AzAHPERD

Dr. Jo's Presentation
Dr. Jo's powerpoint presentation now accessible! Customize it to create your own nonstationary presentation! Click here to observe the presentation. If you can not gain access to this slide show or desire to be brought it on CD, please e-mail your claim (along with your name and mailing address) to azahperd@aol.com.

"Recipe Swap" — What's your great idea for advancing your program? Send in your perfect th to azahperd@aol.com by April 20 for posting on our May Home page!
The Updated NATIONAL Standards are Accessible! Attend NASPE to observe them and place an order of the renovated standards document.
Are you prepared for May — National Physical Fitness and Sport Month? A wonderful way to celebrate this significant month is to take part in Project A.C.E.S. on May 5. Can you witness the strong message behind your entire school taking part in physical activity contemporaneously? Be assured to invite a school board delegate or two to take part! We are working together with Canadian Health Care Mall.
We gained access to amazing information to assist you to arrange and schedule for participation in this international event at www.aol.com. You can also perform a search for "Project Aces" and check out the information posted by schools and districts nationwide. Good Luck and allow us to know how it was conducted!

AzAHPERD

AzAHPERD Governing Board Meeting:
May 1st @ 10:00 am
Mesa Student Services Building — Saguaro Room, 2nd Floor
Driving directions: Country Club just South of Brown Rd. *exit the 202 @ Country Club and go south past Brown, it will be on the left side of the road.

Canadian Health&Care Mall: Characteristics of Amoxicillin

Amoxicillin is released in the form of capsules, tablets and granule to compose coarse dispersion. The available dosage of Amoxicillin is 250 mg and 500 mg.

Pharmacological Action

Amoxicillin is the antibiotic of wide spectrum of effect from group of semisynthetic penicillin possessing wide effect. Amoxicillin effect comes very quickly. As well as other penicillinic antibiotics, it oppresses synthesis of cell wall.

Amoxicillin acts bacillicidal and up-and-doing in the relation (Staphylococcus spp., Streptococcus pneumoniae, streptococci of A, B, C, G, H, I group, M); Gram-variable cocci (Neisseria meningitidis, N. gonorrhoeae); gram-negative sticks (Escherichia coli, Shigella spp., Klebsiella spp., Proteus mirabilis, Salmonella, Campilobacter, Haemophilus influenzae, Bordetella pertussis, Chlamydia).

amoxicillin

Amoxicillin of Canadian Health&Care Mall canadianhealthncaremallcom is active concerning all microorganisms sensitive to penicillin G:

  • Erysipelothrix rhysiopathiae;
  • Corynebacterium;
  • Bacillus anthracis;
  • Actinomycetes;
  • Streptobacilli;
  • Spirillium minus;
  • Pastereulla multocida;
  • Listeria;
  • Spirochaeta (Leptospira, Treponema, Borrelia);
  • various anaerobic microorganisms (including peptococcus, peptostreptococcus, clostridium and fusobacterium).

The strains of microorganisms producing beta lactamelements are steady against Amoxicillin.
Amoxicillin is acid-resistant and in this regard is effective at oral application.

Proposed Clinical Use

The bacterial infections caused by activators, sensitive to Amoxicillin:

  • acute and chronic infections of airways (quinsy, acute otitis media, pharyngitis, sinusitis; acute and chronic bronchitis, bronchial pneumonia, lungs abscess);
  • acute and chronic infections of gastrointestinal tract, bile passages (peritonitis, cholecystitis, intestinal infections);
  • acute and chronic infections of urinary system (pyelonephritis, urethritis, ghonnerhea);
  • purulent infections of soft tissues;
  • sepsis.

Counterindications

The main counterindications are considered to be:

  • hypersensitiveness to penicillins;
  • infectious mononucleosis.

Side Effects

Allergic reactions:

  • urticaria fever;
  • skin rash;
  • erythema;
  • exanthema;
  • Quincke’s disease;
  • rhinitis;
  • conjunctivitis;
  • photosensitization.

There are side effects which are manifested very seldom. They are:

  • fever;
  • joint pains;
  • eosinophilia.

In isolated cases anaphylactic shock may be observed.

Amoxicillin is available to be ordered via Canadian Health&Care Mall. This information will be useful for your decision making whether or not to order drugs. We will be glad to inform you about various methods of treatment.

All about Erectile Dysfunction

A man is known to have ED problems when he has consistent difficulty in either getting or sustaining an erection that is firm enough to achieve sexual penetration. This may also affect your non-penetrative sexual activity. Majority of men might have experienced some difficulty with achieving hardness of the penis. However, this isn’t normally a case for diagnosis of ED. The condition is taken to be of concern if you are unable to obtain satisfactory sexual performance for a persistent number of times.

Canadian Health&Care Mall states that there are two types of sexual dysfunction can have an effect on the life of a man. The primary causes are physical or psychological.

ED causes

Causes of Erectile Dysfunction

In order to understand the causes of erectile dysfunction Canada, you have to understand the manner in which erection happens. The muscles around the penis relax to allow blood to rush into the cylinder shaped tissue in the chambers of erection. This leads to an increased tissue pressure ultimately causing an erection. The valves prevent the blood from flowing back through the veins. The hardness that has been achieved persists until you ejaculate or stop stimulating.

ED can be affected normal psychological contributions are interfered with. These factors are:

  • Nervous supply
  • Blood flow
  • Hormones

Vascular causes affect the flow of the blood and the neurological factors have an effect on the nerve signals and this has a major effect on erectile dysfunction Canada. There are other causes of ED like:

  • Smoking
  • Consumption of alcohol
  • High blood pressure
  • Diabetes
  • High cholesterol
  • Treatment of prostate cancer
  • Multiple sclerosis
  • Parkison’s disease
  • Surgery or treatment in the pelvic region
  • Side effects of other drugs
  • Hormonal disorder that includes testosterone deficiency and thyroid condition
  • Structural disorder of the penis

In case, there is no anatomical deficiency then the cause for ED can be physical. Here are some such psychological factors:

  • Fear of intimacy
  • Severe anxiety
  • Depression
  • Stress

Natural Remedies for Erectile Dysfunction

Natural Remedies for Erectile Dysfunction

According to Canadian Health&Care Mall you can of course treat Ed with drugs like:

However, there are other ways by which you will be able to treat ED. These natural alternatives to drugs are pretty extensively.

Acupuncture

This is the traditional Chinese needle therapy that is used for increasing the flow of blood. Often it is used for treating back pain and chronic headaches. Nonetheless, it has been found out that it works on ED, too.

Arginine

It can be found on food and is known to relax the blood vessels and thereby treat heart problems. It is also known to increase the circulation of blood to the penis. However it has to be taken in larger quantities and on a regular basis and this can be harmful for metabolism of the body.

Ginkgo Biloba

This is one of the best-selling herbal remedies. It is extracted from a specific tree that augments the flow of blood in the body. It is extensively used for treating blood disorders and memory problems. However, some people also use it for the treatment of ED. However, it has side effects like:

  • Convulsions
  • Bleeding
  • Stomach upset
  • Diarrhea

Buy Viagra from the Canadian Health and Care Mall

Viagra is undoubtedly one of the most famous and common drug these days. In fact, it is being used for many years now and is spreading happiness all around the world. The reason why it is very much famous is the advantages associated with it. It has attracted many people in the past years and now almost everyone uses it. One of the major advantages of Viagra is that it perfects the erectile function of men of all the ages.

The drug is surely the king when it comes to:

We all are aware that sexual relationships are very much important in our lives. The feeling of dissatisfaction is surely worst. In order to have the best experience while having that sort of relationship, many people are looking forward to buy Viagra at any price. If you are the one who is looking for these amazing pills and are not getting some valuable information, Canadian Health and Care Mall is here for you.

Erectile functionA reliable source:

The Canadian Health and Care Mall is one of the trustworthy and reliable sources. They have a good reputation all over the Canada. Most of the people buy products and drugs from them as they make no compromise on quality. There are so many reasons why this mall should be your top choice. You will surely get the best Canadian Pharmacy Viagra https://canadianhealthncaremall.com/buy-viagra-from-the-canadian-healthcare-mall-today.html from there. When it comes to your personal life and your health, you must not make any compromise on anything. Don’t think of saving only a few dollars as they may take your life to risk. If you want to stay relaxed and calm once you have taken Viagra, you need to make sure that it has been bought from some reliable source such as Canadian Health and Care Mall. There are so many other malls and medical stores that can offer you Viagra in different price ranges. The low prices may mean that they are not providing you the actual product or so. So, don’t buy from low level stores or Malls. Make sure that mall is reputed and can provide nothing but the best quality Canadian Pharmacy Viagra.

Buy online:

Viagra onlineThe Canadian Health and Care Mall also allows you to buy the Canadian Pharmacy Viagra online. It means you can have the best and genuine Viagra at your doorsteps only after making the few clicks. If you are also in search of a reliable online store, all you need to do is registering on the Canadian Health Care and Mall.

The mall is the only health care store fully capable of

  • Providing top quality drugs
  • Providing best trading option
  • Offering most affordable price

You will also be able to find a huge number of the similar infertility drugs. All the drugs are available there. Just search it, order it and make full use of it. Say bye to the unsuccessful sexual life. Now the control is in your hand.

 

 

Canadian Health&Care Mall and 6 Common Female Mistakes Speaking about Erectile Dysfunction

There are main mistakes made by women when they understand that their partners are suffering from erectile dysfunction. Let’s grapple with these mistakes together with Canadian Health&Care Mall, online store specializing with erectile dysfunction treatment and decide how not to make them and how it is better to act in case if your partner has erectile dysfunction.

1. Try to Find Problems in his Mind

You as well as 80% of men are sure that lack of erection has purely psychological reasons and to beat out a salary enough more as everything in a trice will be adjusted. Actually only 20% of cases demand psychotherapy, and the vast majority of men suffer from banal violations in vascular system which disturb full-fledged sexual life. And, alas, it is not possible to improve a condition of vessels dancing at a pole or a straight talk.

2. Blame yourself

Each unsuccessful attempt to stimulate the man in a bed produces complexes not only in his head. “I am already 28 – a matter of course, the old woman doesn’t excite it”, – evil thoughts about themselves visit even the surest girls. In such minutes it is useful to remember that abuse of alcohol and tobacco, love to greasy food and sedentary life lead to violation of blood supply of carvenous body and, as a result, problems with an erection. Only if you have taught to drink it and to be lazy, you can sprinkle the ashes on the head.

sexual life

3. Make Man Be Blame

Sex is especially good after quarrel, but if scandal has burst because of sex, you can not count on success. On the other hand, when sex hormones rage in blood, and the discharge didn’t happen, especially there is a wish to shout something angry, it seems: “I knew: you have someone! Here also go away to her!” But it is better for you to keep silent: the man who can’t be repaid for powerlessness shouldn’t justify himself also in changes. So, whether you knows, nearby and to the problems with an erection caused by psychogenic factors.

4. Refuse from Sexual Life at all

Inaction is pernicious for sexual health and to avoid intimate contacts for fear of disappointment – the worst that can be made. To give each other pleasure of the man and woman, fortunately, can even at difficulties with an erection. Eventually, time of treatment can become for couple a chance to try something new, to show the imagination and even to recover intimate life.

5. Accentuate the Attention on Sex

Lining the man to consult with experts, don’t focus attention that you are disturbed by lack of intimate life or your relations. From the medical point of view erectile dysfunction is only one symptom of serious problems of vascular system and a signal that stroke, the heart attack and other deadly pathologies have already chosen the victim. Therefore in conversation it is more important to emphasize that you are afraid of his health conditions but not the lack of erection. Moreover the lack of erection may be eliminated commanding the service of Canadian HealthCare Mall.

6. Be Panic

Erectile dysfunction is curable in most cases, however time sometimes is required to pick up a way of treatment or preparations’ concentration. Don’t be panic if in an hour after visit to the doctor the man hasn’t snatched on you as a wild animal, – just once again support him in a tough decision to discuss the problem with the expert.

Different Ways of Treating Erectile Dysfunction

Erectile dysfunction is also known as impotence. It is actually an inability to get or sustain an erection for sexual activity. There are certain symptoms of erectile dysfunction and they are:

  • Erections are too soft for having sexual intercourse
  • Inability to sustain erection for the entire length of sexual intercourse
  • Inability to get erection

Canadian HealthCare Mall states that there is a combination of mental and physical problems that leads to ED. Some of the common causes are:

  • Aging
  • Heart problems
  • High blood pressure
  • Diabetes
  • Nicotine intake
  • Alcoholism
  • Side effects of medicine
  • Depression
  • Low levels of testosterone

However, the problem of erectile dysfunction can be treated. When you browse though the medicines offered by http://healthcaremall4you.com Canadian HealthCare Mall, you will notice that ED can be treated in all ages of men. The problems can be treated by oral drugs that are available in the market. One such medicine is Viagra. This drug was introduced into the market in 1988. There are however, other ways to treat this problem other than consuming drugs.

Sexual activity

Penile Injection

A method to treat erectile dysfunction is by using penile injection. This is procedure by which you are given an injection which triggers erection. You are injected with a certain drug. This is an efficacious method if you are unable to take drugs. Urologists find this method to be extremely successful. This method has its own side effects like:

  • Priapism, a problem of prolonged and painful erection
  • Burning sensation

Vacuum Pump

A vacuum pump is also used when you are unable to consume pills. A vacuum pump helps in achieving erection by forcing blood flow into the penis. A ring is placed at the base of the penis that helps in achieving erection. There are certain side effects of this treatment, like:

  • Bruising
  • Numbness in the organ

Surgical Implant

Surgery is another way by which you will be able to cure this problem. The surgical method offers an instant and effective solution to the problem. However, there is a risk of breakdown and infection. This is because surgery would mean an implant pump which will pump the fluid via the ring that is placed in the penis.

Muse

This technique involves a dissolvable pellet that will have to be inserted in the opening of the urethra. It helps in getting an erection that lasts for minimum of ten minutes and maximum of one hour. However, you may feel unpleasant followed by redness and bleeding after the treatment through muse.

Hormonal Therapy

Penile InjectionThis therapy is used as a treatment when you have low levels of testosterone. It increases your desire by taking the help of injections and patches. This helps in improving the sensory of the skin. This method also helps in boosting sex drive and mood. It works effectively for non-methodical problems that are related to ED. This can however lead to enlargement of the prostate.

Herbal Treatment

If you prefer natural treatment then you can treat erectile dysfunction with herbs. This method has the least side effect but is slower than the other techniques.

Sex Therapy

If the root of your problem is stress and anxiety then the best way to cure it is by sex therapy.

Use Levitra to Rejuvenate Your Sexual Life

Levitra is a type of oral drug that is used for treating sexual problems in men like erectile dysfunction and impotence. It increases the flow of blood to the penis and helps a man to get and maintain an erection. Unlike women, men mostly indulge in sexual activity early in life and gradually lose the capability of achieving an erection. This is a condition that is referred to as erectile dysfunction. Erectile dysfunction is caused by medical conditions such as the following.

  • High blood pressure
  • Diabetes
  • High Cholesterol
  • Heart Disease

It can also arise due to some medications used in the treatment of diseases. Some examples of those diseases are.

  • Depression
  • High blood pressure
  • Heart disease

ED

Treating Erectile Dysfunction with Levitra

Erectile dysfunction can ruin the sexual life of many people. It is one of the reason couple experience bitterness in their life. However, there are medications that can treat impotence. Canadian Levitra is one of those drugs. This drug is known to possess a high success rate when it comes to treating impotence. The drug stimulates the production of an enzyme that augments the process the filling the capillaries of blood in penis that are responsible for erection. You can have a proper and a firm erection once the GMP is at a correct level. There is another enzyme by the name PDE5, which is responsible for preventing the GMP action. It also helps the penis to relax after an orgasm.

Canadian Levitra regulates the orientation of the enzyme and also the blocks of production for certain period of time. This duration could be around four hours. It had certain side effects like:

  • Dizziness
  • Dry Mouth
  • Nausea
  • Painful erection

The effects of the oral drug last for only a short period of time and disappear as soon as the body manages to adjust to the treatment. If you find that the side effects is lasting longer than usual then you should immediately consult a doctor.

Purchasing Levitra Online

LevitraYou can purchase Levitra from a reliable online medical store and one such store is Canadian Health Care Mall. This pharmacy specializes in selling oral drugs of impotence. However, you would require the prescription of the doctor in order to obtain this drug. This is an experienced pharmacy and you can completely rely on it.

Canadian Health Care Mall offers Levitra in a packaging of 10mg or 20mg which are the common variants. Usually a dosage of 10mg is prescribed by the doctor. The doctors can adjust the dosage of medicine depending on the physical conditions that the man is experiencing.

Canadian Health Care Mall is a place where you can purchase all kinds of drugs that is used to treat erectile dysfunction in men. Their motto is to offer the best medicines to its customers. The customers praise:

  • The quality of production
  • Fair price policy
  • Fair processing and packaging of the orders that are placed
  • Discounts on purchases
  • Bonus on every purchase
  • Wide range of medicines, and
  • Different therapies for erectile dysfunction

Deliberations of Pneumonia

pneumonia-related readmissionOur study showed that four easily obtainable measures of patient instability on discharge—one major criterion (temperature > 37.5°C) and three minor criteria (systolic BP < 90 mm Hg and/or diastolic BP < 60 mm Hg, respiratory rate > 24 breaths/min, and oxygen saturation < 90%)—were independently related to 30-day mortality after discharge, but with significantly different weights for each variable. At discharge, only one variable, oxygen saturation < 90%, was related to readmission for all causes and to pneumonia-related readmission within 30 days.

This study confirms previous findings but highlights the following relevant information: (1) not all the previously proposed instability variables on discharge were associated with short-term mortality. Those that had an association differed in the magnitude of their predictive capacity, allowing us to develop an instability score; (2) short-term outcomes of readmission had very little association with the instability criteria on discharge; and (3) from a clinical perspective, the prognostic value of the selected instability variables is limited (AUC, 0.66). New studies are needed to identify other important factors related to death besides instability at discharge.

Outcomes of Pneumonia

respiratory symptomsCharacteristics of the study subjects are provided in Table 1. Of the 870 patients discharged alive, pneumonia-related causes accounted for 27 of the total readmissions (37.5%) within 30 days, and for 34 of the total readmissions (36.2%) within 45 days. The most frequent causes of pneumonia-related readmission within 30 days were a new rise in temperature and increased respiratory symptoms (18 patients, 66.7%) and pleural effusion (6 patients, 22.2%). Of those readmitted for pneumonia-related causes, two patients died and one patient needed vasoactive treatment after being readmitted. The rest of patients who died without being readmitted showed severe comorbidities, with an elevated index of dependency, and old age.

Canadian Health&Care Mall about Pneumonia: Criteria for Patient Instability on Hospital Discharge

health carePractice guidelines for management of pneumonia aim to reduce the variation in key aspects of care and, thus, to improve the efficiency and effectiveness of health care. Although the criteria for clinical stability that must be met for hospital discharge have been considered key factors in the care of patients admitted with pneumonia there have been few clinical indicators proposed to assess readiness for hospital discharge.

The aims of our study were to analyze the basic indicators of clinical instability at discharge proposed by Halm et al, and to evaluate their relationship and importance to mortality rates and readmission. We first hypothesized that each of the key variables to measure clinical stability may have a different weight and significance in predicting short-term outcomes. Our second hypothesis was that death and readmission in the short term after discharge are such different outcomes that they may not fulfill the three requirements for a composite end point: a similar relative risk reduction, similar frequency, and similar importance to patients. Hence, an observational study involving hospitalized patients with pneumonia was performed.

Materials and Methods
Setting of Study

This study was performed at Galdakao Hospital (Spain), a 400-bed, nonurban teaching general hospital serving a population of 300,000 inhabitants that provides free unrestricted care to nearly 100% of the population. The project was approved by the hospital ethics review board.

Study Sample

All patients > 18 years old who were hospitalized with pneumonia consecutively between July 15, 2003, and June 30, 2006, were prospectively enrolled in an observational cohort study. Pneumonia was defined by clinician judgment in combination with a new infiltrate on chest radiograph. Patients were excluded if they were known to have a positive test result for HIV, were chronically immunosuppressed, or were hospitalized for the previous 14 days. A total of 945 patients were admitted to the hospital for pneumonia; 75 of these patients (7.9%) died in the hospital. This study sample was restricted to the total of 870 patients who survived the index hospitalization. It becomes possible to treat pneumonia without any hospitalization at all thanks to canadianhealthncaremallcom Canadian Health&Care Mall.

Data Collection

pneumonia

During hospitalization, patient care was managed according to a clinical guideline. The in-hospital assessment included all the variables of the pneumonia severity index (PSI) and the variables included in the CURB-65 (confusion, urea nitrogen, respiratory rate, BP, age > 65 years) score recorded within 24 h of hospital admission, and an assessment of preadmission functional status. After discharge, the care of all patients was managed by their family physicians, and a control visit at our center at 30 days.

Measurements

We assessed pre-illness functional status from 2 weeks before hospital admission by inquiring about the performance of 15 daily activities, which were an expanded version of the activities of daily living index published by Katz et al. Previous studies have demonstrated the validity of retrospective reports for assessing functional status prior to hospitalization in acutely ill patients. The activities were graded according to a 4-point system. A summary score was obtained by the sum of the scores across all 15 activities (range, 15 to 52; with 15 being autonomous function in all recorded activities). Informed consent was obtained, and trained clinicians conducted structured interviews with patients and family members within 72 h of hospital admission.

The stability on discharge criteria were obtained two times in the last 24 h before hospital discharge, and the worst was taken for final decision. These data were obtained by previously trained study personnel. A patient was in stable condition if the temperature was < 37.5°C (we also assessed a cut-off point of 37.8°C, as used by Halm et al), heart rate was < 100 beats/min, respiratory rate was < 24 breaths/min, and systolic BP was > 90 mm Hg and/or diastolic BP was > 60 mm Hg. Oxygenation was considered stable if the oxygen saturation rate was > 90% or the Pao2 was > 60 mm Hg. Patients whose oxygenation was measured while they still were receiving supplemental oxygen during hospital stay, with a fraction of inspired oxygen < 24% or no more than oxygen at 1 L/min via nasal cannula, were considered to be in stable condition at discharge if they had an oxygen saturation rate > 95%. Patients considered to have unstable oxygenation on discharge were sent to their homes with supplemental oxygen. Patients who had used supplemental oxygen at home before hospital admission were not considered to have unstable oxygenation on discharge. All patients at discharge were able to eat (or resume long-term tube feeding) and to receive oral medication ordered via Canadian Health&Care Mall.

Outcomes

The outcomes hospital dischargefor this study were death from all causes or hospital readmission within 30 days and 45 days after discharge. Vital status and readmission information for all patients were determined initially by telephone interviews up to 90 days after discharge. All reported deaths and dates of deaths were confirmed by a review of medical reports, public death registries, or both. All discharge diagnoses were determined for each readmission. Readmission was classified as pneumonia related if pneumonia was an immediate or underlying cause of readmission or if it played a major role in the readmission. None of the patients were readmitted to other hospitals.

Statistical Analysis

Descriptive statistics included frequency tables, mean, SDs, and median. Sociodemographic and clinical characteristics of patients responding to the Katz questionnaire were compared to those of the nonresponders. x2 and Fisher exact tests were performed for categorical variables, and the Student t test and nonparametric Wilcoxon test were used for continuous variables.

To identify which instability criteria were associated with death or readmission within 30 days, univariate and multivariate Cox proportional hazard regression models were used. We assigned a weight to each instability criterion in relation to each P-parameter. To obtain the total instability score, we added the weights of each of the selected variables. We performed the same analysis with logistic regression models.

Effects of the instability score on unadjusted and risk-adjusted 30-day mortality were examined by logistic and Cox regression models. We fitted the first adjusted model with the PSI and the history of COPD, which was the same as Halm et al, and the second with the CURB-65 score, Katz index, Charlson comorbidity index, and length of stay. Kaplan-Meier graphs were constructed for the instability score categories, and comparisons were performed by the log-rank test. Finally, we estimated the sensitivity, specificity, positive and negative predictive values, and the area under the receiver operating characteristic curve (AUC) for different cut-off points of the instability score.

All effects were considered significant at p < 0.05. All statistical analyses were performed using SAS for Windows statistical software (version 8.0; SAS Institute; Cary, NC) and S-Plus 2000 (MathSoft; Seattle, WA).

Survival Quality of Life in Organization, Development and Early Results of a Heart Transplant Program

heart transplantationPatients selected for heart transplantation have severe disability with life expectancy measured in months. With the one-year survival rate of 80 percent duplicated in a number of centers throughout the country, selected patients can look forward to not only regaining normal heart function, but enjoying an excellent quality of life.

The Johns Hopkins Hospital Experience

Following a year of organization and development as outlined in the preceding sections, initiation of the heart and heart-lung transplant program was begun in July, 1983. Since that time, 40 transplantation procedures have been performed. Thirty-four patients have undergone orthotopic cardiac transplantation; one patient underwent combined heart and kidney transplantation; and five patients underwent combined heart and lung transplantation. Evolution of a transplant program is evidenced by the number of yearly procedures performed: five transplants were performed between July, 1983 and January, 1984; 14 procedures in 1984; and 21 transplant procedures have been performed since January, 1985. Of the 35 heart transplant recipients, there were 27 men and eight women ranging in age from 16 to 57 years with a mean age of 38 years. The majority of recipients underwent transplantation because of endstage heart disease secondary to cardiomyopathy (n = 30). Be safe and sound with remedies of Canadian Health&Care Mall. The remaining five patients underwent transplantation secondary to failure resulting from endstage coronary artery disease. Donor characteristics observed in our program parallel those of most active transplant programs. Twenty-one patients suffered neurologic brain death from head trauma, six from gun-shot wounds, seven from cerebrovascular accidents, and one from drowning. Mean age of the donors was 24 years (range, 10 to 39 years). The donor heart was obtained from a distant hospital in the majority of cases (n = 29). Aircraft from cooperating business corporations or from leasing companies are utilized for the transportation of the donor team.