Infants exposed in utero to opioids will demonstrate a withdrawal syndrome known as neonatal abstinence syndrome (NAS). Buprenorphine is a long-acting opioid with therapeutic use in medication-assisted treatment of opioid dependency in adults and adolescents. Emerging data from clinical trials and treatment cohorts demonstrate the efficacy and safety of sublingual buprenorphine for those infants with NAS who require pharmacologic treatment. Pharmacometric modeling will assist in defining the exposure-response relationships and facilitate dose optimization.
New research may change the prevailing approach to treating neonatal abstinence syndrome (NAS), according to the authors of a New England Journal of Medicine article published last week. Currently, babies born to mothers who have used opioids, and who then suffer symptoms of withdrawal, are administered opioids and then tapered off over a 1-month period. The process requires a prolonged hospital stay. But the research team, at the Sidney Kimmel Medical College at Thomas Jefferson University found that treatment with buprenorphine instead of morphine could reduce the therapy duration by one-half. Lead author Walter Kraft, MD, commented, We predict that buprenorphine will become the new standard of care for NAS.. The clinical trial enrolled 63 infants with symptoms of NAS, randomly divided into treatment with either morphine or buprenorphine. Group assignment was blinded to both families and clinicians. The 30 infants treated with morphine needed an average of 28 days of therapy to fully control ...
With the rising incidence of neonatal abstinence syndrome (NAS) over the last decade, healthcare professionals are recognizing that close collaboration and standardized protocols aid in effectively diagnosing and treating newborns with drug withdrawal symptoms. Maternal use of prescription or illicit drugs during pregnancy can result in the newborn experiencing NAS, with symptoms of excessive or high-pitched crying, irritability, poor feeding, sleep problems, slow weight gain, and seizures. Pennsylvania Patient Safety Authority analysts identified 797 events involving newborns diagnosed with NAS that occurred from January 2005 through December 2014, with an increasing number of events reported each year. Healthcare professionals use a standardized scoring process, combinations of pharmacologic and nonpharmacologic interventions, and close care team collaboration to aid in the diagnosis and treatment of newborns with NAS. With the help of healthcare professionals, mothers and families can provide ...
Neonatal Abstinence Syndrome (NAS) occurs when a baby who was exposed to addictive drugs in the womb experiences withdrawal after birth.
A new study led by researchers at Boston Medical Center indicates that variations in opioid receptor genes are associated with more severe neonatal abstinence syndrome (NAS) in newborn babies. The findings, published online in Drug & Alcohol Dependence, could help lead to the development of individualized treatment plans tailored to each infants risk of requiring medication to curb their NAS symptoms, which could help improve these patients outcomes and reduce how long some stay in the hospital.
Neonatal abstinence syndrome (NAS) occurs in babies who had drug exposure in the womb, go through drug withdrawal and need medical care.
41st Biennial Convention) Moral distress has been defined as being the painful psychological disequilibrium that results from recognizing the appropriate action, yet not taking it because of some obstacle or constraint. Neonatal intensive care unit (NICU) nurses are thought to be at particular risk for moral distress due to the nature of this highly specialized nursing. Technological advances in the care of the newborn infants have been rapid and diverse, and often lead to extremely complex management of very ill infants who formerly would never have survived. More recently, NICU nurses are responsible for the care of babies with Neonatal Abstinence Syndrome (NAS) which creates numerous ethical and moral issues. Participants for this study are registered nurses who are assigned to work in a neonatal intensive care in a specialty licensed childrens hospital. A snowball, purposive sampling technique is being used to initiate contact with potential. Recruitment will continue until data saturation ...
Neonatal Abstinence Syndrome Effective Prevention Strategies Division of Prevention and Health Promotion Injury Prevention Program Objectives Characterize PDA as a public health problem Detail the impact
References:. Improving treatment for drug exposed infants, treatment improvement protocol, (TIP), series 5. US Department of Health and Human Services, Drug & Alcohol Clearinghouse website. Available at: http://ncadi.samhsa.gov/govpubs/bkd110/5d4.aspx and http://ncadi.samhsa.gov/govpubs/bkd110/5d7.aspx/ . Accessed September 9, 2009. Neonatal abstinence syndrome. Childrens Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site1338/mainpageS1338P0.html . Accessed September 9, 2009. Neonatal abstinence syndrome. University of Virginia Health System website. Available at: http://www.healthsystem.virginia.edu/uvahealth/peds_hrnewborn/nas.cfm . Accessed September 9, 2009. Neonatal opiate withdrawal. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated August 18, 2009. Accessed September 9, 2009. Schub E., Cabrera G. Neonatal abstinence syndrome: an overview. EBSCO Nursing Reference Center website. Available at: ...
However, it is known that coming off the drugs can cause symptoms of withdrawal in the user.. The latest study by a team at the University of La Laguna in Spain suggests that unborn babies could also be at risk from their mothers use of the drugs.. Symptoms of neonatal withdrawal syndrome include convulsions, irritability, abnormal crying and tremor.. Database The researchers screened the World Health Organization database of adverse drug reactions for cases of neonatal convulsions and neonatal withdrawal syndrome associated with the use of SSRIs.. They found that by November 2003, a total of 93 cases of SSRI use associated with either neonatal convulsions or withdrawal syndrome had been reported.. Of these cases 64 were associated with Seroxat (paroxetine), 14 with Prozac (fluoxetine), nine with sertraline and seven with citalopram.. The dose was only reported in 13 of the cases associated with paroxetine and ranged from 10mg to 50mg per day.. The duration of treatment was reported only in ...
A scoring tool developed in the 1970s by Dr. Loretta Finnegan helps hospitals identify and treat babies suffering from opioid withdrawals.
Dosing was based on the Finnegan scores as below. Finn Score 8-10 NMS 0.32mg/kg/day + Clonidine 6 mcg/kg/day 11-13 NMS 0.48 mg/kg/day + Clonidine 8 mcg/kg/day 14-16 NMS 0.64 mg/kg/day + Clonidine 10 mcg/kg/day ≥17 NMS 0.8 mg/kg/day* + Clonidine 12 mcg/kg/day. Daily NMS dose was divided for q3h dosing interval Daily Clonidine dose was divided for q6h dosing interval Clonidine escalation may be limited by hypotension or bradycardia. *If needing morphine sulfate , 0.8 mg/kg/day, increase dose in increments of 0.16 mg/kg/day until Finnegan score , 8. ...
These results are consistent with the use of buprenorphine as an acceptable treatment for opioid dependence in pregnant women. (Funded by the National Institute on Drug Abuse; ClinicalTrials.gov number, NCT00271219.).
There has been a five-fold increase in opioid use among pregnant women since the year 2000. Many women are prescribed pain relievers during pregnancies. Others take drugs before knowing they are pregnant. Unfortunately, this drug use has led to the birth of many NAS babies. From 2000 to 2012, an estimated 21,732 infants were born with Neonatal Abstinence Syndrome. This means that approximately every 25 minutes, one baby suffering from opioid withdrawal was born to this world.. Babies born with NAS are difficult to comfort. They cry excessively, have trouble eating and sleeping, and are often feverish or nauseous for days after birth. For these reasons, NAS babies are required to stay in the hospital much longer than the average newborn. Neonatal Abstinence Syndrome typically keeps babies in the hospital for 17 days, compared to the average two days for healthy newborns. This extended hospital stay can become costly for many families. When a child is born with NAS, it is reported to the ...
The data, compiled by DHHRs Bureau for Public Health, Office of Maternal Child and Family Health (OMFCH), with support from West Virginia Universitys Department of Pediatrics Birth Score Office, provide insight to both state and county level data for NAS for 27 counties. The remaining county-level data were suppressed because of low occurrence of NAS and the need to protect confidentiality for those infants and their families. This is the first time county level data has been shared with local communities ...
NAS incidence and hospital charges grew substantially during our study period. This costly public health problem merits a public health approach to alleviate harm to women and children. States, particularly, in areas of the country most affected by the syndrome must continue to pursue primary preven …
Neonatal abstinence syndrome describes symptoms (including jitteriness, high-pitched crying, sweating and diarrhea) that primarily occur in newborns exposed to opioids during pregnancy. Finding an optimal drug therapy to treat newborns for neonatal abstinence syndrome may reduce the length of treatment and hospital stay.
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A state lawmaker plans to introduce legislation that would require doctors report babies born with complications due to addictive drugs received while in utero.
IIMB BCh, FCPaed (SA), MMed (Paed); Faculty of Health Sciences, University of the Witwatersrand, and Department of Paediatrics, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa. Correspondence. Reports of the use of antiretroviral drugs (ARVs) to produce a highly addictive drug called nyaope or whoonga are of major concern as ARVs are easily accessible in sub-Saharan Africa, including to pregnant women. Use of illicit drugs by pregnant women may result in serious adverse effects in their infants. We have noticed a sudden increase in the number of infants presenting with signs suggestive of neonatal abstinence in Chris Hani Baragwanath Academic Hospital. Here we report two neonates who were born to mothers addicted to nyaope. Both infants were growth restricted and presented with signs of neonatal abstinence syndrome that are likely due to nyaope or whoonga. We suggest that in growth-restricted infants born to mothers who are at high risk of substance abuse and/or are ...
OBJECTIVE: To examine the therapeutic potential of stochastic vibrotactile stimulation (SVS) as a complementary non-pharmacological intervention for withdrawal in opioid-exposed newborns. STUDY DESIGN: A prospective, within-subjects single-center study was conducted in 26 opioid-exposed newborns ( | 37 weeks; 16 male) hospitalized since birth and treated pharmacologically for Neonatal Abstinence Syndrome. A specially-constructed mattress delivered low-level SVS (30-60Hz, 10-12mum RMS), alternated in 30-min intervals between continuous vibration (ON) and no vibration (OFF) over a 6-8 hr session. Movement activity, heart rate, respiratory rate, axillary temperature and blood-oxygen saturation were calculated separately for ON and OFF. RESULTS: There was a 35% reduction in movement activity with SVS (p|0.001), with significantly fewer movement periods | 30 sec duration for ON than OFF (p = 0.003). Incidents of tachypneic breaths and tachycardic heart beats were each significantly reduced with SVS, whereas
Presently, methadone is the recommended treatment for opioid-dependent pregnant women, but is associated with neonatal abstinence syndrome (NAS). NAS is characterized by opioid withdrawal symptoms in the newborn, which often requires longer hospitalization and treatment. Buprenorphine, FDA-approved in 2002 for the treatment of opioid dependence in non-pregnant individuals, hasnt been extensively studied during pregnancy. Yet, a new study in the New England Journal of Medicine (NEJM) found that buprenorphine offers an alternative to methadone in the treatment of opioid-dependent pregnant women. The study compared buprenorphine to methadone in 131 mothers and their newborns at eight international sites ...
TY - JOUR. T1 - Heroin abuse during pregnancy. T2 - Effects on perinatal outcome and early childhood growth. AU - Little, Bertis B.. AU - Snell, Laura M.. AU - Knoll, Kraig A.. AU - Ghali, Fred E.. AU - Rosenfeld, Charles R.. AU - Gant, Norman F.. PY - 1991. Y1 - 1991. N2 - Heroin abuse during pregnancy is associated with 1) fetal growth retardation and neonatal withdrawal syndrome in infants and 2) an increased frequency of abruptio placentae, sexually transmitted diseases, and other complications in mothers. Based on the findings of several small cohort studies, postnatal growth and development of infants whose mothers were addicted to heroin during pregnancy appears to fall within normal variation. In the present study, information about use of heroin and other substances during pregnancy in relation to neonatal outcome was analyzed in 47 heroin‐abusing mothers and 80 control women and their respective infants. In addition medical record information was available for postnatal growth ...
Risk Summary Prolonged use of opioid analgesics during pregnancy may cause neonatal withdrawal syndrome [see Warnings and Precautions (5.3)]. There are no available data with morphine sulfate extended-release in pregnant women to inform a drug-associated risk for major birth defects and miscarriage. Published studies with morphine use during pregnancy have not reported a clear association with morphine and major birth defects [see Human Data]. In published animal reproduction studies, morphine administered subcutaneously during the early gestational period produced neural tube defects (i.e., exencephaly and cranioschisis) at 5 and 16 times the human daily dose of 60 mg based on body surface area (HDD) in hamsters and mice, respectively, lower fetal body weight and increased incidence of abortion at 0.4 times the HDD in the rabbit, growth retardation at 6 times the HDD in the rat, and axial skeletal fusion and cryptorchidism at 16 times the HDD in the mouse. Administration of morphine sulfate to ...
Risk Summary Prolonged use of opioid analgesics during pregnancy may cause neonatal withdrawal syndrome [see Warnings and Precautions (5.3)]. There are no available data with morphine sulfate extended-release in pregnant women to inform a drug-associated risk for major birth defects and miscarriage. Published studies with morphine use during pregnancy have not reported a clear association with morphine and major birth defects [see Human Data]. In published animal reproduction studies, morphine administered subcutaneously during the early gestational period produced neural tube defects (i.e., exencephaly and cranioschisis) at 5 and 16 times the human daily dose of 60 mg based on body surface area (HDD) in hamsters and mice, respectively, lower fetal body weight and increased incidence of abortion at 0.4 times the HDD in the rabbit, growth retardation at 6 times the HDD in the rat, and axial skeletal fusion and cryptorchidism at 16 times the HDD in the mouse. Administration of morphine sulfate to ...
BALTIMORE — Parental presence at the bedside of infants born with neonatal abstinence syndrome may improve their recovery from opioid withdrawal symptoms, according to recent research presented at the Pediatric Academic Societies Meeting.“Our results show that non-pharmacologic interventions play a key role in treating opioid-exposed infants and lessening the severity of [neonatal
Drugs used in the treatment of opioid dependence and treatment of neonatal opiate withdrawal. It is excreted in breast milk in clinically non-significant amount without problems in the short or long term in infants whose mothers were treated. Plasma levels of these infants were undetectable or very low. The dose that gets the infant through the mothers milk, even when taking 70-150 mg a-day, is much lower than that used to treat neonatal abstinence syndrome. This is a reason for not using it as a solely measure of treatment. It should be reinforced that it is observed a non-polydrug behavior and adequacy of maternal care is maintained. Many newborns are either premature or underweight infants, and over 60% develop withdrawal syndrome at about one post-natal month. Breastfeeding with regard to the entire context of addictive behavior is neither easy nor frequently achieved. Much help is needed on supporting addicted mothers by health and social services in the community. Methadone excretion
The neonatal abstinence syndrome (NAS) includes irritability, poor feeding, dysfunctional sleep and high-pitched crying. It occurs when the opiate-dependent newborn is withdrawn from the mothers opiates at birth. The syndrome can be severe and a baby with NAS can spend several weeks in a hospital. How soon NAS occurs and its severity depends on when the mother last used the opiate, how quickly the drug gets out of a babys system and which opiate the mother used. ...
Background Maternal opioid use and neonatal abstinence syndrome (NAS) incidence have increased markedly in the US in recent years. Objectives (1) To assess prescribers and community pharmacists guideline-based NAS prevention behaviors; (2) to describe providers perceptions of contraceptive appropriateness in female patients of childbearing age. Method Cross-sectional study of 100 randomly selected primary care physicians, 100 prescribers authorized to engage in in-office treatment of opioid use disorders with buprenorphine, 100 pain management clinic directors, and 100 community pharmacists in Tennessee (N = 400 providers total) to evaluate self-reported engagement in 15 NAS prevention behaviors and perceived appropriateness of 8 contraceptive methods in opioid using women of childbearing age ...
It is one of the saddest aspects of the long trend of prescription painkiller addiction in this country. In the last several years, the proportion of pregnant women who are addicted to opioid drugs has increased by nearly five times. This means that many of their babies are also addicted to opioids when they are born.. When babies are born addicted, they go through withdrawal when they stop receiving drugs through the placenta. The medical term for the withdrawal symptoms they experience is Neonatal Abstinence Syndrome (NAS). One recent study of the US found that three times as many babies were born addicted in 2009 as there were in 2000. The rate of increase in this syndrome was cited in a recent University of Michigan and University of Pittsburgh joint study. As a comparison, there were 1.2 babies per thousand born with NAS in 2000. By 2009, this number had grown to 3.39 babies per thousand births. Inconsolable crying, seizures, an inability to eat, diarrhea, tremors, and other symptoms that ...
What is the BABY Study? Women & Infants Hospital is participating in the first multicenter, clinical trial to establish the best treatment for newborns born with Neonatal Abstinence Syndrome (NAS). This study, called the BABY Study, is a National Institutes of Health (NIH) funded clinical trial aimed at improving the outcomes for babies born with NAS. With your help, we want to determine which is the best treatment for babies, how that treatment affects the babys short-term and long-term development, and if genetics plays a role in NAS signs and symptoms.. You may be eligible to participate if you:. ...
When discussing the American opioid addiction epidemic with regards to costs, the conversation is usually directed towards the death toll associated with using drugs in that family of narcotics. In 2015, there were 332 fatal drug overdoses in Palm Beach County, Florida alone, The Palm Beach Post reports. A figure that rose in 2016, significantly.. While opioids like heroin are highly addictive and can easily result in premature deaths, such drugs can wreak havoc on those who do not have a choice-specifically babies. Neonatal Abstinence Syndrome (NAS) has been on the rise in the wake of more expectant mothers using heroin. NAS occurs when a fetus is exposed to opioids during the course of the pregnancy. When the baby is born, his or her supply to the drug is cut off resulting in acute opioid withdrawal. The condition requires close medical supervision for several weeks. And there is no way of knowing the impact that drugs will have on the baby later in life.. Providing the necessary resources for ...
The use of prescription opioids by pregnant women has surged in the last decade, leading to a nearly fivefold increase in newborns experiencing withdrawal, studies have shown. Some states have considered responding by prosecuting and incarcerating pregnant women with substance use disorders. However, this punitive approach has no proven benefits and may harm both women and their babies, according to a new policy statement from the AAP Committee on Substance Use and Prevention. Instead, the policy recommends a public health response to this epidemic that focuses on preventing unintended pregnancies, universal substance use screening for women of childbearing age, improved access to opioid replacement therapy for pregnant women and more funding for child welfare systems. The policy, A Public Health Response to Opioid Use in Pregnancy, is available at http://bit.ly/2kjFEoh and will be published in the March issue of Pediatrics. One infant is born every 25 minutes with neonatal abstinence syndrome ...
Blog author note: Three of the study authors are from my home institution.. In a recently released issue of Pediatrics, Dr. Heather Kaplan and colleagues (10.1542/peds.2019-0914) from the Ohio Perinatal Quality Collaborative (OPQC) used a technique called Orchestrated Testing to reduce length of stay and improve non-pharmacologic care of infants with Neonatal Abstinence Syndrome (NAS) who were receiving formula for feedings. Orchestrated Testing …is an application of planned experimentation that allows simultaneous examination of multiple practices (bundle elements) to determine which intervention or combination of interventions affects the outcome…1 This type of quality improvement is well suited to multi-center collaborative work, and in fact the participating OPQC centers represented all level-3 and 89% of the level-2 neonatal intensive care units (NICUs) in the state of Ohio at the time of the project. Interestingly, the OPQC had previously recommended use of low lactose, high ...
Since the opioid epidemic was officially declared a federal public health emergency in October 2017, states have undertaken a wide range of activities to address opioid-related harms. In February 2019, ASTHO surveyed its members to understand how data is being utilized to address these harms in their jurisdictions. This brief summarizes the results of this survey and highlights data-based approaches used to address four types of opioid-related harms: prenatal substance exposure, neonatal abstinence syndrome, adverse childhood experiences, and injection drug use-associated infections.Read More ». ...
Medical Journals Press Releases-Longdom, On Completing Decade of Successful Publishing Journal of Neonatal Biology Announces Special Issue-Care of the infant affected by Neonatal Abstinence Syndrome
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Stoffella based her protocol on what little research existed for infants, including work done weaning those who had been exposed during pregnancy because of their mothers opiate use.. The new approach dictates that any infant exposed to five days or more of opiates should be entered into the study and clinicians should implement the protocols - flowcharts informed by algorithms that depend not just on length of time and drug doses, but also on symptoms as assessed by the nursing staff using a weaning assessment tool (WAT-1) that Franck developed with Martha Curley, from the University of Pennsylvania School of Nursing. The tool is used to monitor opiate weaning in hospitalized pediatric patients, but its use with newborns is a more recent development.. First published in 2008 and validated in 2012, the WAT-1 was the first tool to measure withdrawal symptoms from hospital-administered opiates in children. Before the WAT-1, nurses used unvalidated adaptations of the Finnegan Neonatal Abstinence ...
Just by looking at sweet Finnegan you would never know the story that lies beneath his shirt. Under a thin layer of clothing lies a tapestry of scars each one depicting a life saving event that brought him here today. The two most noticeable are the zipper that perfectly separates his chest in half and the raised jagged lines where his neck was sewn back together.. On Friday January 13th, 2017, Finn Olson made his grand entrance into the world, at home. Being born in the bathroom, unassisted, was not part of the birth plan however the Olsons would soon find out that nothing about Finn was going to be according to their plan and his exciting birth was going to be the most uneventful part of his first-year earth-side.. After a completely typical pregnancy and passing all the routine ultrasounds prenatally the Olson family eagerly awaited the new addition to their growing family. Big brother Asher, mom Ali and dad Jeff were looking forward to finding out their second childs gender at birth. That ...
ablation: surgical removal of brain tissue, used to aid identification of brain localisation. abnormal behaviour: behaviour which is regarded by society as deviant or maladaptive; according to DSM, an individual must be suffering or show maladaptive functioning in order for behaviour to be described as abnormal.. abnormal psychology: the empirical study of abnormal behaviour, which seeks to describe, explain and predict abnormal behaviour.. absent-mindedness: may refer to 1) a low level of attention (blanking or zoning out); or 2) intense attention to a single object of focus (hyperfocus) that makes a person oblivious to events around him/her; or 3) unwarranted distraction of attention from the object of focus by irrelevant thoughts or environmental events. absolute threshold: the minimum amount of energy required for a sensory experience to be produced. abstinence syndrome: see withdrawal.. abstract: existing only in the mind; separated from embodiment; abstract words like `truth and ...
Stress condition, impatience, emotional instability, defatigation, sleep disturbance, cardiac neuroses, psychosomatic disorders, abstinence syndrome. The time for herbs application can be changed at the patient′s wish: the herbs can be taken in the morning and in the day time; in the day time and in the evening, and, finally, in case of a busy working day you can take the whole daily dose once in the evening. ...
Taylor, M., Coall, D., Marquis, R., Batten, R., (2016), Drug addiction is a scourge on the Earth and my grandchildren are its victims: The tough love and resilient growth exhibited by grandparents raising the children of drug dependent mothers. International Journal of Mental Health and Addiction, 14(6), 937-951, Cross Mark, DOI: 10.1007/s11469-016-9645-7 ...
Clinicians working with pump dependent mothers: Learn about the initiate, build, and maintain stages of lactation, which can help you ensure a mothers continued breastfeeding success.
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Some cats can drink milk, but this is rare. Veterinarians suggest that if cat owners want to give their cat milk for a special treat, first give him just a few spoons of it and wait a day to see if it will make him sick. If there are no ill effects, then the cat is safe to digest cows milk ...
Our May issue has a distinct over-40-bodybuilding flavor, starting with an intriguing interview: We talk with the first Fitness Olympia champ, Mia Finnegan, now
Join us in honoring School of Public Health faculty and staff for their commitment and dedication to the school and to advancing the field of public health. The agenda for the event will include: State of the School Address from Dean John R. Finnegan Jr. Staff and faculty recognition for Years of Service Awarding of the Outstanding Faculty, Staff and Team Awards Registration opens this spring.. Find out more » ...
Our destination was the SODA CHICKS AND CHET pottery sale. Several years ago I spent a week in a Gay Smith workshop. I was awed by her skills and the beauty of her pottery.Every year she, Kent McLaughlin, Suze Lindsey and a couple of guests have a Labor Day sale.Every year she sends me a postcard and every year I promise myself I will go. Then I get busy and dont make it.This year, Dan Finnegan from Fredricksburg, Va. was one of the guest potters. I met Dan about 3 years ago when he hosted the British Slipware Potters Doug Fitch and Hannah McAndrew tour. He is a very nice, very fun guy with mad crazy potter skills that he learned apprenticing with Ray Finch in England. No better pedigree anywhere. Between the two of them, I decided this was the year to go. Im so glad we went. We got there about 10 for the opening and I had some time to catch up with Gay and Dan before the crowds got there.The last thing you want to do at a show is suck up the artists time when they need to be greeting other ...
CANTON - Harvey Hill wouldnt leave John Finnegans front yard. He stood in the pouring rain, laughing at the sky, alarming his former boss wife. Finnegan…
Mājas lapas izstrādi finansēja ERAF 2.1.1.2. aktivitātes projekts Nr. 2010/0196/2DP/2.1.1.2.0/10/APIA/VIAA/004 Latvijas biomedicīnas pētījumu integrācija Eiropas zinātnes telpā. ...