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#amt pt.7
postsofbabel · 15 hours
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Read more on observation care from MCG paoer
downloaded in document section of Tablet
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How money works
Managing bed days
Hospital goes to commercial payer
Approval of payment
Clinical crietria
Nurse gives report read doc notes
PNA 3 days, Cellulitis 2 days, Scoliosis 5 days
No one can predict
Takes turn for worse.
PNA goes to pneumonia edema Afib with Rvr
Dripper
Nurse calls again
Pays for 3 days, denies 2 days, pt gets bill for $20k
How do they get in hospital
Er
Ins notification
7 days a week 24 days
Case managers holidays
Did not notify
Elective surgery
Not emergency
PA for these many days
Who decides
#Interqual largest approval date associated with UHG, McKesson, evidence based. What evidence. Circular reasoning. Specific study, criteria, propertiary, registered non physician. 1000..break up, Laura Coughlin BSN no clinical evidence. Monique Yahannan.
#MCG care guidelines Milliman Care Guidelines
Hearst health. Media company.
Bed day standardization in healthcare
Traditional Medicare uses DRG.
How long you stay does not matter. Pay you x amt.
2k per member per year
300b commercial
100b Medicare Adv
400 b goes thru UM
1m providers managed by 1000 powerful MDs and NPs. Huge financial pacts
Who made them king
Negotiate. Hospital ve to agree.
Ins carriers are real sticlers
Replace with InterCare or McGQual.
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InterQual Evidence based content
Atrius health uses InterQual to make decision confidently about hospital at home for pts against inpatient hospital setting.
Review labs, imaging
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Available modules in Interqual
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xomaliwudo · 2 years
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freewithyourtempo · 5 years
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Argue me tender, argue me true (pt. 7)
part 1 part 2 part 3 part 4 part 5  part 6
Charles was seen strolling through the campus park with hands in his pockets and a cheeky swing to his hips. He pushed his sunglasses down on his nose to wink at a girl that had smiled in his direction. He opened his mouth to say hello, but someone interrupted him. “Xavier?”
Charles blinked in confusion a couple of times, then turned around towards the guy that had called for him. He was sitting on the ground with his back resting against a tree, legs stretched in front of him and crossed at the ankles. The bottom of his boots was thick and chunky. Charles took a few steps towards him and tilted his head. His lips curled up in a flippant smile. “Erik… Lehnsherr?” Lehnsherr closed the book in his lap and raised an eyebrow. He squinted his eyes against the sun to take a good look at him. His eyebrow raised more. “Quite the outfit, you got there,” he said, tone clipped. 
Charles smirked and toyed with the collar of his black shirt, unbuttoned to the very limits of decency. He turned around and twisted his back in an attempt to look at his own ass. “What about these jeans?” There was a pause. Then a clearing of throat. “Perfect fit.” Charles faced him again and clapped his hands once in satisfaction. “I’m glad you like them.” “You’re not Charles, are you?” “What?” The rubbish bin on Charles’s right started shivering, and he took a step back. “That’s clearly his… body. But you are not Charles Xavier. What have you done to him? You have ten seconds to answer." 
"Raven Darkholme!" 
They both startled and turned towards Charles’s angered voice. "Uh oh,” Charles said. “What the Hell,” said Lehnsherr. “Would you be so kind as to explain to me why on Earth half of the bloody campus is thinking about my arse?” The new Charles stomped in front of the previous Charles and glared at him. “Well?” Previous Charles smiled slily. “You have a remarkable ass, brother dear.” New Charles flushed to the tip of his ears. “Why am I- are you dressed like that.” “It’s the outfit you wore on Friday night, don’t you remember? When that tall guy started to-” “I remember!” Previous Charles chuckled, eyes twinkling with mirth. “But if you prefer something else, I can always…"  His words were interrupted by the soft skimming of blue scales, and suddenly his legs were bare under very short soccer shorts.  There was a choking sound, then Lehnsherr began to cough convulsively.  The new Charles, the Charles in a sensible cardigan, turned to look at him with a shocked expression, as if he had noticed his presence just then. If possible, he got redder. "I- I can explain,” he stammered. “My sister Raven is-"  "A shapeshifter.” Previous Charles smirked one last time, then the blue scales moved again, and in his place appeared a blonde girl with round cheeks and the same smile as before. She waved a hand in Lehnsherr’s direction. “Nice to meet you, hot guy.”
Lehnsherr seemed starstruck, and made to get up, palms on the ground. “Incredible.” “Isn’t she?” Charles looked softly at his little sister, then caressed her golden locks. “You can trust him, Raven. You’re safe here.” Raven seemed uncertain, so Charles squeezed her elbow in encouragement. “Try to be clothed, though.”
She bit down on her lower lip, glanced around at the semi-deserted park, then took a deep breath to steel herself. One more rustle and she was of a brilliant blue. She blinked her fierce, yellow eyes open.   Lehnsherr’s eyes widened, too, and he got abruptly to his feet. Don’t make me regret this. Lehnsherr slowed down and focused on Charles as if emerging from a fog bank. He blinked and nodded once. “Your mutation is breath-taking,” he said to Raven, earnestness bleeding through every word . “You shouldn’t hide what you are… perfection. ”   Charles saw Raven’s cheeks turn purple and chuckled. Something sharp prodded at the bottom of his heart, but he ignored it. Thank you. Lehnsherr turned his head towards him and smiled.
“Charles?” Charles looked up from the tiny tornadoes the circular motion of his spoon had been creating in his tea for two minutes now. “Mh?” “You’re gloomy,” said Raven, and brought the steaming cup of coffee to her mouth with both hands. “I’m not,” Charles pouted. “I’m listening, you were talking about that model friend of yours, Elsa.” Raven raised an eyebrow. “Emma.” “Oh.” Raven tilted her head and blew on the hot liquid. She glanced around the bar with nonchalance. “You know, he didn’t mean it that way.” Charles fidgeted with the napkin. “I don’t know what you are talking about,” he mumbled. He didn’t need his telepathy to know that Raven had just rolled her eyes. “That’s a pity, because if you knew I would have told you that there’s no comparison between the way he looked at me when I was you, and the way he looked at me when I was me. Perfect mutation or not.” She shrugged. “Just so you know, brother dear.” “Oh,” replied Charles softly. “Oh, indeed.” Raven hid her knowing smirk in a generous sip of coffee.
Charles didn’t know how he got there. He remembered having thought that if he was in Azazel’s apartment and Azazel was Lehnsherr’s neighbor, then the apartment on the left had to be Lehnsherr’s. 
But he didn’t remember how, physically speaking, he had gotten off the couch, through the outrageous party and in front of Lehnsherr’s door. Let alone why he had done it. He loved parties, and he loved flirting at parties. 
Wait. 
He felt like he was moving towards a revelation. Where on Earth had he left his beer? His head was spinning mercilessly, and he thought sensitive to rest it against Lehnsherr’s door. 
Except he took the measurements wrong and banged his forehead against the hard wood. He meowled painfully but didn’t move. Why hadn’t Moira taken the alcohol away from him? He evidently wasn’t cons-, conscien-, responsible enough to make his own decisions. The door supporting his head suddenly disappeared. Charles gasped, stumbled and started falling forward like a palm-tree trying to hold an overgrown coconut. He scrunched his eyes, and the last thing he saw was a surprisingly clean gray moquette. He stopped mid-air. “Xavier?” Lehnsherr’s baffled voice came from somewhere above his nape.
Charles slowly regained awareness of his own body, and realized that someone was steadily gripping at both of his shoulders to keep him upright. He seized on the first thing he found and heaved up. “Lehnsherr?” “Who else should I be, you knocked on my door!” “I didn’t knock on your door,” Charles corrected. “I banged my head against it. It was an-, un-… I didn’t want to do it.” He flexed his fingers and saw them dipping in Lehnsherr’s naked, bulging biceps. He jumped. Then squeezed them again for the people. 
He finally stepped back from Lehnsherr’s tempting body and saw him frowning. Then smiling. “Xavier,” he chirped in amusement. “Are you drunk?” “Pissed,” Charles confirmed solemnly. Lehnsherr snorted, then leaned against the door frame. When he folded his arms, Charles swayed dangerously on his feet. “I’m surprised, you usually hold your liquor quite well.” Charles puffed out his chest. “I really do, don’t I?” Then just as quickly he deflated, suddenly gloomy, and pouted. “I was bored and kept drinking. I thought Azazel’s party would be more fun.”
And it looked like it was, at the beginning. Plenty of people, plenty of alcohol, dancing bodies, excited minds buzzing in his periphery. The music was still hammering against the wall and his temples were damp. 
Charles twisted his lips. “Why weren’t you there?” Lehnsherr looked startled and scratched at his nape. “I had to, mmh, study.” “I didn’t know who to argue with.” “Is arguing the only thing you do in your free time?” “I was talking to a girl and I said, you know, because I knew how you would have reacted, I said that the law is the actual proof of humanity’s willingness to do right by each other… “ Lehnsherr emitted a disconcerted sound. Charles beamed and flapped excitedly his hand in his direction. “Exactly! But she just agreed with me. It was,” Charles scrunched his face. “Bad.” “Was it?” Lehnsherr’s upper lip had curled slightly. He really had no right to look that yummy in the middle of the night. And soft. “Yeah,” Charles grumbled. “I tried flirting, but…” Lehnsherr slowly straightened from his position against the door frame. Something started buzzing against Charles’ headache like a turned-on mosquito swatter. “But?”
Charles massaged his temple and shrugged. “Didn’t really feel like it. So I left.” He hummed.” I haven’t been polite, now that I think about it.” He stretched his telepathy towards Azazel’s apartment and groped clumsily at every mind stacked in there until he found what he was looking for. It felt like staggering in a crowded room and tapping on people’s shoulders to make them turn around. “Oh,” he said, somewhat relieved. “Doesn’t seem so upset: she’s making out with someone she thinks is hot.
“When he got back in his head he realized that Lehnsherr was looking pensively at him. Intensely waiting. “Why are you here, Charles?” Charles frowned again, because he really didn’t know. He just. Wanted to. He guessed, or he wouldn’t have been there in the first place. He tried to untangle the mess of his soaked, blubbering thoughts to find a thread of logic. 
“I feel,” he attempted. “Satisfied. With you here. I’m not bored and fidgeting anymore.” He was nervous. Why was he nervous? His fingers kept twisting around each other. “Well, I am. But in my stomach, not here.” He tapped twice on his own temple to explain himself. “What if I… I think I like arguing with you more than flirting with anyone else. ” Charles was suddenly invested by the mental equivalent of a geyser, boiling and whipping in his head, but couldn’t make out the flavor of Lehnsherr’s thoughts. His heart was stomping in his chest. He lifted his eyes and locked them with his. 
Lehnsherr looked flabbergasted. He was gripping at the door frame with white knuckles, arms strained, and something in the keyhole was furiously spinning. He stepped forward, then changed his mind and stopped where he stood. His voice trembled when he said: “Maybe you should go, now, Charles. I don’t think it’s a good idea to- ” Charles flinched as if slapped. He ran away ignoring Lehnsherr calling his name.
Mmh… I’m back with this story?
@helene-of-spain , @youarerageandserenity, @why-cant-people-just-think, @auri-moon , @starkqnthony, @docty-strange , @starkxavier, @ectoplasmaticpansexual, @season-four-is-imminent
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koriyue · 3 years
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boop! an anon asked me for tips on making my receipt lockscreens! this tutorial will be focused on making the receipt itself :)
important notes!
🎐 your text in the receipt does NOT have to be the same as this one!
🎐 all dimensions and font sizes in this tutorial are for my current receipt. please change them to suit your edit!
program: photoshop 2021
difficulty level: ★★☆☆☆ (2/5)
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1. make a white (#FFFFFF) document that’s 800 (width) by 1200 (height) pixels. the size itself doesn’t matter—it just depends on how big you want your receipt!
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2. add the text wangsheng funeral parlor, liyue harbor, archon to the top of the document. the text should be centred and near the top. all of my text was capitalized.
font: monaco
size: 13 pt
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3. add the name of the character this receipt is for under the first sections of text! this should also be centred! 
font: carlanta bold script
size: 66 pt
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4. add a date.
font: monaco
size: 15 pt
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5. make a dotted line using the line tool under the text. 
colour: #797979
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6. add the text QTY, ITEM, AMT under the line. then, duplicate the line and add it under the text.
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7. add the contents of the receipt! all the content should line up according to the titles above them!
font: monaco
size: 13 pt
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8. add the text item count and total along with their respective numbers. duplicate the same dotted line and place it under all of it.
font: monaco
size: 13 pt
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9. add the text thank you for rolling! under the line.
font: monaco
size: 19 pt
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10. add a bar code to the bottom of the receipt. i made mine using a variety of different lines with the line tool!
the barcode: (x)
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11. add a wrinkled paper texture on top of everything. set it to linear burn. 
paper texture: (x)
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dimaslombardi-blog · 5 years
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Lensautama.com –  Renault Triber resmi diperkenalkan di New Delhi, India pada hari Rabu (19/06). Mobil Ultra Modular 7-seater dari Renault ini memiliki desain yang atraktif, kokoh, lapang dan modular atau dapat di atur menjadi 5-seater maupun 7 seater dengan mudah.
Renault Triber diperkirakan dijual dengan harga mulai 5,3 lakh Rs atau 530.000 rupee atau setara Rp 108,5 juta (tanpa bea masuk dan pajak).
Renault Triber menargetkan kebutuhan konsumen yang terus tumbuh untuk mampu mengakomodasi dan memberikan kenyamanan kepada satu hingga tujuh orang penumpang dengan panjang mobil kurang dari empat meter. Kehadiran Renault Triber akan berkontribusi terhadap strategi global Groupe Renault untuk terus tumbuh di pasar otomotif dunia.
Kendaraan ini akan di produksi di Chennai, India dan akan mulai dipasarkan di India pada semester dua tahun 2019.
Thierry Bolloré, CEO Groupe Renault mengatakan, “India merupakan pasar kunci untuk Groupe Renault.  Di India kami masih muda, akan tetapi ambisi kami sangat tinggi selaras dengan rencana strategis kami “Drive the Future” dengan menyasar dua kali penjualan di tahun 2022. Dengan alasan tersebut, kami akan membawa Renault Triber, satu konsep terobosan terbaru yang ditargetkan untuk pasar inti India. Renault Triber disusun, dikembangkan dan diproduksi di India karena untuk konsumen India dulu, sebelum kami bawa untuk seluruh dunia”
Interior
Desain interior Renault Triber yang modern merepresentasikan teknologi terdepan dengan sistem hiburan berlayar sentuh ukuran 8 inci yang sudah dilengkapi dengan fitur Apple CarPlay dan Android Auto. Kendaraan ini juga memberikan kenyamanan dan fleksibilitas terbaik di kelasnya untuk dapat mengakomodasi satu hingga tujuh orang dengan panjang kendaraan kurang dari empat meter.
Kendaraan ini memberikan jarak baris depan (710mm), ruang kaki baris kedua (hingga 200mm), dan ruang kaki terbaik untuk baris ketiga (91mm) dengan socket charging dan pendingin udara untuk penumpang di setiap baris sehingga memberikan kenyamanan yang merata dimanapun penumpang duduk.
Kursi pada baris kedua dapat diluncurkan, disandarkan, dilipat dan dimiringkan. Sistem Easy Fix juga memungkinkan untuk penanganan mudah dan melepaskan kursi independen pada baris ketiga untuk menambah kapasitas bagasi menjadi 625 liter. Renault Triber menawarkan lebih dari 100 konfigurasi tempat duduk berbeda.
Mesin Bensin
Renault Triber dilengkapi dengan mesin bensin tiga silinder berkapasitas 1,0 liter yang mampu memberikan daya hingga 72 hp dengan torsi puncak sebesar 96 Nm. Transmisi yang ditawarkan adalah transmisi manual lima percepatan dan automated manual transmission (AMT) lima [5] percepatan.
Keamanan
Untuk keamanan, Renault Triber dilengkapi dengan empat airbags dan sabuk pengaman pada semua baris yang dilengkapi dengan retractor dan pretensioner untuk pengemudi. Sensor parkir dan sistem peringatan kecepatan juga sudah dimiliki Triber.
Renault Triber menawarkan keunggulan dengan kompartemen mesin yang sudah dioptimasi, kelapangan terbaik dan fleksibilitas tak tertandingi serta mampu memberikan kenyamanan yang merata saat berkendara bagi semua penumpang.
Dalam waktu dekat, Renault Triber siap dikenalkan oleh PT Maxindo Renault Indonesia (MRI) untuk turut memeriahkan pasar otomotif Tanah Air pada pameran otomotif GIIAS 2019 yang akan diadakan Juli mendatang.
Davy J Tuilan, CEO PT Maxindo Renault Indonesia juga menyatakan “Kami sangat antusias menyambut kedatangan Renault Triber di Indonesia yang akan di perkenalkan di GIIAS bulan Juli mendatang. Terobosan disain dan fitur Renault Triber yang akan menjadi standar baru otomotif Indonesia, akan menarik pelanggan dari berbagai segmen”.
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Renault Triber Mobil Ultra-Modular 7 Seater Siap Mengaspal di Indonesia Tahun ini !
Lensautama.com –  Renault Triber resmi diperkenalkan di New Delhi, India pada hari Rabu (19/06). Mobil Ultra Modular 7-seater dari…
Renault Triber Mobil Ultra-Modular 7 Seater Siap Mengaspal di Indonesia Tahun ini ! Lensautama.com -  Renault Triber resmi diperkenalkan di New Delhi, India pada hari Rabu (19/06). Mobil Ultra Modular 7-seater dari…
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edmondmoller · 7 years
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New Post has been published on http://menshealthwithus.com/your-body-is-amazing-pt-2
Your Body Is Amazing Pt. 2
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New Post has been published on http://weeklyspecialoffers.com/AutoProfitz/your-body-is-amazing-pt-2/
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ASAPSCIENCE INC. P.O. Box 93, Toronto P Toronto, ON, M5S2S6
https://lunginstitute.com/blog/never-knew-breathing-facts/ http://www.nationalgeographic.com/science/health-and-human-body/human-body/lungs/ https://my.clevelandclinic.org/health/articles/how-your-lungs-work http://factslegend.org/20-interesting-human-lungs-facts/ http://factslegend.org/20-interesting-human-lungs-facts/2/ http://www.umm.edu/news-and-events/news-releases/2010/when-bad-tastes-good-discovery-of-taste-receptors-in-the-lungs-could-help-people-with-asthma-breathe-easier http://www.bluebulbprojects.com/measureofthings/results.php?comp=length&unit=km&amt=2400&sort=pr&p=2 http://www.bluebulbprojects.com/measureofthings/results.php?comp=length&unit=km&amt=992 https://www.usatoday.com/story/life/2015/10/02/lungs-kidneys-regulate-ph-levels/73171556/ http://www.interactive-biology.com/4081/handling-ph-how-your-body-regulates-acididity/ https://fmss12uchemd.wordpress.com/2013/05/07/bicarbonate-buffer-systems/ http://pdb101.rcsb.org/motm/49 http://factslegend.org/35-facts-human-kidneys/ https://www.livescience.com/27012-urinary-system.html http://healthresearchfunding.org/7-interesting-facts-urinary-system/ https://www.niddk.nih.gov/health-information/kidney-disease/kidneys-how-they-work https://www.livescience.com/52047-kidneys.html https://www.scientificamerican.com/article/how-can-you-live-without/ http://www.hematology.org/Patients/Basics/ https://blood.ca/en/blood/facts-about-whole-blood http://www.telegraph.co.uk/men/the-filter/qi/8667421/QI-Quite-interesting-facts-about-gold.html http://www.sciencekids.co.nz/sciencefacts/humanbody/blood.htm https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P00083 http://www.express.co.uk/life-style/top10facts/407362/Top-10-facts-about-blood http://www.chp.edu/our-services/transplant/liver/education/organs/spleen-information https://www.livescience.com/44725-spleen.html http://www.merckmanuals.com/en-ca/home/blood-disorders/spleen-disorders/overview-of-the-spleen http://healthresearchfunding.org/7-interesting-facts-white-blood-cells/ https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P00083 https://www.ncbi.nlm.nih.gov/books/NBK2263 https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072641/ http://www.umm.edu/health/medical/altmed/condition/heat-exhaustion http://www.nhs.uk/Conditions/Hypothermia/Pages/Introduction.aspx https://www.scientificamerican.com/article/why-do-humans-get-goosebu/ http://www.livestrong.com/article/130205-interesting-digestive-system/ http://factslegend.org/30-interesting-human-stomach-facts/ http://factslegend.org/30-interesting-human-stomach-facts/2/ http://factslegend.org/30-interesting-human-stomach-facts/3/ https://www.scientificamerican.com/article/why-dont-our-digestive-ac/ http://www.independent.co.uk/life-style/health-and-families/features/life-without-my-stomach-5337361.html http://www.healthline.com/health/fun-facts-about-the-digestive-system#3 http://www.liver.ca/liver-health/liver-facts.aspx http://www.chp.edu/our-services/transplant/liver/education/organs/liver-functions https://www.endocrineweb.com/conditions/diabetes/normal-regulation-blood-glucose http://www.diabetes.ca/about-diabetes/types-of-diabetes http://www.bidmc.org/YourHealth/Health-Notes/Bones-and-Joints/Bone-and-Joint-Basics/Bone-and-Joint-Facts.aspx https://health.clevelandclinic.org/2015/10/13-strange-interesting-facts-bones-infographic/ https://www.niams.nih.gov/health_info/bone/bone_health/exercise/default.asp https://www.livescience.com/6040-brute-force-humans-punch.html http://orthoinfo.aaos.org/topic.cfm?topic=A00521 http://scienceline.ucsb.edu/getkey.php?key=3088 https://www.scientificamerican.com/article/bone-resilience-depends-o/ http://onlinelibrary.wiley.com/wol1/doi/10.1111/j.1365-4632.2005.02800.x/abstract https://www.livescience.com/42868-how-fast-does-hair-grow.html https://www.aad.org/public/kids/hair/how-hair-grows https://www.ncbi.nlm.nih.gov/pubmed/19744178 http://www.nytimes.com/2011/05/24/science/24qna.html
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