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So remember that time Tori and I posted our first TWTT? Well, we’re back in action! Katherine, Julia and I wanted to share a few quick photos we snapped at our team picnic from yesterday. Some weeks we may have a fun craft, recipe or adventure to share so you can all keep up with us in our personal lives in between the brilliant sessions and weddings we will be posting! I am so excited about these two girls and the stories their hearts have to share. It was so fun meeting at Longs Park, collaborating a fun little meal, talking about photography/the business and just chatting about life and what’s going on for all of us. I’m also so glad the weather is deciding to take a break from the rain and give us some nice sunshine!

Enjoy our little picnic while I head back to editing for the day!

Meagan Nicole

 photo blog001-33.jpg photo blog002-32.jpg photo blog003-29.jpg photo blog004-27.jpg

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Measures endorsed by NQF are a benchmark for healthcare measurement in the United States and are critically important to healthcare outcomes improvement and efforts to treat and prevent chronic illness and infectious disease. About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare ventolin price uk improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in ventolin price uk which all healthcare decisions are data informed.Media Contact:Amanda Hundtamanda.hundt@healthcatalyst.com575-491-0974 View original content to download multimedia:http://www.prnewswire.com/news-releases/health-catalyst-leader-appointed-to-primary-care-and-chronic-illness-standing-committee-301204733.htmlSOURCE Health CatalystSALT LAKE CITY, Dec.

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A catalogue of known mutational signatures now exists, although some signatures have no known cause. In this ventolin price uk study, the researchers discovered that a majority of the tumor genomes of never smokers bore mutational signatures associated with damage from endogenous processes, that is, natural processes that happen inside the body. As expected, because the study was limited to never smokers, the researchers did not find any mutational signatures that have previously been associated with direct exposure to tobacco smoking. Nor did they find those signatures among the 62 patients who had been exposed to secondhand tobacco smoke. However, Dr ventolin price uk.

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It appeared to be associated with the activation of progenitor cells, which are involved in the creation of new cells. This subtype of tumor grows extremely slowly, over many years, and is difficult to treat because it can have many different driver mutations. The “mezzo-forte” subtype had specific chromosomal changes as well as mutations ventolin price uk in the growth factor receptor gene EGFR, which is commonly altered in lung cancer, and exhibited faster tumor growth. The “forte” subtype exhibited whole-genome doubling, a genomic change that is often seen in lung cancers in smokers. This subtype ventolin price uk of tumor also grows quickly.

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€œWe’re at the beginning of understanding ventolin price uk how these tumors evolve,” Dr. Landi said. This analysis shows that there is heterogeneity, or diversity, in lung cancers in never smokers.” Stephen J. Chanock, M.D., director of NCI’s Division of Cancer Epidemiology and Genetics, noted, “We expect this detective-style investigation of genomic tumor characteristics to unlock new avenues of discovery for multiple cancer types.” The study was conducted ventolin price uk by the Intramural Research Program of NCI and National Institute of Environmental Health Sciences. About the National Cancer Institute (NCI).

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Based on the American College of Medical Genetics and Genomics recommendations in 2021, individuals who have their genomes sequenced for a clinical reason should also be screened for genomic variants in 73 genes, including BRCA1 and BRCA2, both of which are linked to an increased risk of breast and ovarian cancer. All 59 genes are associated with treatable or potentially severe diseases. Proponents of a person’s right to not know their secondary genomic findings have argued that, to maintain autonomy, individuals should have the opportunity to decide whether to be provided information about genomic ventolin price uk variants in these additional genes. "Because these genomic findings can have life-saving implications, we wanted to ask the question. Are people ventolin price uk really understanding what they are saying no to?.

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The researchers suggest that if healthcare providers actively seek their patients’ preferences to know or not know about their secondary genomic findings, the providers should give the individuals multiple opportunities to make and revise their choice. "The right not to know has been a contentious topic ventolin price uk in the genomics research community, but we believe that our real-world data can help move the field towards a new policy consensus," said Berkman. Researchers at the NIH Department of Bioethics, NIEHS, Harvard University and Social &. Scientific Systems collaborated on the study..

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N-nitrosodiethylamine (NDEA) N-nitrosodiisopropylamine flovent and ventolin which one first (NDIPA) N-nitrosomethyl-n-butylamine (NMBA)About nitrosamine impuritiesBased primarily on animal studies, nitrosamine impurities are probable human carcinogens. This means that long-term exposure to a level above what is considered safe may increase the risk of cancer. There is no immediate health risk associated with the use of medications containing low levels of a nitrosamine impurity. Foods such as meats, dairy products and vegetables as well as drinking water may also flovent and ventolin which one first contain low levels of nitrosamines.

We don’t expect that a nitrosamine impurity will cause harm when exposure is at or below the acceptable level. For example, no increase in the risk of cancer is expected if exposure to the nitrosamine impurity below the acceptable level occurs every day for 70 years. The actual health risk varies from flovent and ventolin which one first person to person. The risk depends on several factors, such as.

The daily dose of the medication how long the medication is taken the level of the nitrosamine impurity in the finished productPatients should always talk to their health care provider before stopping a prescribed medication. Not treating a condition may pose a greater health risk than the potential exposure to a flovent and ventolin which one first nitrosamine impurity. What we're doing Health Canada recognizes that the nitrosamine impurity issue may cause concern for Canadians. Your health and safety is our top priority and we will continue to take action to address risks and inform you of new safety information.

We have created a list of flovent and ventolin which one first all medications currently known to contain nitrosamine impurities. We will continue to update it, as needed, as more information becomes available. As we continue to hold companies accountable for determining the root causes, we’re learning more about how nitrosamine impurities may have formed or be present in medications. In the meantime, we will continue to take action to address and prevent the presence of unacceptable levels of these impurities flovent and ventolin which one first.

These actions may include. Assess the manufacturing processes of companies determine the risk to Canadians and the impact on the Canadian market test samples of drug products on the market or soon to be released to the market for NDMA and other nitrosamine impurities ask companies to stop distribution as an interim precautionary measure while we gather more information make information available to health care professionals and to patients to enable informed decisions regarding the medications that we takeAs the federal regulator of health products in Canada, we also. Request, confirm and monitor the effectiveness of recalls by companies as necessary conduct our own laboratory tests, where necessary, and assess if the results present a flovent and ventolin which one first health risk to humans conduct inspections of domestic and foreign sites and restrict certain products from being on the market when problems are identifiedWe share information on potential root causes of nitrosamines identified to date in medications with Canadian drug companies. We also ask the companies to.

Review their manufacturing processes and controls take action to avoid nitrosamine impurities in all medications, as necessary test any products that could potentially contain nitrosamine impurities report their findings to Health Canada To better understand this global issue, we are collaborating and sharing information with international regulators, such as. U.S flovent and ventolin which one first. Food and Drug Administration European Medicines Agency Australia’s Therapeutic Goods Administration Japan’s Ministry of Health, Labour and Welfare and Pharmaceuticals and Medical Devices Agency Switzerland’s Swissmedic Singapore’s Health Sciences AuthorityWe continue to work with companies and our international regulatory partners to. Determine the root causes of the issue verify that appropriate actions are taken to minimize or avoid the presence of nitrosamine impurities We regularly communicate information on health risks, test results, recalls and other actions taken.

Some of these key actions and communications include flovent and ventolin which one first. Letter to all manufacturers (October 2, 2019). Health Canada issued a key communication to all companies marketing human prescription and non-prescription medications requesting them to conduct detailed evaluations of their manufacturing procedures and controls for the potential presence of nitrosamines. The letter outlined examples of potential root causes for the presence of nitrosamines and included a request for a stepwise approach to conduct these risk assessments and expectations for any necessary subsequent actions.

Nitrosamines Questions and Answers (Q&A) document (November 26, 2019). Health Canada issued a Q&A document on issues relating to the control of nitrosamines in medicines. This Q&A document will be updated periodically as new information becomes available.

Foods such as meats, dairy products and vegetables ventolin price uk as well as drinking water may also contain low levels of nitrosamines. We don’t expect that a nitrosamine impurity will cause harm when exposure is at or below the acceptable level. For example, no increase in the risk of cancer is expected if exposure to the nitrosamine impurity below the acceptable level occurs every day for 70 years.

The actual health ventolin price uk risk varies from person to person. The risk depends on several factors, such as. The daily dose of the medication how long the medication is taken the level of the nitrosamine impurity in the finished productPatients should always talk to their health care provider before stopping a prescribed medication.

Not treating a condition may pose a greater ventolin price uk health risk than the potential exposure to a nitrosamine impurity. What we're doing Health Canada recognizes that the nitrosamine impurity issue may cause concern for Canadians. Your health and safety is our top priority and we will continue to take action to address risks and inform you of new safety information.

We have created a list ventolin price uk of all medications currently known to contain nitrosamine impurities. We will continue to update it, as needed, as more information becomes available. As we continue to hold companies accountable for determining the root causes, we’re learning more about how nitrosamine impurities may have formed or be present in medications.

In the meantime, we will continue to take action to address and prevent the presence of unacceptable levels of these ventolin price uk impurities. These actions may include. Assess the manufacturing processes of companies determine the risk to Canadians and the impact on the Canadian market test samples of drug products on the market or soon to be released to the market for NDMA and other nitrosamine impurities ask companies to stop distribution as an interim precautionary measure while we gather more information make information available to health care professionals and to patients to enable informed decisions regarding the medications that we takeAs the federal regulator of health products in Canada, we also.

Request, confirm and monitor the effectiveness of recalls by companies as necessary conduct our own laboratory tests, where necessary, and assess if the results present a health risk to humans conduct inspections of domestic and foreign sites and restrict certain products ventolin price uk from being on the market when problems are identifiedWe share information on potential root causes of nitrosamines identified to date in medications with Canadian drug companies. We also ask the companies to. Review their manufacturing processes and controls take action to avoid nitrosamine impurities in all medications, as necessary test any products that could potentially contain nitrosamine impurities report their findings to Health Canada To better understand this global issue, we are collaborating and sharing information with international regulators, such as.

U.S ventolin price uk. Food and Drug Administration European Medicines Agency Australia’s Therapeutic Goods Administration Japan’s Ministry of Health, Labour and Welfare and Pharmaceuticals and Medical Devices Agency Switzerland’s Swissmedic Singapore’s Health Sciences AuthorityWe continue to work with companies and our international regulatory partners to. Determine the root causes of the issue verify that appropriate actions are taken to minimize or avoid the presence of nitrosamine impurities We regularly communicate information on health risks, test results, recalls and other actions taken.

Some of these key actions ventolin price uk and communications include. Letter to all manufacturers (October 2, 2019). Health Canada issued a key communication to all companies marketing human prescription and non-prescription medications requesting them to conduct detailed evaluations of their manufacturing procedures and controls for the potential presence of nitrosamines.

The letter outlined examples of potential root causes for the presence of nitrosamines and ventolin price uk included a request for a stepwise approach to conduct these risk assessments and expectations for any necessary subsequent actions. Nitrosamines Questions and Answers (Q&A) document (November 26, 2019). Health Canada issued a Q&A document on issues relating to the control of nitrosamines in medicines.

This Q&A document will be updated periodically as new information becomes available. Webinar on Nitrosamines (January 31, 2020). The purpose of this session was to provide an opportunity for a discussion of this issue with Health Canada and stakeholders.

Health Canada provided overviews of the situation relating to nitrosamine impurities in pharmaceuticals and stakeholders had the opportunity to share their experiences, successes and challenges in addressing the issue of nitrosamine contamination.

Can you take ventolin when pregnant

The Annual Data Explorer provides a snapshot of the health of New Zealanders can you take ventolin when pregnant through the publication of key indicators on health behaviours, health status and Levitra 20mg street price access to health care for both adults and children.The Annual Data Explorer shows 2019/20 results from the continuous New Zealand Health Survey, with comparisons to earlier surveys. Results are available by gender, age can you take ventolin when pregnant group, ethnic group and neighbourhood deprivation. For the first time, the New Zealand Health Survey results are also available by disability status. It is important can you take ventolin when pregnant to note that data was collected for three-quarters of the survey year only.

On 19 March can you take ventolin when pregnant 2020 the interviewing for the New Zealand Health Survey was suspended to reduce any risks of transmitting asthma treatment between interviewers and respondents. Published data can be downloaded from the New Zealand Health Survey Annual Data Explorer as a .csv file, or as a PDF using the ‘print view’ function. If you have any queries please email [email protected] can you take ventolin when pregnant. Please ensure you use the latest and most comprehensive annual results.

We have made changes to previously published data, including correcting errors in child body size data for years 2015/16, 2016/17 and can you take ventolin when pregnant 2018/19. The errors can you take ventolin when pregnant are described in the latest Methodology Report. Overview of key findings Health behaviours and risk factors Current smoking About 13.4 percent of respondents, or an estimated 535,000 adults, were current smokers (defined as smoking at least monthly). Current tobacco smoking rates can you take ventolin when pregnant have decreased from 16.6 percent in 2014/15 and 18.2 percent in 2011/12.

Current smoking was lowest among those aged 15–17 can you take ventolin when pregnant (3.3 percent), 65–74 (7.3 percent) and 75+ (3.9 percent). Current smoking rates have not moved significantly in 15–17-year olds since 2016/17. The rate of smoking among Māori adults has not changed significantly for the last three years with Māori adults having higher rates of can you take ventolin when pregnant smoking than any other ethnic group since the NZHS began. 31.4 percent of can you take ventolin when pregnant Māori adults were current smokers in 2019/20, down from 38.1 percent in 2014/15.

Māori were 2.8 times as likely to be current smokers, and Māori men were 2.1 times as likely to be current smokers than their non-Māori counterparts, after adjusting for age and gender. Amongst Pacific adults, 22.4 percent were current smokers can you take ventolin when pregnant in 2019/20, which was not a statistically significant change from previous years, including 2011/12 when it was 25.9 percent. Pacific adults were 1.7 times as likely to be current smokers as non-Pacific adults, after adjusting for age and gender. After adjusting for age, gender and ethnic differences, adults living in the most socioeconomically deprived areas can you take ventolin when pregnant were 4.5 times as likely to be current smokers as adults in the least deprived areas.

Hazardous drinking One in five adults (20.9 percent) were hazardous drinkers can you take ventolin when pregnant in 2019/20, with no significant change since the time series began in 2015/16. (Note. While data on alcohol consumption was collected in earlier years a can you take ventolin when pregnant change in question format in 2015/16 means it is no longer comparable). The prevalence of hazardous drinking among men was 28.7 percent, whereas it was 13.6 percent in women.

Men were 2.1 times can you take ventolin when pregnant more likely to be hazardous drinkers than women, after adjusting for age. The highest prevalence of hazardous drinking was among can you take ventolin when pregnant those aged 18–24 years, at 32.4 percent. The prevalence of hazardous drinking was also high in those aged 25–34 (23.8 percent), 35–44 (21.5 percent) and 45–54 (27.7 percent). Of those aged 15–17 years, 11.6 percent had engaged in hazardous can you take ventolin when pregnant drinking over the year before taking part in the survey.

This is can you take ventolin when pregnant an increase on last year, when it was 6.3 percent. From age 55 and over, the rate decreases with increasing age. Of Māori adults, 36.1 percent were can you take ventolin when pregnant hazardous drinkers in 2019/20. Māori adults were 1.8 times as likely as non-Māori adults to be hazardous drinkers, after adjusting for age and gender.

In contrast, Asian adults were much less likely can you take ventolin when pregnant than non-Asian adults to be hazardous drinkers, after adjusting for age and gender. Obesity The prevalence of obesity among adults aged 15+ can you take ventolin when pregnant was 30.9 percent, which corresponds to an estimated 1.24 million adults. This overall prevalence has remained relatively stable since 2012/13, however there was an increase between 2011/12 and 2019/20 for adults aged 45–54 years and 55–64 years. The prevalence of obesity among adults varied by ethnic group, with the highest prevalence amongst Pacific (63.4 can you take ventolin when pregnant percent), followed by Māori (47.9 percent), European/Other (29.3 percent) and Asian adults (15.9 percent).

These percentages can you take ventolin when pregnant represent about 168,000 Pacific People. 242,000 Māori. 890,000 European/Other and 93,000 Asian adults who were obese in 2019/20 can you take ventolin when pregnant. After adjusting for age and gender differences, Pacific and Māori adults were 2.3 and 1.8 times as likely to be obese as non-Pacific and non-Māori adults, respectively.

After adjusting for age, gender can you take ventolin when pregnant and ethnic differences, adults living in the most socioeconomically deprived areas were 1.8 times as likely to be obese as adults living in the least deprived areas. Nearly one in ten children aged 2–14 can you take ventolin when pregnant years (9.4 percent) were obese. The child obesity rate has decreased since 2018/19, and while this has decreased since last year, it is too early to report a trend. The prevalence can you take ventolin when pregnant of obesity amongst children varied by ethnicity as follows.

Pacific (29.1 percent), Māori (13.2 percent), Asian (3.4 percent) can you take ventolin when pregnant and European/Other (7.2 percent). Pacific children were 4.7 times as likely, and Māori children 1.6 times as likely, to be obese than non-Pacific and non-Māori children respectively, after adjusting for age and gender. Asian children were less likely to can you take ventolin when pregnant be obese than non-Asian children, after adjusting for age and gender. After adjusting for age, gender and ethnic differences, children living in the most socio-economically deprived areas were 2.7 times as likely to be obese as children living in the least deprived areas.

Go to Improving the health of New Zealanders to find out what’s can you take ventolin when pregnant being done to reduce smoking, hazardous drinking and obesity rates. Health status Self-rated health can you take ventolin when pregnant Most adults (87.2 percent) reported that they were in good health in 2019/20, which is an increase since 2018/19 (86.2 percent). There was no difference in the prevalence of self-rated good health between men and women. Adults aged 25–64 showed a decrease in good health between can you take ventolin when pregnant 2013/14 and 2019/20.

In 2019/20, Māori and Pacific adults were less likely to report being in good health than non-Māori adults and non-Pacific adults, respectively, after adjusting for age and gender can you take ventolin when pregnant. Adults living in the most deprived areas were less likely to report being in good health than those living in the least deprived areas, after adjusting for age, gender and ethnicity. According to their parents, 97.4 can you take ventolin when pregnant percent of children were in good health. Parent-rated child ‘good-health’ status was similar between girls and boys, and across all age groups and ethnicities, and this has been consistent since 2011/12.

However, Māori boys were 2.7 times as likely can you take ventolin when pregnant as non-Māori boys to be rated as having ‘fair or poor’ health by their parents, after adjusting for age and gender. Psychological distress In 2019/20, can you take ventolin when pregnant men were less likely than women to have experienced psychological distress in the past four weeks, after adjusting for age (the unadjusted rates were 6.3 percent and 8.5 percent, respectively). In 2019/20, 13.6 percent of Māori, 9.7 percent of Pacific, 7.5 percent of European/Other and 3.9 percent of Asian adults had experienced psychological distress in the four weeks prior to taking part in the survey. Māori adults were 1.9 times as likely to have experienced psychological distress as non-Māori adults after adjusting can you take ventolin when pregnant for age and gender.

The prevalence of psychological distress has increased since 2011/12 in both Māori and European/Other adults (from 7.4 can you take ventolin when pregnant percent and 3.9 percent, respectively). In contrast, the prevalence of psychological distress amongst Asian and Pacific people has not changed significantly over time. Adults living in the most socioeconomically deprived areas were can you take ventolin when pregnant 3.7 times as likely to have experienced psychological distress as those in the least deprived areas, after adjusting for age, gender and ethnicity. Go to Improving the health of New Zealanders to find out what’s being done to improve mental health.

Access to health care Unmet need for GP due to cost In 2019/20, experiencing cost as a barrier to visiting the GP was more common amongst women (15.9 can you take ventolin when pregnant percent) than men (10.6 percent). Having a cost barrier to GP visits can you take ventolin when pregnant was considerably less common among older adults, with just 6.7 percent of those aged 65–74 years and 3.4 percent of those aged 75 and older reporting unmet need for this reason compared to between 10.5 percent and 19.2 percent of people under 65 years. In 2019/20, more than one in five Māori adults (20.5 percent) had not visited a GP due to cost in the past year. Māori adults were 1.5 times as likely as non-Māori adults to not visit a GP due to cost, after adjusting can you take ventolin when pregnant for age and gender.

In contrast, this barrier was can you take ventolin when pregnant less likely to affect Asian adults compared to non-Asian adults, after adjusting for age and gender. Adults living in the most socioeconomically deprived areas were 1.6 times as likely as those living in the least deprived areas to not have visited a GP due to cost in the past year, after adjusting for age, gender and ethnicity. Amongst children aged 5–9 years, unmet need for GP due to cost has decreased from can you take ventolin when pregnant 7.7 percent in 2014/15 to 1.8 percent in 2019/20. For children aged 10–14 years, unmet need for GP due to cost has decreased from 9.3 percent in 2014/15 to 1.9 percent.

Of Māori children, 1.2 percent had not visited a GP due to cost in the 12 months before taking part in the can you take ventolin when pregnant 2019/20 survey, which is a decrease from 2.6 percent in 2018/19 and 7.7 percent in 2011/12. A similar pattern is seen in can you take ventolin when pregnant Pacific children. 2.3 percent in 2019/20, 5.3 percent in 2018/19 and 6.5 percent in 2011/12. Unfilled prescription due to cost can you take ventolin when pregnant Men were less likely than women to not have collected a prescription due to cost in the past 12 months, after adjusting for age (the rates were 6.7 percent and 3.5 percent respectively).

Since 2014/15, the prevalence of unfilled prescription due to cost has decreased in men (from 4.8 percent) can you take ventolin when pregnant but not in women. The percentage of adults who were unable to fill a prescription due to cost was much lower in those aged 65 and over, at 2.3 percent for those aged 65–74 and 1.3 percent for those 75+, compared to 4.9–7.3 percent amongst those aged 15–64 years. Fourteen percent of Pacific adults and 12.7 percent of Māori adults had not collected a prescription due to cost in the year before can you take ventolin when pregnant taking part in the survey. Pacific and Māori adults were 2.7 and 2.8 times as likely can you take ventolin when pregnant as non-Pacific and non-Māori adults, respectively, to not have collected a prescription due to cost, after adjusting for age and gender.

In contrast, just 2.7 percent of Asian adults were unable to collect a prescription due to cost at some point in the past 12 months. Adults living in the most socioeconomically deprived areas were 6.0 times as likely to have been unable to collect a prescription due to cost as adults living in the least can you take ventolin when pregnant deprived areas, after adjusting for age, gender and ethnicity. In 2019/20, 1.9 percent of children, which is an estimated 18,000 children, had a prescription that was not collected due to cost. This is can you take ventolin when pregnant down from 6.6 percent in 2011/12.

Māori children were 2.4 times as likely, can you take ventolin when pregnant and Pacific children 3.1 times as likely to have an unfilled prescription due to cost as non-Māori and non-Pacific children respectively, after adjusting for age and gender. The rates were 3.3 percent and 4.4 percent respectively. Go to Improving the health of New Zealanders to find out what’s being done to improve access to primary can you take ventolin when pregnant health care. Disability status Disabled adults were less likely to have reported ‘good’, ‘very good’, or ‘excellent’ can you take ventolin when pregnant health than non-disabled adults, after adjusting for age and gender.

The rates were 56.0 percent and 89.9 percent, respectively. In 2019/20, 12.9 percent of non-disabled adults were current smokers, while 19.1 percent of disabled can you take ventolin when pregnant adults smoked. After adjusting for age and gender, disabled adults were 1.9 times more likely to smoke than non-disabled adults. Disabled adults were less likely to have drunk alcohol in the past year than non-disabled adults, after adjusting for age and gender can you take ventolin when pregnant.

The rates were 71.2 percent and can you take ventolin when pregnant 82.3 percent, respectively. Disabled adults were 1.6 times more likely to be obese than non-disabled adults, after adjusting for age and gender. The rates were 47.4 percent and can you take ventolin when pregnant 29.6 percent, respectively. Around one in five (21.5 percent) disabled can you take ventolin when pregnant adults reported not visiting a GP due to cost, compared to 12.7 percent of non-disabled adults.

Disabled adults are 2.3 times as likely to report this, after adjusting for age and gender. Disabled adults were 3.8 times can you take ventolin when pregnant as likely than non-disabled to be unable to collect a prescription due to cost, after adjusting for age and gender. The rates were 13.0 percent and 4.5 percent, respectively. Twenty-seven percent of disabled adults experienced psychological distress in the four weeks prior to the survey, compared can you take ventolin when pregnant to 5.7 percent of non-disabled adults.

After adjusting can you take ventolin when pregnant for age and gender differences, disabled adults were 6.1 times as likely as non-disabled adults to have experienced psychological distress. Go to Improving the health of New Zealanders to find out what’s being done to improve the health of disabled people.This web tool presents a summary of fetal and infant deaths, with a focus on deaths and stillbirths registered in 2017. Information presented includes demographic information (eg, ethnicity can you take ventolin when pregnant and sex), cause of death, gestation and birthweight, as well as deaths classified as sudden infant death syndrome (SIDS) and sudden unexpected death in infancy (SUDI).Key findings for 2017 Overview There were 390 fetal deaths and 284 infant deaths registered in 2017. This equates can you take ventolin when pregnant to a fetal death rate of 6.4 per 1000 total births and an infant death rate of 4.7 per 1000 live births.

Between 1996 and 2017, there was a significant decrease in the infant death rate. The rate fell from can you take ventolin when pregnant 7.3 to 4.7 per 1000 live births. This decrease was primarily due to a notable decrease in post-neonatal deaths. Over the same time period, can you take ventolin when pregnant the fetal death rate was between 6.0 and 8.5 per 1000 total births.

Births trend Between 2008 and 2017, the total number of births decreased by can you take ventolin when pregnant around 7%. The total number of births each year can influence the rate of fetal and infant deaths. Ethnic group can you take ventolin when pregnant There was no significant difference in fetal death rates between ethnic groups in 2017, consistent with the previous five-year period. Fetal death rates by ethnicity were can you take ventolin when pregnant similar between 2012 to 2017.

Infant death rates in 2017 were highest for the Pacific peoples and Māori ethnic groups (8.7 and 5.9 per 1000 live births, respectively). These rates were significantly higher than rates for the European or Other and Asian ethnic groups can you take ventolin when pregnant (3.4 and 3.7 per 1000 live births, respectively). Similar differences were seen in the previous five years. Maternal age group can you take ventolin when pregnant There was no significant difference in fetal death rates between maternal age groups.

In 2017, the infant death rate was can you take ventolin when pregnant highest among women aged between 20 and 24 years (6.8 per 1000 live births). In the previous five-year period (2012–2016), the infant death rate for babies of women aged less than 20 years was significantly higher than for babies of women in all other age groups. Socioeconomic deprivation In 2017, there were no significant differences in fetal death rates between levels can you take ventolin when pregnant of deprivation. The highest infant death rates in 2017 were for the most deprived can you take ventolin when pregnant areas (quintile 5).

In the most deprived areas, the infant death rate was more than twice the rate of the least deprived areas (quintile 5, 6.6 per 1000 live births and quintile 1, 2.7 per 1000 live births). This is consistent with the previous five-year period (2012–2016) can you take ventolin when pregnant. Gestation Approximately 80% of fetal deaths and 69% of infant deaths registered in 2017 were preterm (<37 weeks’ gestation), the majority of which were very preterm (<28 weeks’ gestation). Birthweight Approximately 60% of fetal deaths registered in 2017 had a birthweight of less than can you take ventolin when pregnant 1000 g, and approximately 30% had a birthweight of less than 500 g.

Approximately 50% of infant deaths had a birthweight of less than 1000 g, and approximately 20% weighed 500–999 g can you take ventolin when pregnant at birth. Sudden unexpected death in infancy (SUDI) There were 48 sudden unexpected death in infancy (SUDI) deaths in 2017, including 28 sudden infant death syndrome (SIDS) deaths. The SUDI deaths included 28 males and can you take ventolin when pregnant 20 females. The SUDI rate in can you take ventolin when pregnant 2017 was 0.8 per 1000 live births.

In each year in the period 2013–2017, the SUDI rate was either 0.7 or 0.8 per 1000 live births. In the five-year period 2013–2017, SUDI rates can you take ventolin when pregnant for babies in the Māori and Pacific peoples ethnic groups were significantly higher than the rates for babies in the Asian and European or Other ethnic groups. SUDI rates for babies of mothers aged less than 25 years were significantly higher than for those mothers in all other age groups. The SUDI rate for babies born in the most deprived areas can you take ventolin when pregnant (quintile 5) was significantly higher than the rate for all other deprivation quintiles.

Note. The number of fetal and infant deaths in New Zealand is small and may cause rates to fluctuate markedly from year to year. Rates derived from small numbers should be interpreted with caution. About the data used in this edition This dataset is a continuation of the Fetal and Infant Deaths series.

At the time the data was extracted there were 11 infant deaths awaiting coroners' findings. These deaths may be assigned a provisional code based on limited information available at the time, while deaths with no known cause awaiting coroners’ findings are coded to R99, ‘Other ill-defined and unspecified causes of mortality’, or X59, ‘Exposure to unspecified factor’. Deaths for which a cause is still to be determined or confirmed will be updated in the next edition of Fetal and Infant Deaths as the coroners complete their findings. Disclaimer In this edition, deaths data was extracted and recalculated for the years 2008–2017 to reflect ongoing updates to data in the New Zealand Mortality Collection (for example, following the release of coroners’ findings).

For this reason, there may be small changes to some numbers and rates from those presented in previous publications and tables. We have quality checked the collection, extraction, and reporting of the data presented here. However, errors can occur. Contact the Ministry of Health if you have any concerns regarding any of the data or analyses presented here, at [email protected]..

The Annual Data Explorer provides a snapshot of the health of New Zealanders through the publication of key indicators on health behaviours, health status and access to health care for both adults and ventolin price uk children.The Levitra 20mg street price Annual Data Explorer shows 2019/20 results from the continuous New Zealand Health Survey, with comparisons to earlier surveys. Results are available by gender, age group, ethnic group and neighbourhood deprivation ventolin price uk. For the first time, the New Zealand Health Survey results are also available by disability status. It is ventolin price uk important to note that data was collected for three-quarters of the survey year only.

On 19 March ventolin price uk 2020 the interviewing for the New Zealand Health Survey was suspended to reduce any risks of transmitting asthma treatment between interviewers and respondents. Published data can be downloaded from the New Zealand Health Survey Annual Data Explorer as a .csv file, or as a PDF using the ‘print view’ function. If you have any queries please email ventolin price uk [email protected]. Please ensure you use the latest and most comprehensive annual results.

We have made changes to previously published data, including correcting errors in child body size data for years 2015/16, 2016/17 and 2018/19 ventolin price uk. The errors are ventolin price uk described in the latest Methodology Report. Overview of key findings Health behaviours and risk factors Current smoking About 13.4 percent of respondents, or an estimated 535,000 adults, were current smokers (defined as smoking at least monthly). Current tobacco smoking rates have decreased from 16.6 percent in ventolin price uk 2014/15 and 18.2 percent in 2011/12.

Current smoking was lowest among those aged 15–17 (3.3 percent), ventolin price uk 65–74 (7.3 percent) and 75+ (3.9 percent). Current smoking rates have not moved significantly in 15–17-year olds since 2016/17. The rate ventolin price uk of smoking among Māori adults has not changed significantly for the last three years with Māori adults having higher rates of smoking than any other ethnic group since the NZHS began. 31.4 percent of Māori adults were current smokers in 2019/20, down from 38.1 percent ventolin price uk in 2014/15.

Māori were 2.8 times as likely to be current smokers, and Māori men were 2.1 times as likely to be current smokers than their non-Māori counterparts, after adjusting for age and gender. Amongst Pacific adults, 22.4 percent were current smokers ventolin price uk in 2019/20, which was not a statistically significant change from previous years, including 2011/12 when it was 25.9 percent. Pacific adults were 1.7 times as likely to be current smokers as non-Pacific adults, after adjusting for age and gender. After adjusting for age, gender and ethnic differences, adults living in the most socioeconomically ventolin price uk deprived areas were 4.5 times as likely to be current smokers as adults in the least deprived areas.

Hazardous drinking ventolin price uk One in five adults (20.9 percent) were hazardous drinkers in 2019/20, with no significant change since the time series began in 2015/16. (Note. While data on alcohol consumption was collected in earlier years a change in question format in 2015/16 ventolin price uk means it is no longer comparable). The prevalence of hazardous drinking among men was 28.7 percent, whereas it was 13.6 percent in women.

Men were 2.1 times more likely to be hazardous drinkers than women, after adjusting for ventolin price uk age. The highest prevalence of hazardous drinking was among those aged 18–24 ventolin price uk years, at 32.4 percent. The prevalence of hazardous drinking was also high in those aged 25–34 (23.8 percent), 35–44 (21.5 percent) and 45–54 (27.7 percent). Of those ventolin price uk aged 15–17 years, 11.6 percent had engaged in hazardous drinking over the year before taking part in the survey.

This is ventolin price uk an increase on last year, when it was 6.3 percent. From age 55 and over, the rate decreases with increasing age. Of Māori adults, 36.1 ventolin price uk percent were hazardous drinkers in 2019/20. Māori adults were 1.8 times as likely as non-Māori adults to be hazardous drinkers, after adjusting for age and gender.

In contrast, Asian adults were much less likely than non-Asian adults to be hazardous drinkers, after adjusting for age and gender ventolin price uk. Obesity The prevalence of ventolin price uk obesity among adults aged 15+ was 30.9 percent, which corresponds to an estimated 1.24 million adults. This overall prevalence has remained relatively stable since 2012/13, however there was an increase between 2011/12 and 2019/20 for adults aged 45–54 years and 55–64 years. The prevalence of obesity ventolin price uk among adults varied by ethnic group, with the highest prevalence amongst Pacific (63.4 percent), followed by Māori (47.9 percent), European/Other (29.3 percent) and Asian adults (15.9 percent).

These percentages represent ventolin price uk about 168,000 Pacific People. 242,000 Māori. 890,000 European/Other and 93,000 Asian adults who were obese ventolin price uk in 2019/20. After adjusting for age and gender differences, Pacific and Māori adults were 2.3 and 1.8 times as likely to be obese as non-Pacific and non-Māori adults, respectively.

After adjusting for age, gender and ethnic differences, adults living in the most socioeconomically deprived areas were 1.8 times as likely to be obese as adults living in the least ventolin price uk deprived areas. Nearly one in ten children aged 2–14 years (9.4 ventolin price uk percent) were obese. The child obesity rate has decreased since 2018/19, and while this has decreased since last year, it is too early to report a trend. The prevalence of obesity amongst children varied by ethnicity as follows ventolin price uk.

Pacific (29.1 percent), ventolin price uk Māori (13.2 percent), Asian (3.4 percent) and European/Other (7.2 percent). Pacific children were 4.7 times as likely, and Māori children 1.6 times as likely, to be obese than non-Pacific and non-Māori children respectively, after adjusting for age and gender. Asian children were less likely to be obese than non-Asian ventolin price uk children, after adjusting for age and gender. After adjusting for age, gender and ethnic differences, children living in the most socio-economically deprived areas were 2.7 times as likely to be obese as children living in the least deprived areas.

Go to Improving the health of New Zealanders to find out what’s being done ventolin price uk to reduce smoking, hazardous drinking and obesity rates. Health status Self-rated health Most adults (87.2 percent) reported that they were in good health in 2019/20, which is ventolin price uk an increase since 2018/19 (86.2 percent). There was no difference in the prevalence of self-rated good health between men and women. Adults aged ventolin price uk 25–64 showed a decrease in good health between 2013/14 and 2019/20.

In 2019/20, Māori and Pacific adults were less likely to report being in good health than non-Māori adults ventolin price uk and non-Pacific adults, respectively, after adjusting for age and gender. Adults living in the most deprived areas were less likely to report being in good health than those living in the least deprived areas, after adjusting for age, gender and ethnicity. According to their parents, 97.4 percent of children were in ventolin price uk good health. Parent-rated child ‘good-health’ status was similar between girls and boys, and across all age groups and ethnicities, and this has been consistent since 2011/12.

However, Māori boys were 2.7 times as likely ventolin price uk as non-Māori boys to be rated as having ‘fair or poor’ health by their parents, after adjusting for age and gender. Psychological distress In 2019/20, men were less likely than women to have experienced psychological distress in the past four ventolin price uk weeks, after adjusting for age (the unadjusted rates were 6.3 percent and 8.5 percent, respectively). In 2019/20, 13.6 percent of Māori, 9.7 percent of Pacific, 7.5 percent of European/Other and 3.9 percent of Asian adults had experienced psychological distress in the four weeks prior to taking part in the survey. Māori adults were 1.9 times ventolin price uk as likely to have experienced psychological distress as non-Māori adults after adjusting for age and gender.

The prevalence of psychological distress has increased since 2011/12 in both Māori and European/Other adults (from 7.4 percent ventolin price uk and 3.9 percent, respectively). In contrast, the prevalence of psychological distress amongst Asian and Pacific people has not changed significantly over time. Adults living in the most socioeconomically deprived areas were 3.7 times as ventolin price uk likely to have experienced psychological distress as those in the least deprived areas, after adjusting for age, gender and ethnicity. Go to Improving the health of New Zealanders to find out what’s being done to improve mental health.

Access to health care Unmet need for GP due to cost In 2019/20, experiencing cost as a barrier to visiting the ventolin price uk GP was more common amongst women (15.9 percent) than men (10.6 percent). Having a cost barrier ventolin price uk to GP visits was considerably less common among older adults, with just 6.7 percent of those aged 65–74 years and 3.4 percent of those aged 75 and older reporting unmet need for this reason compared to between 10.5 percent and 19.2 percent of people under 65 years. In 2019/20, more than one in five Māori adults (20.5 percent) had not visited a GP due to cost in the past year. Māori adults were 1.5 times as likely ventolin price uk as non-Māori adults to not visit a GP due to cost, after adjusting for age and gender.

In contrast, this barrier was less likely to ventolin price uk affect Asian adults compared to non-Asian adults, after adjusting for age and gender. Adults living in the most socioeconomically deprived areas were 1.6 times as likely as those living in the least deprived areas to not have visited a GP due to cost in the past year, after adjusting for age, gender and ethnicity. Amongst children aged 5–9 years, unmet need for GP due to cost has decreased from 7.7 percent in ventolin price uk 2014/15 to 1.8 percent in 2019/20. For children aged 10–14 years, unmet need for GP due to cost has decreased from 9.3 percent in 2014/15 to 1.9 percent.

Of Māori children, 1.2 percent had not visited a GP due to cost in the 12 months before taking part in the 2019/20 survey, which is a decrease from 2.6 percent in 2018/19 and 7.7 percent in ventolin price uk 2011/12. A similar pattern ventolin price uk is seen in Pacific children. 2.3 percent in 2019/20, 5.3 percent in 2018/19 and 6.5 percent in 2011/12. Unfilled prescription due to cost Men were less likely than women to not have collected a prescription due ventolin price uk to cost in the past 12 months, after adjusting for age (the rates were 6.7 percent and 3.5 percent respectively).

Since 2014/15, the prevalence of unfilled prescription due to cost has decreased in men (from 4.8 percent) but not ventolin price uk in women. The percentage of adults who were unable to fill a prescription due to cost was much lower in those aged 65 and over, at 2.3 percent for those aged 65–74 and 1.3 percent for those 75+, compared to 4.9–7.3 percent amongst those aged 15–64 years. Fourteen percent of Pacific adults and 12.7 percent of Māori adults had not collected ventolin price uk a prescription due to cost in the year before taking part in the survey. Pacific and Māori adults were 2.7 and 2.8 times as likely as non-Pacific and non-Māori adults, respectively, to not have collected a prescription due to cost, after adjusting for age ventolin price uk and gender.

In contrast, just 2.7 percent of Asian adults were unable to collect a prescription due to cost at some point in the past 12 months. Adults living in the most socioeconomically deprived areas were 6.0 times as likely to have been unable to collect a prescription due to cost as adults living in the ventolin price uk least deprived areas, after adjusting for age, gender and ethnicity. In 2019/20, 1.9 percent of children, which is an estimated 18,000 children, had a prescription that was not collected due to cost. This is ventolin price uk down from 6.6 percent in 2011/12.

Māori children were 2.4 times as likely, and Pacific children 3.1 times as likely to have an unfilled prescription ventolin price uk due to cost as non-Māori and non-Pacific children respectively, after adjusting for age and gender. The rates were 3.3 percent and 4.4 percent respectively. Go to Improving the health of ventolin price uk New Zealanders to find out what’s being done to improve access to primary health care. Disability status Disabled adults were less likely to have reported ‘good’, ‘very good’, or ‘excellent’ health than non-disabled ventolin price uk adults, after adjusting for age and gender.

The rates were 56.0 percent and 89.9 percent, respectively. In 2019/20, 12.9 percent of ventolin price uk non-disabled adults were current smokers, while 19.1 percent of disabled adults smoked. After adjusting for age and gender, disabled adults were 1.9 times more likely to smoke than non-disabled adults. Disabled adults were less likely to have drunk alcohol in the ventolin price uk past year than non-disabled adults, after adjusting for age and gender.

The rates were 71.2 ventolin price uk percent and 82.3 percent, respectively. Disabled adults were 1.6 times more likely to be obese than non-disabled adults, after adjusting for age and gender. The rates were 47.4 ventolin price uk percent and 29.6 percent, respectively. Around one ventolin price uk in five (21.5 percent) disabled adults reported not visiting a GP due to cost, compared to 12.7 percent of non-disabled adults.

Disabled adults are 2.3 times as likely to report this, after adjusting for age and gender. Disabled adults were 3.8 times as likely than non-disabled to be unable to collect a prescription ventolin price uk due to cost, after adjusting for age and gender. The rates were 13.0 percent and 4.5 percent, respectively. Twenty-seven percent of disabled adults experienced psychological distress in the four weeks ventolin price uk prior to the survey, compared to 5.7 percent of non-disabled adults.

After adjusting for age and gender differences, disabled adults were 6.1 times as likely as non-disabled adults to have experienced ventolin price uk psychological distress. Go to Improving the health of New Zealanders to find out what’s being done to improve the health of disabled people.This web tool presents a summary of fetal and infant deaths, with a focus on deaths and stillbirths registered in 2017. Information presented includes demographic information (eg, ethnicity and sex), cause of death, gestation and birthweight, as well as deaths classified as sudden infant death syndrome (SIDS) and sudden unexpected death in infancy (SUDI).Key findings for 2017 Overview There were 390 fetal deaths and ventolin price uk 284 infant deaths registered in 2017. This equates to a ventolin price uk fetal death rate of 6.4 per 1000 total births and an infant death rate of 4.7 per 1000 live births.

Between 1996 and 2017, there was a significant decrease in the infant death rate. The rate fell from 7.3 to 4.7 per 1000 ventolin price uk live births. This decrease was primarily due to a notable decrease in post-neonatal deaths. Over the same time period, the fetal death ventolin price uk rate was between 6.0 and 8.5 per 1000 total births.

Births trend Between 2008 and ventolin price uk 2017, the total number of births decreased by around 7%. The total number of births each year can influence the rate of fetal and infant deaths. Ethnic group There was no significant difference in fetal death rates between ethnic groups ventolin price uk in 2017, consistent with the previous five-year period. Fetal death rates by ethnicity were similar between 2012 ventolin price uk to 2017.

Infant death rates in 2017 were highest for the Pacific peoples and Māori ethnic groups (8.7 and 5.9 per 1000 live births, respectively). These rates were significantly higher than rates for the European or Other and Asian ethnic groups (3.4 and 3.7 per 1000 live births, respectively) ventolin price uk. Similar differences were seen in the previous five years. Maternal age group There was no significant difference in fetal death ventolin price uk rates between maternal age groups.

In 2017, ventolin price uk the infant death rate was highest among women aged between 20 and 24 years (6.8 per 1000 live births). In the previous five-year period (2012–2016), the infant death rate for babies of women aged less than 20 years was significantly higher than for babies of women in all other age groups. Socioeconomic deprivation In 2017, there were ventolin price uk no significant differences in fetal death rates between levels of deprivation. The highest infant death rates in 2017 ventolin price uk were for the most deprived areas (quintile 5).

In the most deprived areas, the infant death rate was more than twice the rate of the least deprived areas (quintile 5, 6.6 per 1000 live births and quintile 1, 2.7 per 1000 live births). This is consistent with the previous five-year period (2012–2016) ventolin price uk. Gestation Approximately 80% of fetal deaths and 69% of infant deaths registered in 2017 were preterm (<37 weeks’ gestation), the majority of which were very preterm (<28 weeks’ gestation). Birthweight Approximately 60% of fetal deaths registered in 2017 had a birthweight of less than 1000 g, ventolin price uk and approximately 30% had a birthweight of less than 500 g.

Approximately 50% of infant deaths had a birthweight of less than 1000 g, and approximately 20% weighed 500–999 g ventolin price uk at birth. Sudden unexpected death in infancy (SUDI) There were 48 sudden unexpected death in infancy (SUDI) deaths in 2017, including 28 sudden infant death syndrome (SIDS) deaths. The SUDI deaths included 28 males and 20 females ventolin price uk. The SUDI ventolin price uk rate in 2017 was 0.8 per 1000 live births.

In each year in the period 2013–2017, the SUDI rate was either 0.7 or 0.8 per 1000 live births. In the five-year period 2013–2017, SUDI rates for babies in the Māori and Pacific peoples ethnic groups were significantly higher than the rates for babies in the Asian and ventolin price uk European or Other ethnic groups. SUDI rates for babies of mothers aged less than 25 years were significantly higher than for those mothers in all other age groups. The SUDI rate for babies born in the most deprived areas (quintile 5) was significantly ventolin price uk higher than the rate for all other deprivation quintiles.

Note. The number of fetal and infant deaths in New Zealand is small and may cause rates to fluctuate markedly from year to year. Rates derived from small numbers should be interpreted with caution. About the data used in this edition This dataset is a continuation of the Fetal and Infant Deaths series.

At the time the data was extracted there were 11 infant deaths awaiting coroners' findings. These deaths may be assigned a provisional code based on limited information available at the time, while deaths with no known cause awaiting coroners’ findings are coded to R99, ‘Other ill-defined and unspecified causes of mortality’, or X59, ‘Exposure to unspecified factor’. Deaths for which a cause is still to be determined or confirmed will be updated in the next edition of Fetal and Infant Deaths as the coroners complete their findings. Disclaimer In this edition, deaths data was extracted and recalculated for the years 2008–2017 to reflect ongoing updates to data in the New Zealand Mortality Collection (for example, following the release of coroners’ findings).

For this reason, there may be small changes to some numbers and rates from those presented in previous publications and tables. We have quality checked the collection, extraction, and reporting of the data presented here. However, errors can occur. Contact the Ministry of Health if you have any concerns regarding any of the data or analyses presented here, at [email protected]..

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A few weeks ago my fiance Caleb and I ordered a custom table for our new, rustic home that sits in the woods. I came across Ben Shea through some mutual friends and immediately fell in love with his work! After I saw the finished product of our table, I was definitely NOT disappointed. Ben is an awesome guy, so easy to work with and he totally made our vision become a reality! It’s exactly what I wanted. Raw, rustic, knots and grain. I’m.. obsessed. Ben is constantly creating lots of amazing wood pieces for homes, offices and gifts! Check out his Facebook fan-page HERE, his Etsy shop HERE, and his website HERE.

Meagan Nicole

 


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This Sunday my mom and sister threw me a surprise bridal shower! I knew I was having the bridal shower, but I had absolutely nothing to do with the planning so I had no clue what to expect or who would be coming (although seeing random pieces of thrifted china and table clothes hidden around the house was getting me very excited!). It was more beautiful than I could’ve imaged and exactly what I hoped for. So many lovely faces came that I wasn’t expecting which made it all the sweeter. The theme was an outdoor garden party! My mom made her famous chicken salad recipe, a blueberry-raspberry-strawberry fruit medley, and greens with an olive oil lemon dressing (the one they use at Tomato Pie) YUM! The vintage dresser held two baskets- everyone brought their favorite kitchen spice or  cleaning item (which went in the awesome, wooden hamper my nana gifted us to the right of the dresser)! I loved the date night jar. Everyone wrote down date ideas on popcycle sticks for Caleb and I. We’ve been enjoying reading everyones recommendations.. especially the hilarious X-rated ones. haha!

If you’re wondering why my face looks so crazy in the opening-gifts photos it’s because we were playing the bubble gum game! Previously my sister had asked Caleb a bunch of random questions that he gave his answers to. While opening gifts, I was asked these questions as well and had to try and answer the same as Caleb did. For every question I got wrong I gad to put a piece of gum in my mouth. I actually did pretty good but still wound up with a few wads of gum, whoops. I never thought I could get tired of bubble gum until Sunday. HA! This was such a fun and exciting day! Huge thank you’s to my mom and sister for pulling it all together and getting so creative.. I know how much work and thought you put into everything to make it perfect for me and it means so much! To each and every lady that came to the party- you all made me feel so loved and blessed! Thank you for celebrating this time in my life; Caleb and I are beyond thankful for all of the amazing gifts and well wishes you showered us with. 🙂

*Beautiful cake by Wendy Hess at Oregon Dairy Bakery!

**All photographs taken by my amazing friend Rebekah of Rebekah Viola Photography! Thank you so much for capturing these memories for me.

Meagan Nicole


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