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KNOWING ROSACEA Rosacea is a disorder of the blood vessels. It is a common skin disorder. Approximately 48 percent of the world population suffers from Rosacea. However, Rosacea is one of the most misunderstood states of the skin. FAMOUS PERSONS SUFFERING FROM ROSACEA If you are having Rosacea, you are then in the august company of eminent persons. A few of the noted personalities suffering from Rosacea are JP Morgan, WC Fields, Cameron Diaz, Bill Clinton, Prince Harry of England, besides the late princess of Wales and mother of Prince Harry – Diana. ROSACEA SYMPTOMS The common symptom of rosacea is transformation of the skin color into red. The body portions most affected by rosacea are the cheeks, nose and forehead. At times, such redness and flushing of skin can also spread to the ears, scalp, chest or the neck. As Rosacea progresses, the reddish tinge can turn into a permanent condition. There can also be a marked visibility of the small blood vessels particularly at the skin surface, stinging or burning skin sensation, eyes turning gritty and reddish, and pus-filled or simple bumps that appear red. Among these severe symptoms are bulbous noses. The maiden rosacea symptoms are nagging redness which is often wrongly attributed to cleansing, exercising or temperature changes. SIMILAR SKIN DISORDERS Many confuse rosacea with seborrheic dermatitis or/and acne vulgaris. Mentionably, rosacea can co-exist with acne vulgaris and seborrheic dermatitis. THE ROSACEA VULNERABLE SECTION It has been generally noticed that the people with fair skin are the most vulnerable section with reference to rosacea. Therefore, rosacea does have a hereditary strain. Those having a descent from the Celtic or the fair-skinned European stocks are genetically inclined to suffer from rosacea. Notably, both the sexes can fall prey to rosacea. People of all ages can be affected by rosacea. It has also been noticed that people in the age group of 30-50 are easily affected by rosacea. Nonetheless, women in their middle ages are the most vulnerable section of the populace. The reason is, of course, menopause-abetted hot flushes. However, rosacea symptoms are more severe with reference to men. CAUSES OF ROSACEA There is no unanimity among the medical researchers as to the exact rosacea pathogenesis. Nonetheless, there is a concurrence in views insofar as to the cause of rosacea. Rosacea occurs when stimuli repeatedly dilate the blood vessels, and as a result of which the blood vessels get damaged. The damaged blood vessels dilate rather easily. Besides they either remain permanently dilated or stay dilated for a considerably long time. The consequence is redness of the affected portion and its flushing. ROSACEA PAPULES OR INFLAMMATORY PUSTULES The papule or inflammatory pustule can be I the form of a boil, or a pimple, or an eruption for that matter. In rosacea (papulopustular), the mediators (inflammatory ones) as well as immune cells ooze out from the skin bed that is basically micro-vascular by nature. This, in turn, leads to the inflammatory pustule or papule. OTHER CAUSES OF ROSACEA Various conditions can also lead to rosacea. One thing is for sure: strenuous movements cause blushing and flushing. A few of the situations where such flushing or blushing can be formed are as follows: Stress, cold weather, acute sunburn, and extreme heat exposure especially from the sun. Rosacea can also be caused by sudden changes in temperatures while traveling, or in heated rooms especially in winter. FOODS CAN ALSO CAUSE ROSACEA Certain food items that contain very high quantity of histamine have been identified as responsible for the eruption of rosacea symptoms in many people. Similarly, spicy food besides alcoholic substances can definitely trigger off rosacea. MEDICATIONS TOO CAN LEAD TO ROSACEA Several topical irritants and medications may at times cause rosacea. Take for example several drugs people take to hide wrinkles or to deal with acnes. Among these chemicals those particularly responsible for causing rosacea are tretinoin, benzoyl peroxide, isotretinoin, microdermabrasion, and certain chemical peels. Obviously, one should immediately stop the use of any such irritants the moment any rosacea symptoms appear. INDUCED (STEROID) ROSACEA The term ‘steroid induced rosacea’ points to such rosacea symptoms that are caused by steroids, particularly nasal and topical. Notably, these types of steroids are generally prescribed for patients suffering from seborrheic dermatitis. First aid: In such circumstances, immediately consult the physician. Moreover, one should begin the medication discontinuing process over a period of time. Decrease the dosages slowly. Else there may be a flare up of the rosacea symptoms. MITES & BACTERIA CAN CAUSE ROSACEA AS WELL A considerable number of rosacea people have been found to possess the species of mites known as demodex. This is more so the case with those people who have rosacea from steroids. Mentionably, the presence of a large number of these demodex mites can only cause rosacea. But, they cannot by themselves cause the rosacea condition. The demodex mites will have tom act in conjunction with other factors to be able to trigger off the rosacea states. Bacteria, especially the intestinal bacteria, can cause rosacea. These intestinal bacteria reside in our digestive highways. This is a neurological dysfunction. Such rosacea conditions can erupt after the intestinal bacteria activate the plasma kakllikrein-kinin system. THE KAKLLIKREIN-KININ SYSTEM The kakllikrein-kinin system or the kinin-kallikrein system or just the kinin system is a not well delineated structure of blood proteins. The blood proteins have a major role to play in causing pain, coagulation, control of blood pressure and inflammation. Mentionably, the major mediators of the kinin system are bradykinin and kallidin. Both of them act on different cell types. Both are vasodilators DIFFERENT FORMS OF ROSACEA Researchers have identified four forms of rosacea. Each of these subtypes can have its typical symptoms. More importantly, one person can have more then one of the subtypes at the same time. THE ROSACEA SUBTYPES The four rosacea subtypes are Ocular rosacea, Phymatous rosacea, Papulopustular rosacea and Erythematotelangiectatic rosacea. OCULAR ROSACEA Ocular rosacea mainly affects the eyes. The Ocular rosacea symptoms are burning and itching besides sensations as if there are foreign bodies within the eyes. When anyone is affected by ocular rosacea, the eyes and the eyelids turn dry and red. Irritation of the eyes and the eyelids is also very common. PHYMATOUS ROSACEA Phymatous rosacea affects the nose, ears, cheeks, forehead, chin and the eyes. Phymatous rosacea is also linked with the nose enlargement dysfunction called rhinophyma. Another disorder closely connected with phymatous rosacea is the visibility of small blood vessels near the skin surface. Other symptoms of phymatous rosacea are appearance of irregular surfaces on the skin and which may be also accompanied by nodularities. The skin can get thick as well. PAPULOPUSTULAR ROSACEA Many confuse Papulopustular rosacea with acne. However, Papulopustular rosacea remain reddish while acne do not. The common Papulopustular rosacea symptoms are papules (red bumps) filled with pus. Such bumps are called pustules. Papulopustular rosacea papules with or without pustules generally dissolve within five days. People having Papulopustular rosacea usually have permanent redness of their skin. This state is described medically as erythema. Another symptom of Papulopustular rosacea is they tend to flush or blush quite easily. Moreover, the patient can also have burning or itching sensations. ERYTHEMATOTELANGIECTATIC ROSACEA Erythematotelangiectatic rosacea causes the small blood vessels to appear rather prominently near the surface of the skin. This typical state is known as telangiectasias. TREATING ROASAEA There are various treatments for rosacea people. The strategies vary depending on the acuteness and the rosacea subtype that a particular person may be suffering from. Hence, there can be different treatments for different persons suffering from the rosacea symptoms. Hence, the dermatologists opt for the sub-type-directed method to diagnose, analyze and treat rosacea. LASER TREATMENT Laser treatment in dermatology is variously known as Broad spectrum (Intense Pulsed Light), or Single wavelength (Vascular laser). Laser treatment is one of the most popular treatment methods of rosacea. In laser treatment, light is made to infiltrate the epidermis. The light hits the skin’s dermis layer. It targets the dermis capillaries. The oxy-haemoglobin gets heated up after it absorbs the light. The process heats up the capillary walls till 70 degree centigrade. This heat destroys the capillary walls. The damaged walls are then absorbed by the body via its defence mechanism. CO2 LASER TREATMENT Focused thin beams of CO2 laser are manipulated to defocus or cut (as scalpels) the tissues. Then these tissues are vaporized. CO2 lasers are used to get rid of the excessive tissues formed by phymatous rosacea. In this method, our skin directly absorbs the CO2 lasers wavelength. SIMPLE STEPS TO TACKLE ROSACEA (i) Gentle skin cleansing regime Always deal with the skin gently and lovingly. Go for only those cleansers that are non-irritating. (ii) Shielding skin from sun Never venture out in the sun-bated beach sans protection shields. Regularly use sunscreens. Choose such a sunscreen that consists of a physical blocker agent. Such active blockers are titanium dioxide or zinc oxide. (iii) Trigger avoidance It is important to maintain a diary of the foods and the climatic or other factors that generally lead to rosacea. In fact, The National Rosacea Society promotes this habit. This approach also goes a long way in identification and reduction of the triggers. Moreover, trigger avoidance is ideal to control the onset frequency of rosacea. But, all alone it cannot check rosacea. Nonetheless, the mild rosacea attacks can be effectively checked if a patient avoids the factors that triggered off the rosacea symptoms. One can get flushing after consuming red wine or food items having high quantities of histamine. Then, go for antihistamines. Some common antihistamines are loratadine or cetirizine. (iv) Eyelid hygiene Eyelid hygiene is especially recommended for persons complaining of eyelid infections. Practice eyelid hygiene frequently. Here are some easy eyelid hygiene steps. Gently scrub the eyelids daily; You can use baby shampoo in a diluted form; Or, you can also opt for any across-the-counter eyelid cleaner. Apply the cleaner in warm compresses. But, mind you, never should it be hot. Carry on the practice several times in a day. MEDICATIONS (ii) Topical & Oral Antibiotics To get instant relief from the rash, redness, inflammation, pustules and papules, you can go for topical and oral antibiotics. An effective topical antibiotic is metronidazole. Similarly, ideal oral antibiotics are the tetracycline antibiotics. Some examples of tetracycline antibiotics are minocycline, doxycycline, and tetracycline. The oral antibiotics are rather effective in treating ocular rosacea symptoms. Isotretinoin is generally given to patients who complain of persistent pustules or papules. However, there are several side effects of isotretinoin. Therefore, isotretinoin is prescribed only in acute situations. It is also given to treat acute acne. Nevertheless, for patients suffering from phymatous and papulopustular rosacea, low dosages of isotretinoin have been delivering the goods. BETA BLOCKERS OR α-2 AGONIST The commonly used α-2 agonist is clonidine. It is helpful to deal with blushing and flushing. But it has side effects. One can feel drowsy or/and one’s blood pressure may also plummet. So, to neutralize this effect, one can use monoxidine as an alternative. Monoxidine has lesser side effects. But many do not find it as effective as clonidine. Propanolol is an ideal beta blocker. It is akin to α-2 agonists. And, it has been found to be effective in dealing with recurrent social blushing rather than the general rosacea flushing. 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A phobia is defined as an irrational fear. There are hundreds of them. Arachnophobia – fear of spiders Arachibutyrophobia – fear of peanut butter sticking to the roof of the mouth Caligynephobia – fear of beautiful women Hippopotomonstrosesquippeddaliophobia – fear of long words Ithyphallophobia – fear of seeing an erect penis Placophobia – fear of tombstones Trichopathophobia – fear of hair Triskadekaphobia – fear of the number thirteen Xerophobia – fear of dryness Zemmiphobia – fear of the great mole rat …to pick out just a handful of mostly little known phobias. Phobias keep you safe. That's an odd claim to make. Anyone who suffers from a phobia of something they can't avoid knows how disabling phobias are. And experiencing a terror of an object or circumstance that others don't have any problem with is likely to make life uncomfortable at the very least. But let's have a look at this whole phobia issue. Snakes, spiders, and needles are very common phobias. Even chimpanzees suffer from snake phobia. It keeps them safe. Snakes can be lethal. But chimpanzees even go ape at a piece of hosepipe that looks like a snake lying on the ground. So being frightened of snakes makes more sense than not being frightened of snakes. Spiders too can be poisonous, so it makes sense to give them a wide berth too. Needles hurt so why not want to avoid having someone stick one in you and either suck blood out, or pump something in. Fear of the dark. Well you can't see if there's any danger in the dark and in the dark danger (bear, wolf, lion, hyena, plague infested rat) has a better chance of getting up close to you. So it makes sense to want to keep a light on (have a fire burning) all night. So you can see already that some phobias might have origins in our evolutionary past. And panicking or screaming or generally making a fuss would be of benefit to the whole tribal group alerting them of danger in much the way that one or two individuals in a flock or a herd will give an alarm call when they spot a predator on the prowl. The only problem is that with a phobia, the reaction has gotten a little out of hand. The scale of it has gone beyond what is necessary, that's all. But then there are the agoraphobics and social phobics. Phobias like these actually make a person's world very small and very frightening. But if you feel uncertain of yourself and have low self-esteem then the phobia provides a legitimate reason to avoid being out and having to interact with others. So the phobia, uncomfortable though it is, actually has some benefits. The problem is, benefits or not, that when you are confronted with the thing that terrifies you, when you have to go on holiday and spend several hours trapped in an aeroplane convinced you are going to die, and then spend a fortnight looking forward to the terror of the return, you experience a very real Hell. Whatever the phobia is, when it happens, all sense goes out of the window and life becomes something that you'd readily give up rather than face that thing that frightens you. This is a serious problem. Anything that debilitating, anything that has that much power to destroy the rational intelligence of a healthy mind is something to be treated with respect and with all seriousness. So what's the difference between a phobia and a fear. I've handled snakes and enjoyed it, they are amazing creatures. But hand me a cobra and I'd back away with some trepidation. I don't have a problem with harmless spiders crawling on me, but I'd be seriously panicked if a black widow was crawling up my arm. This is a normal healthy, sensible reaction. Panicking because you are told there is a snake in a bag in the next room isn't. Panicking because you bring an image of a spider into your mind is abnormal. A phobia fills your mind and there is nothing there but a desire to be away from the source of the phobia. Thinking about the object of the phobia brings on symptoms almost identical to their actual physical presence. Often when phobias are treated the sufferer is asked to score the severity on a scale of 1 to 10, where ten is the highest level of terror they can imagine and 1 is feeling just ever so slightly uncomfortable. If the score isn't 8 or above, then there is a strong likelihood that there is no phobia. That doesn't mean there isn't a problem, but it does mean the treatment could be different. Most people can handle fears up to level 7, above that it takes over the mind completely. But it is all in the mind. That's why a phobia is one of the easiest problems for a hypnotherapist to fix. I'll tell you quickly one of the 'tricks' we use to scramble up a phobic image. It's generally known as the five-minute phobia cure. Let's say arachnophobia, a fear of spiders, is the problem. The sufferer is asked to picture a spider in their mind and then put a funny hat on it, say a clown's hat with a big bobble on the top. Then you could put bright yellow Wellington boots on each of its eight legs, and maybe give it a big red nose. And you play around with the image until you see a smile or a laugh. It's just a question of finding the right elements that trigger a humorous response. You can't laugh and be frightened simultaneously. What this does is interfere with the thought pathways that lead to a fear response when an image of a spider is encountered (imagined or real), so the neurons that used to fire so readily on presentation of that image can't do so, or can't do so without other neurons also firing that lead to a relaxation response. The more scrambled and the more humorous you can make the image, the more powerful the 'cure'. truth about penis enlarement top penis enlargment pills blood erection vimax penis pills penis elargement system buy penile enlargement pills safe pnis enlargement vigrx for men pennis enlargement before and after home penis enlargement
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Maureen Dowd was on Imus the other morning plugging her new book, “Are Men Necessary”; a book I plan to buy so I can get some slightly demented insight into the mind of a troubled woman. During the interview, Imus and his sidekick Charles challenged Ms. Dowd about a female perception she had just suggested that all heterosexual men froth at the mouth at the mere mention of a trip to a strip club or the possibility of a cat fight or the chance two women might lock in lesbian love making. Imus proclaimed that he, even amidst the weakness of lowly cocaine induced comas and vodka fed stupors, never stepped inside a topless joint. Charles nodded his head in brotherhood like the bobble-head doll he is sometimes. Their point being, not all men are beasts; that some have evolved above such shameful sexual servitude. A couple of things. First, Imus and Charles are probably lying through their coffee stained teeth about visiting strip clubs. Second, I have frequented such establishments years ago. I eventually concluded that go-go bars are places where prematurely balding, man-boobed, middle aged business men hire enterprising young shapely women, forming a convenient unholy alliance of distrust to tap into the cash cow created when injured fragile male egos are deceived by alcohol induced sexual fantasy. All the females need to do is squirm provocatively while whispering real sweet nothings into customers’ hair filled ears. And if carried out correctly, the dollars shoot out of the slobbering stooges like ATMs in gleeful male orgasm. Make no mistake about it; the dancer is always in control of the patron. And when she is not, she moves on to the next penis clad cash machine. The only cost to her is to turnover some obscene percentage of the take to her sleazy male boss. It’s a business after all, and business is still a male dominated endeavor. Third, if one has ever listened to Imus for more than an hour, one knows he and his cronies takes delight in sexually stereotyping and demeaning women. This idea that Charles and he are better than that is all part of the act. For instance, a few minutes further into the same interview, Imus commented on the “balls” it took for Maureen Dowd to write a particular op-ed piece about Judith Miller—a remark that she quickly and graciously accepted with a simple and sweet, “thank you”. Although I haven’t checked, I’m going to go out on a limb and say that Ms. Dowd does not have testicles. So why was she so quick to acknowledge and accept what I’m guessing she felt was a compliment? I’m pretty sure that bravery, fearlessness, strength, and conviction—all nice attributes to have when kept in check by common sense—are not gender assigned. And I’m positive they are not a function of male genitalia. I’m equally convinced that reluctance, fearfulness, and weakness do not require one to have a vagina. It’s one thing, a very feeble thing at that, for Imus and his crew or even Jon Stewart and Al Franken for that matter—all professed non-chauvinists—to use male-centric language in an “equal opportunity” way; misguided into believing that somehow they are treating women and men equally. It is another thing though for Maureen Dowd to acknowledge and welcome her inclusion into the club. She could have simply said, “Imus are you suggesting that I have to be a man to be tough?” I am sure if asked Maureen Dowd would say without hesitation that she is a feminist or at least a proponent of feminist beliefs. Why then did she let Imus off the hook and indulge in the myth? Like many things about feminists, I don’t get it. They can be their own worst enemy from time to time—just like Democrats when they run a national campaign. Here is another example of something I don’t get. Why do some corporate feminists find short tight skirts, plunging necklines and push-up bras to be the business suit of choice? I suppose they might argue, just as strippers might, that they are simply using their power over men to get what they want. And on some level I understand that argument: play into the male need to be the sexual alpha dog as long as the targeted objective is personal gain. This attitude however strikes me as feeding the very stereotyping and sexism women want to end, which leads me into a short discussion of another dilemma I have with feminism. Within the last few years, I have been introduced to the forefront of feminist thought. Well not introduced exactly, more like pummeled. Here is what I have learned. I have something called. “white male privilege”. Essentially, whether I consciously or subconsciously acknowledge that privilege, it doesn’t matter. I have it and I need to “own it”. I’m pretty sure that means I have to fess up to it and wear it like a scarlet letter (although a white penis will do just fine). Believe me! I understand the importance of the concept. The dried blood tracking from my ears is proof positive of the difficulties and hard work it took me to reach that understanding. But that’s as far as the feminists have taken me. I’m afraid to tell them but it’s like a false crescendo. It can’t be the end of the symphony. Okay, so I “own” white male privilege. What next? There must be more. Am I supposed to give it up someday? Is it like owning an unregistered gun? Will there be a turn-in-your-white-male-privilege amnesty day? I’d be more than happy to if I just knew when, where and to whom? Or come to think of it, maybe not. What takes its place? Or worse, who gets it next? Gee, maybe I should take advantage of it more consciously while I still have it. Anyway, in the meantime, as I meander aimlessly, I’m going to refrain from saying stuff like, “Hey that Barbara Boxer, she sure has some pouch of brass nuggets on her.” I will also try to be more cognizant of this privilege I have and renounce it at every turn. It’s all I can do until I get further instructions. You know, I can’t help but think if reincarnation happens, I might want to come back as an earthworm. They have both the male and female sex organs. When they mate they impregnate each other. Everything is “even up”. And the result is that they are a pretty happy bunch. You don’t hear about earthworms having male/female issues. Okay so they have other issues—fish hooks being a big one. But quite frankly, I’m not sure that is any worse; sometimes I think it is a whole lot better.