Act Regulations Project KISS DoddFrank Act Federal Register Public Comments CFTC Staff Letters Dispositions Opinions Adjudicatory Orders Enforcement Rulemaking Records Reparations Program Disciplinary History Capital Margin Capital Margin for Nonbanks The Commission issued proposed rules to implement the DoddFrank Wall Street Reform and Consumer Protection Act Information regarding Capital Margin is provided below including factsheets for each proposed rule and details of meetings held between CFTC staff and outside parties Related Federal Register Releases Purpose Rule 82 FR 13971 PDF Version 3162017 17 CFR Parts 1 23 and 40 Capital Requirements of Swap Dealers and Major Swap Participants Comment File Closing Date 3162017 Purpose Rule 81 FR 91252 PDF Version 12162016 17 CFR Parts 1 23 and 140 Capital Requirements of Swap Dealers and Major Swap Participants Comment File Closing Date 3162017 Orders and Other Announcements 81 FR 63376 PDF Version 9152016 17 CFR Chapter I Comparability Determination for Japan Margin Requirements for Uncleared Swaps for Swap Dealers and Major Swap Participants Effective Date Thursday September 15 2016 Final Rule 81 FR 34818 PDF Version 5312016 17 CFR Parts 23 Margin Requirements for Uncleared Swaps for Swap Dealers and Major Swap ParticipantsCrossBorder Application of the Margin Requirements Effective Date Monday August 01 2016 Final Rule 81 FR 636 PDF Version 122016 17 CFR Parts 23 and 140 Margin Requirements for Uncleared Swaps for Swap Dealers and Major Swap Participants Effective Date Friday April 01 2016 Proposed Rule 80 FR 41376 PDF Version 7142015 17 CFR Parts 23 Margin Requirements for Uncleared Swaps for Swap Dealers and Major Swap ParticipantsCrossBorder Application of the Margin Requirements Effective Date Monday September 14 2015 Proposed Rule 79 FR 59898 PDF Version 1032014 17 CFR Parts 23 and 140 Margin Requirements for Uncleared Swaps for Swap Dealers and Major Swap Participants Comment File Closing Date 1222014 Proposed Rule 76 FR 58176 PDF Version 9202011 17 CFR Part 23 Swap Transaction Compliance and Implementation Schedule Trading Documentation and Margining Requirements under Section 4s of the CEA Comment File Closing Date 1142011 Proposed Rule 76 FR 27802 PDF Version 5122011 17 CFR Parts 1 23 and 140 Capital Requirements of Swap Dealers and Major Swap Participants Comment File Closing Date 7112011 Proposed Rule 76 FR 23732 PDF Version 4282011 17 CFR Part 23 Margin Requirements for Uncleared Swaps for Swap Dealers and Major Swap Participants Comment File Extended Date 7112011 See Also 76 FR 27621 PDF Version Comments Extension 17 CFR Part 23 Margin Requirements for Uncleared Swaps for Swap Dealers and Major Swap Participants Additional Information Fact Sheet Comparability Determination for Japan Uncleared Swap Margin Rules for Substituted Compliance Purposes Event CFTC to Hold an Open Commission Meeting on September 8th to Consider System Safeguards Testing Requirements Final Rules and a Comparability Determination for Japan Uncleared Swap Margin Rules for Substituted Compliance Purposes Fact Sheet Final Rule Regarding Margin for Uncleared Swaps Fact Sheet Proposed Rules Regarding Capital Requirements for Swap Dealers and Major Swap Participants QA Capital Requirements for Swap Dealers and Major Swap Participants Event Open Meeting on Fourteenth Series of Proposed Rules under the DoddFrank Act Fact Sheet Proposed Rules Regarding Margin for Uncleared Swaps QA Proposed Rules Regarding Margin for Uncleared Swaps Event Open Meeting on Thirteenth Series of Proposed Rules under the DoddFrank Act Event CFTC SEC Staff Roundtable to Discuss Issues Related to Capital and Margin for Swaps and SecurityBased Swaps DoddFrank Act Submit a Comment Forms and Submissions

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O B I I O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O


Chamberlayne Baptist Church We Welcome You to the website of Chamberlayne Baptist Church We are glad that you found us and hope the information contained in this site will be useful to you Chamberlayne Baptist Church is a community of disciples of Jesus Christ We are striving to live faithful lives that demonstrate the compassion love and care of Christ We welcome all people into this fellowship We value each and every person and we believe everyone has been called by God to contribute something good to this world Together we can encourage and empower one another towards this worthy goal

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Books Fox Friends cohost has been juggling new book motherhood and trips to Charlotte By Théoden Janes April 26 2018 1116 AM Updated April 26 2018 1016 AM In The Light Within Me Ainsley Earhardt a graduate of Columbia SCs Spring Valley High School and the University of South Carolina discusses her faith her family and her childhood in South Carolina Courtesy of HarperCollins Ainsley Earhardt is used to keeping her cool while conducting interviews as cohost of Fox News Channels toprated Fox Friends morning show But when she found herself on the other side of the microphone this week as she made the rounds to promote her brandnew book the South Carolina native was feeling maybe a tiny bit overwhelmed Its been a crazy day Earhardt told the Observer by phone from her New York City home on Tuesday just hours after her faiththemed memoir The Light Within Me landed in brickandmortar and online bookstores My babysitter just took Hayden Earhardts 2yearold daughter out for a little walk because in the middle of all these interviews shes running into my bedroom and wants me to hold her and talking to me I was on Sean Hannitys radio show and he said You were really vulnerable in this book and you were talking about your miscarriage and I started talking about that Then I started crying and his producer had gone through the same thing and she started crying In the middle of that Hayden runs in and shes like Mama Mama pick me up Pick me up Earhardt said laughing But I thought How ironic Im talking about this miscarriage and here comes Gods little gift to me my little baby Hayden was actually a main reason Earhardt became an author in the first place In 2016 Ainsley Earhardt wrote a childrens book titled Take My Heart A Mothers Dream then followed it up with another 2017s Through Your Eyes My Childs Gift to Me Both landed atop the list of New York Times bestselling childrens picture books 20 for 365 Days of Unlimited Digital Access Last chance to take advantage of our best offer of the year Act now SUBSCRIBE NOW ReadLocal Courtesy of HarperCollins The Light Within Me is poised to be an even bigger hit The book chronicling how her devotion to God and the inspiration she found in scripture guided her through personal and professional challenges has lingered near the top of Amazons bestseller list since its release During our conversation with Earhardt a Columbia native and University of South Carolina alumna we learned what inspired her to write the book how entries from her personal journal figured into it and on another subject entirely why shes been flying from New York down to Charlotte every weekend since February Q So what made this the right time to tell your story A Well I wrote the childrens books and those were wonderful tributes to my life as a daughter and a mother and just a thankyou to my parents for all the lessons in life they had passed on to me that I could pass onto my child and to other kids around the world But then theres this other book Ive had in my heart that I felt needed to be told I didnt think I would tell it now but HarperCollins approached me and said We want to publish your memoir about your faith journey and how you got to this place in your life They knew I talk about my faith and the journey that Ive been on onair often and am not afraid to talk about it I was a little apprehensive about it though because at first I thought I dont want to be so selfserving that here I am at 41 years old and I have this long great story to tell so here I am writing a memoir At the same time if someone asks me to share my faith I cant say no to that I feel like thats God asking me to do something for him and so I dont want to turn that down Ive always followed his ways or tried to at least and feel like hes never directed me Its my journey of faith and how I got through the tough times and the great times Ive had many more blessings than I have failures but the failures are what motivate me every day to continue to live my life and help me push forward Q In the book you included some very personal and very powerful entries from your journal How long have you kept a journal A A long time Thereve been times when Ive done it more than others When I really discovered who God was and had a firm relationship with him my junior year of college I journaled constantly All day long I had boxes of journals They were really just love letters to God just thanking him and praying out loud and telling him my desires Its pretty cathartic for me to write a letter to God and tell him what Im praying for that day or what Im going through emotionally But I also wrote those journals so that my daughter would have a deeper knowledge of who I was as a person If anything happened to me I knew my children would read those journals so when I wrote them I wanted to be honest but I wanted them to see that I had a strong faith and that with God you can get through anything Writing the book was not easy because it did take me on an emotional roller coaster I did go back and read some of those journals about some of the hardest times in my life and I shared some of those with the readers I know that Im being very vulnerable but I hope the audience appreciates it and maybe a life will be changed or saved or someone experiencing a hard time will be able to get through that struggle because of advice that Ive given them of how I got through it Q You also go into great detail in the book about your rise through the journalism ranks Can you sum up what you think it took to get you to where you are today A I think I just put my head to the ground I didnt complain I said yes to every opportunity I had my eyes set on New York and God gave me that desire So I didnt look up I didnt breathe I didnt take a breath I feel like in my life until I got there Now I did enjoy the ride Ive had a lot of fun Ive had a great life And Im passionate about my job I dont think you can say yes to every opportunity and work the weekends and work the overnight shift unless youre Ainsley Earhardt cohosts Fox Friends for Fox News Channel with Steve Doocy and Brian Kilmeade live from New York City An estimated 15 million people watch every weekday morning Richard Drew Associated Press Q At the same time you express a clear affinity in the book for the South particularly South Carolina What do you miss most about living there A I do miss family and the culture the sweet tea the barbecue sandwiches going places and knowing everyone Like going to a grocery store I mean sometimes its good in New York when you dont know anyone because you can go without your makeup and not worry about your hair and all that But in the South you go places and you see people that you know and you go to a restaurant and youre gonna see three or four families that you grew up with Its just the way it is People dont leave the South because its such I miss the beaches I miss Charleston And I miss the vacations Were actually going there all of my best friends rented a house at Isle of Palms in June We were trying to decide where we wanted to go and were all from South Carolina and we all said Lets just go home One lives in Atlanta and one lives in Florida so were taking all of our kids back home and were going to enjoy it Some of my friends from New York are coming with their kids too I just cant wait to have seafood and beach Q Although South Carolina is home and you went to most of college at USC and your first reporting job was in Columbia theres a quick mention in the first chapter about the fact that your family briefly moved away from South Carolina and you spent your thirdgrade year at Charlottes Sharon Elementary School You also write that you later learned two other Fox News anchors attended Sharon Thatd be A Heather Childers and Anna Kooiman Annas back visiting from Australia so shes been on our morning show every day this week Heather was my coanchor for Fox Friends First for a few years Shes now anchoring at 4 oclock in the morning Isnt that funny We were there at different times but it really is crazy how we all came from there Read Next tv Youd have to wake up pretty early to compete with Fox News Heather Childers October 10 2017 520 PM Q Do you ever get back to Charlotte A Actually I havent really talked about this but my mother had a stroke Feb 1 and shes been in your hospital Atrium Healths Carolinas Rehabilitation center since February Shes moving back to another facility in South Carolina but as a family weve spent every weekend in Charlotte My dad has lived there and has not left her side And the Charlotte community has just been wonderful One of our friends in Charlotte she and her husband just bought another house and she said Use our townhouse So weve done that We keep eating at all of your restaurants and have Q Im so sorry to hear shes been sick Is she doing better I hope A Shes doing a little better She had to relearn to talk She was paralyzed on the right side but she just started moving her fingers and then she started lifting her arm so thats a significant improvement That means that she could maybe become mobile again and learn to walk And shes feeding herself now she wasnt able to do that before so shes coming along But I just want to say that hospital is handsdown the best I mean we all said as a family if we ever have an emergency situation were going to your hospital All the nurses all the doctors all of the therapists shes worked with are amazing and so sweet I just miss that Southern mentality Its just such a wonderful place where you feel loved Everyone there saved my moms life Janes 7043585897 Twitter theodenjanes Comments

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