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If such a parent or guardian has more than one student enrolled at Wheaton asthmatic bronchitis treatment guidelines cheap ventolin 100mcg on line, each student must authorize the parent or guardian as a proxy to asthma symptoms tagalog cheap 100 mcg ventolin with mastercard his/her own record(s) asthma symptoms worse in fall order 100mcg ventolin with amex. If a parent or guardian of a student seeks private information from the College that the student has not authorized for release asthma symptoms dizziness cheap 100 mcg ventolin otc, the College will direct the parent or guardian to speak to the student regarding authorization. Guidelines for Review of Files of Graduating Students the College maintains certain student records pertaining to student conduct (as specified below) for the primary purpose of responding to requests for information or reference forms or from other sources (bar associations, government agencies, etc. Student conduct and student care records are maintained to preserve institutional knowledge about how prior conduct and care matters were handled. Procedure: the Dean of Student Wellness or Dean of Residence Life will review the file of any graduating student to determine if documents containing care and/or conduct information should be retained in a confidential file after the student graduates. Care and conduct records will be held by Student Development in a confidential file. Confidential files of individual students will be maintained based upon year of graduation. Records will be permanently retained in a confidential file after a student graduates for the following reasons: Documentation referencing conduct that resulted in an outcome of probation, suspension, or expulsion. Conduct records related to serious or repeated violations of academic integrity (two or more incidents). Wheaton College Policy on Sex, Sexuality and Gender Identity Connection with our Institutional Religious Identity the Wheaton College policy regarding sex, sexuality and gender identity addressing transsexualism, transgenderism, and broader related gender identity issues is grounded in our long-standing institutional religious identity as expressed in our Statement of Faith and Community Covenant. These documents, in turn, are grounded in the teachings of the Bible as understood in the Protestant Evangelical theological tradition derived therefrom. We see our institutional understandings and policies as congruent with that broader Evangelical tradition; in this specific case, our reflections on transsexualism are aligned with and informed by those of the Evangelical Alliance, a transdenominational group representing Protestant Evangelical churches in the United Kingdom, as published in Transsexuality: A Report by the Evangelical Alliance Policy Commission (London: Evangelical Alliance Policy Commission/Paternoster; 2000). The following statements from our own Statement of Faith and Community Covenant are particularly relevant to these matters. From the Statement of Faith: "We believe that God directly created Adam and Eve, the historical parents of the entire human race; and that they were created in His own image, distinct from all other living creatures, and in a state of original righteousness. Christ-like love should be the motive in all decisions, actions, and relationships. Some experience distress at this reality, while others do not or instead embrace this experience. Our calling as Christians is to respond to such persons, as to all persons, with respect for their moral responsibility, and with love. We regret the hurt caused by the behavior of any aspect of the Christian community toward such individuals, and recognize our obligation and calling to extend love, care and respect. We further recognize our calling in our institutional life and the life of the Church to cultivate a loving Christian environment of gentleness and patience within which to build genuine and caring relationships. Each person was intended to experience congruence between the physical and experiential dimensions of their sexuality. As the result of the choices of our first human parents, Adam and Eve, sin and death have entered and permeated the human condition. The totality of our experience is distorted by fallenness and brokenness in various forms, including biological, psychological, and spiritual dimensions and their mutual interactions. Our experience of sex and gender is not always sex and gender as God the Creator originally designed. While released from legalistic obligation to the few ceremonial guidelines in the Old Testament governing gender roles and expressions, we nevertheless draw from the biblical narrative a) the equal dignity and worth of humanity as male and female (Gal. We further recognize that rigid, stereotyped and unreasonable standards for gender distinctiveness have at times had a restrictive and negative impact. Today, in contrast, we see the negative impact of the absence of and confusion about gender distinctions and standards, and of a cultural trajectory that denies any God-given boundaries to our created sexual and gender realities, together generating widespread confusion surrounding sexuality and gender. Resulting Institutional Policy the following are the major implications of this theological foundation: 1. It is our goal to have this community be a respectful, loving and accepting community that engages with loving and confident respect those who embrace views of sexual identity discordant with ours, and in which those who experience gender identity struggles can grow and flourish. This is not, however, a directionless support; rather, we view growth in godliness to be 2. Wheaton College will not support persistent or exaggerated examples of cross-dressing that are grounded in the fundamental rejection of biological birth sex, or other expressions or actions that are deliberately discordant with birth sex, and will deal with such matters within the appropriate pastoral and conduct processes of the College. We commit ourselves to support individuals struggling with various sexual identity disorders toward the resolution of these disorders in alignment with their birth sex, and to engage with respect those who pursue alternate paths.

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All dancers must be warmed up and wear appropriate solid black on black dancewear asthma of the skin order ventolin 100mcg amex. In this introductory course asthma bronchitis emphysema difference purchase ventolin 100mcg with visa, students will learn step-by-step how a project develops and evolves through the project management process asthma definition 90937 discount ventolin 100mcg fast delivery. The entire digital media workflow from scripting asthma symptoms nausea discount ventolin 100 mcg overnight delivery, budgeting, shooting, post-production, finishing, distribution and marketing will also be covered. Guest speakers will provide current industry trends on how projects are produced, finished and distributed. A large element of "hands-on" practical experience will be balanced by an emphasis on understanding the fundamental theoretical principles of the technology and its applications within the entertainment industry. Topics covered will include the basic characteristics and differences between Go to bookstore. The class provides a strong foundation for working with visuals and sound in non-linear digital video post-production. Above section 4123 is part of the Promo Pathway program and enrollment is limited to program participants. Through a series of handson projects, students will put traditional theories of picture and sound editing into practice using advanced techniques of layering, rotoscoping and motion graphics. This course will utilize a industry standard editing application with a shared storage server. The course reviews the current research pertaining to language acquisition and pre-reading skills development within a culturally sensitive framework. This course provides a complete overview of the compositing process as it is used in film/television, visual effects, and multimedia. Areas covered include image creation and manipulation techniques as well as design and color fundamentals. Through a series of exercises and projects, students will develop the aesthetic and technical skills necessary for integrating diverse visual elements into cohesive imagery. This course applies child development principles to the planning of science and mathematics experiences for both typically and atypically developing young children. Emphasis is placed on understanding how children develop problemsolving skills, and on recognizing how teachers can facilitate inquiry-discovery experiences for young children with diverse learning styles and needs. Course work includes participation in experiments and field experiences in life sciences. Students are required to develop and provide developmentally and culturally appropriate activities in science and mathematics activities for young children. Hands-on practical techniques will reinforce an understanding of recording, editing, programming and mixing for music production. This course introduces the fundamentals of designing sound for digital media including film and television using a combination of practical and technological toolsets. Through a parity of theoretical and hands-on application, concepts will be disseminated and applied using industry-standard practices and equipment. An examination of the underlying historical contexts and theoretical principles of developmentally appropriate and best practices. This class is appropriate for students wanting to work with young children in a variety of programs, including infant-toddler, preschool, transitional kindergarten, and kindergarten. This course applies child development principles to planning multicultural art, music, and movement experiences for young children. Class work includes workshops and field experiences in planning and implementing appropriate creative experiences with young children. Studies of family systems in contemporary society as they impact children and their individual heritage, diverse culture, ability and language will be examined highlighting at least three diverse cultures in the United States. The processes of socialization and identity development will be highlighted showing the importance of respectful, reciprocal relationships that support and empower families. Recording strategies, rating systems, portfolios, and multiple assessment tools are explored. Above section 4131 meets on-ground every other week, beginning Tuesday, September 1.

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Contributing to asthmatic bronchitis or pneumonia buy ventolin 100mcg with amex that problem is the unrestricted use of antibiotics in animal rearing; drugs are used to asthma juicing purchase ventolin 100mcg otc fatten up livestock and prevent illness asthma nursing diagnosis order ventolin 100 mcg visa, and their routine application has contributed to asthma foods to avoid cheap 100mcg ventolin with mastercard the rise of so-called "superbugs" (Figure 2) that are resistant to the drugs designed to kill them. Penicillin is now available in copious amounts, as are other bacteria-killing antibiotics. I will discuss the several modes of action of antibiotics, their clinical activity, and the factors that determine the response to therapy. I will then review the several mechanisms (evolution, spreading) by which microorganisms become resistant to one or several drugs (the so-called "super-bugs"). I will subsequently review the major epidemics of human diseases that were enhanced through the proliferation of antibiotic-resistant bacteria. I will also discuss the misuses of antibiotics and the global threat they pose to us all. I will briefly address infections caused in hospital settings and the reservoirs of antibiotic-resistant animal organisms that can cause human diseases. Lastly, I will provide an update on the present situation and outline the various treatment failures due to antibiotic resistance. I will conclude on the positive note afforded by the newer nanotechnologies, particularly the so-called "nanopore revolution" in the genomic sequencing of drug-resistant bacteria that could potentially enable bacterial identification, diagnosis of infectious diseases, and detection of drug-resistance at the point of clinical need. Brief History of Antibiotics Development Antibiotics are natural or synthetic chemicals able to affect the survival of microorganisms through inhibiting their growth or killing them. Many molds and mold-like bacteria have rather remarkable bacterial-inhibiting abilities. In the 1870s: John Burdon Sanderson, Joseph Lister, William Roberts, and John Tyndall had each described the antagonistic activity of a certain mold to bacterial growth. In recorded history and probably before: Fermenting yeasts and fungi that comprise the sediment in all grain-synthesized alcohol products were the source of many medicinal effects. In 1939: Rene Dubos discovered Gramicidin, a potent but highly toxic antibiotic with dramatic effects against gram-positive bacteria. In the early 1940s: Selman Waksman found or named over twenty potential antibiotics (other than penicillin) and later identified 200 of them, including streptomycin, chloramphenicol, tetracyclines, and erythromycin. Chain produced penicillin in clinically useful quantities and were the first to use it on humans. In 1940: Chain and Abraham suspecting the limitations of penicillin reported on the existence of a bacterial enzyme (penicillinase) with the ability to inactivate penicillin. In 1942: Sir Alexander Fleming, the discoverer of penicillin, warned the medical profession about the appearance of antibiotic resistance among the staphylococci. In or about 1943: Discovery of an enzyme in bacteria that could break off the molecular core of penicillin, the beta-lactam ring. In 1945: Giuseppe Brotzu isolated a fungus in the genus Cephalosporium that produced a novel chemical with antibiotic properties ("cephalosporin"), which resisted attacks by bacterial enzymes (called beta-lactamases) that were fast undermining the effectiveness of penicillin. In 1896: Ernest Duchesne demonstrated a similar bacteriostatic (that is, controlling or limiting the growth of bacteria) effect from Penicillium molds. In 1899: Rudolph Emmerich and Otto Low used the residues left after cultivating the bacterium Pseudomonas pyocyanea to kill other bacteria (an example of "antibiosis"). By the end of the 19th century: the idea of isolating a chemical that would directly impede bacterial growth was widespread among medical researchers across Europe (Lord Joseph Lister, Paul Ehrlich and others). Farben Industries prepared whole batteries of synthetic chemicals, truly antibacterial drugs in the sulfa family. In the early 1920s: Andre Gratie and Sara Dath discovered that some Penicillium molds had direct bacteria-killing properties. In 1928: After nearly half a century of research and investigation by others, Sir Arthur Fleming made his momentous and serendipitous discovery of penicillin ­ a natural product of fermentation (a mold) representing the most potent and nontoxic chemical agent for controlling bacterial infections. Penicillin remains a laboratory discovery unused in humans for the next 1213 years. In 1947: A Chloromycetes organism was identified as the source of chloramphenicol, one of the most potent antibiotics known. In 1952: Tsutomu Watanabe isolated an organism that was simultaneously resistant to several different antibiotics.

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Staging Staging of the cancer is used to asthma questionnaire for doctors purchase ventolin 100 mcg free shipping describe its size and position and whether it has spread from where it started asthma bronchial discount 100mcg ventolin amex. Staging of cervical cancer may require several investigations asthma 2 year old discount ventolin 100mcg without a prescription, for example: · Examination under anaesthesia: this is a detailed examination of the cervix asthma symptoms air airways episodes trusted 100mcg ventolin, vagina, uterus, bladder and rectum under general anaesthetic to check for signs of cancer spread around the cervix. Chest x-ray: A chest x-ray is used to check the lungs and chest cavity for any spread of cervical cancer. Intravenous pyelogram: this is an x-ray of the urinary tract taken after a special dye is injected into a vein. This test can find any abnormal areas in the urinary tract caused by the spread of cervical cancer. Usually the patient lies on the machine couch on their back, and the couch slides backwards and forwards through the hole of the scanner. New imaging techniques are gradually replacing older methods, providing increasingly accurate information about the extent of disease Cancer is staged using a sequence of letters and numbers. Your treatment will depend upon the size, location and stage of the tumour, as well as your general health and level of fitness. The choice of treatments will be discussed with you and your preferences will be taken into account. It is important that patients are fully involved in the treatment decision-making ­ when there are several treatments available, doctors should involve patients in making decisions about their care so that the patients can choose the care that meets their needs and reflects what is important to them. Three simple questions that may be helpful when talking with your doctor or any healthcare professional involved in your care are: · · · What treatment options do I have? It is important that patients are fully involved in discussions and decisions about their treatment You may receive one or more of the following treatments for cervical cancer. This may involve conisation (removal of a cone-shaped section of the cervix), hysterectomy (in which the uterus and cervix are completely removed) or a trachelectomy (which leaves behind the uterus). During surgery for cervical cancer, some lymph nodes in the pelvis may also be removed. Chemoradiotherapy Chemoradiotherapy is a combination of chemotherapy and radiotherapy. Chemoradiotherapy for cervical cancer consists of external radiotherapy and/or internal radiotherapy (brachytherapy) at the same time as a course of chemotherapy. Radiotherapy Radiotherapy is used to treat some patients with locally advanced cervical cancer (as an element of chemoradiotherapy) and can also be used to treat some symptoms of metastatic disease. Targeted therapies Targeted therapies are drugs that block specific signalling pathways in cancer cells that encourage them to grow. Common procedures include loop electrosurgical excision, in which a thin loop of electrically charged wire is used to remove the abnormal tissue and seal the wound at the same time, and conisation, which surgically removes the abnormal cells within a cone-shaped section of cervix tissue. The aim of surgery is to remove the cancer as well as a healthy margin of tissue around it. After the operation, the removed tissue is examined under a microscope to check that all of the cancer was removed. Radical hysterectomy involves the removal of the uterus, cervix, all of the surrounding tissues that hold the uterus in place, the upper section of the vagina and all of the lymph nodes around the uterus. Surgery is the cornerstone of treatment for early-stage cervical cancer Adjuvant treatment Following surgery to remove cervical cancer, some patients will receive adjuvant treatment with chemoradiotherapy. Adjuvant chemoradiotherapy is usually recommended for patients who are considered to be at a high risk of the cancer recurring ­ for example, if the tissue removed during surgery shows cancer cells at the surgical margins or in the lymph nodes (Marth et al. Simple trachelectomy involves the removal of the cervix and endocervical channel, leaving the uterus intact (Halaska et al. Fertility-sparing surgery options may be possible for patients who wish to have children in the future It is important to understand that fertility-sparing surgery in early-stage cervical cancer remains an experimental approach; your doctor will fully explain the pros and cons of the available options. Fertility-sparing surgery is only offered to women with a strong desire for pregnancy; if your childbearing desire has been fulfilled, then standard radical surgery is considered to be the best treatment option. Chemoradiotherapy Chemoradiotherapy is the standard primary treatment for patients with locally advanced cervical cancer, with cisplatin-based chemoradiotherapy the most commonly used regimen (Marth et al. Chemoradiotherapy is the standard treatment for locally advanced disease Neoadjuvant chemotherapy Neoadjuvant chemotherapy may be given to certain patients with locally advanced disease to reduce the size of the tumour before subsequent surgical removal (Marth et al. Neoadjuvant chemotherapy followed by radiotherapy may also be considered in some patients; this approach is being investigated in ongoing clinical trials but is not currently a common treatment strategy.


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