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    Contact Us to Learn More Q. Why is a kidney transplant from a living donor better than one from a deceased donor? Kidney donation from a living donor provides some major benefits for individuals with renal failure. Data shows that a living donor kidney not only functions better, but it lasts longer. Overall, benefits of a living donor transplant include: Better long term transplant kidney survival; Faster access to transplantation; A reduced risk of rejection.

    What does it take to be a kidney donor? A living kidney donor is usually between ages 18 to 65 and in excellent health. Donors over age 65 are considered on a case by case basis.

    Individuals interested in being a living donor at Sutter Health CPMC in San Francisco can start the process by completing our online health history questionnaire Opens new window this requires your weight and height, so please obtain those figures prior to completing the questionnaire. If you are an acceptable donor, we will contact you to schedule a 2-day donor evaluation in San Francisco. What might rule out someone as a kidney donor?

    A history of heart disease, chronic lung or liver disease, kidney disease, hypertension, diabetes, cancer or untreated psychiatric disease is usually a contraindication to donating i. Smoking, obesity and other health issues are considered on an individual basis. What does kidney transplant surgery involve?

    The surgical procedure to remove a kidney from the donor is called a donor nephrectomy and takes approximately hours. Typically donors spend days in recovery before being discharged from the hospital. What risks are there to kidney donors? With any surgery and anesthesia, however, there are risks. Nationally, the risk of having a life-threatening problem with donating a kidney is 1 in 3, What is recovery like?

    Because the kidney donor operation is a major surgical procedure, donors find they have less energy and need about weeks to return to their full pre-surgical activity level.

    For donors who worked prior to surgery, disability coverage allows 6 weeks off for recovery; however, some donors return to work before this time. Who pays for a donor's medical costs? All expenses for the medical work-up and transplant surgery are covered by the recipient's health insurance. In considering donation, candidates need to consider additional expenses such as: Travel to California Pacific Medical Center in San Francisco Parking, lodging, gas, bridge tolls and other incidentals Lost wages if sick time or short-term disability from work is not available.

    Our financial coordinator and social workers can discuss your specific circumstances in more detail. What is the long-term outcome for kidney donors? The New England Journal of Medicine and Journal of the American Medical Association published long-term studies in and analyzing outcomes of kidney donors.

    One study followed 80, live kidney donors dating back towhile the other studied 3, individuals who donated a kidney between and Donor survival was similar to that of the general control population people who had not had a kidney removed matched for age, sex, and race or ethnic group.

    The rate of end-stage renal disease ESRD was significantly lower in the group of patients who donated a kidney than the rate in the general population versus per million per year. After donating one kidney removing 50 percent of the functioning kidney massthe remaining normal kidney compensates and the overall kidney function measured in GFR, or glomerular filtration rate increases to approximately 70 percent of baseline at about two weeks and approximately 75 to 85 percent of baseline at long-term follow-up.

    Can a female donor have children after donating a kidney? Women of childbearing age can have children after kidney donation because the donor surgery does not affect their reproductive organs. California Pacific's kidney team can work with donors to plan a donation time that works best with family planning if needed. Does a donor need follow-up medical care after donation? Two to three weeks following a donor's discharge from the hospital, the donor is asked to return to CPMC for a medical exam.

    Six, 12 and 24 months following donation, donors are asked to complete lab work and a questionnaire. Our team also encourages donors to have regular appointments with a primary care provider. About California Pacific Medical Center.
    Posted on 10 Czech dating sites Czech girls use The purpose of this post is to give ten useful sites from the Czech Internet were Czech singles actually meet each other.

    Can you imagine if you use a translate plug-in to uncover the hidden beauties of the Czech republic without having to actually fly to Prague, Brno or Ostrava. Better than using English based websites that are intermediates for Czech women to offer for western men, is simply cut out the middle man and go right to the source.

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    You will find more students and collect more mobile numbers of Czech girls than you will know what to do with. I guesstimate if you sign up for a few in a week you will have the mobile numbers of about ten decent looking Czech girls.

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    My advice is start with normal chat banter rather than being pegged as a Western monger. Ten dating sites Czech singles use for meeting each other rande. Next think you know people will use Linkedin for dating hint. A couple of cutie Czech student girls walking on the streets of Prague. Note the street performers in the background.

    Using your cell phone to get a Czech girl s If you want to go mobile — vodafone cost Czech crowns or about 15 bucks and it comes with some free Internet and you will be completely set up to swap your sim card and have a local number. What you want to do is type a few good text messages in the Czech langauge, the best you can and make them really romantic.

    When you are ready send them all across the numbers you have collected on your travels. A handful will replay and then screen then and keep weeding them out until you get a few quality women in play. A note on Czech culture love and marriage No matter how exotic the high check boned Czech girls look, beware they are fully Western and have a high flight factor.

    If you think you want to get married to one, ask yourself will she be with you all the days of you life, not matter what. If not, better get a local girl from the USA. The Slavic accent might seem cute at first, but will wear on you if she takes you though the ringer.

    Not all Czech ladies are non-romantic money-grubbing feminists, mind you. Just make sure you screen them on morals before you start the dance and oxytocin kicks in and bonds you to a love that is not real. It could just be eros, that hormonal cocktail mother nature has been brewing for the last million years.
    Spam filter handles all types of email accounts. Marks dangerous links in search results and social media. Lower price than competitors.

    Cons Antiphishing score way down since last review. Spam filter limited to specific supported email clients. Middling score in our malware blocking test. However, in some independent lab tests and some of our own, it didn't do so well. Rubenking The basic tasks of an antivirus utility are straightforward. It should protect your computer and data in real time from attack by all kinds of malware, and it should run a full system scan when you tell it to, or on a schedule.

    Most also try to steer you away from malicious or fraudulent websites.

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    The edition of BullGuard Antivirus sticks to those basics, for the most part. It no longer includes the spam filter found in previous editions, but the BullGuard vulnerability scan now comes with the standalone antivirus, as does a new Game Booster component. It earned good scores in several independent lab tests, but some of its scores in our hands-on tests weren't so great, and it completely missed a nasty ransomware attack in testing.

    View All 9 Photos in Gallery As noted, with this edition you lose the spam filter, but you do gain a new malware engine.

    BullGuard's website touts the edition's next generation anti-malware. It promises that "any malware it detects is locked down in quarantine and then neutralized before infection can take place," and describes the engine as "a sentry who never sleeps, constantly on the alert for intruders.

    Some malware samples managed to place executable files on the test system, and one ransomware sample completely took over. A modern, attractive installer displays information about the program while it's doing its job. Once it finishes, you create or log in to your online BullGuard account. I like the fact that it automatically downloads the latest antivirus definitions, rather than setting that as a task for the user.

    BullGuard's main window contains seven square panels, but only the Antivirus, Vulnerabilities, and Game Booster panels are enabled. In a nice design touch, BullGuard does as much as possible without leaving this main window.

    For example, when you run a full scan, the progress bar appears inside the Antivirus panel. In testing, a full scan took 55 minutes, slightly less than the current average. In my testing of the previous edition, a repeat scan finished in five minutes.

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    This time, the repeat scan wasn't significantly faster. Good Lab Results I look to four independent antivirus testing labs around the world for evidence that the antivirus I'm testing is or isn't effective.

    BullGuard participates with two of these, with a mix of results from decent to excellent.

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    Researchers at AV-Comparatives regularly report on a wide variety of security product tests. I closely follow four of these. Lab Test Results Chart Accurate detection of malware is important, but an antivirus also must avoid quarantining valid programs, and must not put a drag on system performance. Experts at AV-Test Institute assign antivirus programs up to six points each for protection, performance, and usability meaning leaving valid programs alone.

    BullGuard's scores are decent, but others have done quite a bit better. Each of the testing labs has its own scoring methods. I've developed an algorithm to map them all onto a point scale and derive an aggregate score. BullGuard's aggregate score is 8. All four labs include Kaspersky and Bitdefender in their testing.

    Bitdefender's aggregate score is an impressive 9.

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    So-So Malware Blocking The big testing labs have resources far beyond my own, but I also like to get a hands-on experience of each product's malware blocking abilities. I use a collection of several dozen malware samples that I've carefully analyzed, so I can confirm that the antivirus really has blocked the malware's installation.

    When I opened my folder full of samples, BullGuard's on-access scanner started checking them, displaying a small pop-up alert when it detected something amiss. If additional alerts occurred, they all shared the same pop-up, with a note indicating how many more were pending. You can click through to view and close them one at a time, or check a box to close them all at once.

    BullGuard detected about three quarters of the samples at this point. I maintain another folder containing hand-modified versions of the same samples. I rename each sample, append nulls to change its size, and overwrite a few non-executable bytes.

    Looking only at modified samples whose originals BullGuard wiped out on sight, I found that it missed fully a quarter of the modified ones.

    That's a contrast to my last such test, in which BullGuard detected some of the mods before it decided to remove the originals. One of the missed mods proved to be a virulent strain of ransomware. I launched the modified sample to see how BullGuard's vaunted next-generation malware-fighting engine would handle it. Like iolo System Shield, BullGuard did not stop the ransomware from encrypting my documents and displaying its ransom demand.

    In all, BullGuard detected 89 percent of the samples. Several samples that it detected during installation managed to place executable files on the test system, one of them actually running, which brought its overall score down to 8. That's pretty poor, considering that the built-in Microsoft Windows Defender Security Center managed 8.

    At the other end of the spectrum, Norton and Webroot earned a perfect 10 points against this same set of samples. Tested with my previous malware collection, Comodo Antivirus also managed 10 points. BullGuard's previous edition scored 9.

    Typically, these are no more than a day or two old. I launch each URL and note how the antivirus reacts. Does it steer the browser away from the dangerous website? Does it identify and eliminate the malware download? Or does it sit twiddling its thumbs? I keep up the test until I have data points, and then analyze the results. BullGuard's Safe Browsing component blocked all access to 81 percent of the URLs, diverting the browser to a warning page. The real-time antivirus iced another eight percent during download.

    BullGuard's total detection rate of 89 percent is better than average, though not tip-top. That honor goes to Norton, which managed a 98 percent protection rate. Improved Phishing Protection P.

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    Barnum famously stated that there's a sucker born every minute. Creators of phishing websites know he's right. They create fraudulent websites that look exactly like PayPal, or your bank, or your email login. Some even try to steal logins for game sites, or dating sites.

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    If you fall for the fake and enter your username and password, the fraudsters own your account. These fake sites quickly get blacklisted, but their creators simply put up new ones, trolling for a new batch of suckers. For testing purposes, I gather the very latest reported frauds from online sites that track such things. As much as possible, I use URLs that haven't gone through analysis yet.

    Detecting these is both more difficult and more important than blocking those that already hit the blacklist. I launch each of my collected URLs simultaneously in a browser protected by the product under testing and in another protected by Symantec Norton AntiVirus Basica longtime antiphishing champ. You can click a link for more detail, but the result is peculiar. It says, "The information we have indicate sic that this site," followed by a blank line.

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    I didn't check every single blocked site, but I clicked for more detail perhaps every 10 or 12 sites. None offered any information. BullGuard's performance in this test has had its ups and downs over time. In the version before last, it came within 6 percentage points of Norton's detection rate. However, the last version trailed Norton by 35 percentage points, and lost to two of the three browsers. This time around, it's out of that slump, just 5 percentage points behind Norton and better than all three browsers.

    That's pretty good, but 10 recent products have done better. Bitdefender and Trend Micro even beat Norton's detection rate, by 12 percent and 3 percent respectively. Safe Browsing Safe Browsing is the BullGuard feature that steers your browser away from dangerous and fraudulent websites.

    It also marks up links in Google, Bing, Yahoo, and Facebook, so you don't even click dangerous ones. A check mark in a green circle means the site is safe, while a red stop sign denotes a site you shouldn't visit. Pointing to the icon displays a small pop-up listing the website's categories and threat level. However, you can't click for a full-page site analysis the way you can with Norton's Safe Web feature.

    Vulnerability Scan BullGuard's previous edition included a spam filter, but, recognizing that few people need a local spam filter these days, the developers removed it. To keep things in balance, they moved the vulnerability scan to the standalone antivirus.

    This feature previously required an upgrade to one of the BullGuard suites. Even if you never actively launch it, this component runs in the background to check your system for security problems. Hackers just love finding security vulnerabilities in your favorite programs, things that let them execute arbitrary code on your computer. The best defense against this kind of attack is to apply all security patches as soon as they become available.

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