Sharmar Village Care Center

It is Medicare and Medicaid certified. About Sharmar Village Care Center.

Sharmar Village Care Center Pueblo Co Reviews Senioradvisor

The team of skilled physical occupational and speech-language therapists outlines a program specifically developed for each resident.

Sharmar village care center. 719 544-1173 Pay My Bill Request a Tour About. Its overall five star rating is 3 out of 5. About Sharmar Village Care Center.

Sharmar Village Care Center. Sharmar Village Care Center is home to residents in rehab and skilled nursing. Please contact Sharmar Village by calling emailing or visiting us.

About Sharmar Village Care Center Chateau at Sharmar Campus is an assisted living facility in Pueblo CO that offers residents daily support and memory care services on a continuing care senior campus. SHARMAR VILLAGE CARE CENTER in PUEBLO CO is a For profit - Corporation Medicare Certified nursing home operating with 44 residents and 64 certified bedsThis facility has been certified to participate in Medicare and Medicaid programs since December 18 1996 and has been given an average rating of 3-StarsWhy is this important. SHARMAR VILLAGE CARE CENTER.

Sharmar Village Care Center is being offered ceritified services and products in Colorado. Steve Briscoe had done business all over Colorado and over the years developed a relationship with the original owner of Sharmar Care Center named after the original owners. MEDICARE share on.

SHARMAR VILLAGE CARE CENTER is a skilled nursing facility with 64 certified beds in PUEBLO CO. Sharmar Village Care Center is a nursing home in Pueblo CO. Selecting the right skilled nursing facility can be critical to your speedy recovery.

It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. We know that making a decision for a new and healthy living environment can be difficult. The cost of assisted living starts around 3675 a month which is higher than the average cost in Pueblo CO.

The Care Center has private rooms with all the necessary equipment for complete care. 17 rows Sharmar Village Care Center in Pueblo CO has a short-term rehabilitation rating of. It is a generally lower income area with a median family income of 28844.

Our services include short-term rehabilitation for inpatient and outpatient rehabilitation services. It is located in Pueblo county at 1209 W Abriendo Ave Pueblo Colorado 81004You can reach out to the office of Sharmar Village Care Center via phone at 719 544-1173This skilled nursing facility has 64 federally certified beds with average occupancy rate of 7031. Chateau at Sharmar Campus is an assisted living facility in Pueblo CO that offers residents daily support and memory care.

Sharmar Village Care Center. Sharmar Village Care Center located in Pueblo CO in Pueblo County offers a variety of therapies and care services to help you regain your independence. Reviews for Sharmar Village Care Center From Around The Web.

Content is provided by the facility. Through short-term stay opportunities we. SHARMAR VILLAGE CARE CENTER PUEBLO CO.

Sharmar Village Care Center is a 64 room senior community situated in Pueblo Colorado. Sharmar Village is one of four Colorado-based senior care communities owned by the Briscoe family and is the only one operating under the unique name of Sharmar Village. Living and dining rooms outdoor courtyards and physical and occupational therapy rooms are provided for additional convenience and comfort.

We pull review data from around the web and calculate a review weighted score that takes into account number of reviews when the reviews were left and the overall score of the reviews. Medicare determines the expected staffing time per resident per day depending on level of care the residents of Sharmar Village Care Center Inc require. Sharmar Village Care Center is a medium-sized nursing home facility in Pueblo Colorado Pueblo county.

Tucked away in a quiet residential neighborhood near the winding Arkansas River Sharmar Village Care Center an independent living memory care and assisted living community awaits. Sharmar Village Care Center which is located in 1201 West Abriendo Avenue Pueblo is scientifically measured and assessed by Centers for Medicare Medicaid Services and is shown to provide good nursing home services or products under the Medicare program. Sharmar Village Care Center started providing nursing home service since Dec 18th 1996 and was recognized by Centers for Medicare Medicaid Services CMS as one of modern providers which are carefully measured and assessed to have high-quality nursing home services for promoting health and improving the quality of life.

The surrounding area has a dense population with about 27000 poeple living in the 81004 zip code. Sharmar Village Care Center is a medicare and medicaid certified nursing home in Pueblo Colorado. Pricing Visiting Business Hours Ratings Activities Comparisons Directions Surveys and CMS Reviews.

The owner is a for profit - corporation. About Sharmar Village Care Center. Its most recent cycle score shows that the facility is improving.

While there is a lot of information on the website sometimes a personal conversation is best. Meet the team at Sharmar Village Senior Care Community in Pueblo Colorado a family owned senior care community in the historic Aberdeen community. The Nursing Home Site profile for Sharmar Village Care Center includes.

Shingles Vaccine Reaction

The shingles vaccine is an injection to protect you from the varicella-zoster virus. The CDC claim that only one or two out of every 1 million people who receive the.

Shingles Vaccine India Pdf Ppt Case Reports Symptoms Treatment

But note that an injection site reaction is different from a shingles rash.

Shingles vaccine reaction. The most commonly reported reaction was a raised sometimes itchy red rash often at the site of the injection which can occur up to a week or so after being vaccinated. Shingles occurs when the virus becomes active again. Some people report a chickenpox-like rash after getting the shingles vaccine.

The shingles vaccine Shingrix is recommended for people ages 50 and up to prevent the condition. Pain redness or swelling where the shot was given. In 2017 a second vaccine known.

Skin rash joint pain flu-like symptoms headaches and fatigue are. The active virus travels along a nerve to your skin and causes a painful rash. Food and Drug Administration in late 2017 is more likely to cause short-term side effects than either Zostavax or other vaccines for adults said Dr.

The most common side effects of either shingles vaccine are redness pain tenderness swelling and itching at the injection site and headaches. Common Shingrix side effects include. This virus causes chickenpox.

Taking an over-the-counter pain medicine such as ibuprofen or acetaminophen after getting Shingrix can help ease discomfort from side effects. Common side effects of the shingles vaccine which occur in at least 1 in 10 people are. After you get chickenpox the virus stays in your body for several years without causing any symptoms.

See Injection site reactions above A shingles rash which is caused by shingles itself is often painful. As a result you are likely to have temporary side effects from getting the shots. Rarely a person experiences a severe allergic reaction or anaphylaxis after getting a shingles vaccine.

Shingles may be a rare side effect of the Pfizer-BioNTech coronavirus vaccine a new study claims. The vaccine helps your body create a strong defense against shingles. You should tell patients to expect such reactions as pain swelling and redness.

Before you administer Shingrix CDC recommends counseling your patients about the common reactions to the vaccine. While no doubt the new zoster vaccine causes more side effects than most other vaccines the clinical trials showed that serious side effects those leading to death hospitalization need for urgent medical care were no more common in vaccine recipients than in those who got placebo. Stomach pain nausea vomiting diarrhea.

Contact your doctor if you have serious side effects. It lowers your chances of getting shingles by about 50 and your odds of long-term nerve damage by about 67. Avoid the Shingrix vaccine if youve ever had the following.

Stress related to COVID19 can cause new or old symptoms of anxiety to arise. The side effects may affect your ability to do normal daily activities for 2 to 3 days. Shingrix approved by the US.

Its been called COVID arm. This is not a complete list of side effects and others may occur. Researchers in Israel found that people with.

Redness pain swelling itching warmth and bruising at the injection site. Educate your patients that they might experience arm pain fevers fatigue and myalgias and that. The shingles vaccines contain ingredients that can cause an allergic reaction in some people.

Amid continuing concerns about reports of problems with the single-dose Zostavax shingles vaccine a new report reviewed adverse reactions to the. Get the second dose of Shingrix even if you have a reaction after the first dose. If the new shingles vaccine made you feel worse than you expected youre not alone.

Like all vaccines the shingles vaccine can cause side effects but theyre generally mild and do not last long.

Agent Orange Exposure

Agent Orange also causes a neurological disorder known as acute and subacute peripheral neuropathy. Military used to clear leaves and vegetation for military operations mainly during the Vietnam War.

How To Get Agent Orange Benefits Hill Ponton P A

The first benefit is the Agent Orange Registry a health.

Agent orange exposure. Veterans who may have been exposed to Agent Orange include Veterans who served in different locations including Vietnam the Korean Demilitarized Zone on Thai Air Force bases at other locations and who flew on or worked on C-123. Exposure to Agent Orange has also been linked to a variety of heart diseases including a restriction of blood flow to the heart often resulting in heart failure. Veterans exposed to Agent Orange in Vietnam have put up a long hard fight trying to get the VA disability benefits they deserve.

Additionally exposure to Agent Orange may have long-lasting impacts on pregnancy including miscarriages and abnormal fetal development. Department of Veterans Affairs. The military sprayed Agent Orange and other tactical herbicides during the Vietnam War.

Exposure to Agent Orange has also been linked to type 2 diabetes heart disease hormone disruption and dysfunction in the muscular and immune systems. According to the VA around 20 million gallons of the herbicide were dumped on Vietnam during the war between 1962 and 1971 and the US military used Agent Orange as recently as 1986 according to ABC News. Agent Orange exposure and VA disability compensation Agent Orange was a tactical herbicide the US.

Agent Orange was a herbicide used during the Vietnam War to clear fields and rice paddies that helped serve as hiding places. An estimated 24 million US. Autoimmune problems Studies on Veterans-Agent.

Exposure to Agent Orange has also been linked to the onset of type 2 diabetesa condition in which blood sugar levels are above the normal range. Symptoms and effects of Agent Orange exposure may take months or even years to appear. Veterans Diseases Associated with Agent Orange VA assumes that certain diseases can be related to a Veterans qualifying military service.

The Effect on Soldiers Hundreds of thousands of American veterans of the Vietnam War have died or are still suffering because of exposure to dioxin the deadly toxin in Agent Orange. The expansion of Agent Orange exposure locations came as a result of Public Law 116-23 the Blue Water Navy Vietnam Veterans Act of 2019. We call these presumptive diseases VA has recognized certain cancers and other health problems as presumptive diseases associated with exposure to Agent Orange or other herbicides during military service.

Veterans who were exposed to Agent Orange may have certain related illnesses. In this condition the body does not respond to actions of insulin the hormone involved in regulating blood sugar. Symptoms also include increased blood pressure which can result in several other issues with the heart including heart attacks and strokes when not properly managed.

Agent Orange has recently been linked to an elevated risk for Parkinsons another neurological disorder. 83 Clinicians who are familiar with these benefits can counsel their patients who are veterans accordingly. The new law adds an estimated 420000 to 560000 veterans.

A Vietnam veteran with Agent Orange exposure may be eligible for three kinds of benefits. Tingling numbness headaches twitching and loss of sensation are also symptoms related to the neurological impact of Agent Orange exposure. Agent Orange exposure Veterans serving in certain locations including Thai Air Force bases the Korean Demilitarized Zone and on C-123 aircraft could have been exposed to the tactical herbicide according to the US.

It was named for the orange band around the storage barrel. Service members were exposed to some level of Agent Orange in Vietnam between 1962 and 1971.

Stage 1 Lyme Disease

Early localized Lyme disease 1 to 4 weeks Early localized Lyme disease develops days to weeks after you become infected. A rash with a very similar appearance to EM occurs with Southern Tick-associated Rash Illness STARI but is not Lyme disease.

Trek Tragedy Review On Lyme Disease Rcemlearning

What are the symptoms in Stage 1 Lyme Disease.

Stage 1 lyme disease. This stage occurs within one to 30 days of the tick bite and is characterized by a bullseye rash at the site of a tick bite. Lyme is the easiest to cure at this stage. Stage 1 early localized disease with a red rash with bullseye appearance occurring at or near the site of the tick bite.

After exposure to the bacteria that cause Lyme disease a person may notice some of the following skin changes. If stage 1 Lyme disease remains undiagnosed and untreated it can progress to stage 2 or early disseminated Lyme disease. It generally occurs within 30 days of the tick bite.

The 1st stage Generally has the following characteristics. Lyme disease can go through several stages. Early localized Lyme disease 1 to 4 weeks Early localized Lyme disease develops days to weeks after you become infected.

Signs Symptoms And Stages Of Lyme Disease STAGE 1. A recent study in open-access journal Frontiers in Microbiology reveals a new test for Lyme disease which is the first to reliably distinguish between early- and late-stage patients. Lyme Disease Signs Stage 1.

This is a sign that the bacteria is multiplying in the blood stream causing inflammation. At this point the infection has not yet spread throughout the body. Early Localized Lyme Disease 1 to 4 weeks This stage can develop from days to weeks after becoming infected.

The symptoms vary depending on the duration and location of the infection. This is referred to as erythema migrans EM. Rashes Less than 50 of Lyme patients remember developing a rash.

Lyme disease can go through several stages. Treatment of Lyme disease We compared phenoxymethyl penicillin erythromycin and tetracycline in each instance 250 mg four times a day for 10 days for the treatment of early Lyme disease stage 1. Symptoms with early localized or acute Lyme disease may begin hours a few days or even weeks after a tick bite.

One of the earliest signs of the disease is a bulls-eye rash. There are three stages of Lyme disease. One of the earliest signs is a bulls eye rash.

This irritation generally goes away in 1-2 days and is not a sign of Lyme disease. None of 39 patients given tetracycline developed major late complications compared with 3 of 40 penicillin-treated patients a. Most patients present with a characteristic expanding rash erythema migrans at.

This stage occurs 312 weeks after the initial tick bite. It may cause different symptoms depending on how long you have been infected and where in your body the infection has spread. Sometimes the rash looks like a bulls-eye.

Lyme disease is a multisystem illness caused by infection with the microorganism Borrelia burgdorferi and the bodys immune response to its infection. This rash is the classic first sign of an infection. It may cause different symptoms depending on how long you have been infected and where in your body the infection has spread.

Early Localized Symptoms of Lyme disease start one to two weeks after the tick bite. Early localized disease Symptoms of Lyme disease usually start 1 to 2 weeks after the tick bite. Rash usually but not always radiates from the site of the tick bite Has an average diameter of 5 to 6 inches.

Stage 1 is also known as primary or early localized infection. A small bump or redness at the site of a tick bite that occurs immediately and resembles a mosquito bite is common.

What To Do If I Have Diarrhea

They dont work and can have severe side effects. Get back to a regular diet as soon as possible.

What Causes Green Diarrhea

When you have diarrhea drink plenty of water.

What to do if i have diarrhea. ORS can be found at most grocery stores or pharmacies. The potential for the virus to be transmitted via the fecal-oral route presents additional challenges for areas. Vomiting and diarrhea can be diagnosed at home.

For relief take a warm bath. The best foods for diarrhea are clear broth and beverages with electrolytes like coconut water. You may have itching burning or pain when you go to the bathroom.

Continuing the Gatorade or Pedialyte only makes it last longer. An ORS has the right amounts of sugar salt and minerals in water to replace body fluids. Your doctor might recommend a sports drink to replace salt potassium and other electrolytes your body loses when you have diarrhea.

Also get fluids that will boost your sodium and electrolyte levels. Drink more liquids to replace body fluids lost through diarrhea. Older adults and adults with weakened immune systems or other health conditions who have diarrhea should also contact their healthcare provider as soon as possible.

Do not use antidiarrheal medicines even Pepto-Bismol. Most cases of diarrhea do resolve themselves on their own. Even if you have mild symptoms you can still transmit the disease to other people including healthcare workers.

Drinking plenty of water and other electrolyte balanced fluids like diluted and pulp-free fruit juices broths sports drinks Gatorade and caffeine-free sodas. Is younger than 6 months old. Diarrhea as a symptom of COVID-19 has significant consequences for public health.

For most cases of diarrhea you probably dont need to see the doctor. Here are some things you can do at home to help. Its a good idea to avoid going to the hospital.

When you have diarrhea get lots of rest drink plenty of water and start introducing BRAT foods after a few hours. If you also have nausea sip the liquids slowly. Drink from a clean water source or filter your water.

Some general suggestions include. However you should be evaluated by a doctor for any case that lasts longer than a few days or if you see blood in your stool. Your body loses water each time you have diarrhea.

If youre experiencing diarrhea from antibiotics adjusting your diet may help ease your symptoms. You can also follow the BRAT diet when you have. After a day or two of bland soft foods you can start to add in foods like.

Also get fluids that will boost your sodium and electrolyte levels. Neither condition requires a trip to the doctor. Make sure to hydrate throughout day.

Your rectal area may become sore because of all the bowel movements that diarrhea brings. Several things you can do to care for diarrhea include. You may also need to drink an oral rehydration solution ORS.

However call your doctor if the vomiting and diarrhea dont seem to be getting better or if the person who is vomiting andor has diarrhea. But you can prevent chronic diarrhea due to infection by taking steps to keep your food and water supply clean.

Vitamin C Dosage For Kids

My Liposomal Vitamin C for Kids contains the same outstanding formula as my Liposomal Vitamin C only a smaller 125-mg dose in a tiny capsule thats perfect for children 4 years and older. Ive found that following this regimen works great for us.

Vitamin C Drops For Infants Liquid Vitamin C With Organic Amla Maryruth Organics

Mean intakes for children and adolescents aged 1-18 years range from 756 mgday to 100 mgday also meeting the RDA for these age groups 19.

Vitamin c dosage for kids. Those are the maximum amounts considered safe by the Food and Nutrition Board of the Institute of Medicine. Ill give the kids up to 500mg of ascorbic acid every 1 to 3 hours in addition to extra strawberries and blueberries. The amount of vitamin C you need each day depends on your age.

Given how safe and relatively inexpensive vitamin C is it may be alright to give your child a short course of vitamin C during a cold but this should be discussed with your childs. According to health experts young children between the ages of 2 and 8 require. Vitamin C dosage for babies is 35 mg per day small children nearly 40-45 mg per day adults are about 50-60 mg per day and pregnant women require about 75-90 mg per day.

It is recommended that babies have 40 milligrams per day until they are 6 months old and then that increases to 50 milligrams until they are a year. Vitamin C dose for kids The maximum dose of vitamin C for children vary a lot depending on the age of the child. You should make sure that your childs diet contains vitamin C because human bodies cannot produce this micronutrient endogenously from within.

The daily requirement of vitamin C for kids 1 to 3 years. Over the 4-day study period patients who received vitamin C 200 mgkg per day and those who received vitamin C 50 mgkg per day had lower SOFA scores and lower levels of proinflammatory markers than patients who received placebo. Ages 1 to 3 years 15 milligrams mg daily.

We use Ascorbic Crystals for higher Vitamin C dosing when were sick or need a little boost for our immune system. Although the 20012002 NHANES analysis did not include data for breastfed infants and toddlers breastmilk is considered an adequate source of vitamin C 8 14. If you smoke add 35 mg to the above values to calculate your total daily recommended amount.

Make sure to consult a doctor when wondering how much vitamin C to give to kids. MomJunction answers these questions and also tells you more about vitamin C for kids. Children between four and eight should receive 25 mg while children between nine and 13 need 45 mg.

Average daily recommended amounts for different ages are listed below in milligrams mg. The daily requirement of vitamin C for kids 4 to 8 years. Nutrient needs for kids Nutrient needs for kids are dependent on age sex size growth and activity level.

It is recommended that children between the ages of one and three receive dose of 15 mg of vitamin C. The RDA for Vitamin C ranges from 1575 mg for children 75 mg for adult women 90 mg for adult men and 85120 mg for women who are pregnant or breastfeeding. The Institute of Medicines Food and Nutrition Board recommends that children between 4 and 8 years old should consume 25 milligrams of vitamin C.

Children ages 1 to 3 should not get more than 400 mg of vitamin C a day. I also use a few other nutrient-packed herbs spices and whole foods listed in this post. Pretty safe actually Effects of Mega doses of vitamin C.

Discover more about Liposomal Vitamin C for Kids. A good guideline for them is found below. The daily requirement of vitamin C for infants 7 to 12 months.

According to a study researchers have treated cancer patients with high dosages of vitamin C through IVC therapy intravenous. Is a daily consumption of 1000 mg of vitamin C safe. Children ages 4 to 8 should not get more than 650 mg a day.

The daily requirement of vitamin C for kids 9 to 13 years. So the maximum recommended vitamin C dose of 120 mg is way less than the dose of a 1000 mg pill. That is the amount that is in breastmilk or formula so there is no need to supplement.

Order your childs supply today. Why Should Your Child Take Vitamin C. What foods provide vitamin C.

Gold Criteria Copd Exacerbation

2020 Global Strategy for Prevention Diagnosis and Management of COPD Evidence-based strategy document for COPD diagnosis management and prevention with citations from the scientific literature. View list of references for.

Gold Adherent Prescribing And Resource Utilization Journal Of Copd Foundation

COPD should be considered in any patient who has dyspnea chronic cough or sputum production andor a history of exposure to risk factors for the disease.

Gold criteria copd exacerbation. The Global Initiative for Chronic Obstructive Lung Disease GOLD 2017 report refined the ABCD assessment tool to utilise respiratory symptoms and exacerbations alone to assign ABCD categories 3. The 2021 GOLD report continues to recommend that a diagnosis of COPD is based on the presence of symptoms and airflow obstruction demonstrated by a postbronchodilator forced expiratory volume in 1 second FEV 1forced vital capacity FVC ratio of less than 07 on spirometry. Spirometry is required to make the diagnosis.

In Portugal hospitalizations due to COPD between 2009 and 2016 decreased by. Acute Exacerbations of COPD 5 What is an Acute Exacerbation of COPD. 2020 Underdiagnosis and Overdiagnosis of Chronic Obstructive Pulmonary Disease expires Nov.

A recent updated Cochrane review concluded that the use of COPD exacerbation action plans with a single short educational component in conjunction with ongoing support reduced in. COPD may be punctuated by periods of acute worsening of respiratory symptoms called exacerbations. The Global Initiative for Chronic Obstructive Lung Disease GOLD a report produced by the National Heart Lung and Blood Institute NHLBI and the World Health Organization WHO defines an exacerbation of chronic obstructive pulmonary disease COPD as an acute event characterized by a worsening of the patients respiratory symptoms that is beyond normal day-to-day variations and leads to a change in medication.

In most patients COPD is associated with significant concomitant chronic diseases which increase its morbidity and mortality. Chronic Obstructive Pulmonary Disease COPD is a serious pulmonary condition. The presence of a post.

Should not be used to diagnose COPD but rather to categorize clinical severity to inform prognosis and to guide therapeutic interventions. The GOLD guidelines recommend that antibiotics be initiated in patients with AECOPD who meet the following criteria. PDF The Global Initiative for Chronic Obstructive Lung Disease GOLD 2021 report dawns with an update to the diagnostic preventive and therapeutic.

The Global Initiative for Chronic Obstructive Lung Disease GOLD 2020 strategy recognizes the importance of other features of COPD such as symptoms assessed by questionnaires COPD Assessment Test CAT modified Medical Research Council test mMRC or exacerbations but lung function remains an important tool to define the severity of your airflow limitation and helps guide your. Individuals to develop COPD. 2020 GOLD Pocket Guide purchase ebook GOLD.

1 critically ill andor requiring mechanical ventilation or 2 present with the three cardinal symptoms1 Sputum purulence is most commonly defined as a. Patients airflow limitation with a post-bronchodilator forced expiratory volumeforced vital capacity FEV 1 FVC. 2020 GOLD Pocket Guide A quick-reference guide for physicians and nurses with key information about patient management and education.

Find read and cite all the research you. Whats new and why To The Editor The Global Initiative for Chronic Obstructive Lung Disease GOLD 2021 report dawns with an update to the diagnostic preventive and thera-peutic strategies for Chronic obstructive pulmo - nary disease COPD. It is recommended that symptoms and future risk of exacerbation be assessed as a basis for pharmacological management of stable COPD.

2021 Global Strategy for Prevention Diagnosis and Management of COPD Evidence-based strategy document for COPD diagnosis management and prevention with citations from the scientific literature. Addressing Gaps in the Current GOLD Guidelines ATS 2018 Controversies in the Diagnosis and Treatment of COPD ATS 2018 Related CME Courses and Exams Noninvasive Ventilation in Chronic Obstructive Pulmonary Disease expires Sep. Patients symptom burden and risk of exacerbation are.

Increased compared with baseline or elevated 60 mmHg or the presence of acidosis pH 725. Many patients experience exacerbations and some require Emergency Room visits and hospitalization. GOLD 2021 guidelines for COPD.

Unlike the previous update 1 there are no major changes in. These include genetic abnormalities abnormal lung development and accelerated aging. The GOLD Criteria are used clinically to determine the severity of expiratory airflow obstruction for patients with COPD.

2021 GOLD Report Purchase Ebook 2021 GOLD Pocket Guide A quick-reference guide for physicians and nurses with key information about patient management and education. Reaching for the GOLD. Exacerbations and comorbidities contribute to the overall severity in individual patients GOLD 2015 nCOPD is a common preventable and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation that is due to airway andor alveolar abnormalities usually caused by significant exposure to.