Geometry.Net - the online learning center
Home  - Health_Conditions - Hypothermia

e99.com Bookstore
  
Images 
Newsgroups
Page 3     41-60 of 113    Back | 1  | 2  | 3  | 4  | 5  | 6  | Next 20
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  

         Hypothermia:     more books (100)
  1. Hypothermia: a cold weather hazard.(AgePage)(Disease/Disorder overview): An article from: Pamphlet by: National Institute on Aging by Gale Reference Team, 2007-11-01
  2. Hypothermia and Cold Stress by E L Lloyd, 1986-02-20
  3. Bioheat Transfer: Applications in Hypothermia; Emerging Horizons in Instrumentation and Modeling (Proceedings of the Asme Heat Transfer Division) by J. J. McGrath, R. B. Roemer, et all 1989-12
  4. Physiology of Induced Hypothermia.
  5. The Physiology of Induced Hypothermia: Proceedings of a Symposium 28-29 October 1955 by Robert D.; Editor Dripps, 1956
  6. Therapeutic Hypothermia: Implications for Acute Care Practitioners by MD, FACP, FCCP, FCCM Joseph Varon, 2010-01-15
  7. The Physiology of Induced Hypothermia; Proceedings of a Symposium, 28-29 October 1955 by National Research Council. Sciences, 2010-03-26
  8. HYPOTHERMIA (Postgraduate Medicine)
  9. Resuscitation and Artificial Hypothermia by V. A. Negovskii, 1962
  10. Old and cold : hypothermia and social policy by Malcolm Wicks, 1978-01-01
  11. 21st Century Complete Medical Guide to Hypothermia, Frostbite, and Related Cold Weather Threats, Authoritative Government Documents, Clinical References, ... for Patients and Physicians (CD-ROM) by PM Medical Health News, 2004-05
  12. Preventing Hyperthermia, Hypothermia and Drowning (Injury Prevention for the Elderly) by Bonnie L. Walker, 1996-01
  13. Hyperthermia/hypothermia unit management: An entry from Thomson Gale's <i>Gale Encyclopedia of Nursing and Allied Health</i> by Joan M. Schonbeck, 2002
  14. Clinical hypothermia by Emil Blair, 1964

41. WARNING SIGNS OF HYPOTHERMIA
Image illustrating hypothermia symptoms.
http://www.islandnet.com/sarbc/resqair/warnhypo.html
WARNING SIGNS OF HYPOTHERMIA
More articles and information about Hypothermia from SARBC
Including excellent papers by researchers Hayward and Weinberg Back to Res-Q Products Home Page RES-Q Products Inc.
E-mail: Robert Douwens
Last Updated: Saturday, 25-Apr-1998 20:54:44 PDT

42. Hypothermia And Cold Water Survival
hypothermia is a serious threat to Northwest boaters, and it takes thelives of several Washingtonians each years. What is hypothermia?
http://www.boatwashington.org/hypothermia.htm
An Essential Guide Information provided by
Washington State Parks and Recreation Commission
Boating Programs H ypothermia is a serious threat to Northwest boaters, and it takes the lives of several Washingtonians each years. Our marine waters and most of the state's lakes and streams remain cold throughout the year, so hypothermia is a danger that knows no season. A boater who ends up in the water may begin falling victim to hypothermia in a matter of only a few minutes, so quick action is often the key to survival. Understanding and avoiding hypothermia can mean the difference between being alive or dead when help arrives.
What is Hypothermia? Hypothermia is subnormal temperature within the central body. When a person is immersed in cold water, the skin and nearby tissues cool very fast. However, it may take 10 to 15 minutes. before the temperature of the heart and brain starts to drop. When the core temperature drops below 90° F serious complications begin to develop. Death may occur at about 80° F; however, a person may drown at a higher temperature due to loss of consciousness or inability to use the arms and legs. How Long can I Survive in Cold Water?

43. Minnesota Sea Grant - Outreach - Tourism - Survival In Cold Water: Hypothermia P
survival in cold water hypothermia prevention. by Chad P. Dawson. hypothermia possible.TABLE 2 hypothermia SYMPTOMS (Body Core Temperature).
http://www.seagrant.umn.edu/tourism/hypothermia.html
survival in cold water: hypothermia prevention by Chad P. Dawson Hypothermia is a risk for anyone who enjoys activities like boating, fishing, swimming, hiking, or skiing. It can occur quickly and it can be fatal. Hypothermia occurs when the body's core temperature falls below its normal level of 98.6 F to 95 F or cooler. It is the opposite of fever, when the body's temperature is above normal. Hypothermia is dangerous because it affects the body's core - the brain, heart, lungs, and other vital organs. Even a mild case of hypothermia affects your physical and mental abilities, and increases the risk of accidents. Severe hypothermia causes loss of consciousness and may result in death. Cold water is especially dangerous because loss of body heat occurs 25 times faster in cold water than in cold air. How quickly you become hypothermic depends on many factors, including your personality and behavior, environmental factors, how you are dressed, and your physical condition. Everyone reacts differently to the cold, even under the same conditions. Generally, children lose body heat more quickly than adults. Thin people lose body heat faster than overweight people. The expected survival times in Table 1 are guidelines for the average adult, showing the rapid onset of hypothermia as water temperatures drop.

44. HYPOTHERMIA - TREATMENT IN THE FIELD/HOSPITAL
Image illustrating body temperature vs symptoms and body temperature vs treatment.
http://www.islandnet.com/sarbc/resqair/thermom.html
HYPOTHERMIA - TREATMENT IN THE FIELD/HOSPITAL
More articles and information about Hypothermia from SARBC
Including excellent papers by researchers Hayward and Weinberg Back to Res-Q Products Home Page RES-Q Products Inc.
E-mail: Robert Douwens
Last Updated: Saturday, 25-Apr-1998 20:54:39 PDT

45. National Institute On Aging - NIA
Covers recognition and treatment; discusses incidents not normally expected, such as the elderly in their homes. By National Institute of Health.
http://www.nih.gov/nia/health/agepages/hypother.htm
window.onerror=new Function("return true") Text-Only Page
Have a suggestion about NIA online? Need help finding something on our website? Send us an email. Click here
National Institute on Aging
Building 31, Room 5C27
31 Center Drive, MSC 2292
Bethesda, MD 20892
Phone: 301-496-1752 Text Links: About the NIA Health Information Research Programs
National Advisory Council on Aging
... National Institutes of Health Last updated: March 17, 2003 We welcome your questions and comments. Please send general questions and comments to the NIA Webmaster . Please read our Web site Privacy Statement and Accessibility Notice

46. EMedicine - Hypothermia : Article By Wyatt Decker, MD
hypothermia The number of ED encounters with hypothermia is growing, as ever-growingnumbers of people take to the wilds in search of adventure.
http://www.emedicine.com/EMERG/topic279.htm
(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Environmental
Hypothermia
Last Updated: August 14, 2001 Rate this Article Email to a Colleague AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography
Author: Wyatt Decker, MD , Chair and Program Director, Department of Emergency Medicine, Mayo Clinic Coauthor(s): James Li, MD , Mount Auburn Hospital, Assistant Professor of Medicine, Division of Emergency Medicine, Harvard Medical School Wyatt Decker, MD, is a member of the following medical societies: American College of Emergency Physicians Editor(s): Dan Danzl, MD , Chair, Professor, Department of Emergency Medicine, University of Louisville Hospital; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; James S Walker, DO , Program Coordinator, Associate Professor, Department of Emergency Medicine, University of Oklahoma Health Sciences Center; John Halamka, MD

47. Hypothermia
Disclaimer. The following article is meant to be a starting point in the discussionof hypothermia. In case of any emergency, call a doctor! hypothermia.
http://www.walrus.com/~belov/hypothermia.html
Safety First
Spring is here and so is the sailing season. The days are longer and warmer but the water temperature is low enough to cause some serious survival problems. Don't be foolish and sail without a wet or dry suit early in the year. A cold dip is a chilling experience and may result in a tragedy which could have been avoided.
The following article is meant to be a starting point in the discussion of Hypothermia. It is not the most up to date material and is not intended to be the last word on hypothermia! If you have more up to date information, share it with the fleet. In case of any emergency, call a doctor!
Hypothermia
Hypothermia is subnormal temperature within the central body. In extreme cases, you die! When a person is immersed in cold water, the skin and nearby tissue may cool very fast. However, it may take 10 to 15 minutes before the temperature of the heart and brain starts to drop. When the core temperature reaches 90 F, unconsciousness may occur. When the core temperature drops to 85 F, heart failure is the usual cause of death. However, a person in cold water may drown because he loses the use of his arms and legs and his consciousness becomes clouded.
Survival in cold water depends on many factors. The temperature of the water is only one. Others include body size, fat, and activity in the water to name a few.

48. HYPOTHERMIA, STATE OF ALASKA COLD INJURIES AND COLD WATER NEAR DROWNING GUIDELIN
Cold Injuries and Cold Water Near Drowning Guidelines. Extensive information.
http://www.hypothermia.org/protocol.htm
Hypothermia Prevention, Recognition and Treatment.
Articles, Protocols and Research on Life-saving skills.
The recommended treatment of hypothermia in the field is core rewarming to prevent post-rescue collapse.
PROTOCOLS Alaskan Protocol JAMA TREATMENT Treating Hypothermia Scenarios Field Chart Hospital Chart TESTIMONIALS Testimonials 1 Mayday Shorelines RESEARCH Dr. A. Weinberg Dr. J. Hayward PUBLICATIONS Rescue 1 Rescue (Expanded) Effectiveness of Airway Donation Survey on Inhalation Rewarming ... Hypothermia in Animals HYPOTHERMIA
WHAT TO DO
In Water On Land OTHER PAGES Home Page Links Page View Guest Book Sign Guest Book ... E MAIL
Down load this protocol in a zip file (47 Kb) ak-hypo.zip
STATE OF ALASKA COLD INJURIES AND COLD WATER
NEAR DROWNING GUIDELINES (Rev 01/96)
Table of Contents Select a text link to go directly to that section of this publication
INTRODUCTION
These guidelines have been developed for use by pre-hospital , clinic and hospital personnel dealing with cold problems in Alaska. They are meant to be guidelines, not absolute rules, governing the treatment of hypothermia and cold water near drowning.

49. Boating Basics - Accidents - Hypothermia
Nautical Know How Basic Boating Safety Certification Course Chapter VIII - AccidentsSection 5 - hypothermia. hypothermia. hypothermia Chart. If the Water Temp.
http://www.boatsafe.com/nauticalknowhow/boating/8_5.htm
Nautical Know How - Basic Boating Safety Certification Course
Chapter VIII - Accidents
Section 5 - Hypothermia Course Contents
I Introduction
II Educational Objectives
How to Get Your Certification

III The Boat
Terminology

Boat Types

How to measure length
...
Review Quiz-3

IV Legal Requirements Registration and numbering Required Equipment Personal Flotation Devices (PFD's) ... Review Quiz-4 V Preparation Vessel Check List Trailering Awareness of environmental conditions ... Review Quiz-5 VI Operations Operator responsibility Alcohol Navigation Rules ... Review Quiz-6 VII Getting Underway Line Handling and Marlinespike Docking/Undocking Plan Maneuvering Underway ... Review Quiz-7 VIII Accidents Fatal Vs Non-fatal Accident Reports Crew Overboard ... Review Quiz-8 IX Special Items Vessel Emergency Repairs Locks Dams ... Review Quiz-9 X State Specific Requirements Final Exam Boating Basics Glossary of Terms ... Next Page Hypothermia Even when the weather is warm, do not forget that in many areas the water can be very, very cold. A sudden unexpected wake or other "unbalancing event" can land you in the frigid water. Although the possibility of drowning from falling into the water is a real threat, so too is hypothermia. Hypothermia is a condition that exists when the body’s temperature drops below ninety-five degrees. This can be caused by exposure to water or air. The loss of body heat results in loss of dexterity, loss of consciousness, and eventually loss of life. A few minutes in cold water makes it very difficult to swim, even to keep yourself afloat. In addition, a sudden, unexpected entry into cold water may cause a reflexive "gasp" allowing water to enter the lungs. Drowning can be almost instantaneous.

50. BBC NEWS | Health | Medical Notes | Hypothermia
News article Exposure to the cold is estimated to cause 30,000 deaths a year in the UK.
http://news.bbc.co.uk/1/hi/health/medical_notes/276284.stm
CATEGORIES TV RADIO COMMUNICATE ... INDEX SEARCH
You are in: Health: Medical notes News Front Page World ... Programmes SERVICES Daily E-mail News Ticker Mobile/PDAs Text Only ... Help EDITIONS Change to World Wednesday, 10 February, 1999, 15:45 GMT Hypothermia
Cold weather leads to a big rise in deaths
Exposure to cold is estimated to cause 30,000 deaths a year in the UK. The causes vary, and include increased susceptibility to flu and other viruses. However, hypothermia is one of the most deadly cold-induced conditions and, if not caught and treated early on, can lead to a rapid decline in the body's ability to function normally. What is it? Hypothermia occurs when the body's core temperature is lowered due to exposure to cold. It can occur even at mild temperatures if exposure is prolonged. The body's natural defences against the cold consist of restricting the flow of blood to the skin so as to prevent heat loss, along with shivering and releasing hormones to generate heat. These measures are limited and are usually inadequate to maintain body temperature in cold environments. What are the symptoms?

51. Special Report On Cold Stress (Hypothermia) And Heat Stress
Special Report On Cold Stress (hypothermia) And Heat Stress (posted byHopkins Technology). Page sponsored by. COLD STRESS (hypothermia).
http://www.hoptechno.com/book41.htm
Special Report On Cold Stress (Hypothermia) And Heat Stress (posted by Hopkins Technology) Page sponsored by
Click here for nutrition table for 7,248 foods.
from Bonnie Guiton Special Adviser to the President for Consumer Affairs and Director, U.S. Office of Consumer Affairs COLD STRESS (HYPOTHERMIA) Much like high blood pressure, hypothermia can be called a "silent killer" in the sense that many of its victims are not aware of the threat. In the case of hypothermia, elderly persons may not be aware they are becoming cold as readily as younger people, and their bodies may not adjust to changes in temperature. Hypothermia (literally "low-heat") is a condition marked by an abnormally low internal body temperature. It develops when body heat is lost to a cool or cold environment faster than it can be replaced. Temperatures do not have to be below freezing for hypothermia to occur, especially in vulnerable individuals. Many older adults can develop a low body temperature after exposure to conditions of mild cold, which would only produce discomfort in younger people. Who Is At Risk?

52. Ohio DNR Div. Of Watercraft: Ohio Boat Operator's Guide: Hypothermia
hypothermia. hypothermia is a life threatening medical condition. The best preventionfor this danger is to wear a life jacket. PREVENTION OF hypothermia.
http://www.dnr.state.oh.us/watercraft/laws/opsguide/hypo.html
Enter Search Term: DIVISION OF WATERCRAFT HOME BOATING AREAS EDUCATION LAWS ... SAFETY TIPS LAWS Ohio Boat Operator's Guide
Required Equipment

Mandatory Boater Education Law

Various New Rules
... Register of Ohio Link
Watercraft

State Parks

Watercraft and Waterways

Watercraft Titling
...
Ohio Fishing Laws
Link State Boating Law Links:
Indiana

Kentucky
Michigan Pennsylvania ... NASBLA State Boating Law Reference Guide link Get an Ohio Boat Operator's Guide
Hypothermia
Hypothermia is a life threatening medical condition. It is one of the biggest killers of boaters in Ohio. Hypothermia may develop gradually or when sudden immersion in water causes rapid cooling of the body. When the cooling goes beyond the skin and limbs and reaches the inner organs of the body core, it is called hypothermia. If hypothermia is not stopped, a variety of symptoms affect the body very quickly, rendering the person unable to survive by staying afloat, clinging to a boat, swimming or treading water. The symptoms follow a predictable progression.
SYMPTOMS
  • Shivering is the first sign and becomes vigorous with continued exposure;

53. Ohio DNR Div. Of Watercraft: Safety Tips: Hypothermia
hypothermia The Silent Killer. hypothermia is a life threatening medical condition. Watercraft Safety Tips hypothermia The Silent Killer Updated 02/22/01.
http://www.dnr.state.oh.us/watercraft/safetips/hypo.htm
Enter Search Term: DIVISION OF WATERCRAFT HOME BOATING AREAS EDUCATION LAWS ... SAFETY TIPS SAFETY TIPS
Hunters
Paddlers
Dressing for Cold-weather Boating

File a Float Plan
...
Weather or Not to Boat
Hypothermia: The Silent Killer
Hypothermia is a life threatening medical condition. It is one of the biggest killers of boaters in Ohio. Hypothermia may develop gradually or when sudden immersion in water causes rapid cooling of the body. When the cooling progresses beyond the skin and limbs and reaches the inner organs of the body core, it is called hypothermia. If hypothermia is not stopped, a variety of symptoms affect the body very quickly, rendering the person unable to survive by staying afloat, clinging to a boat, swimming, or treading water. The symptoms follow a predictable progression. Symptoms
  • Shivering is the first sign and becomes vigorous with continued exposure.
  • Skin color becomes flushed initially, but later may turn blue.
  • Slurred speech
  • Clumsiness and poor coordination
  • Withdrawn and apathetic
  • Heart rate and blood flow slow down
  • Limbs become stiff as muscles get rigid
  • Mental confusion
  • Shivering ceases as body is no longer able to rewarm itself
  • Unconsciousness eventually occurs
  • Heart failure may occur, but drowning usually occurs first.

54. RES-Q Products Inc. - Protocols & Publications
Index of articles relating to recognition, prevention and treatment of hypothermia.
http://www.islandnet.com/sarbc/resqair/public1.html
Alaska Protocols/Guidelines SARBC
Treating Hypothermia - a Life-saving Skill
Hypothermia - Rescue Response
A Survey on Inhalation Rewarming
Rescue ...
Testimony
Graphics
More articles and information about Hypothermia
Including excellent papers by researchers Hayward and Weinberg
For more information, e-mail: RES-Q Products Inc. Back to Home Page
P.O. Box 661
Quathiaski Cove, BC Canada V0P 1N0
250-285-2890 (voice) or 250-285-2898 (fax)
E-mail: Robert Douwens
Last Updated: Thursday, 19-Aug-1999 22:46:37 PDT

55. Off-Season Boating, Cold Shock And Hypothermia
OFFSEASON BOATING, COLD SHOCK and hypothermia. Other responses to cold water immersionresult in immediate loss of consciousness and drowning. hypothermia.
http://www.enter.net/~skimmer/coldwater.html
CONTENTS
Off-Season Boating, Cold Shock and Hypothermia
Recent Accidents in Cold Water Hypothermia References On-Line
Main Page OFF-SEASON BOATING, COLD SHOCK and HYPOTHERMIA The risk of falling overboard or capsizing may be small, but the threat-to-life of such accidents is most serious. There are no crowds of boaters on lakes and rivers in the colder months of the year. Fishermen work their favorite coves nearly undisturbed. On inland waters, migrating waterfowl appear in the fall and return again in the spring as soon as the ice goes out. The fine, breezy days of spring and fall are the best of days for many open boaters. There are trade-offs for these blessings. The water is cold (less than 60 degrees F) in the off-season. More than half of the fatal boating accidents in Pennsylvania occur when the water is cold. Most such accidents occur in calm weather, relatively close to shore. Because fewer boaters are on the water, the likelihood of a prompt rescue is greatly reduced. Off-season boaters must be as self-sufficient as possible. Immersion in cold water rapidly incapacitates and may kill boaters who are not wearing protective clothing. Surfers, sailboarders, and river paddlers wear wet suits or dry suits when the water is cold. Off-season sailors, fishermen, hunters, and other folks out in open boats can use these same precautions to greatly improve their safety on the water.

56. NASD: National Ag Safety Database
During the winter months many agricultural workers and commercial fishermen face an additional occupational hazard exposure to the cold. Some health problems can arise including frostbite, trench foot, and hypothermia. This sheet is designed to provide readers with basic information on how to prevent cold-related illnesses.
http://www.cdc.gov/niosh/nasd/docs2/as17800.html
NASD has been renovated. The page that used to reside in this location has
been moved to a new location. To go to the page in the new location, click
here
. Please make sure to update your links/bookmarks.

57. Hypothermia In Warm Climates
hypothermia if often considered as a threat in warm climates, but can be just as deadly.
http://www.swmed.edu/library/consumer/hypothrm.htm

58. Winter Camping And Hypothermia: WINTER CAMPING
Winter Camping and hypothermia. D Dry Damp clothing and skin can cause yourbody to cool quickly, possibly leading to frostbite and hypothermia.
http://www.wrolin.com/wintcamp.htm
Winter Camping and Hypothermia
WINTER CAMPING
By Hiker
This is what I pass out to my Scouts about a month before our winter camporee. That gives us a couple of meetings or more to discuss cold weather survival skills, and a chance to inform parents of the dangers of cold weather camping when one is not fully prepared. Hiker - Assistant Scoutmaster and Outdoors Activities Planner Troop 120 hiker@www.ircpolitics.com Computer re-typed and reformatted by Chuck Bramlet, ASM Troop 323, Thunderbird District, Grand Canyon Council, Phoenix, Az.
PLANNING FOR WINTER CAMPING
Most of this information can be found in the Boy Scout Handbook . If you are going to be doing a lot of outdoor activities, this book is an invaluable source of know-how and advice. "One has to lie deep in the snow to learn how warm and protective it is. A den in the snow confines the body heat like a blanket or overcoat. It is a snug place, no matter how hard the wind may howl. One who holes up in the snow understands better the mysteries of the woods in the winter. He knows why the severe weather grouse squirm their way under soft snow and be quiet. He understands why deer bury themselves in drifts, lying a half day or more with just their heads sticking out. He learns something of the comfort of the bear in hibernation." William O. Douglas, 1950

59. A Quick Guide To First Aid
Use any other available forms of warming except direct radiant heat. hypothermia.1 Follow DRABC. 2 Remove casualty to a warm, dry place.
http://www.stjohn.org.au/emergency/html/hypothermia.htm
When body temperature falls, early warning signs may include:
  • feeling cold shivering clumsiness and slurred speech apathy and irrational behaviour heart rate may slow
WARNING Call 000 for an ambulance if level of consciousness declines, shivering stops, pulse is difficult to find. Use any other available forms of warming except direct radiant heat.
HYPOTHERMIA
1 Follow DRABC 2 Remove casualty to a warm, dry place. 3 Protect casualty:
  • protect casualty and yourself from wind, rain, sleet, cold, and wet ground.
4 Avoid excess activity or movement. 5 Maintain casualty in horizontal position. 6 Remove wet clothing. 7 Warm casualty:
  • place between blankets, or in sleeping bag, and wrap in space blanket or similar.
8 Cover the head to maintain body heat. 9 Give warm drinks if conscious:
  • do not give alcohol.
Return to previous page

60. Hypothermia Definition And Information - OutdoorPlaces.Com
OutdoorPlaces.Com hypothermia guide including scenarios, definition,symptoms, warning signs, treatment and summary. hypothermia Guide.
http://www.outdoorplaces.com/Features/Mountain/hypothermia/
Park Finder Backcountry Hiking Mountaineering ... Community Trash Bag Uses
Giardia lamblia
Bad Advice
Sex In The Woods
Fall Camping Pitfalls
Car Clouting
Finding Campsites
Children Camping
Leave No Trace
Cramps
Survival When Lost Discussion Group Ten Fall Hiking Tips Wearing Layers Hiking With Kids Essential Gear Insect Repellant Poison Ivy Bear Encounters Heat Related Injuries Tourons Discussion Group Paddling With Kids Buying The Right Canoe River Rafting Danger Caving Basics Horses vs. Hikers Floyd's Archive Search Our Site Read our Privacy Policy We advise you to read our Terms of before using this site. Hypothermia Guide Get The Cold Hard Facts Hypothermia guide Hypothermia scenarios Hypothermia definition How we lose body heat How we respond to the cold Hypothermia symptoms impending hypothermia mild hypothermia moderate hypothermia severe hypothermia Hypothermia warning signs Hypothermia treatment treat mild hypothermia treat moderate hypothermia treat severe hypothermia sustain unconcious victim Summary Cold weather poses a variety of health risks.

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  

Page 3     41-60 of 113    Back | 1  | 2  | 3  | 4  | 5  | 6  | Next 20

free hit counter