text: AdChoices Terms of Use Privacy Policy Hide ENTERTAINMENT Entertainment Galleries Oscars 2013 Predictions AskMen Predicts The Oscars 2013 Best Actress Best Actor Best Director Best Film Best Film 5/5 Oscars 2013 Predictions Tom Butler December 9, 2012 Share Tweet 0 Shares Paul Thomas Anderson's ambient masterpiece (or terminal bore, depending on which side of the PT Anderson fence you sit) The Master looked a shoo-in after his last effort There Will Be Blood was pipped to the Best Picture post by the Coens' No Country For Old Men in 2007, but Daniel Day Lewis could avenge that snub by landing best picture for Spielberg with the presidential biopic Lincoln. One of the greatest living actors portraying one of America's most beloved presidents, post-election year, Lincoln just seems to have success written all over it. Other late entries worth a punt include Kathyrn "Hurt Locker" Bigelow's Bin Laden hunt drama Zero Dark Thirty, Ben Affleck's Iranian hostage drama Argo, or the long-awaited big screen adaptation of Les Miserables from The King's Speech director Tom Hooper. Comments Share your opinion Your name More Like This A Better Look What To Watch While You're Waiting For Game of Thrones Season 7 Read More A Better Look Watch The Rock And Kevin Hart Answer Your Agony Uncle Questions Read More A Better Look I Woke Up With The Rock For A Week And It Almost Ruined Me Read More A Better Look We've Thought About It. This Is Why We Love The Rock Read More A Better Look 20 Hilarious Kevin Hart Zingers That Will Crack You Up Read More A Better Look 16 Inspirational Tweets & Instagrams From The Rock To Make You Feel Better Read More Around the Web Special Features


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This is a picture of squamous cell skin cancer on the hands. Squamous cell carcinoma is one of the three most common types of skin cancer: basal cell, squamous cell, and melanoma. Squamous cell cancers can metastasize (spread) and should be removed surgically as soon as they are diagnosed.
© 2016
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All original source code snippets I post on StackOverflow.com are dedicated to the public domain. If you do find value in my answers, I would very much appreciate an attribution and acknowledgement where possible.
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Images from the Dear Lawrence photo project
July 2012 update: We're once again accepting photos for the Dear Lawrence project. Scroll down to see some of the new additions.
Members of our photography staff, local photographers and all of you are invited to participate in our Dear Lawrence Community photo project. These are some of the great photos we've received so far, but there's still time to participate. Get out your old photos and your cameras and start submitting. You can do it via email to email@example.com, by posting a photo on our Facebook page wall at Facebook.com/LJWorld, or submitting an image at ljworld.com/dearlawrence.
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- Analysis: Brownback's view of Kansas economy as a 'three-legged stool' no longer accurate June 28, 2016 · 19 comments
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Sri Lankan couple Nisansala and Nalin tied the knot on Friday in a world-record-breaking ceremony.
The pair beat the previous Guinness World Record holder for most number of bridesmaids at a wedding ceremony with a whopping 126 'maids. According to Reuters, the previous record was 96 bridesmaids at a wedding in Thailand.
Champi Siriwardana -- one of Sri Lanka's leading wedding planners and dress designers (who also happens to be Nisansala's sister-in-law) -- came up with the idea to try to break the world record.
Twenty-five groomsmen, 20 page boys and and 23 flower girls and even First Lady Shiranthi Rajapaksa were in attendance at Nisansala and Nalin's Big Day. Check out some amazing photos from the celebration below.
Credit on all photos: LAKRUWAN WANNIARACHCHI/AFP/Getty Images
More:World Records
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...Even though I have received a Bachelor's degree in Chemistry from the University of Michigan, Ann Arbor and therefore have a solid understanding of any subject connected to the pulse of Science, I have not forgotten what if feels like to not know something. I use this fact in conjunction with a ...
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I have enjoyed the personal gratification of tutoring since high school. Since I was 15 years old, I have shared my knowledge and love of mathematics with people of all ages. I attended Spelman College and Georgia Institute of Technology, where I received my Bachelor of Science in both Mathematics and Mechanical Engineering.
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Yet another favorite! I wanna be like YOU when I grow up!! =) You give me much to reach for in my learning.
. it is beautiful :))
Thank you Sharon :D
Major "Wow!" I love the colors and softness of this photo! Fav!
So pleased you like it Cindy, thank you :D
Gorgeous macro......You have a beautiful flower collection :)
Thank you so much Lori :D
The light and color are beautiful. Seems to me you got to know this bloom in order to capture its essence.
Thank you Cathrine, one of my favorite spring flowers to photograph :)
Love the colors !
Diana, thank you so much :)
Wow, this is so breathtaking!!
Thank you so much Kathy :)
Agree with all comments .... WOW! Such a beautiful,,,breathtaking view of one of the most awesome of God's creations! Simply beautiful.
I'm so pleased you like it Debra, thank you for your kind comment :)
I love macro shots of flowers, and this is one of most beautiful captures and presentations I have had the pleasure to view, Jacky! Thanks for sharing this glorious shot with us, as it is just breathtakingly beautiful!
Randy thank you so much for your very kind comment, very much appreciated ;)
Jacky, I'll just say "ditto" to my previous comments of your work. Would love to know your tecnique. vote
Thank you Larry for your kind comment, am always happy to share my techniques each image is different let me know which one you like and maybe I can help :)
You are the flower whisperer. Exquisite.
Oh that did make me laugh Byron :) you are too kind, thank you so much :)
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text:
Menadue's rapid reaction
Talented Tiger teenager Connor Menadue clearly is as fast a learner with his overall football education, as he is scorching the turf on match day.
11:25am Jun 27, 2016
Broad appeal on debut
Nathan Broad was having breakfast with a mate at about 9.30 last Saturday morning, when he received a phone call from Damien Hardwick...
9:44am Jun 27, 2016
'I'm after a clinical performance', says Hardwick
Richmond's inability to finish off its opposition remains a barrier to it becoming one of the competition's better teams, says coach Damien Hardwick.
8:30am Jun 26, 2016


text:
When you can have TOO MUCH of a sea view: Coastal erosion leaves holiday caravans hanging perilously over 200ft cliff edge
- Mobile homes in Porthkerry Leisure Park are dangling above a 200ft drop
- The site in Barry, Vale of Glamorgan, was evacuated in 2011 after a landslip
- Owners were evacuated and later moved back away from the edge
- However geologists fear more of the land could give way
These terrifying images show a group of holiday caravans dangling on a cliff edge above a 200ft drop.
The mobile homes at the Porthkerry Leisure Park, near Barry, in the Vale of Glamorgan, are now being moved from the dangerous positions amid fears that a landslip may cause them to plummet to the beach below.
In 2011 owners and holidaymakers had to be evacuated after part of the cliff collapsed, causing 34,400 tonnes of rock to spill onto the beach below.
Scroll down for video
Dangling precariously: The caravans at Porthkerry Leisure Park in Barry are hanging 200ft above the beach
Precaution: The homes were left teetering on the edge when part of the cliff collapsed in 2011, they will now be repositioned because geologists fear more of the land could fall away
One woman was nearly killed when the ground underneath her suddenly gave way.
After a detailed investigation, the caravans were repositioned in a safe location near the cliff edge. But now they will be moved back again after a geologist detected ground movement.
Site co-owner Sally Edwards said: 'It could be nothing, but we're not risking people's lives.'
Since then, warning signs have been put up on site and regular checks are undertaken by a geologist.
Ms Edwards said a 15mm (0.6in) movement in the ground was detected in the last inspection.
She said: 'There has been nothing for two and a half years, but we, as a company, feel that we are just not prepared to take any risks and so we are being proactive and shutting the road down.
Dangerous: Geologists detected land movement at the site, prompting the owners to take drastic action
'It could be something, it could be nothing. It could be two years, it could be 20 years, but we are not prepared to take that risk so we are
moving the caravans away from the edge and repositioning.'
Work on removing the caravans and closing down part of the site will begin today.
Ms Edwards, co-owner of the site for the last 16 years, said about £1m had been spent on monitoring and equipment.
With the latest changes, she said about 25 per cent of the leisure site park had been lost.
Aftermath: A terrifying aerial shot of the park in 2011 shows how two caravans had to be moved following the landslip, which saw 34,000 tonnes of rock spill onto the beach below
Reaction: Around 25 per cent of the park has been lost to the ground below since the first incident in 2011
Warning signs: The land movement has been threatening the residents in the holiday park in the last three years
She said caravan owners would be offered an alternative pitch on site, or a refund for the remaining site fees for this year.
One caravan owner, who returned from holiday to find the area around her caravan cordoned off, said: 'Many of my belongings are in the caravan and now I cannot get to them.
'I don't know what might happen to them. Some caravan owners have food in the fridges and they are concerned what will happen to that.'
The owner, who asked not to be named but lives in Cardiff, said: 'We have not been told what will happened or where we will be put.'
She said she and other owners would be at the site today hoping to talk to the owners.
Encroaching: Since the landslip in 2011 (pictured) the land has moved closer to the mobile homes, sparking fears they could fall off
Coastal erosion is caused by the waves crashing against the rocks over a long period of time.
Sediment is eventually worn away, but sometimes the process is made quicker by wind or extreme weather.
The Blue Anchor Bay in Minehead, west Somerset, which was built in the 15th century, is facing a similarly uncertain future because the cliff face has fallen away.
It has already been forced to close its children's play area because it is dangerously close to the crumbling cliff face,
At Birling Gap in East Sussex, a stretch of chalk cliff has seen erosion, which would normally take over seven years, happen in just a few months.
Part of the footpath down to one of the best beaches in the world at Rhossili on Gower in south Wales has also been washed away.
Strong winds have left some of the 270 beach huts at Studland on the Dorset coast vulnerable to being lost to the sea.
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text: On Tuesday 02,November,2010 01:18 PM, Jordon Bedwell wrote: > How do you know it's sda? That would fail hard on my computer. Right, but since Steven is new, would bet it would be 'sda' and it would be confusing, for him, to write sdaX. Yes, you are correct, but my bet stands. Regards - Goh Lip --


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Tionesta Pennsylvania Golf Courses
|Hunter's Station Golf Course
Featured Golf Course Review:
|Hunter's Station Golf Course -- A REAL challenge
|Review by: Keith
|Not only did I get to borrow clubs for free but the $14 per round went down to $10 when I explained that we don't use pacemaker buggies but WALK in Europe to play golf. I found about 12 balls per round too to boot. Absolutely fabulous golf - I made the trip from Oil City and played 3 times in a week - and the view and shot from the 7th is just impossible. The Allegheny River view impossibly beautiful and the damned tennis court sized green a way down below on a cliff edge - and I got it 3 times yipee!. Super golf and I recommend any golfer not to pass up on Hunters Station if in the region - but DO walk please. It isn't Arizona in Pennaland.
|From Isle of Man
Golf Courses: Additional Golf Course Reviews:
|River Forest Country Club -- River Forest: A golfer's Golf Course.
|Review by: Bruce Linderman
|Probably one of the most maligned course in Western Pennsylvania, and for good reason: River Forest is a very difficult layout, and not for Patzers who want to roll it up for a par or bogey, and not for long drivers who can find themselves with a 2 stroke penalty quickly. The course seems to have an uncanny, and sometimes eerie ability to locate and humble arrogant and inattentive golfers with triple or quadruple bogeys. Designed by original owner Wynn Treadway in the mid 60's, this classical purist believed in the straight ball and excellent short-game skills. Isn't that what golf should be about? Each par four has a specific landing area for the drives, otherwise one is penalized with line of sight problems or an uneven stance. This is usually followed by small, bunkered greens that require excellent putting skills. Although the par fives give some relief(At this point in your round, it is much welcomed!)the same applies to those greens as well. And these greens are more undulated than usual, to say the least, but that is the central character of this most challenging and beautiful golf course. If you like flat greens and wide fairways for your Jumbo driver, there are plenty of Public courses in the area for you. However,if you are a golfer and want to play the game as it should be played, then River Forest is for you. Just remember to bring your A game, some good wedges and just a little respect for an excellent golf course that, when you play well, it really means something. Beautiful is the word, so make sure you take a lot of time to look at the scenery. This usually has a calming affect that can enhance one's performance. Couple this with an extremely friendly and attentive clubhouse staff, will result in an exceptional golfing experience.
|From New Kensington, Pennsylvania


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What home remedy can i use 2 dilute a dirty urine
kgb answers » Health & Body » Health & Fitness » What home remedy can i use 2 dilute a dirty urine
Tags: remedies, home remedy, vinegar
Thursday, February 02 2012
Source: http://www.ehow.com/way_5512855_home-remedies-clean-urine.html
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What does IEB1 stand for?
IEB1 stands for Insulin Enhancer Binding Site 1
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Twitter Link Facebook link
Marking the International Day for Biological Diversity(22 May), UN Secretary-General Ban Ki-moon highlighted the fragile state of the world's oceans.
Biodiversity is shorthand for the rich diversity of the natural world on which we live, and it is under threat. Bob Carling examines issues arising from the Conference of the Parties to the Biodiversity Convention (COP10) and the Lausanne 3 global gathering of evangelical Christians.
Peterborough Cathedral will ring its tolling bell 492 times tomorrow (September 22) in tune with the crucial UN Biodiversity talks in New York – one toll for each animal and plant species that England has lost.
Church bells will ring out across Britain in September 2010, drawing attention to the corresponding international talks on biodiversity.
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Dos and Don'ts of Pet Boarding »
Just like the planning that went into your vacation, there is planning needed before boarding your pet. Here are some dos and don'ts to help make the process a little easier.
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Little Lake Pet Lodge is a great place for your pet to stay and you certainly don't need to worry about them while you are away. The staff are wonde…
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From Business: Radio Systems Corporation, based in Knoxville, Tenn., is a private company that provides pet management solutions. It offers a wide range of pet care products, incl…
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People.com Halloween Party
Trick-or-Treat! Hollywood Suits Up for Halloween
See how Jimmy & Mindy, Melissa McCarthy, the Affleck family and more are getting into the spooky spirit of the season
Credit: AKM-GSI
Updated: Friday Nov 01, 2013 | 02:00 PM EDT By: Kate Hogan, Nancy Mattia & Eloise Parker
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NWT Kiton Napoli Cashmere Sports Coat
Posted 2/7/14 at 1:28pm by woundcaremd (+8)
FS or FT: NWT $6750 Kiton Napoli 100% cashmere, 2 button sports coat for Wilkes Bashford's 2013-2014 season. EU52L -- Gorgeous rust brown color base with a charcoal check pattern. Fully nylon...
|For Sale or Trade
Bumped: 9/15/15
Views: 1609
Replies: 1
NWT Ralph Lauren Purple Label Sweater
Posted 7/20/14 at 2:04pm by woundcaremd (+8)
NWT Ralph Lauren Purple Label Equestrian sweater. Beautiful solid black 73% cotton & 27% silk, half zip front with leather zipper pull with embossed logo, ribbed cuffs, polo horse & rider logo...
|For Sale
Views: 300
Replies: 1
Kiton Cashmere Sweater
Posted 7/20/14 at 1:29pm by woundcaremd (+8)
$1250 Kiton V-neck sweater; gently worn solid navy sweater that features pick stitching throughout the garment, banded collar, cuffs and waist for a perfect tailored fit. Kiton's amazing quality...
|For Sale
Views: 501
Replies: 1
NWT Yves Saint Laurent V-Neck Sweater
Posted 3/23/14 at 10:42am by woundcaremd (+8)
NWT $1095 Yves Saint Laurent V-Neck sweater - Made in Italy, size large. Gorgeous burgundy color that features banded collar, cuffs and waist for a perfect fit, and stretchy cashmere material,...
|For Sale
Bumped: 7/20/14
Views: 436
Replies: 0
NWT Ermenegildo Zegna 100% Cashmere Sport Coat 52L US 42L
Posted 8/30/13 at 9:32am by woundcaremd (+8)
NWT Ermenegildo Zegna 100% extremely soft solid black cashmere. Fit Mila (Milano cut) 2-button jacket has besom chest pocket; 2 front flap pockets; 4 interior pockets; unfinished cuffs buttons...
|For Sale
Bumped: 7/20/14
Views: 1283
Replies: 0
NWT Ralph Lauren Purple Label Cashmere Sweater
Posted 12/29/13 at 5:03pm by woundcaremd (+8)
NWT Ralph Lauren Purple Label 100% cashmere, made in Italy, size L sweater This exceptionally beautiful cashmere Ralph Lauren Purple Label sweater is a classic solid black v-neck that features a...
|For Sale
Bumped: 7/20/14
Views: 968
Replies: 2
$3,850 Ermenegildo Zegna Duo Winter Coat
Posted 8/16/13 at 8:18am by woundcaremd (+8)
$3,850 Ermenegildo Zegna Blue Duo 3-Button Winter Over Coat. One of The Worlds Best in Men's Fashion. Hand Crafted Detail, and Timeless Styling. Absolutely Amazing, Beautiful Blueish Navy 3-Button...
|For Sale or Trade
Bumped: 7/14/14
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Replies: 5
NWT Ermenegildo Zenga Couture Sports Coat
Posted 5/8/14 at 12:29pm by woundcaremd (+8)
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|For Sale
Bumped: 7/14/14
Views: 349
Replies: 1
NWT Ermenegildo Zegna Element Jacket
Posted 5/26/12 at 1:32pm by woundcaremd (+8)
NWT $1995 Ermenegildo Zegna EU52 Element notched lapel, three-button, famous Zegna Element constructed from pure superfine wool combined with polymer nanotechnology. Many interior and exterior...
|For Sale
Bumped: 7/14/14
Views: 2400
Replies: 6
NWT Brunello Cucinelli Trench Coat
Posted 4/27/14 at 10:16am by woundcaremd (+8)
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|For Sale
Bumped: 7/14/14
Views: 406
Replies: 0
Brand New Santoni Sneakers
Posted 2/7/14 at 3:00pm by woundcaremd (+8)
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|For Sale
Bumped: 7/6/14
Views: 705
Replies: 0
Trader Reputation: (+8) Feedback 77% positive
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Articles tagged lynn freed
31 May 2009 // 9:59 PM
Is this worth reading? For lovers of what we might conveniently label "the Jane Eyre genre", yes.READ more
5 Apr 2009 // 9:59 PM
Award-winner writer Lynn Freed's delicious replies to PopMatters 20 Questions may have you wishing, like us, that she could be your dinner guest. Her new novel, The Servants' Quarters, publishes this month.READ more
//Mixed media
Wyclef Jean "Hendrix" (Singles Going Steady) // Music
Peter Bjorn and John "Breakin' Point" (Singles Going Steady) // Music
//Pm Picks
'Doom' Is Not a Title, It's a Name
// Moving Pixels
""Doom" is no longer a generic video game title. It's a name, a job description, and a promise.READ the article


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- Just Announced
Wednesday, 22 May 2013
NVIDIA Announces PhysX Support for Microsoft Xbox One
Hot on the heels of Microsoft's announcement regarding their next generation gaming console, the Xbox One, NVIDIA has announced that the product will support their popular NVIDIA PhysX and NVIDIA APEX software development kits.
Trendnet Announces AC1200 Dual Band Wireless Router Availability
Trendnet has just announced the availability of their next generation AC1200 dual band wireless router. The TEW-811DRU is designed to handle multiple HD streams in a connected home with multiple devices.
StarHub Music Anywhere is Available Now
StarHub today announced that its online music portal, Music Anywhere, is now open.
Tuesday, 21 May 2013
M1 to Improve 3G Indoor Mobile Coverage with Deployment of Small Cell Solution
M1 Limited (M1) today announced the appointment of Alcatel-Lucent to deploy a Small Cell (Femtocell) solution to further enhance its 3G radio coverage and capacity in indoor premises. It will be made available in Q3 2013.
Flickr Launches New Look with Bigger Photos and 1 Terabyte of Free Storage
Flickr has launched a redesign of the site together with a change of their existing subscription plans. The new look showcases your images with a minimum of white space, and comes with a free 1TB of storage. Subscription plans have also been changed, click through for the full details.
Monday, 20 May 2013
A Preview of Upcoming MSI G-Series Gaming Notebooks
Today, we were briefed on MSI's soon to be released G-Series gaming notebooks. The latest generation of gaming notebooks from MSI will feature the newest Haswell Intel processors and AMD APUs. Read on to find out what you can expect.
Sony Introduces 10,000mAh Portable Charger
Sony introduces a new high-capacity portable charger, the CP-F10L. This charger packs an impressive 10,000mAh charge in a slim and lightweight aluminum body. Read on for more details.
Samsung Unveils Galaxy Mega 6.3 and 5.8 (Update)
Samsung officially introduces two new smartphones, the Galaxy Mega 6.3 and 5.8 devices.
Friday, 17 May 2013
Canon Announces 200-400mm f/4L Telephoto Lens with Built-in 1.4x Extender
Canon is announcing an EF 200-400mm f/4L IS USM lens with a built-in 1.4x extender, by flicking a lever the lens converts to a 280-560mm f/5.6 lens. The EF200-400MM F4L IS USM Extender 1.4X lens will be available end May, with a recommended retail price of S$16,599.
Shure Introduces Flagship Quad-driver SE846 In-ear Monitors
The high-end Shure SE846 adopts a four-driver design and a three-way configuration. Via an innovative low-pass filter, Shure claims that the SE846 is able to achieve the low-end performance of a true subwoofer.


text:
Home > > MLS > Chivas Usa > Squad > Profile: Victor Estupinan
Victor Estupinan Chivas Usa
Profile of the footballer Victor Estupinan, who currently plays as a at Chivas Usa. The -year old player Estupinan joined Chivas from and wears the number shirt.
Victor Estupinan Career
Victor Estupinan Photos
Victor Estupinan : Chivas Usa News
Victor Estupinan Career Honours
Source: wikipedia.org
Victor Estupinan Wiki, Stats & Links
Michy Batshuayi set for Chelsea medical before �33m move from Marseille
England in disarray as quest for next manager begins after bizarre campaign
Gareth Southgate set for interim job but Wenger in England frame long-term
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Fulham�s teenage striker Moussa Demb�l� signs four-year deal with Celtic
Iceland cast their Euro 2016 spell with grand deeds and small egos


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RED ALERT: How to beat your skin misery
- More people than ever suffer from rosacea, acne and eczema
- One in ten Brits suffer form Rosacea
- 12 per cent of women suffer from adult acne
- Celebrities such as Cameron Diaz and Katy Perry have to disguise their breakouts on the red carpet
More Britons than ever suffer from long-term skin conditions – the most common being acne, rosacea, eczema and seborrheic dermatitis, and sometimes all four at the same time.
While not life-threatening in themselves, the psychological damage can be underestimated. Last week, it was reported that Vicky Norfolk, 31, took her own life after developing rosacea – a vascular condition that causes facial flushing and spots.
Yet many doctors still view these as minor complaints, which can make getting suitable treatment a challenge. Acne, commonly associated with teenagers, is on the rise among adults – 12 per cent of women and three per cent of men over 25 have the condition.
Actress Cameron Diaz, 39, has learned how to best manage her outbreaks of adult acne, right
Celebrity sufferers include Hollywood actress Cameron Diaz, 39, Victoria Beckham, 38, and Katy Perry, 27, who skilfully disguise the outbreaks.
But in most cases, there are effective ways to manage if not cure symptoms. Here, Dr Nick Lowe, director of the Cranley Clinic for Dermatology in London, Dr Adam Friedmann, a consultant dermatologist at The Whittington Hospital, North London, and cosmetic dermatologist Dr Samantha Bunting, who runs a clinic on Harley Street, explain the best options available.
Acne occurs when glands in the skin produce too much of an oily substance called sebum.
This blocks hair follicles, encouraging bacteria to grow, leading to infection.
TREATMENT: DermaSweep.
HOW IT WORKS: DermaSweep microdermabrasion scrubs the skin with a brush while sucking up dead skin cells.
A treatment, such as salicylic acid that helps to increase skin cell turnover, can be applied simultaneously, ensuring it penetrates deep into the dermis.
Suction and pressure of brushes should be adjusted according to individual needs and more force is applied with each treatment.
DRAWBACKS: Must be tailored to individual needs and is not suitable for those with very inflamed acne.
COST: £185 per session (four to six sessions needed), drnicklowe.com.
TREATMENT Differin.
HOW IT WORKS: Gel or cream contains a form of Vitamin A called adapalene.
'Adapalene reduces the growth of surface skin cells that can block pores and helps unblock pores and sebaceous glands,' says Dr Lowe.
'This reduces the formation of blackheads and spots.'
DRAWBACKS: Increases skin's sensitivity to sunlight. Very drying, so moisturisers must be used.
COST: On NHS prescription; and on private prescription from £15.
TREATMENT: Cetaphil Moisturizing Lotion.
HOW IT WORKS: 'This contains very few ingredients, which means it's less likely to cause a reaction than other moisturisers,' says Dr Bunting.
'Many people who suffer with acne think they do not need a moisturiser but often their skin is dehydrated and a non-pore-blocking one such as this is ideal.'
DRAWBACKS: May not be emollient enough for those with severe eczema.
COST: £7.85 (236ml), pharmacy2u.co.uk.
Cetaphil and Aveeno Bath Powder are both recommended treatments for Eczema
The chronic condition of atopic eczema causes the skin to become itchy, red, dry and cracked. The exact cause is unknown but it usually occurs in allergy sufferers.
Most develop the condition in childhood although in more than half of cases, it clears up by 11 years old, and in 65 per cent by 16.
Most sufferers are mildly affected but some have cracked, bleeding skin, prone to infection.
TREATMENT: Aveeno Bath Powder.
HOW IT WORKS: 'It is really important to keep the skin moisturised in eczema patients and the main constituent of this cleanser is colloidal oatmeal, which helps maintain the skin's natural barrier and pH levels,' says Dr Lowe.
'Oat proteins leave a protective barrier on the skin, which helps keep skin moisturised, too.'
DRAWBACKS: The smell of colloidal oatmeal can be offputting for some patients.
COST: 10x50g sachets, £10.25, chemistdirect.co.uk.
Sunlight Therapy is available on the NHS and helps boost Vitamin D levels
TREATMENT: Sunlight Therapy.
HOW IT WORKS: 'This can be very helpful for those with severe eczema,' says Dr Friedmann. A recent study suggests Vitamin D may play a role. Vitamin D is linked to the production of a peptide or skin protein called cathelicidin, a substance that protects skin from viruses, bacteria and fungi.
DRAWBACKS: Overexposure to sun can cause skin cancer.
COST: Available on NHS; from £1,398 for a six-week private course, clearskin.uk.com
TREATMENT: Eumovate cream.
HOW IT WORKS: 'This contains clobetasone butyrate, a type of topical steroid,' says Dr Bunting.
'It helps to break the itch-scratch cycle and should be used with an emollient [moisturiser] to help calm the inflamed patches of skin.
I refer to this kind of cream as a "bad day" cream – you should use it only when really necessary and under medical supervision.'
DRAWBACKS: Only apply to the face if GP or dermatologist advises – because it thins the skin and may cause hypersensitivity.
COST: 15g, £6.39, boots.com.
A form of eczema, caused by an overgrowth or sensitivity to a yeast called malessizia, seborrheic dermatitis is a common condition.
It causes flaky, white scales and affects the head, particularly eyebrows, ears, scalp and chest.
Those who suffer with eczema during childhood are more likely to develop it.
TREATMENT: Protopic.
HOW IT WORKS: 'Also known as tacrolimus, this ointment is a topical immunomodulator that helps to suppress inflammation,' says Dr Friedmann. 'It behaves like a steroid but with none of the potential side effects such as thinning of the skin.'
DRAWBACKS: It can sting slightly. Use with a broad-spectrum sunscreen because it makes the skin more vulnerable to UV light.
COST: £26.50 on private prescription.
TREATMENT: Nizoral shampoo.
HOW IT WORKS: 'This contains ketoconazole, which is anti-fungal,' says Dr Friedmann.
'For those who suffer with the condition on their face, I advise they let the suds drip from the scalp onto the affected areas on the face and leave for two minutes.'
DRAWBACKS: Can dry hair out so use with conditioner.
'Do not be tempted to use coal tar shampoos as an alternative,' says Dr Lowe, 'as they contain carcinogenic chemicals which are banned in the United States.'
COST: 60ml, £4.39, chemistdirect.co.uk.
TREATMENT: Elidel.
HOW IT WORKS: 'The active ingredient in this is pimecrolimus, a type of medicine known as a skin-selective inflammatory cytokine inhibitor,' says Dr Bunting.
'Put simply, this means that it helps reduce inflammation.'
DRAWBACKS: Works by suppressing the immune system and there is a concern that long-term use may increase the risk of certain types of cancer.
Patients should avoid strong UV light as the medication can react, damaging the skin. Not to be used during pregnancy.
COST: On private prescription from £25.
Affects one in ten Britons, causing flushing and, in serious cases, facial swelling. It may begin as a tendency to flush but can develop into long-lasting redness and spots.
The exact cause is unknown but triggers may include genetics, blood-vessel abnormalities, bacteria and a mite that usually lives harmlessly on the skin.
TREATMENT: Rozex Cream.
HOW IT WORKS: 'This contains the active ingredient metronidazole, which is an antibiotic,' says Dr Friedmann.
DRAWBACKS: Not yet tested on pregnant women so those planning pregnancy should avoid it. The only topical treatment known to be safe during pregnancy is erythromycin gel.
COST: On NHS prescription; from £5.90 on private prescription.
TREATMENT: Intense Pulsed Light (IPL).
HOW IT WORKS: Red-thread veins soak up light energy from IPL, encouraging the body to reabsorb veins thus eliminating them. IPL also stimulates new collagen and strengthens small blood vessels.
DRAWBACKS: 'This is useful for those with broken capillaries but it must be administered by a qualified physician,' says Dr Bunting. 'Too high a burst of energy can cause permanent skin discolouration.'
COST: From £190 a session (five sessions needed), the-dermatology-centre.co.uk.
Intense Pulsed Light, or IPL, is used to treat Rosacea as well as Roaccutane, available on prescription
TREATMENT: Roaccutane.
HOW IT WORKS: 'This drug contains isotretoinin, a form of Vitamin A, and was originally developed for acne but it can be used in low doses for rosacea, too,' says Dr Friedmann.
'There is a lot of scaremongering surrounding Roaccutane but under a dermatologist's supervision you should have no problems, although it is usual to experience some form of eczema when you use it.'
DRAWBACKS: A last resort for sufferers and it must be used under strict medical guidance. Skin becomes extremely dry and side effects include depression and temporary hair loss.
COST: On NHS and private prescription from £25.50.
by Dr Ellie Cannon
As a GP, I take the skin conditions covered here very seriously. I have seen first-hand the devastating effects even a moderately severe skin condition can have on a person's self-esteem and mental health: having a visible long-term health problem is a huge emotional burden.
Problematic skin can influence every aspect of a person's life – from what clothes to wear to life-changing decisions related to relationships and careers.
But the impact of skin problems is becoming increasingly recognised by the NHS: London's Royal Free Hospital's psoriasis team now includes a psychologist as well as dermatologists. This holistic approach represents a shift in understanding of the often distressing condition.
Anyone suffering with skin troubles should see their GP first. Many of the treatments mentioned can be prescribed by a GP. Counselling or psychology may also be provided through the practice.
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text:
|Publication number
|Publication type
|Application number
|Publication date
|Dec 27, 1988
|Filing date
|Aug 11, 1987
|Priority date
|Aug 11, 1987
|Fee status
|Publication number
|Richard E. Hannah, Christine C. Stow
|Original Assignee
|Arbutus Society For Children
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (10), Referenced by (22), Classifications (16), Legal Events (4)
|External Links: USPTO, USPTO Assignment, Espacenet
This invention relates to orthopaedic devices but more particularly to a modular orthopaedic insert for use with wheelchairs.
Correct seating and positioning is essential in order to improve the independent lifestyle of those persons who must spend considerable periods of time in a wheelchair. Correct seating and accordingly better posture, has the potential of providing the user with improved physiological function, better interaction with the environment, increased ability to communicate, reduced rate of decline, and obviously greater comfort over long periods of seating time. This has the potential in turn to reduce long-term medical costs by maintaining and in some cases restoring independence to the user.
Customized seating systems adapted to meet the user's particular need have been limited in availability to the potential user due to high equipment cost and service and delivery considerations. These included the requirement for highly skilled seating personnel with shop areas able to customize the seat to a user as well as the likely necessity to modify the user's wheelchair.
There is therefore a requirement for a seating system adapted to eliminate or reduce the need for highly specialized and skilled personnel, which has a lower cost and which can make correct seating and positioning available to a much wider spectrum and number of users.
It is therefore an object of the present invention to eliminate problems associated with prior art seating systems by providing a new wheelchair insert seating system which is versatile, practical, durable and yet relatively inexpensive.
Yet another object of the present invention is to provide a wheelchair insert seating system which can be easily customized to an individual's requirements and which is readily adjustable to meet the changing needs of the individual.
Yet another object of the present invention is to provide a modular orthopaedic insert for wheelchairs which include a backrest, a seat base, movable thoracic supports and a seat cushion.
The modular orthopaedic insert of the present invention is designed to fit standard and recliner manual styles plus most powered wheelchairs. The insert can be fitted with little or no modification to the wheelchair. This allows easy transport of the insert and quick removal from the wheelchair, which must be folded for vehicle transportation. The seat base and back are detachable because of the use of the current hinge design which allows customization of the insert according to the requirements of a user. For example, seats of varying widths and depths can be fitted to a standard backrest. Similarly, wider and narrower as well as longer and shorter backrests can be fitted to a standard seat base. The system is versatile and readily adjustable without the use of special tools and requires a minimum of seating and/or mechanical skills to fit the system to the user and/or to the wheelchair of the user.
Accordingly, the present invention provides a modular orthopaedic insert for wheelchairs, comprising:
a backrest
a seat base;
hinge means for removably mounting said backrest to said seat base;
adjustable thoracic support means, detachably mounted to said backrest;
securing means for mounting said thoracic support means to said backrest and adapted to permit said support means to be moved vertically and horizontally relative a vertical plane defined by said backrest; and
a cushion for mounting on said base.
Particular embodiments of the invention will be understood in conjunction with the accompanying drawings in which:
FIG. 1 is an isometric view of the seat insert of the present invention;
FIG. 2 is an exploded view of the main components of the seat insert;
FIG. 3 is an isometric and partially exploded view of the headrest and adjustment system of the present invention; and
FIG. 4 is a sectional view taken along lines 4--4 of FIG. 3.
Referring now to FIG. 1, we have shown at reference numeral 10 the modular orthopaedic insert of the present invention. The insert is comprised of a backrest 11 hingedly mounted to a seat base 12. Secured to backrest 11 is a pair of adjustable thoracic supports 13 and 14 able to provide a necessary postural support to a user. The wedge shaped cushion 15 downwardly sloping towards the backrest, is mounted onto seat base 12.
A headrest assembly is secured to backrest 11. The headrest assembly is comprised of a headrest 18 and a support system 19 which incorporates up to four separate planes of adjustment as will be described below. Seat base 12 can be fitted with either a wedge shaped or flat cushion. The wedge shaped cushion 15 increases the support by preventing the user from sliding forward off the chair.
Referring now to FIG. 2, we have shown a partially exploded view of the basic components of the orthopaedic seat inserts. Backrest 11 has a generally flat main body 20 with a pair of lateral sides 21 and 22 extending therefrom. Backrest 11 can be made material easy to mold such ABS plastic. On the inner side of backrest 11 is provided a series of dual lock™ fastening strips 23, 24 and 25. Dual-lock™ fasteners are industrial grade hook and loop fasteners. These allow a user to select and secure the precise positioning of strips 23, 24 and 25. Dual-lock™ fasteners are industrial grade hook and loop fasteners. These allow a user to select and secure the precise positioning of thoracic supports 13 and 14 according to the individual's particular requirement.
Thoracic supports 13 and 14 are made of thin sheets of ABS plastic and include a flat section 27 and 28 respectively adapted to receive Dual-lock™ fastening strips corresponding to fastening strips 23, 24 and 25. Each thoracic support has a generally curved configuration provided by raised sides 29 and 30. Raised sides 29 and 30 extend partially from the bottom of the support to a point near the top. The thoracic supports are made comfortable with foam padded upholstered pads. A lumbar pad or pads can accommodate various spinal problems when placed between the thoracic supports and upholstered pads.
Backrest 11 is secured to seat base 12 by means interlinking tubular sections 31 and 32. These are secured and aligned together by means of a tubular member 33 inserted therein. At the front end of seat base 12, cushion 15 can be secured to seat base 12, if desired, using hinge 16. Hinge 16 comprises interlinking tubular sections 34 attached to seat base 12 and a corresponding set of interlinking tubular sections on cushion 15. Cushion 15 can be secured to seat base 12 by aligning the interlinking tubular sections and locking them into place using tubular member 35. Interlinking tubular sections 34 at the front end of seat base 12 and a corresponding tubular member 35. These interlinking tubular sections or more commonly called piano type hinges can also be made of ABS plastic.
Referring now to FIG. 3 we have shown a partially exploded view of the headrest support system 19 of the present invention. This support allows a headrest to be adjusted in four separate planes. For example, the headrest can be adjusted upwardly and downwardly relative backrest 11 as depicted by arrows A, sideways from one side of the backrest to another as depicted by arrows B, forward and backward relative to backrest 11 as depicted by arrows C and rotated about an axis defined by a plane lying parallel to backrest 11 as depicted by arrows D.
The headrest support system 19 is basically comprised a first pair of rods 40 and 40' positioned adjacent and parallel each other and having straight sections 41, 41', 42 and 42' extending along each side of backrest 11. First and second straight sections 41, 41', 42 and 42' extend upwardly to an angled set of sections 43, 43', 44 and 44', respectively, which extend rearwardly to a third set of straight sections 45 and 45' perpendicular to the first and second section and extending therebetween. The angled sections allow the headrest to be positioned rearwardly of backrest 11 and thereby allow a greater range of support for the patients head. The first and second straight sections 41, 41', 42 and 42' respectively are adjustably secured to backrest 11 by means of a set of disc shaped connecting members 46 and 47 respectively. These connecting members allow support rods 40 and 40' to be moved upwardly and downwardly relative to backrest 11.
Each disc shaped connecting member is comprised of a pair of discs each formed with a pair of circular channels 48 and 49 on the internal face of the disc adapted to lie adjacent a channel formed face of an adjacent disc. Each disc in a pair of discs are secured together by means of threaded fasteners 50, 50', 51 and 51'.
The headrest support rod 52 is adjustably mounted to rod section 45 and 45' of support rod 40 and 40' by means of a similar disc shaped connecting member shown generally at reference numeral 53. Connecting member 53 allows the adjustment of the headrest along the planes defined by arrows B and C.
Referring now to FIG. 4, we have shown a sectional view of connecting member 53.
The connecting member is comprised of a first connecting plate 54 with an integral tubular sleeve 55 adapted to receive headrest support rod 52. Connecting plate 54 is securely mounted to a pair of discs 56 and 57, each provided with circular channels formed on the internal face of the disc and adapted to receive the third straight sections 45 and 45' of the support assembly. Connecting plate 54 is secured to discs 55 and 56 by means of threaded fasteners 58 and 58'. Tubular channel 55 is provided with a cavity adapted to receive the end of a threaded stud 59 having an hexagonal head 60 to allow rotation of stud 59 by means of adjustment knob 61. A threaded nut 62 is centrally located between discs 56 and 57 in an hexagonal shaped recess such as shown at reference numeral 63 in FIG. 3.
Adjustment of the headrest assembly can be achieved by tightening fasteners 58 and 58' and adjustment knob 61. For example, adjustments in the plane depicted by arrows C can be made by untightening knob 61 to allow the rod 52 to be moved through the assembly. Rod 52 with attached headrest 18 (FIG. 1) can be removed completely from the assembly if desired.
Similarly, adjustment of the headrest assembly in the plane defined by arrows B can be made by untightening fasteners 58 and 58'. Compressive tension between the upper and lower discs is decreased thereby allowing movement of the assembly along rods 45 and 45'.
In order to adjust the headrest in the plane defined by arrows D, discs 46 and 47 are loosened thereby allowing each individual rod to be moved to the required position: i.e. a first rod 45 moved upwardly and a second rod 45' moved downwardly thereby pivoting rod 52 and a headrest downwardly. In addition, discs 46 and 47 allow the headrest assembly to be adjusted upwardly and downwardly along the plane defined by arrows A.
|Cited Patent
|Filing date
|Publication date
|Aug 20, 1885
|Jun 29, 1886
|Geobge e
|Jan 9, 1951
|Dec 11, 1951
|Joseph C Barrett
|Body supporting seat
|Dec 19, 1958
|Dec 26, 1961
|Otto Merle F
|Adjustable and removable head, neck, seat and back rest combined
|Jul 13, 1964
|Oct 18, 1966
|Bostrom Corp
|Jun 20, 1968
|Nov 24, 1970
|Ambrose Henry
|Back supports
|Dec 9, 1971
|May 1, 1973
|Avco Corp
|Head or back support for wheelchair
|Aug 25, 1978
|Nov 18, 1980
|Flamm Jonathan A
|Modular articulating seating system for the handicapped
|Oct 14, 1980
|Dec 7, 1982
|Accu-Back, Inc.
|Portable folding orthopedic seat
|Oct 30, 1980
|Dec 28, 1982
|Coach & Car Equipment Corporation
|Seat with back cushion attachment
|Oct 8, 1982
|Mar 5, 1985
|Nepsco, Inc.
|Portable seat and back rest
|Citing Patent
|Filing date
|Publication date
|Jul 2, 1991
|May 25, 1993
|Bostrom John M
|Seat construction
|Jun 17, 1991
|Jul 13, 1993
|Matsushita Electric Industrial Co., Ltd.
|Voice transducer
|May 19, 1992
|May 24, 1994
|Bostrom John M
|Seat construction having a mechanism for storing a tank
|Feb 10, 1994
|Aug 15, 1995
|Fisher-Price, Inc.
|Adjustable seat back for a stroller
|Feb 12, 1996
|Dec 24, 1996
|Liu; Yang-Ting
|Adjustable headrest
|Feb 14, 1995
|Jun 10, 1997
|Gillette Children's Hospital
|Adjustable seating system
|May 1, 1997
|Nov 3, 1998
|Hasbro, Inc.
|Support insert for a highchair
|Feb 10, 1997
|Jan 12, 1999
|Mccord Winn Textron Inc.
|Power adjustable side bolster
|Jul 31, 2001
|Nov 26, 2002
|Aprica Kassai Kabushikikaisha
|Child seat with movable side head guards
|Oct 15, 2002
|May 10, 2005
|Mattel, Inc.
|Adjustable child support structure
|Nov 4, 2002
|Jun 28, 2005
|Mattel, Inc.
|Adjustable support structure and method of using the same
|Jul 31, 2012
|Afshin Aminian
|Dynamic orthopaedic chair
|Apr 27, 2010
|Nov 19, 2013
|Ec Service Inc.
|Systems and methods for providing a self deflating cushion
|May 21, 2012
|Jan 14, 2014
|Todd Kaiser
|Portable variable-position headboard apparatus
|Oct 15, 2002
|Apr 15, 2004
|Rhein John F
|Adjustable child support structure
|Nov 4, 2002
|May 6, 2004
|Asbach Ronald M
|Adjustable support structure and method of using the same
|Dec 1, 2003
|Jun 2, 2005
|Holcomb Malin E.
|Adjustable seat back for a wheelchair
|May 9, 2003
|Mar 23, 2006
|Takako Fukuda
|Vehicle seat
|Apr 13, 2010
|Oct 14, 2010
|Afshin Aminian
|Dynamic orthopaedic chair
|Sep 18, 1998
|Mar 31, 1999
|Sunrise Medical HHG Inc.
|Wheelchair seat back pelvic support system
|May 28, 1999
|Dec 1, 1999
|Kugle A/S
|Fittings and chair for use with such fittings
|Jun 5, 1996
|Dec 12, 1996
|Otto Bock Orthop�dische Industrie Besitz- und Verwaltungs-Kommanditgesellschaft
|Orthotic seating system
|U.S. Classification
|International Classification
|Cooperative Classification
|European Classification
|Oct 13, 1987
Owner name: ARBUTUS SOCIETY FOR CHILDREN, 2400 ARBUTUS ROAD, V
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNORS:HANNAH, RICHARD E.;STOW, CHRISTINE C.;REEL/FRAME:004769/0477
Effective date: 19870915
Owner name: ARBUTUS SOCIETY FOR CHILDREN,CANADA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:HANNAH, RICHARD E.;STOW, CHRISTINE C.;REEL/FRAME:004769/0477
Effective date: 19870915
|Jul 28, 1992
|Maintenance fee reminder mailed
|Dec 27, 1992
|Lapse for failure to pay maintenance fees
|Mar 9, 1993
|Expired due to failure to pay maintenance fee
Effective date: 19921227