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Lascaux Megaloceros painting on sandstone
This is a reproduction of a Lascaux giant deer as I imagine it might have looked, freshly painted 15,000 years ago. Raw umber paint is blown onto the stone. In some places I use my hand as a mask just as cave artists did, recreating in miniature the art techniques of the first artists.
Blown paint, hand painting and carving.
Size approx. 9.25" x 12”
About the stone...
This stone is a California gold Sandstone. It has a subtle banding of gold, bronze and cinnamon with a gentle silver mica shine that create a landscape for the deer.
RETURN & REFUND POLICY
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Our crazy vacation gets a little crazier. Just as Yao Xiang and Xiao Tong start to get along an incident has them fighting again. Xiao Tong is determined to leave and En Qi decides to do something spontaneous to cheer her up.
Love at the Aegean Sea follows a young musician who dreams of going to Greece. When her dream is actually realized, everything that can go wrong does. To top off the nightmare, two new men come into her life. One is a carefree man afraid of airplanes and police and the other is a rich man yearning for freedom and

domain: artistic


On Fridayday, the HeliHub.com team filed the 19,000th news story on the site, a truly remarkable achievement in just under five years – an average of nearly 15 stories per working day. No other website files this volume of news – and indeed no other website comes anywhere near us on breadth of news too – we cover more countries, more topics etc etc than any other.
HeliHub.com news can be accessed via the website, our @helihub feed on Twitter or via RSS feed. We also provide a daily email at 0900GMT covering all the stories from the previous 24 hours – or you can choose to just pick up stories from the air ambulance sector, law enforcement, offshore support or a fifth one which just looks at helicopter safety data and issues.
HeliHub.com owner Jeremy Parkin has a long history in the research of helicopter data across the globe. Starting in 1983, he maintained a very detailed database of every helicopter in the UK, and this data was well received and widely used to market products and services to helicopter owners and operators alike. From 1987 the decision was made to expand this to cover all of Europe, and by 1991 the database was global and numbered over 100,000 airframes of both civil and military helicopter types. This data was widely marketed and sold to civil and military organisations across the world. Mr Parkin has had six helicopter books published, including five annual volumes of the most comprehensive civil helicopter directory based on the aforementioned database.
Mr Parkin launched the helicopter industry’s first news website in 1999, and purchased HeliHub.com on 1st January 2010. The HeliHub.com team maintain and build the various sections of the site, and a number of new features of the site are planned for launch over the coming months.
Jeremy Parkin – HeliHub.com
- Airbus forms Team Nightjar for Australian special ops bid
- Boston MedFlight Reaches 80,000 Patient Transport Milestone
- US approves sale of one Sikorsky UH-60M to Jordan
- Northrop Grumman Supports Government Flight Testing of the MQ-8C Fire Scout Radar
- TUM developing AR solution for ship landings in rough seas
- DRF take stock of the corona pandemic in Germany
- DSCA approves sale of 6 UH-60M to Lithuania
- AirLink lands at Klamath County Fire District
- Accel-KKR and ParkerGale join forces to back ATP in its acquisition of FlightDocs
- New helipad opens at Royal Devon and Exeter hospital
- DRF tests droplet spread inside helicopters
- HeliTSA launches Rolls-Royce M250/RR300 engine training
- UK AAIB Bulletin – July 2020
- 14th Annual Electric Aircraft Symposium Goes Virtual
- New South Wales Government supports eVTOL development with grant
- HeliOffshore Appoints Chief Executive Officer
- Patria consolidates its helicopter maintenance operations in Norway
- Russian Helicopters delivers two Mi-8MTV-1 to Yamal Airlines
- NATA Announces 2020-2021 Board of Directors
- UAE and US Forces Conduct Combined Joint Operations in Arabian Gulf


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If you have not reset your password since 2017, please use the 'forgot password' link below to reset your password and access your SAGE online account.
I think this will prove to be a very useful text for undergraduate students. Alex Law has produced a comprehensive list of key classical social theory concepts and provides an accessible account of the meaning of central terms, their place in the work of the classical analysts considered and the contemporary significance of their ideas. In addition he has offered useful additional reading guidance from which students will derive considerable benefit. I would certainly recommend the text to my students and I think they would find it a very useful addition to the library
The book covers key concepts of classical social theory. it is an important tool which students of social science, especially those in Politics, Public Administration and Developments. These concepts covered in this book are critical for students conceptual development and maturity in the application and operationalization for research and policy development. I therefore strongly recommend that students should have it as additional material and strongly advisable for University Libraries to have it as part of their collection
In Key Concepts in Classical Social Theory individual entries introduce, explain and contextualize the key topics within classical social theory. Definitions, summaries and key words are developed throughout with careful cross-referencing, allowing students to move effortlessly between core ideas and themes.
Each entry provides:
• Clear definitions
• Lucid accounts of key issues
• Up-to-date suggestions for further reading
• Informative cross-referencing
A quick reference to key ideas - perfect as a refresher/reassurance that you are on the right lines. Very useful reference for me as a teacher outside of the social sciences - and for some of my students who are interested in more abstract ideas.
A very useful text that has been recommended to the students completing the Sociology degree programme here. It covers the key concepts from the key 'players' and moves beyond by providing some illuminating historical information.
a useful text for health professionals wanting to get to grips with social theory and will help develop their awareness of how these theories influence their own study.
This is a very useful reference source that students can use to get brief introductions to key Sociological concepts before moving on to more detailed texts.
Very useful Level 4 text
An excellent resource for both tutors and students alike at all undergraduate levels. It is in a very readable form and can sufice as a sort of dictionary as well.
Great resource both for those who make their first steps in social sciences and for those needing to brush up their familiarity with the key concepts.
A well structured, and clearly and elegantly written introduction to classical sociological theory. The concepts are well explained and well organised.
This title is also available on SAGE Knowledge, the ultimate social sciences online library. If your library doesn’t have access, ask your librarian to start a trial.

domain: library


text:
Years ago, we celebrated the birthdays of George Washington and Abraham Lincoln in February. Then the Liberals in Washington D.C. decided that two holidays in February was just too much! So they created a Monday Presidents Day.
Many government agencies observe this holiday. Some schools (not many) do the same. Some schools call it a "bad weather" day. And you won't get mail! So...what's wrong with celebrating the birthdays of our great leaders? Were they less deserving than lets say Martin Luther King or Labor Day?
Let's not forget who two of our greatest leaders were. Remember a true Founder of Our Country and a true Keeper of the Republic.
Happy Presidents Day!
George Soros is a little known socialist who has supported both Barack Obama and Hillary Clinton. The former Nazi agent also backs such gro...
Once upon a time, there were Three Little Pigs. This was a time of great housing development in the United States . Barack Obama was giving...

domain: history


text:
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domain: food


The 2014 Ford Mustang is available in four trims, V6, V6 Premium, GT and GT Premium. The 2014 Ford Mustang Shelby GT500 is reviewed separately and Boss 302 is no longer available. Base V6 model to start the 17-inch wheels alloy, xenon lamps, limited-slip rear differential, entry keyless, integrated blind-area mirrors, cruise control, air-conditioning, full power accessories, steering wheel leather-wrapped tilt-and four-speaker sound system with CD player and auxiliary jack audio.
The V6 Premium adds the better 17-inch wheels, power driver seat, Bluetooth and leather Upholstery. The Sync voice system’s Ford, an auto-dimming rearview mirror, trying on Adjustable colors and the lights on, the display of the color information in the middle of the estimate, the improvement in color the absence of the inner eight speaker sound system with satellite radio and an iPod / USB audio interface. The 2014 Ford Mustang GT V8-powered cruise features of the base V6’s plus 18-inch Alloys, the use of the lights, spoilers rear back and fog lamps. The 2014 Ford Mustang GT Premium is essentially a GT with different 18-inch wheels and the V6 Premium’s of features.
Options on the 2014 Ford Mustang V6 include a new external appearance package that adds black painted window CAPS and deck lid spoilers, body-color painted a quarter-window louvers. Is available for coupes is a V6 Performance package that includes 19-inch wheels with summer tires, suspension and brake upgrades, a recalibrated the control of stability in a back and a 3.31 rear axle ratio. The V6 Premium can be a mother Pony package and the Mustang Club of America Special Edition packages. Both contain the 18-inch wheels, fog lamps, auto headlamps, unique and different external styling enhancements.
The V8-powered 2014 Ford Mustang can be outfitted with improved Brembo brakes and axles to work two for rapid acceleration. The 2014 Ford Mustang GT Track package is also available for coupes with manual and spirit brakes Brembo bundles with a Torsen limited-slip differential, the gearing 3.73:1 and a machine that brings warmth and soothed additional engine oil cooling. The GT Premium ordered with all the options of the V6 Premium and GT packages, and a selection of many of the 18 – 19-inch wheels, the California Special package and the Shaker Pro more powerful sound system. And other optional packages include the Comfort Group package, the tech package for the V6 and V8 models Electronics and the package for more than a V6 Premium. Also available in special models and remote start, rear parking sensors, roof glass, the side of his faux, a cover tone for models with convertible and sporty Recaro front seats.
2014 Ford Mustang Interior
The interior 2014 Ford Mustang can be appointed with all the modern conveniences have come to expect to have, while paying serve in its rich history. To activate the voice features of Sync’s very easy to work with audio, mobile navigation systems. The buttons themselves do not feel particularly strong, however, and a large part of the door panels and center console rose by a hard plastic.
One aspect of the Mustang lacks is its wheels and telescoping, although Fortunately, most drivers should be able to find a comfortable seating position. Coupe and convertible body styles can accept four adults, but make passengers will be cramped, so if you always carry around than two people, these are some of the pony cars are a better bet. The body’s Coupe is able to make a decent 12.3 cubic feet, while the convertible space drops to 9.7 cubes. Standard split-up of the seats in the Coupe to increase the volume of cargo.
2014 Ford Mustang Engine
Meets V6 3.7-liter, the 2014 Ford Mustang produces 305 HP and 280 pound-feet of torque. The 2014 Ford Mustang GT steps up to a 5.0L V8 good for 420 HP and 390 LB-ft of torque. Both have a standard six-speed travel manual, while a six-speed automatic with manual shift control is optional. The 2014 Ford Mustang Fuel economy Coupe Mustang V6 is EPA-estimated 19 MPG city/31 MPG highway and 23 MPG in combined driving with the automatic transmission, while the manual is estimated at 19/29/22. The GT has an Average 18/25/20 with the automatic and 15/26/19 with the manual. Choosing the wrath of the difference in the rear gear ratios reduces fuel economy. In the test, a full V6 Mustang Performance package and 3.31 make axle gear ratio of zero to 60 Mph in 5.7 seconds. A regular V6, automatic, done in 6.8 seconds, which is still pretty fast. Tested V8 with the manual, and recorded an impressive Sprint 60 Mph 4.7 seconds.
2014 Ford Mustang Safety
Standard safety features for all 2014 Ford Mustangs include anti-lock disc brakes, front-seat side airbag, control traction control and stability. A rearview camera is available on the Coupe but we need a back guard spoiler. Also standard is a hill-start assist for models with a manual transmission and MyKey Ford’s system, which allows owners to limit speed and audio volume levels for young drivers.
In government crash tests, the Mustang earned an overall safety rating of four stars, with a total of four stars for front-impact protection and four stars for overall side-impact protection. In Insurance Institute for Highway Safety crash tests, the Coupe Mustang received a score on top for printing directly conflicts and the protection of ‘acceptable’ second best for side-impact protection. In brake testing, the V6 and V8 Mustangs fitted with optional summer tires stopped from 60 Mph in only 112 and 113 feet respectively. These distances consistent with other couples, sport with the same tires. However, the V6 Mustang with all-season tires gave a below-average 131 feet.


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New Jersey’s Post-COVID-19 ‘Road Back’ Plan Full of Red Lights
New Jersey Governor Phil Murphy has released The Road Back: Restoring Economic Health Through Public Health, outlining six principles or milestones that will guide the state in deciding whether to ease the stay-at-home restrictions implemented on March 21, 2020, in response to the COVID-19 pandemic.
(For details of the stay-at-home restrictions, see our article, New Jersey Closes Non-Essential Retail Businesses, Directs Stay-at-Home, Sets State Response to COVID-19.)
The Road Back stresses public health over economic health. It provides no specific target dates or clarity on potential restrictions following any lifting of the state’s restrictions on business operations. The decisions must wait until additional data demonstrates sustained improvement in public health.
Six Key Principles
The Governor explained that the following six principles will guide the state in its decisions on lifting existing restrictions:
Demonstrate sustained reductions in new COVID-19 cases and hospitalizations.
Expand testing capacity.
Implement robust contact tracing.
Secure safe places and resources for isolation and quarantine.
Execute a responsible economic restart.
Ensure New Jersey’s resiliency.
These principles are fluid and provide the state the flexibility to adjust, as data on the public health crisis will shape New Jersey’s steps to reopen businesses.
Principles Regarding Business
While hospitalizations and testing capacity statistics are readily available, the principles include the creation of a “Restart and Recovery Commission” to advise on the reopening process.
The Governor expects to name members to the commission on April 28, 2020. However, The Road Back calls for a plan with a “methodical and strategic return to work based on level of disease transmission risk and essential classification.” Furthermore, upon a return to work, social distancing measures “where feasible and appropriate” must continue.
Businesses should not expect a return to normalcy yet. Any restart likely will include an orderly and extended reversal of the current restrictions, with each step in the process requiring support of available health data. While a business can develop contingency plans to reopen, advice from the Restart and Recovery Commission likely will affect those plans. Nevertheless, any contingency plans should include limiting capacity in the place of business (at least initially), social distancing policies, provisions for cleaning and disinfectant protocols, availability of supplies (e.g., masks, gloves, and so on) for workers and visitors, and other items covered by previous Executive Orders, among other precautions.

domain: economics


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Most children should begin regular dental care by the time they turn 1 year old. Here's what you need to know.
Celiac disease is a digestive disease. It damages the small intestine and interferes with absorption of nutrients from food. Here's what you need to know.
Claudication is pain in your thigh, calf, or buttocks that happens when you walk. It may be a symptom of peripheral artery disease (PAD). This is when narrowed or blocked arteries reduce the blood flow to your legs.
As a patient, understanding the basics of the guidelines can help you take a more active role in your treatment.
Detailed information on the differences between cold symptoms and symptoms of allergies
Color blindness is when you can't see colors in a normal way. It does not mean you can't see any colors at all.
What kind of care would you want if you were no longer able to speak for yourself? Read on to learn how to prepare.
Detailed information on dental implants, including types and possible risks.
Depression is not a natural part of growing old. It's a health condition that should be treated aggressively. Read on to learn more.
Here are some common terms that may help you describe your skin condition to your healthcare provider.
Diabetes affects every part of your life, and it can create problems that aren't easy to talk about with your healthcare provider.
About 30 out of 100 people with diabetes get a skin problem sooner or later. Fortunately, most problems can be prevented or easily treated. Read on to learn more.
Detailed information on diagnosing and evaluating heart disease in children
Detailed information on lactose intolerance, including a list of foods that contain lactose
You probably know that a weird mole might be skin cancer and should be checked out by your health care provider. But do you know these other signs of skin cancer?
The condition called dry eyes may feel a sand-like grittiness that can range from mild to severe.
Cancer of the endometrium is a disease in which cancerous cells are found in the lining of the uterus. It is highly curable when found early.
The tissue that lines the uterus is called the endometrium. Normally, if a woman doesn’t get pregnant, this tissue is shed each month during her period. In endometriosis, tissue that looks and acts like endometrial tissue implants outside the uterus.This can cause pain, heavy periods, and infertility.
When you have diabetes, your body doesn't make enough insulin. Or it can't use the insulin that it makes. Read on to learn more about this condition.
When your child has a fever, the body resets its thermostat at a higher temperature. This helps the body fight off invading microorganisms.
Fibromyalgia is a condition that causes pain in muscles and soft tissues all over the body. It is an ongoing (chronic) condition. It can affect your neck, shoulders, back, chest, hips, buttocks, arms and legs.
How do you know when your emotions are the everyday kind that are likely to get better with time? Or when it's time to get help? Read on to find out.
Drug addiction and alcohol addiction are chronic diseases that can be treated as successfully as many other chronic diseases, including high blood pressure, asthma, and diabetes.
Here are the basics about flu and shingles vaccines.
People who are gay, lesbian, or transgender may be at greater risk for health problems because they don't always see a healthcare provider when they need to. This may be because they feel embarrassed, have had a bad experience, fear judgment, or have a healthcare provider who is uninformed.
Gestational diabetes is a type of diabetes that happens during pregnancy. The symptoms of gestational diabetes usually go away after delivery. But sometimes they do not, or you may develop type 2 diabetes later.
If you’re interested in joining an online support group, read on to learn more about finding one that's right for you.
Healthcare providers who specialize in children's eye care say children usually become nearsighted or farsighted between ages 6 and 12. But even infants can wear glasses if they need help to see well.
Even though you know death is a part of life, losing a loved one is one of the most difficult events you can experience. Understanding grief and learning how to cope can help you heal and move forward with your life as you honor the person you miss.
Head lice are tiny parasitic bugs that can infest the skin. They live on people’s heads and feed on their blood. Head lice can cause intense itching.

domain: health


Warm Industrial Heaters At A Competitive Price
Industrial Heaters At A Competitive Price
Did you know that it is possible to find industrial heaters at a competitive price? The prices of warehouse heating systems largely depend on the source of energy they use. Before you go shopping for an AmbiRad heater, you look to look at a few things.
Using An AmbiRad Heater
First, consider the amount of space you want to heat. Big spaces might require industrial heaters that use gas. That is contrary to a small and enclosed space such as a single-occupant office. When you think about it, an AmbiRad heater are very useful for heating targeted areas of the warehouse. Once you have settled on a particular type of warehouse heating systems, there is no reason why you shouldn’t go after it.
The second thing that should come to mind when shopping for factory heaters is the number of people that will be using them. Radiant heaters produce infrared rays, which warm people and objects when they come into contact with them. They are, therefore the best to use in a small space with fewer people.
The good thing about an AmbiRad heater is that it is cheaper compared to the other types of warehouse heating systems. It costs at little as £20 compared to other factory heaters which are listed for at least £40.
While some factory heaters are a little bit more expensive, you will prefer them for other reasons. You might want to try column heaters which can remain operational for long periods of time. You are safe with this type of heaters as their surfaces don’t heat up as much as the other types of electrical factory heating systems. The other options are convection heaters as well as fan heaters. They might be slightly more expensive than the radiant heaters but they definitely have their pros. Fan heaters, for instance, are able to heat the air in the room more rapidly, quickly, and evenly.
The type of warehouse heating systems you choose will largely depend on whether you can afford them or not. Even an AmbiRad radiant heater will be available for up to a maximum of £200. While many will go for the cheapest factory heaters, you might want to consider the quality more than anything else.
Now you know what to look for when shopping around for the most affordable warehouse heating systems. Bear in mind that cheaper products are, at times, associated with very low quality. Watch out.


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The Solar Impulse 2 Solar-powered Airplane made a dramatic entrance in the San Francisco Bay area this weekend, spilling the uprights of the iconic Golden Gate Bridge as it's made its way to Moffett Airfield in Mountain View California.
The Solar Impulse 2 is been on a mission to fly around the world using only.
The Solar Impulse 2 and it's pilot Bertrand Piccard began the journey in the United Arab Emirates in March of 2015.
The plane is able to fly for up to five days and five nights utilizing 17, 248 solar cells spread out across the fuselage and wings of the aircraft Which are capable of producing 340 kilowatt hours of battery life per day which is stored in 633 kilograms of lithium polymer batteries on board the plane.
This allows for the plane to continue flying in the dark.
The solar impulse too was completing it's Pacific leg of the trip.
Where it was stuck in Hawaii for about a month.
Where crews made some repairs to overheated batteries.
The Solar Impulse Two touched down at Moffett airfield just before midnight on Saturday and will be headed across the United States, where it will eventually cross the Atlantic Ocean making it's way to Europe or Northern Africa.
Read more about the Solar Impulse two at Solarimpulse.com Com and find more videos, photos and articles here at cnet.com.

domain: news


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Ok, so we all know how to survive MCM. Lets now move onto the painstaking details of the games that I tested. The endless hours I gave to stand in line to bring back information! Nah, endless hours is a bit of a lie but I did have to stand behind a guy who smelt like cheese. Anyway, with all the madness going on, I managed to test at least four games. The most popular company if this month seemed to be 2K (the people who brought you Bordlerlands) who had gotten their hands on everything.
What has four toes and can fuck up your day?
Let’s start with Evolve, developed by the same people who gave us Left For Dead. A multi-player, first/third person shooter, strategy game, Evolve is a game that can make or break friendships. The premise of the game is to track down a monster before it evolves and wrecks everyone’s day. There are five players to each game, the four Hunters and one hunted. It is the role of the hunters to seek out and kill the monster before it reaches its final form.
There are four classes, the Tracker, who leads the team towards the target. Their job is to hunt the Monster down and trap in within a contained area so the team can beat the crap out of it. The Assault class is your standard bruise, designed to the target heavy hitting damage. Next is the Support (which I played), their job is to cloak the team or give their shield an extra boost. Lastly, there is the Medic, given the job of healing the team members who have taken the most damage. Each class is given a specific job, so don’t be that fool playing a Tracker role and trying to do an Assaults job.
When in doubt, kill it with fire.
Teams of four have to work together in order to take down the player who runs around as the Monster. The Monsters job is to feed of the land and become stronger in order to go Godzilla on the hunting team. They have three stages in order to achieve this goal whilst evading the Hunters. Each new evolution provides the Monster with fairly kickass abilities like breathing fire or stomping someone into the ground. Like a deadly version of Pokémon.
As a console gamer, I am not used to co-op and admit I thoroughly suck at them. I might have enjoyed the game more if the people running the booth hadn’t thrown me straight into it. Here have a controller, good luck trying to work things out. Of course, they have a limited time frame in order to explain things to people. But I had no idea how many fiddly buttons there were in order to shoot my goddamn gun. I don’t have much experience in PC gaming either, so I might have let the team down a little.
I like games, I like to take my time to work them out so I’m not running in blind. Being at a Con with about a thousand other people did limit this notion. However, it was a good game. I thoroughly enjoyed the world that had been laid out for the team to battle it out. It was an atmospheric jungle land that hinted nothing was safe. The graphics were well done, adding to the fairly creepy world.
It’s a game I would suggest to people who enjoy playing co-op with friends. It’s out in February 2015, so pre-order that stuff!
Dem money shots.
Next, is the game Dead or Alive 5: Last Round, which also comes out in February. It’s a fighting game developed by Team Ninja in collaboration with Tecmo. A fairly straight forward fighting game, I found that aspects of it featured things similar to Tekken and Street-Fighter. Accept the woman have huge boobs. Like, ridiculous scale of cleavage. I know it’s a common aspect on fighter games but the creators of Dead or Alive brought out a Volleyball game . Yup, the main female characters get to run around in Bikinis that barely cover their breasts. Character development!
And that’s for borrowing my shampoo without permission!
Still, I enjoyed kicking the butt of my opponent. The controls were fairly standard ones that were easy to follow. As someone who has played multiple fighter games, it was easier for me to grasp moves quicker. If Tekken has taught me anything, it’s to watch out for patterns and then kick butt. Do not butt mash because you’ll never learn anything useful from it.
Welcome to Gotham, I am the Joker and I will be your host for today.
Then there was Lego Batman 3: Beyond Gotham which is to be released on November 14th. The game follows Brainiac stealing the rings belonging to the Green Lantern Corps. His evil plan is to conquer the universe by shrinking the planets and adding them to his collection. In order to stop this crime, the Legion of Doom, Batman and the Justice League are called upon to save the universe.
Within the game, you play single player or multi-player. Since each hero has different abilities to access special features, it is probably best to play with another player. You have the option of the main character, Batman and the main characters from the DC universe. Aquaman is most likely there too crying about the pollution in the ocean and the whales. It’s a fairly fun family game, designed for all ages. The sort thing a parent can sit down to play with the kid.
Quick, pull your serious face!
Once I worked out what the controls were, the demo was quite enjoyable. At times it got a little annoying when you had to press a dozen other buttons to activate something. As Batman has no superpowers, you have to rely heavily on gadgets and Robin the Sidekick. So, hopefully you don’t have to go around cleaning up after the boy wonder. If you have a child or a love for Legos, then I suggest getting the game.
‘Look Batman, I have my serious face on!’ ‘Jeez, Robin we were doing that, like five minutes ago.’
Sadly, the crowds started to heave and I was unable to stand around for an hour to test other games. I enjoyed the ones that I did get to test and hopefully go early next time to test more. Now, go and buy things.

domain: entertainment


I have been writing a weekly column for the Fort Morgan Times for a number of months now and though there haven’t been many public letter-to-the-editor type responses I have heard from many of you privately about what I write. There have been a few people who politely expressed their disagreement with me on some point or other. There have been only one or two who expressed their disagreement in a less polite manner. Much to my surprise, however, the vast majority of responses I have received have been incredibly supportive.
What I find particularly intriguing about the responses I have received is the common theme of individuals who feel relieved or encouraged to hear someone saying things they think are out of character for our community. Numerous individuals have expressed to me the sense that they are isolated in agreeing with me, for example, on matters of racism and justice. People warn me that I am likely to ruffle some feathers saying the things I do. Or they offer me very welcome encouragement on the assumption that most of the feedback I receive must be of the negative variety.
Perhaps I am getting a skewed sample. Perhaps people with complimentary things to say are in the minority, but are more vocal than the silent majority which would disagree with me about environmental matters, or economic justice, or healthcare. Nevertheless, it is clear that I am not alone.
And that is wonderful news, not only for me, but for however many of you there are living your lives in our community feeling out of sync. How many people are lonely merely because they are afraid to speak up? Maybe if more of us spoke up for what we believe is right, even at the risk of alienating many of our coworkers and neighbors, we would discover that there are plenty of other likeminded persons in our vicinity. We might learn that they too have been keeping their opinions to themselves rather than rock any boats.
I have never been the kind who was good at keeping silent, but I sympathize with the widespread sentiment that our social and political discourse is often toxic. I understand why someone would be so eager to keep things civil that they’d learn to bite their tongue. Our news and our politics are in a particularly ugly phase of extreme rhetoric. It seems like no one merely disagrees anymore. The other side (from whichever side we’re on) is never seen as people of goodwill we happen to disagree with on some issues, but as traitors actively trying to destroy our country. In that climate learning to keep your trap shut is a survival skill.
Nevertheless, I believe silence is a luxury we can’t afford. There is too much injustice. Too much oppression. Too much environmental degradation going on around us for people of conscience to remain mute. By all means keep civil, but do not keep silent. There are more people around who will support you than you think there are. They need to witness you standing up for what is right in order to work up their own courage. And the ones who won’t support you? They need to hear what you have to say even more.
Rev. Aric Clark is the pastor of United Presbyterian Church of Fort Morgan. Read more of his writing on his blog at http://twofriarsandafool.com


text:
And if you've ever thought of having a knee lift ...
By PETA BEE
Last updated at 11:21 07 March 2007
Meanwhile, muscles, which help keep the skin taut, slacken if you don't exercise, leading to baggy skin around the knee.
The skin on the knees also roughens over time, while exposure to the sun can cause it to wrinkle.
Saggy knee skin is, says Bernice Berry, a spokesman for the Harley Medical Group, "a natural consequence of the impending gravity that comes with age".
But is there anything you can do to reverse this process? Dr Julio Garcia, a Nevada-based cosmetic surgeon and world expert on plastic surgery, explains that the key is to rebuild the muscles above the kneecap.
One option is a knee "lift" — a procedure that Demi Moore reportedly underwent.
Dr Garcia says he has been approached several times to perform a knee-lift, but never agreed. A notoriously tricky operation to carry out discreetly, it involves an incision where the skin on the front of the knees begins to fold, just above the knee cap.
Loose skin is cut out and the wound stitched shut.
But it can lead to thick, raised hypertrophic scars, which are often darker than surrounding skin.
"If you cut away skin there is going to be scarring," said London-based plastic and cosmetic surgeon Alex Karidis. "If you have a neck lift you can hide the scarring behind the ear, but the knees are one of the most exposed areas of the body."
So what else can be done to delay the joint's ageing appearance? Bernice Berry recommends procedures such as medical microdermabrasion or peels to take away the ageing appearance of the skin (the top layer of skin is removed).
If you're worried about sagging knees wear sunscreen SPF 25 or higher on your legs during the summer.
Otherwise, it's a case of exercises that target the muscles surrounding the knee — such as leg extensions on gym equipment (sitting down with your knees bent, then straightening them on a special piece of apparatus), or squats.
Too much of the wrong sort of exercise, though, might not be such good news for the health of the joint.
Sammy Margo, spokesman for the Chartered Society of Physiotherapists, says that high-impact activities that repeatedly pound, twist and turn the knees can stress the joints.
Middle-aged knees of sporty types, in particular, are prone to osteoarthritis — a painful condition in which the cartilage lining on the ends of the bones gradually wears away, leaving them to grate against each other.
Moderate amounts of low-impact activity — cycling or power-walking, for example — are least damaging. Swimming is good, too, which is just as well for Nicole Kidman since she's on a beach holiday at the moment.
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domain: medical


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Yes, we’re just as surprised that it only took twenty minutes. Watch as CinemaSins rips Suicide Squad a new one in Everything Wrong With Suicide Squad In 20 Minutes Or Less.
Well, here’s an absolute travesty of a movie, from start to finish. Suicide Squad has so many sins, I considered quitting. This movie is just… bad. And here are its sins.
Unlike Batman v Superman, which I seem to enjoy more with each watch, I find that the more I watch Suicide Squad the less I like it. There’s just something about it that drags. Yes, Suicide Squad wasn’t that great. That said, it still did well at the box office, raking in $745.6 million, with a sequel and a Margot Robbie Harley Quinn Gotham City Sirens movie in the works.
“Suicide Squad” is directed by David Ayer starring Will Smith as Deadshot, Jared Leto as the Joker, Margot Robbie as Harley Quinn, Cara Delevingne as Enchantress, Jai Courtney as Boomerang, Joel Kinnaman as Rick Flag, Viola Davis as Amanda Waller, Adam Beach as Slipknot, Karen Fukuhara as Katana, Adewale Akinnuoye-Agbaje as Killer Croc, Jay Hernandez as El Diablo, and Scott Eastwood in an unknown role.
It feels good to be bad… Assemble a team of the world’s most dangerous, incarcerated Supervillains, provide them with the most powerful arsenal at the government’s disposal, and send them off on a mission to defeat an enigmatic, insuperable entity. U.S. intelligence officer Amanda Waller has determined only a secretly convened group of disparate, despicable individuals with next to nothing to lose will do. However, once they realize they weren’t picked to succeed but chosen for their patent culpability when they inevitably fail, will the Suicide Squad resolve to die trying, or decide it’s every man for himself?


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Charles Town, W. Va., July 6, 2017 — American Public University System (APUS) today announced that its Master of Public Health Program has been accredited for a five-year term by the Council on Education for Public Health (CEPH), making it the first fully-online institution to have its program so recognized.
The notification completes a multi-year process which included a year-long self-study and CEPH site visit in November 2016, according to Dr. Vernon Smith, provost.
“We are extremely proud to receive this additional distinction for our School of Health Sciences (SHS), which truly validates our ongoing commitment to quality, career-relevant programs and outstanding learning outcomes,” said Smith. “I also want to acknowledge the collective efforts of SHS Dean Dr. Brian Freeland, Program Director Dr. Samer Koutoubi and other key faculty and staff who have been an integral part of this process since its inception.”
The interdisciplinary Master of Public Health program, instructed by experts in the field, is designed to prepare professionals to resolve complex health issues and enhance the well-being of communities in the U.S. and around the world. It seeks to develop and empower leaders in the public health workforce by closely aligning with academic-community partners and focusing on scientific, psychological, and sociological competencies that significantly impact public health policy and practices.
“Our program integrates industry knowledge with academic credentials, giving students firsthand exposure to public health experts, criminal justice professionals, and security and emergency managers who respond to major disasters worldwide,” added Dr. Koutoubi.
About American Public University System
American Public University System, recipient of the Online Learning Consortium's (OLC) Gomory Award for Quality Online Education and five-time recipient of OLC's Effective Practice Award, offers more than 200 online degree and certificate programs through American Military University and American Public University. Approximately 70,000 alumni worldwide have benefited from APUS's relevant curriculum, affordability and flexibility in pursuing and earning degrees in such areas as business, information technology, and security and global studies. For further information, visit www.apus.edu.


Born in Kobe Japan, Berlin based Techno producer, live act
SUDO is a Live act and production team made up of Japanese brothers Isao and Takashi Sudo. Their techno sound is one that they have carefully fomented over the last two decades having first started out playing rock, jazz and new wave. Their true musicianship always shines through to this day - both in their tracks and live shows - and when coupled with early influences like Sven Vath and Underworld, you have a blueprint for their unique techno sound.
Back when this pair first fell in love with the dance, there were no local trance and techno events in the Kansai area, so like anyone with a true punk spirit, they began organising their own. Having visited many such parties around the world they really know how to throw the best events and in 1998 proved this at STUDIO PARTITA in Osaka with a party called “TELEKTONON. ” It was a big success and many more have followed in recent years, though they now go under the BLISSDOM banner and have and expanded across scenes in the Kansai and Tokai areas.
The natural next step for this pair was to begin making their own music, and after buying a Roland-JV1000, that is just what they did. An album of trance leaning sounds soon followed in the form of INDIGO and it proved they knew how to craft proper grooves with real emotion. Headline sets at clubs like Volume and hit releases in the form of “King Beat” all ensued and won them many new fans in the process. Since then, this pair have got more and more into pure techno and as such started working as SUDO. It has seen them play impressive, absorbing live sets that have received a lot of attention since playing at Tenkawa shrine, where famous artists such as Kitaro, Brian Eno and Vangelis have also performed. This experience in turn has fed back into their studio time and has influenced both their performance and production techniques.
After visiting hotspots like Rotterdam, Ibiza and Berlin in 2012, younger brother Isao Sudo decided to move his base to Berlin and has barely stopped making music since. With such a polished main room sound, it wasn’t long before he caught the attention of legendary dance DJ, producer and label boss Dubfire, who signed up their pair for a release on his SCI+TEC label called the Monogram EP. It became a huge hit, was played by top DJs on dance floors all around the world, and led to them getting tapped up for many more new releases. These came on MINUS in Germany, Deeperfect, Agile in Italy, Scander in France, Night Light Records in UK, Stick Recordings and Selected Records in Spain, Set About, Dark Face in Hungary in turn increasing their notoriety in Europe, North and South America.
And they have also received plenty of remix offers by people like System 7, Rocksted, FractaLL, Gaga, Mateo!, Oscar Aguilera, Alberto Ruiz and many more artist, Following SUDO's 2016 live debut with Dubfire in ageHa Tokyo, and SCI+TEC Showcase OFF Week Sonar, Japan Tour with Egbert then, many people on the dance music scene have high expectations of Japan's latest electronic live act, and in 2018 he caught attention of another big name like Nicole Moudaber, Secret Cinema, and signed their MOOD, Gem records, also they are well aware of that and promise to continue to break new ground going forwards.
Selected discography SUDO
SUDO - Monogram EP (SCI+TEC)
SUDO - Abstract EP (MOOD)
SUDO - Seventh EP (Gem Records)
SUDO - Booster (Set About)
SUDO - Play Loud EP (Agile Recordings)
SUDO - AI EP (Misfit Music)
SUDO feat.ykx - Coincidence (MINUS, Enter.Ibiza CD)
SUDO - Synergy (Deeperfect Records)
Alberto Ruiz - RV5 (SUDO Remix)(HE-ART)
Gaga, Mateo! - Nothing (SUDO Remix)(Dark Face Recordings)
Rocksted, Fractall - This Is the Bass (SUDO Remix)(Jannowitz Records)
Lutzenkirchen - Undoomed (SUDO Remix)(Dark Face Recordings)


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Adult-Onset Asthma with Periocular Xanthogranuloma (AAPOX)
Adult-onset asthma with periocular xanthogranuloma (AAPOX) is a rare non-Langerhans cell class II histiocytosis that was first described in 1993 . It is considered one of the four subtypes of adult orbital xanthogranulomatous diseases (AOXGDs), which include adult onset xanthogranuloma (AOX), adult-onset asthma with periocular xanthogranuloma (AAPOX), Erdheim-Chester disease (ECD), and necrobiotic xanthogranuloma (NBX). These disease entities are characterized by subcutaneous, subconjunctival, and periocular locally invasive xanthogranulomatous inflammatory lesions. [2,3]
AAPOX uniquely presents with adult-onset asthma, lymphadenopathy and periocular xanthogranulomatous disease. The periocular lesions are typically yellowish xanthomatous plaques that are often painless and slow growing, with reports of both unilateral and bilateral findings. [4,5] Depending on the depth and extent of the lesions, associated clinical exam findings may include periorbital swelling, diplopia, exophthalmos, blepharoptosis, and extraocular motility limitations. [6,7] Imaging (such as orbital CT or MR scan) is typically utilized to assess the extent and involvement of the lesions.
The defining feature of this condition is the association of the above findings with adult-onset asthma. In most cases, patients develop mild to severe asthma within months to a few years after the onset of periocular symptoms, although asthma has also been shown to precede orbital symptoms by up to 9 years. [2,5,8]
While the exact etiology of AAPOX is unknown, an atopic etiology has been proposed with associations having been demonstrated with chronic rhinosinusitis, sinonasal polyposis, elevated serum IgE, and eosinophilic infiltration of affected periorbital tissue. [1,2,4] Additionally, AAPOX has been frequently associated with elevated serum polyclonal IgG, benign reactive lymphadenopathy, paraproteinemia, and rarely other lymphoproliferative disorders (which may imply B-cell involvement in disease pathogenesis). [4,8,9]
Over the years, an association between AAPOX and IgG4-related disease (IgG4-RD) has been established, with evidence that they may be on the same disease spectrum. Like AAPOX, IgG4-RD shows associations with atopic manifestation in addition to elevated IgG levels and lymphadenopathy. [8-11] One study demonstrated that fluorodeoxyglucose PET/CT imaging in AAPOX patients can also show increased avidity within organs usually effected by IgG4-RD (lacrimal glands, lymph nodes, and peri-rectal fat).  Additionally, at least 15 cases of AAPOX associated with elevated IgG4 have been reported, with 5 of these patients having had a history of autoimmune pancreatitis, which can be a systemic manifestation of IgG4-RD. [8,12,13] Furthermore, IgG4-positive plasma cells have been present on orbital biopsies in many patients with AOXGD including those with AAPOX. [8,14] A recent study by McKelvie et al showed that eyelid involvement in systemic IgG4-RD was rare and that while some AOXGD cases showed IgG4 levels meeting criteria for IgG4-RD, they were significantly lower than in patients with true IgG4-RD.
AAPOX lesions appear histologically similar to other AOXGDs, demonstrating sheets of mononuclear xanthoma cells (foamy histiocytes), Touton giant cells, and variable lymphoid infiltration. On immunohistochemistry, these foamy histiocytes are typically positive for CD68, CD163, and factor XIIa, but negative for CD21, CD35, S100, and CD1a and lack Birkbeck granules.  Lymphocytes in AOXGDs are typically seen in two general patterns: lymphoid aggregates with typical B cell-containing germinal centers (most common in AAPOX) and diffuse lymphocytic infiltrate (CD8+ T cell predominate) admixed with proliferating fibroblasts (most common in ECD).
To date, there have been no formal diagnostic criteria established for AAPOX. Diagnosis is typically reliant on biopsy demonstrating the histological findings referenced above, along with the appropriate exam findings and a clinical history of adult-onset asthma.
Laboratory evaluation demonstrating elevated serum IgE, or elevated serum polyclonal IgG may also raise suspicion for this diagnosis. If there is a high suspicion for the condition, further work-up for an associated paraproteinemia or other lymphoproliferative disorder can be considered.
Given the common clinical and histopathological features, other AOXGDs (AOX, NBX, and ECD) should be considered as differential diagnoses.
AOX is the rarest of these four entities and is characterized by isolated pre-septal, and anterior orbital lesions that can sometimes be self-limited.
ECD typically has the most tenuous clinical course and is most clinically dissimilar to the other AOXGDs. While ECD does not commonly present with ocular symptoms, it can present with xanthogranulomatous eyelid lesions. [2,3] Furthermore, ECD is associated with significant morbidity due to associated long bone osteosclerosis, central diabetes insipidus, retroperitoneal infiltration causing possible renal dysfunction, cardiac involvement, and interstitial lung disease. [2,5,16]
NBX is the most frequently reported AOXGD.  Clinically, it presents with yellow-orange or reddish-brown indurated nodules and plaques that, over time, can begin to ulcerate and fibrose leading to local tissue destruction.  These lesions are most frequently seen in the periorbital region and anterior orbit (60-80%), but can involve multiple sites including the trunk, face, arms, and legs. [4,17] This condition is highly associated with the development of paraproteinemia (80% of patients) as well as multiple myeloma, B cell lymphoma, chronic lymphocytic leukemia, and other lymphoproliferative disorders.
As mentioned previously, AAPOX has been shown to be associated with IgG4-RD and may be part of a common disease spectrum, so the latter should also be considered on the differential. IgG4-RD is a systemic fibrosing autoimmune disorder associated with raised serum IgG4 levels and histological IgG4-positive plasma cell infiltration. It has been shown to cause a wide range of systemic diseases including autoimmune pancreatitis, sclerosing cholangitis, and retroperitoneal fibrosis, among others.  It can also cause ophthalmic disease such as chronic lid swelling, orbital inflammatory disease (dacryoadenitis, orbital myositis), scleritis, and nasolacrimal duct obstruction. [2,5,18, 19]
Other conditions to consider include xanthelasma, normo-lipemic plane xanthomas, juvenile xanthogranuloma, and periorbital syringomas.
Because of the rarity of this disease, there have been no randomized control trials to date studying the efficacy of various treatments for AAPOX. The current recommendations are limited to evidence from existing case reports/series of AAPOX and other AOXGDs.
In some patients, intralesional corticosteroid treatment for periorbital xanthogranulomas has been shown to be effective. [2,5] A study by Elner et al. showed that periocular triamcinolone injection alone led to improvement in lid lesions as well as improvement in some cases of diplopia in AOX and NBX.  However, it has also proven to be ineffective for substantial symptom control in other patients.  There seems to be a paucity of reports related to AAPOX specifically, though its efficacy is likely to show mixed results.
Systemic steroids have also been shown to be somewhat effective in the treatment of AAPOX. While there are reports of sustained regression with low dose steroid treatment, there are many cases of disease recurrence with cessation of oral steroids. [2,5,6] Because of the numerous reports of treatment failure with oral steroid discontinuation, it is likely that long-term low dose steroid therapy may be necessary to maintain disease remission for some patients. These doses have been shown to be associated with only minimal systemic adverse effects in these patients. [2,5,6]
Antimetabolite agents and other immune modulators have also been trialed in the treatment of this condition. In particular, maintenance low-dose methotrexate and azathioprine have been used to successfully achieve disease remission in AOXGDs including AAPOX. [4,12,17,22-25] The addition of other immunosuppressive agents, such as cyclophosphamide and cyclosporin, have also shown efficacy in patients with this disease and it has been suggested that their respective B-cell and T-cell suppressive effects could be used to tailor treatments based on histopathological lymphocyte characteristics.  Rituximab has also shown to have a durable response in patients with AAPOX due to the likely B-cell driven pathophysiology, though it remains unclear whether histological evidence of strongly positive CD20+ lymphocytes is necessary for successful treatment.
Finally, radiotherapy has also been successfully employed, mostly as an adjunctive treatment, in patients with AOXGDs. It has shown some variable yet promising results in patients with NBX and ECD, but reports are very limited specifically for AAPOX and AOX and show mixed results. [4,19,25]
Medical follow up
Periodic hematologic monitoring with complete blood counts, inflammatory markers, and serum protein electrophoresis should be considered given the potential risk of associated lymphoproliferative disorders. Attention should also be made to the development of other systemic diseases that may suggest an alternative diagnosis.
Surgical debulking can be a reasonable treatment in patients with visual axis obstruction or discomfort who have shown inadequate improvement with initial medical treatment alone.4 However, surgical treatment does not treat the underlying disease process, and symptoms have been shown to frequently recur anywhere from 6 months to up to 9 years later. [5,26]
The diagnosis of AAPOX generally portends favorable prognosis with morbidity stemming from concomitant asthma or potential associations with lymphoproliferative disorders. Correctly diagnosing an AOXGD is critical as their orbital manifestations are often intraconal and can include diffuse, apical, or even intracranial tissue infiltration, potentially leading to vision-threatening complications.  Differentiation of this condition from the other AOXGDs and IgG4-RD, utilizing pre-existing IgG4-RD diagnostic criteria, is also important in overall prognostication.
1. Jakobiec FA, Mills MD, Hidayat AA, et al.Periocular xanthogranulomas associated with severe adult-onset asthma Trans Am Ophthalmol Soc 19939199,125; discussion 125–9. [PMC free article] [PubMed] [Google Scholar]
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3. Roggin KK, Rudloff U, Klimstra DS, Russell LA, Blumgart LH. Adult-onset asthma and periocular xanthogranulomas in a patient with lymphoplasmacytic sclerosing pancreatitis. Pancreas. 2007 Jan 1;34(1):157-60.
4. Sivak-Callcott JA, Rootman J, Rasmussen SL, et al. Adult xanthogranulomatous disease of the orbit and ocular adnexa: New immunohistochemical findings and clinical review. Br J Ophthalmol. 2006;90:602–8. [PMC free article] [PubMed] [Google Scholar]
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9. Guo J, Wang J. Adult orbital xanthogranulomatous disease: review of the literature. Archives of pathology & laboratory medicine. 2009 Dec;133(12):1994-7.
10. Mudhar HS, Bhatt R, Sandramouli S. Xanthogranulomatous variant of immunoglobulin G4 sclerosing disease presenting as ptosis, proptosis and eyelid skin plaques. International ophthalmology. 2011 Jun 1;31(3):245-8.
11. Andrew N, Kearney D, Selva D. IgG4‐related orbital disease: a meta‐analysis and review. Acta ophthalmologica. 2013 Dec;91(8):694-700.
12. London J, Martin A, Soussan M, Badelon I, Gille T, Uzunhan Y, Giroux-Leprieur B, Warzocha U, Régent A, Galatoire O, Dhote R, Abad S. Adult Onset Asthma and Periocular Xanthogranuloma (AAPOX), a Rare Entity With a Strong Link to IgG4-Related Disease: An Observational Case Report Study. Medicine (Baltimore). 2015 Oct;94(43):e1916. doi: 10.1097/MD.0000000000001916. PMID: 26512617; PMCID: PMC4985430.
13. Asproudis, Ioannis, et al. “Successful Treatment with Rituximab of igg4-Related Disease Coexisting with Adult-Onset Asthma and Periocular Xanthogranuloma.” Rheumatology International, vol. 40, no. 4, 2019, pp. 671–677., https://doi.org/10.1007/s00296-019-04409-2.
14. Verdijk RM, Heidari P, Verschooten R, van Daele PL, Simonsz HJ, Paridaens D. Raised numbers of IgG4-positive plasma cells are a common histopathological finding in orbital xanthogranulomatous disease. Orbit. 2014 Feb 1;33(1):17-22.
15. McKelvie, Penelope M.B.B.S., F.R.C.P.A., D. Med. Sci.*; McNab, Alan A. M.B.B.S., F.R.A.N.Z.C.O., D. Med. Sci.†‡; Hardy, Thomas M.B.B.S., F.R.A.N.Z.C.O.†; Rathi, Vivek M.B.B.S., F.R.C.P.A.*. Comparative Study of Clinical, Pathological, Radiological, and Genetic Features of Patients With Adult Ocular Adnexal Xanthogranulomatous Disease, Erdheim-Chester Disease, and IgG4-Related Disease of the Orbit/Ocular Adnexa. Ophthalmic Plastic and Reconstructive Surgery: March/April 2017 - Volume 33 - Issue 2 - p 112-119 doi: 10.1097/IOP.0000000000000661
16. Alper MG, Zimmerman LE, Piana FG. Orbital manifestations of Erdheim-Chester disease. Transactions of the American Ophthalmological Society. 1983;81:64.
17. Ugurlu S, Bartley GB, Gibson LE. Necrobiotic xanthogranuloma: long-term outcome of ocular and systemic involvement. American journal of ophthalmology. 2000 May 1;129(5):651-7.
18. Okazaki K. Autoimmune pancreatitis and IgG4-related disease: the storiform discovery to treatment. Digestive diseases and sciences. 2019 Sep 15;64(9):2385-94.
19. Burris CK, Rodriguez ME, Raven ML, Burkat CN, Albert DM. Adult-Onset Asthma and Periocular Xanthogranulomas Associated with Systemic IgG4-Related Disease. Am J Ophthalmol Case Rep. 2016 Apr;1:34-37. doi: 10.1016/j.ajoc.2016.03.006. PMID: 27152364; PMCID: PMC4852489.
20. Elner VM, Mintz R, Demirci H, Hassan AS. Local corticosteroid treatment of eyelid and orbital xanthogranuloma. Ophthalmic Plastic & Reconstructive Surgery. 2006 Jan 1;22(1):36-40.
21. Davies MJ, Whitehead K, Quagliotto G, Wood D, Patheja RS, Sullivan TJ. Adult orbital and adnexal xanthogranulomatous disease. The Asia-Pacific Journal of Ophthalmology. 2017 Sep 1;6(5):435-43
22. Bijlsma WR, van den Bosch WA, van Daele PL, Paridaens D. Azathioprine and prednisone combination treatment for adult periocular and orbital xanthogranulomatous disease. Acta ophthalmologica. 2011 May;89(3):e278-82.
23. Pomponio G, Olivari D, Mattioli M, Angeletti A, Rossetti G, Goteri G, Gabrielli A. Sustained clinical response after single course of rituximab as first-line monotherapy in adult-onset asthma and periocular xanthogranulomas syndrome associated with IgG4-related disease: A case report. Medicine. 2018 Jun;97(26).
24. Nasr AM, Johnson T, Hidayat A. Adult onset primary bilateral orbital xanthogranuloma: Clinical, diagnostic, and histopathologic correlations. Orbit. 1991 Jan 1;10(1):13-22.
25. Umehara H, Okazaki K, Masaki Y, Kawano M, Yamamoto M, Saeki T, Matsui S, Yoshino T, Nakamura S, Kawa S, Hamano H. Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD), 2011. Modern rheumatology. 2012 Feb 1;22(1):21-30.
26. Deshpande V, Zen Y, Chan JK, Yi EE, Sato Y, Yoshino T, Klöppel G, Heathcote JG, Khosroshahi A, Ferry JA, Aalberse RC, Bloch DB, Brugge WR, Bateman AC, Carruthers MN, Chari ST, Cheuk W, Cornell LD, Fernandez-Del Castillo C, Forcione DG, Hamilos DL, Kamisawa T, Kasashima S, Kawa S, Kawano M, Lauwers GY, Masaki Y, Nakanuma Y, Notohara K, Okazaki K, Ryu JK, Saeki T, Sahani DV, Smyrk TC, Stone JR, Takahira M, Webster GJ, Yamamoto M, Zamboni G, Umehara H, Stone JH. Consensus statement on the pathology of IgG4-related disease. Mod Pathol. 2012 Sep;25(9):1181-92. doi: 10.1038/modpathol.2012.72. Epub 2012 May 18. PMID: 22596100.

domain: literature


text:
Wednesday, May 25, 2011
Birthday card for my Father-in-Law
I created this pop-up birthday card for my Father-in-Law. I know he will enjoy it. His wife is also very creative and shows him all sorts of amazing projects!
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Here are answers to your laser questions.
1. Can you cut trees with lasers?
No. The power requirements would be greater than any current industrial
laser can produce. This is not because the tree is resistant to laser light
it is because of the thickness of the tree. Also there would be laser safety
issues that would have to be addressed.
2. Is there laser proof material?
Yes and no. Good old fashion drywall will stop a pretty powerful beam.
There are companies that make laser barrier material that can stop a beam.
If a laser beam has an optical power in the Megawatt or higher range it
becomes harder to find material that can stop the beam without the material
catching on fire or being blasted away.
3. Does the military have lasers that can destroy a missile?
Yes! The air force has the Airborne Laser System or ABL that was designed to
shoot down an incoming ballistic missile. The testing conducted so far has
proven to be an effective way to shoot down an intercontinental ballistic
4. Flash Photolysis?
Flash Photolysis is a pump-probe technique, in which a laser of nanosecond,
picosecond, or femtosecond pulse width is excited by a short-pulse light
source such as a flash lamp.
I hope this answers your questions.
Laser Institute of America


Angus Cloud, who played Fezoco, the dealer with a heart of gold on Euphoria, passed away at the age of 25 on Monday. Today, a stream of tributes and remembrances are rolling in from the cast and crew of the series.
Cloud’s family released a statement Monday announcing Cloud’s death: “It is with the heaviest heart that we had to say goodbye to an incredible human today. As an artist, a friend, a brother and a son, Angus was special to all of us in so many ways. Last week he buried his father and intensely struggled with this loss. The only comfort we have is knowing Angus is now reunited with his dad, who was his best friend. Angus was open about his battle with mental health and we hope that his passing can be a reminder to others that they are not alone and should not fight this on their own in silence.”
“There was no one quite like Angus. He was too special, too talented and way too young to leave us so soon,” said Euphoria creator Sam Levinson in a statement obtained by Deadline. “He also struggled, like many of us, with addiction and depression. I hope he knew how many hearts he touched. I loved him. I always will. Rest in peace and God Bless his family.”
A cause of death has not yet been determined, though Cloud “was determined to be already deceased” when first responders from the Oakland Fire Department were dispatched on Monday for a medical emergency, according to CNN.
Below are the tributes for Cloud from Euphoria cast members, producers, and guest stars.
Shafter, who plays Jules on Euphoria, posted a Polaroid of Cloud on Instagram on Wednesday, writing: “been trying to figure out what to say, but idk if any combination of words can articulate all of the big feelings. for now i just wanna say:Angus was a sunshine. to have known his warmth, his light, and his love was nothing short of a gift. i’m so grateful to have shared so many enormous fits of laughter, so many sweet moments, and the joy of getting to make something together that we loved so much.i love you angus 💗 thank you for everything.my heart goes out to his family and all of his loved ones right now.”
Maude Apatow, who plays Lexi, posted a series of photos of Cloud on Wednesday, writing:
“Angus was the funniest person ever,” she wrote. “I would get so excited to see on the schedule that we would be working together because I knew we’d have the best day, laughing so hard. He was the sweetest and made everyone around him so happy. He was just the best. Words can’t really capture how magical of a person he was. My heart is broken. Angus, getting to know and work with you was one of the greatest joys and blessings of my life. I will love you forever.”
Sydney Sweeney posted on Instagram on Tuesday afternoon, with a carousel of images and videos of her and Cloud, writing: “Angus you were an open soul, with the kindest heart, and you filled every room with laughter. This is the hardest thing ive ever had to post, and im struggling to find all the words. You will be missed more than you know, but I'm so blessed to have known you in this lifetime, and I'm sure everyone who has ever met you feels the same. This heartache is real and I wish we could've had one more hug and 711 run. All my love is with you.”
Zendaya posted a heart-wrenching tribute on Instagram Tuesday afternoon, sharing a black-and-white photo of Cloud.
She wrote: “Words are not enough to describe the infinite beauty that is Angus (Conor). I’m so grateful I got the chance to know him in this life, to call him a brother, to see his warm kind eyes and bright smile, or hear his infectious cackle of a laugh (I’m smiling now just thinking of it) I know people use this expression often when talking about folks they love…‘they could light up any room they entered’ but boy let me tell you, he was the best at it. I’d like to remember him that way. For all of the boundless light, love and joy he always managed to give us. I’ll cherish every moment.
“My heart is with his mother and family at this time and please be kind and patient as grief looks different for everyone.”
In an Instagram Story Monday evening, Drake, Euphoria’s executive producer, posted a photo of Cloud, writing “Good soul 😥🕊.”
Javon "Wanna" Walton
Walton, who played Cloud’s younger brother Ashtray, posted a tribute on Instagram, writing: “rest easy brother❤🕊.”
Naducci, who played Fezco’s grandmother in Season 2, posted on Twitter: “you were a gentle beautiful soul. You exited to soon.”
Reid, who plays Rue’s (Zendaya) younger sister Gia posted a video of Cloud on her Instagram Story, writing “The tears just won’t stop.”
Gage, who was in Euphoria Season 1, posted a group photo with Cloud, writing alongside the photo “Rip @anguscloud” with a broken heart emoji.
This story is developing.


text: Books Flannery O'Connor Books by Flannery O'Connor Flannery O'Connor has written books about: Nonfiction Faith & Spirituality Biography & Memoir Comics & Graphic Novels Literary Fiction Fiction Facebook Twitter Flipboard Email NPR stories about Flannery O'Connor Book News & Features Words Made Flesh: Literature And The Language Of Prayer June 21, 2015 No American writer has been able to pin down the intersection of faith, prayer and art like Flannery O'Connor. Critic Juan Vidal reflects on her Prayer Journal, and the faith that words can live. Review Comics & Graphic Novels 'Cartoons' Of The Artist As A Young Woman July 19, 2012 In Flannery O'Connor: The Cartoons, editor Kelly Gerald lays out the youthful visual artwork of the woman who would become one of the greatest fiction writers of the 20th century. NPR's Glen Weldon sees it as a prototype for her prose sensibility. Excerpt: 'Flannery O'Connor: The Cartoons' July 16, 2012 Read an excerpt: 'Flannery O'Connor: The Cartoons' Review You Must Read This The 'Mystery And Manners' Of Flannery O'Connor July 9, 2010 Flannery O'Connor's collection of essays explores topics ranging from the act of writing to the art of raising peacocks. But what Aimee Bender, author of The Particular Sadness of Lemon Cake values most is how seriously O'Connor takes the task of being human.


Tim: Last time we talked about Sval, you mentioned you were ‘a sucker for a well-placed “heeey” sample’. Assuming the same hold true for a “heeeyo”, this one may well hit the spot.
Tim: And what a horribly abrupt ending that was.
Tom: What? That was a brilliant ending. In fact that was a brilliant track. And an astonishing video. In fact, all of that added up to one of the best tracks we’ve covered in weeks.
Tim: You’ll recall she’s Norwegian; the title means “definitive answer”.
Tom: And the chorus translates, roughly, as “we are in the midst of everything and we are nothing, and we are here without any definitive answer”. I’m not quite sure what that’s about.
Tim: I don’t care, though, because aside from the first verse that sounds too quiet after the hefty intro, and the aforementioned ending, this is a lovely track. She has a lovely voice, the instrumentation underneath is that lovely but not hugely common combination of drum-led and listenable. I’ve said lovely a lot there, but never mind.
Tom: That pretty much sums up my thoughts: more like this, please.
Tim: This is a very, very good track, and one that’s really got me hoping an album’s not far behind.
Tim: Melodi Grand Prix Junior is a Norwegian singing competition for kiddies, which in the past has been used to choose finalists for Junor Eurovision and MGP Nordic (sort of a Scandinavians-only Junior Eurovision), but nowadays is held just for the fun of it. Sval here won it in 2011 at the age of 12, and now, two and half years later she’s making a proper commercial debut.
Tim: And that’ll do me nicely.
Tom: I wasn’t sold on it until that chorus arrived – but then, I’m a sucker for a well-placed “heeey” sample.
Tim: It’s a good enough debut, and certainly an indicator of future potential. I like a good loud female pop singer, and while this isn’t truly massive or ground-breaking, or enough to get me properly excited to write lots of words about it, it’s certainly perfectly listenable.
Tom: Agreed. What’s it all about, then?
Tim: The lyrics, coming as they do with a perfectly acceptable lyric video, are all about her leaving it too late to tell someone she fancies him.
Tom: How breathtakingly original.
Tim: Indeed – just the tragedies of youth. Next, please.


Side Gate Lever Action .410ga 2-1/2in
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This shotgun borrows rifle sights with the fully adjustable semi-buckhorn rear and ivory bead front sight to get your shot right on target. The smoothbore steel barrel is cylinder choked to control shot pattern, where the muzzle end of the barrel constricts slightly. Close-in hunting situations where instinctive point-and-shoot is the name of the game is where this shotgun excels.
Use it to bust clays, hunt grouse, or brag to your friends that you own one of the sharpest looking shotguns on the market. We’ll continue our pursuit for perfection as long as you don’t settle for less.
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text:
Claude Robinson, 44, of Shreveport, faces one count of aggravated rape and three counts of molestation of a juvenile.
A 23-year-old woman says she was 11 years old when a Shreveport man allegedly began sexually assaulting her. It started with him fondling her and progressed to him having sexual intercourse with her 50 to 60 times over seven years.
"I felt like I was in bondage and I did not know how to get out of it," the woman testified this morning in Caddo District Court. On trial is Claude Robinson, a 44-year-old who faces one count of aggravated rape and three counts of molestation of a juvenile.
The case came to light in January 2008 after the woman, then 18 years old, got a letter from a hospital indicating an ...

domain: sociology


text:
Do you suffer from migraines, skin issues, chronic fatigue, difficulty concentrating, IBS, or other gut problems? If yes, food sensitivities could be
About Jenny KemperThis author has not yet filled in any details.
So far Jenny Kemper has created 39 blog entries.
By Dr. Nate Bergman, Chief Scientific Wellness Officer Are you still struggling as we transition to the next chapter of this pandemic
Dr. Nate Bergman recently made an appearance on The Lab Report podcast sponsored by Genova Diagnostics. In this podcast Dr. Bergman discusses:
The powerful new group coaching experience from Kemper Cognitive Wellness is going online and reaching far and wide beginning in May! June
Check out this brief solocast episode from Dr. Nate Bergman's podcast, Evolving Past Alzheimer's. In this episode, Dr. Bergman highlights 3 cases
"I echo the sentiments of my mentor, Dr. Dale Bredesen when he says 'We are at the dawn of the age of
Published October 26, 2017 Show Notes Dr. Bredesen’s fundamental theory is that Alzheimer’s is actually a protective brain response to different classes
Kemper Cognitive Wellness is pleased to announce a new program designed to Change Your Mind and equip you with the tools to
February 14, 2020 By Alison Connors, FMCHC Did you know the heart and brain are in constant communication with one another? Connected
January 23, 2020 By Jenny Kemper As we approach the end of January, I’m wondering, how’s it going so far? New


Have you ever wanted to grow juicy, sweet lemons in your backyard? If so, using Epsom salt on your lemon tree will help you achieve a bountiful harvest. Epsom salt can help provide many necessary nutrients that trees need for optimal growth and health, ensuring larger fruit yields and healthier foliage!
Below you’ll find the benefits of using Epsom salt on lemon trees and learn how to apply it correctly. Plus, you will find out why you should start using it in your citrus garden today!
Why You Should Use Epsom Salt on Your Lemon Tree
If your lemon tree isn’t producing as much fruit as you’d like, or if it’s not looking healthy, it may be because of a magnesium deficiency. Magnesium is an essential nutrient for healthy plant growth, and deficiencies are common in many parts of the United States, especially in naturally alkaline soils. Fortunately, there’s a simple fix.
Use Epsom salt to provide your lemon tree with the nutrients it needs for optimal growth since it is a natural source of magnesium sulfate. To determine whether your lemon tree needs magnesium, do a soil test first. It will provide information on the levels of essential nutrients, including magnesium. If it’s low, Epsom salt is an effective and inexpensive solution to help your fruit trees thrive.
For a flourishing citrus garden, acidic soil with a pH of 5.5 to 6.5 is ideal — and Epsom salt provides just the right amount of magnesium sulfate for optimal growing conditions!
Symptoms of Magnesium Deficiency
Magnesium deficiency can be a major problem for citrus trees, as it affects their ability to photosynthesize sunlight efficiently and thus reduces the productivity of the tree.
The primary symptoms of magnesium deficiencies are yellowing of the foliage. It presents itself along the tips and edges of older leaves. If you suspect your lemon tree may have a magnesium deficiency, using Epsom salt will help restore your tree’s health.
How to Use Epsom Salt on Your Lemon Tree
Once you are sure the soil lacks crucial nutrients, you can take appropriate steps to complete them. Start by completely dissolving 1 to 4 ounces of Epsom salt for every cubic foot in water, stirring until all the granules are gone. This can be applied in two or three doses per season.
It will create a solution that you can pour over soil above the root area of your lemon tree. However, do not pour it directly on the roots. Make a mound around the root zone, about a foot in diameter, and pour the solution around the mound.
Alternatively, spray your lemon tree leaves with the Epsom salt solution, only once or twice per year.
Monitor for Changes
As with any gardening treatment, you’ll want to monitor your lemon tree after application and observe how it responds. After a few months, you should see signs of improved magnesium content in its foliage and a healthier lemon tree overall!
If, however, your lemon tree continues to show signs of yellowing, or general unhealth, consider other factors. Such as watering frequency, disease, or temperature conditions.
Caveats to Using Epsom Salt for Your Lemon Tree
While Epsom salt can help ease magnesium deficiency, you should not overuse it, as this can cause other nutrient imbalances in the soil. Additionally, use Epsom salt for treating deficiency-related issues and do not replace it with regular fertilizing for healthy growth.
Epsom salt and water solutions are often used to fertilize citrus trees, but use caution when applying these mixtures. Though spraying foliage with Epsom salt and water can be beneficial for a lemon tree, it can also cause damage to the leaves when used excessively.
To avoid this issue, dilute the mixture before spraying and never exceed the recommended concentrations. Furthermore, using a horticultural wetting agent helps dissolve the water solution more evenly over the leaves and can reduce potential leaf scorching.
Magnesium in Epsom salts seeps quickly from the soil. Frequent applications may be necessary to get the desired results. However, excessive magnesium leaching could end up polluting water tables or other environmentally sensitive areas.
Grab The Epsom Salt!
Epsom salt is a great way to provide your lemon tree with essential secondary nutrients and restore its health. Plus, since it’s easy to use, you can get started right away! With Epsom salt and the right amount of care, you can enjoy delicious lemons from your backyard for years to come. Get some Epsom salt today, add it to your lemon tree’s soil, and watch as it grows waxier and healthier in no time.
Help spread the word by sharing this article with friends who could benefit from this simple yet effective trick! And don’t forget to comment below with your experience!


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With the release of their fourth studio album 'Crimes of Passion' due out on August 20th 2013, rock band Crocodiles release the lo-fi psychedelic video for the first single 'Cockroach'. After a stint supporting Japandroids in the US, they are now on their UK and Europe tour.
The film is part of a new DLF project, 'Playing Lynch'.
New characters, new inspiration and new themes.
One Marvel Universe star interviewed another, as part of Interview magazine's October edition.


Federal Aviation Administration (FAA), DOT.
Notice of intent to rule on application.
The FAA proposes to rule and invites public comment on the application to impose and use the revenue from a PFC at Des Moines International Airport under the provisions of the Aviation Safety and Capacity Expansion Act of 1990 (Title IX of the Omnibus Budget Reconciliation Act of 1990) (Public Law 101-508) and part 158 of the Federal Aviation Regulations (14 CFR part 158).
Comments must be received on or before October 9, 2003.
Comments on this application may be mailed or delivered in triplicate to the FAA at the following address: Federal Aviation Administration, Central Region, Airports Division, 901 Locust Street, Kansas City, MO 64106.
In addition, one copy of any comments submitted to the FAA must be mailed or delivered to Mr. William F. Flannery, Director of Aviation, Des Moines International Airport, at the following address: City of Des Moines, 5800 Fleur Drive, Des Moines, Iowa 50321.
Air carriers and foreign air carriers may submit copies of written comments previously provided to the Des Moines International Airport, Des Moines, Iowa, under section 158.23 of part 158.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Nicoletta S. Oliver, Airports Compliance Specialist, FAA, Central Region, 901 Start Printed Page 53215Locust Street, Kansas City, MO 64106, (816) 329-2642. The application may be reviewed in person at this same location.End Further Info End Preamble Start Supplemental Information
The FAA proposes to rule and invites public comment on the application to impose and use the revenue from a PFC at Des Moines International Airport under the provisions of the Aviation Safety and Capacity Expansion Act of 1990 (Title IX of the Omnibus Budget Reconciliation Act of 1990) (Public Law 101-508) and part 158 of the Federal Aviation Regulations (14 CFR part 185).
On August 21, 2003, the FAA determined that the application to impose and use the revenue from a PFC submitted by the City of Des Moines, was substantially complete within the requirements of Section 158.25 of part 158. The FAA will approve or disapprove the application, in whole or in part, no later than December 13, 2003.
The following is a brief overview of the application.
Level of the proposed PFC: $4.50.
Proposed charge effective date: March, 2005.
Proposed charge expiration date: January, 2008.
Total estimated PFC revenue: $8,543,039.
Brief description of proposed project(s): Provide a passenger terminal paging system; expand the passenger terminal concourse stem; install required sprinkler system in passenger terminal building; modify passenger loading bridges; and construct a glycol tank storage area. Any person may inspect the application in person at the FAA office listed above under FOR FURTHER INFORMATION CONTACT.
In addition, any person may, upon request, inspect the application, notice and other documents germane to the application in person at the Des Moines International Airport, Des Moines, Iowa.Start Signature
Issued in Kansas City, Missouri, on August 25, 2003.
George A. Hendon,
Manager, Airports Division, Central Region.
[FR Doc. 03-22805 Filed 9-8-03; 8:45 am]
BILLING CODE 4910-13-M


text:
This letter is in response to a letter published Aug. 30, wherein comparisons were made among the United States, German, Australian and English health care systems.
While I agree to some extent that there is no "law" guaranteeing health care to all, I vehemently disagree that this should not be considered a right. Why else would we tacitly contract into a civilized society but for the assurance of equality, and protection? I believe that the hallmark of our civility as a nation is the degree to which we care for those in need. I consider this argument to be the crux of what is wrong with health care today.
Because health care in this country is largely private, we do not now consider this caring for its citizens a basic form of our government. Providers have become reliant on the payors, the private insurance companies. The prospect of eliminating these entities poses great reservation and even fear in health care providers. After all, how will they all make a living?
While we can speak about quality and care delivered through these systems worldwide, the facts remain that the United States spends far more than any of the countries cited in the letter, and has far worse health outcomes.
On the measures of Life Expectancy and Infant Mortality alone, for example, we fare much worse that others, while spending far more on healthcare (www.nao.org.uk/publications/Int_Health_Comp.pdf) .
The doctor makes reference to denial rates for certain procedures and care in these other countries; however, failing to recognize the extraordinarily higher rates of these same practices by the for-profit payors here in this country. Anyone who has private insurance in this country could tell you horror stories about denials, lack of authorizations, and the like. I have personally assisted in representing providers and individuals in these denials, hearings and proceedings on many occasions. Anyone who has worked in an operational capacity in the U.S. healthcare industry for any length of time will tell you that the system here is based on reduced care -- It is simple economics.
The access-to-care restrictions discussed in these countries pale in comparison to those in the U.S., where in large part, the insurance company, not the doctor, determines most of the basics of care including: admission, continued care and discharge. This coupled with the gate-keeper system (Not found in France, Germany or England) used widely in the HMO industry further serves to reduce the average healthcare consumer's access to needed care. There simply is not the "out-of-network" phenomenon that we see here in the United States. Incidentally, where affordability is concerned let me state that half of all us bankruptcies are due in large part to healthcare expenses, and out of these, 3/4 had insurance at the time of their sickness (Woolhandler, et al. "Paying for National Health Insurance -- And Not Getting It," Health Affairs 21(4); July/Aug. 2002).
Dr. Martha Angell writes an extremely poignant overview of the myths regarding Universal Health ( www.sickocure.org/docs/676angellintro.pdf) which I feel should be required reading. This, as well as the information and research represented by the Physicians for a National Health Plan ( www.pnhp.org) should be a starting place for anyone interested in this topic. I urge anyone needing more information on this issue to arm themselves with the facts -- our future depends on it.
Allen Drozd is a licensed mental health counselor, a national certified counselor and a licensed professional counselor.
© 2018. All Rights Reserved. Contact Us


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If you turn to Dr. Google for answers about your swollen face, you may read that the cause could be either a moisturizer that doesn’t jibe with your skin or a serious, life threatening condition.
Before you panic, educate yourself on what can cause your face to swell! A swollen face can mean trouble if you ignore it.
If your face is all puffed up, here are some possible reasons.
1. Allergic conjunctivitis
If your eyelids are red and swollen, you might be allergic to that cat you risked cuddling with or that hidden mold in your bathtub.
- pet dander
- mold spores
If you have it, you might experience:
- eye redness
- eye swelling
- itchiness or burning
- sneezing or a runny, itchy nose
🚨 Time to hop off Google and call 911: Anaphylaxis is a medical emergency. 🚨
You might be having this potentially life threatening reaction to an allergen (such as a food, a medication, or a bug bite or sting) if you experience some or all of the following:
- low blood pressure
- difficulty breathing
- slurred speech
- fainting or loss of consciousness
- nausea or vomiting
- diarrhea or abdominal pain
- rapid heart rate
- rapid onset of symptoms
Angioedema is a type of allergic reaction that causes swelling that goes down deep within the skin. Common triggers include food, insect bites or stings, and medications.
Mild episodes of angioedema don’t always need treatment — but you should always avoid any known allergens to be as safe as possible.
4. Broken nose
It’s no secret that a swift blow to the face can break your nose.
On top of breaking or cracking the bone or cartilage, the trauma can also cause symptoms like:
- swelling and bruising around your nose and eyes
- a crooked nose
- a grating sound when you rub your nose
Cellulitis is a serious infection that may require urgent care. It happens when bacteria or fungi enter through a crack or cut in your skin and may cause:
- redness, pain, and swelling
- warmth and tenderness
- red streaking from the rash
- fever or chills
6. Cushing’s syndrome
Cushing’s syndrome is a disorder that happens when your body makes too much of the hormone cortisol (aka the stress hormone). If you have Cushing’s syndrome, you might have:
- a face that appears swollen and round
- skin that bruises easily
- particularly thick or excessive body hair
Taking glucocorticoids in high doses commonly causes Cushing’s syndrome. Some tumors can also cause your body to overproduce cortisol.
7. Medication allergy
You took some medicine in the hope of treating another condition — and suddenly you’re having an allergic reaction.
🚨 PSA: Any reaction to medication or drugs is considered a medical emergency and may require urgent care. If you’re experiencing symptoms like trouble breathing, a low pulse rate, or slurred speech in addition to face swelling, call 911. 🚨
Medications that may cause allergic reactions include:
- antibiotics like penicillin
- nonsteroidal anti-inflammatory drugs like aspirin or ibuprofen
- chemotherapy drugs
Symptoms may start within days or weeks after taking a medication and may include:
- itchy, red rash
- racing heart
- swelling and itching
- difficulty breathing
- upset stomach
- small purple or red dots on your skin
Hypothyroidism occurs when your thyroid is underactive. This means your thyroid doesn’t produce enough hormones to regulate your body’s energy expenditure.
Possible symptoms of hypothyroidism include:
- puffy, swollen face
- frequent cold feeling
- high cholesterol
- muscle weakness
- painful or stiff joints
- slow heart rate
- weight gain
- hair loss
- fertility problems
Preeclampsia happens when a pregnant person has high blood pressure, protein in their pee, and swelling. This typically occurs at least 20 weeks into pregnancy but may also happen earlier or even after the baby is born.
Preeclampsia is considered a medical emergency that may require urgent care.
- swelling of the face, legs, feet, or hands
- vision changes
- upper abdominal pain
- pain below the sternum
- shortness of breath
If your nasal passages feel more jammed up than rush hour traffic, you might have sinusitis. This infection can happen due to viruses, bacteria, or allergies.
Symptoms may vary in intensity and duration, depending on the cause. They might include:
- face swelling
- decreased sense of smell
- stuffy nose
- sore throat
- runny nose
11. Abscess or tooth infection
If your jawline is suddenly swollen, it could be due to a tooth infection or abscess. These conditions happen due to trauma or tooth decay and may cause:
- swelling of your face or jaw
- pain or tenderness
- tooth sensitivity to hot or cold temps
- sensitivity when chewing or biting
- swollen lymph nodes in your jaw
12. Superior vena cava syndrome
Superior vena cava (SVC) syndrome is named after the SVC, the big vein that transports blood from your head, neck, and chest to your heart.
This vein may become blocked as a result of issues like:
- a tumor
- an enlarged thyroid
- a blood clot
SVC syndrome is serious and may cause symptoms like:
- face or neck swelling
- face or neck discoloration
- shortness of breath
- difficulty swallowing
Actinomycosis is a rare, long-term bacterial infection. It sometimes happens due to dental infections or trauma to the face or mouth, which can cause bacteria to infect the face or intestines.
Possible symptoms include:
- reddish or bluish areas of skin
- sores or abscesses
- chest pain
- lumps on your face
- skin sores
- weight loss
Styes are bumps that typically happen as a result of bacteria buildup or blockages in your eye’s oil glands, which can cause a reaction on your eyelid.
Symptoms may include:
- a red or skin-colored bump on the edge of your eyelid
- swollen eyelids
- red, watery eyes
- a gritty sensation in your eye
- light sensitivity
Still not sure what the deal is with your swollen face? These photos might help.
Trick question — the answer is always yes.
Since a lot of reactions have overlapping symptoms, it can be tricky to know just how serious your swollen face is. In general, it’s better to seek medical care ASAP in case of emergency, especially if you have allergies or are pregnant.
If you or someone you know experiences symptoms of anaphylaxis, call 911 right away and use an EpiPen if you have one.
Most face swelling sitches require a visit to the doc or even emergency care. In some cases, though, a little at-home TLC might do the trick or help ease swelling after a doctor visit.
If you’re not sure, a quick call or online visit with a doctor might help you determine if you can safely stay home.
In the event of a non-emergency or after you’ve had an initial medical visit, at-home remedies like the following might help relieve pain and discomfort:
- OTC hydrocortisone cream
- OTC antihistamines
- OTC pain relievers
- warm or cool compresses
Always contact a doctor if you have face swelling that lasts more than a few days.
Sure, you’ve heard it over and over, but prevention really *is* the best medicine. Doing the following can help you avoid probs before they start:
- Avoid any known allergens like foods and medications. (Pro tip: Head to an allergist to get tested.)
- Inform your doctor of any known allergies you have.
- Read ingredient labels thoroughly.
- If you have food allergies, ask your server about ingredients in restaurants. (Pro tip: If they’re not sure, don’t risk it!)
- If you have an EpiPen, carry it with you everywhere.
- Do a patch test before applying new skin care products.
- Practice A+ oral hygiene to reduce the risk of tooth infections.
- To boost your immunity, try to eat a healthy diet and manage your stress levels.
There are lots of potential face swelling causes, including allergic reaction, injury, and infection. While some cases are mild and may go away on their own, others can be very serious and might require emergency care.
Consult a doctor if you have face swelling, especially if it lasts for more than a few days.
Call 911 if you have trouble breathing, a low pulse rate, dizziness, or slurred speech in addition to a swollen face.


Stethoscope, the device used for listening to heart and chest sounds, bowel sounds and blood flow noises in arteries and veins, has been one of the most impressive inventions in the field for medicine. Prior to its invention, doctors would place their ears directly on the patient in order to listen to sounds, a method known as direct auscultation or use percussion(method of tapping on a surface to determine the underlying structure).
Auscultation became easier with the invention stethoscope. French physician, René Laennec is credited with the invention of the first stethoscope in 1816 at Necker-Enfants Malades Hospital in Paris. The idea of this invention came to Laennec when he was examining a lady who was overweight. He was reluctant to use direct auscultation on the female patient. Percussion was also of no use owing to the degree of fatness.
Laennec rolled a piece of paper to form a cylinder. With one end of the cylinder on the patient’s heart and other end to his ear, he was able to listen to the heart sounds. He was excited to hear the sounds very clearly. He went on to design the first stethoscope which consisted of a wooden tube and was monaural i.e it used one ear.
Irish physician Arthur Leared invented a binaural stethoscope in 1851 which used both ears. In 1852, George Cammann improved the design of the binaural stethoscope for commercial production.
The 20th century has seen many improvements made to the stethoscope including one which uses microphone to amplify sound.