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107 of 116 people found the following review helpful
5.0 out of 5 stars
This is exactly what the DS was made for,
By Bill Nguyen "Solemn Snow" (San Jose, CA USA) - See all my reviews
= Fun:5.0 out of 5 stars
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
Okay, I'll admit it. When I first heard that the FULL-ON SEQUEL for the PS2's Dragon Quest VIII was coming to the DS, I thought, "Exactly how much are they gonna have to dumb this game down?" Needless to say, I had very low expectations for the game.
Then it was released in the Japan, and over two million copies flew off the shelves in just two days. Those sales, combined with rave reviews from Japanese and American critics alike, meant one thing: I had to play Dragon Quest IX. I'm telling you, if for any reason you've been holding off on buying this game, get to the nearest store immediately. I've barely been able to put it down. STORY (9.0/10) The story begins with the main character, who is named and fully customized by the player, as an angelic guardian who watches over a town. He/she is part of a group of other guardians known as Celestrians, whose primary goal is to ascend into the "realm of the Almighty," which I can only assume is heaven. Unfortunately, right when the plan seems to be working, everything goes wrong, and the main character is stripped of his/her wings and halo. He/she then has to cooperate with a sassy fairy to help people in order to regain Celestrian status. Sounds simple, right? The story actually becomes much more complex and endearing as you play and interact with the motley bunch of people you meet. There's a lot of character development for sure, but it's not so much a part of the plot as it is the gameplay (more on that soon). Sadly, neither the main character nor his/her party members, who are also yours to customize, ever talk. GAMEPLAY (10/10) The gameplay has changed dramatically from past Dragon Quest games here, and all of it has been for the better. DQIX takes advantage of the DS's dual screens by using the top screen as a map and the bottom screen for input and movement. All characters in the party, as well as any guests, are visible as they travel. This sometimes results in a minor slowdown because of the excessive pixel-pushing, but it's more than tolerable. The revamped battle system is a breath of fresh air. Encounters are no longer random, as monsters now visibly roam the lands. A huge variety of spells, abilities, and items are available for use in battle. Players can also use a "coup de grace" when their characters are taking a beating for special effects such as zero MP cost or increased counterattacks, depending on the character's class. The execution is much more modernized, too. You can see the characters and monsters scurry around the field to maul each other; it's pretty fun to watch. As usual, dungeons can be incredibly hard and punishing, especially the bosses lurking at the end. The penalty for a wiped out party is half your gold, so don't die! (Or use a bank.) The new multiplayer system is a welcome change to the old formula. By connecting with up to three friends locally, players can complete the adventure together, loot treasure from other worlds, or if they choose, continue alone and ask for help when they need it. The last option is perhaps the most intriguing one. Players don't have to be stuck with each other in multiplayer, which allows for some independence. Although I have yet to finish the game myself, I expect that the replayability will be excellent. (The main game itself is quite long already at about 60 hours.) Farming items for the new alchemy system, scouring the world in search of gold and EXP, and doing all the silly sidequests that NPCs have will tack on (from what I've heard) upward of 80 hours; the addition of wi-fi to buy items and obtain new quests online should also be interesting. DESIGN (10/10) DQIX's graphics are absolutely breathtaking, from watching the animated cutscenes to simply traversing the world. The environments are meticulously detailed, and the NPC sprites are prepared to give witty conversation. Players can distinguish between important and trivial NPCs by whether they are 3D or 2D, respectively. The world is astonishingly MASSIVE, incorporating all sorts of different backgrounds and intimidating enemies. Everything, even weapons and armors and the ugliest monsters, introduces sweet, sweet eye candy. In-battle spells and abilities are magnificent, and the smooth animation of attacks and the like bespeak true, through-the-roof-quality production values. My only nitpick is that, as mentioned before, when the party is moving about on the map, the game occasionally lags a bit. It's not too bad, considering the limitations of the DS, but it is noticeable. SOUNDTRACK (8.0/10) The music doesn't blow my mind, but it's not bad at all. The themes are appropriately peppy or gloomy, depending on the situation. Boss fights sound intense, and sound effects are excellent. The sorrow in Coffinwell and peacefulness of Angel Falls are properly depicted. However, the music isn't very memorable, and some of it reminded me of the 8-bit era. Nonetheless, that's probably just me; the soundtrack, as a whole, is good and perfectly suitable. OVERALL (9.0/10 - not an average) I definitely did not see this one coming--definitely a sleeper hit for me. DQIX wraps a great story, involving gameplay, beautiful graphics, and good music all in one package. Sure, there were some slowdown issues, and the music wasn't as great as it could have been, but all in all, this game delivers. In spite of its faults, Dragon Quest IX stands as a strong testament to the gaming capabilities of the DS.
56 of 63 people found the following review helpful
5.0 out of 5 stars
RPG SUPREME for the DS!!,
By Amazon Customer "crazy cop" (Georgia) - See all my reviews
= Fun:5.0 out of 5 stars
Verified Purchase(What's this?)
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
Okay, I admit I am too old (64) to be playing these things - but seldom have I started a title that amazed me as much as this one - To be blunt, DRAGON QUEST IX may well define the potential of the Nintendo DS - The graphics, gameplay, story structure, and sound are totally amazing - I own a PSP and a Nintendo, and this title is going to seriously create problems for the Sony - I can almost insure you that once you start this game - you won't be able to put it down......I have only gotten less than ten percent into the story and I can't wait to stop writing this review and continue the adventure -
Try this one people!!!! You won't be sorry!!!!!!!!
33 of 38 people found the following review helpful
5.0 out of 5 stars
A great game for RPG fans,
By Jordan (Tennessee) - See all my reviews
= Fun:5.0 out of 5 stars
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
My first impressions of this game were very high. I really enjoy the gameplay, and it has not felt like a tedious rpg for even a second. I think the story is creative, and I actually enjoy reading the text on the screen, whereas i usually just skip right on through it to keep on playing. This game fully suits what i had wanted out of an RPG experience on the ds.
To begin, the story is very entertaining. The idea of being an angelic warrior is kinda cool, and it doesn't seem like the regular run o' the mill rpg story setup. Its fun seeing where the story is going to take me. I think most people that like this style of game will find the story entertaining as well. Next, the gameplay is just phenomenal. I have played final fantasy 3,4, Pokemon Platinum and Heartgold, and that is really the extent of my rpg playing on the ds. These games are all known for the random battles that just pop up out of nowhere. I find that to be flat-out tedious and boring after a while. On top of that it takes away from the realism of "questing." I still enjoyed those games, but I have a new favorite here with dragon quest 9. I really like being able to see the monsters. You basically get to choose when you want to fight. Sometimes the monsters will run away from you when you are a high level, and I thought that added even more realism to the experience. The battles are also fun because all the moves, spells, etc. are very well animated. It is never boring to sit through a battle. The learning curve is also very easy. Final Fantasy kinda throws you to the wolves when you start those games, but this gently pushed you into the battling, and before long you will have a good understanding of the tactics and how it all works. I also have to commend the game for its length. I guess i qualify for the category of just starting out the game. I have gotten myself to Stornway though and am getting ready to fight the Wight Knight. I have already gotten a lot of fun out of the game, and i'm sure it will get better as it progresses. The hardest part about this game is making myself put it down. Another bonus is the fact that the game does not sync up with the clock in the ds. I have a job and responsibilities and stuff so when i used to play the pokemon games, I got to play them in the dark the whole time. That takes away from the fun factor of the game, and it isn't fun when you cheat past this by resetting the clock on the ds. But this game changes from night to day as you battle and roam around. I'm very glad that they stayed away from making the game have a daylight setting only when its daylight in the real world. I'm sure other people can relate to what I'm saying here. The game is very fun, and if you have been searching for an RPG that you can get hooked on, this is it. I think it is one of the most detailed games to be released for the ds, and it looks great. It is fun and the pacing is great. All the optional quests make the value of the game increase a great deal. You can play this game for a very long time. I think this game is worth every dollar they charge for it. Just buy it and have some fun!!
23 of 27 people found the following review helpful
5.0 out of 5 stars
Fantastic game, fun. Good for casual and seasoned gamers,
By Surgery100 "ADJ" (Washington, DC) - See all my reviews
= Fun:4.0 out of 5 stars
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
Cool graphics, pretty groovy music and a mammoth-sized quest. Certainly not easy, but not so complicated to turn away the casual gamer.
Gameplay: Fairly linear and simple to follow. There is endless battling, but the cool graphics and the presentation (you get to see the enemies before they attack) make this fun. Each job centers around a specific set of weapon skills that you accrue as you advance in the game. There are a bunch of side quests that add to the fun. Characters: Can be fully customized, from choosing to focus on a single weapon or "job talent," to mixing and matching them to your liking. My only negative here is that there is only one save slot, so you don't get as much opportunity to experiment with the characters. Graphics: Pretty cool graphics that manage to avoid the creepy, puppet-like appearance of characters on other games. Every piece of armor and spear can be customized and the details transmit well. The scenarios are expansive and detailed. Controls are straightforward and responsive. Overall, this is a very entertaining, incredibly long game (so far 40 hr plus) that manages a fairly linear and simplistic story in a way that keeps you engaged without becoming stale or boring.
9 of 9 people found the following review helpful
5.0 out of 5 stars
Read here if you've never played Dragon Quest,
= Fun:5.0 out of 5 stars
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
After having had my DS for about 2 years I just recently got started with RPG's for the system. In fact, I'm pretty new to video games in general. So, needless to say I've never played a DQ game before. I heard a lot of really good things about this game so I decided to chance it and pick it up. I've also noticed that most, if not all, of these reviews are from people who've played other DQ games and spend a lot of the review comparing it to other games. This isn't a bad thing at all...but it's always helpful to see a review from someone who isn't comparing it to others in the series, especially for people like me who have no idea what the other games in the series are like. Anyway, that brings me to my review:
Personally, I think this is one of the best games for the DS. Of course, I haven't played every other DS game out there, but of the ones I've played, this one shines above them. The graphics are great and I really feel that Square took advantage of the DS' capabilities. However, I'm one to be more impressed with gameplay and overall "addictiveness" of the game than graphics, so I'll spend more time with those. Again, I can't compare this game to other DQ's. There may well be others in the series that are much better gameplay-wise. But I really like the way this game unfolds. The story might be a bit "cutesy" for some, but I really liked it and was immediately enthralled with it. It became very hard to turn off my DS once I got started. The gameplay is a classic turn-based battle system. You spend time battling monsters and traveling from town to town completing different missions or "quests". A big thing with this game, as with most other RPG's, is leveling up. Random encounters are no more with this game as you can see the monsters on the screen before they attack. However, I'd still suggest battling as much as possible, at least with the monsters that will give you the most experience. The higher your level, the easier the fights will be and the more damage you can do in battle. You can also create other characters to be in your party to battle with, which I found to be very cool. You can pick their occupation, gender, even hair color. This is a big part of the strategy of the game...picking characters with different skill sets to compensate for your weaknesses. Overall, the gameplay is very addicting. I was always wondering what was going to happen next. Also, if you're looking for a game that will keep you interested for a long time, this is it. There are MANY MANY hours of time to be spent with this game. Trust me, you will not get bored. The main point of the review is this. If you're like me and have never really played RPG's, don't be intimidated by this game. It's very easy to get the hang of and will keep you entertained for a long time. Plus, there's no need to have played the other DQ's in the series before this one. In fact, it's a large possibility that I will be seeking out other DQ games to play.
15 of 17 people found the following review helpful
5.0 out of 5 stars
Literally the best game I have ever played.,
= Fun:5.0 out of 5 stars
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
Well, it only took 19 years but a game was finally released that (very quickly I might add) replaced Dragon Warrior III as my favorite game of all time. This game takes all of the best aspects from Dragon Warrior III, Dragon Quest IV, and Dragon Quest VIII and combines them into an experience which could easily be claimed by many to be the pinnacle of DS gaming and portable RPGs. For long-time fans of the Dragon Quest series such as myself, it is arguably the best game you will ever play in your life.
Story: 10/10 SE really stepped up their game here. I feel this one has an ever deeper story than Dragon Quest VIII did, which was probably the deepest DQ game to date. Although the party members become personality-less avatars, the world and NPCs that you meet are so enriched that it more than makes up for the experience. Not only that, but the tone and themes are much more mature than in previous DQ titles. There is more death, loss, overall sadness, and overcoming grief and adversity in the NPCs featured in Dragon Quest IX than you will see in the party members of most other RPGs. Gameplay: 10/10 All of the gameplay aspects have been modernized and perfected to keep that classic Dragon Quest feel while giving a fresh experience. My absolute favorite thing about this is the character customization and the combat system and how they seamlessly compliment each other. On top of this, there are numerous sidequests for obtaining new gear for your characters once they reach a certain level in any given class and others to obtain rare alchemy ingredients used to make your own equipment. The skill system is more in depth and varied than the one featured in Dragon Quest VIII, and the battle system is an even more fun and strategy-oriented version of that same battle system. There are numerous ways to tackle any boss in the game, depending on the difference in level at the time and what type of party you created. Sound: n/a I'm not going to rate the soundtrack because I have sort of bad hearing and I never paid much attention to VG music anyway. It's about what you would expect from a Dragon Quest game. Villains: 10/10 All of the villains in this game are totally amazing and awesome. You will literally be in awe when these giant boss monsters attempt to bully your group of 1-4 heroes. Now, when you get to the first real village outside of the starting area the first thing you will notice is that the villagers are all scared out of their **** because some dude named the Wight Knight rode through, trashed the place, stole somebodies horse, and then stalked the princess. When I heard about this I ran into the bathroom to change my underwear immediately. I knew there was absolutely no way I could stand up to a dude this bad. Well, I was wrong. Because I added a Martial Artist to my party and had him specialize in Staves (The equivalent of beating Dragon Warrior I with nothing but the Stick equipped). Both your party members and the villains display ridiculous levels of manliness, such as this giant sea monster thing popping out of the water and eating a weak female NPC with absolutely no warning while she's in the middle of a conversation, or the Martial Artist ability to bully a group of enemies. Which brings me to my next point. . . Man Factor: 10/10 This is the manliest game you will ever play. This is not even arguable. Landing a killing blow on a Metal Slime is the most satisfying feeling that you can ever experience in your entire life. One of the boss monsters is a giant spider that drops down from the roof and knocks over a weak female NPC, at which point it's up to the players to intervene and stop it from going completely rip**** on her. Not only that, but later you can get treasure maps which lead to lairs with optional bosses that will wreck your entire party if you don't prepare for them (By the time I found my first Treasure Map, the optional boss of a Level 1 dungeon was too much for my level 20-25 party to handle). All of the physical-dominant classes have manliness-appropriate skills such as group-bullying tactics or the ability to shield frail, weak, probably female allies from taking too much damage. On the other hand, the other classes have skills which can be used to boost the agility of the important attack-oriented party members and lower the defense of the enemies so that when you hit it with the Stick you can do like several hundred damage after powering up. Overall: 10/10 There is nothing else I can say. This game is great. There may be some minor balancing issues (The Martial Artist class seems to be far and away the best, having an advantage over almost every other class in speed, attack, and HP and skills that stun/frighten a group of enemies which cost no MP to use), but each and every class serves their own purpose. In addition, there are extra classes that you can unlock later in the game via sidequests if you don't feel like having a party made up of any of the 6 traditional classes. I would seriously rather just get back to playing the game right now than continue writing this review. If you are interested in the Dragon Quest series, RPGs, or just great games in general, buy this as soon as possible.
12 of 14 people found the following review helpful
3.0 out of 5 stars
It's classic expect for 1 detail- Character development.,
= Fun:4.0 out of 5 stars
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
I got Dragon Quest to fulfill that... need I have to play a more classic RPG like when I was younger. I looked through those available on the DS and everyone seemed to like it the most. And at first I was sold- It has all the charm Dragon Quest 8 had in combat and the world and the side stories.
Unfortunately I was deeply disappointed about 25-30 hours into the game when I finally got frustrated enough to say ask the question "When will someone else join my party?" because I didn't realize I had to hire mercenaries to join my party. I was level 30 and I was beating bosses pretty easily because of how easy it is to exploit the class system in this game, but so I went and made a party of characters from the girl at the Inn in the beginning of the game. I didn't choose the option 'call a friend' or whatever it was previously because I assumed that was a multiplayer option. Anyway, after adding 3 members to my party I ran around for a bit, leveled up some classes, and then removed them all from my party and went back to playing the whole game solo. I don't want a bunch of warm bodies following around the warm body I'm controlling, I want some of the interesting and fascinating characters I met throughout the story to join my quest and push the narrative along. But no, there is none of that, the only voice on your side is this Bratz looking faerie that following you along and complains about everything but never expands on anything in the world because she's completely ignorant to all of it. The story is a bunch of stand alone quests that show how cultures and people are influenced by power, and that's good. The leveling and combat system is classic and I was looking for that, that's good. But I'm so disappointed that the only voice on my side of things is that stupid faerie and that my character has almost no relation to what's going on, he's more or less stumbling onto the events and, without emotion or anyone having expectations on him, helping everyone. I don't have a problem with a silent protagonist, but I do have an issue if everyone I control is a silent nobody. I know I'm nit-picking but most of my favorite characters from RPGs in the past are the side characters. Yeah, you make a party based off abilities but you also pick one based off personality and liking characters and feeling emotions connected to them adds a lot to RPGs. It might also be an issue that I did get so far without an extra party member... Yeah, I leveled up a bit, got every class to around level 30, but once you do that you're nearly invincible with a few alchemy recipes for armor and weapons, and I never once looked at any type of guide to figure all that stuff out.
6 of 6 people found the following review helpful
5.0 out of 5 stars
Japanese RPG with massive multiplayer interactivity,
By Jonathan Oyama "Welcome to die!" (Los Angeles, CA) - See all my reviews
= Fun:5.0 out of 5 stars
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
At first glance, "Dragon Quest IX" plays just like a typical RPG. Once gamers reach the second inn, however, the game expands immensely with multiplayer capabilities and Internet items.
"Dragon Quest IX" is a massive game that packs in hours of gameplay, side quests and the possibility to join other gamers in multiplayer quests. This game was a huge hit in Japan, where people all over Tokyo could join random strangers in wireless multiplayer quests. Although "Dragon Quest IX" isn't as popular in the U.S., it still provides infinite possibilities for group fun. The main quest starts with your character as an angel-like person called a Centurion, helping villagers in Angel Falls. Your character will rescue them from danger and do chores for them to receive benevolence energy in exchange. Supposedly, if the Centurions collect enough benevolence for the Yggdrasil tree, they can summon a celestial train to take them to the promised land in the sky above. Matters get complicated when a shocking explosion from the promised land knocks you down to Earth. Now your character must figure out how to return to the Centurion world. The main quest is a beautiful 3D game with the typical Dragon Quest battle system. Most quests require lots of tedious grinding, battling enemies for experience points. However, the extra features more than make up for the old style of gameplay. A character builder system allows you to design the look of your character, from the gender to the anime-style eyes. Each piece of equipment on your character has a distinguished look to it, allowing you to make your character look unique. Once your character reaches the Stornway Inn, you can also build custom characters with whatever class suits that person. So you could add in thieves, mages, martial artists and whatever other classes you need. The game provides tons of mini-quests in the style of the Internet quests in MMORPGs. Players can fight monsters for the items that are needed to fulfill the quest objectives. As a reward, they receive an item, as well as a "CLEAR" stamp in their record of quests completed. All these features add to an unprecedented experience that crams the best elements of MMORPGs in a handheld console game. The game even provides an Internet store, which is updated daily with rare items that you might have trouble finding otherwise. Players can update the store every day after 8 a.m. The game is a rich masterpiece of colorful RPG gameplay and Internet expansions. And if you know friends who play "Dragon Quest IX", you can join them for a Dungeons & Dragon's-style meeting. You can band together to defeat some of the especially difficult bosses on the treasure hunting quests. It's a marvelous game, one of the hottest games on the market right now. The game will expand even more when Gamestop provides extra downloadable maps for "Dragon Quest IX" players on July 31. One can only imagine the possibilities of finding new quests to venture through in the future.
5 of 5 people found the following review helpful
4.0 out of 5 stars
Less Than A Dollar An Hour,
= Fun:4.0 out of 5 stars
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
$35 is what this game will run you, and you can spend 40-50 hours in completing just the main story. This game is incredible value for money, just for the longevity.
The fun in this game lies everywhere. Character creation to the point where you can have your own body style, hair style, facial expression (although it's a permanent one, no emoting for these characters), wardrobes that wouldn't look out of place in Las Vegas, and others that would let you fit into Victorian England, and many others. There is humor, there is tragedy, there are side quests galore. And even though it wasn't in high-definition, this game also includes one of the coolest fully animated cut-scenes I have ever seen on any of the hundreds of games I have played over the last two decades. If you like old-school traditional RPGs, you're going to like this game. It's about as old-school as it gets, with updated beautiful graphics and animations; the frustrating, tedious gold hunting and level grinding; the rare items, the rare monsters. Some thing in this game are going to drive you insane: the overly-populated monsters and the 9-limit alchemy creation plateau, mostly. But once you've figured out how to make $52,000 gold in ten minutes (after you've collected about $550,000 in gold to begin with), and once you've leveled your party up through all the vocations you can choose to keep the best stats of each, once you get critical strikes to instantly kill metal slimes, well, then you feel like you've really accomplished something. In this sequel of Dragon Quest, the monsters spawn on the map where you can see them, so you can pick and choose what monsters you want to fight, unless they chase you down first -- but don't worry, use some holy water and you're free of that nuisance. You can recruit three others players, either friends on Wi-fi or in the game itself, to make your journey easier. In the context of the game, they make little sense, but you're happy to have them helping you. You can download new items and quests through DQVC, which is sort of like free DLC (downloaded content), once every 24 hours. Once the main story is completed, you can go back and finish side quests and hunt through all the treasure maps. It is a great deal of content, for a very decent price. If you like RPGs, if you really like old-school JRPGs, I would highly recommend it.
8 of 9 people found the following review helpful
5.0 out of 5 stars
I'm no fan of Dragon Quest,
= Fun:5.0 out of 5 stars
This review is from: Dragon Quest IX: Sentinels of the Starry Skies (Video Game)
But this game really surprised me. Where RPGs in recent times are forgetting what make them compelling, Dragon Quest continues to build on what makes the genre work. What had me so addicted was the sheer amount of customization available. Everything from your character's appearance to your role and specializations can be tinkered to your preferences. Particularly nice, each piece of equipment displays on your on screen character. The diversity and design of the different equipment puts even MMOs to shame. Being a powerful warrior has never been so satisfying before.
I do have a few gripes with the game. Having no option to scroll through the text quicker is a downer, and I would have preferred an option to speed up battles. That all said, if you've grown tired of RPGs taking themselves too seriously with poorly written narratives, give Dragon Quest IX a chance. It's not a 'cinematic experience', and that's okay. It's a video game, and a charming one at that. |
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Dragon Quest IX: Sentinels of the Starry Skies by Nintendo (Nintendo DS)
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A solitary pulmonary nodule is a round or oval spot (lesion) in the lungs that is seen with a chest x-ray or CT scan .
More than half of all solitary pulmonary nodules are noncancerous (benign). Benign nodules have many causes, including old scars and infections.
Infectious granulomas (reactions to a past infection) cause most benign lesions. Common infections that increase the risk of developing a solitary pulmonary nodule include:
Lung cancer is the most common cause of cancerous (malignant) pulmonary nodules.
The nodule itself rarely causes symptoms.
A solitary pulmonary nodule is most often found on a chest x-ray or a chest CT scan , which are often done for other symptoms or reasons.
Your doctor must decide whether the nodule in your lung is benign (not cancer). This is more likely if:
Your doctor may then choose to just watch the nodule on x-rays.
Your doctor may choose to biopsy the nodule to rule out cancer if:
A lung needle biopsy may be done by placing a needle through the wall of your chest, or during bronchoscopy or mediastinoscopy .
Tests to rule out tuberculosis and other infections may also be done.
Ask your doctor about the risks of having a biopsy versus monitoring the size of the nodule with regular x-rays or CT scans. Treatment may be based on the results of the biopsy or other tests.
The outlook is usually good if the nodule is benign. If the nodule does not grow larger over a 2-year period, often nothing more needs to be done.
Gould MK, Fletcher J, Iannettoni MD, et al. Evaluation of patients with pulmonary nodules: when is it lung cancer? ACCP evidence-based clinical practice guidelines (2nd edition). Chest. 2007;132:108S-130S.
Hansell DM, Lynch DA, McAdams HP, Bankler A. Imaging of Diseases of the Chest. 5th ed. Philadelphia, Pa: Elsevier Mosby; 2009: chap 3.
Ost DE, Gould MK. Decision making in patients with pulmonary nodules. Am J Respir Crit Care Med. 2012;185:363–372.
Padley S, MacDonald SLS. Pulmonary neoplasms.In: Adam A, Dixon AK, Grainger RG, et al., eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2008:chap 18.
Todd Gersten, MD, Hematology/Oncology, Florida Cancer Specialists & Research Institute, Wellington, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.
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FindTape.com Blog
We've sold non-skid tape, cleats and strips for quite some time now, but we've repeatedly been asked for a non-skid surface which could also provide some additional visibility at night. We've recently added Wooster's NiteGlow Flex-Tred tape and cleats which does just that. After being activated by natural or artificial light the tape provides a photoluminescent non-skid surface which is visible to the night-adjusted eye. Use it to provide pedestrian safety and guidance on leading edges of steps, around landings and through hallways and doorways. We've also recently added Wooster's "Caution" Flex-Tred product. It isn't photoluminescent like the NiteGlow tape and cleats; however it does provide a highly visible non-skid warning on any surface where added safety is required.
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Coordinating Items
Lemonade Stand Set
Item# F2393
The Bitty Twins® are ready for fresh-squeezed fun! This set has everything the pair needs to have fun on a hot day:
- A decorated box to use as a lemonade stand
- A pitcher of faux lemonade that Mommy helped them make, with "ice cubes" that rattle
- Two drink cups for thirsty customers
- A piggy bank—shake it to hear the "coins" inside!
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Explore the Bitty Twins' world:
Girls can enjoy the exciting "firsts" of childhood with these on-the-go toddlers.


text: GALLERIES Isla Fisher Kimora Lee Simmons Kimora Lee Simmons Candice Michelle Candice Michelle Alicia Hall Alicia Hall Natalie Gulbis Natalie Gulbis Coming Next OR 0 24 Back to Top ▲ Isla Fisher Isla Fisher Isla Fisher Images AskMen Editors Share on Facebook Share on Twitter 0 Shares After playing the ever-popular Shannon on the Aussie soap opera Home and Away, Isla Fisher moved to Britain to try her craft overseas. The move was a successful one, and she began making headlines as a solid actress and a frequent celebrity-dater. After Isla Fisher became linked with British comedian Sacha Baron Cohen (aka Ali G and Borat), the couple moved to Hollywood where she landed roles… Continue reading Isla Fisher's profile. Next Page gallery Comments Show Comments More Like This Promoted Around the Web Special Features


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Mirrored Butterfly Hook
No longer available
- Overview
She'll have more fun hanging up her favorite sweater or robe with these friendly creatures on hand to help. Outlined with sparkly etching, our mirrored butterflies catch and reflect the light.
- 5" wide x 7" high
- Crafted of sturdy iron.
- Keyhole mount.
- Mounting hardware included.
- Sold individually.
- Dimensions & Care
- Dust with a soft, dry cloth.
- Shipping Info
- Please allow 5-7 business days for delivery. Delivery estimate includes monogrammed and gift-wrapped items.


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is force a really good option. the experts . professional broker writters,
that spin , and weave, and drive media and thus political outcomes .
(no conduct or ground rules ) say yes. but history tells us otherwise.
yes, our money goes to Israel. and we get what in return ? good food ? lol
I heard that ... good one. cont into week end rant.


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Shorts are the essential item for the spring or summer! Styles can be worn during the day or night! Work out in gym shorts, sleep in some pj shorts, go shopping in any day shorts, or party it up in some glam shorts! AMIclubwear will dress u up in the right pair of shorts! Whatever your taste, we will have it! From different fabrics and textures, you will not be disappointed by our huge selection!
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The Brush Collection contains six brushes to conveniently create any makeup look. From concealing to highlighting, each brush is specifically designed for optimal use and best results. The lineup includes Blush & Powder, Foundation, Liner & Brow, Cre`me & Eyeshadow, Eyeshadow & Contour and retractable Lip brush. Each is labeled for ease of use, with directions for effortless application. Encased in the protective Petite Beauty Clutch, brushes sit neatly in place with fitted elastic, so all the tools are lined up in the palm of the hand.
In the Lip and Cheek Collection, Vincent features three all-time favorites. Enclosed in the slender case, two full size lip glosses and one full size gel stain create luxurious looks for day and evening.
Pearlessence Lip/Cheek Gel Stain leaves cheeks and lips awash with gorgeous, long-wearing color, while a seamless suspension of pearl in this blendable stain imparts irresistible luminosity to the apple of the cheek and pout. With a sweep of application, Perfect Shine Lip Gloss adds full- body texture and luster for lips that go from daytime to evening. To top the collection, Diamond Gloss in Goldleif, with an infusion of opulent gold flecks, layers over any lipstick for a sophisticated touch to any look. Together, this collection leaves lips and cheeks illuminated and brightened with sensuous sheen.
The Night Collection includes Perfect Shine Lip Gloss Costa Fiore: Sheer Deep Pomegranate, Peralesssence Lip & Cheek Gel Stain in Dolceacqua, Diamond Lip Gloss in Goldleif: Sparkling Gold Shimmer.
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"I have so much energy. I've been working nonstop!"
Manolo Blahnik is calling from his home in Spain's Canary Islands, where he is supposed to be winding down after a frenetic few months that included factory visits to Italy, a busy London schedule, Kate Moss' wedding and a stateside trip.
But on this Friday evening in July, Blahnik isn't relaxing. He's at the drawing table.
"Oh no, I'm not taking a holiday," the designer said. "To me, working is just pure joy, being able to design whatever comes to my head. Every five years or so, I get really excited."
He's also really excited about the fashion shifts occurring in the market. The platform heel craze has given way to a resurgence of elegant single-sole looks, Blahnik's signature.
"Those 'furniture' shoes are finally over, or starting to be," he said with satisfaction.
So is it Manolo's moment again?
"I never had a perception about whether it's my time or someone else's time," said Blahnik. "I don't think I have a time."
Retailers, though, seem to think so. They said that while the designer has always been a standout performer, his fall line meshes perfectly with of-the-moment trends.
Bergdorf Goodman is stocking more than 200 Manolo Blahnik SKUs for fall. "His business is very strong and continues to grow," said Eloise Taussig, VP and DMM of women's shoes.
Particular standouts for the season, according to Taussig, include the BB pointy-toe pump and ankle boots.
Neiman Marcus SVP and GMM Jonathan Joselove said Blahnik's collection is "spot on" for fall.
"It offers a plethora of terribly refined shoes that will only enhance the abundant lady-chic choices throughout our ready-to-wear collections," he said.
The designer himself is more than pleased with the direction of the collection. "The shoes are so sweet, so feminine and new," Blahnik said.
Christine Carlton, divisional VP of accessories, footwear and jewelry at Holt Renfrew, agreed: "We're seeing a lot of single-sole, pointy-toe pumps, which really provides a resurgence to Manolo, who's always done single-sole shoes."
Manolo Blahnik USA President George Malkemus echoed those sentiments.
"Women who have gone elsewhere for a few seasons have come back and are ready to buy feminine, elegant footwear again and move away from the heavier, more structured shoes," the executive said. "We're hearing this every single day in our stores.
Malkemus added the brand is seeing growth across its department store roster. "Saks has grown phenomenally this year," he said.
Blahnik noted he doesn't spend much time tracking business or following economic trends. However, on his recent trip to the U.S., he felt the mood was bettter.
"I'd rather not think too much about the future. I'm an optimistic person by nature," he said. "Everyone in New York seemed happier."
He also visited Savannah, Ga., where he received the Andre Leon Talley Lifetime Achievement Award at the Savannah College of Art & Design.
"It was heaven," Blahnik recalled. "I love the South and southern people."
Back at home, the designer is working on several new initiatives, including retail expansion across Europe and Asia.
In Milan, the brand will be introduced in Excelsior, a new concept store set to open next month.
And in Paris, Printemps will bow a dedicated Manolo Blahnik area on the fifth floor in January. The label also will be housed in the Maria Luisa in-store boutique on the second floor of the French retailer.
Meanwhile, in the fast-growing Middle East market, Blahnik will open a branded store this December in Abu Dhabi, United Arab Emirates.


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- The Week Ahead: Almost Famous Feels Like This
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- ArtsBeat: Five More Years for 'Judge Judy'
Bumblebee Flies Anyway
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Waking up in a hospital for terminally ill teenagers, amnesiac Barney Snow struggles to remember his identity. While coping with the therapy and doctors, Barney befriends his fellow patients and begins to find comraderie in the company of these sick, but intelligent young people.
What's On Tonight
- A Word With: Julian Fellowes on Twists in the 'Downton Abbey' Season Finale
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Credit: Connie Zhou
What would prompt several hundred adult New Yorkers—some of them living at great distances from the grassy lawns of Flushing Meadow Park, Queens—to take time out of a busy work day to come see the half-collapsed relic of a building now 50 years old? "It's just such an iconic building," says Martha Orbarch, just one of the many New Yorkers waiting to get in. Orbarch only dimly remembers Philip Johnson's New York State Pavilion from her first visit here at the age of three. That year, the park played host to the World's Fair for the second time since 1939—and ever since, the fair's architectural legacy has been a boon and a burden to the borough, leaving a series of structures that everyone knows yet no one knows how to use.
The 50th anniversary of the World's Fair was the occasion for a public viewing of Johnson's vast ensemble of open-air coliseum and saucer-topped towers: the Pavilion Paint Project, a volunteer effort aimed at preserving long-neglected the building, allowed selected visitors into the circular arena for the first time in 27 years. Not everyone who came out, however, was of an age to remember the structure in its glory days. "I'm a little obsessed with the World's Fair," says Chad Schaefer. He's not kidding: In his period-perfect jacket and skinny tie, the 39-year-old Harlem-based photographer is World's Fair right down to the socks—literally, as he lifts his pant leg to reveal the words "Queens" and an image of the nearby Unisphere knitted in wool right above the shoe line.
Former New Yorker architecture critic (now of Vanity Fair) Paul Goldberger spoke at an introductory ceremony, mentioning that he, too, had visited the building as a boy. Yet, as Goldberger announced, "As exciting as it was to be here then, it's even more exciting to be here today." In commemoration of its debut, the building has now been named a National Treasure by the National Trust for Historic Preservation, bolstering the efforts of the Pavilion Paint Project and other local supporters to save and restore Johnson's pavilion.
This 1965 file photo shows the New York State Pavilion at the New York World's Fair in New York. They were designed as sleek, space-age visions of the future: three towers topped by flying-saucer-like platforms, and a pavilion of pillars with a suspended, shimmering roof that the 1964 World's Fair billed as the "Tent of Tomorrow." That imagined tomorrow has come and gone. Now the structures are abandoned relics, with rusted beams, faded paint and cracked concrete. And as the fair's 50th anniversary approaches, the remains of the New York State Pavilion are getting renewed attention, from preservationists who believe they should be restored, and from critics who see them as hulking eyesores that should be torn down.
Credit: The Associated Press
Grounds, Parks and Roadside...
Mergers and Acquisitions
New York-Northern New...
Philip Johnson
Ian Volner
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text: 4 The Daleks Are Back!nothinghuman | 04/02/2012 | See all nothinghuman's reviews (3)It's not often that I can sit down and listen to an audio play, sometimes they can be difficult to follow, sometimes they can drag on and seemingly go nowhere, and then I get lost...The Curse of Davros however is the complete opposite. From playing the intro from the first episode within the first few minutes I was hooked. It begins with an explosive start, and mixes the action with the dialogue to help the listener to follow and enjoy the story from beginning to end. With plot twists and surprises worthy of current new series show runner Steven Moffatt this is a worthwhile purchase which had me so hooked that by writing this I want to listen to it again.Although I appreciate everyones tastes are different, I hope you found this review to be useful and enjoy the story as much as I did.Happy Listening.


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When we want to find the standard deviation of $\{1,2,2,3,5\}$ we do
$$\sigma = \sqrt{ {1 \over 5-1} \left( (1-2.6)^2 + (2-2.6)^2 + (3-2.6)^2 + (5 - 2.6^2) \right) } \approx 1.52$$.
Why do we need to square and then square-root the numbers?
When we want to find the standard deviation of $\{1,2,2,3,5\}$ we do $$\sigma = \sqrt{ {1 \over 5-1} \left( (1-2.6)^2 + (2-2.6)^2 + (3-2.6)^2 + (5 - 2.6^2) \right) } \approx 1.52$$. Why do we need to square and then square-root the numbers? |
One answer is mathematical convenience. The theory is much simpler using powers of two rather than other powers. There are justifications. Squaring makes small numbers smaller and makes big numbers bigger. You could argue that a useful measure of dispersion should be forgiving of small errors but weigh larger errors more heavily, so it makes sense to square the deviations from the mean. |
Intro by Reid Barton I think the answer should involve the additivity of variance for independent variables and the central limit theorem. Maybe someone can flesh this out. Answer Indeed, the variance has the additivity property: if Moreover, suppose we sum a large number N of independent copies of our random variable Now that we established how good it is to square numbers, to get variance, the standard deviation has a very easy explanation: it's the only way to get back from variance to something with the dimension of our original set. That is, suppose you numbers are some lengths written in meters. Since the variance is meters squared, you have to take the square root to get something that can be compared with the original set. Now, honestly, this not the only way, since you could also, e.g., multiply it by 2. That's why it's called standard deviation — to show that among different numerical constants we've chosen a specific one. |
Short answer: You could argue that the most natural thing to do when defining a "standard deviation-type" quantity is to use an absolute value: E( |X| ), but its really annoying to deal with absolute values under the expectation, so we use the next best thing: E( X^2 )^(1/2). You still get something positive and its easier to deal with the square inside. We take a square root at the end to get something with the same "units" as X. Long answer: It's often helpful to think of random variables as living in the function space L^2(Omega), and in this setting, this computation gives the L^2 norm of the centered random variable X - EX. Also, with this perspective, the covariance defines is a inner product. |
One answer I've heard is that you want the notion of standard deviation to 1) apply to points in Euclidean space, and 2) to be invariant under rotation. You don't get the second property unless you square the distances. |
The answers here that stress that the answers here that stress convenience are missing the crucial point are missing a crucial point. There are at least two ways to approach variance (which are sort of dual to one another): (1) I need to measure the spread of a distribution of values. What measure should I use? [Possible answer: variance.] -or- (2) If I define V[X] = E[(X-E[X])^2], then V[X] has many nice properties and seems to relate well to other parts of the theory and even other parts of mathematics. Obviously, it's something pretty important theoretically. What are its practical uses? [Possible answer: as a measure of spread.] If the only thing you care about is measuring spread, then convenience may be the only reason for you to use the variance, if you use it at all. I don't think anybody can seriously claim that among all measures of spread, the variance is absolutely the best-quality measure in all situations. Yes, the variance is additive and allows you to formulate the central limit theorem, and properties like that are certainly very nice to have, both in theory and in practice, but they don't make it a better measure of spread. So from this perspective, "convenience" often is the right answer. On the other hand, as a theorist, you would probably want to develop the theory along the most fruitful route, so you would be stupid to ignore the variance in any case. Its usefulness as a measure of spread then is less important, and its overall properties are rather more important. From this perspective, "convenience" isn't really the right answer, since it doesn't convey the intrinsic value it has by virtue of the excellent theory surrounding it. |
The question seems to be asked from a statistics point of view. In statistics, (sample) standard deviation is used as a measure of dispersion in data. It does have many nice properties, but as others have said, why we choose it is often due to convenience. The convenience stems from the fact that we often want to minimize dispersion. With standard deviation, such minimization problems tend to have explicit solutions, while for other dispersion measures numeric methods has to be used to a much higher degree. Also, explicit solutions simplify statistical theory a lot. It does have its drawbacks however, and is not the only dispersion measure used in practice. A big drawback is that it is sensitive to outliers in data. If to the data set {1,2,2,3,5}, the point 100 is added, the standard deviation changes a lot. It is not the best measure for highly skewed data, or data from distributions with heavy tails. One alternative is the interquartile range, the distance between the 3rd and 1st quartiles, and mean absolute distance to the median is another. See the wikipedia article on Robust Statistics for more information. |
With standard deviation as defined, you get cool results like Chebyshev's Theorem: for any distribution and k>1, at most 1/k^2 of the data fall outside of k standard deviations from the mean. So, for example, for any distribution at most a quarter of the data lies farther then two standard deviations from the mean, and at most 12% lie further than three standard deviations. This and other theoretical advantages come from the long answer that Mark4483 gave. These things are important for developing inference models. |
Population variance, E([X-E(X)]^2), can quite easily be estimated in an unbiased manner by the sample variance, (n-1)^{-1}\sum (X_i-\bar{X})^2, where the sum is from i=1 to i=n. "Unbiased" meaning that if the X_i are i.i.d. copies of X, then the expectation of the sample variance (by a straightforward direct computation) is the population variance. As far as I know, you can't do anything at all for absolute values. For even powers larger than 2, a more complicated unbiased estimator could be constructed. Two is the simplest case, and plenty of interest happens - the central limit theorem, for starters. I'm not sure to what extent the L^2 theory generalizes to L^2k theory, but to my knowledge no compelling reason to consider it exists. Perhaps with higher k, the large deviations are weighted even more heavily, and particular applications may benefit from their study. However, the usual variance is a good starting point. There are conditions under which you can recover a random variable X if you know all of its moments, E(X^p) for p = 1, 2, 3, .... From this perspective, one might consider the variance, E(X^2)-E(X)^2, a function of the first two moments, for the same reason that one may look at a second-degree Taylor approximation of sin - it's the simplest, and you can look at other terms if you need to know more. |
I think that is quite obvious. Firstly, the sampling standard deviation measures the dispersion of the data in the samples. You square the difference is to reflect how much the actually data is away from the sample mean. If you do not square them, some differences may cancel out each other e.g. -1, +1, in which case the dispersion cannot be reflected. You square root it is for matching the dimension |


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The Sealy Posturepedic Diamond Select Plush Euro Pillow Top mattress offers a thick layer of memory foam over titanium alloy Apex innersprings, giving you a perfect combination of memory foam comfort and innerspring support.
Product availability may vary by store location. Please call to check availability. Price is for MATTRESS ONLY. Bed set and foundation in images are sold separately.


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The Self-Drive Tour "The Grand Tour of Iceland including the Westfjords" not only takes you to all the highlights you can experience along the coast of Iceland, such as Geysers, Glaciers and Waterfalls, but also to the magnificent Westfjords of Iceland.
- Unlimited driving, CDW, two drivers and a CD-Guide.
- Pick-up/drop-off at the International Airport in Keflavík.
- Detailed and personalised route description.
- Around the clock service telephone number while traveling in Iceland.
- VAT and lodging tax.0.
Esja Travel also offers:
- Mobile phone rental during your stay, price € 2 per day + credit.
- 3G Dongle rental during your stay, price € 2 per day + usage (1 GB, 5 GB or 10 GB).
- International flights.
PLEASE NOTE THAT DRIVING IN THE HIGHLAND IS PROHIBITED, this applies to Categories A, B, C, N and M.
CDW (Collission Damage Waiver), unlimited mileage as well as pick up and drop off at the Keflavík International Airport are included in our package prices.
Self risk for the categories A, B, C, N and M is € 1.260,- and for the categories G, H, I, J and K € 2.300,- Further information about the CDW is availiable on request.
The driver must be at least 20 years old and must have held a drivering licence for at least one year. A valid driving licence must be presented when picking up the rental
Please note that a credit card must be presented when you sign your rental car lease agreement (MasterCard, Visa oder Diners).
Liability Insurance and passenger Accident Insurance are included in all packages.
Information about driving in the interior come with your travel documents.
Additional drivers € 29,- per rental.
SCDW incl. Gravel Protection - Surcharge for categories A, B, C, N and M € 14,- per day – Self risk € 165,- / Surcharge for categories G, H, I, J and K € 19,-
per day – Self risk € 305,- Self risk in case of broken windows and lights (CDW and SCDW) € 165,-
SADW (Sand- and Ash Damage Waiver) € 16,- per day – Self risk € 165,-
Baby- and infant seats € 8,- per day or max. € 50,- per rental.
GPS Navigation System € 15,- per day – Self risk for lost or damaged item € 500,-
One Way Fee for pick up/drop of at Keflavík International Airport € 31,- (included in package prices).
One Way Fee for other rental locations outside Reykjavík for categories A, B, C, N and M € 91,- and for categories G, H, I, J and K € 151,-
After hours Pick Up Fee in the Winter Season (19:00-6:00 Uhr) at the Keflavík International Airport € 54,-
Cancellation fees for rental categories E, H, I, K:
3 weeks or more prior to arrival 50% of the total rental car price.
3-2 weeks prior to arrival 75% of the total rental car price.
Less than a week prior to arrival 90% of the total rental car price.
Sail with one of the newest ships in the North Atlantic. From the deck of M/S Norröna you get an incredible view over the horizon - waves, sea and the
The journey gives you a good opportunity to observe birds, and maybe you'll spot a whale or two. Indoors Norröna has much to offer its guests, and especially in terms of gastronomic experiences.
Additionally, there are many different activities for you as a passenger aboard.
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Climbing Floral Print Drop Waist Dress
Climbing Floral Print Drop Waist Dress
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Anatomy Navigator
Conditions Navigator
Prostatitis is swelling and irritation of the prostate gland. The condition is called bacterial prostatitis when it is caused by an infection with bacteria.
Ongoing irritation of the prostate that is not caused by bacteria is called chronic nonbacterial prostatitis .
Chronic prostatitis - bacterial; Acute prostatitis
Prostatitis is most often caused by a bacterial infection of the prostate gland. Any bacteria that can cause a urinary tract infection can cause acute bacterial prostatitis.
Some sexually transmitted diseases (STDs) can cause bacterial prostatitis. These include chlamydia and gonorrhea . STDs are more likely to occur from:
In men over age 35, E. coli and other common bacteria usually cause prostatitis. This type of prostatitis may occur after:
Acute prostatitis may also be caused by problems with the urethra or prostate, such as:
Men age 50 or older who have an enlarged prostate (benign prostatic hyperplasia ) have a higher risk for prostatitis. The prostate gland may become blocked. This makes it easier for bacteria to grow. Symptoms of chronic prostatitis can be similar to symptoms of an enlarged prostate gland.
Symptoms of acute prostatitis can start quickly, and can include:
Symptoms of chronic prostatitis are similar, but not as severe. They often begin more slowly. Some people have no symptoms between episodes of prostatitis.
Urinary symptoms include:
Other symptoms that may occur with this condition:
If prostatitis occurs with an infection in or around the testicles (epididymitis or orchitis ), you may also have symptoms of that condition.
During a physical exam, your health care provider may find:
The health care provider will perform a digital rectal exam to examine your prostate. During this exam, the provider inserts a lubricated, gloved finger into your rectum.
The exam may reveal that the prostate is:
Your doctor may do a prostatic massage to see whether you have an infection. To do this exam:
Urine samples may be collected for urinalysis and urine culture .
Prostatitis may affect the results of the prostate-specific antigen (PSA ), a blood test used to screen for prostate cancer.
Antibiotics are often used to treat prostate infections.
Often, the infection will not go away even after taking antibiotics for a long time. Your symptoms may come back when you stop the medicine.
If your swollen prostate gland makes it hard to empty your bladder, you may need a tube to empty it. The tube may be inserted through your abdomen (suprapubic catheter ) or from inside your body (indwelling catheter).
To care for prostatitis at home :
Get checked by your health care provider after you finish taking your antibiotic treatment to make sure the infection is gone.
Acute prostatitis should go away with medicine and minor changes to your diet and behavior.
Acute prostatitis may come back or turn into chronic prostatitis.
Call your health care provider if you have symptoms of prostatitis.
Not all types of prostatitis can be prevented.
You can prevent STD infections with safe sex behaviors.
Nickel JC. In: Wein AJ, ed. Prostatitis and related conditions, orchitis, and epididymitis. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 11.
Barry MJ, McNaughton-Collins M. Benign prostatic hyperplasia and prostatitis. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 131.
Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.
For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.
UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, gender identity, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.
Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.
For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.
© UPMC Pittsburgh, PA, USA UPMC.com


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quote:Do yall get email alerts when trades are accepted as well?
quote:Honkuses gonna Honk'
quote:And what does your commish say?
quote:rest of the members were that busy not to see this trade accepted especially with a time frame to veto
quote:I don't know why someone that is already eliminated from the playoffs would even do a trade.


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Las Vegas: Feasts and flowers for Lunar New Year
Saturday, February 2, 2013
LAS VEGAS (AP) — Las Vegas is getting ready for the year of the snake. The casino capital celebrates Chinese New Year — also known as lunar new year — in a big way, with feasts, exhibits, performances and other events at outdoor festivals and at casino-resorts like Bellagio and The Venetian. |


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SCGA Youth on Course
SCGA Youth on Course provides opportunities for youth that include instruction, affordable access, play days, educational programs and college scholarships. Please learn more by browsing our site or get involved by contacting us.
If you are new to the game or looking to improve your skills, Youth on Course offers monthly golf clinics throughout the Southland and an Instructional Program with practices held year round. For junior golfers under the age of 18, the Youth on Course Club provides access to the Golf Pass, which offer juniors $1-$5 green and range fees at participating facilities, club tournaments as well as special playing opportunities and educational outings. Active YoC Club members are eligible for the Scholarship Program which is designed to help juniors further their education.
There's something for every player, from beginner to advanced. Check out our FAQs to learn more about the programs and how to get involved. We look forward to seeing you on the course!
Junior Golf Program
SCGA Youth on Course now offers a junior golf instructional program at Pico Rivera GC, River Ridge GC and Norwalk GC. Juniors have the opportunity to learn golf and decision-making through a program designed in conjunction with Up2Us, a nationally recognized sports-based youth development organization. Program participants will be able to add the Youth on Course Club membership for a discounted rate.
Youth on Course Club
Golf Pass
The Golf Pass program creates affordable access to golf for youth by establishing $1-$5 green and range fees at local golf facilities during off-peak hours. Participants get certified for the Golf Pass upon successful completion of a series of online quizzes that include golf rules, etiquette and decision making.
NOTE: The Golf Pass is good for one bucket of balls and one round of golf per day, please refer to the participating facilities page for rates and times offered at your local facility.
Who: Junior golfers in Southern California under the age of 18
*Juniors 18 years old and still in high school are eligible to apply
Cost: $50 per member, $25 for each additional family member at same address
Annual memberships includes:
- Calendar year SCGA membership
- Opportunities to sign up for Club tournaments
- Invitations to special golf outings and educational events
- Eligibility for college scholarships
- Access to $1-$5 green and range fees at more than 140 Southland facilities (upon completion of online certification)
Club Outings
SCGA Youth on Course hosts Club Outings every month for just $5-$20. These outings range from golf clinics, a casual 9-hole round, to semi-competitive team tournaments, and more! Club outings are a great way to play with and meet fellow YoC Club members while experiencing different courses throughout Southern California.
College Golf Summits
Are you interested in playing college golf? The Southern California College Golf Summits are your chance to learn all you need to know to begin preparing for college golf. Hear from leading experts on the recruiting process, academic rigors, what coaches are seeking and what you should be doing to plan. Speakers will include current/former coaches, past players, parents and more.
The Scholarship Program is designed to help active Youth on Course participants continue their life-long learning experience by providing financial assistance for higher education. Potential Scholars can apply during their senior year of high school.
Parent and Alumni Club
Check out FAQs here.
Click here for junior golf resource links.
Get Involved
SCGA Youth on Course Legacy Society
The Legacy Society honors those who have arranged a deferred gift to SCGA Youth on Course utilizing sound estate and retirement planning. They are generous, forward-thinking friends who want to ensure the long-term sustainability of SCGA Youth on Course. They are passionate about the success of young people and believe that we can support them through a game we all love. Turning this passion into action, these donors have found a place in their estate plan for SCGA Youth on Course along those legacies planned for family and friends. In addition to securing SCGA Youth on Course's future, these type of gifts can benefit donors financially by reducing income and estate tax and increasing cash flow.
Founding Members
Anne & Vic Bartholetti
Jean Duff
Kevin & Kate Gigax
Marc & Patty Myers
If you'd like support or make a commitment, please contact Kevin Gigax at (818) 432-4175.
If you would like to give your time to supporting our mission, please fill out the volunteer form or email Jen Alban to learn about current opportunities.
Girls' Committee
SCGA Youth on Course recently launched a Girls Committee to focus on creating specific programming and events for its female junior members. As programs continue to grow, this committee will strive to engage and activate more girls to participate in its golf and educational programming.
AmazonSmile is a simple and automatic way for you to support SCGA Youth on Course every time you shop on smile.amazon.com. The AmazonSmile Foundation will donate 0.5% of the purchase price from your eligible AmazonSmile purchases.
Mission and Goals
The mission of SCGA Youth on Course is to promote the education and character development of Southern California youth through golf. We believe that golf teaches life lessons and develops character in a way that no other sport can match. Through its programs, Youth on Course focuses its efforts as follows:
- Create affordable access to golf for all youth
- Teach smart decision-making both on and off the course
- Instill integrity, character, and responsibility in youth through the game
- Provide educational opportunities for youth from fifth grade to college
- Inspire a passion for life-long learning in youth
- Develop a culture of healthy lifestyles
The charitable affiliate of the SCGA seeks to promote education and character development through golf to deserving youth in communities across Southern California. This includes the Youth on Course golf pass, which offers youth of Southern California affordable access to golf facilities, a scholarship program for youth to continue their education, and other activities that expose youth to the game and its benefits. To assist Youth on Course and its purposes, the SCGA absorbs a major portion of administrative overhead and also contributes funds to assist Youth on Course in its projects.
The SCGA Foundation was formed in 1983 thanks to seed funding from the PGA Championship, which was played at Riviera Country Club and won by Hal Sutton. For almost 20 years, the organization was known as the Southern California Junior Golf Foundation. During that time, the SCGA Foundation depended on the initial donation and a small number of individual donations and its efforts were primarily to support junior golf through free Rules of Golf books and handicap indexes for juniors. In 2002, the SCGA Board of Directors brought renewed energy and change to the organization. The name was changed to the SCGA Foundation to broaden the scope of the organization, a separate board of directors was formed to oversee its operations, and the grants program began. In the past five years, those changes have proven to be very successful as the SCGA Foundation is now embarking on its first strategic plan, it has an active development committee, the board continues to grow and evolve, and most importantly, it is achieving its newly defined mission.
Internship Opportunities
Click here for internship opportunities with SCGA Youth on Course.
Directors and Staff
Advisory CommitteeSam Bell Ann Meyers Drysdale Jason Gore Roosevelt Grier Pat Haden Don Knabe Gene Littler Eddie Merrins Al Michaels Bob Newhart Don Pooley Vin Scully Dave Stockton |
Board of DirectorsMatt Lyons - President Jim Vernon - Immediate Past President Phil Frengs - Vice President Dan Cimino - Secretary Dr. Keenan Barber - Treasurer Victor Bartholetti Brian Good Ed Holmes Mike Roos Michael Rosenberg Kevin Smith Bob Suppelsa Chris Wilson |
ManagementKevin Gigax, Executive Director Jennifer Alban, Program Director Kaycee Wilke, Program Manager, Instruction Jeremy Gardner, Program Coordinator, Golf Lexie Jones, Development Coordinator |
SCGA Youth on Course Legacy Society
The Legacy Society honors those who have arranged a deferred gift to SCGA Youth on Course utilizing sound estate and retirement planning. They are generous, forward-thinking friends who want to ensure the long-term sustainability of SCGA Youth on Course. They are passionate about the success of young people and believe that we can support them through a game we all love. Turning this passion into action, these donors have found a place in their estate plan for SCGA Youth on Course along those legacies planned for family and friends. In addition to securing SCGA Youth on Course's future, these type of gifts can benefit donors financially by reducing income and estate tax and increasing cash flow.
Founding Members
Anne & Vic Bartholetti
Jean Duff
Kevin & Kate Gigax
Marc & Patty Myers
If you'd like support or make a commitment, please contact Kevin Gigax at (818) 432-4175.


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Tested by the Good Housekeeping Research Institute
Master Forge 5-Burner Liquid Propane Gas Grill #6554
Product Review
About GHRI Ratings
XGood Housekeeping Research Institute (GHRI) ratings are based on laboratory tests conducted by our scientists at the U.S.'s foremost consumer products evaluation laboratory, and incorporate consumer feedback. GHRI is situated on the 29th floor of the Hearst Tower in New York City and is staffed by chemists, engineers, nutritionists, textile specialists, culinary experts, and other scientists.
Using state-of-the-art equipment, GHRI experts test consumer products — from microwaves to mascaras — for their performance, safety, and, with the help of volunteer testers, ease of use.
Established in 1900, before there was a Federal Drug Administration or a Federal Trade Commission, GHRI has always been the most trusted source consumers can rely on to choose products that are safe and effective.
The Master Forge 5-Burner Liquid Propane Gas Grill is almost like a second kitchen. A large worktable unfolds on the side of this large 35-burger capacity grill and built-in halogen lights make it easier to cook after dark. Both a rotisserie and a smoke box let you expand your backyard barbecue repertoire. Though its manual offered little cooking advice, the Master Forge proved fairly easy to use in GHRI tests; it turned out good steaks, but our slow-cooked chicken quarters didn't come out as well as we would have liked.
Manufacturer's Warranty: 1 year, 5 years on burnersBurners: 5
Wheels: 4
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- Kenmore Elite Liquid Propane Gas Grill #146.2367 4310
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Special Offer


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The confusion over the future of Swindon Town seems to have cost them their manager after Paolo Di Canio walked away from his job on Monday.
Drama has never been far away from the Italian during a colourful career that began with Lazio nearly 30 years ago, and he wrote another chapter of his story when he released a statement saying he had resigned from his post.
The 44-year-old, who guided the Robins to promotion in his first season in charge last term, has grown increasingly tetchy about the boardroom goings-on at the County Ground and on Monday night decided enough was enough.
Town have been the subject of a takeover bid for some time and Di Canio, who claimed to have first tendered his resignation last Tuesday, had pledged to stay if the deal was ratified by the Football League by 5pm on Monday.
No transaction was confirmed, though, and the former West Ham striker issued a statement through his agent, Phil Spencer, confirming he had quit.
"Last Tuesday, 12th February, I formally confirmed my resignation as manager of Swindon Town Football Club with immediate effect," said Di Canio.
"There have been a number of broken promises made by the club over the time that I have been manager of Swindon Town.
"Despite these problems, I have delivered everything and more that was asked of me, by achieving promotion last year as champions and competing this season for promotion to the Championship and being just three points from top place a year earlier than expected.
"I did not resign immediately, nor publicise my resignation after I had formally confirmed it as I did not want to jeopardise the negotiations for the sale of the club and I wanted to listen to what the proposed new owners plans were.
"Following discussions, my representatives put forward a proposal that would secure my future at the club until at least the end of the season and quite possibly beyond as well.
"This proposal actually reduced the club's contractual liabilities to me in the interest of saving Swindon Town FC. At a meeting last Friday the proposed new owners accepted and said they were very happy with the new terms.
"I entered into a temporary arrangement with the proposed new owners to continue in my role as manager but all this was agreed subject to Football League approval for the purchase of the club being granted by 5:00pm on Monday 18th February.
"At the time of issuing this statement, I have had no further contact from the proposed new owners and I have been told that unfortunately Football League approval has not been granted yet and therefore my temporary arrangement has ended and my resignation stands."
When initally asked to clarify Di Canio's resignation, a Swindon spokesman said they were unable to expand on the statement.
One of Di Canio's bugbears was the sale of Matt Ritchie to Bournemouth without his consent, a move indicative of the simmering tensions in Wiltshire.
Di Canio's success in the dugout has shocked some, with a number of observers considering him too hot-headed to manage a team.
As a player he courted controversy by pushing referee Paul Alcock to the ground while at Sheffield Wednesday, while he also had a number of disciplinary issues when at Celtic.
He joined Celtic in 1996 after an 11-year spell in his homeland where he struggled to establish himself with the likes of Lazio, his boyhood team, and AC Milan.
He left Wednesday for West Ham where he became a legend in the eyes of the United fans, scoring one of the Premier League's most memorable goals against Wimbledon.
After parting company with the Hammers he went to Charlton, before an emotional return to Lazio, although his time there was stained by his support of fascist movements and his association with the club's Ultras.
He retired from playing in 2008 and leaves Swindon sixth in League One, three points off top spot.
Swindon's current board eventually acknowledged Di Canio's resignation via a statement posted on their official website just after 10.30pm on Monday night.
They gave a nod to the situation surrounding Ritchie and said that Di Canio's assistant, Fabrizio Piccareta, will take the team against Tranmere on Tuesday.
The statement added that Piccareta would be in charge until the ownership situation has been cleared up, possibly hinting that Di Canio could yet return.
The statement read: "The board are disappointed that Paolo Di Canio has made the decision to resign at such a critical time for Swindon Town Football Club.
"We are also disappointed that the sale of the club has yet to be approved, but we hope the outstanding issues with the Football League will be resolved within a short period of time.
"It is worth noting that Matt Ritchie was sold due to the tremendous financial pressure the club is facing and in order to continue operating whilst the sale of the club went through.
"We understand the prospective new owners had reached agreement with Paolo Di Canio on bringing in loan players to strengthen the squad for a final push for the Championship.
"Until the situation has been resolved, Fabrizio Piccareta will be in temporary charge of the team as we travel to Tranmere Rovers tomorrow, where a win would see Swindon become leaders of League One.
"The board shares the fans' tremendous frustration at the events of the last few weeks and is determined to resolve these issues to ensure the best outcome for the club."


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quote:The album didn't move until Sugar was released.
quote:Such a terrible song thats is way over played to this day..
quote:Man, what did strippers dance to 26 years ago?
quote:The drummer had one arm for this music video?
quote: My favorite track from Hysteria remains "Women"
quote:Such a dramatic change from "High and Dry."
quote: and clearly had a much harder edge than the Leps would maintain.
quote:Probably why I liked it. It was my favorite album of theirs by far, and had some great tunes including the title cut.
quote: "G-ddamn! That would be an entire 15 or 20 year career for most recording artists today."
quote:My favorite track from Hysteria remains "Women".
quote:My son, who will be 26 in June, would stop whatever he was doing and run (toddle) towards the TV when MTV would play this song (at almost the same time daily when the video was their #1 vid of the week).
quote:No doubt. Many people trash some of those groups today, but if they were releasing that music in the current time they would easily be the biggest thing out there.


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quote:how you got tickets for the bud light party?
quote:I'm seeing train as performing when I googled it
quote:"Best Super Bowl Concert Ever" doesn't apply anymore
quote:is there a chance of another big name being with them?
quote:The Super Bowl isn't the Super Bowl without some major parties, which is why we're thrilled to announce that Train will be headlining "VH1's Best Super Bowl Concert Ever," live from New Orleans before this year's big game. And now that we know who will be suiting up (both on and off the field) it's time to start planning: The fun kicks off on Friday, February 1 at 9 p.m. ET/PT, with a live broadcast on VH1.com. Former Super Bowl champ turned morning show host Michael Strahan will serve as one of the evening's MCs, along with VH1's very own Carrie Keagan.
quote:not gonna lie that show was awesome


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Size and print type
22" x 14.5" without border
Ships in 1-2 days
This photo was taken while exploring the wilds outside of Kyoto a few weeks ago. It was a beautiful place! The walk took me into this giant bamboo forest. After strolling through it for a short eternity, I set up for shot. This is a standard 5-exposure HDR; it was shot with a 14-24mm lens.
This premium photographic print is digitally printed on high gloss Premium Photographic Paper resulting in a unique silver pearlescent finish with stunning visual impact and depth that is suitable for museum or gallery display. Price
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Items that ship same day normally leave our facilities on the same business day if your order is placed before 5:00pm EST. Orders that contain multiple items with different ship times will be shipped out based on the item with the longest ship time. Shipping FAQ Shipping Rates |
Average Customer Rating
by PowerReviewsPros
Purchase Reason
Reviewed by 4 customers
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Purchase Reason
I only purchase canvas prints. I love the vibrant details and don't have to fuss with frames. I find glass over a print can sometimes dull colors and details.
Purchase Reason
Couldn't fit the space better. Gives the illusion of being sunlit from above with the recessed light fixture over the bath (there is no sunlight in this interior bath). Painted the walls a color that echoes the lighter warm tan at the bottom - what a hit it's been with everyone that sees it!
Purchase Reason
I had bought a smaller one of the same for my kitchen and I have a dining area off the kitchen with a very high ceiling with double windows. I thought a larger one would be just the thing to hang over my windows. Looks Beautiful...Colors in painting bring out the colors in my curtains. All flow nicely !
Purchase Reason
Great photo to provide calm to my office at work. Love the light and the greenery.
Displaying reviews 1-4
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NEW YORK (AP) -- Seven years after being named Esquire magazine's sexiest woman alive, Scarlett Johansson has earned the title for a second time.
Johansson, who also won in 2006, is the first woman to get the honor twice. Last year's winner was Mila Kunis.
The November issue of Esquire hits newsstands Oct. 15.


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Am I the only one who has trouble with typing??!!
I am going to be taking typing at a local college soon. I have taken it before in one form or another. As I type this I am trying not to look at the keys, but it is difficult. I have a basic idea where the letter keys are, but the shift key and punctuation keys are driving me nuts!! Just typing this (the correct way, not looking at keys)took a long time. And, ok, I cheated and looked...otherwise this would take me all day. People have been telling me the only way to learn is to not look at the keys. And I haven't even gotten to the number keys yet. And on a computer of course, there are the functions keys also.....
I am trying to get some practice in before this class starts. When I type CORRECTLY, my speed SLOWS DOWN.(maybe 8 WPM) When I look at the keys, my speed GOES UP. (maybe 15-20)
So what happens if a co-worker needs something typed up by, say, 3 o'clock that day, and you have other things that need to get done the same day? I probably would pound the thing out while looking at the keys so that I would get it done ON TIME and WITHOUT MISTAKES. If I typed the document while not looking at the keys, it would take me all day!!
Having a learning disability doesn't help either.
It drives me crazy when I keep being one key off, too. Were people drunk when they developed the typing keyboard? Why aren't the letters in alphabetical order? And the punctuation symbols...some are grouped together, some aren't. Am I the only one on the planet with this problem? Any pointers? Thanks!


text:
Roll Over Image to Zoom
Whale Sprinkler
No longer available
- Overview
A favorite warm-weather pastime, running through the sprinklers is even more fun with a big blue whale making a splash.
- 54.5" long x 33.5" wide x39" high
- Attaches easily to a standard garden hose.
- Water is sprayed through reinforced spouts.
- Requires a pump to inflate (not included).
- Vinyl repair kit included.
- Ages 3 and up.
- Dimensions & Care
- Wash with warm, soapy water.
- Shipping Info
- Please allow 5-7 business days for delivery. Delivery estimate includes monogrammed and gift-wrapped items.


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Product Number: | UM87442 |
Item Price: | $10.49 |
Availability: | In Stock |
Shipping Weight: | 0.11 lb. |
Lessens print through and recognition of gun carried inside pants or jacket pocket, Open Top, Grip up positioning, Holster body made of a soft suede like material, open and close cell foam padding and a smooth nylon lining, all in a waterproof four layer laminate. One inch wide strap of non slip material surrounds holster body to retain holster in pocket when gun is drawn.
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Drug Notes
UPMC Patient Education Materials
Calculators and Assessment Tools
Anatomy Navigator
Conditions Navigator
Skin self-exam means checking your own skin regularly for any abnormal growths or unusual changes. A skin self-exam helps find any suspicious skin problems early. The earlier skin cancer is diagnosed, the better chance you will have for a cure.
The National Cancer Institute (NCI) and the American Academy of Dermatology (AAD) recommend that people perform a skin self-exam once a month.
The easiest time to do the exam may be after you take a bath or shower. Women may wish to perform their skin self-exam when they do their monthly breast self-exam . Men may want to do the skin self-exam when they perform their monthly testicular self-exam .
Ideally, the room should have a full-length mirror and bright lights so that you can see your entire body.
When you are performing the skin self-exam, look for:
Experts recommend that you examine your skin in the following way:
Always tell your doctor if:
Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.
UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, gender identity, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.
Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.
For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.
© UPMC Pittsburgh, PA, USA UPMC.com


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Oct 21 2011
Halloween in Bangkok, 2011
The Bangkok floods have put quite a dampener on the month of October; as we write it seems Bangkok has been put on disaster alert so things are not looking altogether optimistic. We're going to be upbeat though and still list what's on for our favourite satanic holiday, coming up in only 10 days. Some … read the full post


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CAF Accepting Applications for Research Grants, Fellowships
November 5, 2014 – The Cooley's Anemia Foundation is accepting applications for medical research grants and fellowships in areas related to thalassemia. The awards are in 3 categories: Support for Ongoing Clinical Research in Thalassemia; Clinical Trials in Thalassemia Cell and Gene Therapy; and Research Fellowships. Details are as follows: SUPPORT FOR ONGOING CLINICAL RESEARCH […]
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