Wednesday, January 29, 2020

Jobs Hiring In Ohio

Dec 27 2020 105900 PM. Job Board Supports Hiring Essential Employees Job seekers and essential businesses can find each other easily through CoronavirusOhiogovJobSearch.

Ohio Restaurants Struggle To Find Workers Amid Pandemic 10tv Com

Click the Search for State Government Jobs link to search and apply for openings with State of Ohio agencies boards and commissions as well as the offices of state-wide elected officials.

Jobs hiring in ohio. 20 Best jobs in Toledo OH Hiring Now SimplyHired. There are over 109068 careers in Ohio waiting for you to apply. Make your work experience work for you.

Apply to Office Coordinator Management Trainee Registration and more. Stay on top of what is happening in the. The low-stress way to find your next job opportunity is on SimplyHired.

Apply to Material Handler Stocker Optician and more. Search to find your next job in Ohio. Current State employees should click Employee-Only Jobs Portal to access search and apply for jobs.

See salaries compare reviews easily apply and get hired. There are over 8251 careers in Springfield OH waiting for you to apply. State of Ohio Jobs - Mansfield OH 38.

Browse jobs and apply online. Cleveland job market - new employers moving into the area local employment trends company expansions and more. See salaries compare reviews easily apply and get hired.

109068 jobs available in Ohio. Apply to Executive Assistant Customer Service Representative Distribution Associate and more. 7952 jobs available in Toledo OH.

20 Best jobs in Mansfield OH Hiring Now SimplyHired. Plan your next career moves using OhioMeansJobs. 194095 jobs in Ohio.

Answer routine telephone inquiries from public. The low-stress way to find your next job opportunity is on SimplyHired. Apply to Crew Member Childcare Provider Seasonal Retail Sales Associate and more.

A proud partner of the American Job Center network. Top Jobs in Toledo OH Phlebotomist Drivers Graphic Designer Pharmacist Courier Nurse Practitioner Administrative Assistant Security Officer Dental Assistant. Receives and records telephone calls.

Apply to Receptionist Mail Carrier Package Handler and more. There are over 7952 careers in Toledo OH waiting for you to apply. 8251 jobs available in Springfield OH.

Apply to Cyber Crime Investigator and more. Bring your knowledge and years of experience to age-inclusive employers in Ohio. Valid Ohio Class D Driver License.

Apply to Barista Retail Sales Associate Human Resources Assistant and more. See salaries compare reviews easily apply and get hired. The low-stress way to find your next job opportunity is on SimplyHired.

Tuesday, January 28, 2020

Ringworm Skin Rash

Eczema is a general term that refers to an itchy red skin condition while ringworm is caused by a fungus. Ringworm is a common skin infection that is caused by a fungus.

Psoriasis Or Ringworm Symptoms Treatment And Other Rashes

The extra skin cells caused by psoriasis can be red scaly and itchy.

Ringworm skin rash. Redness irritation itching cracked or scaly skin bumps andor ring-shaped rashes. Ringworm also known as dermatophytosis dermatophyte infection or tinea is a fungal infection of the skin. Other rashes can look.

Genetic rashes like eczema or. The symptoms can vary but most fungal skin infections cause rashes bumps irritation scaly skin redness swelling or. It causes a scaly pink patch about 210 centimeters cm in diameter to.

The main symptom of ringworm is a rash. Ringworm will usually start as a single distinct spot while eczema tends to be more widespread. Ringworm is a misnomer since a fungus not.

Thick red scaly and itchy patches on the skin. It may look red silver or darker than surrounding skin depending on your skin tone. Eczema Is it Ringworm or Eczema.

Thats why psoriasis can usually be mistaken for ringworm. Ringworm is a common fungal skin disorder otherwise known as tinea or dermatophytosis. To manage symptoms consider.

While there are multiple forms of ringworm the most common forms affect the. Unlike ringworm psoriasis is not a fungal infection its a skin condition. Organisms living on the skin meanwhile cause conditions like ringworm and scabies.

Ringworm causes a scaly crusted rash that may appear as round ring-like red patches on the skin. Other similar fungal infections can affect the scalp feet groin and nails. Inside-out rashes stem from genetics allergies or infections.

These symptoms appear within one or two weeks following contact with the infecting source. The fungi responsible for ringworm thrive in hot moist environments such as the tropics or more. Despite its name ringworm doesnt have anything to do with worms.

Ringworm is not caused by a worm. Anyone can get ringworm. It is caused by a fungus that can live on skin surfaces like gym floors and household items like towels bedding and clothes.

If youre unsure whether it is ringworm vs. The rash may be scaly dry swollen or itchy. The condition is caused by the varicella-zoster virus and usually comprises a very typically appearing skin rash.

Pityriasis rosea is a common mild skin rash that usually lasts for 68 weeks. A fungal skin infection is an infectious skin disease caused by a fungus. It can have a red center seen here or normal skin tone inside the ring.

Eczema seek out advice from a doctor. Ringworm is contagious and can be passed through direct contact from person to person. Its called ringworm because it can cause a circular rash shaped like a ring that is usually red and itchy.

Ringworm is a common fungal infection that can cause a red or silvery ring-like rash on the skin. Ringworm can appear anywhere on the body including the scalp tinea capitis and groin jock itch. Ringworm is a common fungal infection and it usually forms a circular or oval-shaped rash.

The fungi that cause this infection can live on skin surfaces and on household items such as clothing towels and bedding. Its a fungal infection that often forms a ring-shaped rash. Other symptoms and signs of ringworm include patches of hair loss or scaling on the scalp itching and blister-like lesions.

Ringworm commonly affects arms and legs but it can appear almost anywhere on the body. The typical symptoms of a ringworm fungal infection are. The rash is preceded by an upper respiratory tract infection a few days prior where the patient experiences a sore throat slight throat pain loss of appetite might have a slight fever - basically flu-like symptoms.

These symptoms may resemble to the symptoms of ringworm. Psoriasis could be mistaken for ringworm because of the itchy red patches and scales that are symptoms of the condition.

Monday, January 27, 2020

Vaginal Contraceptive Sponge

Keep in mind that the Today Vaginal Contraceptive Sponge may be inserted into the vagina any time up to 24 hours before sexual intercourse. The birth control sponge starts working as soon as you activate the spermicide with water and put it in your vagina.

Vaginal Sponge Youtube

The sponge is filled with a.

Vaginal contraceptive sponge. With patience and a bit of practice the use of a contraceptive sponge is an easy and comfortable procedure. The sponge covers your cervix and contains spermicide to help prevent pregnancy. The contraceptive sponge or birth control sponge is a soft round piece of plastic foam with a loop for removal.

Also the cup-like indentation on the top of the sponge helps to keep it in a position directly over the cervix. It is the only sponge that contains a gel that combines three spermicidal ingredients which increase the sponges effectiveness up to 91 prevention. The sponge acts as a physical barrier but it is unnoticeable by either partner.

The birth control sponge is held in place by the muscles of the upper vagina. The sponge is available in a single size is round and about 55 cm in diameter and 25 cm thick. It is a cup-shaped white polyurethane sponge six.

These sponges deliver safe and effective protection in three ways. Today Vaginal Contraceptive Sponge is inserted through the vaginal opening and placed in the deepest part of the vagina just below the cervix. You put it deep inside your vagina before sex.

You could compare the learning to use a contraceptive sponge with learning to use contacts. The cervix is at the bottom end of the uterus and has a small opening through which sperm must travel to reach and fertilize the egg. The sponge can be inserted up to 24 hours before sex so you can get your birth control in place BEFORE the action starts interruption free.

The Today vaginal contraceptive sponge is a non-prescription barrier contraceptive which after rigorous testing was recently approved by the Food and Drug Administration FDA and marketed nationally. The birth control sponge aka the contraceptive sponge or the sponge for short is a small round sponge made from soft squishy plastic. Its available over the counter in many drugstores.

Ad Read Janes Story About One Simple Trick For Fast And Painless Relief. Safe-T is a hormone-free vaginal contraceptive sponge that is made from a soft flexible material. All pharmaceutical brands of contraceptive sponge can be inserted up to 24 hours before sex and left in place for at least six hours after sex.

As it was mentioned this contraception does not prevent the transmission of many sexually diseases including herpes HPV or HIV. These easy steps will help you to understand how to properly insert and remove this particular. Today is the only brand that requires wetting around two tablespoons of water while Protectaid and Pharmatex are ready to use out of the pack.

The contraceptive sponges can only be used once. To lessen the risk of getting an STI a condom should always be used. The vaginal contraceptive sponge approved on April 1 1983 by the US Food Administration FDA for sale in the US as a single use disposable over-the-counter contraceptive is made of polyurethane and designed to be biocompatible with the vaginal environment.

The sponge does not protect you from STIs. Pharmaceutical brands of contraceptive sponge. They block sperms path they absorb sperm and they also continuously release nonoxynol 9 a spermicide that quickly kills sperm on contact.

Mayer Laboratories Vaginal Contraceptive Sponge is a soft polyurethane foam sponge designed to help prevent pregnancy. The contraceptive sponge is a vaginal barrier method that prevents pregnancy by keeping sperm from fertilizing an egg that your ovaries make each month. How to use vaginal contraceptive sponge.

Advantages and disadvantages of vaginal sponge Using the contraceptive sponge correctly guarantees about 84 to 87 effective at preventing pregnancy. Ad Read Janes Story About One Simple Trick For Fast And Painless Relief.

Friday, January 24, 2020

How Long Does Molluscum Contagiosum Last

More than 1 out of 10 cases last 2 years or longer. Usually they will go away on its own with little to no scaring.

Everything You Need To Know About Molluscum Contagiosum Dr Tan Partners

There are many home treatments available but people should check with their doctor before using these treatments.

How long does molluscum contagiosum last. Theyre usually smooth and firm. Within 6-12 months Molluscum contagiosum typically resolves without scarring but may take as long as 4 years. The average patient will have the infection for 13 months but some patients can have the infection for 2 years or more.

Treating molluscum may clear the skin more quickly. Molluscum begins as tiny pin-sized whitepearly. They often have a pearly appearance.

Occasionally the condition lasts longer than two years - sometimes as long as five years. Scaly skin dermatitis or eczema may be associated. During that time you could spread the virus to other people.

Smaller bumps are easier to deal with and they dont cause as much pain for most people. What are the symptoms of molluscum contagiosum. A few people continue to have bumps for longer.

Therefore it cannot spread through coughing or sneezing. Molluscum contagiosum will usually go away on its own after a while so some people choose not to treat or remove the growths. A molluscum contagiosum infection will usually go away on its own if your immune system is healthy.

How long does molluscum last. It usually goes by itself without treatment. However cryotherapy freezing curettage cutting out the lesions laser therapy or chemical treatments also may treat the nodules.

It may last up to 6 months to one year if a person has healthy immune system. Molluscum grows over weeks with some of the small beginning stage bumps developing a pus head often with a crater or dell center looking more like a wart a pimple or an infected hair. It commonly takes 12-18 months before the last of the mollusca goes completely.

For most people the skin will clear without treatment usually within 18 months. Its also possible to pick up the virus again which can cause new bumps. Molluscum contagiosum is a skin infection caused by the virus Molluscum contagiosum.

This cycle usually lasts about 6 to 18 months before the skin clears completely. Molluscum contagiosum is a viral infection that results in an irritating skin rash and is common to kiddos. It causes ugly rash bumps or lesions on your skin.

Molluscum contagiosum often requires no treatment as nodules resolve in about 6 to 12 months. As some bumps clear new ones can appear. Since the virus lives only in the top layer of skin once the lesions are.

The infection is usually painless. The period of time averages two months to three months and may range from one week to six months. Molluscum contagiosum typically resolves on its own within 6 to 12 months.

Molluscum virus can last anywhere from a couple months to several years. The molluscum contagiosum virus remains in the top layer of skin epidermis and does not circulate throughout the body. Where resistance is not present molluscum bumps will begin to grow after an incubation period of two to eight weeks.

The lesions known as Mollusca are small raised and usually white pink or flesh-colored with a dimple or pit in the center. For many people contact with the virus will produce no symptoms because they are resistant. These itchy bumps can last for years and will fade with time and treatments.

A 2017 study found that the bumps cleared on their own in less than 6 months in 40 percent of cases. It is a chronic infection that develops on face trunk extremities and abdomen except on palms and soles. You may see new bumps for several months.

One-third of cases last 18 months. But if you dont treat molluscum contagiosum it usually takes 6-12 months for the bumps to clear up. Typically this happens gradually within 6 to 12 months.

For some people the main concern is that the mollusca can look unsightly. New bumps can continue to appear for 3 or 4 years and there have been reports of molluscum contagiosum lasting 5 years. Most children are not bothered by it.

Sometimes clearing takes longer. This is not known for certain but researchers assume that if the virus is present it may be transmitted. Molluscum contagiosum is a viral infection of the skin.

However the bumps can return after treatment. This is the most contagious stage and indicates that you have had the molluscum virus for several months. How Long are You Infectious.

Tuesday, January 21, 2020

What Cancers Cause Itching Skin

It makes your body overproduce skin cells which pile up in itchy inflamed patches on the skins surface. Hormone changes - if you have gone through the menopause your skin may be dry.

What Is The Connection Between Itching And Skin Cancer

Radiation therapy can kill skin cells and.

What cancers cause itching skin. Most rashes have no relationship with cancer and must be cured without treatment or. Itching with Jaundice as a Symptom Itching can be caused by jaundice a condition that may affect people with pancreatic cancer. Yes skin cancer can be itchy.

It could be due to. You might also be threatened by a lung tumor if you have this strange skin sign. Some forms of cancer including those involving the liver gall bladder and pancreas can cause jaundice.

Your skin may be dry for several reasons when you have cancer. Cancer treatments that may cause pruritus include chemotherapy radiation therapy and immunotherapy biologic therapy. Skin cancer is the most common type of cancer to cause itching.

Leukemia is a type of cancer that affects white blood cells. Cancer related itchy skin can also be caused by a build-up of toxins in the body as a result of problems with the liver or kidneys. Jaundice may develop as the result of a.

Those with pancreatic cancer may experience itching. Patients with leukemia can also experience skin related problems such as rashes. Symptoms include nausea fever and anemia.

Certain medications used as part of cancer treatment such as pain medicines drugs for nausea or vomiting or hormone treatments. Some of the main causes of itching include. But get it checked to make sure.

Red patches on your skin. Courtesy of Eleanor Rooney When 26-year-old Eleanor Rooney noticed her whole body becoming itchy in early 2016 she went to the doctor. This is a result of an overactive immune system.

Lung Cancer Symptoms and Itching Skin Lung cancer symptoms are a persistent cough unexplained weight loss or constantly feeling just before the breath. Some common cancers that can cause cancer itch are the following. Jaundice causes the skin and eyes to appear yellow due to a buildup of a bilirubin a component of bile in the body.

These red patches could also be itchy. The deadliest form of skin cancer melanoma can take the form of itchy. This can lead to a build-up of.

This could be due to other non cancerous skin conditions. The cancers that are most commonly associated with itching are lymphoma polycythemia vera PV certain gastrointestinal cancers and melanoma. Bile is made in the liver and released into the small intestine through a bile duct.

For example basal cell skin cancer can appear as a crusty sore that itches. In cases when the itching is chronic and there are no skin changes a cancer needs to be considered. Lung cancer is one of the most common cancers in the UK and also one of the heaviest.

Cancer treatments such as chemotherapy radiation targeted therapy or immunotherapy. The time of year - in the winter your skin is more likely to be dry from cold air outdoors and central heating in buildings. A change to a mole or freckle can be a sign of another type of skin cancer called melanoma.

The itch however isnt a direct symptom of the cancer. Itching is more common with basal cell carcinoma and squamous cell carcinoma than with melanoma. Pruritic urticarial papules and plaques of pregnancy PUPPP a common skin condition that causes itchy red raised bumps that appear on the thighs and abdomen tummy prurigo gestationis a skin rash that appears as red itchy dots and mainly affects the arms legs and torso.

In cancer patients itching can be caused by. When chemotherapy causes pruritus it may be a sign that you are sensitive to the drugs being used. The most common cancers to cause itching are hematological malignancies such as Hodgkins lymphoma leukemia cutaneous T-cell lymphoma and biliary malignancies.

Sunday, January 19, 2020

Gfr Ckd Epi

Albuminuria as a Surrogate Marker. Performs superiorly to the Cockcroft-Gault Equation.

Biological Variation Of Measured And Estimated Glomerular Filtration Rate In Patients With Chronic Kidney Disease Kidney International

EGFR using CKD-EPI Calculate eGFR using the CKD-EPI formula 3-Month Mortality in Incident Elderly ESRD Patients Estimate the risk of early death at 3 months in elderly patients starting dialysis.

Gfr ckd epi. As the chronic kidney disease progresses the GFR decreases. The CKD-EPI cystatin equation is. Min the minimum of Scys08 or 1.

The level of GFR and its magnitude of change over time are vital to the detection of kidney disease understanding its severity and for making decisions about diagnosis prognosis and treatment. Max the maximum of Scys08 or 1. 11 What is the CKD-EPI equation.

Normal GFR is approximately 100 but you will often see it reported as 90 greater than 90 or. When GFR is less than 15 mLmin it means you lost about 90 to 85 percent of kidney function and developed end stage kidney disease that need dialysis to take wastes of the body out. 1 If however there has been a significant decline of GFR since a previous test this could be an early indicator of kidney disease.

The CKD-EPI Creatinine Equation for Glomerular Filtration Rate GFR estimates GFR based on serum creatinine. Your doctor can calculate it from the results of your blood creatinine test your age body size and gender. CKD-EPI Adults Conventional Units In adults the most widely-used equations for estimating glomerular filtration rate GFR from serum creatinine are the Chronic Kidney Disease Epidemiology Collaboration CKD-EPI equation 1 and the isotope dilution mass spectrometry IDMS traceable Modification of Diet in Renal Disease MDRD Study equation 2.

The equation is given in the following table for creatinine in mgdL see Appendix for creatinine in ĀµmolL. GFR is measured using. Normal GFR varies according to age sex and body size and declines with age.

EGFR - Estimated glomerular filtration rate is the best test to measure your level of kidney function and determine your stage of kidney disease. It is the dedication of healthcare workers that will lead us through this crisis. 24 hour urine clearance calculator.

The Stages of Chronic Kidney Disease CKD Your GFR number tells you how much kidney function you have as kidney disease gets worse the GFR number goes down. Glomerular filtration rate GFR is the best overall index of kidney function. GFR 141 minScrĪŗ1 Ī± maxScrĪŗ 1 -1209 0993 Age 1018 if female 1159 if black Scr is serum creatinine mgdL Īŗ is 07 for females and 09 for males Ī± is -0329 for females and -0411 for males min indicates the minimum of ScrĪŗ or 1 and max indicates the maximum of ScrĪŗ or 1.

The CKD-EPI equation uses a 2-slope spline to model the relationship between GFR and serum creatinine age sex and race. The CKD-EPI equation expressed as a single equation is. EGFR estimated glomerular filtration rate in mLmin173 m 2.

The MDRD equation performs equally to the newer CKD-EPI Equation in patients with GFR of 60 mlmin173m2. EGFR 133 x minScys08 1-0499 x max Scys08 1-1328 x 0996age x 0932 if female where. Age years.

Serum creatinine measurement is used in estimating GFR for people with chronic kidney disease CKD and those with risk factors for CKD diabetes hypertension cardiovascular disease and family history of. This is an unprecedented time. The glomerular filtration rate GFR describes the volume of fluid filtered from the renalkidney glomerularcapillaries into the Bowmans capsuleper unit time.

GFR is estimated by an equation developed by the Chronic Kidney Disease Epidemiology Collaboration. Your GFR tells your doctor your stage of kidney disease and helps the doctor plan your treatment. S cys standardized serum cystatin C in mgL.

Creatinine clearance is the volume of blood plasmathat is cleared of creatinineper unit time and is a useful measure for approximating the GFR. Donor Candidate GFR Calculator. The CKD-EPI equation was developed in 2009 to estimate GFR from serum creatinine age sex and race5 The CKD-EPI equation is as accurate as the MDRD Study equation in the subgroup with estimated GFR less than 60 mLmin173 m2 and substantially more accurate in the subgroup with.

Glomerular filtration rate GFR is usually accepted as the best overall index of kidney function in health and disease. Here is the simple method. The commonly used equations are Modification of Diet in Renal Disease MDRD 1999 and Chronic Kidney Disease Epidemiology Collaboration CKD-EPI 2009 For estimating GFR in patients under age 18 years the Bedside Schwartz equation can be used.

A GFR above 60 mLmin173m 2 is usually adequate for most patients and alone is not necessarily indicative of a patient having chronic kidney disease CKD. Noninvasively estimates the measured GFR to determine degree or presence of decreased kidney function. Normal GFR range means normal kidney function while low GFR level means that your kidney function is low.

The National Kidney Foundation recommends using the CKD-EPI Creatinine Equation 2009 to estimate GFR. MGUS Prognosis Determine risk of malignant progression to myleoma or lymphoproliferative disorder.

Friday, January 17, 2020

Hard Painful Lump In Armpit

A hard painful lump is associated with fibroadenomas see above and cancerous tumors. However fibroadenomas and cancerous tumors may feel hard and immobile.

Lump Under Armpit Painful Hard Male Female Sore Small Red Swollen Tender Lump In Armpit Hurts Ingrown Hair Armpit Lump Armpits

Differences Between Soft Lump and Hard Painful Lump Under Armpit.

Hard painful lump in armpit. However a hard lump in the armpit or near breast is not always a cancerous tumor. These are swollen lymph nodes glands and theyre usually. A painful lump in the armpit can potentially be cancerous but usually when a lump is painful or tender there is another cause.

No pain and seems hard and round. Painful lumps are often associated with infections and allergic. Ad Emuaid Gave Me My Life Back I Am So Thankful For This Amazing Product.

An armpit lump or axillary lump is often caused by swollen lymph nodes in the armpit. Read below for more causes and treatments options. That painful lump in armpit may well be a cyst especially if you notice your skin to become yellowish in color.

It is also easy to roll the lump under your skin with gentle pressure. Cancers like breast cancer or lymphomas with breast cancer being the most common cause of a painful lump in armpit. Infection or inflammation tend to cause pain and tenderness whereas cancer is less likely to be painful.

This condition can also be associated with tenderness or pain in the lump under the arm. A lump in the armpit tends. This evening having a bath I was shaving my underarms and again it was quite tender.

Armpit lumps may be caused by cysts infection or irritation due to shaving or antiperspirant use. Some people may experience pain with an armpit lump. Other causes of a painful lump in armpit can include.

I am 45yrs and Ifound a small pea size lump in my armpit on Boxing Day. An armpit lump or axillary lump is often caused by swollen lymph nodes in the armpit. A small or pea-sized lump in the armpit can also be caused by a skin infection like a cyst or ingrown hair.

A small or pea-sized lump in the armpit can also be caused by a skin infection like a cyst or ingrown hair. These can be caused by using antiperspirants instead of deodorants or shaving. I thought I had no other symptoms but she said I had lumpy breasts after examination and have been referred to breast clinic on 2 week pathway I have looked this up and it states this is urgent which makes me even.

Went straight to GP on 2712. Your breast may be red and swollen too. A lump in the armpit is also one of the most common signs of Hodgkin lymphoma a type of cancer that originates in white blood cells according to the.

An armpit lump or axillary lump is often caused by swollen lymph nodes in the armpit. However these lumps may also indicate a. Certain ailments will produce different results in the armpit and lymph nodes.

Ad Emuaid Gave Me My Life Back I Am So Thankful For This Amazing Product. A soft lump is more regularly associated with allergic reactions fatty growths benign cysts and infections. Hard Lump under Armpit.

Occasionally an armpit lump may be a sign of something more serious such as breast cancer or Hodgkins lymphoma. A hard lump under armpit is likely to be fibroadenomas or a cancerous tumor. After a bit of prodding I have found a small hard immovable lump pretty much in the centre of my armpit that is tender to the touch.

Symptoms of lymphoma One of the most common symptoms listed by the charity is a lump or lumps usually in the neck armpit or groin. Unlike lumps caused by infections these lumps may feel hard and immobile. If so your armpit lump may be caused by a breast infection thats spread to your lymph nodes.

Another cause of having a painful lump in your armpit are abscesses or cysts. If youre not sure or are worried always see a doctor. This condition can also be associated with tenderness or pain in the lump under the arm.

This condition can also be associated with tenderness or pain in the lump under the arm. It is more likely to be an abscess if it is large and painful and form on or under. Therefore it is vital to see your doctor for examination and diagnosis to rule out cancer in case of hard lumps in the armpit.

A small or pea-sized lump in the armpit can also be caused by a skin infection like a cyst or ingrown hair. Woke up this morning and as I was rolling on deoderant found my armpit hurt as I passed the roller over it.

End Of Life Fever

A low grade temp is one of the signs you expect to see in a dying patient. The end-of-life signs and symptoms above are just guides to help...