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R. Dimitar, M.B. B.CH. B.A.O., M.B.B.Ch., Ph.D.

Clinical Director, University of Missouri–Kansas City School of Medicine

We perform amazingly under pressure in hospital emergency rooms and under cross examination in the court room allergy forecast app discount desloratadine 5mg visa. My children were vicariously traumatised to the point where they needed therapy themselves allergy medicine addiction buy 5mg desloratadine otc. My family felt responsible for fixing a situation only integration could alleviate allergy testing hair buy desloratadine 5mg amex, and his health wore down trying to placate me and juggle my mood swings allergy and treats generic desloratadine 5 mg visa. Our family safety was compromised by the vulnerability dissociation brings because a dissociative victim is accessible. Perpetrators trigger victims to keep the programming active, force the victim into error as part of a set-up, or access and instruct them under hypnosis. When a victim is triggered by something that reminds them of the past, their right brain hemisphere is activated and reacts as if the trauma incident were presently occurring. Because their left brain is deactivated during a trigger, they do not know they are reliving a childhood trauma. Instead, they think they are emotionally reacting to something that is happening now. The left brain mistakes this right brain emotional perception as new stimuli related to the current surroundings and sets about doing its job of sequencing and ascribing context. The result is chaos, like when every instrument in an orchestra plays a different tune. When someone is not integrated, the burden of their chaotic mind falls onto others, mainly family. I could not stand that sickly, confused sense of dread that consumed my being at Halloween and other significant ritual dates. I was tired of unconscious trauma memories manifesting as depression, anxiety, terror, anger, hypervigilance, nightmares, and inexplicable mood swings. Prior to integration, every decision I made was informed by my trauma experiences. A clue to the relevance of consistent sleep is found in the following extract: A study was carried out at Stanford University some years ago concerning the nature of brainwashing. Theories now suggest that what we experience during the day is processed through dreams at night; when this continuity is broken, we lose our psychological equilibrium and controls. Victims are typically programmed not to sleep, to stop them processing, remembering and integrating. I slept soundly for the first time in my life after dealing with the ritual abuse in my early 20s. The problem is, the victim must remove herself from the source of trauma in order to heal. In the case of victims of ritual abuse and mind control, the abuse is ongoing thanks to perpetual harassment from the trafficking network. Another limitation is that the brain only has so much plasticity when it comes to reversing personality changes forcibly created during development. The difference between dissociation and integration is like comparing a nightmare with dawn. Integrate While Young I tried to fully integrate in the early 1990s but lacked the therapeutic support to do so. With integration I began noticing the physical pain my body had always been in, particularly the nerve damage years of electrocution caused. My integration correlated with a sharp decline in my neurological health including memory and concentration. Had I integrated 30 years ago I might have been able to establish myself in a chosen profession unheeded by susceptibility to triggers. Most importantly, I woke from my dissociative slumber to realise my kids were grown, and that I had not been psychologically (or sometimes physically) present for them. When I was spun (as all victims are) it was on sophisticated equipment instead of a home-made spit roast set-up. A further example of difference is, I received a Grande Dame version of the Princess programming other victims report experiencing. These differences likely contributed to the following: (a) My personality switches were comparatively seamless and manifested as mood swings, instead of blatant Sybil style switching. This may explain how I designed and drove my own therapy process in the required direction.

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Hilcorp has been undertaking a multiyear study to evaluate the possibility of reactivating the platform in mid-2018 allergy testing jefferson city mo generic 5 mg desloratadine, pushed back from a prior deadline of mid-2016 allergy medicine menstruation buy cheap desloratadine 5mg. The delay would allow Hilcorp to complete its activities at North Middle Ground Shoal allergy shots gain weight discount desloratadine 5 mg otc. The study includes re-mapping relevant horizons allergy testing tucson purchase 5mg desloratadine with visa, compiling well histories, building reservoir simulation models and potentially shooting a 3-D seismic survey. The following year, the company installed three platforms - from south to north Granite Point. Since acquiring the Granite Point unit Hilcorp has been working over wells from the three existing platforms (Lidji, 2015b). ConocoPhillips conducted an expensive development campaign at the field between 2008 and 2012. The program included drilling six wells and upgrading compression in an attempt to improve deliverability. The company appears to be done drilling new wells for the time being and is focusing on smaller maintenance activities to improve performance. Through 2014, Beluga River had 14 producing wells (one less than in 2013), 10 shut-in wells (one more than in 2013) and two disposal wells (Lidji, 2015b). Based on the previous wells, the company had expected those two wells to yield an average production bump of 3 million cubic feet per day, according to Aurora Gas President Ed Jones, but "neither of the development wells resulted in commercially viable accumulations of hydrocarbons and were plugged and abandoned," according to a plan of development for the year ending in October 2014 (Lidji, 2015b). After initial drilling proved the producing area to be smaller than expected, Marathon requested a major contraction at the unit, to 329 ac down from 13,289 ac (Lidji, 2015b). After suspending operations at Kasilof in 2013 and 2014, Hilcorp had committed to either return the dormant unit to production or relinquish it. As of March 2016, the company plans to relinquish the unit by May 31, 2016 (Lidji, 2015b). The proposed activity occurred over 84 days during the open water season after August 14, 2015. In December 2015 the Regulatory Commission of Alaska ruled that the profits from the sale of 2 Bcf of the unexpectedly discovered gals will be shared according to the percentage of the gas that each company owns in the facility (Boettger, 2015). Presently, preliminary front-end engineering and design work are expected to be complete by the end of 2016 with a front-end engineering and design decision in 2017 and final investment decision in 2019 or 2020 (Platts, 2016). Because the project is in the early stages of the permitting process and environmental analysis has not yet begun, it is considered not reasonably foreseeable and will not be included in the cumulative analysis. Renewable Energy Projects Renewable energy projects include the Fire Island Wind project and two tidal energy projects in development. An underwater transmission line connects the wind farm to the Anchorage power grid. Currently, the 11 wind turbines located on Fire Island have the capacity to power approximately 6,500 homes. Fire Island Wind has the capacity to expand to a total of 33 turbines with a generation capacity of 52. Studies currently are underway to quantify the resource and identify the best locations. A pilot project, the Cook Inlet Tidal Energy Project near Nikiski, is in the early stages of planning and development. Mining Projects Four proposed mining projects are considered in the cumulative effects analysis: the Chuitna Coal Project, the Diamond Point Rock Quarry, the Pebble Mine Port and Marine Terminal and the proposed natural gas pipeline for the Donlin Gold Mine. The proposed project is located between Beluga and Tyonek on the northwest shore of Cook Inlet. The project is not currently in active construction, but it is included in the cumulative assessment as a reasonably foreseeable future development. Pebble Mine Port and Marine Terminal In 2011, the Pebble Partnership submitted plans for the development of a large-scale copper, gold, and molybdenum mine at the Pebble Mine location in the Bristol Bay watershed west of Cook Inlet.

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Non-accommodative esotropia: It develops after 6 months of age and is not associated with accommodative component allergy juice recipe 5mg desloratadine fast delivery. The treatment of basic esotropia includes amblyopia therapy and surgical correction allergy eye swelling purchase desloratadine 5mg with amex. Secondary esotropia: Monocular organic lesions like corneal opacity and cataract may cause sensory deprivation esotropia allergy medicine list discount 5mg desloratadine visa. When the sound eye fixates allergy shots while on antibiotics discount 5 mg desloratadine with amex, the deviating eye (which usually has a poor vision) takes the position of rest, which is usually that of divergence. The exotropia may be associated with small degree of hypermetropia but amblyopia is uncommon. Simulated divergence excess shows initial greater deviation at distance fixation than at near but becomes same after occlusion of one eye for 1 hour. Convergence insufficiency shows greater deviation at near fixation than at distance. The treatment of intermittent exodeviation includes corrective lenses, unilateral parttime patching, orthoptic exercises and surgery. Constant exotropia: It is a large angle exotropia occurring in older patients as a result of decompensated intermittent exotropia or due to overaction of all the four oblique muscles. Congenital exotropia: It is a large angle constant exotropia occurring before the age of 6 months. Disorders of Ocular Motility: Strabismus Vertical Deviations Vertical deviations of the eye may occur alone or in combination with a horizontal deviation. The vertical deviation is described according to the direction of the vertically deviating nonfixing eye. For example, when the left eye is fixing and the right eye is higher than the left, it is called right hypertropia. Vertical deviations are caused by dysfunctional overaction or underaction of the superior and inferior oblique muscles. The surgery consists of correction of horizontal deviation, weakening of the inferior oblique muscle for V-pattern correction, and bilateral superior oblique tenotomies for correction of A-pattern. Clinical Features Most of the patients of comitant strabismus are symptom-free and brought by their parents for cosmetic purpose. There is no history of diplopia owing to suppression of the image in the deviating eye (development of amblyopia in the squinting eye). These features differentiate the comitant strabismus from the incomitant strabismus (Table 23. A and V-Patterns Varying degrees of horizontal deviation may occur with upward and downward gaze giving characteristic A and V-patterns. A-pattern occurs when the horizontal deviation shows a more convergent alignment in upward gaze compared to the downward gaze. V-pattern occurs when the horizontal deviation shows a more convergent alignment in downward gaze compared to the upward gaze. Besides the oblique muscle dysfunction, abnormal functioning of horizontal and vertical Table 23. Ocular movements Incomitant Non-familial Sudden Present Present Changes in certain directions of gaze Abnormal head and chin position to avoid diplopia Objects are projected too far in the direction of paralyzed muscle Restricted in the direction of action of paralyzed muscle Contracture or inhibitional palsies are found Comitant Familial Insidious Absent Absent Remains constant in all directions of gaze Normal position Objects are located at their usual distance Normal in all directions of gaze No secondary changes are found 8. Secondary changes in extraocular muscles 380 Textbook of Ophthalmology Diagnosis Each case of comitant strabismus should be thoroughly investigated. Histroy: A careful history must be recorded about the occurrence of strabismus in the family, age of onset of deviation, type and nature of deviation and whether the same eye deviates or it alternates. The history of any preceding illness should be elicited and the progress of the deviation should be noted. Visual acuity: the visual acuity must be recorded in each case although evaluation of vision in infants is difficult. The preferential looking test can be used in infants between the age of 4 months and 6 months. Tellar acuity card permits the examiner to observe upon which half of the card the infant fixates.

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I caught my breath and thanked God I had been swimming daily for the past two years allergy shots vs xolair buy desloratadine 5mg fast delivery. I offered allergy shots refrigeration buy desloratadine 5mg on-line, `Have you watched the news lately where they mentioned three prime ministers were pedophiles I surveyed my options: scale a 10-foot brick wall at the dead end of the road or return the way I came allergy shots worth it buy discount desloratadine 5 mg on-line. I traversed the suburban streets until I found a safe place to hide allergy or sinus order desloratadine 5 mg mastercard, from where I could monitor the passing traffic. I asked her what my legal rights were concerning photographing a stranger on a station platform. She said she did not know but advised me to send the photos to multiple locations and delete them from my phone. The detective tried to convince me to contact Nicky and Reina and reunite with them, otherwise there would be police looking for me out of concern for my safety. She assured me I was not in trouble and that everything had been sorted with Marrickville police. I spied a man closing his business for the day and approached him, `Can you please call me a taxi from your phone We walked several blocks to a taxi repair depot where my new friend instructed them to get me a taxi. Later, I was contacted by a Sydney lawyer who basically told me the Sutherland detective in charge of my case, who grew up in Engadine, was a member of the child trafficking network she was supposedly investigating. It is designed to induce the state Kidman promoted: Learned Helplessness, `the condition in which a person suffers from a sense of powerlessness arising from a traumatic event or persistent failure to succeed. When not asleep, I watched Christian satellite television, listened to the Bible, or prayed. I prayed continually for three specific things: vindication, compensation, and reinstatement. So, I relayed the strange experience to my psychologist friend Luciana who laughed at my exhibiting classic signs of the very thing Bond tried framing me with. I then did something I never usually did, I went into our lounge room, turned on the television and flicked through the Christian satellite channels. We caught the end of a story about a university student who took a moral stand against something she believed in. What started as something small snowballed until the university was eventually investigated by a powerful external body. In response, the student said, many of the offending lecturers chose to resign instead of implementing the recommended changes. The remaining university lecturers approached the student and admitted she had been in the right all along. It is fine to be a Zen Buddhist and believe in reincarnation, or to consult an Indian guru for advice on mantra. It is cool to embrace the Mormon belief that they will populate their own polygamist planet, or to experience Shamanic visions and communicate with animal spirits, or to dance naked in the forest and chant to Mother Earth. It is normal to consult mediums and spirits to find out how your dead loved ones are faring in the afterlife. If I say I communicate with my God, or if I experience strange events in the context of my Christian beliefs, then that apparently makes me crazy. I am labelled a crazy right-wing fundamentalist because the people doing the labelling are Luciferians who hate God and who strive to achieve the opposite of everything the Bible says. My Secret Source of Strength I was asked on social media: To what do you attribute your ability to not only survive the unspeakable but thrive I seem to thrive relative to the condition most victims of extreme abuse are seemingly in. Many victims are curled up in foetal positions in the corner of some psychiatric ward. People do not realise that through mind control the filthy rich elite have created an invisible population of survivors who appear to function within society. These victims walk around oblivious to the content of their implicit memory systems.