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Why Use a Pain Clinic?

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Chronic pain is, unfortunately, part of many people’s everyday lives and how best to treat it can be challenging. Pain clinics have become more common and have been getting a lot of press but with this comes questions: What exactly is a pain clinic and what do they do there? What types of providers do they have? What can I expect if I go there? How can I be referred to one? We’ll look at these questions as we explore the benefits of using a pain clinic.

What exactly is a Pain Clinic and what do they do there?
Typically pain management clinics are clinics where pain management specialists offer evaluation, diagnosis, and treatment of diverse types of pain. Pain encompasses a wide spectrum of disorders, both acute and chronic. Arthritis, back pain, and cancer related pain are common diseases that are treated. Pain can also occur due to a reason like surgery, injury, damage to a nerve, or other medical problems like a migraine and diabetic neuropathy (nerve pain most commonly affecting the feet). At times, pain can arise and no source can be found, which can be frustrating for patients. Pain clinics offer a variety of ways to help treat pain. Oral medications, nerve blocks, spinal injections, and other interventional techniques may be used. The treatment of pain is complex, and the modalities available are rapidly changing; however, pain management providers are trained to use these to effectively help patients.

What types of providers do they have?
Pain management clinics have a physician that has been specially trained in the evaluation, diagnosis, and treatment of all types of pain. Most clinics also have mid-level providers (nurse practitioners and physician assistants) who have also been trained to help manage pain. Some clinics also include physical therapists, massage therapists, and psychologists too.

What can I expect if I go there?
On your first visit, the pain specialist will get to know you and your pain problem. He or she will perform a history and physical exam and review any previous testing. It is important to make sure you either bring or have your previous records sent to the clinic so they can be reviewed. Based on this, an individual plan will be developed to help treat your pain and more testing may be needed too.

How can I be referred to a pain clinic?
The best way to be referred to a pain management specialist is through your primary care provider (PCP). This will ensure effective communication between your PCP and the pain management providers. Patients are also referred by other providers too—back surgeons, neurologists, and cancer doctors when the need arises.

Healthcare is becoming a team effort to ensure patients can live and function well. Pain management clinics are an effective and integral part of the healthcare team to help those who are dealing with pain. If you or a loved one think you may benefit from being seen in a pain management clinic, please speak with your provider about getting referred for an appointment.

Adair County Health System’s Specialty Clinic currently has Central States Pain Clinic visiting monthly. You don’t need to travel to see them, they come to us right here in Adair County.

 

Written by:

Tim Piearson, DO

Family Practice Provider

Adair County Health System

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

 

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Help Great Childhoods Happen

April is Child Abuse Prevention Month and I encourage everyone in to join us this month and stand up for the future of children in our community. We all have a role to play in healthy child development, and our goal this April is to help others recognize that role and the ways in which we can maximize our impact.

While 87% of adults across America believe that child abuse and neglect is a preventable problem, most don’t know how they can help. In fact, only one in four reported that they engage in child abuse prevention, when nearly 3x as many actually had in practice. You might be helping without even knowing it. From donating time or money to organizations that support children and families, to volunteering and mentoring, to helping babysit for an overburdened family – activities that support the overall well-being of families and communities contribute to the prevention of child abuse and neglect. Actions like these can help bring communities together, reduce isolation and help children and families succeed.

To have a healthy community and provide great childhoods you MUST invest in children to prevent abuse.  Here is a sobering reminder of why child abuse prevention programs and funding are needed:

Data collected by the Iowa Department of Human Services in 2015 shows there were 6,042 cases of confirmed or founded child abuse in Iowa and 8,298 children found to be abused.  (to report abuse call 1-800-362-2178) Those are THOUSANDS of children in Iowa that are not having great childhoods.  THOUSANDS of children in Iowa that experienced a childhood trauma due to abuse or neglect and are more likely to have mental health and/or substance abuse issues, and chronic health issues as adults.  For more information on the effects of ACES (adverse childhood experiences) and the effects of trauma visit: https://www.cdc.gov/violenceprevention/acestudy/index.html

Research shows that most Americans are already involved in helping to prevent child abuse and neglect through one of those actions. If you’re not already, April is a great time to start! As we observe Child Abuse Prevention Month this April, I hope you’ll take one of these simple steps to make a difference:

· Volunteering to staff an after-school program like a sports or academic team, offering to be a free tutor or getting involved with a local mentorship program.

· Mentoring a new parent by reaching out to your neighbor and offering to help, such as by babysitting or cooking

· Advocating for federal and state policies that support children and families, such as home visiting programs, maternal and children’s health programs, head start and preschool.  Visit the local 4RKids Early Childhood Area Board here: https://4rkids-eci.org/

You can learn more about Adair County early child programs in person by visiting Toddlerfest on April 16th at Nodaway Valley Elementary from 5-7 p.m.   Activities, resources and a light supper will be provided!  Free book for children ages 6 and under.

· Learning about abuse prevention curricula in place at local schools or churches and advocating to create one if there is not yet a program in place. Visit our local child abuse prevention Council, Success4Kids, on facebook: https://www.facebook.com/Success4Kids

· Donating money to organizations that fight for children and families such as a local Prevent Child Abuse America state chapter.  You can contact Prevent Child Abuse Iowa here: www.pcaiowa.org

If we all pledge to do each of these activities at least once during the month of April, we can make a real difference.  More importantly, if we all continue to take steps like these beyond April and into the future, we can help grow the next generation of American leaders, entrepreneurs, and innovators.

Stephanie Claussen

Community Health Coordinator

Adair County Public Health

 

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Depression – Not a Normal Part of Aging

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Many do not realize the signs and symptoms of depression.  Often they are thought to be a normal part of aging, but there not! The following are signs and symptoms which may indicate its time to talk to someone:

  • Loss of interest in previously enjoyed activities
  • Feelings of sadness or grief lasting more than two weeks
  • Loss of energy, feeling tired all the time
  • Physical symptoms that can’t otherwise be explained (headaches, stomach aches, constipation, etc.)
  • Feelings of worthlessness
  • Feelings of hopelessness
  • Feelings of guilt
  • Not able to concentrate or think clearly
  • Changes in appetite (either eating too much or too little)
  • Changes in sleeping patterns (sleeping too much or too little)

Quality of life does not have to stop as you age, there is help! Call 641-743-7202 for more information.

Written By Tarrah Holliday, RN – Senior Life Solutions

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

 

 

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Diabetes Alert Day – Know your risk!

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Do you know what day March 27, 2018 is?  It is an important date!  It is Diabetes Alert Day!

You may be asking yourself, “Why is this important to me?”

One in three Americans are at risk for developing type 2 diabetes, a serious disease that can lead to complications such as kidney disease, blindness, and amputations.  But the good news is that diabetes does not have to be permanent, it can be prevented or delayed with healthy lifestyle modifications.

You can take the diabetic risk test to determine if you are at risk and should consult with your physician.

Link to test: http://www.diabetes.org/are-you-at-risk/

Written By Linda Kerns, LPN

Assistant Health Coach

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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Risk Factors, Signs, and Symtoms of Sleep Apnea

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March is National Sleep Awareness Month


Risk Factors for Sleep Apnea

 

  • Being male
  • Being overweight
  • Being over age 40
  • Having a large neck size (17 inches or greater in men and 16 inches or greater in women)
  • Having large tonsils, a large tongue, or a small jaw bone
  • Having a family history of sleep apnea
  • Gastroesophageal reflux, or GERD
  • Nasal obstruction due to a deviated septum, allergies, or sinus problems

 

Signs and Symptoms of Sleep Apnea include:

 

  • Loud Snoring – The person may alternate between loud snoring and being very quiet.  Periods of silence may be followed by gasps or snorting sounds.
  • Observed pauses in breathing – The sleeping partner may notice that the sufferer has temporarily stopped breathing.
  • Excessive sleepiness – He or she may fall asleep while watching TV, reading, attending meetings or driving.  The person may wake up tired, even after a full night’s sleep.
  • Morning headaches – The person may consistently wake up with morning headaches.
  • Trouble concentrating or forgetfulness – This can impact relationships as well as work performance.
  • Frequent nighttime awakenings – There is a tendency to wake several times each night.
  • Irritability, short temper – Lack of energy, depression, or other mood changes may occur.
  • Restlessness at night – The sufferer may toss and turn or thrash about in bed.
  • Dry mouth – One may experience this as well.

 

 

Sleep Apnea can affect anyone at any age, if you or someone you know has these risk factors, talk to your healthcare provider today, sleep studies are performed locally at Adair County Memorial Hospital.   To schedule an appointment please call 641-743-7263.

Information provided by SomniTech who provides sleep study services at Adair County Health System.

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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Colorectal Cancer Rarely Causes Symptoms

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What is Colorectal Cancer?

Colorectal cancer is the out of control growth of cells in the colon or rectum.  These cells grow into masses, or tumors.

Colorectal cancer is the third most common cancer in men and women in the USA and is the second leading cause of cancer deaths.

Did you know??

  • Abdominal cancers include adrenocortical tumors, carcinomas of the stomach, cancer of the pancreas, colorectal carcinomas, carcinoid tumors, and gastrointestional stoma tumors.

  • All people age 50 or older with medicare are covered.

  • If you are forty and have a family history ask your doctor, or if you are 50—Early screening can be life saving.

  • Men and women alike get colon cancer, however, people at higher risk for developing colon cancer include those with a history of inflammatory bowel disease (including ulcerative colitis and Crohn’s Disease) and those with a family history of colon cancer

  • · The two most common inherited syndromes linked with colorectal cancer are familial adenomatouse polyposis (FAP) and hereditary non-polyposis colorectal cancer (HNPCC), also known as Lynch Syndrome.  FAP is caused my mutations in the APC gene that you inherit from your parents.
  • · Women with HNPCC have a high risk of also developing cancer of the endometrium (lining of the uterus).  Other cancers linked with HNPCC include cancer of the ovary, stomach, small bowel, pancreas, kidney, brain, ureters (tubes that carry urine from the kidney to the bladder), and bile duct.
  • · Screening methods include stool tests to check for blood, sigmoidoscopy, colonoscopy, double contrast barium enema, and CT colonography.
  • · Research has shown that early detection is key.

Have you had your colon cancer screening test?

Dr. Baccam and Dr. Mayfield, General Surgeons perform Colonoscopy right here in Adair County, Iowa   Call 641-743-6189 to schedule an appointment.

Credits: American Cancer Society

Bets Davis, MFA

Mayo Clinic Staff

Written by: Denise Grandgenett, RN, Adair County Health System’s Health Coach

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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Why is it important to consider using Urgent Care vs. the Emergency Room

Urgent care centers differ from emergency rooms in many ways. While they provide many of the same services, they do not have the same pricing schedules or ability to treat all emergent needs.  While an ER could treat any of the urgent care issues, it is not recommended because emergency rooms are often busier and more expensive.  Also, it is important to note that urgent care centers may not be able to treat the illnesses listed for emergency rooms. With that being said, the top diagnosis at both urgent care centers and emergency rooms, nearly 50% of them are the same.

When you go to the urgent care clinic, you will be evaluated by caring, compassionate providers that are able to assess and treat your urgent care needs.  Your urgent care provider will not be your primary care provider, but will have access to your medical record to help them with your medical needs.  At ACHS, our goal is for you to be actively informed of the best practices when choosing your needs for urgent healthcare.  This will help you receive optimal care for your medical concerns, and help decrease the financial stress that sometimes accompanies visits to a healthcare facility.

Urgent Care Emergency Room
Single complaint reason for visit Chest pain
Simple laceration Difficulty breathing
Suture removal Fainting or loss of consciousness
Sprains and strains Seizure
Ear pain/infection Severe bleeding
Sinus pain/infection Severe head, neck or back trauma
Urinary tract infection Loss of limb or severe bone fracture
Cough, cold, sore throat Moderate to severe burn
Animal bites or stings  
Rash or skin irritations  
Minor Burns  
Simple bone fracture  
Nausea, vomiting, stomach virus  
Headache  

 

Average Cost Difference for Emergency Room Visits vs. Urgent Care Visits with the same diagnosis; 2018

Here are some 2018 estimates from Medica, a health insurance company, of how the cost of treating specific illnesses in the ER compares to the cost of treating them in urgent care:

  • Allergies: $733 in ER, $200 in urgent care
  • Bronchitis: $1,074 in ER, $242 in urgent care
  • Earache: $779 in ER, $229 in urgent care
  • Pinkeye: $621 in ER, $184 in urgent care
  • Strep Throat: $1,043 in ER, $231 in urgent care
  • Urinary Tract Infection: $1,264 in ER, $247 in urgent care

ACHS Approximate Averages for the same level of service/diagnosis, 2018

99213*  (UC Clinic)    $114      vs    99283 ER Visit minimal charge;  $755

99214** (UC Clinic)   $160      vs    99284 ER Visit minimal charge;  $1195

*99213- established patient, moderate level of service, such as an evaluation for a cold or cough with a prescription

**99214- established patient, more extensive level of service, such as an evaluation of a broken bone that requires an x-ray and fitting for ortho appliance

(note that the fees listed do not include costs for ancillary services such as labs and x-ray)

Rebecca McCann, ARNP

ACHS Urgent Care Provider

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 


 

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What is Sleep Apnea

What is Sleep Apnea?

March is National Sleep Awareness Month.   In honor of this, we are going to do a series of informational article postings about sleep disorders and sleep study information.

Apnea is a Greek word meaning without breath; sleep apnea is the involuntary cessation of breath while a person is sleeping.

Sleep apnea is very common.  According to the National Sleep Foundation, more than 18 million Americans suffer from this disease.  Yet due to the lack of awareness and education of this disease, over half are undiagnosed and untreated, even with the severe consequences this disease can play on a patient’s health.

 

If sleep apnea is left untreated, it can have serious and even life-threatening consequences, such as: high blood pressure, heart disease, stroke, diabetes, depression, memory problems, weight gain and other major ailments.

 

Indicators include: obesity, morning headaches, high blood pressure, daytime sleepiness, waking with a dry mouth, atrial fibrillation, waking gasping for air, lack of concentration, and diabetes.

 

 

If you think you or someone you know may have sleep apnea, talk to your healthcare provider today, sleep studies are performed locally at our hospital.    For more information contact the Adair County Health System’s Specialty Clinic at 641-743-7263.

 

Adair County Health System’s Sleep Study Services is accredited by the Accreditation Commission for Health Care (ACHC).    This meaning that our program meets and exceeds all required standards set forth by ACHC.

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Information provided by SomniTech who provides sleep study services at Adair County Health System.

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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The Importance of Taking Your Medications as Prescribed

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Picture this:

You are not feeling well. You make an appointment to see your primary care provider. As the nurse is asking you about your current symptoms and taking your blood pressure, they ask you “what medications are you currently taking?”.

Do you know the answer? Do you know the names, strengths, and how many times a day you take each medication? Do you know what they are for? All of this information is important to the healthcare we can provide you. Here is why it is important.

Simply put, not taking your medications as instructed could lead to your disease or illness getting worse, medication interactions and side effects, hospitalization, and even death. According to the FDA, medication is not taken as prescribed 50% of the time.

In addition, for patients prescribed medications for chronic diseases, the majority of patients stop their medications altogether after six months. A recent study estimated that in one year, incorrect use of medications resulted in more than 9 million hospital admissions and more than 18 million emergency room visits.

There are many reasons why people do not take their medications as prescribed.

1. Misunderstanding the instructions. Taking a medication twice a day is much different than taking 2 tablets once a day. The way medications act in our bodies vary and are prescribed at different dosing frequencies for a reason. For example, taking too many NSAIDs for pain or fever, such as ibuprofen, can lead to gastrointestinal bleeding or kidney failure. It is important to follow the label on the bottle.

2. Forgot. The majority of people over the age of 65 are on greater than 5 medications, according to the CDC. Many of these medications are taken at varying times throughout the day. It can be difficult to remember when to take what medications, or if you have already taken that one today. There are many ways to remember to take your medications: alarms on your phone, medication planners, and bubble packs from the pharmacy. If you would like help, just ask your pharmacist or our ACHS staff for guidance.

3. Side effects. All medications come with a laundry list of possible side effects. Many are unpleasant and can discourage people from continuing medications. While our bodies will adjust and get used to many side effects, there are times where the symptoms don’t go away. If you are experiencing a side effect from a medication, talk to the prescriber before discontinuing the medication on your own. There are many options to treat most conditions.

4. The medication doesn’t seem to be working. Many chronic conditions, such as high blood pressure or high cholesterol, are not something we can easily feel. Because of that, we can’t tell when the medication is working. In addition, some medications take days or several weeks to take full effect, as is the case with antidepressants. If you are concerned your medication is not working, talk to your doctor.

While it is important to take your medication as prescribed, it is also essential to know what medications you take and how you should be taking them. Most of us see more than one provider and several specialists. Before prescribing or stopping any medications, those providers need to know your medication list is accurate in order to prescribe you the safest, most effective option for you. The best person to know what you are taking is you!

Our medication safety pearls are:

- Do not stop taking your medications as prescribed without discussing with your health care provider.

- Always know what you are taking. Carry a list and keep it up to date as changes are made. Writing in pencil helps! At Adair County Health System, we have created a wallet sized laminated medication and health information card for you to record this information. Stop by our clinics or hospital to get yours today.

- Know your body! If you are feeling side effects from a medication or combination of your medications, talk to your health care provider.

- If you no longer take a medication, talk to us or your pharmacist about safe disposal. Get them out of your house so you or someone else doesn’t take the medication.

- Store your medications out of reach of pets and children.

Tamara Thorpe, PharmD, MBA

Pharmacy Manager of Adair County Health System

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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Economic Impact: Another Way Our Hospital Makes a Difference

Adair County Health System is a good example of something that is a vital part of our immediate environment that it is easy to take for granted.  Yet, its excellence is enormously important to our community and region.

Having a first-rate medical center close at hand is essential to the quality of life of every Adair County resident.  The presence in our community of a superb medical facility also makes Adair County more competitive as it seeks the economic growth that is so important to the future of the city and region.  It’s no secret that two of the factors of critical importance in corporate decision-making about site selection are the quality of a town’s schools and the ready availability of comprehensive, top-quality health care.

Consequently, it is no exaggeration to assert that Adair County Health System’s excellence helps Adair County achieve its dreams for tomorrow.

But there’s more to the story.

A 2013 survey by the Iowa Hospital Association documented that the Hawkeye State’s 118 community hospitals have an enormous economic impact.  According to IHA, Iowa’s hospitals provide more than 71,000 jobs and pay in excess of $4 billion in salaries and benefits annually. This puts hospitals collectively among the largest non-agricultural employers. And that’s only direct employment.

When one adds in the additional jobs in communities across the state that exist because of hospital spending and the dollars spent by their employees, the IHA estimates that almost 130,000 jobs are tied directly or indirectly to the hospital industry. The overall economic impact on the state’s economy is calculated to be approximately $6 billion a year.

Here in Adair County, Adair County Health System generates about 98 jobs and adds nearly $5,128,921 in direct worker income to Adair County’s economy, also according to the IHA report.

But, the impact is even greater than that.  Adair County Health System employees support Adair County businesses to the tune of $1,135,742 in taxable retail sales being spent on Main Street.  Hospital employees pay taxes that support schools, roads, parks and other vital infrastructure.

Adair County Health System is more than jobs, income, retail sales and tax revenue.  And it’s even more than the high quality health care that it provides every hour of every day.

Think of the 98 employees who work at the hospital and what they bring to the community at our schools, churches and volunteer groups.  Think of the many young professionals who come here to start a career at the hospital and stay because in a rural community, hospitals are still one of the best places to grow a career.

Think of how they build homes, start families, strengthen neighborhoods and put down roots.  Think of how important – and challenging – that is for any community in Iowa in this time of rural “brain drain.”

There are many reasons to take pride in Adair County Health System.  It’s no exaggeration to assert that its success contributes mightily to the ability of our town and region to thrive.  Not only is it vital to the health of people who live here and in surrounding counties, but it also contributes to the ability of Adair County and nearby towns to prosper economically.

Angela Mortoza, RN, BSN, MHA
CEO of Adair County Health System

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

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