Neonates born to mothers who have untreated gonorrhea are at high risk for infection. [37], In 2010, Sciele/Shionogi faced a recall of Twinject devices[38] and launched Adrenaclick, a modified version of the Twinject that could deliver only one dose. When you provide basic medical care to someone experiencing a sudden injury or illness, its known as first aid. It can start at any age, but most often develops in adults between 20 and 30 years old and between 50 and 60 years old. It is usually an acute illness that manifests 25 days after birth. Book X: a teaching that the good angels wish that God alone is worshipped and a proof that no sacrifice can lead to purification except that of Christ. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Applying lidocaine or an aloe vera gel or cream can also reduce discomfort from minor burns. You may have blood tests to rule out other conditions, such as rheumatoid arthritis, and X-rays of the affected joints may be taken. There are also support groups for people with psoriasis, such as the Psoriasis Association, where you can speak to other people with the condition. Topical treatments are creams and ointments applied to the skin. Book IX: a proof that all demons are evil and that only Christ can provide man with eternal happiness. OR. Avoid direct contact with blood, vomit, and other bodily fluids. [11] In 2016, Robinson and Lareau published a similar technique adapted to used AuviQ autoinjectors. [94] One generic autoinjector has been approved by Health Canada but is not marketed. INTRODUCTION BY THE EDITOR. Activate your 30 day free trialto unlock unlimited reading. "[33], In 2009, Teva Pharmaceuticals filed an ANDA to market a generic EpiPen in collaboration with Antares Pharma Inc, a maker of injection systems; Pfizer and King sued them for infringing US Patent 7,449,012 that was due to expire in 2025;[34] Pfizer, Mylan, and Teva settled in April 2012 in a deal that allowed Teva to start selling the device in mid-2015, pending FDA approval. If you have basic first aid skills, try to treat any potentially life-threatening injuries they have. [76] In February 2016, Sanofi terminated its license to manufacture and market the Auvi-Q, leaving Kalo (Intelliject was renamed) to consider how and whether to re-introduce the device. These wounds will typically heal in approximately 5-7 days. [23], In 2003, Hollister-Stier received approval from the FDA to market an epinephrine autoinjector called Twinject that could deliver two shots of epinephrine, which it had spent ten years developing. Eventually, they came up with a design that has the shape and size of a smartphone which can be put into a pocket. Tioconazole 6.5% ointment 5 g intravaginally in a single application. Introduction. Our CPTG Certified Pure Tested Grade essential oil products offer natural solutions for you and your loved ones. It was emphasized this was an emergency adaptation of the intended design for austere environments when no additional epinephrine was available. If the scene is safe, assess the condition of the sick or injured person. Now customize the name of a clipboard to store your clips. Alternatively, you can create your own first aid kit using products purchased from a pharmacy. Continue to apply this pressure continuously for five minutes. Topical antibiotic therapy alone is inadequate and unnecessary if systemic treatment is administered. The Story of Creation. [4], The epinephrine in autoinjectors expires after one year. Compressing the chest to the beat of Staying Alive by the Bee Gees or Crazy in Love by Beyonc can help you count at the correct rate. [84] In October 2016, Mylan announced a $465M settlement with the US Department of Justice over rebates paid by Mylan to states under the Medicaid Drug Rebate Program. If you have a baby, you might need to replace or supplement some of the products in a standard first aid kit with infant-appropriate alternatives. Erythromycin is the only ophthalmic ointment recommended for use among neonates. All rights reserved. In other cases, first aid consists of the care provided to someone with a minor injury. Cases in the United States are uncommon, which is likely attributable to gonorrhea screening programs for women, including pregnant women, that have contributed substantially to reduction in ophthalmia neonatorum (904). Topical calcipotriol is usually well tolerated. [67][68], In March 2015, Impax Laboratories acquired the parent company of Amedra and Lineage, and placed Amedra and the Adrenaclick in its Impax Specialty Pharma division; at the same time it acquired Lineage, which it placed, along with its generic version of Adrenaclick, in its Impax Generics division. [45][100], As of September 2016[update], two Jext autoinjectors cost users about 8.50 (US$11.64) in Britain, and the National Health Service pays around 48 (US$65.75) in order to make them available; that price was about 17 percent less than 2013. Drug is a substance used in the diagnosis ,prevention or April 03, 2001, Jennifer Sudick for the Spokane Spokesman-Review. Learn to make a splint on the go with these detailed step-by-step instructions. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. [91], The Sandoz division of Novartis announced on 9 July 2019 the availability of Symjepi, a manual epinephrine injection as an alternative to autoinjectors, in 0.3mg and 0.15mg versions. Neonates who have DGI should be managed in consultation with an infectious disease specialist. If theyve been prescribed nitroglycerin, help them locate and take this medication. Press Releases Building Stronger Pandemic Preparedness With Infectious Disease Modelling Dec 07-2022 ; Blog Post The Fight for $15: How Increasing the Minimum Wage Can Close the Racial Wealth Gap Dec 07-2022 ; Press Releases The Rockefeller Foundation and Digital Square at PATH Commit $5M to Strengthening Data-Driven Health Systems & Global Immunizations An example of such an enantiomer is the sedative thalidomide, which was sold in a number of countries around the world from 1957 until 1961.It was withdrawn from the market when it was found to cause birth defects. The word Pharmacology is derived from Greek Books XVXVIII: the history or progress of the two cities, including foundational theological principles about Jews. What are the side effects of topical calcipotriol?. [59] In 2007 when Mylan acquired the rights to market the product, annual sales of all epinephrine autoinjectors were about $200 million and EpiPen had around 90% of the market; in 2015 the market size was around $1.5 billion and Mylan still had about 90% of the market. Click to shop Hemp Bombs' premium CBD for sale for health, wellness and relaxation: CBD Gummies, CBD Oils, CBD Edibles, CBD Topicals & more. [44][45], Also in 2010, Shionogi authorized Greenstone, the authorized generics division of Pfizer,[46][47] to begin selling an authorized generic of Adrenaclick. The person should also receive follow-up care if an injury caused the nosebleed. The book proves that Rome's dominion was due to the virtue of the Romans and explains the true happiness of the Christian emperors. The Journal of the American Academy of Dermatology (JAAD), the official scientific publication of the American Academy of Dermatology (AAD), aims to satisfy the educational needs of the dermatology community.As the specialty's leading journal, JAAD features original, peer-reviewed articles emphasizing: Warnings for Cat Care If your doctor suspects you have psoriatic arthritis, which is sometimes a complication of psoriasis, you may be referred to a doctor who specialises in arthritis (rheumatologist). July 20, 2005, Z+Kazuhiro Shimamua for The Wall Street Journal. Part II (Books XIXXII): discussion on the City of God and its relationship to the Earthly City, Books XIXIV: the origins of the two cities, Book XI: the origins of the two cities from the separation of the good and bad angels, and a detailed analysis of. Clipping is a handy way to collect important slides you want to go back to later. Gonococcal ophthalmia is strongly suspected when intracellular gram-negative diplococci are identified on Gram stain of conjunctival exudate, justifying presumptive treatment for gonorrhea after appropriate cultures and antimicrobial susceptibility testing for N. gonorrhoeae are performed. "[8] It found that how well the user was trained was the most important factor determining successful delivery, and requested companies to develop better training materials for doctors and people to whom the devices are prescribed. Homeopathy, also known as homeopathic medicine, is a medical system that was developed in Germany more than 200 years ago. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Cover them with a warm blanket, comfort them, and try to keep them calm. WebWarnings For rectal use only. The first modern epinephrine autoinjector, the EpiPen, was invented in the mid-1970s at Survival Technology in Bethesda, Maryland, US by Sheldon Kaplan[13][14] and was first approved for marketing by the FDA in 1987. [81][82] Some Americans responded to the high price by buying EpiPens online from pharmacies outside the US,[106][107] forgoing new EpiPens and relying on their expired EpiPen,[106] or forgoing an autoinjector altogether and having their children carry pre-loaded syringes. The product was launched with the brand name "Auvi-Q" in the United States and "Allerject" in Canada. You can learn more about how we ensure our content is accurate and current by reading our. It's also quitecommonto developtenderness, pain and swelling in the joints and connective tissue. In this war, God moves (by divine intervention, Providence) those governments, political/ideological movements and military forces aligned (or aligned the most) with the Catholic Church (the City of God) in order to oppose by all meansincluding militarythose governments, political/ideological movements and military forces aligned (or aligned the most) with the Devil (the City of the World). An official publication of the American Academy of Allergy, Asthma, and Immunology, The Journal of Allergy and Clinical Immunology brings timely clinical papers, instructive case reports, and detailed examinations of state-of-the-art equipment and techniques to clinical allergists, immunologists, dermatologists, internists, and other physicians concerned The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. [4] The intramuscular route is preferred over subcutaneous administration because the latter may have delayed absorption. Learn when professional care is needed for a nosebleed. [57][58], In 2012, Mylan launched a program called EpiPen4Schools to sell EpiPens in bulk and with discounts to schools; to participate in the program schools had to agree not to buy epinephrine autoinjectors from any other company for a year. Gayle Conelly Manchin, mother of Mylan's CEO, Heather Bresch, had become president of the association in 2010, and shortly after had discussed donations from her "daughter's company" to the association. [7] The cause of unintentional injections has been attributed to design flaws, where the device is mistaken for a pen or the user mistakes which end of the device contains the needle. They help us to know which pages are the most and least popular and see how visitors move around the site. The book was in response to allegations that Christianity brought about the decline of Rome and is considered one of Augustine's most important works, standing alongside The Confessions, The Enchiridion, On Christian Doctrine, and On the Trinity. [27] In March 2008, Sciele Pharma acquired Twinject from Verus[28] and later that year, Sciele was acquired by Shionogi. First aid for older adults. [65], After successful lobbying from Mylan,[31] in 2013, the "School Access to Emergency Epinephrine Act" became law after passing Congress with broad and bipartisan support; it protected anyone from liability if they administered epinephrine to a child in a school (previously, only trained professionals or the affected person were allowed to administer the drug, and were open to liability), and it provided some financial incentives for schools that didn't already stock epinephrine autoinjector to start stocking them. Julie Zeveloff for Law360. Aug 22, 2016, Cynthia Koons and Robert Langreth for Bloomberg Businessweek. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Effective wound care products for the prevention and healing of wounds. Press Release: Impax Completes Acquisition Of Tower Holdings, Inc. And Lineage Therapeutics Inc. "Epinephrine self-injectable - Medeca Pharma AB - AdisInsight", "Emerade, 500 micrograms, solution for injection in pre-filled pen - Summary of Product Characteristics (SPC) - (eMC)", "Valeant Form 10-K For the fiscal year ended December 31, 2015", "Allerject epinephrine auto-injectors recalled by drugmaker Sanofi", "Updated: Sanofi US Issues Voluntary Nationwide Recall of All Auvi-Q Due to Potential Inaccurate Dosage Delivery", "French pharma giant vacates deal with Shockoe Slip firm", "Sanofi abandoning Auvi-Q after dosage problems led to total recall", "Cost Jumps Nearly 500-Percent For Life-Saving EpiPens", "People With Food Allergies Say Life-Saving Drug Too Expensive", "Mylan to Launch Cheaper Generic EpiPen Alternative", "Mylan's EpiPen School Sales Trigger N.Y. Less severe manifestations include rhinitis, vaginitis, urethritis, and scalp infection at sites of previous fetal monitoring. There's no cure for psoriasis, but a range of treatments can improve symptoms and the appearance of skin patches. Although the process is not fully understood, it's thoughtto be related to a problem with the immune system. INTRODUCTION TO PHARMACOLOGY DEFINITION: Pharmacology is the science that deals with the study of drugs and their interaction with the living systems. Apply cream, paste or ointment regularly. If you buy through links on this page, we may earn a small commission. Newborns at increased risk for gonococcal ophthalmia include those who did not receive ophthalmic prophylaxis and whose mothers had no prenatal care, have a history of STIs during pregnancy, or have a history of substance misuse. An antibiotic is a type of antimicrobial substance active against bacteria.It is the most important type of antibacterial agent for fighting bacterial infections, and antibiotic medications are widely used in the treatment and prevention of such infections. We include products we think are useful for our readers. Silver nitrate and tetracycline ophthalmic ointments are no longer manufactured in the United States, bacitracin is ineffective, and povidone iodine has not been studied adequately (905,906). 1 The song of songs, which is Solomon's.. 2 Let him kiss me with the kisses of his mouth: for thy love is better than wine.. 3 Because of the savour of thy good ointments thy name is as ointment poured forth, therefore do the virgins love thee.. 4 Draw me, we will run after thee: the king hath brought me into his chambers: we will be glad and rejoice in thee, we will remember thy love If a person is having an allergic reaction to a bee sting, call 911. Read package insert for complete directions before use. Here's what sets it apart from two other kinds of bleeding, and how to treat it. The brothers split to study different fields with a shared goal to create a new device. Your doctor will ask you about how much the condition is affecting your everyday life. Prevalence of infection among neonates depends on the prevalence of infection among pregnant women and whether pregnant women are screened and treated for gonorrhea during pregnancy. Prenatal screening and treatment of pregnant women for gonorrhea is the best method for preventing N. gonorrhoeae infection among neonates. Ocular prophylaxis and preventive gonorrhea screening and treatment of infected pregnant women are especially important because ophthalmia neonatorum can result in perforation of the globe of the eye and blindness (903). [66] Joe Manchin, the father of Mylan's CEO, was a senator at that time. [4][5] Minor adverse effects from epinephrine include tremors, anxiety, headaches, and palpitations. We've updated our privacy policy. They may either kill or inhibit the growth of bacteria. Positive Gram-stained smears of abscess exudate, CSF, or joint aspirate provide a presumptive basis for initiating treatment for N. gonorrhoeae. [2] A study in rabbits showed that intramuscular epinephrine has decreased effectiveness after it expires; that study also recommended that if the drug in an expired device has not started to precipitate (if the solution is not cloudy and has no particles in it) using the expired device is better than no injection at all in an emergency situation. In the case of a serious medical emergency, you may even save a life. Its based on two unconventional theories: ", "Petitpas Taylor moves to make U.S. EpiPen alternative available in Canada", "Allergien: Diese Kosten bernimmt die Krankenkasse", "Small children prioritised under emergency protocol to tackle 'critical' EpiPen shortage", "Silicon Valley engineers figure real cost to make lifesaving auto-injector two-pack", "Canadians users of EpiPen not subject to price hike as U.S. consumers", FDA swats down Teva's EpiPen copy, putting Mylan in cruise control, "5 Signs That EpiPen Prices Are Completely Out of Control", "Drug company stung by criticism of 'outrageous' EpiPen price rises", "Mylan to provide EpiPen cost assistance as CEO is asked to testify on price hike | Business | The Guardian", "Why Mylan's 'savings card' won't make EpiPen cheaper for all patients", "Is EpiPen a Brand-Name or a Generic Drug? The book presents human history as a conflict between what Augustine calls the Earthly City (often colloquially referred to as the City of Man, but never by Augustine) and the City of God, a conflict that is destined to end in victory for the latter. It may sting or cause an irritant dermatitis (dry itchy rash) on facial skin: use very cautiously in psoriasis affecting this area. Could a cold bath be the key to beating rising temperatures? In addition to continuing routine ocular prophylaxis, prevention should focus on prenatal screening for N. gonorrhoeae, including. Even if the earthly rule of the Empire was imperiled, it was the City of God that would ultimately triumph. [80] In the United Kingdom, an EpiPen costs 26.45 as of 2015. Neonatal ocular prophylaxis with erythromycin, the only agent available in the United States, is required by law in most states and is recommended because of safety, low cost, and ease of administration. Our website services, content, and products are for informational purposes only. Newborns who have gonococcal ophthalmia should be evaluated for signs of disseminated infection (e.g., sepsis, arthritis, and meningitis). Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. One enantiomer caused the desirable sedative effects, while the other, unavoidably present in equal quantities, caused birth defects.. If left untreated, heat exhaustion can lead to heatstroke. The first epinephrine autoinjector was brought to market in 1983. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. The condition is not contagious, so it cannot be spread from person to person. This page was last edited on 2 November 2022, at 05:12. [80] The last price increase sparked widespread outrage in the late summer as parents prepared to send their children back to school and went to pharmacies to get new EpiPens. If thats not possible, apply a cool compress to the area instead. [32], In 2009, Mylan and King started marketing a new version of EpiPen with the same basic mechanism but a stronger spring, better safety features, and clearer markings and instructions; an expert for NBC News estimated that the cost to redesign the device and packaging may have been "several million dollars" and the cost to retool the manufacturing process may have "run into the double-digit millions. Terconazole 0.4% cream 5 g intravaginally daily for 7 days. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. If the area around the unconscious person seems safe, approach them and begin CPR. introduction in clinical pharmacology. For example, your kit should include an infant thermometer and infant acetaminophen or ibuprofen. [1][4] The rate of unintentional injections using these devices is unknown but a 2009 review found that the rate is increasing. [92], As of 2015, the following epinephrine autoinjectors were available in various parts of Europe: Adrenalina WZF, Adrenaline (epinephrine) 1 in 1000 solution for injection BP auto-injector, Altellus, Anapen, Emerade, EpiPen, Fastjekt, FastPen, and Jext. Thank you for taking the time to confirm your preferences. If someone is overheated, encourage them to rest in a cool location. [60], In 2012, Shionogi, the manufacturer of Adrenaclick and Twinject, announced it would stop making them;[36] it had sold the rights to the NDA to a company called Amedra Pharmaceuticals. On brown, black and white skin the patches can look pink or red, and the scales white or silvery. [6], The devices contain a fixed dose of epinephrine and a spring-loaded needle (or, in the case of AuviQ, a CO2-driven needle) that exits the tip or edge of the device and penetrates the recipient's skin, to deliver the medication via intramuscular injection. For some it's just a minor irritation, but for others it can have a big impact on their quality of life. In the case of a medical emergency, first aid might even save a life. [81][82] In September 2016, the New York State Attorney General began an investigation into Mylan's EpiPen4Schools program in New York to determine if the program's contracts violated antitrust law[83] and the West Virginia State Attorney General opened an investigation into whether Mylan had given the state the correct discount under the Medicaid Drug Rebate Program and subpoenaed the company when it refused to provide the documentation the state requested. Place both hands on the center of their chest, with one hand on top of the other. OR With this information, youll know, A gunshot wound is a medical emergency. To help prevent infection, apply an antibiotic ointment and loosely cover the burn with clean gauze. A GP canoften diagnose psoriasis based on the appearance of your skin. In many cases, you can use an adhesive bandage to cover minor cuts, scrapes, or burns. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Its also a good idea to have a first aid kit available at work. Find Your Next Job. [51] In response, Sandoz challenged the validity of the patents, and as of July 2016 this litigation was ongoing. All information these cookies collect is aggregated and therefore anonymous. Saving Lives, Protecting People, Sexually Transmitted Infections Treatment Guidelines, 2021, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Retesting After Treatment to Detect Repeat Infections, HIV Infection: Detection, Counseling, and Referral, Diseases Characterized by Genital, Anal, or Perianal Ulcers, Neurosyphilis, Ocular Syphilis, and Otosyphilis, Syphilis Among Persons with HIV Infection, Managing Persons Who Have a History of Penicillin Allergy, Diseases Characterized by Urethritis and Cervicitis, Gonococcal Infections Among Adolescents and Adults, Gonococcal Infections Among Infants and Children, Vulvovaginal Itching, Burning, Irritation, Odor or Discharge, Terms and Abbreviations Used in This Report, U.S. Department of Health & Human Services, screening pregnant women at risk (e.g., women aged <25 years and those aged 25 years who have a new sex partner, more than one sex partner, a sex partner with concurrent partners, a sex partner who has an STI, or live in a community with high rates of gonorrhea) for, retesting pregnant women in the third trimester who initially tested negative but remained at increased risk for acquiring infection (e.g., women aged <25 years and those aged 25 years who have a new sex partner, more than one sex partner, a sex partner with concurrent partners, a sex partner who has an STI, or live in a community with high rates of gonorrhea); and. The severity of psoriasis varies greatly from person to person. Cefotaxime 100 mg/kg body weight IV or IM as a single dose can be administered for those neonates unable to receive ceftriaxone because of simultaneous administration of IV calcium. Eye Easy is an ointment highly recommended for cats with pink eye. Pharmacology is the science that deals with the study of treatment of disease. If you encounter an emergency situation, follow these three basic steps: Look for anything that might be dangerous, like signs of fire, falling debris, or violent people. January 07, 2010. [31], In March 2016, Teva's ANDA for a generic EpiPen, which had already faced several delays, was rejected by the FDA. Home Page: Journal of Investigative Dermatology - jidonline.org [111] In October 2016, Mylan announced a settlement with the US Department of Justice over rebates paid by Mylan to states under the Medicaid Drug Rebate Program. The book also explains good and bad things happen to righteous and wicked people alike, and it consoles the women violated in the recent calamity. CDC twenty four seven. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Book XII: answers to why some angels are good and others bad, and a close examination of the creation of man. Next review due: 08 April 2025. Ocular prophylaxis for gonococcal ophthalmia neonatorum has a long history of preventing sight-threatening gonococcal ocular infections. In some cases, the patches can be itchy or sore. Antitrust Probe", "Mylan Investigations Mount as West Virginia Opens Fraud Probe", "Mylan to Settle EpiPen Overpricing Case for $465 Million", "2017 - Meridian Medical Technologies, Inc. a Pfizer Company 9/5/17", "FDA slams EpiPen maker for doing nothing while hundreds failed, people died", "Teva Pharmaceutical Gains Approval for Generic EpiPen, Mylan Shares Flat", "Press Announcements - FDA approves first generic version of EpiPen", "EpiPen Expiration Dates Extended as Schools Face Shortage of Allergy Medicine", "Adamis Pharmaceuticals Provides Update on U.S. Retail Launch of SYMJEPI", Index page for EMA Review of Adrenaline auto-injectors, "Emerade epinephrine auto-injectors are now available in Canada", "Epinephrine autoinjectors available in Canada", "EpiPen shortage may drag into next year: Health Canada", "Epipen and EpiPen Jr. in short supply, no alternatives available", "EpiPen shortage: What are your alternative epinephrine injector options? During the last seventeen years, she has lived the greater part of the time with a distinguished family in New York, and has so deported herself as to be highly esteemed by them. Daily cleaning with soap and water, application of an antibiotic ointment and a dressing are all that is necessary. In some cases, first aid consists of the initial support provided to someone in the middle of a medical emergency. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Pharmacology Introduction for Nursing Students. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. DRUG: Cefotaxime 100 mg/kg body weight IV or IM as a single dose can be administered for those neonates unable to receive ceftriaxone because of simultaneous administration of IV calcium. Cookies used to make website functionality more relevant to you. In severe cases, where the above treatments are ineffective, systemic treatments may be used. [16], In 1996, Survival Technology merged with a company called Brunswick Biomedical and the new company was called Meridian Medical Technologies. Since 1854, the city has been coextensive with Philadelphia County, the most populous county in Pennsylvania and the urban core of the Delaware Valley, [95] From 2015 to 2020 the only autoinjector marketed in Canada was EpiPen and production issues led to supply shortages during that period. [99], As of 2005, epinephrine autoinjectors were not available in most of the developing world. Possible triggers of psoriasis includean injury to your skin, throat infections and using certain medicines. Learn why its crucial to visit, Learn how to treat a burned finger and understand the difference between first-, second-, and third-degree burns. Butoconazole 2% cream (single-dose bioadhesive product) 5 g intravaginally in a single application. Book XXI: the eternal punishment for the city of the devil. body does the drug (in greek kinesis = movement). Introduction to first aid. It can cause more damage. Take a moment now to learn about other strategies to help someone with heat exhaustion or heatstroke recover. * 1 In the beginning, when God created the heavens and the earth a 2 * and the earth was without form or shape, with darkness over the abyss and a mighty wind sweeping over the waters b 3 Then God said: Let there be light, and there was light. THE author of the following autobiography is personally known to me, and her conversation and manners inspire me with confidence. 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