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The brutally cold temperatures of this past winter have taken on a toll on the skin of many individuals and have triggered countless flare-ups of one of the most common skin conditions – eczema. What exactly is eczema? Eczema is a chronic, recurring skin disorder characterized by dry, inflamed, and itchy skin. Unfortunately, there is no cure for eczema. However, there are many ways to control the disease by practicing good daily skin care.
What are some of the best ways to control eczema symptoms? One of the most important parts of caring for eczema-prone skin is regular use of a moisturizer. Fragrance-free moisturizers such as CeraVe, Cetaphil, Aveeno, Eucerin, Vanicream, or Aquaphor (all available over-the-counter) are great options. Creams are more effective than lotions. Moisturizer should be applied to the skin on a daily basis, especially immediately after bathing. Choosing a gentle soap is just as important as choosing an effective moisturizer. We recommend cleansers such as Dove, CeraVe, Cetaphil, or Aveeno. Take care to use warm, rather than hot, water when bathing. When finished, gently pat the skin dry and apply moisturizer while the skin is still damp.
What are some other steps that can be taken to manage eczema? One important tip is to avoid scratching or rubbing the skin. Keeping the fingernails short can help prevent damage due to scratching. Antihistamines, such as Benadryl, may reduce itching to a certain degree. Cool gel packs can also provide some itch relief. Wearing garments that allow air to pass freely to the skin can be helpful as well. Loose-fitting, cotton clothing is a good option. Try to avoid materials that can be irritating to the skin, such as wool. When outdoors, be sure to wear sunscreen and avoid sunburns. Find a sunscreen that is not irritating to the skin, such as a zinc oxide or titanium dioxide-based product. Do not be afraid to get in the pool – swimming provides hydration to the skin. However, be sure to take a quick shower immediately after swimming in order to remove residual chlorine or other chemicals. And, as always, apply moisturizer when finished.
Performing good daily skin care goes a long way in controlling eczema. However, sometimes these steps alone are not enough to manage one's symptoms. If this is the case, schedule an appointment with us to discuss prescription medication options. However, the need for prescription medication can be reduced when good skin care is practiced on a regular basis.
By: Meghan Bramer, M.M.S., PA-C
Swimming is a popular past-time during the summer months for many families. Most kids enjoy spending the day out by the pool, but this can wreak havoc on the skin! While you're using sunscreen to prevent sunburn, you may have also noticed that your child has developed dry itchy patches of skin, warts or even small little white blisters called molluscum. These are all common skin conditions that can be exacerbated by swimming.
If your child, or even yourself, has a history of eczema, swimming can cause this type of skin condition to flare. Water draws moisture out of the skin, making it more dry than usual. To prevent this, make sure to shower and apply a moisturizer to skin right after swimming, or at least as soon as possible. If necessary, apply moisturizer twice daily until dryness subsides. If your skin is especially itchy and red, even after using moisturizer, you may need a prescription topical steroid cream.
Warts and molluscum lesions arise more commonly from swimming in community pools rather than lakes or oceans. Both of these skin lesions are caused by a virus that is transmitted by contact. When the virus (which is spread more easily in water) comes in contact with the skin, it will cause those bumps. Warts and molluscum lesions are benign and can be cured easily by "freezing" with liquid nitrogen or by applying topical creams.
The summer months are a great time to be outdoors at the nearby lake or community pool. With the proper sun protection and education on possible skin rashes that can develop, this play time can be safe, fun, and stress-free!
By: Laura Collins, APN, DCNP
Onychoschizia is a diagnosis that may not sound very familiar; however it is a harmless condition that affects about 20% of the population at some point during their lives, most commonly women and older adults. Here is a hint; it usually affects our fingernails.Our fingernails perform many important functions for us in our day to day lives. They are the tools that help us to pick up small objects and manipulate other items. They also help to protect the ends of our fingers, assist with fine-touch sensation, and they can also enhance the esthetic appearance of our hands.
Most of us have experienced a nail that has separated at the edge, or has had the top portion peel off, only to reveal a thin layer left underneath that almost always tears away within a matter of minutes to hours. Onychoschizia is a cosmetic problem defined by peeling, splitting, or separation of the layers of the nail horizontally at the free edge of the nail. This weakens the tip of the nail and makes the nail fragile and more likely to chip and tear as described above.
Usually this is an occasional problem, and more of a nuisance than anything else. This condition commonly affects house cleaners, nurses, hair stylists, and other occupations that require frequent hand washing. Some of the factors that can cause this to happen would be nail exposure to irritants such as detergents and also excessive water exposure. Moisturizing regularly can help to prevent this from happening. Onychoschizia can also be caused by nail products such as hardening polish and polish removers as well as other exposure to various chemicals.
Most nail conditions take several months to resolve, usually with the growth that pushes the nail forward. Fortunately there is an over the counter supplement widely available to strengthen nails and make them less likely to split. You can take the B vitamin, Biotin, as directed daily. Most people notice improvement in the nail within 6 months of beginning treatment, and treatment should be ongoing to maintain the results as the nail continuously grows out.
Other ways to prevent this common condition are:
Acne occurs in many women during pregnancy. The abundance of hormones are likely to blame, as they can cause an increase in oil production that may lead to a flare of acne. The good news is that there are a variety of treatment options that are considered safe with pregnancy.
General skin care is the first place to start in treating acne during pregnancy: Use a gentle cleanser twice daily such as Cerave Foaming Cleanser, NeoCleanse Exfoliating Cleanser with glycolic acid, or NeoCleanse Gentle Cleanser. Moisturize with an oil free facial lotion such as Cerave AM or PM Facial Moisturizer or Belleza Ultra Light Moisturizer. The Clarisonic Skin Cleansing Brush is another option for helping to keep the pores clean and free of excess oil and makeup. Avoiding picking, squeezing or popping pimples is essential in limiting scarring and minimizing inflammation. Finally, makeup should be oil free or mineral based.
Certain over the counter products should be avoided during pregnancy due to their unknown effects and safety. These include retinol, benzoyl peroxide and salicylic acid. These are often marketed for the treatment of acne or anti-aging.
Medication or procedural treatment options are available if the acne does not improve
with a good skin care regimen. It is important to involve the obstetric team when
medical options are considered. Category B topical antibiotics such as clindamycin and
erythromycin, and topical azelaic acid gel are often prescribed. In severe cases, oral
antibiotics such as erythromycin may be considered. The Acleara Acne Clearing System,
Blue Light, or Silk Peels using hyaluronic acid are all procedural options. These are
offered by an esthetician in the Belleza spa under the direction of our dermatology
Sun Protective Clothing
By: Laura Collins, APN, DCNP
As dermatology providers we educate our patients regularly on the importance of wearing sunscreen. If you are someone who works outdoors, spends a lot of time in the sun, or are going on a vacation to a sunny place; then you may wish to give yourself the additional coverage of Sun Protective Clothing. This type of protection is now widely available for infants, children, and adults. It lends flexibility to the type of sun protection we, as active humans, need. Garments can include hats, beach cover ups, bathing suits, jackets, shirts, rash guards, swim trunks, and other clothing.
Items labeled "Sun Protective Clothing" are clothes that are designed specifically for that purpose. Such garments can be manufactured with certain types of fabrics, weaves, and dyes, etc. that work to shield a person from the damaging ultraviolet (UV) radiation of the sun. Unlike sunscreens, which utilize a Sun Protective Factor (SPF) rating to determine the level of protection, sun protective clothes are labeled with a UPF, or Ultraviolet Protection Factor. If you are searching for sun protective garments, look specifically at the UPF rating. Here is a guide to determine how well a piece will protect you:
UPF of 15-24 is considered "good" with 93-96% UV radiation blocked.
UPF 25-39 is considered "very good" with 96-97% UV radiation blocked.
UPF 40-50+ is considered "excellent" with 97-99+ % UV radiation blocked.
Another plus side to UPF protected garments is that the sun protection does not wash off, sweat off, or wear off when you are swimming or doing other activities outside as the SPF with sunscreens can. We do not suggest that you use sun protective clothing as an alternative to sunscreen, but rather to use them together to protect your skin from the damaging effects of the sun's rays. If you would like more information on where you can find sun protective clothing, here are but a few trusted websites that offer reputable products:
So have fun and enjoy the sun . . . responsibly!
By: Laura Collins, DCNP
Have you ever experienced redness, scaling, crusting, or fissure like wounds at the corners of your mouth? If you have, it is possible that you may have had a condition known as Perleche, or angular cheilitis.
Perleche may affect anyone, young and old. It can be episodic or chronic. Young patients may be more at risk if they have a history of atopic dermatitis. Elderly patients may have an increased risk caused by aging and the weakening of the muscles of facial expression that surround the mouth. This can create more retention of saliva in the corners of the mouth during the day and while sleeping. A pooling of saliva such as this creates a medium for yeast and bacteria to grow which may result in redness and infection.
Some of the other risk factors include poor-fitting dentures, malocclusion of the teeth, absence of teeth, mouth breathing, lip licking in children, and orthodontic devices.
Perleche can be treated with a variety of medications. It is commonly treated with a combination of mild topical steroids and anti-yeast/anti-fungal medications. Barrier ointments may be recommended to protect and moisturize the area. Occasional other topical medications are recommended to treat chronic infection. If needed, a dental referral can be suggested to correct potential causative factors. In addition, sometimes the cosmetic use of injectable fillers (Restylane, etc.) into the skin folds has been beneficial in some patients.
If you believe that Perleche may be a condition you experience frequently, please do not hesitate to contact our office and see one of our experienced providers to evaluate your condition for treatment.
Do you notice that your cheeks flush red when you get hot or are out in the sun? Do you flush or blush when eating spicy foods or after drinking a glass of wine? Do you have acne bumps, primarily just on your cheeks? Then, you might have rosacea.
Rosacea is a common skin condition that presents as redness, with or without pimples, to the cheeks, nose, and chin. It is often called "adult acne" because it usually starts many years after adolescence. Although there are many different thoughts on the cause of this condition, there are many different treatment options that can be very effective. Each treatment option is targeted to treat each of the different forms of rosacea – background redness and acne bumps.
One "hallmark" symptom of rosacea is the flushing or blushing of the cheeks when exposed to certain triggers. These triggers can be anything from food or drinks, to environmental factors like cold or hot weather. This flushing is actually the blood vessels in the superficial layers of the skin becoming larger and giving the skin a more reddish hue. After many years of this frequent flushing, the blood vessels will actually stay dilated and the skin will stay permanently red. There are topical gels and creams that can be used to help minimize flushing and prevent the redness from worsening, however it will not get rid of the redness that is already present. This will require a cosmetic laser treatment. Over 2-3 treatments, this laser treatment can be very effective. The laser is a quick, in-office procedure and requires no downtime. This treatment can be performed by any of the physicians in our office.
Another common symptom of rosacea is the acne bumps that can accompany the background redness. These bumps usually come and go, but can often be deep, painful lesions that stick around for a few weeks at a time. These can be treated with a combination of topical gels or creams, and if necessary oral antibiotics, and are generally very effective.
There is no reason to suffer with rosacea any longer! There are very many effective treatments that can be used to control flares and get rid of acne bumps. See a dermatologist to discuss the most appropriate treatment option for you.
Acute paronychia is the term used to describe a sudden inflammation of the nail folds surrounding either a finger or toenail. This condition usually results from an infection caused by staphylococcus aureus, streptococci, or pseudomonas bacteria. The most common symptoms associated with acute paronychia include a sudden onset of redness and tenderness to usually one side of a nail fold. Pus may or may not be visible within the nail fold. Usually only one nail is affected at a time.
The most common causes of acute paronychia include trauma or manipulation of the nail fold resulting from manicures, hang nail removal, or nail biting. Some cases may occur spontaneously with no obvious cause. If you experience symptoms of a red and tender nail fold we encourage you to make an appointment for evaluation. Treatment may include obtaining a bacterial culture of the area and topical or oral antibiotic treatment depending on the severity. In more severe cases, a minor surgical procedure called an "incision and drainage" can be performed in the office to relieve pain and reduce swelling.
By: Meghan Bramer, M.M.S., PA-C
Do you have dry, cracked skin on the bottom of your feet?
Many people suffer from this chronic and uncomfortable condition, which can worsen during the winter. It usually occurs with severely dry skin, and causes thick, hard, and deeply cracked skin on the heels of the feet. Once the skin gets rough enough, it can also be painful and irritating. This cracked skin can also increase your risk of infection, making it much more challenging and important to treat.
There are some things that you can do at home to help. Start by taking quick, warm showers (instead of long, hot showers), and then exfoliate the bottom of your feet using a pumice stone. The pumice stone will help to remove the dead skin cells making your feet softer and allow a moisturizer to be more effective. After getting out of the shower, pat dry your skin and apply a thick emollient cream while the skin is still damp, like CeraVe Moisturizing Cream or Aquaphor Ointment. Then cover your feet with socks.
If these measures are taken and you are still not seeing results, it may be time to see a dermatology provider. There are other prescription medications that can be used for further treatment. Also, it is important to get this evaluated because it could be another condition, like a plantar wart or athlete's foot that may need a different kind of treatment.
Remember, once the rough skin is gone, it is important to keep up with your exfoliating and moisturizing regimen so it doesn't come back next winter!
One of the most common pregnancy-related skin diseases is a condition called Pruritic Urticarial Papules and Plaques of Pregnancy (PUPPP). The skin eruption is characterized by intensely itchy, red-colored bumps that generally form within abdominal stretch marks. Over the course of several days the lesions may multiply, group together and spread symmetrically. Areas most frequently involved are the abdomen, buttocks and thighs.
This disease most often affects women who are pregnant for the first time, and recurrences with subsequent pregnancies are uncommon. It has been noted that women who develop PUPPP average more weight gain and greater abdominal circumference during pregnancy compared to women who do not develop the disease. Therefore, women carrying twins or triplets are more frequently affected. Most cases begin late in the third trimester and last an average of 6 weeks.
PUPPP is not associated with any harmful effects to either the mother or unborn child. However, it is important to note that this skin condition may mimic other diseases that can be harmful during pregnancy and it is best to have evaluated by a health care professional.
How do you treat PUPPP?
The goal of treatment is to control the eruption and relive the itching with topical steroids, anti-itch lotions and antihistamines. The condition ultimately resolves within 1 week of delivery. Consider making an appointment with us so that an appropriate treatment plan can be put in place, essentially keeping you comfortable and safe during pregnancy.
Many patients, especially this time of year, come into our office seeking help for their dry skin. They often complain about redness and cracking to their elbows, knees and back. When we are inspecting these spots, the redness and white scale tip us off to the real issue: Psoriasis.
Psoriasis affects 7.5 million Americans, which represent about 3% of our total population. That's more than just a handful of people!
We don't always know why Psoriasis rears its ugly head. We do know there is a hereditary component, which can be rather strong. Some people who have this family predominance may come down with a simple infection such as strep throat and only a few weeks later, their psoriasis symptoms can start appearing.
The hallmark symptoms of psoriasis are thick, white scale on a red base that can range in size from smaller than a dime to the size of a hand and larger. These plaques usually start on the elbows, knees, and lower back, but can present anywhere on the body including the face, hands, and feet.
The skin symptoms of Psoriasis can also include nail changes such as formation of small pits and separation of the nail from the bed below. Also, patients can sometimes notice new-onset or worsening arthritis symptoms.
Although Psoriasis cannot be cured, the great news is we have many ways to treat psoriasis ranging from the simple: topical creams and ointments, to the complex: injectable medications and light therapy. Each treatment plan is customized to the type and extent of the Psoriasis being treated.
Patient with Psoriasis tend to notice their symptoms get better during the summer months due to increase amount of the sunlight they are getting. But during the winter, their symptoms can flare pretty significantly.
If you have noticed new "dry patches" to any body areas, you should get them checked…they may represent Psoriasis and not just dry skin.
By Laura Collins, APN DCNP
Red spots are a common concern during patient visits; however, there is one red spot that is usually of very little significance. Cherry angiomas are small benign growths of small blood vessels that occur in almost all patients over the age of thirty. They can be as small as only1-2 millimeters in diameter, or range in size up to a centimeter. Cherry angiomas may appear flat, or may become raised over time. Sometimes a patient may have only one lesion, or patients can have dozens of them. Most of the time, patients will notice the development of these lesions on the scalp, face, trunk, and extremities. Cherry angiomas can range in color from a bright cherry red to a dark, almost purple color, commonly seen in older patients and with larger lesions. They are almost always asymptomatic unless they have been traumatized, for instance, being cut when shaved over, etc.
Once the lesions appear, they are permanent. Cherry angiomas are usually red and smooth, with even borders. They should not rapidly increase in size, scab, scale, or bleed. Lesions that exhibit these symptoms should be promptly evaluated by a dermatology provider. Many patients are unsatisfied with the appearance of these lesions either due to the location or the color. Fortunately, there are several treatment options available for removal of these lesions, however, treatment is usually considered cosmetic.
If you believe that you have cherry angiomas and you would like them evaluated, please do not hesitate to contact our office for an appointment.
Many people have a very common medical condition called hyperhidrosis, or excessive sweating. Severe underarm sweating involves overactive sweat glands that normally regulate body temperature. In primary axillary hyperhidrosis the sweating exceeds what the body needs for cooling.
For those affected with this condition, it can have devastating psychological and emotional effects as the try to modify their lifestyle to cope. Clothes are changed frequently, certain fabrics and fabric colors are avoided, and new clothing must be purchased more often. Wardrobe choices are limited as some fabrics and colors reveal the condition as opposed to hiding it. It can be disabling in one's professional and social life, and may lead to causing constant embarrassment.
Prescription anti-perspirants such as Drysol are sometimes effective. However, they may also cause severe skin irritation. Drysol is applied to the affected area at night and left on for 6 hours while the patient sleeps. It is then washed off in the morning. Initial success rates are usually good but less satisfactory in the long term.
Botox is a medication that works well for hyperhidrosis. It temporarily blocks the signal that stimulates sweat production. A decrease in sweating is noted after the injections. The injections may typically need to be repeated approximately every 6 months. Ask your dermatologist if Botox may right for you.
Have you noticed flakes or greasy scales on your scalp? Do you experience itching to your scalp on most days of the week? You may have a condition called Seborrheic Dermatitis, also known as dandruff. This condition affects many adults and children and most commonly appears on the scalp, as well as around the eyebrows and nose area.
This condition is believed to be caused by a yeast that normally lives on the surface of the skin. In especially oily parts of the body, such as the scalp and face, this yeast can over grow and cause redness, flaking, and itching. Although it can occur in all ages, it is most common in newborns, then in adolescents and adults.
Although Seborrheic Dermatitis can be irritating and unsightly, there are many effective types of treatments to keep the symptoms under control. The most common treatments are antifungal and anti-inflammatory shampoos, such as over the counter productions like Head and Shoulders, Selsun Blue, T-Sal, and Nizoral 1% Shampoo, as well as prescription shampoos. Each of these shampoos contain different medications that suppress this specific yeast, so it can be beneficial to alternate two or three of these shampoos. There are also many other prescription foams, solutions, and ointments that can be used to suppress the itch and decrease flaking.
These treatments can be very effective, however this condition can be chronic, so once you stop using the medications, the symptoms may return. With seborrheic dermatitis, you may need to continue your treatments occasionally, like once a week, to prevent the condition from flaring.
The symptoms of Seborrheic Dermatitis can also resemble symptoms from other conditions that may require alternative treatments. If you are experiencing any of these symptoms, see any provider in dermatology to get the most appropriate treatment options for you.
Melasma is a very common skin discoloration that most often ccurs on the sun exposed areas of the face. Hormones and sun exposure tend to trigger melasma which is most prevalent in women. Melasma appears as brown to gray- brown patches usually seen on the cheeks, forehead, and upper lip. It can also appear on other parts of the body which get a lot of sun exposure such as the forearms and neck. It is so common in pregnancy that it is often called the mask of pregnancy.
Melasma can be stubborn to treat and treatments can include therapy with hydroquinones and tretinoins to lighten the skin, chemical peels, and in severe cases laser treatments.
Under the care of a dermatologist, people with melasma can have a good outcome. It may take months of treatments to see improvement so it is important to follow the advice of your dermatologist. After your melasma clears, your doctor may place you on a maintenance therapy to prevent the melasma from returning. You can help prevent melasma by wearing sunscreen and reapplying the sunscreen every two hours, and wearing a wide brimmed hat everyday.
Actinic keratoses are UV light induced lesions of the skin that occur on areas repeatedly exposed to the sun such as the back, chest and legs. In the U.S, actinic keratoses represent the second most frequent reason for patients to visit a dermatologist. An actinic keratosis may follow one of three paths; it may regress, it may persist unchanged, or it may progress to an invasive skin cancer called a squamous cell carcinoma. Actinic keratoses begin as small rough patches that are easier felt than seen, often described as similar to rubbing sandpaper. With time the lesions enlarge usually becoming red and scaly. Treatment consists of two broad categories; surgical destruction and medical therapy. The appropriate treatment is chosen normally based on the number of lesions present and the efficacy of the treatment. Additional variables such as patient age, history of skin cancer, and tolerability of the treatment choice are taken into consideration. To avoid these lesions common sense sun safety should be practiced such as using a broad spectrum sunscreen, SPF 50, limiting outdoor activity during the peak sun hours of 10:00 – 3:00, and wearing protective clothing.
Melanoma is a type of skin cancer that commonly arises from an existing mole. The warning signs follow the acronym ABCD. A cancerous mole may appear Asymmetrical, have irregular or jagged Borders, have speckled Coloring or be much darker than surrounding moles, or be larger than a pencil eraser in Diameter. Since melanoma has the potential to grow deep into the skin and spread to other organs, any new or existing mole that changes in size or color should be evaluated.
Basal Cell Carcinoma and Squamous Cell Carcinoma are the other two major types of skin cancer. These lesions are most common in sun-exposed areas such as the head, neck, and back of hands. They usually appear as red, crusted spots that don't heal, and may even itch or bleed spontaneously. Although these skin cancers usually do not spread deep in the skin like melanoma, treatment is still necessary to prevent continued growth.
Have you noticed an appearance of rough brown spots or bumps on your skin as you have grown older? If you have, you are not alone. As we age, we have the potential to develop benign skin tumors known as Seborrheic Keratoses (SKs). These lesions are the most common benign skin growths that dermatologists see on patients. The good news is that SKs are harmless and have virtually no malignant potential, however their appearance may be concerning.
SKs can be raised or flat and can appear almost anywhere on the body. They are almost never seen on the lips, palms or soles of the feet. Sometimes SKs can range in color from light tan to dark brown, and frequently have variations in colors within the same lesion. These lesions also have texture variations. Sometimes they are flat with a shiny or waxy appearance, and often they can have a "stuck on" like appearance, as if they can be easily scraped or picked off. We do not recommend this as such trauma to the skin may result in scarring or possible infection. SKs are often smooth, but can be rough in texture, and usually crumble if they are picked at. Many people often believe they are moles or warts due to their appearance. SKs are benign, however, because of their variable appearance it is recommended to have them checked by a dermatology provider. It is important to make sure they are indeed SKs, and not moles that are suspicious for Malignant Melanoma, as these cancerous moles can have color variations similar in appearance to SKs.
Many patients are unhappy with the cosmetic appearance of these lesions. SKs can form on our faces, near our eyes, on scalps, and on other highly visible areas such as our upper backs, etc. If you have these lesions, they can be easily removed by your dermatology provider by a few different treatment methods. However, lesions sometimes need more than one treatment for complete resolution, and the removal is generally considered cosmetic and not covered by insurance.
If you would like to have a lesion evaluated by a member of our dermatology team, please do not hesitate to call us. We would be happy to discuss your treatment options if you desire removal.
As a dermatologic healthcare practitioner, I see many skin lesions throughout the day. Not a day goes by that someone doesn't ask about a firm dark brown or red bump on their leg or arm.
About ninety-nine times out of a hundred, this is diagnosed as a Dermatofibroma.
Dermatofibromas are benign skin lesions that are sometimes called a benign fibrous histiocytoma. It is thought that these lesions arise from the site of minor skin injury such as an insect bite or a thorn prick.
Dermatofibromas most often occur on the legs and arms and can persist for years once formed. The lesion feels like a firm nodule, often red-brown in color. They can also present as dark brown lesions in persons with darker colored skin. To distinguish a Dermatofibroma from other lesions, you may notice that we squeeze the sides of the lesion. A true Dermatofibroma forms a dimple on the surface when squeezed.
Sometimes, if another type of skin lesion is being considered other than a Dermatofibroma, we may suggest a skin biopsy to determine the origin of the lesion.
A Dermatofibroma is only of cosmetic significance and although it tends to persist long term, it seldom causes any symptoms.
So next time you notice a new red-brown firm nodule on your arm or leg, squeeze the sides and see if a dimple forms…you may have a Dermatofibroma.
If you have ever had a red sore appear on or near your lips with or without blisters that sometimes forms a crust, chances are, you may have had a cold sore. Cold sores are caused by the Herpes Simplex Virus (HSV), which is highly contagious and is spread by direct contact with the skin and mucous membranes. Infection with HSV can commonly happen during infancy and early childhood simply by putting, for example, shared toys, etc. in the mouth.
After the initial infection heals, the virus becomes a permanent part of the genetic material of the cell. It is because of this that cold sores continue to pop up from time to time. There is no permanent cure. The virus may be reactivated by many factors including stress, common colds, fevers, hormonal fluctuations, sun exposure, immunosuppression, trauma, and extremes in temperature.
Many people often report a sensation of pain, burning, or itching in the affected area prior to the actual breakout. Lesions may be red, tender, and from ulcers with small blisters, and sometimes crust over. HSV infection most commonly occurs on or near the lips, but can happen anywhere on the face in the place of infection, or less commonly, on the body. During times of active outbreaks it is recommended to avoid contact of the lesion with others (for example, kissing, touching, etc.) to prevent spreading the virus to others as this is when the virus is most contagious.
People who experience outbreaks very infrequently may not choose to be treated, however there are a few Over the Counter treatments available that may lessen discomfort and assist with healing. If you experience frequent breakouts (once or more per month), you may wish to seek prescription treatment. There are topical antiviral creams available that may provide relief as well as several oral antiviral medications that can provide daily suppressive therapy as well as episodic treatment for the lesions. When used properly, oral antiviral medications can decrease the severity of the outbreak and shorten the duration of one.
If you think you may have had a cold sore or have ever experienced any of the above symptoms and would like to discuss your options for treatment, any of our providers would be happy to evaluate you.
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Donald S. Passman practices law in California and has specialized in the music business for more than thirty years. He lives in Los Angeles.
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November 21, 2014
November 10, 2013
WISE, Va. (AP) - A new agreement gives graduates of the University of Virginia's College at Wise preferential admission to the Appalachian School of Law.
The agreement signed last week is effectively immediately.
The schools say in a news release that U.Va.-Wise graduates who meet the law school's criteria will be accepted for graduate work.
U.Va.-Wise chancellor Donna P. Henry tells the Bristol Herald Courier that the agreement continues a relationship between the schools. She says the Appalachian College of Law has offered law school admission test prep classes at UVa-Wise in the past.
Appalachian College of Law director of development Karen Harvey says the school has a similar agreement with Berea College in Kentucky.
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Posts by Tankut Erinc
26 posts • joined 12 Mar 2008
Samsung pledges Galaxy Nexus audio glitch fix
Early bird catches the worm, early adopters eat the bugs.
Early adopters are lovely, beautiful, self-sacrificing people who wait in lines, alpha/beta test all new and expensive products, so the rest of us can enjoy the glitch-free benefits of their suffering (and usually at %25-40 off). We should refrain from mocking them in their misery.
As you know cutting edge is also the bleeding edge.
iPhone 5: Apple 4S, pundits 0
bezel is necessary
A bezel is necessary.
Aside from technical issues, your hand inevitably infringes upon the edges of the front of the device. If there were no bezels, you'd be constantly registering touches on the capacitative screen.
Therefore, a thin enough "dead zone" is necessary from a usability point.
Since the iphone has a 3:2 screen ratio, enlarging it would make the phone wider. The iphone design already has enough blank (i.e. non-display) front estate as it is. A bigger screen would mean a "chunky" device.
Most Android devices have screen ratios around the 16:9 mark, which is more conducive to having big screens while remaining ergonomic enough (longer but thinner, graspable by single hand etc). Android was also designed to be a lot more resolution agnostic (which makes ui design harder, but more flexible).
On the other hand, if a new iphone were to support a new, non 3:2 ratio screen it would break compatibility with a lot of apps in its store. iphones support only two resolutions: hvga (320x480), and its quadruple "retina" sibling (640x960).
Historically Apple has never been above breaking compatibility and/or dropping support. But I don't think they would risk their cash cow this time. Not without ample warning anyways (but that also goes against the secretive nature of the company).
4S may not be the "groundbreaking next-gen device" a lot of people expected, but it's a good enough internal refresh for a very successful device. It also happens many people get their Apple fixes on two-year contracts, so many "pundits" already are in the middle of theirs. It makes business sense.
Me? I'm holding out for the Nexus Prime.
NHS loses CD of 1.6 MILLION patients' records
Criminal negligence
To begin with all personnel (and their bosses) could be charged with 1.6 MILLION counts of id-theft (just the way RIAA does it, oh yeah!).
Once begun, the policy makers of said instituions can also be charged for all damages resulting from the negligence (e.g. : government -securely this time- reissues new "official use" birthdates for all people outed for all banking/online gaming/etc use, etc etc)
A fertile imagination for constructive use of mischief is all we need.
Corporates love iPhone, iPad more than Android kit
Good vs what?
I'm all for Android, I use a couple myself.
But the argument presented here holds some water: iOS is very much homogeneous hardware and softwarewise - thus easier to debug, provides device-based encryption and remote-wipe out of the box. Not many Android devices does that.
In the olden days when I had a WindowsMobile device (since it was designed to be incorporated into a corporate environment) all these security and remote management facilities were built-in.
I am sure in time Android will come around to implementing these sort of security measures.
On a corporate setting populated by a lot of suit wearing noobs, configurability and flexibility is something you would want to avoid. Anything more complicated than an etch-a-sketch is asking for trouble.
(Maybe some genius will make a Launcher for Android called CorpoDummy, and will get around this?)
Apple to dominate tablet biz through 2015
decimal points
Adding those decimal points are crucial for snake-oil-salesman creds.
Apple handcuffs 'open' web apps on iPhone home screen
kneejerk reactions
If Apple wasn't this successful it would not garner so much dislike. I know of only one company that was both successful and generally liked in its day, and it's Palm (before they fouled it all up).
Which is not to say Apple is not Evil. It's looking out for Number One, and to hell with any scruples. If it's legal and profitable, Apple's doing it. And it gets most of it right too, its devices and software work in remarkable unity, the "user experience" is the standard everything else is compared to. It may not have invented much of the features it sells, but what it sells works pretty much as advertised out of the box, and not many non-geeks cares about the limitations. It's all shiny.
So what if Apple stunts free web apps (through negligence or by design), and gently tilts the playing field and nudges its sheep towards its app store? Will the millions of its customers care, or even notice? Certainly not.
Homework: compare the app uninstall procedure between Android and iOS. It's a simple thing. Count the number of taps, and the length of the "wait"s.
Disclosure: I am a geek, and currently use an Android device out of convenience. And as far as demographics go, I don't really matter. And neither do much of the people commenting here.
Catch Notes
AK Notepad
Back in the day when Catch Notes was called 3banana (and company name was Snaptic), they released a text only version of this app called AK Notepad.
It still works and syncs with Catch.com.
What's more, it can peacefully coexist with Catch notes on the same (Android) device, using the same credentials as Catch Notes, albeit without the voice/photo notes, obviously. These simply will not show on AK Notepad, without any fuss.
All notes taken on both can be exported to the SD card as plain textfiles from the apps (if you want to go off the grid, migrate, whatever).
Mind mapping for IT pros
Thinking Space and Mind Map Memo are two tools that are available free on Android. Both of them compatible with Freemind.
Vodafone won't act on customers' HTC Desires
Debrand without root
It is possible and quite easy to debrand the Vodafone crap off and upgrade to Froyo without rooting.
Apple iPad
One big shortcoming: Flash
I think it's a beautiful device. Sleek, well built, light, very nice screen, good battery life, a doodle to use to boot.
But the exclusion of flash kills it for me.
Thing is, I'd buy one of these in a heartbeat for mom - so she could use it basically as a web appliance, and maybe look at photos, bit of light calendar duty and check mail. The lack of multi-tasking, the very real Apple fascism, the inability to access the filesystem are not really important, not for her. Probably neither would the App Store be of much relevance.
But a lot of stuff she likes needs Flash, such as a lot of web videos, a lot of website interface elements etc. HTML5 won't cut it, not any time soon.
So I think it's crippled/less than useful where it really counts. For mom.
I? I use a HTC Desire myself, and plan to get her a premium Android tablet when they arrive.
Steve Jobs issues open letter on Flash
Cover up
Mr. Jobs is probably the last person to champion open standards, but let us not get ad hominem.
Having the option usually beats not having the option.
You can always turn the flash plug-in off. It's a one click affair on my Opera (desktop browser), it's a three tap option on my HTC Desire.
Flash would enable easy cross-platform app development, be it a silly game in a browser, or a stand-alone app using a wrapper (as Adobe was developing for CS5 before getting c**kblocked).
Free flash games running in a browser would cut into the App Store margins, being free (in money and from Apple GateKeepers). There are many delightful and light and free timekillers out there, without having to purchase one off the App Store.
iphone app dev being as lucrative as it is, it would enable coders to "write once, run manywhere", i.e. Android, some future WinMob device as well as the iphone. So, much stuff would not be exclusive to the App Store. Which is something Apple would not want.
Moreover Flash is, for better and worse, here and now. While I regard a push for open standards a Good Thing, the prevalence of HTML5 is quite a time down the line. And when it happens, there is nothing preventing the use of HTML5 banners instead of Flash ones.
Apple is in a very strong position, smartphone mindshare and marketshare-wise. But competitors are quickly catching up. I think this is only an attempt at stemming the tide, as it were.
Microsoft cuts out paste
Oh dear..
No side-load, no multi-task and now no cut/paste? What gives? I thought WM7 were to be a smartphone, not just an Xbox extension with Zune tidbits.
Never thought I'd say this, but I think I'll stick with the clunky old dear, ye olde WinMob 6.5.
.. and probably/eventually switch to Android when a decent Outlook desktop sync thing shows up (not just contacts, but todo's, notes, calendar, mail as well - the whole boring PIM shebang).
Microsoft re-tiles mobile platform for Windows 7 era
Backwards compatibility: double edged sword..
It ain't the Windows Mobile we loved to hate anymore. It's a new beast from Microsoft in its effort to remain relevant in the mobile area.
Microsoft does have a lot of functional stuff. But they are not as well linked as the stuff from Google or Apple.
Take the Live Mesh, My Phone, Outlook, Live Calendar, Live Sync, Skydrive.. A lot functions overlap, but some don't, some do sync, some don't, some combinations are compatible others aren't.. a flickr uploadr and a twitter client does not a mobile platform make.
A lot of WinMob devices are "deployed" because of all the .Net code that runs on them. It is clunky and slow, but it also makes sense from a corporate standpoint.
And now we will have "the lack of legacy apps" issues. However funky the new devices are the accumulated "wealth of software" that used to be available all over the net for the ye olde Windows Mobile won't exist anymore. It'll be something like the Palm Pre, only worse. Nice system, no software.
So we'll see. I want a python interpreter on the thing. With the old WinMob I do.
Apple's move to kill Hackintosher suit denied
Bad examples
The Nintendo comment: I don't think any KIRF company could manufacture a Nintendo DS or Wii clone and sell at a profit. Legal issues notwithstanding, the sheer volume of sales required to be in the black would preclude any gains - so it's pretty much a non-issue.
The VW engine comment: Actually, you CAN buy VW engines and install them in a car of your own making. VW will happily sell them to you, individually or in volume. It's a physical product and not a software thingy that's easy/free (as in without cost, not freedom) to duplicate, so that's another bad example. Anyway you can always buy an R8, dismantle the engine and put it in your beercratemobile.
Back in the day Apple did make proprietary hardware to go with their proprietary software, so it was not much of an issue. But they HAD to convert to the PC side or face extinction, since the competition was much cheaper and quite faster. Now they make PC's - nice ones, but still. Today they have to fight for their former "exclusive" image, if nothing else. Actually, I wouldn't mind having the choice of buying a Thinkpad factory-installed with OSX. Why not? Windows 7 is quite good on its own, but competition is also good - especially since I wouldn't be the one doing the competing, just reaping the benefits..
IMHO the Psystar folk are doomed to fail - but I can't help feeling sympathetically amused at their antics.
Google hits Android dev with cease-and-desist letter
In essence, is Android open source because it is a Trojan Horse? Is it because Google can leverage its "services" on pocketable devices better, and reap the adsense dollars?
There is an ethics discussion here, which may prove his beardedness Mr Stallman was right all along. A question of Honesty.
So, the term "Open Source" does not carry the political baggage that goes along with the term "Free Software".
If Android has closed key components, it is not Open. Not all the way.
Now we know the Draconian iphone OS(X) is tightly closed, and jealously guarded. Another "closed" handheld OS, the Windows Mobile, is also protected by copyrights, but practically is as open and extensible as can be, provided that the core is paid for. They are very dissimilar in essence (I am not talking about kludginess, user interface zen, control freakishness or reality distortion fields) : I can legally have a home-made app/python script running on one, and not the other. But both operating systems, for better or worse, are proprietary.
Now these two are honest. They make no pretense of being "Open". You can't -at your whim- disassemble, modify and redistribute them legally.
Operating systems are much like political systems. You live "under" them, use their services, pay their dues, obey their rules, try to live with their idiosyncracies. On the scale of freedom of action, the (according to the users anyway) nirvana of iphone is a fascist dictatorship, windows mobile is a red-tape bound bureucratic but mostly benign monarcy.
Free Software is akin to a democracy -bordering on polite political anarchy- where the individual has all the options (but one - turn it into a totalitarian one), also including unwise choices.
So now it turns out Android was not as Open as was promised. Cease-and-desist is a bad way to point this out, especially for a company that has such a wonderful "Do No Evil" motto. I am sure many a workable solution was possible. Anything that wasn't as litigously trigger happy as a C&D.
But at the end of the day the fact I wrote this and you have read it proves only we are Geeks. People largely don't care for such issues. So they will buy iphones for the fart jokes and the games and the occasional cool/useful/slick app and mostly for the image/me too factor; Crackberries for the battery life and the thumbboard and actually the company e-mail tethered leash; windows mobile for exchange and windows compatibility and the tinkering; palm pre for the cool factor/Saab owner creds; Android for Google geekery; and finally Nokia/Samsung/LG/SE "dumbphone" as the smart choice: maybe the camera and walkman - but actually the phone. You know, to talk to people and stuff.
Apple and Snow Leopard take-downs - just say no
Ingenious free publicity!
Apple makes really nice GUI/UI stuff. Plus, cool (albeit hermetically sealed) hardware.
But Apple especially excels in publicity mongering.
Using a spurious DMCA take-down notice to warrant another news item?
Microsoft craves iPhone developers for Windows Mobile
It's about mindshare
WM has never had a mass-market appeal. Most of its users have traditionally been corporate users and geeks.
Even if WM 7 were miraculously easy to use, sexy and web2.0/media/etc friendly, it is a hard thing to change this image. Zune is too little too late, and was never much available worldwide anyway ("Welcome to the Loneliness?")
Having said that, WM is a powerful operating system. It may be inelegant but very flexible and uncrippled; unlike some mobile OS'es I could name.
Microsoft was too late to make it user-friendly and sexy, so HTC and others had to step-in and do it themselves, with varying degrees of success. Alas, this has also fragmented the look-and-feel of the thing (even if underneath lurks the WM6.x, the skin is what people will first see). It's like Linux in this respect. it is actually funny how WM (for a proprietary OS) resembles the OSS community and how iphone is the opposite of linux in its philosophy (even if they both are remotely related through the unix family)
I digress: My point is Choice and Flexibility is a Good Thing if you are a geek, willing and able to tinker with stuff. Most people are not. So if you are hunting marketshare fragmentation is not good. And being so slow to keep up with competitors is definitely Bad.
Oh and by the way, I do use a recent HTC WM device. I had wanted the ease of PalmOS of days of frankengarnet, with the slickness of iphone, longevity of a BB. So I got none of those, and I still think I made the best compromise. But being a geek I know my choices are not widely shared, world-dominationwise.
Sony X-Series Walkman
no itunes! yay!
Better sound and no itunes! yay!
itunes on Mac is very good, but it's borderline malware on Windows.. I'll wait for the Zune HD for comparison, then we'll see.
Sony takes on iPod Touch with Walkman X
On the plus side
Better sound quality and better screen are a big pluses, considering it's a PMP.
For me the "no itunes for windows" is a very very big plus. I do have an ipod, and I hate the itunes sluggishness - and this on a 8GB, quad-core machine where everything else is much snappier. I consider it borderline malware.
I am not interested in the games and apps available for ipod touch, so I can live without them.
On the sync side this device can do Drag&Drop as well as Windows Media Player syncing - while not looking as slick as itunes for some, it is quite fast and very versatile.
Netfront ain't Safari that's clear, but it's not that bad. Anyway, I do have Opera 9.5 (and Iris Browser and Opera Mobile and Skype etc) on my phone so it's not that important for me.
Linutop 2
Hamster powered
This could even powered it with a hamster or two, though it'd probably make overclocking expensive and unhealthy (too much steroids to peanuts ratio) and it may bring the wrath of the fearsome semi-clad PETA troops on you.
In all seriousness a computer has more uses other than doing games, word processing and internet trawling - and this particular device fits a niche perfectly : an easily programmable general purpose automation machine: logging stuff, security, webcam monitoring/time lapses, misc automation, torrent duty w/ an external drive, etc using nothing but readily accessible software tools (think Python for instance) that can also work with cheap COTS PC hardware. It could even be solar powered, and probably could last through the night or a dark day on a battery no bigger than itself. You would not need a screen or a keyboard unless it needed servicing/updating etc. Because it's running X, it could be remotely administered too (using your Eee maybe?)
With no moving parts it would be quite robust and long-lasting - Plug'n'Forget.
Apple cracks down on rogue app stores
Yeah sure - like every developer codes for enterprise apps!
It ain't no fart app but what if somebody wished to port Python to iPhone, maybe with appropriate extensions/hooks for the UI? That's a big no, according to the developer agreement, as it would enable "third party" codes to bypass iTunes App store.
What if somebody wanted to enable the BT chip to accept HIDs? Like using a regular BT keyboard with iPhone? That's another big no, as the BT does not have the profile, it was not sanctioned by Apple.
What about ScummVM? That's a cool one, I've got Maniac Mansion and Zac MacKracken on my Touch Diamond running nicely, albeit in a tiny screen. I doubt the EULA permits virtual machines and emulators.
List goes on, and you might as what the point is. If the device is a smartphone it's a miniature computer I can tote around, and tinker with as I see fit. It has everything a regular computer system has: CPU, RAM, storage, I/O and an operating system. iPhone is cool hardware, it's a shame Apple is abusing its power of Monopoly. And I'm not against Apple making a profit, oh no. But this much greed is frankly quite off-putting.
Slimline iPhone pictures unearthed
External battery
This one has an external battery, but works with induction so no unsightly cables are required.
It has no need for a earphone jack, because it works with a proprietary bluetooth dongle that has an Apple© authentication chip that degrades non DRM'ed content and conversations with non-iphone-blessed philistines.
For the enthusiast that does not want a bluetooth dongle, there will be an official internal bone-conduction version available at your nearest Apple center (minor skull surgery required, subject to an EULA).
Video calling is planned for iphone 6G. Apple has already filed all appropriate patents for phone cameras, video calling, etc.
Ms. Hilton was not available for comments.
Rear side of the device also acts as a fingerprint scanner, that shares this data with Apple for Your Own Benefit. You can be sure this data will not be shared freely ('cos nothing is free).
iPhone 3.0 adds cut-and-paste, search, new dev toys
Three down, three to go
Yay! Copy and Paste, System wide search and Stereo Bluetooth! Not to forget the landscape keyboard and MMS!
All that's left is the filesystem access (transfer files over wifi/BT/USB), background process support, a non-flaky Outlook sync (actually a working mail sync in any form), a browser that can do "save link as..", and editing documents. And where is the replaceable battery, when the juice runs out in the middle of the day or on the road? How about some form of icon grouping (a.k.a. folders) for the launcher, or is this reserved for 4.0?
Lovely UI, solid improvement, sadly still too locked down and crippled. Clunky old WinMo for me for some time..
Paris, for she is flexible.
Apple restyles iPod Shuffle
Picturing it
I can already see these worn as pendants, and a myriad array of third party "shuffle buds" on e-bay.
Me? I'm still holding out for the iphone shuffle and ibook wheel.
Confirmed: HTC's big-screen Touch HD smartphone
i get it
Yes, I get all the hostility against all things labeled Windows. It's popular and easy to pile sxit on it. Hell I do it too sometimes, it's so easy..
In my deepest humble opinion the best mobile interface was the Palm. I do no hold the Windows Mobile way of doing things, with its myriad drop-down lists and fiddly controls in high regard. Quite the contrary. Palm had it for a while, then they .. you know.
I am an unwilling (and still kicking) convert to WM due to a lack of alternatives (this is quite personal): I like the ability to fiddle and tweak, add to and change default apps. I like the ease of personalization. I am not like most people, just one of the crowd referred to as "power user" slash "geek", or just labelled "socially not adept just because he knows the 'puter stuff".
That said and hopefully out of way, the WM 6.x works just as advertised. It works. It is not pretty (but can be prettified to some extent). But it does work, and strangely enough is quite robust and reliable. It handles all the contacts / calendar / tasks / notes thing without hiccup (I am also a shameless fan of Pocket Informant). It multitasks gracefully in my palm. I can be downloading stuff of internet while uploading files to some shared folder on the network, while reading some e-book to pass some asocial time. I can even take some voice calls if required, and if I am wearing the earbuds, I can take notes about it while speaking (I am quite absentminded, so taking notes on business calls is a Good Thing).
Anyway, the myriad apps exist for WM and though there isn't an Official Draconian (ND)Appstore for it, it is elementary for any non-idiot to find them through google or somesuch. They are there for the evaluation and the taking. Fsxck the MS, you can just install them.
I got carried away. WM works better than you might think. And I've tried them all after Palm, excepting Android (and yes, including the jesus phone). I am currently using the HTC Diamond and not ashamed to admit it. It's not an iphone, but at least I can watch xvid videos on it without converting, and read iSilo and palmDb and (crxp)Lit documents, and draw a diagram with a freeware app (or basic notes) and send it via MMS. It is not only an ipod with a phone + a good browser and very good advertising. I can do stuff on the teensy black slab besides accessing my facebook account.
Just to underline: I like BeOS most of all, and Windows the least. IMHO the current most open and prolific handheld OS sadly happens to be WinMob. The others, while meaning well, don't quite cut it. I would love a Linux or PalmOS or Amiga or whatever device that could. It's just that there is nothing besides WM that half can at the moment.
iPhone emulator firmware jailbroken
It's a bit more complicated.
Actually the jailbreak works to Apple's advantage.
With the carrier-locked firmware it can pay lip service to its agreements with AT&T or insert_local_carrier_name.
Without jailbroken phones there wouldn't be much (prolonged) international interest, until available at that particular country. People would have to go with something else, because it wouldn't be an option. Jailbreak has fed the frenzy and did not cut into Apple's profit, quite the reverse in fact. And since it is not sanctified by Apple, it has no responsibility - best of both worlds. It certainly is not like PSP firmware hacks which -among other things- enable running pirated games, which does cut into Sony's income (Sony receives a share of all games sold, just like MS and Nintendo).
iPhone is a sophisticated piece of hardware, with a very good UI. But I don't consider it a smartphone unless it can run pda-style 3rd party native applications. SDK may be out, but without jailbreak and no apps at iTunes store it is still a glorified ipod with a very good browser. This will change in the near future, I am talking about right now. Capable and stylish: yes, smartphone: no. Not yet.
My el-cheapo dumbphone can read email and browse the web too. But I cannot add a new SMS app or change the phone front-end, just like iPhone. This is something I was easily able to do on my Treo.
The new SDK may be good enough for games, but without allowing multitasking or access to the calendar/email/sms/phone/etc, it may be too limited. No 3rd party email/im app running in the background, for instance. Or a decent todo list that works with the calendar. Even with the SDK, jailbreak will still be the only way stuff like this is possible.
The problem with jailbreak is no commercial company can count on it to create software it can sell. You cannot ask your customers to void their warranties to run your application.
When Apple begins to receive a share of all s/w purchased, jailbreaking may become harder. On the other hand history has shown almost all protection schemes will be bypassed, one way or the other..
P.S: the iTunes store is still not available in many countries.
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In the 1940s Rolls Royce had survived the war effort and was finally back in the business of building cars. The Silver Wraith was... More
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Introduced in 1959 to replace the Silver Wraith Rolls-Royce revived a storied name when it created the Phantom V. Based on a conventional frame... More
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Adele Live At The Royal Albert Hall
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My sister -- who shall remain nameless due to her behavior on the occasion herein described, but let's just call her Susan -- is celebrating her birthday today, and she doesn't want anyone to know her age (which is 60) because she's just sick about it. Not about having a birthday, but did I mention that she's 60? Not that I want to keep bringing up her age ... which is 60 ... but that's what she's having a fit about.
The long holiday week provided us with plenty of opportunities to sit with others and talk without the usual time constraints. Our paths crossed with people young and old, the long-term loved as well as new friends with whom we assembled over meals. As we departed from the final gathering of the holiday, I pondered the art of conversation.
Atul Gawane wrote an article for the New Yorker about a man named Robert Felton who was imprisoned in solitary confinement for many years. Felton was considered to be impulsive, incorrigible, violent and dangerous.
It's graduation time, and I know all of you in the Class of 2014 are eagerly awaiting the moment when you are thrust into the world on your own, ready to tackle your dreams, excited to take on the responsibility of making your own way, making your own choices, making your own mistakes, making your own bed ... or not ... it's up to you! And, let me tell you, it's a blast out here!
Of course, unless you've already gotten a job in your chosen field (snicker) you'll be heading home to Mom and Dad's for a while as you send out resumes and "weigh all your options."
Every year I judge the Audies, 29 awards given by the Audio Publishers Association for distinctive audio books. I only judge four to six books in Round 2 and feel grateful to those who listened and sorted through 20 or more audios during Round 1. This year, I judged memoirs and noticed a range of styles, worlds, stories that I might not have heard without this opportunity. Here are three of my favorites.
My unexpected favorite was Lawrence Anthony's "The Elephant Whisperer: My Life with the Herd in the African Wild," written with Graham Spence, read by Simon Vance (Tantor, approximately 11 hours). Anthony, a conservationist owns a wildlife reserve in KwaZulu-Natal in South Africa, and his story has all the elements that make for an engaging listen. The drama begins right away — if Anthony doesn't take in an elephant herd known to be troublemakers from another game reserve, they will all be put down. Within days Anthony and his faithful co-workers put in miles of electric fencing to contain these elephants, deal with local Zulu politics, potential poachers and reintroducing elephants who have not been seen there for a hundred years. Despite the speedy accommodations, the elephants' leader and her son are killed before their transport is arranged.
An alert and devoted reader (thanks, Mom!) recently sent me a short article by Lee Berk, Ph.D., MPH, a preventive care specialist and psychoneuroimmunologist (a big word I use quite often) at Loma Linda University. The best part of the article reads as follows:
"There is scientific evidence that laughing is good for your health. Researchers recently looked at laughter's effect on people with diabetes. In this one-year study, 20 diabetes patients received medication for their diabetic condition … but one group also watched humorous videos for 30 minutes daily. After one year, 26 percent of the "laughter group" patients had higher levels of HDL "good" cholesterol, compared with 3 percent of patients in the other group. Based on this research, people who have diabetes or are at risk for the disease may benefit from … a good dose of laughter every day. To follow this advice, choose any form of humor or comedy that appeals to you (such as movies, TV shows or books) and that produces joyful laughter."
On my morning run, I pass by the building near my house in Chapel Hill. And every time, I say a word of thanks.
Other North Carolinians are grateful, too. A friend of mine told me last week, "The Institute of Government has made all the difference for our state. But, today, not enough people appreciate how much we owe it."
It's Mother's Day today, and I am so lucky to have my mother still with me that I thought I'd dedicate a column to her ... again. I wasn't going to because I've done a couple and really, what more is there to say? And then it started coming to me ... all the "more there is to say." Like:
My mom is the laughter I hear in the night as I fall asleep, down in the living room with my Dad, clearly talking about us; she's the wave I look for as I leave for school; she's the hopeful smile I cling to as I mount the steps to the stage for my piano recital; and, she's the implacable voice of censure when I've done something stupid ... which, honestly, I did ... a lot.
On April 18, an avalanche on Mount Everest killed 16 Himalayan Sherpas.
As a result, the Sherpas have threatened a boycott of Mount Everest, and have left the mountain for the season.
Good for them!
I took my dog, Kasey, to the vet today. She's sort of a small-medium size, looks like "Benji" from the movie. Turned 13 years old on Valentine's Day, she's been slowing down quite a bit in the last year or so. Naturally, I first noticed this with a jovial "Join the club!" kind of response. But, today, when I lifted her onto the table to be examined, she looked at me, and my heart suddenly seized.
The look in her eyes is new; it's different. It wasn't her regular, "Whoa, why are we here again? I hate this place!" Her gaze is beginning to say something else these days. Waiting for her veterinarian to come in, the two of us locked eyes for a long moment, and her expression spoke so clearly it was like hearing Kasey's voice.
When our children were young we were all fans of the vintage Fleischer Studios Betty Boop cartoons. One favorite featured a wailing cat that disturbed Betty's sleep. When she demanded silence, the cat sang, "Not now, not now; maybe later but not now [https://www.youtube.com/watch?v=UG0ebiZDzIU]."
For me, commuting wouldn't be survivable with audios. For a month, I drove to schools in Raleigh. Feeling a little lonely in still-dark mornings, I relished the company of good friends: clever writer Alexander McCall Smith, talented narrator Lisette Le Cat, and the heroine of their collaboration, Precious Ramotswe, head of the Number One Ladies' Detective Agency. Mma Ramotswe is one again the primary protagonist in "The Minor Adjustment Beauty Salon" (Recorded Books, 8CDs, 9.75 hours).
Anyone who has lingered in the small town of Botswana with the sleuth knows that there are generally at least two mysteries in these novels. In this one, Mma Ramotswe is discouraged in both — she can't seem to uncover who's slandering the owner of the Minor Adjustment Beauty Salon and why a female attorney acting as executor is acting far more interested than she should be in the recipient of a trust.
Today's column is titled "Morons: Why So Many?" Now, don't get all offended -- we each have our moron moments. I know I do. (For the sake of brevity, I won't address my own stupidity today, except to say that it is occasionally stunning.)
Example 1: I subscribe to The Wall Street Journal (as well as The Herald-Sun). I went on spring break last week, and canceled the WSJ during that time. When I got home Tuesday, my neighbor brought my mail along with a pile of newspapers that had been delivered every day while I was away. I called to tell them they messed up: No problem, you'll get full credit.
I had a seven-hour solo drive to Atlanta, but I was equipped. Or so I thought.
I was halfway through John Banville's "Ancient Light" (Random House, 8CDs, 9.5 hours). Banville, a Man Booker award-winner, uses elegant language which came alive with Robin Sach's skillful reading, and I easily entered the troubled mind of Alexander Cleave. Banville's reflective novel brilliantly weaves Cleave's risque affair at 15 with his best friend's mother, feelings of failure after his daughter's death, and his introspective thoughts about aging. Sach's narration meshed all time periods without losing flow and, made the protagonist believable and worthy of compassion.
It's Easter, and my love to you all! (No, I'm not in the bourbon, I'm on spring break … FINALLY!) In honor of this wondrous holiday, I began the following poem:


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Save to My Recipes
Muscovy Duck Breasts with Pomegranate-Wine Sauce
Servings: 8
- 3 tablespoons olive oil
- 1 1/2 cups minced shallots (about 8)
- 6 garlic cloves minced
- 1 1/4 cups dry white wine, divided
- 3/4 cup dry red wine
- 2 14-ounce cans low-salt chicken broth
- 1 14-ounce can low-salt beef broth
- 3/4 cup fresh orange juice
- 2 tablespoons pomegranate molasses*
- 3 teaspoons minced fresh marjoram, divided
- 1 fresh bay leaf
- 4 pounds boneless Muscovy duck breasts (4 to 8 breast halves, depending on size)
- 1 1/2 tablespoons all purpose flour
PREPARATIONView Step-by-Step Directions
Heat 2 tablespoons oil in heavy medium saucepan over medium heat. Add shallots; sauté until golden brown, about 18 minutes. Add garlic; sauté 3 minutes. Add 1 cup white wine and 3/4 cup red wine. Boil until most of liquid evaporates, about 10 minutes. Add both broths, orange juice, pomegranate molasses, 1 teaspoon marjoram, and bay leaf; boil until mixture is reduced to 2 cups, about 20 minutes. Discard bay leaf. (Sauce can be made 3 days ahead. Cover and chill.)
Set rack at lowest position in oven; preheat to 450°F. Rub meat side of duck breasts with 1 tablespoon olive oil and 2 teaspoons marjoram. Sprinkle with salt and pepper. Working in batches, sear breasts, skin side down, in heavy large skillet over high heat until skin browns and fat is rendered, about 8 minutes.
Transfer duck breasts, skin side down, to rimmed baking sheet. Drain all but 1 1/2 tablespoons fat from skillet; reserve skillet. Roast duck until thermometer inserted into thickest part registers 145°F for medium-rare, about 20 minutes.
Meanwhile, bring sauce to simmer. Rewarm duck fat in reserved skillet over medium heat. Add flour; stir 1 minute. Gradually whisk in sauce.
Transfer duck breasts to cutting board. Pour off all fat from baking sheet. Add 1/4 cup white wine to sheet and scrape up browned bits; add to sauce. Simmer sauce 3 minutes to blend flavors. Season with salt and pepper. Thinly slice duck breasts and divide among 8 plates. Drizzle with sauce.
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09 October In Challenge GP, K1 Speed Santa Clara by K1 Speed Staff Writer Tags: Alexander, Challenge GP, Checkered Flag, Davian, electric karts, George Romero, go kart arena, go kart racing, Gp, Gp 4, Gp Race, Gp Series, Green Flag, Indoor Go Kart Racing, indoor go kart track, Indoor Kart, indoor kart racing, indoor karting center, Jonathan, Joshua, K1 Speed, Rick Kane, Santa Clara
K1 Speed Santa Clara Challenge GP 4 Results
K1 Speed Blog - go karts, karting and go-kart race events
A Main: Rick Kane started in the lead & kept his lead the entire race. Jonathan Davian started in 5th place & made is way to 2nd place but lost position in the 11th lap. Joshua passed Jonathan & finished in 2nd place & rick kan in first.
B Main: Alexander Grundner started with the lead in the final with Scott Allen right behind him. On 6th lap Alexander lost his position in turn #3. Scott took over George Romero and kept ahead of every one the entire race. Scott took the lead over George on lap 11 and finished in first place.


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This slideshow will discuss the structure and function of proteins.
Wow you're an old comment .-. shots fired
wow this is an old comment
what is the function in micro molecules?
Sophia's online courses not only save you money, but credits are also eligible for transfer to over 2,000 colleges and universities.*


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Nice, high quality faucet. Looks great and installed easily.
Ordered 2 faucets, for 1 vanity, would have been nice if they would have shipped identical faucets, one has red and blue dots while the other has h and c letters on valve handle, but im stuck because i ordered it online from annother country, hopefully they work, havent plumbed them in yet.
This faucet is perfect for our new vessel and the brushed nickel finish fits with the rest of the bath. It was easy to install, was delivered quickly, and we are very pleased with it.
This is my first tall faucet and I find it very elegant. It is the only one i found with fine straight lever to match the other fixtures. I like the size as its not overwhelming like the 10" ones but of course it must be used with vessel sinks of 7" or less which I had purchased on overstock.com. I am very happy with what I found.
Usually leaves our warehouse in 1-2 business days. *
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** Most Oversize orders are delivered within 1-4 weeks. Some orders may take 6 weeks to be delivered.


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Find records of Dale Artress
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Dale W Artress (1940 - 2010) was born on February 8, 1940. He was born into the Artress family.
There are no known marriages or children on file for Dale. Dale died on December 13, 2010 at 70 years of age.
Dale W Artress's last known residence is at Taylor, Wayne County, Michigan.
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Possible Relatives
- Paul Artress
- ·
- Eunice G Artress
- ·
- Lucille Artress
- ·
- Elmer E Artress
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- B A Artress
- ·
- Russell F Artress
- ·
- Michael E Artress
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- Leonore Artress
- ·
- Henry E Artress
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- Barbara J Artress
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- Val K Artress
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- Frank Artress
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- George Eugene Artress
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- Henry Elwin Artress Sr
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- Elmer Edward Artress
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- Sadie Artress
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- Dorothy M Artress
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- Harvey Edgar Artress
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Afghanistan »
Summit targets global threats to women
Share Photos by Chanel Davis Dr. Chere Gregory (right) with Amiya Alexander. Girls who dare to seek an education face the threat of violence every day, Razia Jan told attendees last Thursday, Nov. 20 atRead More »
Healing through Farming
Share Film about female vets battling PTSD to make N.C. debut (pictured above: Farmer and veteran Anna Mann.) The film "Terra Firma" will have its North Carolina premiere and fundraiser tomorrow (Friday, June 27) atRead More »
Sports Hall of Fame grows
Share Local sports greats were honored at the 31st Winston-Salem/Forsyth County Schools High School Sports Hall of Fame Induction Banquet on Friday, May 9 at the Benton Convention Center. Randy Pope, Charles "Chip" Reed,Read More »
State launches "Iron Man 3" tourism site
Share State tourism officials are taking advantage of the blockbuster success of "Iron Man 3." The summer's first must-see movie opened last Friday and easily became the top film in the nation. Much ofRead More »
Whitfield is NCCU's graduation speaker
Share Fredricka Whitfield, a news anchor and correspondent for CNN, will deliver the address at the 121st Commencement exercises for North Carolina Central University on Saturday, May 11. The ceremony will begin at 8Read More »
Students Salute Veterans
Share The student body of Old Richmond Elementary School in Tobaccoville became a flag waving chorus on Friday during a special Veterans Day program. For over a decade, the school has saluted theRead More »
Soldiers welcomed back as heroes
Share The North Carolina National Guard's 113th Sustainment Brigade returned to North Carolina on Saturday, Oct. 27. Friends, family and fellow soldiers welcomed back the nearly 300 soldiers, who are based in Greensboro andRead More »


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hair: [LeLutka]-BIGGEST hair – FireTop
dress: GizzA – Mesh Tube Dress / Bandage [Black] NEW
bracelet: Miwardrobe- Tangle Bangle – Group Gift
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model, stylist & photographer: Nala Kurka