 degree Parson’s all have shown some degree of vitamin A needs. Jackson’s, Mountain, Four-Horned, Giant Three-Horned and other montane species seem to benefit from vitamin A but at much lower levels.
"So how much vitamin A is really needed? So far nobody knows for sure and that’s why it is better to not use too much and be safe. But, when used sporadically and responsibly, vitamin A is an invaluable ally in keeping chameleon health, especially in actively breeding females. I normally recommend using vitamin A in its palmitate form once every 14 days and only 1 little drop at that. On montane species, the dose can be every 21 days. For breeding females I like doing it every 10 days for lowland species and every 14 days for montane species. I use my own mix of vitamins that I make myself for my reptiles and have had great success, but any vitamin A palmitate should work just as good.
"But what about the study that says vitamin A deficiencies are rare? There is such a study and it has been used as a rule in many places. However, the study failed to actually examine every lizard species. The study likely used Iguanas and maybe some carnivorous lizard such as Tegus or Monitors as the subjects. Herbivorous lizards are capable of deriving their vitamin A from precursors found in high carotene items such as carrots, sweet potatoes and squash among others. Carnivorous lizards can get all the vitamin A they need by ingesting the flesh of their prey, being that vitamin A is a fat-soluble vitamin and found in the fat and tissues of vertebrates. So yes, it is very easy to overdose vitamin A in herbivores and carnivores, but what about insectivores? Where is the study on them? A small study was done many years ago where Panther chameleons would show a dramatic health improvement when provided with pre-formed vitamin A. Why would that be? Think about it…..chameleons and all insectivores depend solely on their insect prey to pass along all their nutrition. In captivity, our feeder insects never get the same nutrition they would in the wild therefore providing less than optimal vitamin levels to our chameleons.
"Add to this an even more recent study where it has been proven that reptiles in general do not metabolize beta-carotene into vitamin A, they actually use different precursors for this. We immediately find ourselves depriving our chameleons entirely of vitamin A and then thinking that’s ok because too much vitamin A is bad. Extremes are bad, we need to aim for the balance, the middle of the road, and it is hard to do when you don’t know just how much to give.
"My advice is to not neglect vitamin A in your chameleon’s diet regardless of the species. They need it but maybe in very small amounts. If you use vitamin supplements that contain the active form of vitamin A or pre-formed vitamin A, then use them sporadically as stated above. If you use the liquid form of vitamin A, be careful and use also very sporadically. Aim for very little exposure to the vitamin but some exposure none the less. I have managed to treat many chameleons, mainly panthers, with chronic health problems with a protocol of vitamin A dosing. Not every chameleon issue is due to vitamin A problems and with proper nutrition and supplementation, vitamin A issues should be rare, but don’t think that vitamin A isn’t necessary because you will be running into issues sooner or)
General light...
02-17-2017, 10:13 PM in Other HerpsDescription: The Consolidated CDA (C-CDA) implementation guide contains a library of CDA templates, incorporating and harmonizing previous efforts from Health Level Seven (HL7), Integrating the Healthcare Enterprise (IHE), and Health Information Technology Standards Panel (HITSP). It represents harmonization of the HL7 Health Story guides, HITSP C32, related components of IHE Patient Care Coordination (IHE PCC), and Continuity of Care (CCD). C-CDA Release 1 included all required CDA templates in Final Rules for Stage 1 Meaningful Use and 45 CFR Part 170 ` Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology; Final Rule. This R2.1 guide was developed and produced by the HL7 Structured Documents Workgroup. It updates the C-CDA R2 (2014) guide to support `on-the-wire` compatibility with R1.1 systems C-CDA Release 2.1 implementation guide, in conjunction with the HL7 CDA Release 2 (CDA R2) standard, is to be used for implementing the following CDA documents and header constraints for clinical notes: Care Plan including Home Health Plan of Care (HHPoC), Consultation Note, Continuity of Care Document (CCD), Diagnostic Imaging Reports (DIR), Discharge Summary, History and Physical (H&P), Operative Note, Procedure Note, Progress Note, Referral Note, Transfer Summary, Unstructured Document, Patient Generated Document (US Realm Header).
Provides a single source for implementers to find CDA templates for twelve different document types.
Enables Business analysts and policy managers to gain a basic understanding of the use of Clinical Document Architecture (CDA) templates across multiple implementation use cases.
Provides guidance for transfer of care in the Continuity of Care Document (CCD).The European markets and the majority of developed country stock markets are rallying on Monday after the first round of voting in French presidential election. Emmanuel Macron and Marie LePen will now face off on May 7th. This was considered the ideal scenario for the future of the European Union as polling predicts that pro-EU candidate Macron will easily defeat anti-EU candidate LePen. Should polling show LePen gaining ground on Macron before the May 7th election, expect EU worries to resurface.
Markets are breathing a sigh of relief as it appears that a “Frexit” situation has been avoided and the long-term viability of the EU is more secure today after the election. The worst case scenario would have seen the two anti-EU candidates Le Pen and Jean-Luc Mélenchon moving on to the May 7th run off. Make no mistake, although France’s standing in the EU appears secure, the election results represent a repudiation of politics as normal in France. Macron and Le Pen both considered political outsiders were able to defeat Republican Francois Fillon who garnered 19.94% of the vote and Socialist Benoit Hamon who earned only 6.35% of the vote. The Republicans and Socialists have dominated French politics for the last 60 years akin to the Republican and Democratic parties in the United States. Marcon a 39 year old political newcomer supports free trade, a reduction in business taxes, and a reduction in public spending. However, it is his support of the EU that has markets up today.
The current polls show that in a run-off between Macron and Le Pen, he has been 20-30% ahead of his challenger. While it appears that the EU has dodged a bullet, close monitoring of the May 7th runoff remains warranted.
Jonesboro Recreation Center (Study)Jonesboro, AR
The City of Jonesboro, Arkansas, is a regional draw in Northeast Arkansas and Southeast Missouri. The Jonesboro Parks and Recreation Department operates the only municipal pool in the area, consisting of an outdoor 25-meter L-shaped pool. While being a destination hub with a growing population, the well-maintained but aged facility is facing physical obsolescence with outdated pumps, leaking pool shell, and lack of modern amenities.
The City of Jonesboro Feasibility Study focused on fitness centers, natatoriums, senior areas, and seasonal pools with various attractions for the city’s consideration.What steps are necessary to get the economy moving again?
"Employ the traditional tools used by Presidents Kennedy and Reagan. Pull some investment forward with an investment tax credit. Maintain the [research and development] tax credit. Work the export agenda aggressively."
"A political leadership that inspires confidence, and a program that encourages capital investment."
"Borrow money to bail out the states. Put together idle capital and idle labor on infrastructure projects to boost long-term productivity."
"A pro-growth tax policy that promotes capital expenditures and R&D, and allows corporations to affordably repatriate foreign earnings...will help release more than $1 trillion in private capital that is waiting on the sidelines. Take debt-cut proposals seriously."
Debt-burdened Ireland finally accepted a $100 billion bailout, becoming the second country in the European monetary union to do so. The government, which will be dissolved after its 2011 budget is presented in early December, said it would cut spending by about 20% and raise taxes over the next four years. It was also preparing to take a majority stake in Bank of Ireland. Contagion fears weighed heavily on Spanish and Portuguese bonds, and the euro fell below $1.34 for the first time in two months. Some saw the European Central Bank delaying its withdrawal of emergency liquidity for banks.
North Korea fired artillery shells at a South Korean island near a disputed border, killing four people, days after reports that the North had disclosed a uranium-enrichment plant. The U.S. sent an aircraft carrier to the region for joint exercises with the South. South Korea's defense minister quit, and China protested the U.S. action.
A federal probe of insider trading reached some big names, with S