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In this undated photo provided by Thomasville pediatrician Beatriz Juncadella, Juncadella works with children at a clinic in Empalme de Boaco, Nicaragua. The clinic was built and is funded largely by contributions from the Triad, many of which come from Davidson County businesses and individuals. (AP Photo/Courtesy Beatriz Juncadella via The Dispatch)

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** FILE ** This Jan. 23, 2014, file photo shows House Budget Committee Chairman Rep. Paul Ryan, R-Wis. in San Antonio. Ryan won't say if he'll run for president in 2016 but there's one job he's sure he doesn't want: Speaker of the House of Representatives. (AP Photo/Eric Gay, File)

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** FILE ** This Dec. 11, 2013, image from video provided by WJLA-TV, shows Ryan Loskarn, former chief of staff to Sen. Lamar Alexander, R-Tenn., being escorted from his Washington home by U.S. Postal Inspector police. Loskarn has been found dead in Maryland, just weeks after the former staffer's arrest on child pornography charges. (AP Photo/WJLA-TV)

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FILE This Jan. 9, 2013 file photo shows Sen. Lamar Alexander, R-Tenn., left, leaving the Tennessee House of Representatives chamber with his then-chief of staff, Ryan Loskarn, in Nashville, Tenn. Loskarn has been found dead in Maryland, just weeks after the former staffer's arrest on child pornography charges. The Carroll County Sheriff's office said on its website Friday that Ryan Loskarn was found dead Thursday in Sykesville, Md. Deputies say the preliminary investigation shows Loskarn may have committed suicide. (AP Photo/Mark Humphrey, File)

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House Budget Committee Chairman Rep. Paul Ryan takes part in a San Antonio Hispanic Chamber of Commerce event, Thursday, Jan. 23, 2014, in San Antonio. Ryan said House Republicans will tackle immigration reform in pieces rather than the Senate's comprehensive approach. (AP Photo/Eric Gay)

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FILE - This May 9, 2013 file photo provided by the city of Henderson, Nev., shows Onion, a 120-pound mastiff-Rhodesian ridgeback mix, at the Henderson Animal Care and Control Facility. The legal battle over Onion that killed a Nevada toddler has ended with authorities turning it over to an animal rights group, officials said. Onion became the focus of a dispute after it fatally mauled 1-year-old Jeremiah Eskew-Shahan nearly two years ago. (AP Photo/City of Henderson, File)