One of my favorite facial cream products is the Noxzema Original Deep Cleansing Cream. This Procter & Gamble product came to us in the 1960's and has been around ever since for the natural facial skin cleansing it provides.
Noxzema Original Deep Cleansing Cream is sold in a short, 14 oz blue jar and of all the Noxema products, it is by far the simplest, and in my opinion the best. It is very much like a cold crème; white, cold out of the jar, foamy, with a strong menthol smell.
The scented camphor and menthol ingredients cause a tingling sensation on application; they are designed to open up skin pores, and help to moisturize and soften the skin. They may irritate sensitive skin at first, but generally the irritations do not last for more than a week, and speaking personally, as someone with extremely sensitive skin, I have never had a problem.
The way to use Noxzema is to take a couple of fingers, scoop up a less than generous amount, and rub the cream onto your face in a circular motion. Even a small amount goes a long way; it has light, fluffy, tingling sensation, and you can feel it seeping into your pores and opening them up.
Leaving it on your face for a few minutes or longer really helps to open up your pores but you shouldn't leave it on to the point of drying it out; you want it to feel cool on your skin, not dry. Noxema doesn't dry as quickly as soap would, and I tend to leave it on for 3-5 minutes. After that, you should splash your face with water and wash the cream off, which will have formed a thick foam that will cling to your skin.
After splashing my face clean of Noxzema, I feel refreshed, my face feels cool, and my pores literally feel more open. And most importantly, my skin doesn't feel dry.
One of the best things about Noxzema Original Deep Cleansing Cream is that it can also clean off your makeup. Instead of buying a traditional make-up removal cleanser or using deep moisturizing paper towels, you can apply a generous amount of Noxemea to your face. Then simply use a paper towel, tissue, or a wet cloth to wipe away your make-up. Again, leave the Noxema on for a few minutes. Then wipe it off, and off comes your make-up leaving your face fresh and clean. You should again splash your face with water to remove any excess Noxzema.
Aside from being a facial cleanser and a make-up remover, the very best thing about Noxzema Original Deep Cleansing Cream is the price. Buying a lot of different products, new and old, to clean your face and get rid of make-up can be expensive with each product costing between $5 and $25. But Noxzema in the short blue jar will cost only about $3.79 (US), and will last about two months if used twice a day, if you use a single finger of cream for each cleansing (which is plenty to spread across your face).
Ingredients: Water, Stearic Acid, Linum Usitatissimum (Linseed) Seed Oil, Glycine Soja (Soybean) Oil, Fragrance, Ammonium Hydroxide, Camphor, Menthol, Eucalyptus Globulus Leaf Oil, Propylene Glycol, Gelatin, Calcium Hydroxide.
Noxzema Original Deep Cleansing Cream is sold as "soft, smooth and never greasy", and this is a fair description. It moisturizes your skin, makes it feel cleaner and smoother, tightens the skin to fight wrinkles, and can be used as a make-up remover. The only drawback for some people might be an initial irritation due to the camphor and menthol. Overall it is one of my favorite skin products.
Carmen is a filmmaker who enjoys producing, writing and editing. She has a BA in Mass Media and a MFA in Film. Recently she has produced and edited a short documentary and is currently producing/directing independent films. She is also a short and feature screenwriter.
I used this stuff when I was younger but it kept breaking me out. I hated that, because I actually liked how it felt on the skin.
I've used it almost every day since it came out - I am now 65 years old and still use it and love it.
I have a very sensitive skin and for somehow I have problems on my skin (acne), I tried so many products but only Noxzema works for me. I am Angolan (in Africa); here we do not have this product and I used to ask my friends to get it from the USA.
I remember my mom using it when I was a little girl. Now im 29 with horrible acne. I'm buying a jar today. Maybe she was right.
I'm going to buy a jar today - let's see if this works!
I am 31 with bad acne too! I have tried everything under the sun, including Proactiv, and I just bought this jar a week ago and have been using it twice a day. Let me tell you... amazing. My mother introduced this stuff to me when I was 13 and getting minor break outs. Everyone use to comment on how FLAWLESS my skin was. I should have kept using this stuff, but I got side-tracked into thinking more expensive products were better. Not true at all! I have acne scars on my face now from whatever it is they put in the products. Noxzema doens't do this to me. You just have to find a good cleansing creme that works for you. I think i'm gonna be a Noxzema gal for life!
I have been using Noxzema Skin Care in the Big Blue Jar for 40 Years. I am 51 and look 35. It has kept my youthfulness and I am just now starting to see a few places around my eyes - which are due to years of smiling that are showing my age a bit. I was so disturbed to find that the product has been recalled. I can't find a jar of this anywhere. I have one more evening I can use this product and I am forced to use another product. The only relevant comment I found to be sensible on the recall website was the one in regard to product seal. These days I do think that would be a good idea! Dear Noxzema, please get this done asap so we can get back to using the product that us girls have depended on for a lifetime. Sincerely 51 and still need my Noxzema.
Noxema is one of the best personal products ever produced in America. I've used it for over 20 yrs for several purposes. Apply it on the whole face before bed, don't wash it off - it goes right in. I am always being taken as much younger than I am and I believe it's due to my use of Noxema. It's also great for personal cleansing and is the most effective sunburn relievers out there. Excellent for a mild itch and safe to use (my skin is super sensitive but loves it).
I have used Original Noxema in the blue jar for sunburn forever! Now I'm unable to locate it. I have been to all the pharmacies and retail stores. What's up??
I have looked all over the place for Noxzema - Walmart, Walgreens, Target, Kmart. I can't find it anywhere. Has it been discontinued?
I've been using noxzema since I was 14. I'm now 39 and still pass for 29. NO ONE believes I'm in my 30's. I'm approached every other week by people selling Avon or MaryKay or make up techs at the counters. They all ask how I keep my skin so fresh and young. I tell them each time "Noxzema" - I'm a walking advert for it. Now I'm OUT of Noxzema and desperate for more. HELP! When will it come back? I can't find anything on when it will be back in stores.
I found it just last week at Kroger.
Posted on 19/04/10 17:22 by: Vee!
My skin started breaking out due to the implant IUD, I recently got it removed :). Before then I never had an acne problem. I have tried several products to clear up what that implant has left behind, nothing worked. I tried Noxzema and whithin a week I could see a big difference... Yayyy for Noxzema! This would be one product that I would use for the rest of my life. For all the comments above that are looking for this product; you could find it at Walmart, or if you're not located near one, try online stores.
Hello, I have been searching for new can of Noxzema for about three years. I Have always found someone to bring one for me from USA. However it's been hard this year. If someone knows where in Montevideo (Uruguay) I can find this product it will be very helpful!
A coworker who has been getting chemo for the last three years told me how she continues to look like she's in her early 50's (she's actually 64). She has the smoothest skin I've ever seen. I know how chemo can age you but her skin looks so great in spite of it. She told me it's because she has never put soap on her face, only used Noxzema since she was a girl. So I went last week and got a big tub, I remember using it as a teenager myself (I'm 42 now) and I can tell you it has made a big difference in my face just in the last week. I read where people were having difficulty finding it. I bought mine at Walmart. Kroger and Dollar Store also have it. I've used it for sunburns too and it works instantly for relief! This stuff is great and considering how long it's been around, that should say something.
They've changed the formula! Less natural oils and more gelatin. Less tingle! More sticky film. I loved the original for 40 years - I still get compliments that I credit to the original. But I won't use this nasty stuff.
I love the smell and the way Noxema feels on my face but this product isn't good for true african-american skin. It's too drying and causes breakouts. It makes acne-prone skin even worse.
I used Noxema skin cream for many years during my growing up years because my mother used it and she had beautiful skin. As an adult I realize that my mother had a different skin type, one that was naturally flawless and easy to maintain. She probably could have used almost any product.
Then I discovered glycerin soap regrettably decades later. The best treatment for dry or oily, blemished, african-american skin is glycerin soap! Really the best!
I saw a lady I haven't seen in years the other day. She is almost 80 and looks 60. She told us they mistake her to be sisters with her daughter. She was asked by another lady how much work she'd had done to her face. She said, "None. I've used Noxzema and then moisturized since I was a teenager. I never went to bed with make up on and never put soap on my face." That was all I needed to hear.
I have been using noxzema since I was 15 years old in 1973 while I was living in Canada. I remember one winter I was laughed at, because my nose had beads of perspiration on it and it was very cold out side. As you know noxzema is heated. I never used soap on my face. In 1983 I broke out with an irriation on my face which came from handle money because I was working in a bank. The dermatologist recommended that I wash my face with noxzema but I needed to use it more regularly. Since then any little pimple which I hardly get, I will put some noxzema on the spot and it clears away. I am 52 years now and I continue to use it at lease once a week, still no soap. Though I may experience with other products for a minute, I always return to noxzema. I have a motto: once it works for me I will stick with it.
I have been using the pump bottle version of Noxzema's original deep cleansing cream for at least ten years. Alberto Culver made a HUGE mistake when they changed Noxzema's formula after obtaining the product from Procter & Gamble. Why does everybody think people want moisturizers in everything? When something ain't broke, don't fix it!!! Not only is the formula now terrible, but the "new" pump bottle is also totally worthless. It makes using this product altogether unpleasant. Too bad. Another great product gone with the wind. Put it back to the way it was.
Posted on 20/07/10 20:47 by: Amarielle.
I've just started using Noxzema last night! So I couldn't tell you right now what it has done for my skin. There is a tingling sensation when you first put it on, then it goes away, then when you wash it off, it tingles again! It seems like the Noxzema is seeping deep down into my pores though because soon you start to see nothing on your face until you wash it again. I was inspired to use Noxzema when i saw my cousin put it on her skin every morning and her skin is pretty clear for a teen girl.
I am a 51 year old man who has very sensitive skin. Even the mildest soaps and skin cleansers always irritate and dry out my skin. Noxzema is the only thing that I use to wash my face. I used to have very bad acne and once I started using noxzema regularly my face cleared up right away. It never irritates or drys out my skin like all the other skin cleansers do. I sometimes wash my face 3 times a day with noxzema and it makes my skin feel so clean - never dry or irritated. If someone like me with extremely sensitive skin can use it - then anyone can. I highly recommend this to anyone. You will be glad you purchased it. It is the greatest skin cleanser ever. I can't live without it!
I have a 15 year old daughter who started getting acne and blackheads. I've had her try proactive, murad etc, and nothing worked. While staying at my mother's over the summer, she began using her Noxzema Deep Cleansing Cream and I could not believe the results. Her blackheads and acne were gone and her skin looked soft and smooth. She absolutely loves it. I was shocked that something so inexpensive and simple could out-perform the more expensive products. I am now using it myself in the hope that I will have the same results!
I have used Noxema since my teen years - I am now 55 & still using it. It is the best skin care product around & it is reasonably priced too. I have tried other products to see if they are better and I always go back to Noxema. My mother used it too.
I've been using noxzema for 3 years. The biggest mistake you can make is using other products when you get a breakout. If you eat right, drink enough water and use noxzema you will have beautiful skin!
I used noxzema when I was a teenager and loved it. I am now going through menopause and had bad acne, but since I had tried noxzema again my face is clear. I bought some for my son, who also had the worst acne I had ever seen and his face is almost clear. I couldnt believe it. So good job noxzema!
I have been using Noxzema every day since I was 12 years old I am now 65; I am told all the time how young I look and how blemish free and soft my face is. I have one problem I am very sensitive to fragrances and now have just about reached the point I am getting unable to use it any more; I'm not happy about this. I have gotten several people to use it. Do they or can they make one that is fragrant free?
I suffer from exzema under my eyes as well as getting wrinkles (I'm 40) which makes finding a cream/cleanser hard. I decided to go "back to basics" and have started using Noxzema. Its been about a week and half and already there is a noticable difference. My patches of exzema have almost gone, and my skin is looking better every morning. I use it before bed to remove my makeup and clean, then use it mornings as a mosturizer - just let it soak. I have found that I don't need to use foundation which is also helping my skin improve! I think this is going to be a long term relationship!
I have only used this product once, and after using it that night, the next morning my skin already looked completely better!!!! A huge blackhead was barely visible and I just felt soo good! 1,000,000,000,000 times better than pro active and a lot cheaper!!! I can't wait, I am going to use it again tonight!
If you have a bad acne on your cheeks, buy Noxzema! It works very good, I only use it for a week, and I already noticed some of my acne disappear!
I have used Noxema since I was a teenager and I am now 41 years old. I am often mistaken for being in my late 20's. When anyone asks me what my secret is, I tell them that I use Noxema, along with moisturizing my face every night, and SPF 15 moisturizer during the day. My skin is soft and and wrinkle free, and I give all the credit to Noxema. My 16 year old daughter used to have really bad acne, and after several expensive face washes with different brands that didn't work, she started using Noxema, and her skin is clear and rarely breaks out. Noxema is the best face wash, and I wouldn't trade it for anything else!
The Big Blue Jar is the only thing keeping my menopausal acne at bay. In fact I leave it on during the day as a face cream.
Excuse me girls, if you are looking in stores for Noxema, they are usually found in the makeup sections of your stores, around other facial cleansers. They come in blue jars/bottles and even foams. I am 13 years old and I have been using Noxema since 3 years ago. Ever since, my skin has been great. Although sometimes my skin gets so used to the cream that when there's a day I forget to put on the cream my skin slowly starts to break out again. :O So, every night I use Noxema, I keep it on my face overnight and wash it off in the morning. I hope this helped!
I'm sixteen and I used this. My face exploded into burning flames and still feels hot since I used it, for the first time (Never Again!) about ten minutes ago. Ugh. Dude.
I have noticed that all of a sudden I am getting blackheads on my nose, I never had acne or blackheads when I was young, I am 76 yrs. old. I have started using Noxema cleansing cream and praying it is going to help. Have to admit, my skin sure feel soft, Will it work for the ugly age spots we seem to get as we age?
I don't want my pores to feel more open. If they are open they are more prone to dirt & debris. I use dove unscented soap. Use warm water first to open the pores, soap up & clean face, rinse, then once completely rinsed splash with cold water to shut pores again. Moisturizer with cocoa butter lotion after. Sometimes I moisturize twice,depending on the feel of my skin. Works. I have sensitive dry skin.


TLDR; I test systems, not processes.
I have to understand the Input and find ways to craft it and control it.
I can build up a set of expectations and then find ways to observe those expectations and either confirm my model or expand my model with observed output that doesn't meet my expectations.
Perhaps my model of expectations was not complete enough.
Perhaps I didn't understand the process.
Perhaps something unintended happened and I found a problem?
It is a rich model but it is overly simplistic and leads to Test Scripts where "Given X, we do Y and expect Z" and this is all we have to look for.
other inputs - Does it use the clock? Does it monitor the Internet connection? what else?
the side-effects - the outputs that I don't know about and haven't observed.
the state - the existing inputs that I don't know about, and haven't observed, and don't know what effect they have on my process.
other processes in the environment which might impact mine - take up processing power, use up memory, deny access to a resource, consume my inputs, consume other inputs, etc.
In other words, it makes me forget that I'm really dealing with a System.
more than a mere process, this is a system made from other systems, all processing and communicating in ways I have not yet observed or manipulated or interrogated.
Makes me think of something that starts work because I input data and it processes until it has done its work of outputting.
Systems makes me think of something running and consuming or ignoring inputs all the time and I only jump in to concentrate on the inputs I care about and the outputs I'm observing.
The applications I test don't fit into an Input -> Process -> Output model very well, but its very tempting to generalise quickly to that model.
what am I not observing?
what is used that I am unaware of?
what files are from CDN, what are from servers?
what is a POST message and what is a GET?
what is in the DOM that I am unaware of?
how does the DOM change over time?
I continually want to increase my ability to interact with the system: to observe its behaviour and data usage, to interrogate its running memory and resources in more detail, to manipulate its state and data and consumed data and ability to output.
I don't test processes, I test systems.
All the way down. And then back up to include myself and others.


Marlena Donahue, Los Angeles Times, 9 Mar.
Nancy Grimes, "Hannelore Baron, Schlesinger-Boisante," Art News, Feb., p. 125.
Ken Johnson, "Hannelore Baron at Barbara Mathes," Art in America, Dec.
Tim Griffin, "Portrait of the Artist as a Dog," Art On Paper, Nov.-Dec.


A few days ago, my (food) world fell apart a little bit, with a friendly nurse in a cardigan and a swooshy skirt gently uttering six little words.
Outwardly, I nodded solemnly as she clarified – because we all know that cutting out whole food groups is a bit ridiculous – "Well, maybe have them once a day, definitely not more than that." But maniacal laughter echoed around my head through all the talk about BMIs and pasta, as I envisioned my life without starchy deliciousness. Stir fry without noodles. Poached eggs without English muffins. No more cake.
But this time, it'll be more sensible – not like the disaster month that saw me shed a stone and almost a few friends when I did the Dukan diet (not even allowed fruit) and went a bit mental. It's a good story, but one that illustrates why carbs are not optional for me.
So here we go. I've not really eaten much meat, until now – not because I don't like it, but because both meat and my rent are expensive, and I am unfortunately contractually obliged to pay for the less delicious of the two.
But for now, let's focus on biscuits. Obviously the best way to deal with all this is to make biscuits which contain both flour and polenta, as a last supper, if you like. If I was doing it properly, it'd be a last supper of something crazy like mashed potato toasties (I have no idea if that's a thing people do. But I can't try it out for the foreseeable future).
With the butter (£££) swapped out for margarine, these biscuits are a little cakey like a Viennese whirl biscuit, and a whole lotta delicious, thanks to the subtle addition of lemon.
1) Preheat your oven to 180C (170C for fan ovens, 350F, gas mark 4) and line two baking trays with baking parchment. Combine flour, salt, and polenta and set aside. In a separate bowl, cream the margarine, sugar, and lemon zest.
2) When light and fluffy, add the egg and then the yolk, beating until just combined after each addition. Add vanilla, and then, gradually, the flour mixture, beating until combined.
3) Transfer the mixture to a piping bag fitted with a star nozzle, and pipe onto the baking sheets about 2 inches apart.
4) Bake until just going golden at the edges – about 15 minutes.
Hi Hannah, as promised some ideas for lower-carbing. Best advice is not to tell yourself (or others) you're low-carbing – but choosing to eat more veg instead of processed foods (pasta & noodles I'm looking at you.). First up get yourself a julienne peeler – perfect for making pasta or noodles out of courgettes and carrots so you can still use your pasta sauce recipes. I have loads of recipes on my blog. Also – cauliflower grated works as a rice or mashed potato substitute. Other roasted veg such as beetroot, butternut squash, tomatoes, courgettes, peppers – work great as side dishes along with green veg or salads instead of where you might have rice for example.
For cheap proteins my best advice is – tinned sardines or mackerel in olive oil (dirt cheap and tasty!), lean minced lamb or beef (best quality you can afford) to make burgers, and chicken thighs. There is organ meat too but I know that's not everyone's cup of tea.
Hope this is helpful, and sorry if I've suggested anything obvious and you know already – duh!
Oh, these look lovely and light!


Know this: you have an advantage in dealing with the healthcare system. Healthcare is a business, just like any other. Hospitals and doctors often view patient bills in terms of "Days Sales Outstanding." Some healthcare providers even gauge outstanding bills in seconds. Providers want to get paid. But don't underestimate your power in this relationship.
If you end up with medical debt, it may be tough to know where to begin. First of all, you should know what a bill represents. It lists medical services received and the dollar amount due for each. Note: the bill lists the going "retail" rate the healthcare provider bills for each service. Think of this as the MSRP (Manufacturer's Suggested Retail Price).
Here's a little something most people don't know. The remaining debt for medical services is negotiable. If your insurance company picked up the bulk of the tab and healthcare providers were paid a large percentage of what they were owed, your money is just icing on the cake at this point. And if your medical debt hasn't been paid at all, the provider may be willing to accept a smaller fee. Hospitals and doctors are very often willing to reduce the amount owed (or even write off the debt)! You just need to call, explain your situation, and ask what you can do.
Wow, I learned so much! But that's a lot of information: is there a little review? Of course! Congratulations!


Job control certainly is the same. It is just a core skill in today's fast-moving business environment. It starts with a feeling of level of sensitivity relating to the things you are doing, in which you are going, and what you do next. It truly is basically a giant word search. It is certainly the approach a person sets up and manages methods that happen to be required to result in a project. That plays a crucial role in accomplishing desired goals and following through with plans and expectations. On-line project control will be able to help you out to share info in a large number of ways without having difficulty.
Materials management has become the most significant element of Project Software. Having a cross-functional team is commonly a sign the organization is undoubtedly utilizing matrix administration. Like a real project manager requires a lot of balance. Activity operations is just one of many important features which in turn just about every job supervisor will need to plan and schedule a great undertaking. Advanced activity control is helpful in the event that you work with difficult jobs and will need to do a great offer of high-level planning. One could easily organize all the duties related to the coursework by simply developing a job meant for each school you're spending. After almost all, significant amounts of duties can look love busywork. The major business of a Job Supervision Software should be to keep course of each of the projects and documentation connected to each performing.
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WE have all you need to know about this latest movie in the Marvel franchise. Plus find out who is part of the all-star line-up for this film.
Ryan Reynolds and Samuel L Jackson team up for The Hitman's Bodyguard - but who protects who?


Atelectasis is a common finding in mechanically ventilated children with healthy lungs. This lung collapse cannot be overcome using standard levels of positive end-expiratory pressure (PEEP) and thus for only individualized lung recruitment maneuvers lead to satisfactory therapeutic results. In this short communication, we demonstrate by lung ultrasound images (LUS) the effect of a postural recruitment maneuver (P-RM, i.e., a ventilatory strategy aimed at reaerating atelectasis by changing body position under constant ventilation).
Data was collected in the operating room of the Hospital Privado de Comunidad, Mar del Plata, Argentina. Three anesthetized children undergoing mechanical ventilation at constant settings were sequentially subjected to the following two maneuvers: (1) PEEP trial in the supine position PEEP was increased to 10 cmH2O for 3 min and then decreased to back to baseline. (2) P-RM patient position was changed from supine to the left and then to the right lateral position for 90 s each before returning to supine. The total P-RM procedure took approximately 3 min. LUS in the supine position showed similar atelectasis before and after the PEEP trial. Contrarily, atelectasis disappeared in the non-dependent lung when patients were placed in the lateral positions. Both lungs remained atelectasis free even after returning to the supine position.
We provide LUS images that illustrate the concept and effects of postural recruitment in children. This maneuver has the advantage of achieving recruitment effects without the need to elevate airways pressures.
The incidence of atelectasis in mechanically ventilated children with healthy lungs is as high as 68–100% [1–4]. Anesthesia-induced atelectasis has been well described by different imaging techniques such as CT, MRI and lung ultrasound (LUS) [1–5]. The main mechanism leading to atelectasis formation during anesthesia is a decrease in functional residual capacity due to lung compression through the dysfunctional diaphragm by abdominal content [6, 7]. During such conditions, the trans-pulmonary pressure (Ptp = airways − pleural pressure) is no longer sufficient to offset these compressive forces on the most gravity-dependent parts of the lungs, where Ptp is naturally the lowest. Compression atelectasis has clearly been demonstrated in anesthetized children and adults [3, 7–10].
Lung recruitment maneuvers are ventilator strategies that elevate airway pressures for a few breaths to reaerate atelectasis [11, 12]. Such maneuvers are safe and easily to conduct in mechanically ventilated children [3, 13]. However, potential hemodynamic side effects of high intrathoracic pressures necessitate close hemodynamic monitoring and that such maneuvers are performed in normovolemic patients, only .
In this short communication, we explain the rationale of a new type of lung recruitment maneuver—the postural recruitment (P-RM). It can be defined as an active reaeration of atelectatic lung tissue by intentional changes of a patient's body position under constant ventilatory conditions. This concept makes use of the influence that gravity has on respiratory physiology, more precisely on Ptp. The superimposed pressure within the thorax caused by the lung's own weight decreases Ptp by approximately 0.25 cmH2O for every 1 cm of ventral-to-dorsal thoracic diameter. Therefore, in supine mechanically ventilated patients Ptp decreases along the gravitational axis causing the lungs to collapse in their most dorsal parts (lowest Ptp) while keeping the ventral zones (highest Ptp) aerated and thus "open" during the entire respiratory cycle . No matter in which body position the patient is placed, dorsal lung zones will always be prone to atelectasis and airways closure [6, 7, 10].
The first principle refers to the relationship between Ptp and body position. It postulates that collapsed tissue in dependent lung zones can be recruited by placing the patient in the opposite position (i.e., from supine to prone or from the left to the right lateral decubitus position). This way, previously collapse lung tissue is now located in the non-dependent position where it is being subjected to the expanding forces of higher Ptps.
The second principle refers to the stabilizing effect of positive end-expiratory pressure (PEEP) on airways and alveoli. It postulates that—provided sufficient PEEP is applied—well ventilated and fully aerated non-dependent lung areas will remain "open" even when becoming dependent again after returning the body to its initial position.
Based on the above principles, we propose a postural recruitment maneuver in which a supine patient is first turned onto his left, then onto his right side and finally to his original supine position (Fig. 1). Thus, we speculate that lung recruitment can be achieved by postural changes without having to elevate airway pressures [11, 12].
Mechanically ventilated children are a sub-population that could especially benefit from this intervention for two reasons: (1) the respiratory physiology of pediatric patients makes them more susceptible to lung collapse after tracheal intubation than adults [8, 9], and (2) children are usually of light weight and can thus be easily turned by one single operator.
In this short communication, we present lung ultrasound (LUS) images which confirm the recruitment effect of intentional changes of body position in anesthetized children. LUS is a good non-invasive tool for monitoring lung aeration during and after lung recruitment maneuvers in real-time fashion [14–16].
We analyzed three anesthetized children undergoing open inguinal hernia repair. Children aged 12, 24 and 34 months weighing 10, 12 and 18 kg, respectively. After approval by the local Ethical Committee and after obtaining Informed Consent from the parents, patients received general anesthesia under standard monitoring. Their lungs were ventilated in a pressure-controlled mode using an Aespire 7900 (Datex-Ohmeda, GE Healthcare, Helsinki, Finland) with the inspiratory pressure set to achieve a tidal volume of 7 mL/kg (approx. 12 cmH2O) and a respiratory rate adjusted between 20 and 25 bpm to keep end-tidal of carbon dioxide between 35 and 40 mmHg. PEEP was 5 cmH2O, I:E 1:1 and FIO2 0.5.
Lung aeration was assessed by LUS using the linear 7–12 MHz transducer of the Esaote (MyLab Gamma, Genova, Italy). After anesthesia induction a standard bilateral LUS examination was performed in the supine position. Thereafter the echo probe was placed in an oblique direction between the ribs in the most dependent position as previously described . All patients presented subpleural consolidations, air bronchograms and B-lines as signs of atelectasis (Figs. 2, 3).
Testing the reaerating effect of 10 cmH 2 O of PEEP After anesthesia induction in the supine position, PEEP was increased from 5 to 10 cmH2O keeping ventilation constant for 3 min. Then, ventilation returned to baseline settings but keeping PEEP at 8 cmH2O to maintain any potential recruitment that 10 cmH2O of PEEP may have induced.
Testing the effect of postural recruitment Before emergence from anesthesia, patients were placed in the left lateral decubitus position for 90 s at constant ventilation but raising PEEP to 10 cmH2O. Thereafter, patients were turned on their right side for another 90 s. At the end of the 3rd min, patients were placed back in the supine position returning to baseline ventilation, however, at a PEEP of 8 cmH2O to keep the lungs open.
Figure 2 depicts the results of the protocol in one patient (case 1–24 months). LUS images taken at 8 cmH2O of PEEP show that 3 min of ventilation with 10 cmH2O of PEEP in the supine position did not have any measurable recruitment effect. Atelectasis persisted during and after PEEP elevation in all patients. Figure 3 shows the effect of the P-RM in the other two patients (case 2–12 months and case 3–34 months). The Additional file 1: video S1, Additional file 2: video S2 and Additional file 3: video S3 show the corresponding results than Figs. 2 and 3.
By contrast, the changing body positions of the P-RM clearly restored lung aeration in the atelectatic areas at the same ventilator settings. Reaeration of previously collapsed dependent lung areas was always observed as soon as they became non-dependent in the uppermost position; first in the right lung with the patient lying in the left lateral position and then in the left one with the patient in the right lateral decubitus. After the P-RM, both lungs remained free from atelectasis in the final supine position (Figs. 2, 3; Additional file 1: video S1, Additional file 2: video S2 and Additional file 3: video S3). Hemodynamics maintained stable throughout the protocol.
We present LUS images documenting the effects of postural lung recruitment in children. Sequential changes in body position during constant ventilation at PEEP 10 cmH2O decreased atelectasis even without applying the high airways pressures of classical recruitment maneuvers.
The therapeutic effect of P-RM seems to result from an increased Ptp caused by a gravity-dependent decrease in pleural pressure in the dorsal lungs and not by elevated airway pressures. As the right-to-left thoracic diameter is much larger than the anterior–posterior one, when a patient is placed in the lateral position, the resulting inspiratory Ptp within the uppermost lung will increase reaching the effective opening pressure of the collapsed lung tissue located in this region (Fig. 1). After the P-RM, a PEEP of 8 cmH2O was enough to maintain an "open lung" condition in these three healthy patients .
The therapeutic implications of P-RM can be derived from the known negative consequence that atelectasis have on mechanically ventilated lungs. Perioperative respiratory complications such as hypoxemic events, bacterial translocation and pneumonia [17–21] adversely affect patient's outcomes while increasing health care cost in both, adults and pediatric patients [22, 23]. Lung recruitment maneuvers easily overcome atelectasis in children with healthy and sick lungs alike [3, 13]. They quickly abort hypoxemic events and could have some protective effect in atelectasis-mediated pneumonias [17, 24, 25].
However, the main objections against recruitment maneuvers are related to their potential hemodynamic side effects, especially in children. Reflexes triggered by high intrathoracic pressures cause bradycardia, compression of pulmonary capillaries and reduced venous return. Each of these either acting in isolation or combined are responsible for the hemodynamic impairment frequently encountered during recruitment maneuvers, predominantly in hypovolemic patients. In view of such undesirable consequences, the P-RM introduced in this paper presents an effective and efficient low risk alternative intervention for treating atelectasis in children. Turning the patients while applying 10 cmH2O of PEEP for just 3 min seems to be uncritical in normovolemic children.
As far as we know, a postural lung recruitment maneuver has never before been described in children, although we found studies related to the effect of body positioning on respiratory function of mechanically ventilated patients. Some studies describe positive effects of lateral and prone positioning on respiratory function [26, 27] while others do not [28–30]. In these studies, body position was changed leaving ventilatory settings and PEEP constant. The lack of adequate PEEP adaptations—an essential therapeutic intervention of any recruitment strategy such as ours—may have led to these contradictory results. We reasoned that a slightly elevated PEEP should be applied for two reasons: (1) to obtain a plateau pressure high enough to reach the opening pressure of the uppermost lung areas and (2) to maintain the new recruited regions open when returning the patient to the supine position.
In this short communication, we present LUS images documenting the positive effects of postural recruitment in children. Changes in body position during constant ventilation at 10 cmH2O of PEEP decreased atelectasis without the need to elevate airway pressures as in conventional recruitment maneuvers. Bedside imaging techniques such as LUS can help identify the best settings for a P-RM adapting them to the individual patient.
GT and CMA made the clinical cases. GT, CMA, SHB, ADW, CF, MPM and FSS worked on the interpretation of the findings and in the final edition of the manuscript. All authors read and approved the final manuscript.
The institutional review board (CIREI) approved this study, its publication and the corresponding written informed consent was obtained from the patient's relatives.
13089_2017_73_MOESM1_ESM.mp4 Additional file 1: Video S1. Lung ultrasound images (LUS) of the isolated effect of 10 cmH2O of PEEP and postural recruitment maneuver—case 1.
13089_2017_73_MOESM2_ESM.mp4 Additional file 2: Video S2. Lung ultrasound images (LUS) of the isolated effect of 10 cmH2O of PEEP and postural recruitment maneuver—case 2.
13089_2017_73_MOESM3_ESM.mp4 Additional file 3: Video S3. Lung ultrasound images (LUS) of the isolated effect of 10 cmH2O of PEEP and postural recruitment maneuver—case 3.


Springboard Media provides special In-Home Services all in the convenience of your home. We sell new and pre-owned Apple products and offer a wide array of services including Data Recovery, Mac Repairs, Wifi Setup, and Training. Most of our services can be done in your home, but some of our specialized services will be performed in our fully certified repair center in Exton, PA.


XLeague was supposed to be an IRC Inhouse League for Magic The Gathering played on XMage platform. XMage was a working platform, but had a big problem with quality of games, my goal was to improve it, while measuring skill.
When I started working on this project, I didn't know I had what it took. The only thing I ever did before were simple scripts, but with XLeague I needed a database and much more. To my surprise, I had a working prototype within 24 hours.
After couple of weeks I realized how ugly my code was. Not only ugly, it wasn't good. So I decided to rewrite it completely, but with new semester starting I had to put it on hold and when I finally found time, I learned that the XMage platform went through a major improvement - they implemented account system - and there was no need for XLeague to exist anymore, from my point of view at least.


It may seem counterintuitive, but texting and "text speak" can be used as a fun way to help students build foundational reading skills such as word recognition and phonological awareness. You can also use texting to generate discussions of formal and informal language and writing for different tasks, audiences, and purposes, which are necessary skills for meeting college and career readiness standards in reading, writing, language, and speaking and listening. View this short video for an overview of using texting in your classroom instruction.


text:
Q: IntentService doesn't save my object after building him I got a wierd situation that an object I build return to be null in method onHandleIntent and I don't know why or how to solve it.
MyActivity
@Override
    protected void onCreate(Bundle savedInstanceState) {
        super.onCreate(savedInstanceState);
        setContentView(R.layout.activity_main);

        // the bluetooth is mentioned in case you know a way to use it with out transfer it from the activity
        BluetoothManager _bluetooth_manager = (BluetoothManager)getSystemService(Context.BLUETOOTH_SERVICE);
        myService = new MyService(new MyClass(_bluetooth_manager.getAdapter()));

        Intent intent = new Intent(this, MyService.class);
        startService(intent);
}

MyService
private MyClass X;

 public MyService(MyClass x) {
    super("man");    //not so much in the movie... =p
    X = x;
}

@Override
protected void onHandleIntent(Intent intent) {
    // somehow X is null here after i set him in the constractor. any idea why?
}

If someone can edit my title i'm not sure i wrote it well and clear to understand... thanks!

A: That constructor will never be used. Your IntentService has, elsewhere, a zero-argument MyService constructor — that will be the constructor that Android uses to create the instance of your service.

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10000 EUR equals to 780,553.00 INR at the moment.
It means that 10000 Euro could be exchanged to 780,553.00 Rupees because the current market exchange rate is 78.0553.
If your commission fee is 0.1% then 10000 EUR equal to 779,772.00 INR for selling, where the exchange rate is 77.9772, and 10000 EUR equal to 781,334.00 INR for buying, where the rate is 78.1334.
10000 EUR to INR is 778,992.00 Rupees with rate 77.8992 for selling Euros at commission fee of 0.2%, while for buying 10000 EUR equal to 782,114.00 Rupees with rate 78.2114. In case you sell 10000 Euros at commission 0.25%, meaning exchange rate 77.8602, you receive 778,602.00 INR, while you need to pay 782,504.00 Rupees to buy 10000 EUR at 78.2504. If your commission fee is 0.5% then 10000 EUR equal to 776,650.00 INR for selling, where the exchange rate is 77.6650, and 10000 EUR equal to 784,456.00 INR for buying, where the rate is 78.4456.
10000 EUR to INR is 772,747.00 Rupees with rate 77.2747 for selling Euros at commission fee of 1%, while for buying 10000 EUR equal to 788,359.00 Rupees with rate 78.8359. In case you sell 10000 Euros at commission 1.5%, meaning exchange rate 76.8845, you receive 768,845.00 INR, while you need to pay 792,261.00 Rupees to buy 10000 EUR at 79.2261. If your commission fee is 2% then 10000 EUR equal to 764,942.00 INR for selling, where the exchange rate is 76.4942, and 10000 EUR equal to 796,164.00 INR for buying, where the rate is 79.6164.
10000 EUR to INR is 761,039.00 Rupees with rate 76.1039 for selling Euros at commission fee of 2.5%, while for buying 10000 EUR equal to 800,067.00 Rupees with rate 80.0067. In case you sell 10000 Euros at commission 3%, meaning exchange rate 75.7136, you receive 757,136.00 INR, while you need to pay 803,970.00 Rupees to buy 10000 EUR at 80.3970. If your commission fee is 3.5% then 10000 EUR equal to 753,234.00 INR for selling, where the exchange rate is 75.3234, and 10000 EUR equal to 807,872.00 INR for buying, where the rate is 80.7872.
10000 EUR to INR is 749,331.00 Rupees with rate 74.9331 for selling Euros at commission fee of 4%, while for buying 10000 EUR equal to 811,775.00 Rupees with rate 81.1775. In case you sell 10000 Euros at commission 4.5%, meaning exchange rate 74.5428, you receive 745,428.00 INR, while you need to pay 815,678.00 Rupees to buy 10000 EUR at 81.5678. If your commission fee is 5% then 10000 EUR equal to 741,525.00 INR for selling, where the exchange rate is 74.1525, and 10000 EUR equal to 819,581.00 INR for buying, where the rate is 81.9581.
Table 2. 10000 EUR to INR in case of selling and buying.
Yesterday, 10000 EUR was equal to 779,486.00 Rupees, the change is 0.14%.


While in my 40's I taught myself how to dance from videos. Not just any kind of dancing…belly dancing. I fell in love with the beauty of the dance at a Renaissance Fair.
The facts that my father's father was from Greece; I was proud of my Greek heritage; and Greek music and dances were similar to those of other Mediterranean countries all made me want to belly dance! I was fascinated and physically moved by the music when I heard it.
I had to learn about it! I bought several instructive videos on how to belly dance and CD's of the music to learn the dance. I watched Egyptian beledi on YouTube and went to every Renaissance Fair I could to watch the graceful, beautiful dancing of the costumed ladies. I even did research on its origins.
I never was athletic enough nor had the stamina enough to dance as fast as many of them did. I never had the flat muscular stomach for the dance. I never could do a lot of things those well trained women did.
But I could and still can do a lot of the things they can do. Better still I was exercising; having a lot of fun learning and dancing to the Middle Eastern music: and I could move a veil with grace and beauty. I did use the slower music and still have a lot to learn. But I am having so much fun!
I enjoy surprising people who see me as a mild mannered, sweet, grandmotherly woman. Once I told someone that I had been studying belly dancing, they looked dubiously at me. They were quite surprised when I, a middle aged, slightly pudgy, grandmotherly woman showed them that I really could do hip flips, undulations and other moves.
One day I was showing a female co-worker that I could in deed do some of the moves of a belly dancer. Unbeknownst to me a male coworker happened to observe the moves. He was so impressed and surprised he gave me a $1 bill as a "tip." Talk about surprised, I was tickled and surprised!!
I now restrict my moves to slower belly dancing, figure 8 hip movements , shimmies, arm movements and various movements with a veil. I am working to regain my skills playing the zills (finger cymbals) too.
When I was in my forties on a visit to my parents I gave them a demonstration of my skills. My father although in the throes of dementia was tickled pink that I had learned to belly dance.
After watching me dance some, Daddy excitedly said, "She's got it!" He got up from his recliner, got his camera and took these pictures. Remembering his reactions and those words still make me happy even now over 15 years after his death.
Me at 40 plus, belly dancing with zills.
I particularly love the veil dancing, which can be quite enchanting. Here is one photo of me posing with my 70 plus year old aunt while teaching her how to belly dance. I was in my early 40's then.
Aunt Helen at 70 was quite a dancer in her own right. She could square dance, samba, and fox trot with the best of them! Sadly she passed away a few years ago.
My 70 year old Aunt Helen and I posing with veils.
My husband was never interested in watching me dance. But you know what? I danced just for me!! Over the next ten years my husband's illness and physical problems and my work called me away from belly dancing. In 2009 my husband died.
The following year my doctor put me on a restriction to not lift over 20 pounds because of sciatica from degenerative disc disease. Since no one was interested in hiring an almost 60 year old with "back problems," I retired a little early from nursing.
Seven years later I am older, weigh a little more and still have back restrictions. But my back has stabilized. For a long time I considered belly dancing to be way beyond my ability and too risky for an "out of condition", woman in her 60's!
I was afraid I would permanently damage myself if I did some of the fast dancing. So I let dancing this pleasure pass me by for a long time until recently.
After treatments by a chiropractor and improvement in my condition, I asked my doctor about resuming belly dancing. She encouraged me to try it by going slow in my practice and not doing anything that causes a sharp pain or a return of the sciatica. So I discovered a weekly class with an experienced belly dancer and have learned two routines.
I think the exercise has helped me lose some weight and I feel great. I walk and hold myself proudly and I feel proud too. Also I started working on my own fancy costume from a sari I bought over 7 years ago which I never got to use. I will write another post about this when I finish it!
So if you are looking for a fun, energetic, beautiful, challenging, entertaining exercise to do alone or with others, for yourself, your spouse or for money, Belly Dancing is the one I would pick again….if I were much, younger and had a good back again. Oh, and men can belly dance too!
Please explain mad? I am not sure how you meant "mad". Hopefully wild and crazy instead of maddening?
How "joyful2be"! It is fun to surprise people sometimes, isn't it?
it seems like a fun hobby, congrats on your progress (even if a while ago).
Myself and my daughter belly dance together to all sorts of music and enjoy dancing for manly the intrinsic value, but sometimes to an audience for their enjoyment too.
I am no spring chicken and my daughter is a mummy, so we are showing others that it doesn't matter a fig what shape you are, how "good" you dance, but that you enjoy dancing and want to share that enjoyment. Thank you for sharing your lovely post.
Hi wonderful!! I hope that belly dancing is not a dying art. It is so beautiful, fun and exciting. Thank you for sharing about you and your daughter. How old is she? I wish I could get back into beledi but with back problems I am afraid to. I loved the ceiling dancing part especially.
I have posted an out of focus image of me and my daughter to share just enough for you to see how old we are approx. Enjoy.


text:
We Focus On The First Six (6) SDG's.
Sustainable Development Goals are a collection of 17 global goals set by the United Nations General Assembly in 2015. The SDGs are part of Resolution 70/1 of the United Nations General Assembly: "Transforming our World: the 2030 Agenda for Sustainable Development." That has been shortened to "2030 Agenda."
We therefore focus on the first six (6) SDG's below to ensure the goals are acchieved.
Goal 1: End poverty in all its forms everywhere.
Goal 2: End hunger, achieve food security and improved nutrition and promote sustainable agriculture.
Goal 3: Ensure healthy lives and promote well-being for all.
Goal 4: Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all.
Goal 5: Achieve gender equality and empower all women and girls.
Goal 6: Ensure access to water and sanitation for all.
SDG 1. NO POVERTY
End poverty in all its forms everywhere.
Ending poverty is one of 17 Global Goals that make up the 2030 Agenda for Sustainable Development. An integrated approach is crucial for progress across the multiple goals.
While the number of people living in extreme poverty has dropped by more than half – from 1.9 billion in 1990, to 836 million in 2015 – too many are still struggling for the most basic human needs.
Globally, more than 800 million people are still living on less than $1.25 a day; many lacking access to adequate food, clean drinking water and sanitation.
Women are disproportionately more likely to live in poverty than men due to unequal access to paid work, education and property.
This rate is expected to rise due to new threats brought on by climate change, conflict and food insecurity.
The (SDGs) are a bold commitment to end poverty in all forms and dimensions by 2030. This involves targeting those living in vulnerable situations, increasing access to basic resources and services, and supporting communities affected by conflict and climate-related disasters.
SOURCE: http://www.undp.org/content/undp/en/home/sdgoverview/post-2015-development-agenda/goal-1.html
SDG 2. Zero Hunger
End hunger, achieve food security and improved nutrition and promote sustainable agriculture.
795 million people are estimated to be chronically undernourished as of 2014, often as a direct consequence of environmental degradation, drought and loss of biodiversity.
Over 90 million children under the age of five are dangerously underweight. And one person in every four still goes hungry in Africa.
This can be solved by promoting sustainable agricultural practices: improving the livelihoods and capacities of small scale farmers, allowing equal access to land, technology and markets. It also requires international cooperation to ensure investment in infrastructure and technology to improve agricultural productivity.
SDG 3. Good Health & Well-Being
Ensure healthy lives and promote well-being for all.
According to research AIDS is the leading cause of death among adolescents in sub-Saharan Africa, and 22 million people living with HIV are not accessing life-saving antiretroviral therapy.
SDG 3 aspires to ensure health and well-being for all, including a bold commitment to end the epidemics of AIDS, tuberculosis, malaria and other communicable diseases by 2030.
It also aims to achieve universal health coverage, and provide access to safe and effective medicines and vaccines for all. Supporting research and development for vaccines is an essential part of this process as well as expanding access to affordable medicines.
SDG 4. Quality Education
Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all.
Children from the poorest households are four times more likely to be out of school than those of the richest households. Disparities between rural and urban areas also remain high.
Achieving inclusive and quality education for all reaffirms the belief that education is one of the most powerful and proven vehicles for sustainable development. This goal ensures that all girls and boys complete free primary and secondary schooling by 2030. It also aims to provide equal access to affordable vocational training, and to eliminate gender and wealth disparities with the aim of achieving universal access to a quality higher education.
SDG 5. Gender Equality
Achieve gender equality and empower all women and girls.
Empowering women and promoting gender equality is crucial to accelerating sustainable development. Ending all forms of discrimination against women and girls is not only a basic human right, but it also has a multiplier effect across all other development areas.
There are still gross inequalities in access to paid employment in some regions, and significant gaps between men and women in the labour market. Sexual violence and exploitation, the unequal division of unpaid care and domestic work, and discrimination in public decision making, all remain huge barriers.
The (SDGs) aim to build on these achievements to ensure that there is an end to discrimination against women and girls everywhere.
SDG 6. Clean Water & Sanitation
Ensure access to water and sanitation for all.
Water scarcity affects more than 40 percent of people around the world, an alarming figure that is projected to increase with the rise of global temperatures as a consequence of climate change. Although 2.1 billion people have gained access to improved water sanitation since 1990, dwindling supplies of safe drinking water is a major problem impacting every continent.
Ensuring universal access to safe and affordable drinking water by 2030 requires we invest in adequate infrastructure, provide sanitation facilities and encourage hygiene at every level. Protecting and restoring water-related ecosystems such as forests, mountains, wetlands and rivers is essential if we are to mitigate water scarcity. More international cooperation is also needed to encourage water efficiency and support treatment technologies in developing countries.
AJ Foundation Ghana is a non-profit organization registered in Ghana which focuses on impacting humanity and society with love. The foundation seeks to improve the quality of lives of the youth and deprived through programs designed to develop their spirit, mind, and body so that they can realize their full potential in society.
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Dailymotion is a very popular video website. But when you're done uploading or watching video's, you might be considering to close your account. In that case: Don't look further, because I'm about to explain how you can do that with a request to the customer care team.
I created an account by mistake and would like to see it closed. Can you do that for me please?
I had a great customer experience, because already 2 hours after my request, I received an answer that my Dailymotion account has been blocked and deleted (the screenshot is in Dutch because I had a Dutch account, but the result is the same).
Thanks a lot, Johan! I've created an account just to get familiar with Dailymotion, but not reaaly enjoyed it. Next 30 minutes I've spent searaching for account deactivation link/button, but found nothing! Hope your advice will help me.
Thanks for the feedback Alexander!


Lip balsam and sunblock. The chops are severely irritable to the sun and twist. They are one of the few surround of your thing that will be open to the weather condition. Make convinced they are defended as chapped lips can make a fuss of your leisure time. Take a itsy-bitsy duct of cream and top up all few hours or so. This is chiefly about the facade and ears but this depends on the weather and what you are effortful. If it a nice day you may opt to ski in a chemise and will call for to preserve the shoulders and weaponry.
Something to unspotted your specs or tinted lenses. Sunglasses repeatedly come in near a bag that doubles as a formulation so this is to a certain extent flowing to supply for unless you have lost the bag a longitudinal instance ago resembling me. If you don't have the bag next any cloth, close to a chamois, will do the catch. Obviously you involve to be able to see where on earth you are sport so understandable hallucination is main. I'd proposition specs or optical instrument are compulsory too as the brightness from the snow is too considerably even on an overcast day. Goggles are first but sunglasses are more than homely in my judgment (depending on the caste of skiing you are doing).
Carry some sea and a meal. There are many an cafes and balance boodle speckled in the region of the slopes and you won't have to aspect far to get a paint the town red at the inferior of the side but a carafe of wet is handy if you demand a recess during a run. It besides system you don't have to hold back sport for too protracted. As for a snack, I similar a cocoa bar and athletics is my excuse to cater my chocoholic tendencies. Other grouping may payoff an drive bar or even a sandwich.
A compartment receiver is a swell device to have on you if you have an stroke of luck or need to bread and butter in touch with friends. You inevitability to brainwave out wherever to meet up for lunch at the extraordinarily tiniest ! Take your wallet near every style of id and a approval card or smallest magnitude of funding. You don't privation a cumbersome wallet consideration you behind.


Assessment processes are integral to learning and teaching. This part of the site focuses on aspects of curriculum and pedagogy where assessment has a key role to play or that have implications for assessment practice, and includes links to relevant reports, research articles and sites.
Ofsted – Updates for inspectors and stakeholders with the latest information and guidance about Ofsted's inspection work in schools (including March 2019 update).


Oral Medicine is the field of dentistry concerned with the oral health care of medically complex patients and with the diagnosis and non-surgical management of medically-related disorders or conditions affecting the oral and maxillofacial region.
Dr. Dana Keiles received her Doctorate in Medical Dentistry with honors from the University of Pennsylvania in 1998 and went on to complete a fellowship in Oral Medicine from the University of California San Francisco. This community is fortunate to have her knowledge and experience treating patients in the oral medicine field. Oral medicine is the field linking dentistry with medicine related to complicated and complex issues.
Some think this is a rare cancer, however, mouth cancer will be newly diagnosed in about 100 new individuals each day in the US alone. A person dies from oral cancer every hour of every day. If you add the sub category of laryngeal cancers, the rates of occurrence (about 10,000 additional new cases per year) and death are significantly higher.
When found early, oral cancers have an 80 to 90% survival rate. Unfortunately, at this time, the majority are found as late stage cancers, and this accounts for the very high death rate of about 45% at five years from diagnosis, and high treatment related morbidity in survivors.
Burning mouth syndrome (BMS) is a complex, vexing condition in which a burning pain occurs that may involve your tongue, lips or widespread areas of your whole mouth, without any obvious reason.
The disorder has long been associated with a variety of other conditions — including menopause, psychological problems, nutritional deficiencies and disorders of the mouth, such as oral thrush and dry mouth (xerostomia). Some researchers have suggested dysfunctional or damaged nerves as a possible cause. But the exact cause of burning mouth syndrome is often difficult to pin down, and pain may continue for months or years.
Treatment of burning mouth syndrome is highly individualized and depends on your particular signs and symptoms and on the underlying cause or causes, if they can be identified. Most people with burning mouth syndrome can control their symptoms through tailored treatment plans.
Trigeminal Neuralgia is a neuropathic disorder of one or both of the facial trigeminal nerves. It causes episodes of intense pain in any or all of the following: the ear, eye, lips, nose, scalp, forehead, teeth or jaw on one side of the face. It is estimated that 1 in 15,000 people suffer from trigeminal neuralgia, although the actual figure may be significantly higher due to frequent misdiagnosis. TN usually develops after the age of 50, more commonly in females, although there have been cases with patients being as young as three years of age.
TN can bring about stabbing, mind-numbing, electric shock-like pain from just a finger's glance of the cheek or spontaneously without any stimulation by the patient.
An oral ulcer is the name for the appearance of an open sore inside the mouth caused by a break in the mucous membrane or the epithelium on the lips or surrounding the mouth. The types of oral ulcers are diverse, with a multitude of associated causes including: physical or chemical trauma, infection from microorganisms, medical conditions or medications, cancerous and nonspecific processes. Once formed, the ulcer may be maintained by inflammation and/or secondary infection. Two common oral ulcer types are aphthous ulcers (canker sores) and cold sores (aka fever blisters).
Many systemic diseases have oral manifestations. The oral cavity might well be thought of as the window to the body because oral manifestations accompany many systemic diseases. These oral manifestations must be properly recognized if the patient is to receive appropriate diagnosis and referral for treatment.
According to the American Diabetes Association, nearly 24 million people have diabetes. Of that number, unfortunately, 5.7 million people are unaware that they have the disease. Diabetes can affect multiple parts of the body, including the kidneys, nerves, heart and even the mouth.
Poorly controlled diabetic patients are at risk for numerous oral complications such as periodontal disease, salivary gland dysfunction, infection, neuropathy, and poor healing. None of these complications are unique to diabetes. However, their presence may serve as an early clue to the possible presence of diabetes.
The mouth is often referred to as the "gateway" to the body. Many systemic diseases manifest themselves in the mouth first and many diseases have oral symptoms including: Crohn's Disease, leukemia, diabetes, and HIV. Early diagnosis and treatment is key to managing the diseases.
Increasingly, prescribed medication have oral implications. Dry mouth and candida are two examples of drug-induced symptoms in the mouth. Understanding the causes and treatments can literally be life-changing.


text:
Stamp Our Story
Navajo Code Talkers
STAMP MOVEMENT
Four Nisei Brothers from Texas Served: At 91, Willie is Lone Survivor
This article is a special tribute reprint of an article from the Japanese American Veterans Association, November 25, 2012 – Vol. VII, No. 38
By Sandra Tanamachi
HOUSTON, TEXAS. "Never thought of myself as other than American. This was taught to me by my parents," stated Willie R. Tanamachi, of Houston, Texas. Of six sons of Kumazo and Asao Hirayama Tanamachi, Willie and three brothers served in the United States Army during World War II. He was born on March 1,1921, the day that his parents and family arrived in Texas.
At the age of 19, he enlisted in the Army Air Corps and was the first of his brothers to do so. After December 1941, he was involuntarily reassigned from the Army Air Corps to other units of the Army. In the summer of 1944, as a sergeant with almost 4 years of military service, Willie was sent to Camp Shelby where he joined the 171st Infantry Battalion which trained replacements for the 442nd Regimental Combat Team. In June 1945, he was sent to France on board the Queen Mary for his assignment in Germany. During the Korean War, Willie was stationed in Germany, subsequently completed two tours of duty in Vietnam, and retired in 1971 after serving more than 30 years of military service.
Willie's older brother, Saburo was born April 1, 1917 and was drafted in February 1944. When the 442nd RCT was activated he joined it as a member of Company E, 2nd Battalion. He was killed in action on October 29, 1944, during the rescue of the trapped Texas Battalion ("Lost Battalion") in the vicinity of Biffontaine, located in northeastern France. He was awarded the Purple Heart and Silver Star.
Saburo, squad leader, died in the arms of his best friend, George Joe Sakato. Assuming command of the squad, Sakato, armed with an enemy rifle and pistol, led the charge against the enemy to avenge the death of his buddy. His display of courage, over and beyond the call of duty, turned an impending defeat into victory. Sakato was awarded the Medal of Honor.
Saburo was one of the first two Japanese Americans to be buried in Arlington National Cemetery with full military honors. Honorary pallbearers included the following individuals:
General Jacob Devers, Commanding General of Army Ground Forces who commanded the Sixth Army Group under which the 442nd fought in France; Major General John E. Dahlquist, Commanding General of the 36th Texas Division to which the 442nd was attached for the offensive in France; Colonel Charles W. Pence, Commander of the 442nd; Colonel Virgil R. Miller, Commander of the 442nd Regimental Combat Team after Colonel Pence was wounded in the Vosges; Colonel Charles H. Owens, wartime commander of the 141st Infantry Regiment, parent unit of the "lost battalion"; Mr. Mike Masaoka, National Legislative Director of the Japanese American Citizens League (JACL) and former 442nd member; Mr. Ira Shimasaki, president of the Washington, DC, JACL chapter, and Mr. Jesse S. Shima, President of the Japanese Society of Washington, DC.
Another older brother, Goro, born May 27, 1919, enlisted in the Army Air Corp in 1940, was sent to aviation technical school, and graduated as an airplane mechanic. He was removed from duty after December 7, 1941. When the 442nd Regimental Combat Team was formed in February 1943, Goro was sent to Camp Shelby initially as a member of the training cadre and then deployed to Italy with the 442nd. On October 29, 1944, he was called to Biffontaine, to identify the body of his brother, Saburo. Goro earned four Bronze Star Medals and was discharged on August 4, 1945.
The youngest brother, Walter, who was born May 30, 1925, was assigned to the Port of Bremerhaven, Germany, around 1945. He was selected for Officer Candidate School and received his commission as a Second Lieutenant. Following his discharge he attended Texas A&M on the G.I. Bill and graduated in 1952.
Willie, the lone surviving brother, turned 91 on March 1, 2012. He attended the Veterans Day ceremonies on November 15 at the newly built veterans memorial at San Benito, Texas, where he attended high school. Commenting on the ceremony, Willie's niece, Deborah Tanamachi Galvan, stated, "It was a very touching moment when keynote speaker Major General Joyce Stevens asked for veterans of World War II to stand….Uncle Willie stood. Then she asked for veterans of the Korean War to stand….and Uncle Willie stood. Once again she asked for veterans of the Vietnam War to stand…and again Uncle Willie stood. It was definitely a privilege to honor the brave and be in their presence."
Author waynePosted on November 30, 2020
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Sometimes, the past should stay buried.
The video game-themed webcomics of the mid-2000s were, for the most part, very bad, but there were so very many of them. Collectively, they seemed to stand for the propositions that women are incomprehensible breast-having space aliens and that one's preference in gaming console makes any difference whatsoever. Their heroes were often thin stand-ins for the authors, their dialogue was often very bad, and their portrayals of relationships were unrealistic. It would be great to bury that shameful chapter of the internet, but we can't, because Twitter just dredged it up. Now everyone's looking back on the dripping piles of webcomic garbage they enjoyed just 10 short years ago.
His own example is a "Girlz n Games" strip that leans heavily on the overused "the cake is a lie" punchline from the game Portal. If video game references make no sense to you, just think of quoting "the cake is a lie" as the gaming equivalent of wearing a Napoleon Dynamite "Vote for Pedro" t-shirt. It overstayed its welcome in precisely the same way.
Has anyone brought up LICD yet?
They also spent a lot of time attacking conservative attorney Jack Thompson, the anti-gaming bogeyman of the time. Ultimately, he proved no threat to a multi-billion-dollar industry, but webcomics creators insisted on passionately defending their hobby anyway.
A lot of people on the comics thread shared the same sentiment: Why did anyone bring these strips up again? It's an uncomfortable look back at a culture that hasn't really come as far in the intervening decade as one might hope.
Well, it's been, uh … fun? … to reexamine this unfortunate phase in internet history. Now, let's hit the showers.