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    Sightline Institute’s mission is to make the Northwest a global model of sustainability— strong communities, a green economy, and a healthy environment. We envision in the Pacific Northwest an economy and way of life that are environmentally sound, economically vibrant, and socially just. We believe that if northwesterners succeed at reconciling themselves with the natural heritage of this place—the greenest part of history’s richest civilization—we can set an example for the world. Fertility medication, better known as fertility drugs, are drugs which enhance reproductive fertility. For women, fertility medication is used to stimulate follicle development of the ovary. There are currently very few fertility medication options available for men. Either Gonadotropin-releasing hormone (Gn RH) or any Gonadotropin-releasing hormone agonist (i.e. Gn RH stimulates the release of gonadotropins (LH and FSH) from the anterior pituitary in the body. Fertility medication inhibiting the effects of estrogen includes Clomiphene and Aromatase inhibitors. It is used as an ovarian stimulator by inhibiting the negative feedback of estrogen at the hypothalamus. As the negative feedback of estrogen is inhibited, the hypothalamus secretes Gn Rh which in turn stimulates the anterior pituitary to secrete LH and FSH which help in ovulation. Although primarily a breast cancer treatment, aromatase inhibitors can also work as fertility medication, probably through a mechanism similar to clomiphene.

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    LOS ANGELES (AP) — Much has transpired since Nadya Suleman became "Octomom" by giving birth to eight premature but otherwise healthy children on Jan. She's lost a home to foreclosure, teetered on the brink of bankruptcy and fought with nannies and others who tried to help her, leaving in her wake a string of publicists, lawyers and good-Samaritan types who no longer want to talk about her. Suleman was back in the headlines earlier this month when she was charged with welfare fraud. She pleaded not guilty and is free on her own recognizance pending a pretrial hearing next month. Despite all the attention she's generated, Suleman has kept her octuplets largely out of the public eye and shared little about them. As they turn 5, here are eight things to know about "Octomom:"1) BEFORE SHE WAS OCTOMOM: Suleman worked for a state mental hospital in 1999 when she said she suffered a back injury during an inmate riot. She went on to collect more than $165,000 in disability payments and used some of the money to help pay for in-vitro fertilization treatments that produced her first six children. She has a bachelor's degree in child and adolescent development from California State University, Fullerton, and was studying for a master's in counseling when she became pregnant with the octuplets.2) THE DOCTOR: All 14 of Suleman's children were born through IVF treatments provided by Beverly Hills physician Dr. He faced harsh criticism when it was learned he implanted 12 embryos that resulted in the octuplets. Community House Calls (CHC) is a program of Harborview Medical Center’s (HMC) Interpreter Services. Community House Calls serves limited English proficient patients, families and communities who receive health care at HMC. Bilingual/bicultural caseworker cultural mediators provide same language services for patients facing complex medical and social circumstances and serve as liaisons to their respective communities. Community House Calls began in 1994 when doctors Ellie Graham and Carey Jackson were jointly awarded a Robert Wood Johnson grant to help address barriers to health care for refugees and immigrants receiving care at HMC. Caseworker cultural mediators (CCM) were hired with input from community leaders. In 1996, CHC became a Harborview program in the Interpreter Services department, and more CCMs as well as a nurse manager were added to the staff. Currently, there is a nurse manager working with a team of eight that serve five language groups: Amharic, Cambodian, Somali, Spanish, and Vietnamese.

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