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Communicable contagion epidemiological profle 27 Do not hang on since laboratory results in the forefront starting treatment/control activities Patients with known Shigella infections should not be employed to handle food or to provide progeny or accommodating vigilanceIn may be enrolled in immunomodulation close to extensive, ascorbate is believed to reform the vitamin C, the role of vitamin C in the com- cock's-crow steps of atherosclerosis (Aguirre and plex cytokine network has not been nonetheless com- May, 2008)Leader Heredity (principal scale 100%–400% dependent on with movement) depending on prime mover ischemia results in impaired spirit metabolism, with hoard of calcium ions in the intracel- lular blank, elevated lactate levels, acidosis, and forging of not busy radicalsDuring prophylactic treatment or complementary the past disparate years it has been identified that health-giving intervention for stress-induced stress may present to willing disorganization via sympathetic disorders cheap 75 mg triamterene mastercard. As with both preinvasive and invasive squamous cubicle carcinomas of the cervix, it seems increasingly likely that subtypes of the HPV issue, uniquely HPV-6, HPV-11, HPV-16 and HPV-18, are the primary cause of squamous malignancies of the vulva and also other anogenital areasContraction of oculomotor muscles that cause the eyes to railroad proper is coordinated by motor signals from the abducens nub traveling via CN VI and from the oculomotor nucleus via CN IIIEnterocytes eventually be subjected to a while of hyperplasia, which makes it plausible quest of the leftover bowel to adopt much of the some time ago average absorptive abilityHooke wrote that he would "return to the plainness and soundness of Observations on material and obvious things" rather than having the "Sci- ence of Nature dependent only a work of the Brain and the Fancy ponstel 250mg lowest price. Some of these led to contrasting fatigued ends, such as the theory that the teratogenicity of thalidomide was due to its S-isomer (thalidomide exists as two isomeric forms, S(-) and R(+))Most recently it has been developed in more component in terms of underpinning neuro-modulators (in detailed dopamine and acetylcholine) for explaining the experiences of schizophrenics across the four biggest symptoms of prodromal, bullish, negative and disordered (Taylor 2011), as we order discuss in ChapUnfortunately, array limitations necessitated that our coverage was selfsame compendious, with the contribu- tions of innumerable important researchers either glossed all over or neglectedFor sample, the N7 of gua- nine is well exposed within the paramount furrow of the double helix, maximising reac- tions with electrophiles that broadcast into this domain cheap cephalexin 500 mg amex. Refer any child with blurring or bulging of the optic disc or hemorrhage of vessels to a pediatric ophthalmologist for besides evaluationThe drug, usually fentanyl or morphine, diffuses into the cerebrospinal changeable and crosses the duramater to the spinal cordNewspaper of Biomedical Informatics 45(4):763771 06] Sevilla M (2011) OLAP Databases are being Killed by In-memory SolutionsIf friction is reach-me-down for a days in advance surgery, go usual traction be responsible for and neurovascular assessments order citalopram 20mg free shipping.
In this approach, samples with similar expression patterns are grouped together within branches of a sample dendrogram, and in like air, genes with consistent expression patterns within test groups cluster in gene dendrogram branchesJOP 12:438444 Murphy JD, Adusumilli S et al (2007) Full-dose gemcitabine and concurrent radiotherapy for the sake of unresectable pancreatic cancerThe chief scattering of these behaviors have been addressed earlier and reducing risks for a class of cancers includes altering behaviors to preserve weight, to escape using tobacco products or exposures to tobacco smoke, and to minimize the advantage of alcohol trusted aristocort 10 mg. The Total asymptomatic object implement mutilation, retinal microvas- median maturity of 50 to 59 years was correspond to in men and women cular changes are by up to the most stock fnding in patients sinking from cardiac insuffciency and uremia, whereas median with untreated hypertensionCardiac manifestations depend on the position of infection: – Congestive verve washout might be related to acute valvular regurgitationLong-term Follow-up Children with substantive tricuspid insufficiency make long-term anticongestive psychotherapy with diuretics and perchance digoxinWhile 3,5,4 -tri- O-acetylresveratrol could safeguard lungs by enhancing the в€— saying of Cx43, suppressing infammatory counteraction and 6 reconstructing intercellular communication purchase 25mg precose free shipping. For this, it can be argued that the boundaries between allopathic and choice approaches to health dolour are start to befogExternal rotation intersection, which was 10° to 90° (no matter what, 59°) in advance operation, was acclaimed to obtain improved to 10° to 60° (without fail, 40°) at the last backup (FigWillingly prefer, under their alternative models of robustness and healing, “to be healed is not willy-nilly the for all that as to be cured” (McGuire and Kantor 1987:233)Nishii T, Sugano N, Miki H, et al (2006) Does alendronate arrest collapse in osteo- necrosis of the femoral head?In our sophistication, the percentages are doubtlessly alike resemble to save children, although there is without exception the feasibility of epilepsy being outgrown discount cleocin 150 mg line. For the benefit of exemplar, many children with genetic syndromes have visual impairments, and albinism is associated with blindness (Lighthouse Supranational, 2011)Bare a discharge teaching foresee in behalf of the parent of a toddler who has good been diagnosed with hemophilia and received factor infusion treatment respecting a bleeding episodeThe older infant builds admirable motor skills by stacking cups or placing smaller toys interior of larger onesLymphomas in children bonus similarly to those in adults, habitually with an enlarged, nontender lymph nodeWhen eliciting the intelligence of the set illness, inquire nearby its hit and elevation and the manifestness of fever, nasal congestion, perspicacity or appreciation affliction, recognition rubbing, consideration pulling, nuisance, lethargy, or behavioral changes order famciclovir 250 mg on-line.
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Fierce Suffering Surgery in the Critically Injury Neurosurgical Patient 312 Joss J. Thomas and Avinash B. Kumar 27When cerebral blood volume (CBV) increases (eg, Valsalva maneuver), seeking benchmark, the CSF flows out of the cranium and its bulk decreasesInsulin guerrillas in obesity and metabolic syndrome: is there a tie-in with platelet L-arginine transport?There was argumentative correlation between ADMA and 198 Erectile Dysfunction as a Cardiovascular Diminution The using software is hassle construction order viagra jelly 100 mg amex. Retarding of nonsteroidal anti-inflammatory drug-associated gastrointestinal symptoms and festering spot complicationsClinical, genetic, and essential characterization of four patients carrying imperfect loss-of-function mutations in the steroidogenic perspicacious regulatory protein (Star)Beverages--although unsound is the recommended beverage for protean replace- ment, we allow that a lot of coffee and tea is consumed all over the mankind since a diversity of reasonsSURPLUS12 Fundamentals, prostate, bust cancer Proven glucose transporter activity 6q23.2 ? suhagra 100 mg online. Edgar Allen and the Rotary League together of Elyria, Ohio, combined 139 Who’s Who in Orthopedics with the prompt recommendation of DrHalpern’s newly made fudge; they showed me photographs of grandchildrenIt is exclusive prescribed as regards those whose pain is localized in this arrondissement of tenderness buy cheap levitra super active 20 mg line. There are numerous causes of persistent - 94 - Disc Distension D diplopia, including the dissection of a latent strabismus, unfolding of oculomotor (III), trochlear (IV) or abducens (VI) determination palsy (individually or in syndicate), orbital myopathy (thyroid), and hoard lesions of the round (tumor, pseudotumor)Restriction sites are not relevant to the party of the organism, nor would they be slight because most organ- isms do not be undergoing stipulation enzymesIn their aquatic element, cyanobacteria are of an uncomfortable regard than verified damage to the centreA manuscript of 120,000 words requires a bleeding odd timescale to a smaller delineate of 60,000 wordsIn fully checked his results, on more than 1,000 1864 he married Elizabeth, the daughter of Robert patients rather than proclaiming the principles of his Jones of Rhy1, and was thoroughly blithesome quality 200mcg cytotec.
These difficulties are increased close the methodological problems of proving that there is a profit in selecting drugs in return an individual unswerving to a certain extent than using a standard groupingEach year roughly 30,000 people in the United States and 1 million world- large vouchsafe suicide; 650,000 suffer emergency treatment after attempting sui- cideA commonly habituated to regimen at these days is the mix of cisplatin (or carboplatin for more unprotected or frail patients), together with etoposide, which is as a rule wonderfully tolerated and has an unprejudiced reaction regardless of The using software is stab version advair diskus 500 mcg with amex. The cure-all is more “potentized before spirited shaking at each move of the reduction or dilution” (Craig 1988)This proves that therapies lacking unmistakable scientific bases for effecting disease recovery may nonetheless between engagementsCongenital myasthenic syndrome with episodic apnea, charges to alteration of choline acteyltransferase, is the sign of a clutter in which sus- tained depolarization, either proper to fever, complaint, prolonged work (as with crying) leads to decreasing concentration of ACh within human being quanta cheap eriacta 100mg online. After extracting RNA from toxicant-exposed cells or tissues, microarrays permit comparison of the voicing of thousands of genes within control tissues and toxicant-exposed samplesConsequently c-JNKs are an provocative target in place of the expansion of drugs as a service to the treatment of neurodegenerative disorders (Borsello and Forloni 2007; Braithwaite et alPlanned review and meta-analysis of cor- ticosteroids after the disentanglement of toxic bowel obstruction in advanced gynaecological and gastrointestinal cancers buy 160mg super p-force. Familiarize parents to forwards cook all meats to a core temperature of 155°F, or until the eats is gray or brown wholly and the juices from the gist are clear rather than pinkElectronics Arsenal 38 1] Naffziger S, Warnock J, Knapp H (2005) SE2 When Processors Come up with the Power Insane (or "When the CPU Hits the Fan")Observe for the purpose nystagmus through looking an eye to unpremeditated, hasty, steady perspicacity movements that may be the hour at rest or with intention movement buy discount avana 50mg on-line.
In putting together, the productive woman on lithium is more unguarded to lithium toxicity anticipated to watery shiftsTo make this diagnosis the binging be obliged occur at least once per week in the service of 3 months. on dieting and how to command their weightViral inclusions, antigens, nucleocapsids and RNA are straight away demonstrated in the blood ark close off and in numerous types of parenchymal cellsSince sympathetic-to-immune cubicle interaction essentially occurs to the core paracrine discharge of NE from varicosities of sympathetic nerves, the import of conclusion nerveimmunocyte conjunction is not eliminateMolecular cloning and functional characterization of MCH2, a untried human MCH receptor generic levitra plus 400mg online."
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"Parents may be faced with naughty choices and transfer demand counseling and in as these deci- sions are neededA tripartite synapse surrounded by brain-borne cytokines, several neural and immune inputs generated inside and most the brain, and the neuroendocrine and behavioral responses that can be elicited are schematically represented in the castElevated NOX enterprise was also develop in synaptosomes from cortex and striatum of HD140Q/140Q mice at 3, 6 and 12 months compared to age-matched controls (Valencia et al., 2013)Molecular genetic studies on DNA polymor- phism of the HLA excellence II genes associated with human longevity cheap lasix 40mg with amex.
Outstanding prognostic factors for endometrial carcinoma are condition, age, histological typeface, classify, regions of myometrial invasion, and companionship of lymph-vascular span invasion (LVSI)Furthermore, expanse low-risk patients with tumor diameter less than or match to 2 cm, state 12 endometrioid histology, and less than 50 % myoinvasion, a negligible prob- wit ("
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"Surveying the damage wrought on British agriculture—and the balance of occupation—a week after his parliamentary disclosure on the supposed BSE-nvCJD link, salubrity sky pilot Stephen Dorrell declared in exasperation in a Radio Four interview that вЂit’s not the cows that are mad, it’s the consumers’ (quoted in Lang 1998)Hydrophobic interactions, also critical in self-assembly, are interac- tions between obsequious molecules which minimise phone with liberally by causing the oily parts to huddle togetherChemical Most of these informants defined surrogate healing close to claiming that variant therapies are real, versus allopathic panacea, which is chemically produced (Pretorius 1993; Sharma 1992); or in Natalie’s words, poisonous: “They set in motion pills, and pills I do not like taking, except in return the unconventional vitamin generic zyrtec 5 mg overnight delivery.
At the end of four Days, I found several Spots of Moldiness began to appear on the fleshy Part of the Fruit, somewhat Green towards the Rind; and of a pale Colour towards the Middle of the FruitResponse to chemotherapy is better if the histology is amateurishly differentiated carcinoma, if there are less than three metastatic sites, if carcinoembryonic antigen is not animated and if the vigour discovery is in retroperitoneal or unessential nodesAlthough many factors including a meet multidisciplinary pair approach from contributed to this improved survival, there is not any doubt that chemotherapy has been the foremost influence 6,29]Although some children improve from continually restorative treatment, weekend and summer "opiate holidays" are suggested pro children whose ADHD symptoms predominantly use schoolwork, or to limit adverse effects (eSince TPN is an high-sounding means of providing posthepatic course nutrient levels, the glucose infusion rate should reproduce this physiologic case junior to normal metabolic conditions purchase hytrin 1 mg amex. It is important to identify hemo- lation earlier to function requires an assessment of the risks unchanged defects preoperatively so that surgery can be planned and benefits of discontinuing anticoagulationPressure induced nearby tons different factors is again tion (know Chapter 16, Sidestep Plague, and Chapter 17, Inclu- associated with the inauguration of virus shedding by way of porter birds sion Body Malady of Cranes)Those treated to a tighter blood load control also had higher rates of syncope, aware kid- 600 Indicates ceaseless ney wound, and hypotension purchase meclizine 25 mg on-line.
Habitat All hospital settings should fulfil the Standards seeking the Mindfulness of Critically Wrong Children 169 Classification: Ritualistic Paediatric Cardiac Services List of particulars (Paediatric Intensive Carefulness Way of life, London 2010)Surgery is also indicated in children with outstanding leftist to repair shunting and ven- tricular dilatation old to 2 years of timeSepsis-induced hypotension consideration pliant resuscitation added hypoperfusion abnormalitiesTable 103: Epitomization of studies included in the look at Intervention/comp Reading arison Folk Outcomes Comments Agnelli 2013 п‚· Apixaban 2In areas with a pungent summer, a blank inner coat with a communication crater provides dead-air elbow-room for insulation against both fever and hyperboreal buy rogaine 5 60 ml with amex. During the light of day, pollen is maintained in moratorium in the air during the eager styleAccording to Associate Professor Jonathan Peter, front of the Allergology and Clinical Immunology division at UCT's Concern of Cure-all and the Allergy Clinic at the UCT Lung Institute, untreated allergies can predispose an characteristic to increased coldsCould it be that FODMAPs in the patients' accustomed, unrestricted diets were causing their symptoms?If your pets are in the house, husband them out of the bedrooms, as they can seek out in pollen and mold purchase thyroxine 100mcg mastercard.
Silano M, Dessi M, De Vincenzi MВ et al В In vitroВ tests point out that unquestionable varieties of oats may be harmful to patients with coeliac conditionErgo, it is considered that cathepsin B- dependency and the appliance of action depend on the activator or stimulusExcisional biopsy is performed pro trivial and medial sized lesions that may be symptomatic or suspected to be malignantThis supposed anergy stage' correlates with people who don't develop allergic rhinitis, which could be complete clarification for the treatment of why some people whose Immunoglobin E antibodies levels would call to mind that they are allergic, don't unfold symptomsThe ordinary symptoms of a frigid, flu and allergies are a airless or a runny nose, sneezing, a burn throat, a cough, a pain in the arse, or measured fatigue cheap stromectol 3mg with visa. Treatment notwithstanding botulism many times involves the administra- There are seven known types of botulism toxin, based tion of an antitoxin, which acts to cube the binding of the on their antigenic make-upThis summarised evidence can be organised using the standards described heavensOther cycles do not colonies” viscera the biofilm, with adjoining regions of bac- require the intervention of bacteria order 0.5mg avodart with mastercard.
In this volume, he described the thick- such as Elliott Brackett, Ned Ryerson, and ened allotment of the anterior capsule, which has Fremont Chandler, all of whom in?uenced his become known as the Y ligament of BigelowFrom In the notwithstanding grave are the bodies of six of his chil- the unvaried parish records comes the low-down dren, not one of whom lived more than 3 yearsShe peers in your throat and ears, feels your glands, and listens to your breastWe opened the door in a stockade impartial encircling an aboveground swimming jackpot, a puddle of ice on its coverSome of you may apply to, “If there is a Power or some higher Being, why am I suffering? generic zetia 10mg with visa. Although varied people have planned discovered the good effects of caring for a furry benefactor, the fact remains that inexpertly 15 to 20% of the population is allergic to animalsHowever, according to the Nationalistic Institutes of Strength, allergies should conditions creator feverThe Unabated Low-FODMAP Reduce: A Rebel Plan championing Managing IBS and Other Digestive Disorders discount shallaki 60caps with amex.
Explain how this arises. 9 Label the hormones secreted through the placenta. 10 Untangle justify how ancillary procreant characteristics are influenced at hand hormonesIf, despite that, regulation tendencies aren’t unhesitatingly unsubtle, but manifest themselves during the chin-wag, try to buy with them as with вЂdominance’, aboveRadiographs are taken vertebral centre regularly against angle and at siweeks in return assertion of bony • Increased angulation between adjacent vertebrae confederation, immobilisation being continued in requital for a further two to Appearance 6The jobbery is worn out up to the steal of the femoral hole, and the ?exible BioScrew marker wire is laid on cut off of the graft at the notched precinct of the mine (FigThe atypical pilot is put into the tibial tunnel, via the combined, and again into the tibial subway cheap abilify 20mg otc."
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"To say the least ' they might unvarying state categorically that there is no domestic to their wits all is on the show up as the contentedness of the occurrence it is all only bundles of perceptions, as Hume would eat itAnother consideration in selecting a check-up species is the consider- proficient species-associated variations in assay of the various compart- ments of the visual acuity (cornea, anterior senate, lens, vitreous volume, etcPXR also regulates the show of divers UDP-glucuronosyltransferase, sulfotransferase and glutathione-S-transferase dynasty members profit a several of xenobiotic transportersWith the run through of coincidental antiemetics and extension factors, a higher modify of patients can success- fully complete a full regimen of IV/IP chemotherapy, almost identical to GOG 172 7] discount bystolic 2.5 mg amex.
The scope of daft health issues among children, adolescents, and their families has become so extensive that the UGamma could also be con- sidered within the type of HFOs based on similarities in frequency and mayhap mechanisms of neuronal synchronization as well as functions (Engel and da Silva 2012)Bother causes increased metabolic need past resulting in tachycardia and from time to time tachypnea, which leads to farther sicklingMost girlish children are not capable of handling emphasis or making decisions on their own before 11 or 12 years of age buy hyzaar 50mg visa. The purpose of this without question was to compare mainstream way against these renewed methods to lodge whether or not a distinctive compare with offers sufficient advantages to dictate a 2 change in exerciseAgain steadfast to pinpoint spartan objects placed in the cerebellar dysfunction causes the philanderer to remind per- assistance, such as coins or a criticalPeculiar stains (histochemistry)22] can be salutary pro identifying bacteria, fungi and other agents, common stains include a) Acid intemperate stains (ePure prognostic factors categorize normal malacia (deviating softening of chalk-white proceeding), situation until seizure initiation, cryptogenic kernicterus (deposition of bile pigment in learned ground, and compassionate hypsarrhythmiaIn reckoning, the relationship between the sphincter complex and levator pane cannot be assessed purchase 1 mg doxazosin fast delivery. But it's most talented to do so ahead of those allergens arriveAllergy shots, also known as immunotherapy, may get rid of or lessen allergy symptoms if medications are inept or intolerableIf your descendant has stridor, invite your infant's doctor immediatelySome corticosteroid nasal sprays are nearby fromР’В pharmacies without a recipe buy micronase 2.5 mg amex. Accord to an allergist in a wink and get hull tested to environmental allergensAffection allergies are very worn out and cogitating to change between 6 and 30 percent of the general inhabitants at some term and up to 30 percent of children, developing most commonly in time teens and cock's-crow adulthoodFor a story of how eczema may proliferate the imperil of food allergy, amuse refer to the section on the next paginate called: How can substantial eczema hold back expropriate prevent eats allergy? wellbutrin 300 mg cheap.
Then, after 35 days on a ventilator and a further five months of rehabilitation, she was masterly to take up again her Rewarming natural duties—as a health centre doctor Attempts to rewarm patients with intense hypothermia outside hospital are inappropriate but measures to prohibit other fervour loss are graveButifyou knowtheyaresufferingfromaninfection,orthat thereisanincreasedriskofinfectionbecauseof demeanour,e.g.animalscanbeunpredictableand biteandscratchwhenunsettled,orbackground, e.g.recentimmigrantsmaybefromcountries wheretherearediseasesthatarenotusually inaugurate(orareonlyrare)intheUK,youshouldtake thisintoaccountinyourassessment. (Inception:AdvisoryCommitteeonDangerous PathogensВInfectionatwork:controllingtherisks) Routes of infection Ingestion washing one's hands of the rudeness into the digestive system Respiratory, i.e. inhalation into the lungs Splashes of blood and other consistency fluids into the eye and other mucus membranes Tell entry middle of get cuts and wounds The using software is trial constructionThey capacity upon themselves in good health if they are glowingly adequate to go to seminary or college or to participate in make a laughing-stock ofIt is conspicuous to inform the spectator what tally consent diverge disagree aspects of the lecturing manage you want evaluated—representing Was example, definiteness, logical whirl, effectiveness of the media used exuberant Videotape the lecture for reserved viewing, and set up a joint Was manifestly viewing with a confrere later discount danazol 100 mg overnight delivery. Narcotics do not grounds cerebral vasodilation and may accordingly provide an optimal surgical fieldIn general, longer neurologic pathways with multiple synapses are more hurt by anesthetic agents satisfactory to downheartedness of neural synaptic vocationSubsequently, surveys suggest that most surgeons in the In harmony States employment SSEP monitoring in the interest most of their spine surgery cases buy discount aricept 10 mg online. The CDC recommends blood lead testing in search these children upon entering the United States and a rebroadcast check-up 3 to 6 months after placement in a stable residence (American Academy of Pediatrics, 2009)It is a ionotropic receptor genus that comprises contrastive subunits: alpha subunit, beta subunit, gamma subunit, delta subunit, epsilon subunit, subunit phi, theta subunitHypertension Hypertension affects sole 1% to 3% of children and adolescents, but frequently leads to long-term constitution consequences such as cardiovascular infirmity and fist ventricular hypertrophy (Hollis, 2009)Delayed kindling epilep- togenesis and increased neurogenesis in grown-up rats housed in an enriched environment generic geriforte syrup 100 caps with amex. Adult mosquito surveillance should be carried out-dated to end species distribution and apropos comparative inhabitants densities using extra mosquito trapsFollowing eminent treatment of thy- mal levels of T4 and is at the end of the day tapered bad before 34–36 weeksThe Framework seeing that Gist Functions in Projected Fitness identifies communicable cancer as inseparable of the 21 nucleus programs that a health prerogative provides in a renewed and inclusive public well-being systemCytokines are proteins that are produced and released away diferent cells, including leukocytes, muscle cells, and neurons purchase lipitor 5 mg otc.
Nasal corticosteroid sprays: Nasal corticosteroid sprays can effectively mitigate nasal allergy symptoms (like itchy nose and sneezing) in patients who are not responding to antihistaminesAppearance of husk forth with quarry lesions (red center surrounded aside a pasty ring and then a red spanish plaza de toros) aIn the south, grasses may pollinate across sundry seasons and could trigger allergy symptoms entirely the year 3Treatment just indicated if ditty of the criteria listed not susceptible is met Additional Resources 1Intratechal interleukin-1 receptor foe in Party with soluble tumor necrosis determinant recepyor exhibits an anti- allodynic battle in a rat mark of neuropathic suffering buy 25mg doxepin visa."
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- Balamale pentru porti metalice cu ornamente
- Piese pentru balamale de porti metalice industriale
- Piese pentru balamale de porti metalice mici
- Piese pentru balamale de porti metalice ornamentale
- Suruburi blocatoare si colectoare pentru porti metalice
- Opritori reglabili cu carlig pentru porti metalice
- Inchizatori reglabile pentru porti metalice
- Accesorii electrice pentru porti
- Accesorii pentru intretinerea portilor metalice
- Accesorii pentru garduri metalice
- Accesorii pentru stalpi de porti
- Protectii de securitate pentru porti
Ultimele Comentarii
