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Another approach is a two-step procedure called a walking epidural. The epidural needle is placed in the same fashion as with a traditional epidural. Then the spinal needle for the walking epidural is advanced into the fluid surrounding the spinal cord and a small dose of medication is administered. The spinal needle is removed and the epidural catheter is placed in the epidural space, as with a traditional epidural. This approach delivers pain relief “almost instantaneously,” Dr. Braveman says.
Lori Vogt, RN, (left to right) Paula Trigo Blanco, RN, and Ferne Braveman, MD, work as a team to recommend pain-relief options to women in labor.
For high-risk deliveries, Dr. Braveman or one of her team members meets with patients before childbirth. “We come up with a plan and discuss it with the obstetrical team so that we are all on the same page when the woman comes into the hospital,” she says.
Whether or not the delivery is high risk, epidurals remain a source of concern for many pregnant women. This is understandable, given the importance of any medical decision associated with labor and childbirth.
In meeting with expectant mothers, Dr. Braveman says she frequently encounters a number of myths, including the widespread (but misguided) belief that an epidural can cause paralysis. She assures women that will not happen, and that the biggest complication might be a headache. “And if they do get a headache, we can treat it and manage it,” she says.
One widespread belief is that the epidural contains medicine that is a risk to the baby’s health. That is not true. An epidural actually delivers less medication into a laboring woman's bloodstream than intravenous medications or nitrous oxide, and very little of it reaches the baby, says Dr. Braveman.
Another common myth is that an epidural will greatly increase the labor time because it makes women feel numb and therefore unable to recognize the need to push.
An epidural does increase labor time by about eight minutes, on average. But Dr. Braveman says that is a marginal amount, “especially if you are talking over the course of eight hours.” Today’s epidurals, she says, use a very diluted analgesic combination of a local anesthetic and low-dose narcotic.
Along with the belief that an epidural increases the amount of time it takes to deliver a baby, many women wrongly believe that having an epidural makes them more likely to have a cesarean section.
That is not true, Dr. Braveman says. “Poorly designed retrospective studies in the past suggested a large number of patients going to cesarean sections had had epidurals, but well-designed studies did not support this,” she says.
Nurse Angelique Garay prepares for another delivery in the anesthesia workroom.
An epidural is not for everyone and is not the only choice when it comes to relieving pain, Dr. Braveman says. Many women find it relieves discomfort to sit on a birthing ball, or take a dip in a bathtub, or practice breathing and relaxation exercises they learned in childbirth classes.
Nitrous oxide, commonly known as laughing gas, is another option for pain relief in labor, one many people are not aware of. It fell out of fashion as a childbirth aid years ago for various reasons, including environmental concerns.
“But now they have developed a delivery system where the patient breathes back into the machine,” Dr. Braveman says. She says nitrous oxide can serve as a bridge to an epidural for women who don’t want one early in labor. And for a woman delivering her second or third baby, nitrous oxide might be all that she needs.
Women giving birth for the first time (68.1 percent) are more likely to receive regional anesthesia than those delivering subsequent children (57.3 percent), according to the Centers for Disease Control and Prevention.
As much as women need to be prepared for childbirth and have choices, Dr. Braveman says she often reminds them that the outcome—a healthy baby and healthy mother—matters most.
At Yale Medicine, Dr. Braveman says, the focus is on the patient. “That is reflected in our amazing team of doctors, nurses and anesthesiologists who work to make the healthy outcome happen,” she says.
Constant reminders that African Americans were inferior to white people marked towns and cities in the first half of the 20th century. Signs labeled “colored,” and “white” were highly visible by design, meant to constrict freedom based on the color of one’s skin. Heroically, many African American men and women refused to accept these labels, determined to prove their intelligence, strength, and fortitude by fighting for their right to fight. Ultimately, their battle focused on civil rights during and after World War II.
Most people are familiar with the Tuskegee Airmen. They are legendary.
In the Museum’s exhibit Fighting for the Right to Fight: African American Experiences During WWII, the exhibit centerpiece focuses on the Tuskegee Airmen, the famous Red Tails pilots whose incredible war exploits became a symbol of African-American participation in World War II. The Dallas Holocaust Museum/Center for Education and Tolerance opened the exhibit on September 7, 2017. Speakers included former Tuskegee Airmen Flight Officer Robert T. McDaniel, Mrs. Erma Bonner-Platte, widow of Tuskegee Airmen instructor Claude Platte Jr., and Dr. J. Todd Moye, Professor of History at the University of North Texas.
Dr. Moye moderated a panel between McDaniel and Bonner-Platte which he began by providing historical background on the discrimination African Americans faced when attempting to enlist and/or serve in the armed forces.
Segregation, upheld by the landmark case Plessy v. Ferguson (1896), along with Jim Crow laws, restricted the civil liberties of African Americans in every sector of society, including the military. African Americans were rejected from serving in the Army Air Services during World War I. This racial discrimination fueled the NAACP and others to work for change in military policies.
President Franklin D. Roosevelt issued a presidential decree that allowed African Americans to join the war effort during World War II. After the decree, the U.S. Army Air Corps trained a limited number of black pilots in Tuskegee, Alabama. The 332nd Fighter Group and the 477th Bombardment Group became known as the Tuskegee Airmen.
Former Tuskegee Airmen Flight Officer Robert T. McDaniel attended I.M. Terrell High School in Texas and was drafted into the armed services in 1943. He was later accepted into the U.S. Army Air Corps.
McDaniel’s drive, intelligence, and skills led him to surpass the benchmarks for acceptance into the air force as established by the U.S. War Department. McDaniel and Bonner-Platte’s husband, Claude Platte Jr., were two of the 922 pilots trained in Tuskegee, Alabama between 1941 and 1946.
The Tuskegee Airmen proved themselves to be some of the best pilots in the U.S. Army Air Forces. Their first-rate skills and abilities earned them the respect of other bomber crews who often requested them as escorts. The Tuskegee Airmen had a much better record than bombers flown by white pilots.
The accomplishments of the Tuskegee Airmen showed the world that African Americans deserved more recognition and respect than they had received at home. The end of the war reinvigorated their desire for equality and catalyzed the Civil Rights Movement.
During the exhibit opening, a member of the audience asked McDaniel and Bonner-Platte what messages they might have for the next generation of students regarding their experiences during World War II.
“I want young people to know that they can do anything that any other person can do, with no exceptions, and that they shouldn’t let anyone discourage them from any occupation that they desire to pursue,” said McDaniel.
Bonner-Platte answered the question by recalling a story her husband had repeated many times. When he was a young boy, Platte looked in the air and saw an object flying overhead. He ran up to his father and asked what it was. His father explained it was an airplane, and the man he saw in it was a called a pilot. Platte knew immediately that that’s what he wanted to be when he grew up.
Platte’s father encouraged his son’s passion for aviation by taking his family to Meacham field to watch the planes land and take off. Platte later found himself in Tuskegee in 1939 and joined the Tuskegee Airmen.
The tenacity and determination these men exhibited during a time of segregation, discrimination, and racial inequality serve as an incredible example of perseverance and inspiration for all ages.
Then I saw heaven opened and a white horse stood there; and the One Who rides on the horse was Named 'Faithful and True' - the One Who justly punishes and makes war. His eyes were like flames, and on His head were many crowns.
Then I saw an angel who in the sunshine stood, shouting loudly to the birds, 'Come! Gather together for the supper of the Great Molkhiúl YAOHÚSHUA! Come and eat the flesh of kings, and captains, and great generals; of horses and riders; and of all humanity, both great and small, slave and free.'"
Then I saw the evil creature gathering the governments of earth and their armies to fight against the One riding on the horse and His army. And the evil creature was captured, and with him the false prophet, who could do mighty miracles when the evil creature was present - miracles which deceived all who had accepted the evil creature's mark, and who worshiped his statue.
Both of them - the evil creature and his false prophet - were thrown alive into the lake of fire that burns with sulfur. And their entire army was killed with sharp sword in the mouth of the One riding the white horse, and all the birds of heaven were gorged with their flesh."
"Then I saw an angel come down from heaven with the key to the bottomless pit and a heavy chain in his hand. He seized the dragon - that old serpent, ha-satán - and bound him in chains for 1,000 years, and threw him into the bottomless pit, which he then shut and locked, so that he could not fool the nations any more until the thousand years were finished. Afterwards he would be released again for a little while.
Then I saw thrones, and sitting on them were those who had been given the right to judge. And I saw the souls of those who had been beheaded for their testimony about Molkhiúl YAOHÚSHUA, for proclaiming the Words of YÁOHU UL, and who had not worshiped the creature or his statue, nor accepted his mark on their foreheads or their hands. They had come to life again and now they reigned with Molkhiúl YAOHÚSHUA for a thousand years.
This is the First Resurrection. (The rest of the dead did not come back to life until the thousand years had ended). Blessed and holy are those who share in the First Resurrection. For them the Second Death holds no terrors, for they will be priests of YÁOHU UL and of Molkhiúl YAOHÚSHUA, and shall reign with Him a thousand years.
When the thousand years end, ha-satán will be let out of his prison. He will go out to deceive the nations of the world and gather them together, with Gog and Magog, for battle - a mighty host, numberless as sand along the shore. They will go up to the broad plain of the earth and surround YÁOHU UL's people and the beloved City of Jerusalem on every side.
But fire from YÁOHU UL in heaven will flash down on the attacking armies and consume them. Then ha-satán (satir) who had betrayed them will again be thrown into the lake of fire burning with sulfur where the creature and false prophet are, and they will be tormented day and night forever and ever."
And I saw a great white Throne and the One Who sat upon it, from Whose face the earth and sky fled away, but they found no place to hide. I saw the dead, great and small, on their feet before YÁOHU UL; and The Books were opened, including the Book of Life. And the dead were judged according to the things written in The Books, each according to the deeds he had done.
The oceans surrendered the bodies buried in them; and the earth and the underworld gave up the dead in them. And death and hell were thrown into the lake of fire. This is the Second Death - the lake of fire. And if anyone's name was not found recorded in the Book of Life, he was thrown into the lake of fire."
Then I saw a new earth (with no oceans!) and a new sky, for the present earth and sky had disappeared. And I Yaokanam (John), saw the Holy City, the New Jerusalem, coming down from YÁOHU UL out of heaven. It was a glorious sight, beautiful as a bride at her wedding!
And then He said to me, 'Write this down, for what I tell you is trustworthy and true: It is finished! I am the Alef and the Tav - the Beginning and the End.
I will give to the thirsty the springs of the Water of Life - as a gift! Everyone who conquers will inherit all these blessings, and I will be his UL and he will be My child.
But cowards who turn back from following Me, and those who are unfaithful to Me, and the corrupt, and murderers, and the immoral, and those conversing with demons, and idol worshipers and all liars - their doom is in the lake that burns with fire and sulfur. This is the second death."
"Then one of the seven angels, who had emptied the flasks containing the seven last plagues, came and said to me, 'Come with Me and I will show you the bride, the Lamb's wife.
In a vision He took me to a towering mountain peak and from there I watched that wondrous City, the Holy Jerusalem, descending out of the skies from YÁOHU UL. It was filled with the glory of YÁOHU UL, and flashed and glowed like a precious gem, crystal clear like jasper. Its walls were broad and high, with twelve gates guarded by twelve angels. And the names of the twelve tribes of Israel were written on the gates. There were three gates on each side - north, south, east, and west.
The walls had twelve foundations stones, and on them were written the names of the twelve apostles of the Lamb. The angel held in his hand a golden measuring stick to measure the City and its gates and walls. When he measured it, he found it was a square as wide as it was long; in fact it was in the form of a cube, for its height was exactly the same as its other dimensions - 1,500 miles each way. Then he measured the thickness of the walls and found them to be 216 feet across (the angel called out these measurements to me, using common unit).
The twelve gates were made of pearls - each gate from a single pearl! And the main street was pure, transparent gold, like glass."
"No temple could be seen in the City, for YÁOHU UL Gavoha and the Lamb are worshiped in it everywhere. And the City has no need of sun or moon to light it, for the glory of YÁOHU UL and the Lamb illuminate it. Its light will light the nations of the earth, and the rulers of the world will come and bring their glory to it. Its gates never close; they stay open all day long - and there is no night!
And the glory and honor of all the nations shall be brought into it. Nothing evil will be permitted in it - no one immoral or dishonest - but only those whose names are written in the Lamb's Book of Life.
And he pointed out to me a river of pure Water of Life, clear as crystal, flowing from the throne of YÁOHU UL and the Lamb, coursing down the center of the main street. On each side of the river grew Trees of Life, bearing twelve crops of fruit, with a fresh crop each month; the leaves were used for healing the nations.
There shall be nothing in the City which is evil; for the throne of YÁOHU UL and of the Lamb will be there, and His servants will worship Him. And they shall see His face; and His Name shall be written on their foreheads. And there will be no night there - no need for lamps or sun - for Molkhiúl YAOHÚSHUA will be their Light; and they shall reign forever and ever.
"I, Yaokanam, saw and heard all these things, and fell down to worship the angel who showed them to me; but again he said, 'No, don't do anything like that. I, too, am a servant of Molkhiúl YAOHÚSHUA as you are, and just like your brothers the prophets are, as well as all those who heed the truth stated in this Book. Worship YÁOHU UL alone.'"
Then he advised me, 'Do not seal up what you have written, for the time of fulfillment is near. And when that time comes, all doing wrong will do it more and more; the vile will become more vile; upright men will be better; those who are holy will continue on to greater holiness.
Blessed forever are all who are washing their robes, to have the right to enter in through the gates of the City, and to eat the fruit from the Tree of Life.
Outside the City are those who have departed away from YÁOHU UL, and the sorcerers and the immoral and murderers and idolaters, and all who love to lie, and do so.
I, Molkhiúl YAOHÚSHUA, have sent My angel to you to tell the Congregations all these matters. I am both David's Root and his Offspring. I am the bright Morning Heavenly Light.
The 'RÚKHA' and the bride say, 'Come.' Let each one who hears them say the same, 'Come.' Let the thirsty one come - anyone who wants to; let him come and drink the Water of Life freely.
And I solemnly declare to everyone who reads this book: If anyone adds anything to what is written here, YÁOHU UL shall add to him the plagues described in this book. And if anyone subtracts any part of these prophecies, YÁOHU UL shall take away his share in the Tree of Life, and in the Holy City just described.
The grace of Molkhiúl YAOHÚSHUA hol-MEHUSHKHÁY be with you all, am-nám!"
All this is given to you in the Name of YAOHÚSHUA the Messiah, am-nám!
We believe that, by the grace and mercy of YÁOHU UL, the 'RÚKHA-YAOHÚSHUA' has been teaching all of you, leading you into all truth, reminding you of the words of Molkhiúl YAOHÚSHUA, is revealing Molkhiúl YAOHÚSHUA and His eternal truths now to each one of you, and that YÁOHU UL is always watching over His words to perform them.
We also believe that the 'RÚKHA-YAOHÚSHUA' is the One Who is giving life and powerful oiling to YÁOHU UL's words, and He's now convicting your hearts as regards sin, righteousness and judgment, as we bind all of you to the full submission to Molkhiúl YAOHÚSHUA hol-MEHUSHKHÁY, now and forever, ol Shúam YAOHÚSHUA hol-MEHUSHKHÁY, and we all say, am-nám!
And we now loose you from all the powers of ha-satán and all his religious wicked spirits, evil spirits of confusion, all lying spirits, and all seducing spirits and we stop, rebuke and renounce all their wicked influences, deceptions, power and control over your whole person and we now set you free from all the powers of all evil spirits right now!
We also now bind you to full and immediate submission to Molkhiúl YAOHÚSHUA hol-MEHUSHKHÁY now and for always! Whatever we loose on earth is loosed in heaven, and whatever we bind on earth is bound in heaven! Al Shúam YAOHÚSHUA hol-MEHUSHKHÁY, and we all agree, am-nám!
Remember, it was Molkhiúl YAOHÚSHUA Who died for your sins, and not religion. Religion is not the Savior. YAOHÚSHUA hol-MEHUSHKHÁY is the Savior Who is willing and able to help, deliver, heal, enrich and save you!
For the weapons of our warfare are not the weapons of the world; on the contrary, they are so powerful, through YÁOHU UL, to demolish strongholds. We demolish arguments and every pretension that sets itself up against the knowledge of YÁOHU UL, and we now take captive every thought to make it submissive to Molkhiúl YAOHÚSHUA.
And we now overcome ha-satán by the 'DAM' (blood) of Molkhiúl YAOHÚSHUA hol-MEHUSHKHÁY and by the words of our testimony, and as we resist ha-satán, we win!
Thanks be to YÁOHU UL GABOR (the Valiant Warrior) Who always guarantees that we triumph in Molkhiúl YAOHÚSHUA hol-MEHUSHKHÁY, and truly we are greater than conquerors! And we do not allow ha-satán to steal in any manner the words of YÁOHU UL sown in our hearts now and forever!
Given to you in true love and deep humility, ol Shúam YAOHÚSHUA hol-MEHUSHKHÁY, am-nám!
In the spirit of giving during the holiday season, The Cowan Foundation helped kids get active with a $50,000 donation to the YMCA through their annual Holiday Card Program.
Jim Chaplin, YMCA Fellowship of Honour member and President of the Cambridge YMCA from 1964-1974, passed away peacefully at his home in North Dumfries, Ontario on November 15.
BMO NBA All-Star KidsFest events at the YMCA have begun!
2016 marks the 125th anniversary of the invention of basketball by Dr. James Naismith in 1891, working at the YMCA International Training School.
Carlos Soldi-Macdougall was recently profiled in the Hamilton Spectator, with his inspiring story of hard work and perseverance.
In late August, approximately 100-150 children from all the Edmonton branches of the YMCA of Northern Alberta had a thrill they’re not likely to forget.
Kat Clewley, a Health and Wellness Supervisor with the YMCA of Hamilton/Burlington/Brantford has an unusual sport of choice.
Yoga for peace. Candlelight walks. Be Kind bells. Random acts of kindness. Once again, November marked YMCA Peace Week across the country.
Scott Haldane, YMCA Canada’s President and CEO, has announced that he will retire at the end of this year.
“No matter who you are, everyone should have a fitness goal,” says Lizzie Bergman, fitness instructor at the Flamborough Family YMCA.
On October 7, 2015 the YMCA of Wood Buffalo cut the ribbon on the new Eagle Ridge Community Centre.
A recent article by CBC News in Montreal focuses on the experience of Kiara, a 14-year-old member of the West Island YMCA in Montreal.
On October 22, the Town of Marystown and the YMCA of Newfoundland and Labrador announced that they had signed a 20-year renewable agreement for the YMCA to deliver programs at the new Marystown Recreation Centre.
On October 20, the official ground-breaking ceremony took place for the YMCA of Greater Toronto’s Kingston Road YMCA.
Ontario shoppers at Zehrs Markets helped send more than 540 children across Ontario to summer camp by choosing to add $2 to their grocery bill during the Zehrs "Give a Little, Help a Lot" campaign.
What we do: We plan, design and transform your dream/fantasy into the Signature Wedding or Event.
How we do it: Our empathic approach to planning and design incorporates your unique, personal experiences and vision for your special occasion – hence it’s your signature!
Why we do it: Because WE CAN in the most STUNNING WAY.
Leister VARIANT T1 Welder - Industrial Fabrics - STANMECH Technologies Inc.
The VARIANT T1 has an outstanding top speed of 18 m/min. Its slim, compact design allows a perfect view into the weld seam from all sides.
The VARIANT T1 is available in Canada only through STANMECH and our distributor network. Tools bought through us are electrically certified for use in Canada. In many cases this entails replacing cords or switches in the tool to meet stringent CSA standards. Each tool is physically inspected by an approved field inspector prior to certification. We offer same-day shipping on in-stock items and service everything we sell from our facility in Burlington, Ontario, Canada.
Ideal for welding reinforcement tapes onto truck tarpaulins, the VARIANT T1 TAPE has an astounding top speed of up to 18 m/min. (depending on conditions).
Engineers brace up, the Indian Navy invites applications from unmarried Indian citizens for Short Service Commission (SSC) as PILOT/OBSERVER in the Executive Branch of the Indian Navy for course commencing Jun 2016 at the Indian Naval Academy Ezhimala, Kerala. The last date for the submitting the online application is 2nd October 2015.
(a) General Candidates. 19 to 24 years, born between 02 Jul 1992 and 01 Jul 1997; both dates inclusive.
(b) CPL Holders. 19 to 25 years, born between 02 Jul 1991 and 01 Jul 1997; both dates inclusive.
Los Alamos Commerce and Development Corporation (LACDC) announced Wednesday that it is relocating the Los Alamos Chamber of Commerce, MainStreet and Creative District offices effective Jan. 1, 2019. The new office suite that will house all programs will be located in the Small Business Center at 190 Central Park Square, adjacent to offices occupied by Navarro Research and Engineering Inc.
The move will allow for the consolidation of most LACDC entities into a single building and will promote further collaboration between the many economic development programs LACDC runs.

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