Browsed by
Author: Alton Morgan

Information Technology Manager At Muskegon Family Care

Information Technology Manager At Muskegon Family Care

If you’re looking for the best dentist near me,” you then Priority Health‘re on the proper place. The good place, the truth is.

Dr. Charles Ross is a native of Miami, Florida the place he at present resides and practices. He obtained his DDS Degree from Howard University and his Certificate in Comprehensive General Dentistry from the University of Florida, College of Dentistry. He is presently in a gaggle practice in Southwest Miami, Dade County, Florida. Please observe we require two full enterprise days notice to vary an appointment or a one hundred.00 fee may apply.

Dr Julie Hong is an excellent doctor you may probably have. She knows what she’s doing and he or she is FAST! Don’t be skeptic about having a quick treatment when she provides you her full attention throughout Active Health your appointment along with her 🙂 Her assistants and entrance employees Doris can even consolation you from the second you step in to their clinic, will definitely recommend to my buddies and households confidently.

Whether your child’s tooth need cleansing, restoring, straightening, whitening, or only a good old school checkup, the docs at Pine Dental Care are right here to make sure that your child leaves our observe feeling glad, confident, and excited about conserving their smile wholesome! We love Castle Pines Dental Care! The care is all the time excellent and we’re treated so nicely by the employees! I totally trust them with all my dental work!…

Presentation, Clinical Pearls, And Therapy

Presentation, Clinical Pearls, And Therapy

Researchers conclude that acupuncture has a major healing effect on sufferers with knee osteoarthritis. This condition often involves joint pain, swelling, stiffness, decreased range of movement and the formation of bone spurs. More than 27 million individuals in the U.S. have osteoarthritis with the knee being some of Patient Health the commonly affected areas. In this latest examine, the researchers from a community hospital in Beijing treated 200 cases of knee osteoarthritis using acupuncture. The general efficient rate was ninety eight%.

According to Darvish’s observations, older sufferers appear to have the patience to stick with an natural regimen, whereas the youthful ones need frequent reminders till they start seeing outcomes. But whereas it may take longer for herbal treatments to produce results, Darvish says the wait is worth it to her sufferers. If your knee locks, an operation to wash out free fragments of bone and other tissue from the joint might be performed – that is known as arthroscopic lavage.

Another significant modality to deal with knee OA pain is an intra-articular injection of hyaluronic acid (HA). HA has been proposed to offer a wide range of mechanistic advantages including joint lubrication, anti-inflammatory results, cartilage matrix advantages Health Psychology and promotion of proteoglycan synthesis. Although many HA preparations are FDA authorized for the therapy of knee OA, the general clinical benefit has been less clear.

Shallaki is a confirmed, effective 100% protected and pure natural remedy, which is able to act as a natural anti-inflammatory agent and gives reduction to the joints and muscle tissues that are stiff and painful. Shallaki also helps treating joint and muscular circumstances like osteoarthritis, fibrositis, rheumatism, small joint disease and lower back pain. Bayer, and its associates, usually are not answerable for the content presented by any impartial web site, together with any promoting claims, special gives, illustrations, names or endorsements.

The commonest side impact from NSAIDS is stomach irritation. Other potential unwanted side effects include be abdomen ulceration (biggest in those with acid reflux, use corticosteroids, smokers, and those who drink alcohol), and renal injury (greatest in those older than 65, individuals with hypertension or congestive coronary heart failure or these taking diuretics or ACE-inhibitors). Patients who’re on anticoagulation therapy should use NSAIDs with caution.

If symptoms of arthritis in your hands or elsewhere are preventing you from participating within the physical actions you used to get pleasure from — and which can be good for you — it could be time to search out new ways to be energetic. For example, it’s possible you’ll wish to experiment with water activities (which are simpler on the joints) equivalent to swimming, or attempt tai chi, dance, or walking (which has the additional advantage of being low-price).

This is the primary examine analyzing TCA and sham acupuncture in knee OA that additionally included experimental manipulation of the acupuncturists’ communication fashion. In summary, TCA was not superior to sham acupuncture, and needling of meridian points was no more efficient than use of sham points. Continuous electrical stimulus or elevated needle penetration in the TCA group didn’t enhance response. Acupuncturists’ communication style had a small however statistically significant effect in ache reduction and satisfaction suggesting that the perceived advantages of acupuncture may be partially mediated by means of placebo results associated to the acupuncturists’ habits.…

Causes, Symptoms, Treatment, Diagnosis

Causes, Symptoms, Treatment, Diagnosis

Amy Jung and her son Ethan stopped into The Humane Society close to their home in Sturgeon Bay, Wisconsin on Feb. 8 to play with the cats, but one feline – a 21-pound orange-and-white cat named Pudding – stood out to the pair. Jung learned Health Examination that the laid-back cat had been in and out of the shelter since 2003, and made an impulsive resolution to adopt him and his friend Wimsy.

Our program includes each family in our service dog coaching program for over 1 12 months to 18 months. Our preliminary delivery time is 4 – 5 consecutive days, with each subsequent go to each 90 – 120 days for durations of 2 – 4 days. Offering our providers on a nationwide and world makes SDWR’s Seizure Response Dogs accessible to every individual and every family affected by seizure dysfunction.

This can be induced as a result of weight-loss surgical procedure. I was a very large young man and had a laparoscopic roux-en-y proximal gastric bypass. A side effect of gastric bypass is something called Dumping Syndrome. Dumping Syndrome gets its name from the method of too much sugar being dumped into the bloodstream. Because the pouch” created by gastric bypass is basically time-released, it dumps this sugar typically in a large wave.

ICSI scientific paperwork are revised every 12 to 24 months as indicated by adjustments in clinical practice and literature. For documents which might be revised on a 24-month schedule, ICSI checks with the work group on an annual foundation to find out if there have been changes in the literature significant sufficient to cause the doc to be revised earlier or later than scheduled. For yearly reviewed documents, ICSI checks with each work group 6 months earlier than the scheduled revision to determine if there have been changes within the literature significant sufficient to cause the doc to be revised earlier than scheduled.

It is essential to guantee that the particular person can swallow earlier than giving them something to eat or drink. This may cause them to choke and can block the airway. What they uncared for to remember is that Julie needs to eat within a certain period of time since taking her medicine. Because the treatment Health Equipment causes a rise in insulin, it decreases the quantity of sugar within the blood. Injecting artificial insulin solves this downside because it keeps blood glucose levels in the appropriate range and helps glucose attain our cells.…

Phobia Counselling Wolverhampton, West Midlands, Staffordshire

Phobia Counselling Wolverhampton, West Midlands, Staffordshire

Phobias are extreme, intense or irrational fears that trigger people to avoid Health Product sure objects, creatures, situations or activities.

A phobic response is very completely different from intense concern. A phobic reaction is traumatic, debilitating, immobilizing and appears fully out of a person’s management. Agoraphobia is a fear of open areas or public places and may involve anxieties about leaving the house, going into retailers or travelling on public transport. It can also involve a fear of being unable to escape instantly to a place of security, usually the house.

You might ask an skilled IFR pilot to behave as a form of casual advisor and to accompany you on IFR flights that you could make in IMC. Again, purchase him lunch in gratitude, or pay him for his time. The Social Anxiety Institute is the biggest website on the internet about social nervousness dysfunction (social phobia). Therapy programs have run on the Institute full-time since 1994. Major new assist for overcoming social nervousness is under improvement and shall be introduced in 2013. When you live your life in a cautionary crouch, the best relief of all could come from merely standing up.

I assume this text supplies plenty of helpful information, and is an efficient means to assist achieve some understanding. People who fear flying usually experience quite a Fitness Health lot of anticipation and dread in the days, weeks, and even months forward of a scheduled flight. Take a deep breath and let your shoulders sink. Feel the muscle tissues chill out. Now try this with other muscle groups corresponding to your face or your legs.

Second, the patient creates a worry hierarchy beginning at stimuli that create the least anxiousness (fear) and building up in levels to the most worry frightening pictures. The checklist is essential because it supplies a construction for the remedy. Just saw J. He wanted me to tell you how much he appreciated the way you spoke to him on the telephone Caroline. He mentioned you made him really feel human once more when he felt fairly suicidal. He was actually happy he was seen so shortly. We use cookies to provde the finest experience on our website and produce you extra related advertising.

These are far from the one specific phobias. People can develop a phobia of almost anything. Also, as society modifications, the listing of potential phobias adjustments. For occasion, nomophobia is the worry of being and not using a cell phone or pc. Regarding the attribute of panic as mentioned within the listing above, some individuals expertise such intense concern that their perceptions of reality can turn out to be distorted in a phenomenon referred to as derealization Be positive to learn more about it by clicking on the hyperlink above. We run Flying with Confidence courses at London Heathrow, London Gatwick, Edinburgh, Glasgow, New York and Dubai that can assist you fight your worry of flying.

There are many celebrities who’ve been open about their very own fears on the subject of flying – an particularly large problem for well-known folk who often need to jet throughout the globe for various occasions. Phobias are fears that exist in the thoughts, in your unconscious. While the fear feels actual sufficient, it presents little or no precise hazard to you. And as a result of these fears are linked to the unconscious, hypnosis is an effective technique to take care of them. Actor, singer, and entertainer Tony Curtis used hypnosis to beat his concern of flying, as did actress Whoopie Goldberg. He did, nonetheless, have plenty of time for reflection and, yesterday, he spoke publicly for the first time about his phobia.

I surprise if I haven’t confronted my neurosis earlier than as a result of I like the fact Andrew has to rescue me whereas I play the helpless girl. We transfer on to a 15-minute relaxation session on a mat with a pillow and blankets provided. Many of those who have a needle phobia additionally feel dizzy or faint when put in a state of affairs involving a needle — typically even if they don’t seem to be in the same room. Behavioural therapies like systematic desensitisation and flooding are based mostly on classical conditioning , which is a nicely-established psychological idea supported by a huge quantity of research (eg Pavlov’s dogs , Baby Albert ). All of this research suggests that fear-responses could be discovered and un-learned.…

Breast Cancer Topic

Breast Cancer Topic

A transient ischaemic assault (TIA), or ‘mini-stroke’, is caused by a brief fall in the blood provide to a part of the brain which results in an absence of oxygen to the brain. This could cause signs which can be similar to a stroke, although they dont last as lengthy. TIA takes only some minutes and is normally resolved inside 24 hours.

The consumption of excessive amounts of alcohol needs to be avoided after stroke as it may work together adversely with medication, elevate blood strain, and have an effect on judgement leading to harm. Moderate consumption (one-two standard drinks per day) shouldn’t cause problems, and should the truth is have a small useful impact by way of preventing further stroke or coronary heart assault.Flying Generally, patients can fly with no restriction after stroke, however it’s wise to seek the advice of your doctor first. General recommendation for avoiding clots within the legs could also be suggested, comparable to wearing lengthy compression stockings or perform regular walks on the aircraft.

my partner was 48- had 6 weeks of constant headache, worsening episodes of dizziness, tingling lips, flashing lights, double imaginative and prescient. We paid for a CT scan ourselves- it was regular. He collapsed and I referred to as an ambulance. He was handled at ED for migraine. I asked if he could have a stroke. They said he was too young. 3 days later he collapsed. Into ED in ambulance once more. Treated for brain an infection- he could not move or converse properly. He started having seizures. The subsequent morning they finally did the MRI i had requested for three days before. He had had a large stroke. He is now a quadreplegic.

An oral anticoagulant drugs ( warfarin , dabigatran , apixaban , edoxaban or rivaroxaban ) is usually advised when you have a TIA where the source of the blood clot is out of your coronary heart (normally in case you have the situation atrial fibrillation). Oral anticoagulant medicines work by reducing Life Health a few of the chemical compounds in the blood which are needed to make blood clot. The goal is to get the dose just right so the blood is ‘thinner’ than regular (less in a position to form clots) but not so much as to cause bleeding issues.

In some cases, a TIA occurs before a full stroke, which can trigger serious and everlasting injury. Therefore, the sooner you get medical attention, the much less probably you, or the one who has had a TIA, will experience another TIA or a stroke. Men have a better risk of getting a TIA compared with pre-menopausal girls. The risk of having a TIA or stroke increases in publish-menopausal girls.

People are typically aware of the most common causes of hallucinations, like schizophrenia and a really excessive fever. But lesser identified are the extra uncommon causes; listed below are six you probably haven’t heard about. A 2014 examine printed in the journal Stroke in contrast the cognitive expertise of individuals with a historical past of ministroke to those of a control group. Researchers discovered that multiple-third of the participants who’d suffered a ministroke scored decrease on at the very least one of the exams administered. The assessments measured memory, consideration, and information processing velocity. CT scan of the head , to examine for damage to the mind and to look for different illness, comparable to a tumour.

Have you had stroke-like symptoms that only lasted quickly? TIA threat calculator was created that will help you perceive your threat for stroke or TIAs. Answer the questions and see the way you compared to others who have answered the same questions. Please word: Because there isn’t any method to inform whether symptoms are from a TIA or an acute stroke, patients ought to assume that each one stroke-like symptoms signal a medical emergency.

If a TIA is caused by blockage in the primary artery in the neck that provides blood to the brain, referred to as the carotid artery, surgeries may be required to open the artery, and stop a stroke. These procedures are often called endarterectomy and stenting. High Cholesterol: Excessive LDL may cause Health Plan plaque buildup within the blood vessels resulting in atherosclerosis, a common stroke cause. Also often called micropigmentation, SPMU is color that’s tattooed into the pores and skin using a digital cutting-edge machine.…

Blade Vs Digital

Blade Vs Digital

The right eyebrow shade and shape can frame and complement the face, draw consideration to the eyes and create the phantasm of a youthful appearance. Most women must Health Tips work exhausting to realize this effect, spending money and time on plucking and preening, pencilling and powdering.

Form grabbing based: Form grabbing -based keyloggers log internet type submissions by recording the online searching on submit occasions. This occurs when the person completes a form and submits it, normally by clicking a button or hitting enter. This sort of keylogger data kind information earlier than it’s passed over the Internet. If you’ve atherosclerosis, you Healthcare System may must have a carotid endarterectomy to be able to assist cut back your risk of getting a further TIA or stroke. The most important surgical process is called carotid endarterectomy (one other procedure known as carotid artery angioplasty and stenting is usually used for blocked carotid arteries).

Although the symptoms of a TIA resolve in a few minutes or hours, you will need remedy to assist forestall another TIA or a full stroke happening in the future. Because the signs of a mini stroke disappear shortly – often inside 24 hours, many individuals don’t take such an episode critically. A TIA is a warning that you may be liable to having a full stroke in the close to future, and an evaluation may help docs to find out the easiest way to scale back the chances of this happening. The pupil in query had allegedly used a keystroke logger to acquire faculty members’ login information and passwords and changed his failing grades to As. During a TIA, one of the small blood vessels that offer your brain with oxygen-rich blood becomes blocked.

The third cause is much like outdated canine vestibular disease in dogs. While cats hardly ever get acute vestibular illness (like a tinnitus in humans), it could occur acutely for several reasons: from ear infections; from a tumor within the ear; from sticking a Q-tip too far down in your cat’s ear; cleaning your cat’s ear with liquid ear drugs; from outdated trauma or underlying metabolic problems; or just merely for no reason at all (we call this motive idiopathic vestibular disease in cats, which is a flowery approach of claiming that we don’t know what triggered it!).…

When Fear Of Flying Is Not A Flying Phobia

When Fear Of Flying Is Not A Flying Phobia

Overcoming fears and phobias is a problem, but with a bit help from psychology, Daniel Bennett has them crushed in these four steps.

The movie that you’re watching is bigger than life. The display screen takes up extra of your vision than you are able to see. You can see the victims trembling lips and bulging eyes of concern. You can see the look of terror at that actual moment when the music made you bounce because Sports Health the movie zooms in and the image is huge, in your face. shut enough for you to contact. Rational thought: I have felt like this earlier than and nothing terrible occurred to me – this is simply nervousness – it will not harm me.

We purpose to get the job completed as shortly as potential. We do this by focusing on your instant expertise of being afraid of flight. Here, he would launch a typical home spider from a small container. It would run across the table and we might catch it with our own container, mimicking catching a spider at home. Behavioral element: This uses habits-modifying strategies to teach the individual with a phobia simpler methods for dealing with problems.

We are all members of the first hypnotherapy register within the UK which is the GHR, The General Hypnotherapy Register. Some of us are additionally members of the CNHC, The Council For Natural & Complimentary Healthcare. The CNHC was arrange in 2008 with government funding and assist to guard the general public. I’ve gotten to see so many new places and have so many experiences, even though it took me a very long time to beat my concern of flying, it was worth every second. But it does not need to take you anyplace close to as lengthy.

You are not describing a typical agoraphobia which spreads from place to position. Agoraphobics are afraid of the panicky trapped feeling they’ve in certain places from which they can’t comfortably extricate themselves. Specific phobias are simply fears of a specific place or object. Sounds like you might have a specific phobia.These reply to a gradual exposure remedy. You should Academic Health get on a tarmac curface a bit bit at a time. You may need to start off by merely standing close to such a surface. Watching different folks stroll to and from on the surface itself will serve to begin the process of desensitization. The misery you’ll really feel doing this treatment is real, but not overwhelming. Mostly, the process takes time.…

Overcoming General And Social Anxiety

Overcoming General And Social Anxiety

The diagnosis and treatment of hysteria and depressive issues in female sufferers poses a number of related challenges. First, there is a temptation to deal with, or overtreat, symptoms without establishing an accurate prognosis. Second, there’s a tendency to imagine that reproductive events and life phases, corresponding to menopause, cause psychopathology in and of themselves. Third, the clinician may overlook common medical etiologies within the evaluation of emotional and behavioral signs and signs.

Along with any lifestyle changes you’ve gotten made, there are quite a few dietary dietary supplements, vitamins, amino acids, and botanical medicines that some claim might assist enhance emotions of calm and rest. Keep in mind that some of these nutritional supplements can have very harmful reactions with some prescription medications, and there may be some contraindications relevant to you as a person. It is always finest so as to add any of those various medicines to your routine under the guidance of your physician.

Just because someone has anxiety does not mechanically make someone HSP, and all people who find themselves HSP do not necessarily surer from nervousness. But there’s quite a lot of overlap. The high susceptibility to stimulation typically signifies that an HSP will feel anxious and overwhelmed in social situations. Due to this fact you will need to understand your self and know whether it’s essential deal with frequent anxiousness or just steadiness your life effectively to not get overwhelmed.

Psychologists typically use other approaches to deal with anxiety disorders along with CBT. Group psychotherapy, which typically includes several individuals who all have nervousness issues, could be efficient for both treating anxiety and providing patients with assist. Family psychotherapy might help relations understand their cherished one’s nervousness, and assist them study methods to interact that don’t reinforce anxious habits. Family therapy might be significantly helpful for kids and adolescents suffering from anxiety disorders.

William C. Sanderson, PhD, is Professor of Psychology at Hofstra University. He has served on numerous national committees, including the American Psychiatric Association’s DSM-IV Anxiety Disorders Workgroup, and was just lately Chair of the Committee on Science and Practice (a task force aimed at figuring out and selling the observe of empirically supported psychological interventions) of the American Psychological Association’s Division of Clinical Psychology. Dr. Sanderson has revealed six books and more than eighty five articles and chapters, primarily in the areas of hysteria, depression, persona problems, and cognitive-behavioral remedy.

Although he is an older dog Jimmy only had a small amount of lenticular clouding. Otherwise, his imaginative and prescient and hearing appeared good in a wide range of ambient mild and sound situations. His joints had a full vary of motion, and he resisted urgent on hips solely barely. His teeth and gums had been in excellent situation. The client’s veterinarian reported that he had noticed Current Medical a coronary heart murmur during the last examination, and certainly Jimmy had a grade I-II holosystolic murmur best auscultated over the mitral valve area. Jimmy had no pulse deficits and no train intolerance, so easy routine monitoring, including common guide digital coronary heart price measures while on medication, was advisable.

Thanks for sharing and I’m so glad you are feeling well now, and able to leave this a part of your life behind whereas additionally with the ability to replicate on it. I undergo from a whole lot of the same signs plus digestive misery. It helps me to know things on a organic stage. I took psychology for two years at uni and have all the time remained taken with it. I also developed bodily nervousness after a series of health scares (and health nervousness has all the time been when I obsess over, to the extent of OCD about it – checking physique regularly, not calling the physician, and many others).

Second, write down doable solutions for each of the functional worries. Example: How will I end that report by Monday morning? Solution A: ‘cancel tennis class for Saturday and ask husband to cook for dinner’, because this manner you’ve Animal Health got extra time on Saturday. Alternative answer B: ‘work on my report within the evenings’ (Friday evening and Saturday evening). Option C: ‘Wake up early this Sunday and work on my report. Cancel all activities for the morning and early afternoon’. Solution D: and many others. and so on.…

Blood Pressure Heart & Stroke Foundation South Africa

Blood Pressure Heart & Stroke Foundation South Africa

Trust the aid of TYLENOLÂŽ Cold & Sinus to alleviate your cold and sinus signs. TYLENOLÂŽ Cold & Sinus is offered in a handy Day/Night pack for relief around the clock.

High blood strain additionally impacts your arteries and arterioles (are-TEER-ee-ols), which are the smaller arteries. As we get older, the arteries harden and change into much less flexible, even if we do not have high blood pressure. But having high blood pressure tends to hurry up this course of. Another title for hardening of the arteries is arteriosclerosis (are-TEER-ee-oh-skler-OH-sis). Dietary and life-style adjustments could help Health Nutrition you control hypertension. If you may have gentle hypertension, you could possibly lower your blood pressure by reducing the quantity of sodium in your weight loss plan and chopping again on alcohol consumption. If you’re overweight, shedding weight will assist, as will bodily activity.

Another danger is that high blood pressure normally has no warning indicators or symptoUPMC. People can suppose they have completely normal blood stress until abruptly they have a heart downside or a stroke. High blood strain could have silently damaged their heart and blood vessels over a very long time. It was once thought that weightlifting might really increase blood stress to harmful levels—and it can, in actual fact, cause brief-time period spikes. But now docs know that having stronger muscle mass, in the long term, reduces stress and demand on the center. Eat a number of small meals and snacks throughout the day, not more than three hours aside during the waking hours.

I think this will encourage each patients to stick to suggestions but also clinicians to be more vigorous in their makes an attempt to prescribe way of life adjustments,” stated Dr. Pamela Morris, chair of the ACC’s committee on prevention of heart problems. According to the American Heart Association, about 85.7 million Americans have high blood pressure. High blood pressure Health Trainer was a major or contributing reason behind loss of life for 410,000 Americans in 2014, according to the U.S. Centers for Disease Control and Prevention. a glass of water 3 times a day. Taking this vinegar honey mixture not solely helped my tendonitis however it also worked for my arthritis and leg cramps (Charlie horses in different words).…

Women Who Take Tylenol Risk High Blood Pressure

Women Who Take Tylenol Risk High Blood Pressure

When your physician takes your blood stress, it is expressed as a measurement with two numbers, with one quantity on high (systolic) and one on the bottom Animal Health (diastolic), like a fraction. For example, a hundred and twenty/80 mm Hg.

It was beforehand thought that each one NSAIDs may have an analogous danger. Newer info makes it less clear that the chance for heart attack or stroke is similar for all NSAIDs; nevertheless, this newer data is just not sufficient for us to find out that the risk of any specific NSAID is certainly higher or lower than that of every other particular NSAID. These medicines are most often utilized in times of hypertensive emergency and are injected intravenously to rapidly lower blood strain readings.

Some folks have white coat hypertension.” This occurs when blood strain readings are solely excessive when taken in a well being care supplier’s workplace compared with readings taken in another location. Health care suppliers diagnose any such high blood pressure by reviewing readings in the office and readings taken anywhere else. Researchers imagine stress, which can happen during the medical appointment, causes white coat hypertension.

Birth-control drugs are medicines that contain the feminine hormones estrogen and progesterone. By altering the degrees of hormones in the body, these medicines interrupt the reproductive processes which might be essential for obtaining Public Health and sustaining a pregnancy. Before your midwife measures your blood strain, she’ll ask you to sit down down and take away any tight clothes from your arm. Then she’ll wrap a cuff round your arm above your elbow and pump air into it.

Magnussen EB, Vatten LJ, Lund-Nilsen TI, Salvesen KA, Davey Smith G, Romundstad PR. Prepregnancy cardiovascular threat factors as predictors of pre-eclampsia: population based cohort study. BMJ. 2007 Nov 10;335(7627):978. Epub 2007 Nov 1. A excessive salt intake throws off the stability of sodium and potassium in the body, increasing fluid retention, and putting extra strain on the kidneys and the blood vessels that serve them. Potassium-wealthy foods comparable to potatoes, bananas, avocado, sweet potato, and darkish leafy greens will assist lessen the results of sodium. Any use of this website constitutes your settlement to the Terms and Conditions and Privacy Policy linked beneath.…