In fact, in order for a funnel cloud to be officially classified as a tornado, it has to be touching both the source cloud and the ground. Tornadoes are dangerous events. These storms can be several miles wide and have wind speeds as fast as 300 mph!
ABSTRACT: Geisinger Health System is a physician-led, not-for-profit, integrated delivery system serving an area with approximately 2.6 million people in northeastern and central Pennsylvania with innovative products and services designed to drive higher performance.
Gastroesophageal reflux disease (GERD) is the most common upper gastrointestinal. problem seen in adults. Although the elderly have fewer complaints of hear tburn, their. disease is usually more severe and has more esophageal and extraesophageal complica-. tions. Tests for the evaluation of GERD in the elderly are the same as for the general. population. Treatment of GERD in the elderly is the same as for the adult population. However, a more aggressive approach is warranted, because of the higher incidence of. complications in the elderly.