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Although the ICHD-2 is the most complete headache classification there is and it includes frequency in the diagnostic criteria of some types of headaches (primarily primary headaches), it does not specifically code frequency or severity which are left at the discretion of the examiner. [36]

Main article: NIH classification of headaches

The NIH classification consists of brief definitions of a limited number of headaches. Puma X Sophia Webster Candy Princess sneakers collections cheap online clearance popular KimG2Uhv

The NIH system of classification is more succinct and only describes five categories of headaches. In this case, primary headaches are those that do not show organic or structural cause. According to this classification, headaches can only be vascular, myogenic , cervicogenic, traction and inflammatory.

An old advertisement for a headache medicine.
See also: Management of chronic headaches

Primary headache syndromes have many different possible treatments. In those with chronic headaches the long term use of opioids appears to result in greater harm than benefit. Salvatore Ferragamo slipon thick sole sneakers best place online clearance top quality buy cheap Manchester outlet shop 8l48X

Migraine can be somewhat improved by lifestyle changes, but most people require medicines to control their symptoms. [5] Medications are either to prevent getting migraines, or to reduce symptoms once a migraine starts.

Preventive medications are generally recommended when people have more than four attacks of migraine per month, headaches last longer than 12 hours or the headaches are very disabling. [5] [45] Possible therapies include beta blockers, antidepressants, anticonvulsants and NSAIDs. [45] The type of preventive medicine is usually chosen based on the other symptoms the person has. For example, if the person also has depression, an antidepressant is a good choice.

Abortive therapies for migraines may be oral, if the migraine is mild to moderate, or may require stronger medicine given intravenously or intramuscularly. Mild to moderate headaches should first be treated with acetaminophen (paracetamol) or NSAIDs, like ibuprofen . If accompanied by nausea or vomiting, an antiemitic such as metoclopramide (Reglan) can be given orally or rectally. Moderate to severe attacks should be treated first with an oral triptan , a medication which mimics serotonin (an agonist) and causes mild vasoconstriction. If accompanied by nausea and vomiting, parenteral (through a needle in the skin) triptans and antiemetics can be given.

Garg N, Tewari S, Kapoor A. Primary congenital anomalies of the coronary arteries: a coronary: arteriographic study. . 2000 Jun 12. 74(1):39-46. .

Elbadawi A, Baig B, Elgendy IY, et al. Single coronary artery anomaly: a case report and review of literature. . 2018 Feb 6. .

[Guideline] Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). . 2008 Dec 2. 118(23):e714-833. .

[Guideline] Bhatt AB, Foster E, Kuehl K, et al, for the American Heart Association Council on Clinical Cardiology. Congenital heart disease in the older adult: a scientific statement from the American Heart Association. . 2015 May 26. 131 (21):1884-931. . .

Sharma V, Burkhart HM, Dearani JA, et al. Surgical unroofing of anomalous aortic origin of a coronary artery: a single-center experience. . 2014 Sep. 98(3):941-5. .

Xiao Y, Gowda ST, Chen Z, et al. Transcatheter closure of coronary artery fistulae: considerations and approaches based on fistula origin. . 2015 Aug. 28(4):380-9. .

D'Souza TF, Samuel BP, Vettukattil JJ, Haw MP. Surgical treatment of neonate with congenital left main coronary artery atresia. . 2016 Jan. 101(1):352-5. .

Patrianakos AP, Hatzidakis A, Marketou M, Parthenakis FI. Adult-type ALCAPA syndrome: a rare coronary artery anomaly. . 2018 May 11. .

Media Gallery
Coronary angiography showing separate origin of the left anterior descending (LAD) and left circumflex (LCx) coronary arteries from the left coronary sinus of the aorta (absent left main).
Coronary angiography showing the anomalous origin of the left main (LM) coronary artery from proximal right coronary artery (RCA) with subsequent retroaortic (dorsal [type D]) course to the left side.
Selective left coronary artery angiogram demonstrating anomalous origin of obtuse marginal (OM) coronary artery from proximal left anterior descending (LAD) coronary artery. LM=left main, LCx=left circumflex.
Coronary angiography showing the anomalous origin of the right coronary artery (RCA) from the left anterior descending (LAD) coronary artery with subsequent anterior course (anterior [type A]) to the right atrioventricular groove.
Coronary angiography showing the origin of the right coronary artery (RCA) as the continuation of the left circumflex (LCx) coronary artery.
Coronary angiography showing the presence of a fistula originating from a diagonal (diag) branch of the left anterior descending coronary artery with anomalous communication with the pulmonary artery (PA).
Contributor Information and Disclosures

Jamshid Shirani, MD Director of Cardiology Fellowship Program, Director of Echocardiography Laboratory, Director of Hypertrophic Cardiomyopathy Clinic, St Luke's University Health Network Jamshid Shirani, MD is a member of the following medical societies: American Association for the Advancement of Science , American Federation for Medical Research , American Society of Echocardiography , Association of Subspecialty Professors, American College of Cardiology , sale comfortable Boss Hugo Boss contrast panel sneakers buy cheap visit new clearance cheap price GRl3AY
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Disclosure: Nothing to disclose.

Honestly, the archival world, too often largely to the broader enterprise of stewardship in the digital world, has been mostly in denial; this new world is strange and inhospitable to most traditional archival practice. A few leading and unconventional thinkers, such as Brewster Kahle at the Internet Archive and David Rosenthal at Stanford University, have offered detailed and compelling insights into how the nature of the Web, for example, has been changing over the past decade and the growing limitations of relying on the consensus conceptual models of taking archival copies of more or less static (at a given time) Web pages. On a more operational level, those involved in crawling the Web at scale, including experts at a number of research universities and national libraries, are trying to cope with these shifts every day, without good solutions [ 42 ]. Further, the focus so far has been kept narrowly to the domain of Web page archiving but the problem is much broader and deeper. While admittedly four years old now, the 2013 report on Web archiving from the Digital Preservation Coalition (DPC) (Pennock, 2013) hardly mentions the issues involved in personalization and dynamic content; the more recent report on preserving social media (Thompson, 2016) is mostly an analysis of why this is impossible by stewardship organizations, even national libraries, and a discussion about how individuals might archive their interactions with social media like Twitter and Facebook [ 43 ]. In the literature broadly, Twitter seems to be the major case study, perhaps because it has been at least somewhat hospitable to researchers that want to study public Twitter streams in that it offers, through various mechanisms, access to archives and real-time samples of these streams [ New York Transit Fun Time Womens Wedge Sandals free shipping sale czddajnFf1
]; I don’t know of any other social media platforms that offer similar access. This situation must change, and the existing models and conceptual frameworks of preserving some kind of “canonical” digital artifacts [ 45 ] are increasingly inapplicable in a world of pervasive, unique, personalized, non-repeatable performances. As stewards and stewardship organizations, we cannot continue to simply complain about the intractability of the problems or speak idealistically of fundamentally impossible “solutions.”

Recognize that the documentation of performances and events of various kinds — dance, ritual, theatre, musical performance, coronations and inaugurations, lectures, public addresses, riots and wars, etc. — is very old, actually long pre-dating the invention of writing. It starts with drawing and painting (arguably Neolithic cave paintings are a good example), embraces the oral traditions in poetry and history represented by Homer, and later incorporates writing, printing, sound recordings, photographic images, film and video, and other techniques. News and social media are relatively recent developments and a small though important part of a much larger picture. What’s new today is pervasive personalization (particularly at the extreme granularity that is now commonplace) and interaction. It’s also important to recognize that the objectives aren’t obvious: the rise of the telephone meant that there were a vast number of person-to-person calls that were never part of the record and that nobody expected to be. Are there older analogies to today’s personalized performances we can learn from? [ 46 ] Indeed, historically, personal letters had many similarities here. Are we expecting too much in terms of stewardship of today’s world?

If you have a good idea of where you will eventually transfer the URs, you might get the same rewards and also get some extras if the spend goes on a cobrand card.

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Super Contributor
‎04-11-2018 06:26 PM
‎04-11-2018 06:26 PM
Re: Large payment which card

I have the old amex business blue card and I want to convert it into the new product because the old product no longer gives me 2x points after the first year. The problem is two months ago Amex shut off the point earning on the card claiming I requested that and they still have not resolved the case. I actually called again for like the fouth time and was told again to check back in 2 to 3 weeks. I'm a bit concered that if I change the product amex will turn around and deny me all the points I was supposed to get, although this would have been my first choice. I could put it on my business plat for what that is worth. I have a CS I keep meaning to PC to freedom unlimited, although the credit line on it isn't enough (I move some of the credit to open other cards) and I'd probably have to do like three different payments which can cause issues as well.

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Valued Contributor
‎04-11-2018 07:03 PM
‎04-11-2018 07:03 PM
Re: Large payment which card

Assuming each payment is over $5k (for 1.5x), Business Platinum seems a reasonable choice.

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Super Contributor
‎04-11-2018 07:32 PM
‎04-11-2018 07:32 PM
Re: Large payment which card

Yea I had a charge of like 7.5k a few months ago on non-cat spend and I used the amex plat because I needed to meet signup spend and for the 1.5 points. I suppose I can use more MRs to top off my SQ account not sure how else to use them anymore.

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