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188 result(s) for "Wolff, Isabel"
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A vintage affair : a novel
Therese Bell, an elderly Frenchwoman, has an impressive clothing collection. But among the array of smart suits and couture gowns, London dressmaker Phoebe finds a child's sky-blue coat--an item with which Bell is stubbornly reluctant to part. As the two women become friends, Phoebe will learn the tale of that little blue coat. And she will discover an astonishing connection between herself and Therese Bell--one that will help her heal the pain of her own past and allow her to love again.
Rosacea fulminans: An anti‐inflammatory‐based therapeutic approach
Background The treatment of rosacea fulminans still poses a significant challenge in daily clinical practice. The pronounced centrofacial inflammation accompanied by severe pustulation, pain and high psychological stress, mostly affecting young women, requires an appropriate fast‐acting treatment regimen. A major difficulty here is that if isotretinoin is recommended for therapy, sufficiently reliable contraception is absolutely necessary and not always given. So far, alternative therapies have not been extensively studied. Objectives Our goal is to show the efficacy of a treatment regimen with macrolide antibiotics (azithromycin) without the need for initial systemic isotretinoin or corticosteroids. Methods We present six female patients in our outpatient clinic treated with a combination of azithromycin and topical ivermectin reaching rapid inflammation control. Subsequently, maintenance with ultra‐low dose isotretinoin was initiated in 66% of cases. The patients were monitored for a median follow‐up time of 15.5 months [1–51 months]. Results We can show rapid improvement of inflammation under antibiotic‐treatment with azithromycin (500 mg 3x weekly for 4 weeks, 2x weekly for 4 weeks, 1x weekly 4 weeks) followed by ultra‐low dose isotretinoin maintenance treatment with minimal side effects. Topical ivermectin was administered additionally. Conclusions Macrolides, in particular azithromycin, pose an alternative treatment method when retinoids are contraindicated extending the treatment regimen of rosacea fulminans. They are a fast‐acting and safe alternative to retinoids without the need for initial contraception. The antibiotic‐based approach is particularly suited to the control of inflammation. The treatment of rosacea fulminans remains a major challenge in daily clinical practice, especially in the absence of contraception. We present a treatment option that utilises the anti‐inflammatory properties of azathioprine. We were able to show a rapid reduction in inflammation and therefore papules and pustules. Azithromycin is an effective option for the treatment of rosacea fulminans both immediately and in the case of pregnancy, without the need for initial steroids and, more importantly, retinoids.
Bordered Writers
Winner of the 2021 Advancement of Knowledge Award presented by the Conference on College Composition and Communication Bordered Writers explores how writing program administrators and faculty at Hispanic-Serving Institutions (HSIs) are transforming the teaching of writing to be more inclusive and foster Latinx student success. Like its 2007 predecessor, Teaching Writing with Latino/a Students , this collection contributes to ongoing conversations in writing studies about multicultural pedagogy and curriculum, linguistic diversity, and supporting students of color, while focusing further attention on the specific experiences and strategies of students and faculty at HSIs. Although members of Latinx communities comprise the largest underrepresented minority group in the nation, the needs and strengths of Latinx writers in college classrooms are seldom addressed. Bordered Writers thus helps to fill a critical gap, giving voice to past and present Latinx scholars, rhetoricians, and students, both in academic essays and in personal testimonios , in four pivotal areas: developmental English and bridge programs, first-year writing, professional and technical writing, and writing centers and mentored writing. Across contributions, the collection strives to connect all bordered writers and educators, making higher education today not only stronger but also more representative of the nation's population.
Vile bodies
Nikki Hughes, a 23-year-old, killed herself last week by self-starvation. Her death was the end of an eight-year battle with anorexia nervosa. The only way a life-saving intravenous drip could have been administered without her consent was to have declared her insane under the Mental Health Act. The doctors were forced to respect her wish to die.
Two can be company, but three?
Couples desperate for children try fertility treatment. What they don't bargain for is multiple births. There are 250 sets of triplets born in the UK each year, three times as many as ten years ago. The demands on the mother are enormous, physically, emotionally and financially.
It's my wake and I can do what I want
Attitudes to death and burial are changing in Britain. People are taking control of funeral arrangements themselves. Many people approve of advance planning. Information about DIY funerals can be obtained from the Natural Death Centre, London.
Perchance to stay awake
In the USA, sleep disorders are taken seriously. Increasing numbers of Americans are swapping psychiatrists for somnologists. In Britain, insomnia is treated as of marginal interest. Research shows that sleeplessness tends to increase with age. A number of suggestions for improving sleep are offered.
My face was like Frankenstein's
The artists I'd interviewed had all stressed that if they were to alter the angle at the corners of their sitter's eyes or mouth by even a fraction of a millimetre, they would completely change that person's expression. [...] as part of my research, I was myself sitting for a portrait.
Home, miserable home
A survey has revealed that staying at home is bad for women; women who give up work to bring up their families have much higher levels of stress, anxiety and depression than those who remain employed. They are also more prone to influenza and insomnia.