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<DIV> </DIV>
<DIV> Ventura Pediatric Diagnostic Center Monthly Newsletter - February 2009</DIV>
<DIV> </DIV>
<DIV>========================================================================================= </DIV>
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<DIV><B style="mso-bidi-font-weight: normal"><FONT color=#000000><FONT face="Times New Roman">This monthly Newsletter is brought to you through funding from Ventura First 5 - </FONT></FONT></B><B style="mso-bidi-font-weight: normal"><FONT color=#000000><FONT face="Times New Roman"><A href="http://first5ventura.org/">http://first5ventura.org/</A></FONT></FONT></B></DIV>
<DIV><STRONG><FONT face="Times New Roman" color=#000000>========================================================================================= </FONT></STRONG></DIV>
<DIV><B style="mso-bidi-font-weight: normal"><FONT color=#000000><FONT face="Times New Roman"></FONT></FONT></B> </DIV>
<DIV><B style="mso-bidi-font-weight: normal"><FONT color=#000000><FONT face="Times New Roman">Web sites to visit this month:</FONT></FONT></B></DIV>
<DIV><STRONG><FONT face="Times New Roman" color=#000000></FONT></STRONG> </DIV>
<DIV><A href="http://www.rain-internet.blogspot.com/"></FONT><FONT face="Times New Roman">http://www.rain-internet.blogspot.com/</A> - <FONT face="Times New Roman"><STRONG>Landon Pediatric Foundation Telemedicine Blog</STRONG></FONT></DIV>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><B style="mso-bidi-font-weight: normal"><FONT color=#000000><FONT face="Times New Roman"></FONT></FONT></B> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><B style="mso-bidi-font-weight: normal"><FONT color=#000000><FONT face="Times New Roman"><A href="http://www.rain.org/pdcventura/">http://www.rain.org/pdcventura/</A> - Pediatric Diagnostic Center Web<O:P></O:P></FONT></FONT></B></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><O:P><FONT face="Times New Roman" color=#000000> </FONT></O:P></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><A href="http://www.rain.org/littlesteps/easqq.pdf"></FONT><FONT face="Times New Roman">http://www.rain.org/littlesteps/easqq.pdf</A><FONT face="Times New Roman" color=#000000> - Ages & Stages Questionnaire set and Scoring Sheets</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><O:P><FONT face="Times New Roman" color=#000000> </FONT></O:P></FONT><FONT face="Times New Roman"></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"></FONT><FONT face="Times New Roman"><A href="http://www.rain.org/video-magazine">http://www.rain.org/video-magazine</A> - Telemedicine and Family Health Video Web</P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000></FONT> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><A href="http://www.rain.org/dlt/health.html">http://www.rain.org/dlt/health.html</A> - RAIN Telemedicine Network Community Wellness Web</P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><A href="http://www.rain.org/dlt/wellness/">http://www.rain.org/dlt/wellness/</A> - Rural Community Wellness Web</P>
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<DIV>=======================================================================================</DIV></DIV></DIV></DIV>
<DIV>Monthly Video Conferencing from San Diego State University Telemedicine Program</DIV>
<DIV> </DIV>
<DIV><SPAN style="FONT-SIZE: 8pt; FONT-FAMILY: 'Verdana','sans-serif'"><FONT face="Times New Roman" size=4>February 13 T-LINC Video Conference</FONT></SPAN></DIV>
<DIV><SPAN style="FONT-SIZE: 8pt; FONT-FAMILY: 'Verdana','sans-serif'"><FONT face="Times New Roman" size=4>"Doctor-Patient Communication during Telemedicine: An Update on Technology and Bedside Manners" - 12:30 to 1:30 PM</FONT></SPAN></DIV>
<DIV><SPAN style="FONT-SIZE: 8pt; FONT-FAMILY: 'Verdana','sans-serif'"></SPAN> </DIV>
<DIV><SPAN style="FONT-SIZE: 8pt; FONT-FAMILY: 'Verdana','sans-serif'"><FONT face="Times New Roman" size=4>Contact Jackie Donaldson-Lopez at 858-246-0409 or</FONT></SPAN><SPAN style="FONT-SIZE: 8pt; FONT-FAMILY: 'Verdana','sans-serif'"><SPAN style="FONT-SIZE: 18pt; COLOR: #943634; FONT-FAMILY: 'Verdana','sans-serif'"><o:p><FONT size=2> </FONT><A title="mailto:jdonalds@ucsd.edu?subject=RSVP for 2/13 T-LINC" href="mailto:jdonalds@ucsd.edu?subject=RSVP%20for%202/13%20T-LINC"><FONT size=2>jdonalds@ucsd.edu</FONT></A><FONT size=2> <EM><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Verdana','sans-serif'">(space is limited and available on a first-come, first-served basis</SPAN></EM><I><SPAN style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; FONT-FAMILY: 'Verdana','sans-serif'">)</SPAN></I><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Verdana','sans-serif'"> </SPAN></FONT></o:p></SPAN></DIV>
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<DIV align=center> </DIV></SPAN></DIV>
<DIV>=============================================================================================</DIV>
<DIV>
<DIV><STRONG>Family Support Services Referral</STRONG> </DIV>
<DIV> </DIV>
<DIV>Family Support Specialists are available to provide support to parents and families with children birth to five</DIV>
<DIV>Years of age who do not qualify for early intervention services. </DIV>
<DIV> </DIV>
<DIV>In addition, family support specialists are available to help support and assist parents in advocating for their child's developmental needs and accessing Community resources that can help improve their child's development. Please see the Referral form on the Littlesteps website at <A href="http://www.rain.org/littlesteps">http://www.rain.org/littlesteps</A></DIV>
<DIV>.</DIV>
<DIV>Call Delfina Zermeno in East County 6547632 and Shar Busch in West County 6547601 for information and referrals.</DIV>
<DIV>=================================================================================== </DIV>
<DIV> </DIV>
<DIV><STRONG>Ventura County Medical Center Workshop on Autism - December 2008</STRONG></DIV>
<DIV><STRONG></STRONG> </DIV>
<DIV>Because services for children with autism spectrum disorder (ASD) are scarce, when children fail a broadband screening measure, providers need to carefully discern which children need ASD evaluations and which do not. This research considers how well a broadband screening test sorts those with and without probable ASD. The subjects were 427 children between 18 and 59 months of age with elevated risk scores on broadband screening, i.e., Parents' Evaluation of Developmental Status (PEDS), a 10-item measure eliciting parents' concerns. </DIV>
<DIV> </DIV>
<DIV>Parents also completed the Modified Checklist of Autism in Toddlers (M-CHAT), an autism specific screen. <BR>The results showed that of the 427 children at risk on PEDS, 34% (N = 144) passed the M-CHAT. To determine whether these potential overreferrals could be reduced, parents' concerns on PEDS were used to predict M-CHAT results. Three or more discrete types of concerns, varying by age, characterized children who failed the M-CHAT while fewer than 3 were associated with passing. <BR>This reduced overreferrals by 70% while maintaining high levels of sensitivity (81%). </DIV>
<DIV> </DIV>
<DIV>Although compliance with the American Academy of Pediatrics recommendations for both broadband and autism-specific screening at 18 and 24 months is still recommended, viewing performance patterns on a broadband screening test can substantially reduce overreferrals to autism specialty services. </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV>Go to the Littlesteps web site at <A href="http://rain.org/littlesteps/VCMC_autism_presentation_2008.html">http://rain.org/littlesteps/VCMC_autism_presentation_2008.html</A> for all the Workshop information and materials.</DIV>
<DIV> </DIV></DIV>
<DIV>==============================================================================</DIV>
<DIV><B style="mso-bidi-font-weight: normal"><FONT color=#000000><FONT face="Times New Roman">VCBH Interagency Screening Forms -</FONT></FONT></B></DIV>
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<DIV><STRONG><FONT face="Times New Roman" color=#000000></FONT></STRONG> </DIV>
<DIV><STRONG><FONT face="Times New Roman" color=#000000>You can access the forms from the Littlesteps home page at <A href="http://www.rain.org/littlesteps">http://www.rain.org/littlesteps</A> or </FONT></STRONG></DIV>
<DIV><STRONG><FONT face="Times New Roman" color=#000000></FONT></STRONG> </DIV>
<DIV><STRONG><FONT face="Times New Roman" color=#000000>Go straight to the forms at:</FONT></STRONG></DIV>
<DIV><STRONG><FONT face="Times New Roman" color=#000000></FONT></STRONG> </DIV>
<DIV><A href="http://www.rain.org/littlesteps/VCBH_interagency_forms.html">http://www.rain.org/littlesteps/VCBH_interagency_forms.html</A></DIV>
<DIV> </DIV>
<DIV><B style="mso-bidi-font-weight: normal"><FONT color=#000000><FONT face="Times New Roman">====================================================================================</FONT></FONT></B></DIV>
<DIV> </DIV>
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<DIV>There is a Pre-Implementation Survey to review and fill out.
<DIV> </DIV>
<DIV>It is worth a $25 Starbuck's or your choice of gift card to fill out the survey. It will help focus your efforts and help us to</DIV>
<DIV>Think globally, act locally!</DIV>
<DIV> </DIV>
<DIV>You can fill out the survey online, print and mail in or send by email.</DIV>
<DIV> </DIV>
<DIV>Go to: <A href="http://www.rain.org/littlesteps/Pre-Imp-Survey.pdf">http://www.rain.org/littlesteps/Pre-Imp-Survey.pdf</A> to review and fill out the survey.</DIV>
<DIV> </DIV>
<DIV>======================================================================================== </DIV>
<DIV> </DIV>
<DIV>A new DSS Algorithm - with valuable information to use as a handout for your practitioners and assistants is available on the </DIV>
<DIV>Littlesteps web site. Go to: <A href="http://www.rain.org/littlesteps/DSSalgorithm.pdf">http://www.rain.org/littlesteps/DSSalgorithm.pdf</A></DIV>
<DIV> </DIV>
<DIV>======================================================================================== </DIV>
<DIV> </DIV>
<DIV> The Born Learning Web, from First 5 Ventura County and United Way of America.</DIV>
<DIV> </DIV>
<DIV>Award-winning Born Learning tools were created by United Way of America, Civitas, Families and Work Institute and the Ad Council. Locally, United Way of Ventura County and First 5 Ventura County are partnering to help provide the tools to as many parents as possible.</DIV>
<DIV> </DIV>
<DIV>You can get to the Born Learning web from the Littlesteps homepage at <A href="http://www.rain.org/littlesteps">http://www.rain.org/littlesteps</A> or go straight to <A href="http://www.vcbornlearning.org/doctors.asp">http://www.vcbornlearning.org/doctors.asp</A></DIV>
<DIV> </DIV> </DIV>
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<DIV>===============================================================================================</DIV>
<DIV> </DIV>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>Videos are online from the FASD workshop in September. Visit the web site and hear the valuable discussions by:</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000></FONT> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>* Dr. Edward Riley, (Prenatal Alcohol Exposure & Brain Development) </FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>* Dr. Leslie Lynn Pawson, (Prenatal Screening, Assessment, Referral, and Treatment (SART)</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>* Dr. Paul Russell, (Prenatal Screening, Assessment, Referral, and Treatment (SART) and </FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>* The Dependency Drug Court Team, (Systems and Supports in Ventura County)</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000> (Susan Feldman, Carol Hughes, Susana Jegle, and Diane Emerick).</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000></FONT> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>Go to : <A href="http://www.rain.org/video-magazine/FASD-september-2008.html">http://www.rain.org/video-magazine/FASD-september-2008.html</A> to view the new videos.</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000></FONT> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>To explore all our online Telemedicine Video resources go to: <A href="http://www.rain.org/video-magazine/">http://www.rain.org/video-magazine/</A></FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000></FONT> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>==========================================================================================</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000></FONT> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>Visit the Little Steps web site to test out the new Synagis Referral Form. </FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000></FONT> </P>
<DIV><FONT face="Times New Roman">Respiratory syncytial virus (RSV) is the #1 cause of hospitalization in babies under a year. Our babies at developmental risk can be the most severely affected. We anticipate the need to protect high risk infants beginning with injections of Synagis in November to achieve protective levels by the start of the season and continue monthly through March.</FONT></DIV>
<DIV><FONT face="Times New Roman"></FONT> </DIV>
<DIV><FONT face="Times New Roman">The new Synagis Referral Forms allow you to prepare the forms online and submit them directly to the Pediatric Diagnostic Center or to print copies for use at your Office.</FONT></DIV>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000></FONT> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>Go to: <A href="http://www.rain.org/Littlesteps/synagis-forms-2008.HTML">http://www.rain.org/Littlesteps/synagis-forms-2008.HTML</A> to review the forms and try them out.</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"> </P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"> Be sure to check out the links on the Littlesteps web for valuable information on Synagis for Parents and Health Professionals.</P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT color=#000000><FONT face="Times New Roman">===========================================================<SPAN style="mso-spacerun: yes"> </SPAN></FONT></FONT><FONT face="Times New Roman"></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><O:P><FONT face="Times New Roman" color=#000000> </FONT></O:P></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><A href="http://www.rain.org/littlesteps"></FONT><FONT face="Times New Roman">http://www.rain.org/littlesteps</A><FONT face="Times New Roman" color=#000000> - Ventura Littlesteps Web</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><O:P><FONT face="Times New Roman" color=#000000> </FONT></O:P></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="COLOR: black"><FONT face="Times New Roman">The Little Steps web site, sponsored by a Ventura First 5 grant, provides quick access to the Ages & Stages Parents Workbook, in Spanish and English, to the Health Steps User Manual, the Physicians and Nurses Healthy Steps Workbook and the PEDS Workbook and Scoring Guide.</FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.25in"><SPAN style="COLOR: black"><FONT face="Times New Roman"> </FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt 0.25in"><SPAN style="COLOR: black"><FONT face="Times New Roman">Materials are also available in Spanish at </FONT><A title=http://www.rain.org/los-pasitos/ href="http://www.rain.org/los-pasitos/"></FONT><FONT face="Times New Roman">http://www.rain.org/los-pasitos/</A><A title=http://www.rain.org/los-pasitos href="http://www.rain.org/los-pasitos"></A><FONT face="Times New Roman"> <O:P></O:P></FONT></SPAN></P>
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<DIV style="BORDER-RIGHT: medium none; PADDING-RIGHT: 0in; BORDER-TOP: medium none; PADDING-LEFT: 0in; PADDING-BOTTOM: 1pt; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 2.25pt double; rem_rem_rem_rem_rem_rem_rem_rem_rem_rem_BORDER-LEFT: medium none; mso-element: para-border-div">
<P class=MsoNormal style="BORDER-RIGHT: medium none; PADDING-RIGHT: 0in; BORDER-TOP: medium none; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; MARGIN: 0in 0in 0pt; PADDING-TOP: 0in; BORDER-BOTTOM: medium none; rem_rem_rem_rem_rem_rem_rem_rem_rem_rem_BORDER-LEFT: medium none; mso-border-bottom-alt: double windowtext 2.25pt; mso-padding-alt: 0in 0in 1.0pt 0in"><SPAN style="COLOR: black"><FONT face="Times New Roman">Visit this web site often to check on new resources that will be of value to you throughout the year</FONT></SPAN></P></DIV>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><A title=http://www.rain.org/video-magazine/CME-videos.html href="http://www.rain.org/video-magazine/CME-videos.html"></FONT><FONT face="Times New Roman">http://www.rain.org/video-magazine/CME-videos.html</A><SPAN style="COLOR: black"><FONT face="Times New Roman"> </FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="COLOR: black"><FONT face="Times New Roman"> </FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="COLOR: black"><FONT face="Times New Roman">The <st1:place w:st="on"><st1:PlaceName w:st="on">Continuing</st1:PlaceName> <st1:PlaceName w:st="on">Medical</st1:PlaceName> <st1:PlaceName w:st="on">Education</st1:PlaceName> <st1:PlaceName w:st="on">Video</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType></st1:place> is a growing web site with new video units added regularly.<SPAN style="mso-spacerun: yes"> </SPAN>Current videos include materials on Autism Treatment, Dental Varnish Information, Hansen Developmental Screening, Fetal Alcohol Spectrum Disorder Developmental Screening, and TCRC Developmental Screening.</FONT></SPAN></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="COLOR: black"><FONT face="Times New Roman">New materials are added all the time so check into the CME Video web often.<O:P></O:P></FONT></SPAN></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="COLOR: black"><FONT face="Times New Roman">===============================================================<SPAN style="mso-spacerun: yes"> </SPAN><O:P></O:P></FONT></SPAN></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><A title=http://www.rain.org/littlesteps/peds-menu.html href="http://www.rain.org/littlesteps/peds-menu.html"></FONT><FONT face="Times New Roman">http://www.rain.org/littlesteps/peds-menu.html</A></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000> </FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000> PEDS Materials (Parents Evaluation of Developmental Status).</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000> </FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>Includes an Introduction to PEDS along with the complete PEDS Response Form, Scoring Form and Supplemental Measures.</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><O:P><FONT face="Times New Roman" color=#000000> </FONT></O:P></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><A title=http://www.rain.org/video-magazine/ href="http://www.rain.org/video-magazine/"></FONT><FONT face="Times New Roman">http://www.rain.org/video-magazine/</A></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="COLOR: black"><FONT face="Times New Roman">The MedMall Video Magazine is a Telemedicine Video web site from the Landon Pediatric Foundation with a wide variety of video units.<SPAN style="mso-spacerun: yes"> </SPAN>Visit this month to see the full Ventura First Five Developmental Screening and Autism Seminar on Internet Video.</FONT></SPAN></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>The MedMall Telemedicine Video Magazine provides access to Internet Video units on many other topics and is updated on a regular basis.<SPAN style="mso-spacerun: yes"> </SPAN>Visit often.</FONT></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>Timothy Tyndall</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face="Times New Roman" color=#000000>List Manager</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><A href="mailto:timothy@rain.org"></FONT><FONT face="Times New Roman">timothy@rain.org</A></P>
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