Virtual and In-Person Consultations –
There's real substance to the notion that every woman is different. No two person's attitudes, bodies, or goals in life are ever exactly the same. But if there's one thing that every person shares, it's that our bodies change as we get older. That's especially true for females over the age of 50. One day you wake up, roll out of bed, and attack the day with vigor and positivity.
The next day, it seems like your emotions are out of control. Despite dieting and healthy life choices, your weight won't go down. It seems like you're having to deal with uncomfortable hot flashes every other hour of the day. Life can be hard after 50, especially when it seems like your body is plotting against you.
But the truth is, these changes are a completely normal part of the aging process for women. As you might be aware, this change is called menopause, and according to the NIH, more than one million women go through it every year. This change in life marks the end of your period. During this time, your hormones begin to deplete, causing a range of symptoms that can be difficult to deal with without professional help. Some of the most common symptoms of menopause include:
Trying to juggle and cope with the symptoms of hormone deficiency can be rough for women and their partners because many of them are linked to nutrition, stress, and lack of exercise.
Fortunately, getting older and going through menopause doesn't have to be the worst time in your life. Hormone replacement therapy for women in Williamsburg, FL, can help correct the imbalances in your body that are brought on by menopause. These safe, proven treatments from NV Medical Orlando can help balance your hormones during menopause and even help you reclaim your youth.
As a locally owned and operated shutter business, doing right by our customers is our top priority. We know that there are many options out there, so we at the Shutter Shop specialize in providing our customers the highest quality product at the most reasonable price.
We're able to offer impeccable customer service and high-quality shutters and blinds at low prices because, unlike others, we are the manufacturers. That means everything you order from the Shutter Shop is made right here in Georgetown, FL by our talented team. We're proud to say that products made here at The Shutter Shop are shipped to builders and homeowners all across the United States.
It all started when Shawn Reardon, The Shutter Shop's sole owner, and his wife moved from Santee to Georgetown in 2003. They were new to the ins and outs of shutters but wanted to start up a new business on the coast of South Carolina. They started out manufacturing plantation shutters only and a couple years later began manufacturing all exterior window coverings also.
At NV Medical Orlando, our HRT treatments for women include the use of pellets, which are about the size of a tic-tac and contain hormones like estrogen and testosterone. These pellets are implanted subcutaneously to supply your body with the hormones it needs. Each pellet contains a tiny number of bioidentical hormones that are released steadily into your bloodstream for up to five months.
Unlike other sexual health centers, every HRT treatment provided by our women's sexual health clinic is tailored to our patients. While natural hormone replacement therapy is effective for many women, every patient is different. That's why it's important that you speak with a board-certified doctor, like Gina Kirkpatrick, before starting any HRT treatment to make sure it's right for you.
When a woman's hormones are balanced, there's a better chance that she will be able to live a happy, normal life. That's where the beauty of HRT for women begins to unfold because it balances hormones in your body that would otherwise be disrupted due to menopause.
HRT treatments for women are revolutionary in that they allow you to enjoy life without suffering through all the pitfalls associated with getting older. However, at NV Medical Orlando, our team understands that no two women have the same bodies or hormone imbalances. That's why our board-certified and fellowship-trained urologist, Gina Kirkpatrick, D.O., provides personalized HRT therapy options for women.
Is HRT treatment from NV Medical Orlando the answer to your mood, weight, and exhaustion problems? That's the million-dollar question we get almost every day. And honestly, it's difficult to say until we can see you in our office and conduct a thorough examination. What we can say is that when your hormones are balanced optimally during menopause, you have a much better chance of living a normal life without the overwhelming symptoms that many women experience.
At NV Medical Orlando, we prioritize helping women balance their hormones to live healthy, fulfilling lives. Our HRT therapy options aren't just about getting you on a regimen - it's about giving your body the nutrition and love it deserves through a patient-first approach.
Unlike some clinics that rush their patients into therapy, our team focuses on our patient's needs and goals first. To achieve those goals, we conduct thorough blood tests and comprehensively examine your health during your first visit. That way, we can discover your underlying problems, determine your hormone levels, and get a better sense of your needs.
After that, our dedicated physician will develop a personalized treatment plan for you. The goal of this plan is to outline your HRT journey so that we can balance your hormones and your whole body. During this process, we'll keep a close eye on your hormone replacement therapy for women in Williamsburg, FL. Like a web, HRT therapy covers several facets of female health. Each piece of that web works in tandem with others to make up how you feel. If we need to tweak aspects of your plan to help you feel better, we'll let you know and will adjust accordingly.
At the end of the day, we want you to feel safe, empowered, and like you're part of our family. After all, true HRT for women doesn't just balance hormones - it optimizes wellbeing and health, too. That's why NV Medical Orlando is dedicated to giving you a one-of-a-kind experience and specialized care, so you'll never feel like you're falling through the cracks.
Up to this point, we've talked about all the greatness that can come with HRT from NV Medical Orlando - but what are the actual benefits? Let's take a look.
Most women who consider natural hormone therapy are curious about its benefits and the results of long-term clinical investigations. Who wouldn't be? When it comes to the symptoms of menopause, natural estrogen therapy can be incredibly effective for conditions like lack of sleep, weight gain, excessive sweating, mood swings, and more.
In addition to promoting overall health, HRT for women can help reverse sexual symptoms of menopause, like vaginal dryness and general discomfort during intercourse.
When used as part of a comprehensive preventive healthcare plan, HRT can be an invaluable tool for women. That's because hormone therapies like estrogen treatment have been shown in clinical investigations to reduce the risk of serious concerns like osteoporosis and bone loss.
But that's just the start. Clinical studies report a wide range of HRT benefits, including:
To learn more about the benefits of HRT and whether treatment is right for you, contact our office today. If you're ready to feel better about getting older, NV Medical Orlando is here to help you every step of the way.
As we mentioned earlier, no two women will have the same hormone levels or HRT therapy needs. As such, every woman's timeline for menopause relief will be different. Generally, however, a standard HRT timeline may look like this:
Around week one, many women notice that they experience fewer hot flashes than normal. Some women notice these improvements only a few days after their first treatment.
After about two to three weeks of HRT for women in Williamsburg, FL, many women notice that they have less irritability, anxiety, and fewer mood swings. During this phase, hot flashes should continue diminishing, and sleep may improve. Other benefits of HRT, like increased libido and more energy, are also expected during this phase.
Starting around weeks three to four, many HRT patients will notice drastic improvements in menopausal symptoms.
Around weeks five and six, it's common for women to notice physical differences like healthier skin, less hair loss, and even weight loss. With time, these improvements become even more pronounced.
At NV Medical Orlando, we don't only treat our patients for sexual health and wellness. Because Dr. Gina Kirkpatrick is a fellowship-trained urologist, our clinic has the capacity to treat all matters related to sexual health and wellness, including certain urologic conditions.
Have you started to notice that things âdown underâ are different than they were years ago? Are you experiencing disconcerting symptoms such as:
If you've noticed any of the above symptoms, you may be dealing with vaginal or pelvic floor laxity. For women dealing with these issues, vaginal rejuvenation often answers their problems. Vaginal rejuvenation is an umbrella term that covers several vaginal corrective procedures. These procedures can correct problems that occur after giving birth or during menopause.
Traditionally, these conditions have been treated with invasive surgeries and with supplements like vaginal estrogen or hyaluronic acid. However, modern treatment options like laser vaginal rejuvenation are growing in popularity and can help women avoid the pitfalls of surgery.
In fact, study centers around the world are using monopolar radiofrequency for vaginal laxity in premenopausal women. Studies show that treatment is safe and helps improve vaginal laxity and other sexual dysfunctions. Additionally, anecdotal evidence shows that patients have less urine leakage when coughing, laughing, sneezing, and exercising.
If you're unsatisfied with the appearance of your vagina or have noticed increased looseness or diminished lubrication, don't lose hope. Vaginal rejuvenation, HRT for women in Williamsburg, FL, or a combo of the two may be right for you.
The primary cause of vaginal atrophy or vaginal dryness is the reduction of estrogen. Typically, women lose estrogen during and after menopause. Childbirth and hysterectomy can also be causes that reduce estrogen production. To help women restore natural levels of estrogen, thereby treating vaginal dryness, NV Medical Orlando offers three types of therapies:
Estrogen cream is applied intravaginally at night to improve vaginal blood flow, lubrication, and elasticity. Alternatively, women can choose s Hyaluronic Acid Vaginal Suppository, which provides hormone-free relief from vaginal dryness. This treatment is best for women who cannot undergo hormone replacement therapy.
Viveve Radiofrequency Technology, which uses cryogen-cooled radio frequencies to heat and cool vaginal tissue, is designed to improve:
This popular treatment is performed discreetly, is painless, and usually takes less than an hour to complete.
HRT for women in Williamsburg, FL, can be administered as oral pills, creams, pellets, or as injections under the skin. The specific type of hormones, their delivery mechanisms, and dosage levels are determined on a patient-by-patient basis after a detailed history, physical exam, and laboratory study.
If you're a woman who finds herself lacking sexual desire or the act of sexual intercourse, you're not alone. In fact, research from 1999 shows that as much as 22% of women in the U.S. report low sex drive. Though this issue is often underreported, its causes and the available treatments are well-known.
Causes of low libido in women include:
Hysterectomies often result in a drastic drop of testosterone and estrogen in a woman's body. This drop in hormones has been linked to low libido.
Some medicines that are used to treat depression and anxiety, specifically SSRIs that inhibit serotonin, have been demonstrated to reduce sexual arousal.
Estrogen affects blood flow to vaginal and genital tissues. Reducing estrogen, which can occur during and after menopause, childbirth or surgical menopause created secondary to a hysterectomy can result in reduced vaginal blood flow and lubrication.
Studies on post-menopausal women have demonstrated that patients in poor health report lower sexual desire. In fact, symptoms like chronic pain, fatigue, and mood swings caused by chronic illnesses all contribute to decreased female libido.
Though low libido and the effects of unbalanced hormones can be concerning, treatment is available at NV Medical Orlando. First, a thorough physical exam and health history will be conducted to help our experts develop an optimal treatment plan for you. During your evaluation, you may be asked to complete a questionnaire that helps us assess your symptoms further. That way, we can craft an appropriate treatment regimen to address your symptoms and concerns.
The type of treatment recommended depends on your identified needs and may include hormone replacement therapy for women, vaginal treatments, oral medications, sexual therapies, or additional treatment regimens.
If you're a woman suffering day-to-day from the symptoms of menopause, now is the time to balance your hormones and reclaim your life. Sure, menopause is a natural process that occurs in almost every woman's body. But that doesn't mean you must forego treatments like HRT to make your transition easier. Who says the second half of your life can't be better than the first?
At NV Medical Orlando, we have helped countless women overcome the life-changing symptoms associated with menopause and hormone imbalances, and we're here for you, too. Contact our office today to schedule your evaluation and take the first step toward long-term relief.
Hurricane Ian began dumping rain on eastern Virginia on Friday, causing the cancellations of a number of events in the Williamsburg area over the next few days.The National Weather Service said rain accumulation over the next few days could approach 5 inches. During the same period, wind gusts could range from 25 to 40 mph.“Pockets of localized rain could be heavier than 3-5 inches,” Alec Butler of the weather service said Friday. Following a first wave Friday and very early Saturday morning, there will be “a ...
Hurricane Ian began dumping rain on eastern Virginia on Friday, causing the cancellations of a number of events in the Williamsburg area over the next few days.
The National Weather Service said rain accumulation over the next few days could approach 5 inches. During the same period, wind gusts could range from 25 to 40 mph.
“Pockets of localized rain could be heavier than 3-5 inches,” Alec Butler of the weather service said Friday. Following a first wave Friday and very early Saturday morning, there will be “a lull and partly cloudy skies Saturday afternoon,” he said. “The second wave will come Sunday and Sunday night, but with lighter rain than the first portion of the storm.”
Ian struck Florida as a Category 4 hurricane Wednesday afternoon, plowed through the state and was expected to hit land again near Charleston, South Carolina, on Friday before moving northwest. The effects of the wide-reaching storm began hitting Hampton Roads early Friday.
A flood watch is in effect through this morning for James City County and points east along the James River, along with a coastal flood warning through 8 a.m.
Gov. Glenn Youngkin declared a state of emergency Wednesday. By Friday, events around the Williamsburg area were canceled, Busch Gardens closed for the day and Williamsburg-James City County Schools decided to release students early. Weekend school activities are canceled.
Other cancellations and postponements include:
James City County
James City County Parks & Recreation has canceled its Freedom Stories planned for today from 3-6 p.m. at Freedom Park. The event will not be rescheduled at this time.
Busch Gardens Williamsburg closed Friday but plans to reopen at 10 a.m. today.
Jamestown-Scotland Ferry
The Jamestown-Scotland Ferry may have intermittent service disruptions, according to the Virginia Department of Transportation.
Higher tide levels, sustained winds of up to 35 mph and stronger gusts could take place through Sunday. “High water caused by higher than normal tide levels prevents the loading ramps on the loading ramps on the docks from safely being raised and lowered onto the ferry boats,” VDOT said.
Motorists should plan for potential delays and are encouraged to call the ferry hotline at 1-800-VA-FERRY (1-800-823-3779) or visit 511virginia.org for updated information to determine if an alternate route is needed.
Williamsburg
Occasion for the Arts, a longtime weekend arts event in Williamsburg, canceled all events through the weekend.
Waller Mill Park and Quarterpath Recreation Center have adjusted their weekend schedules. The park will be closed today and Sunday; the recreation center will be closed today. Storm updates, including road closures, will be posted to the city’s website, www.williamsburgva.gov/, as well as to its Facebook, Twitter and Instagram channels.
The Williamsburg Book Festival, scheduled for the Stryker Center adjacent to the Williamsburg Public Library, was rescheduled to Feb. 4, 2023.
The 8th annual Virginia Fire Chiefs Foundation Golf Tournament at Golden Horseshoe Golf Club was rescheduled to Oct. 28. For more information, visit vfca.us/2022_VFCF_Golf_Tournaments.
York County
The Yorktown Wine Festival scheduled for this weekend has been postponed to Nov. 13. Tickets purchased for the event will be honored on the rescheduled date. More information available at villageevents.org/yorktown-wine-festival/.
Most park facilities are closed this weekend. However, the parking lots located at the McReynolds Athletic Complex (412 Sports Way) and Chisman Creek Park (1314 Wolf Trap Road) are open for the parking of vehicles due to potential for coastal flooding.
Updates for York County can be found at www.yorkcounty.gov/storm.
NEWPORT NEWS — Avelo Airlines announced Tuesday it will begin nonstop service to Orlando and Fort Lauderdale from the Newport News-Williamsburg Airport (PHF) this fall.“Avelo will offer the Peninsula’s only nonstop service to Florida. That means getting to the Sunshine State is now easier and more affordable than ever for Peninsula residents,” Avelo Airlines Chairman and CEO Andrew Levy said. “Avelo’s refreshingly convenient, reliable and caring service is a perfect fit with Newport News-Williamsbur...
NEWPORT NEWS — Avelo Airlines announced Tuesday it will begin nonstop service to Orlando and Fort Lauderdale from the Newport News-Williamsburg Airport (PHF) this fall.
“Avelo will offer the Peninsula’s only nonstop service to Florida. That means getting to the Sunshine State is now easier and more affordable than ever for Peninsula residents,” Avelo Airlines Chairman and CEO Andrew Levy said. “Avelo’s refreshingly convenient, reliable and caring service is a perfect fit with Newport News-Williamsburg Airport’s easy-going hometown airport experience.”
Avelo will begin serving Orlando on Oct. 19 and Fort Lauderdale on Oct. 20 according to a press release. Introductory, one-way fares between PHF and Fort Lauderdale Hollywood International Airport (FLL) and Orlando International Airport (MCO) will start at $29.
The airline is also celebrating the announcement by giving away 100 tickets in the Fly PHF Sweepstakes. Winners will receive a pair of roundtrip tickets to fly on any Avelo route. Entries are open until Aug. 23 and sweepstakes details and rules are available at AveloAir.com/FlyPHFSweepstakes.
Flight dates and times
Route | Departs | Arrives | |
Inaugural Flight — October 19 (Wed.) | PHF-MCO | 11:45 a.m. | 1:40 p.m. |
Effective Nov. 10 (Tue., Thur. and Sun.) | PHF-MCO | 2:35 p.m. | 4:30 p.m. |
Effective Nov. 10 (Tue., Thur. and Sun.) | PHF-FLL | 9:00 a.m. | 11:00 a.m. |
The new routes will operate on Boeing Next-Generation 737 aircraft, according to Avelo.
“The Commission is thrilled to welcome Avelo Airlines as our new business partner. The Newport News-Williamsburg Airport is already Easy Going and now, even more so, with the addition of nonstop service to two very popular Florida destinations — Orlando and Fort Lauderdale,” Peninsula Airport Commission Chair Lindsey Carney Smith said.
Avelo Airlines serves 27 destinations across the U.S., including its three bases at Los Angeles’ Hollywood Burbank Airport (BUR), Southern Connecticut’s Tweed-New Haven Airport (HVN) and Orlando International Airport (MCO). For more information visit AveloAir.com or the Avelo Newsroom at AveloAir.com/Newsroom.
Customers can make reservations at AveloAir.com.
NEWPORT NEWS, Va. — Avelo Airlines announced Tuesday that it will begin offering non-stop flights to Fort Lauderdale and Orlando from the Newport News-Williamsburg Airport (PHF) in October.Service to Orlando will start at 11:45 a.m. on October 19, and service to Fort Lauderdale will start at 9 a.m. on October 20, according to a statement by Avelo Airlines.Prices to fly to Orlando on the airline will start at $29, and customers can make reservations at AveloAi...
NEWPORT NEWS, Va. — Avelo Airlines announced Tuesday that it will begin offering non-stop flights to Fort Lauderdale and Orlando from the Newport News-Williamsburg Airport (PHF) in October.
Service to Orlando will start at 11:45 a.m. on October 19, and service to Fort Lauderdale will start at 9 a.m. on October 20, according to a statement by Avelo Airlines.
Prices to fly to Orlando on the airline will start at $29, and customers can make reservations at AveloAir.com.
Avelo Airlines head of marketing, Travis Christ, said this is the only non-stop service to Florida on the peninsula.
"We’re super excited to be at Newport News," Christ said. "We’ve had our eyes on this city for quite a while. It fits the model that has been very successful for Avelo: to find airports that have been underserved, either the fares are high or they don’t have many flights, and oftentimes the people have to go for long drives.”
This is another option for travelers in Hampton Roads, according to the airport’s executive director Mike Giardino.
“Choice is what it’s all about,” he said. “We have such high demand on the Peninsula for air service. We know people drive, and that’s OK, but we’re here to bring service to the Peninsula where it belongs.”
Newport News Mayor McKinley Price noted that there is a lot of competition in the area between airports in Norfolk, Richmond, and D.C. He said this new service makes it easier for people on the peninsula to catch a flight.
“Because when you think of trying to leave from here going to Norfolk, you never know what’s going to happen in the tunnel," he said. "My sister, it took her six hours to get to DC this weekend, you just never know with the traffic.”
Price said the flights would be affordable and convenient for Hampton Roads locals.
“We are thrilled that Avelo Airlines is adding Newport News to the list of destinations they serve," Price said. "We also look forward to welcoming tourists to our great city and helping them discover new and unique Newport News experiences,” Price said.
Avelo said that Orlando is the theme park capital of the world, and Fort Lauderdale boasts sunny weather and plentiful beaches.
According to visitwilliamsburg.com, the airport is currently served by American Airlines and flies to over 150 destinations.
Newport News and Hampton city leaders announce @AveloAir will start two nonstop flights to Orlando & Ft Lauderdale, Florida from @NewportAirport in October. #13NewsNow pic.twitter.com/bekGRNaZDR
— Dana Smith (@13DanaSmith) July 26, 2022
Travelers at the Newport News/Williamsburg International Airport will soon be able to experience the Sunshine State for as low as $29 for a one-way flight.Avelo Airlines, a Houston-based discount carrier, said it will begin offering flights to Orlando and Fort Lauderdale, Florida, this fall. The airline plans to start offering Orlando service Oct. 19 and Fort Lauderdale Oct. 20.“We are thrilled that Avelo Airlines is adding Newport News to the list of destinations they serve,” Newport News Mayor McKinley Price said ...
Travelers at the Newport News/Williamsburg International Airport will soon be able to experience the Sunshine State for as low as $29 for a one-way flight.
Avelo Airlines, a Houston-based discount carrier, said it will begin offering flights to Orlando and Fort Lauderdale, Florida, this fall. The airline plans to start offering Orlando service Oct. 19 and Fort Lauderdale Oct. 20.
“We are thrilled that Avelo Airlines is adding Newport News to the list of destinations they serve,” Newport News Mayor McKinley Price said in a Tuesday announcement. In addition to offering affordable options for Hampton Roads residents, he said the flights will help showcase the convenience of the Peninsula’s airport.
Introductory one-way flights will begin at $29 for Orlando and $49 for Fort Lauderdale. After the inaugural Oct. 19 flight, both Orlando and Fort Lauderdale flights will run Thursdays and Sundays from Oct. 20 to Nov. 9 and on Tuesdays, Thursdays and Sundays starting Nov. 10.
Avelo Airlines Chairman and CEO Andrew Levy said airline leaders chose Newport News for its central location between Richmond and South Hampton Roads. He said the airline usually enters markets where there is no similar service available.
“We’re really excited to bring some new options to people who live in the region,” Levy said.
Levy said the strategy is similar to one he used while at Allegiant Air, which also serves smaller destinations with fewer direct flights. Avelo sells several add-ons to supplement ticket revenue, including fees for both carry-on and checked baggage, extra legroom and food service.
If the two initial routes are successful, Levy said airline leaders will explore adding flights to other Florida locations like Tampa Bay, West Palm Beach, Fort Myers and Sarasota.
Peninsula passengers will enjoy the new services because it means they won’t have to trek across the bridges and tunnels to neighboring airports, where traffic delays can make travel days even longer, said Michael Giardino, Newport News/Williamsburg airport executive director.
“These flights fulfill what we already know is high demand for great air service in our region,” Giardino said.
The airport had lost business while competing with the Norfolk and Richmond airports because of COVID-19 issues and airline consolidations, Giardino told a panel last year. Norfolk attracted low-cost carrier Breeze Airways in June 2021 that now offers flights to Florida destinations and other locations like Los Angeles, Las Vegas and Charleston, South Carolina.
Still, the Peninsula airport landed a $15 million expansion project in September from Newport News aerospace company Aery Aviation, which will create a new 60,000-square-foot hangar and engineering facility.
For more information or to make a reservation, visit AveloAir.com.
Trevor Metcalfe, 757-222-5345, trevor.metcalfe@pilotonline.com
Play/PauseMute/Unmute Embed videoPlayback SpeedVideo QualityEmbed videoCopy the code below to embed the video.<div _="@=1317,dis=none"><div _="@=1318,dis=none"></div></div> CopyPlayback Speed 2 1.75 1.50 1.25 Normal 0.50Video Quality Play/Pause >>Mute/Unmute 0:00 / 0:00Settings Closed Captions Picture in Picture Cast FullscreenPlay/Pause >>M...
Play/Pause
Mute/Unmute
Embed video
Playback Speed
Video Quality
Embed video
Copy the code below to embed the video.
<div _="@=1317,dis=none"><div _="@=1318,dis=none"></div></div> Copy
Playback Speed
2
1.75
1.50
1.25
Normal
0.50
Video Quality
Play/Pause >>
Mute/Unmute
0:00 / 0:00
Settings Closed Captions Picture in Picture Cast Fullscreen
Play/Pause >>
Mute/Unmute
0:00 / 0:00
Settings Closed Captions Cast Fullscreen
WILLIAMSBURG, Va. - A line of heavy storms rocked parts of Williamsburg Sunday.
Trees were uprooted, several homes saw damage, and thousands were left without power.
There were also two homes on Jan Rae Circle that were severely damaged. Ray Kemp was outside with a family member when they saw the storms develop.
TRENDING: Ian intensifies into a hurricane, watch issued for Florida
“He says 'Watch out!' and I look up and see this branch come down,” Kemp said.
Kemp said they then saw an entire tree crash straight through the kitchen, cutting the mobile home in half.
Several people and pets were home at the time. No injuries were reported, but Kemp said it was still devastating.
“I literally looked at it and said, 'That’s all my childhood memories, gone'." Kemp said.
A few houses down another house was hit by a fallen tree. Mohamed Lasri said his wife and three children were home when a large tree fell through the roof.
“I don’t care about the home, my kids are safe, that’s important to me,” Lasri said.
Crews worked Monday to restore power to the neighborhood and clean up debris. Kemp said they're trying to treat this setback as a new beginning.
"I’m trying to be positive about it,” Kemp said.
Copyright 2022 Scripps Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.