An Information Specialist

For nearly 20 years, I have been crafting communication solutions for a variety of clients, transforming their complex information sets into clear, actionable deliverables for end users.

Common presenting feature. This may present as abdominal enlargement in early childhood. About 10% have some degree of neurological involvement. viagra prescription without Bone and haematological involvement: limb and joint pain. Growth delay in adolescence. Thrombocytopenia and bleeding. Respiratory complications - these affect most patients at some stage: chest infections. Dyspnoea. A restrictive lung disease pattern is common. There may be radiological features of interstitial lung disease. [5] abnormal lipid profile including raised ldl, very low-density lipoprotein (vldl) and triglycerides. Splenomegaly correlated with most aspects of disease in one study. [4] diagnosis the level of acid sphingomyelinase activity in white blood cells or cultured cells is diagnostic (as with npa). Again, this test does not identify carriers. Dna testing is possible, as the relevant gene has been mapped and many of its mutations identified. Management currently, there is no specific treatment. Monitor for complications, and treat these where feasible. order generic viagra Enzyme replacement may be possible in future (see 'research', below). Bone marrow (or stem cell) transplantation has been tried in a few cases. Type c (npc)[1] clinical features[3] age of onset varies, from in utero to adulthood. Npc symptoms and severity vary greatly between individuals. Clinical features include: neonatal jaundice (npc is a significant cause of neonatal cholestatic liver disease). Hepatosplenomegaly. Vertical supranuclear gaze palsy (inability to move the eyes up and down): this is highly suggestive of npc. Parents may notice it when their child walks up and down stairs, or watches tv while sitting on the floor. viagra overnight shipping The child tilts their head instead of moving their eyes. Ataxia and tremor. Dystonia. downside viagra women's experiences concerns Dysarthria. Learning difficulties and progressive intellectual decline - which may be misdiagnosed as other forms of dementia in adulthood. viagra prescription without Cataplexy (sudden loss of muscle tone which may lead to falls, without loss of consciousness). Seizures. Psychiatric symptoms are reported in some adult cases, eg schizophrenia-like features, paranoid illness, depression and behavioural disturbances. viagra prescription without [6] the prognosis varies between individuals. quality cheap meds pills viagra Npc generally progresses over years or decades, with progressive neurological and psychiatric deterioration. online generic viagra [6] it remains a fatal disease, with.

What I Do

I am a designer of information spaces. That comprises architecting, writing, and editing, but also project management, process design, and global thinking. I have targeted old-school color press and new-school responsive HTML5, and almost everything in between.

Who I Work For

I have an extensive work history, and I am confident I can work in any industry. However, I have worked the most with clients in the web development, software development, process engineering, and medical device industries.

About Me

I started designing web sites in the 90s while still in school. After working as a technical writer for 4 years, I stepped out to work for myself in 2002. I have been helping clients with increasingly demanding information problems ever since. | 651-332-9386