Psykiske lidelser og problematferd hos voksne med utviklingshemning. Psykiske lidelser og problematferd hos voksne med utviklingshemning konseptuelle og empiriske sammenhenger Hvorfor er temaet aktuelt Problematferd den mest vanlige henvisningsgrunnen til spesialisthelsetjenesten Stor andel har mer alvorlig utviklingshemning Vanlige problemstillinger: er problematferd tegn på psykisk lidelse? Kan miljøterapeutisk behandling av problematferd være kontraindisert? Psykisk utviklingshemning IQ under 6. Symptomer Pa Affektive Lidelser Hos Voksne KvinderReduserte adaptive ferdigheter Fire grader: lett, moderat, alvorlig og dyp Problematferd Psykiske lidelser er psykologiske eller atferdsmessige mønstre som opptrer hos en person, som antas å skape umiddelbar plage, nedsatt funksjon eller signifikant større risiko for lidelse, smerte, død, svekkelse eller viktig tap av utfoldelse som ikke er forventet som en del av en normal utvikling eller kultur. DSM- IV- TR) Problematferd er kulturelt unormal atferd, som har en slik intensitet eller varighet at den fysiske sikkerheten til personen eller andre personer kan bli satt i fare, eller atferd som kan medføre begrensninger eller utestengning fra bruk av ordinære offentlige tjenester. Emerson, 1. 99. 5) 2. Typer av psykisk lidelse Depresjon Nedtrykt, nedsatt lyst eller interesse, nedsatt energi eller økt trøttbarhet nedsatt selvtillitt eller selvfølelse, selvbebreidelse eller skyldfølelse, tanker om selvmord eller død, tanke- eller konsentrasjonsbesvær, agitasjon eller hemning, søvnforstyrrelse, appetit- eller vektendring Angst frykt for menneskemengder, offentlige steder, ferdes alene ute, ferdes utenfor hjemmet frykt for å bli kritisert eller få oppmerksomhet av andre eller for å oppføre seg pinlig - eller unngåelse av slike situasjoner panikkanfall som er plutselig innsettende, ikke knyttet til spesifikek situasjoner, opptrer uforutsigbart All angst følges av autonome reaksjoner: hjertebank, svetting, skjelving, munntørrhet, uro i mage, kvalme, tungpusten, frykt for å dø, hetetokter elelr kuldegysninger, rødming osv Søvnforstyrrelse utilfredsstillende kvantitet og kvalitet av søvnen gjennom flere netter slik som innsovningsvansker, avbrutt søvn og tidlig oppvåkning, overdreven søvnbehov eller søvnanfall, søvnrytmeforstyrrelse Demens Svekket hukommelse eller andre kognitive funksjoner som påvirker fungering i hverdagen, svekkelse av emosjonell kontroll, motivasjon eller sosial atferd som inkluderer emosjonell labilitet, irritabilitet, apati, forgrovet sosial atferd ++++ Typer problematferd: DC- LD Verbal aggresjon kjefter, truer, banner. Fysisk aggresjon slår, sparker, kaster. Destruktiv Ødelegger objekter som møbler, leker, klær. Selvskadende atferd dunker hode, biter, gnir hud. Seksuelle avvik onanerer på offentlige plasser, gnir kjønnsorgan mot personalet, ber om seksuell kontakt upassende, tar på, kjæler eller kysser en annen på en måte som er uønsket eller er krenkende Opposisjonell atferd trasse regler og oppfordringer personen er i stand til å følge, protesterer på å flytte seg eller bevege seg når dette er nødvendig, nekter å delta på sosiale tilstelninger uten god grunn Krevende/masende atferd oppmerksomshetskrevende, avbryter andre, ber om hjelp unødig, klenger. Vagabondering rømmer, streifer, forsvinner plutselig uten å si ifra. Diagnostiske krav: DC- LD Problematferden har en betydelig hyppighet, alvorlighetsgrad eller er kronisk på en slik måte at det kreves utredning og spesielle tiltak/oppfølging Atferden fører til en betydelig negativ innvirkning på personens eller andres livskvalitet. Dette kan være begrensninger i livsstil, sosiale muligheter, uavhengighet, integrering i samfunnet, tilgang på eller valg av tjenester eller tilpasningsevne Atferden innebærer en betydelig risiko for en selv eller andre sin helse eller sikkerhet Atferden er gjennomgripende og vanskelig å forandre Er tilstede i flere og ulike situasjoner, men kan ha varierende intensitet Forekommer ved minimal eller ingen provokasjon fra andre Har forekommet jevnlig, daglig eller ukentlig de siste 6 måneder (avhengig av type) Psykisk lidelse årsak til problematferd? Problematferd er atypiske manifestasjoner av psykiske lidelser Problematferd er atypiske symptomer på psykiske lidelser Psykiske lidelser kan skape betingelser for problematferd 4. Atypisk manifestasjon Enkelte typer selvskading kan være tvangslidelse (Bodfish mfl, 1. SSRI- preparater kan redusere tvangslidelse hos personer uten utviklingshemning og selvskading hos personer med utviklingshemning (Aman mfl, 1. Syklisk problematferd kan være stemningslidelse (Emerson, 1. Enighet om at aggressivitet og selvskading ikke er tilstrekkelig for å stille psykiatriske diagnoser Mer vanlig å betrakte problematferd som atypisk symptom som opptrer ved siden av kjernesymptomer på psykiske lidelser. Atypisk symptom Eldre studier av problematferd som atypiske symptomer eller atferdsekvivalenter til ulike typer psykiske lidelser. Disse studiene har blitt særlig kritisert for to forhold: bruk av atferdsekvivalenter lett for å føre til såkalte tautologisk rasjonale. Prevalensen av bipolar I- og II-sykdom er 3 – 5 % hos voksne. Foreldre til barn med bipolare lidelser beskriver symptomer hos. Affektive lidelser. Ifølge National Alliance of Mental Illness, mer enn to millioner amerikanske voksne lider av schizofreni. Schizofreni er en psykisk lidelse preget av. Psykiske lidelser. Ved andre psykiske lidelser, for eksempel nervøse lidelser, ses symptomer, som i lettere grad findes hos alle mennesker. Affektive tilstande. Det vil si, at personer som ikke skal ha en diagnose likevel får det. Det er blant annet pekt på at bruk av atferdsekvivalenter har ført til overrapportering av depresjon hos personer med mer alvorlig utviklingshemning (Mc. Brien, 2. 00. 3). I senere år er det gjennomført flere kryss- seksjonale studer som ser på sammenhengen mellom ulike typer psykiske lidelser og problematferd. I disse studiene har man forsøker å måle problematferd og psykiske lidelser uavhengig av hverandre. Problematferd ett av flere symptomer på psykisk lidelse Moss et al. Det vil si at det var flere som hadde depresjon og mer alvorlig problematferd samtidig enn de som bare hadde depresjon. Det ble ikke funnet sammenheng mellom problematferd og angst eller psykose. Det ble heller ikke funnet sammenheng mellom selvskading og affektive lidelser. Holden (2. 00. 3) replikerte Moss sin studie og fant at både angst og psykose forekom hyppigere hos personer med problematferd enn hos personer uten. I motsetning til Moss fant ikke Holden noen sammenheng mellom affektive lidelser og tilstedeværelse av problematferd. Rojahn et al. (2. Hemming et al (2. Skriking (screaming) og destruktiv atferd var assosiert med autismerelaterte sosiale forstyrrelse. Vurderes psykiske lidelser på basis av problematferd? ![]() PAS- ADD sjekkliste for psykiske lidelser inkluderer blant annet: Rastløshet og vandring, ikke i stand til å sitte stille - repeterende selvskadende atferd Irritabilitet eller hissig temperament - aggressiv atferd Mistenksomhet, lite tillitsfull, oppfører seg som om noen prøver å skade dem - aggressiv atferd Plutselig og intens frykt eller panikk som er utløst av situasjoner eller ting - aggressiv atferd Tap av appetitt og interesse for mat alvorlig matavvisning Unngår sosial kontakt - flukt- motivert aggresiv atferd eller selvskading osv 6. DC- LD: diagnostisk hierarki Akse I: grad av utviklingshemning Akse II: årsak til utviklingshemning Akse III: psykiske lidelser Nivå a: autismespekterforstyrrelse Nivå b: Psykisk lidelser Nivå c: Personlighetsforstyrrelse Nivå d: problematferd Nivå e: annet medisinsk/psykososialt Faktoranalyse av screeninginstrumenter faktoranalyse av skåringer på screeningsinstrumenter for kartlegging av psykiske lidelser og problematferd ser hvordan slike symptomer grupperer seg i forhold til hverandre. Matson et al. (1. Einfeld og Aman (1. De benyttet imidlertid instrumenter som senere har vist seg å kun gi generell informasjon om psykiske plager. Validiteten av funnene er derfor noe usikre. Funn i en undersøkelse om komorbide lidelser hos voksne skal ha vist en forekomst av ADHD. Affektive lidelser synes å forekomme. (symptomer) og GAF-F. Depression hos børn og unge har de samme kerne- og ledsagesymptomer som hos voksne. under affektive lidelser. med symptomer på øget selvmordsfare hos. Faktorstrukturen i screeninginstrumentet P- AID. Ulike typer problematferd har mer tilfelles med hverandre enn de har med de ulike typer psykiske lidelser. Ulike angstlidelser har mer tilfelles med hverandre enn med problematferd og andre psykiske lidelser. Lidelsene demens, psykose, depresjon og mani har mer tilfelles med hverandre enn med angst lidelser og problematferd. Overlapp mellom forekomst av problematferd og psykiske lidelser 1 1 Psykiske lidelser Problematferd 3 - Utviklingshemning 3 Forekomst av psykiskhelse- relaterte vansker: DC- LD 4. Forekomst av psykiske lidelser med og uten problematferd Forekomst av typer psykisk lidelse 9. SIB Forekomst av typer problematferd 1. Fysisk aggresjon Verbal aggresjon opposisjonell Destrukti seksuell Vagabond krevende Eksempler på kontekstuelle forhold som kan utløse problematferd Imperative psykoser ordre om å skade andre Vrangforestillinger om trusler angriper for å beskytte Depresjon krav om sosial deltagelse gir problematferd Mani krav om å redusere aktivitetsnivået gir problematferd Fobi Krav om å bli i fryktet situasjon gir problematferd Tvangshandlinger Krav om ikke å gjennomføre tvangshandlingen gir problematferd Osv. Intervensjonsstudier Hvis problematferd er atypisk symptom på psykisk lidelse vil den forsvinne når den psykiske lidelsen behandles Perry mfl (2. Men, svak metode Hassiotis (AJP) nov 2. Behandling av problematferd med atferdsanalytisk behandling gav ikke signifikant reduksjon av psykiske lidelser Kan problematferd føre til psykiske lidelser? Problematferd kan være stigmatiserende Kan være atferd som starter utvikling av psykisk lidelse? Fokus på problematferd viktig i forebyggende helsearbeid? Assosierte faktorer Være kvinne Ikke ha hørselsvansker Ha Downs syndrom Røyke Negative livshendelser Hyppig kontakt med fastlege Ikke ha immobilitet Synsvansker Ikke ha epilepsi Langtids sykehusopphold Høy alder Kvalitet på tjenester Tidligere psykiatrisk historie Stor variasjon mellom studier. Livshendelser sterkt funn. Psykiske plager hos voksne hørselshemmede. Elena Hauge, psykolog, UNN, Hørsel og psykisk helse. Korleis artar depresjonen seg for meg. Kva er depresjon Åpne førelesningar 2 febuar 2. Laila Horpestad og Agathe Svela Depresjon, hva er det Depresjon hos voksne En depresjon er ikke det samme som å. Detaljer. Psykiske sykdommer i eldre år Håkon Holvik Torgunrud Overlege Alderspsykiatrisk enhet, SSHF, Arendal September 2. Psykiatri det er fa li det!! Depresjon Angst Rus Psykose Forvirring Føle seg nedfor Ikke. Detaljer. Depresjon hos eldre Guro Hanevold Bjørkløf Spesialist gerontopsykologi Utredningsenhet for alderspsykiatri Sykehuset Buskerud Utbredelse Forekomst av depresjon blant personer over 6. Detaljer. IKKE ALLE SÅR ER SYNLIGE PSYKISKE LIDELSER Vi antar at om lag 7. Det er også høy risiko hvis barna blir utstøtt fra vennegruppen, er sosialt. Detaljer. Depresjon og angst hos personer med demens Elena Selvåg 2. Demens og depresjon - Alvorlig depresjon kan føre til utvikling av kognitiv svikt, i noen tilfeller alvorlig (pseudodemens) - Depresjon og demens. Detaljer. PSYKISKE LIDELSER HOS ELDRE. EN OVERSIKT OG SPESIELLE TREKK Line Tegner Stelander, overlege, spesialist i psykiatri, alderspsykiatrisk avdeling, UNN. ALDERSPSYKIATRISK AVDELING, UNN Alderspsykiatrisk Døgnbehandling. Hvilke samtidige lidelser ser man ved ADHD? Hos voksne med ADHD ser man især: misbrug (af alkohol. Mange af disse symptomer på mani ses også ved ADHD. Affektive lidelser Fysioterapeuter Forår 2011. moderat, svær, med og uden psykotiske symptomer) l F33. Information om Depression hos voksne. Nogle gange afspejler symptomer hos spædbørn de. som led i de affektive. forstyrrelser kan være atypiske hos unge i forhold til hos voksne. Symptomer opptrer særlig i nære personlige forhold. affektive lidelser. Klassifisert under Personlighets- og atferdsforstyrrelser hos voksne (F60-F69). Symptomer Pa Affektive Lidelser Hos Voksne TranslationDetaljer. Vurderingskompetanse i psykisk helsearbeid Skap Gode Dager 1. Liv Elisabeth Havnerås fagrådgiver Virksomhet for Psykiske Helsetjenester Begrepsavklaring 1 Psykisk helse: En tilstand av velvære. Detaljer. Pernille Hegre Sørensen Alderspsykiatrisk poliklinikk SUS Hva skal jeg si noe om? Hva er angst? Utredning Behandling Hva er angst? Generelt: Bekymring for at noe skal skje Daglig begrep Situasjonsbetinget. Detaljer. Når livet blekner om depresjonens dynamikk Problem eller mulighet? Symptom eller sykdom? En sykdom eller flere? Kjente med depresjon Det livløse landskap Inge Lønning det mest karakteristiske kjennetegn. Detaljer. Psykisk helse Mitt innlegg Hvordan få psykologhjelp? Hva er psykisk helse? Bevare god psykisk helse De vanligste psykiske lidelsene Lærerens rolle i forhold til deltageres psykiske helse Psykisk helse. Detaljer. Angst og depresjon Tor K Larsen professor dr med Regionalt senter for klinisk psykoseforskning Su. S/Ui. B plan hva er symptomene på angst & depresjon? Detaljer. Hvordan identifisere angst og depresjon hos barn og unge? Einar Heiervang Spesialist i barne- og ungdomspsykiatri Forsker dr. RBUP Vest Oppgaveteksten Fant lite forskning på oppdagelse i skolen Barn. Detaljer. Psykiatri for helsefag. Page 5 Monday, March 2, 2. PM Innhold Innledning grunnlaget for en kunnskapsbasert psykiatri.. Hva er psykiatri?............................ Detaljer. Depresjon BOKMÅL Depression Depresjon Hva er depresjon? Alle vil fra tid til annen føle seg triste og ensomme. Vi sørger når vi mister noen vi er glade i. Livet går opp og ned og slike følelser er naturlige. Detaljer. Behandling av tvangslidelse / OCD hos barn og unge i Østfold Madeleine von Harten psykolog, spesialist i klinisk barn- og ungdomspsykologi BUPP Fredrikstad Nasjonal implementering av behandling for OCD. Detaljer. Psykiske lidelser hos eldre mer enn demens Eivind Aakhus, spes i psykiatri Sykehuset Innlandet Nasjonalt kunnskapssenter for helsetjenesten Hamar 1. Alderspsykiatriens tre D er (og en app) Depresjon. Detaljer. Prioriteringsveileder - Psykisk helsevern for voksne Publisert Feb 2. Apr 1. 2, 2. 01. 5 Fagspesifikk innledning - psykisk helsevern for voksne Fagspesifikk innledning - psykisk helsevern for. Detaljer. Sorg ved selvmord - sorg er ikke en sykdom ved Henning Herrestad koordinator for sorgtjenesten i Fransiskushjelpen i Oslo Hva er sorg? Sorg er reaksjoner på betydningsfulle tapsopplevelser: Lengsel etter. Detaljer. Angst BOKMÅL Anxiety Angst Flere typer angst Angst er et naturlig og nødvendig signal om fare. Den gjør at kroppen og sinnet ditt raskt forbereder seg på en utfordring eller en trussel. Den naturlige angsten. Detaljer. Hva er demens - kjennetegn v/fagkonsulent og ergoterapeut Laila Helland 2. ICD- 1. 0 diagnostiske kriterier for demens I 1. Svekkelse av hukommelsen, især for nye data 2. Svekkelse av andre kognitive funksjoner. Detaljer. Figur side 3. Psykiske problemer Fysiske plager/ sykdom Psykiske problemer og fysiske plager eller sykdom henger sammen. Figur side 3. 23 Fysisk aktivitet Fysisk virkning Velvære, avspennning Forebygger/reduserer. Detaljer. Ivaretagelse av psykisk helse i sykehjem og hjemmet Nettverkskonferanse for kommunehelsetjenesten 2. Ellen Bjøralt Spesialsykepleier Alderspsykiatrisk avdeling, SI Psykisk helse: Angst Depresjon Demens. Detaljer. Innhold Introduksjon av Dag Willy Tallaksen.. Forord.. 1. 8 DEL 1 FORSTÅELSE OG HOLDNING.. Kapittel 1 Frisk eller syk.. Psykisk lidelse.. Kulturuttrykk og myter.. Psykiatrisk forståelse. Detaljer. INSTRUMENT FOR KARTLEGGING AV SYMPTOMER PÅ DEPRESJON (KLINISK VURDERING) (IDS- C) NAVN: DATO: Vennligst slå en sirkel rundt det utsagnet som best beskriver pasienten gjennom foregående uke. Innsovningsproblemer. Detaljer. Alkohol og psykisk uhelse Svein Skjøtskift Overlege, Avd. Haukeland universitetssjukehus Avgrensning Problemet samtidig sykelighet er sett fra TSB Fokus på alkoholavhengighet, ikke skadelig. Detaljer. U N I V E R S I T E T E T I B E R G E N Det psykologiske fakultet HELSEPSYKOLOGI I MØTE MED DEN ELDRE PASIENTEN Nasjonal konferanse i klinisk helsepsykologi Norsk psykologforening, 5. Inger. Detaljer. Møte med mennesker som sliter med alvorlige psykiske lidelser Vergens rolle «En rolle er summen av de normer og forventninger som knytter seg til en bestemt stilling i samfunnet» Ivareta interessene til. Detaljer. Unge jenter spesielle problemer Mental helse hos kvinner Depresjoner, angst og andre tilstander. Et kjønnsperspektiv Johanne Sundby Mange unge jenter har depressive symptomer Selvusikkerhet knytta til. Detaljer. MADRS MONTGOMERY AND AASBERG DEPRESSION RATING SCALE MADRS Skåringsveiledning til MADRS (Montgomery and Åsberg Depression Rating Scale) MADRS er et godt instrument til å vurdere omfanget og intensiteten. Detaljer. Legeerklæring for adoptivsøker Ved søknad om adopsjon, skal legeerklæring følge som vedlegg til søknaden. Legeerklæringen skal dokumentere søkers fysiske og psykiske helsetilstand. Adoptivsøkere må ha. Detaljer. Sammen om mestring Tverrfaglig samarbeid Reidar Pettersen Vibeto Korus Sør 3 HOVEDFORLØP Hoved forløp 1; Milde og kortvarige problemer. Hovedforløp 1 Nyoppstått angst eller depresjon mild til moderat Selvskading. Detaljer. God psykisk helse: En tilstand av velvære der individet realiserer sine muligheter, kan håndtere livets normale stress, kan arbeide på en fruktbar og produktiv måte og har mulighet til å bidra for samfunnet. Detaljer. Tromsø, 0. Bente Ødegård 1. 5- 2. Detaljer. Regional seksjon psykiatri utviklingshemning/autisme Er psykofarmaka effektivt overfor utfordrende atferd PUA- seminaret 2. Psykiater Maria Engebretsen Holdninger/etikk Vanskelig område hvor. Detaljer. Hva er psykiske lidelser? Et atferdsanalytisk perspektiv Børge Holden Mål: Å komme fire myter til livs: At psykiske lidelser er noe annet enn atferd At de er konkrete sykdommer At psykiske lidelser forklarer. Detaljer. Depresjon hos unge Geilokurset Mandag 1. Kl 8 4. 5 til 0. 9 1. Jon Johnsen overlege dr. Klinikk for rus og psykiatri, Blakstad jon. Agenda Diagnostisere depresjoner Behandling. Detaljer. Q\PPELEN D,AMM AKADEMl SK Innhold DEL I FORSTÅELSE OG HOLDNING Kapittel 1 Frisk eller syk Psykisk lidelse Kulturuttrykk og myter Psykiatrisk forståelse og behandling endres med samfunnsutviklingen Hvordan. Detaljer. Kurs i mestring og forebygging av depresjon Andreas Rutlin, psykolog A- senteret Bakgrunn for kurset Kurspresentasjon Nettsidene Bakgrunn Utviklet av psykologene Cecilie Skule og Martin Ekelund i samarbeid. Detaljer. Pasienter med selvdestruktiv eller utagerende atferd hva gjør vi? Skandinavisk akuttmedisin 2. Ekeberg Akuttmedisinsk avdeling Oslo universitetssykehus Ullevål Aktuell atferd Selvdestruktiv. Detaljer. Innhold Forord 1. Kombinerte tiltak for samtidige lidelser 1. Redaktørens forord 1. Om forfatterne 1. Innledning: Kunnskapsbasert behandling av personer med ROP- lidelser 1. Beskrivelse av programmet: Kombinerte. Detaljer. Forekomsten av psykiske plager og lidelser i befolkningen - stabil eller i endring? Hva er psykiske plager og lidelser? Plager Ikke krav om å tilfredsstille bestemte diagnostiske kriterier Oppleves som. Detaljer. NORGES FIBROMYALGI FORBUND Fibromyalgi, hva er det? En orientering om fibromyalgi Utgitt av Norges Fibromyalgi Forbund Utarbeidet av Jorun Lægraid september 2. Revidert 2. 00. 8 HVA ER DET? Detaljer. hatt gjentatte er, er det økt risiko for nye øke. Søvnmangel og grubling kan forsterke ssymptomer. Dersom du lærer deg å bli oppmerksom på en forsterker seg selv. Spør deg også hva var det som utløste. Detaljer. APPENDIX I SPØRRESKJEMA FOR PASIENT August 2. Navn: Personnummer: Utdanning Universitet/høyskole Videregående skole Ungdomsskole Arbeid eller trygd I arbeid Sykmeldt Uføretrygdet Attføring Arbeidsledig. Detaljer. Velkommen til temasamlingen Med psyken på jobb om arbeid, psykisk helse og åpenhet Målet for samlingen: Er å øke forståelsen for hva psykiske helseproblemer innebærer Det blir lagt vekt på hva arbeidsplassen. Detaljer. Fatigue Karin Hammer Kreftkoordinator Gjøvik kommune 0. Hva er fatigue Det er beskrevet som det mest stressende og plagsomme symptomet som pasienten opplever Et av de mest vanlige og meste sammensatte. Detaljer. Prosjektet «Farlig trøst» Om langvarig, fast bruk av vanedannende legemidler hos eldre Nedtrapping endringer av symptomer, livskvalitet og relasjoner Svein Skjøtskift, Avd. HUS Bergen Totalt. Detaljer. Traumer og belastende hendelser reaksjoner, hukommelse og reaktivering Fagdag for intensivsykepleiere, 2. Ottar Bjerkeset Lege dr. HNT/ NTNU Tema Reaksjoner på stress Fysiologi, atferd. Detaljer. Hvordan oppdage angst og depresjon hos ungdom? RÅDGIVERFORUM BERGEN 2. Einar Heiervang, dr. Forsker I RBUP Vest Aller først hvorfor? Mange strever, men får ikke hjelp Hindre at de faller helt.
0 Comments
Sore Throat or Strep Throat? How to Tell the Difference. Your throat aches and burns. It's painful to swallow. You know something is wrong, but how bad is it? Will it get better without antibiotics? Or will you need to visit the doctor? This article is designed to help you find relief from your sore throat, and discover whether or not you likely have strep throat symptoms. You will find the telltale signs of strep throat and the common sore throat, as well as treatment options for both. What Is Strep Throat? Unlike the common sore throat, strep throat is caused by a bacterial infection. A Streptococcus bacteria (called "group A strep") infects the throat and the tonsils, and it will quickly respond to antibiotics. It's important to distinguish strep throat from sore throat because treatment for both is very different. What Is the Common Sore Throat? A sore throat can be quite painful, but it is not as painful as strep throat. Unlike strep throat, the common sore throat is usually caused by a virus. Common symptoms of strep throat in children and adults include: Severe and sudden sore throat without coughing, sneezing, or other coldlike symptoms, pain or. ![]()
This means it will not respond to antibiotics. Even if it's not strep throat, you may need to see a doctor for sore throat relief. · Sore throat consistently ranks in the top 10 reasons for ambulatory care visits. For more than 50 years, physicians have considered group A beta-hemolytic.It's time to see the doctor if your sore throatlasts longer than a week,keeps coming back,makes your voice hoarse for more than two weeks,causes dehydration, orworries you in some other way. Read along to find what symptoms distinguish a common sore throat from strep throat. · Many might think that social media is the exclusive domain of the younger generation. However, many of our older adults have enthusiastically adopted it to.Perceived Social Isolation and Cognition. Abstract. Social species, from Drosophila melanogaster to Homo sapiens, fare poorly when isolated. Homo sapiens, an irrepressibly meaning- making species, are, in normal circumstances, dramatically affected by perceived social isolation. Research indicates that perceived social isolation (i. These differences in attention and cognition impact emotions, decisions, behaviors, and interpersonal interactions that may contribute to the association between loneliness and cognitive decline and between loneliness and morbidity more generally. Introduction. The health, life, and genetic legacy of members of social species are threatened when they finds themselves on the social perimeter. Social isolation decreases lifespan in the fruit fly. Type 2 diabetes in mice. Humans, born to the longest period of abject dependency of any species and dependent on conspecifics across the lifespan to survive and prosper, do not fare well, either, whether they live solitary lives or they simply perceive they live in relative isolation (see Box 1). Box 1. Physiological and Health Effects. ![]() Although objective social isolation can affect loneliness,5. This is in part because loneliness is influenced by factors unrelated to objective isolation, including genetics,5. Accordingly, perceived social isolation predicts various outcomes above and beyond what is predicted by objective isolation. For instance, loneliness predicts elevated blood pressure. In studies of cognitive functioning, Wilson et al. Alzheimer's Disease (AD), whereas loneliness persisted in predicting each of these outcomes even when social network size and frequency of social activity were statistically held constant. Similarly, loneliness has been found to predict lifetime change in IQ1. · Social Isolation May Raise Death Risk for Elderly. Study found lack of social contact a bigger predictor of early death than just feeling alone. ![]() Experimental manipulation of loneliness. Perceived (but not objective) social isolation has even been associated with gene expression—specifically, the under- expression of genes bearing anti- inflammatory glucocorticoid response elements and over- expression of genes bearing response elements for pro- inflammatory NK- κB/Rel transcription factors [3. See Figure 1]. This finding is paralleled by decreased lymphocyte sensitivity to physiological regulation by the hypothalamic pituitary adrenocortical (HPA) axis in lonely individuals. HPA axis. 24, 6. 6, 6. WHO fact sheet on dementia providing key facts and information on signs and symptoms, rates, risk factors, social and economic impacts, human. · National newsmagazine committed to enhancing the entire social work profession by exploring its difficult issues, new challenges, and current successes. · While aging often presents physical challenges, mental health can also suffer. Social isolation is rampant among older adults who lose mobility, lack. · Social isolation in seniors is a risk factor for both health and mind. Look at the top ways to help senior loved ones avoid isolation. Elder abuse can be uncomfortable, but it's very important since it can have a significant impact on the quality of life for older adults. We, therefore, focus the current review on the association between perceived social isolation and cognition. Differential gene expression in individuals high versus low in loneliness. Genome- wide transcriptional profiles were assessed in peripheral blood leukocyte RNA samples collected from individuals in the top and bottom 1. Perceived social isolation, known more colloquially as loneliness, was characterized in early scientific investigations as “a chronic distress without redeeming features” (9, p. Recent research suggests that the social pain of loneliness evolved as a signal that one's connections to others are weakening and to motivate the repair and maintenance of the connections to others that are needed for our health and well being and for the survival of our genes (see Box 2; 1. Experimental, cross- sectional, and longitudinal studies are beginning to elucidate the various ways in which loneliness is related to, and in some cases affects, human information processing. Box 2. A Biological Signal to Renew the Connections Needed to Survive and Prosper. The species Homo sapiens is fundamentally social, and in ontogeny and phylogeny humans need others to survive and prosper. Physical pain is an aversive signal that evolved to motivate one to take action to minimize damage to one's body. Loneliness, a social pain, is an aversive signal that evolved to motivate one to take action that minimizes threats or damage to one's social body. Research on social rejection, for instance, suggests that social pain co- opted the physical pain to extend its protective function to include those with whom we form connections. In Eisenberger, Lieberman, and Williams. Results revealed neural activation localized in a dorsal portion of the anterior cingulate cortex (d. ACC) that is implicated in the affective component of the physical pain response. Eisenberger and her colleagues suggest that “Because of the adaptive value of mammalian social bonds, the social attachment system… may have piggybacked onto the physical pain system to promote survival” (p. Loneliness also appears to modulate the rudimentary reward system to extend its protective function to social cognition and emotion. The ventral striatum, a key component of the mesolimbic dopamine system, is rich in dopaminergic neurons and is critical in reward processing and learning. The ventral striatum is activated by primary rewards such as stimulant drugs. Evidence that social reward also activate the ventral striatum has begun to accumulate in studies of romantic love. Cacioppo and colleagues. As depicted in Figure 2, lonely individuals showed weaker activation of the ventral striatum to pleasant pictures of people than of equally pleasant pictures of objects, whereas nonlonely individuals showed stronger activation of the ventral striatum to pleasant pictures of people than of objects. Experience sampling studies confirm that lonely individuals regard pleasant interpersonal interactions to be less pleasant but less so than do nonlonely individuals. Cognitive Capacities. Human social processes were once thought to have been incidental to learning and cognition, whereas the social complexities and demands of primate species are now thought to have contributed to the evolution of the neocortex and various aspects of human cognition. Consistent with this reasoning, human toddlers and chimpanzees have similar cognitive skills for engaging the physical world but toddlers have more sophisticated cognitive skills than chimpanzees for engaging the social world. Evidence that social isolation might be related to fundamental aspects of cognition comes from animal research showing that isolation impairs learning that requires the inhibition of previously learned responses (e. AD1. 7. Gow and colleagues. Lothian Birth Cohort Study who were tested at age 1. Among the variables tested were loneliness, social support, and social network (e. After controlling for age- 1. IQ, gender, years of education, and social class, only loneliness was associated significantly with changes in IQ. Although loneliness is temporally stable and heritable. Gow and colleagues does not address the possibility that loneliness is a consequence rather than a predictor of cognitive decline. Two recent longitudinal studies do speak to this question. Tilvis and colleagues. Clinical Dementia Rating at baseline and at one, five and ten year assessments of a population- based sample of 7. Results at the 1. APOE4, elevated serum (ionized) calcium, and loneliness independently predicted cognitive decline. In a larger prospective study, Wilson et al. Participants completed an extensive battery of cognitive measures to assess global cognition, episodic memory, semantic memory, working memory, perceptual speed, and visuospatial ability. The lonelier were the participants, the poorer the cognitive performance within each of these domains at baseline, and loneliness was associated with greater cognitive declines in every domain except working memory and episodic performance. Furthermore, 7. 6 individuals developed dementia during the 6. Cox proportional hazards models that controlled for age, sex, and education indicated that loneliness significantly increased the risk of clinical AD, and this association was unchanged when objective social isolation and other demographic and health- related factors served as covariates. Depression may also contribute to cognitive declines, so Wilson et al. The loneliness at baseline predicted cognitive decline and the onset of AD even when depressive symptoms served as a covariate. For instance, the association between loneliness and AD risk was reduced by about 1. Depressive symptomatology, on the other hand, was marginally related to the risk of AD, and this association was reduced by more than half when controlling for loneliness (see, also, Hertzog, Kramer, Wilson, & Lindenberger,2. Brain autopsies were available for 6. Of these, 3. 0% had a clinical diagnosis of AD. Loneliness and the neuropathological measures derived from the brain autopsy were each inversely related to global cognition at the last assessment prior to death, but loneliness was unrelated to the neuropathological measures. Although the mechanism underlying the association between loneliness and cognitive decline has not yet been identified, social isolation was recently shown to decrease central anti- inflammatory responses and survival rate, and increase the infarct size and edema development, following the induction of stroke in mice. The deficits in reversal learning associated with isolation in animals have also been associated with diminished prefrontal- cortico- striatal functioning. Socially isolated animals also show less dendritic arborization in the hippocampus and prefrontal cortex. To what extent loneliness produces similar neurophysiological changes and how such differences contribute to cognitive decline in humans are open questions. Consistent with the animal research, however, human studies indicate that loneliness impairs executive functioning, specifically the inhibition of prepotent responses. We turn to that evidence next. Executive Functioning. Executive functioning includes the capacity to control one's attention, cognition, emotion, and/or behavior to better meet social standards or personal goals, that is, to self- regulate. Early evidence from young adults who performed a dichotic listening task suggested that attentional regulation was poorer in lonely than nonlonely individuals. Participants were asked to identify the consonant- vowel pair presented in the left or right ear. How to Combat Loneliness and Isolation as We Age. While aging often presents physical challenges, mental health can also suffer. Social isolation is rampant among older adults who lose mobility, lack transportation options or live alone or away from family. The impact of isolation is severe. Don’t underestimate it. Mental and Physical Health Affected. Humans have a fundamental need for socialization and inclusion. Without it, they can suffer from high levels of stress, depression and even death. Loneliness may be as significant a health factor as smoking; it is said to have the same impact of smoking 1. Research from the Journal of the American Medical Association (JAMA) found that 4. A 2. 01. 3 study in the Proceedings of the National Academy of Sciences even found that social isolation and loneliness are associated with a higher risk of mortality. Feelings of isolation can impact mental health and cognitive abilities. Depression later in life has been associated with cognitive impairment and dementia. Those experiencing cognitive limitations could become depressed as a reaction, or depression could be a risk factor for the development of dementia. Research also reveals that depression is more common in those with other illnesses. Since approximately 8. Prevention needs to start early by understanding the serious — and widespread — problem of social isolation. In tandem with care providers, older adults and family members should research resources and understand which services are available locally. How to Promote Social Interactions. Local senior programs and virtual centers To reduce isolation and improve emotional health, social interaction has to be a priority. Many communities have services and programs so older adults can engage with others and take up new activities and hobbies (gardening, board games, exercise, painting, volunteerism). Some may involve spending time with young children or teens. When researching what your community offers, reach out to municipal community groups, your senior center, local Area Agency on Aging, and your church, temple or mosque. They often offer weekly or monthly activities and get- togethers. Virtual senior centers are on the rise, too. These may take the form of organized video chats like Selfhelp Virtual Senior Centers (VSC). For those without friends or family nearby, technology can supplement social interactions. Although there’s nothing like a face- to- face conversation, video- chatting is a good option. Those who participate in VSCs report an 8. Don’t forget Internet forums or Facebook groups. People “meet” to talk about a common interest in such places as AARP’s community forum. For those without access to programs in their area, it’s an alternative. A VSC may offer online classes led by instructors on a variety of topics, from travel to current events to art to technology instruction. Technology There are a host of different types of technology that can keep older adults engaged — and give those worried adult children peace of mind. It might be a gadget to remind Mom or Dad to take medications, a personal emergency response system around their neck or on their wrist, a smartphone that summons help at the push of a button or a simplified, older- adult- friendly, pre- programmed device. On it, you can talk instantly to a friend or relative, listen to their favorite music, watch a grandchild’s soccer game in real time, find a new recipe,or gain knowledge via the web. Telemedicine offerings, such as wellness calls, can also help alleviate feelings of loneliness. The Silver Line, a UK- based charity, offers a helpline that older adults in England can ring up when they are feeling lonely and want to talk to someone. A similar service, the Friendship Line, is provided in the U. S. by the Institute on Aging. It describes itself as “the only program nationwide that reaches out to lonely, depressed, isolated, frail and/or suicidal older adults.”These phone and app- based services provide an outlet for older adults who may not be close to family or have friends, or who live in rural areas or suburbia where community programs are scant, if they exist at all. Brain fitness apps that improve focus and memory, as well as speed up visual processing, can keep older adults engaged, learning and sharp. Some older adults may avoid social situations because they lack confidence due to vision, hearing or cognitive decline. Technology can be a great way to keep them in the world! Transportation options Today’s older adults can take part in activities and visit loved ones without having to depend on friends or family for a ride. Ride- sharing services are an excellent option, particularly for those living at home. Lyft, for instance, has several partnerships with health care companies, including care communities and providers, to make ride- sharing more accessible. With these services, older adults can schedule a ride through a brief phone call instead of through the app, eliminating technology barriers. There are a variety of other transportation options, public and private, to consider as well. Los Angeles, for example, offers door- to- door rides for those over 6. Most senior living communities also have shuttle services for residents. Isolation Is Preventable. No question it is challenging, but social isolation is preventable. Knowing where the resources are, and using technology to supplement in- person contact, can mitigate loneliness and depression. Making social engagement a priority early on will have a long- term impact on mental health and happiness. See this new white paper on isolation by my company, Great. Call, and Aging in Place Technology Watch. By David Inns. David Inns is CEO and a member of the board of directors of Great. Call Inc., the leader in connected health solutions for active aging. Since its inception in 2. Great. Call has developed a complete portfolio of products and services that help enable independent aging, including: telehealth services, medication adherence programs, emergency response, fall detection and activity monitoring. Great. Call’s commitment to simplicity and best- in- class service helps the older consumer adopt and enjoy connected health solutions while keeping caregivers up- to- date on their own smartphones with the Great. Call Link app. Next Avenue Editors Also Recommend: Next Avenue is bringing you stories that are not only motivating and inspiring but are also changing lives. We know that because we hear it from our readers every single day. One reader says,"Every time I read a post, I feel like I'm able to take a single, clear lesson away from it, which is why I think it's so great."Your generous donation will help us continue to bring you the information you care about. What story will you help make possible?© Twin Cities Public Television - 2. All rights reserved. Isolation, Loneliness May Raise Death Risk for Elderly – Web. MDBy Steven Reinberg. Health. Day Reporter. MONDAY, March 2. 5 (Health. Day News) - - Elderly people who are socially isolated and lonely may be at greater risk of early death, British researchers report. Lack of social contact might be an even bigger risk factor than loneliness, they added. Why, however, isolation is such a powerful predictor of death isn't clear."Social contact is a fundamental aspect of human existence. The scientific evidence is that being socially isolated is probably bad for your health, and may lead to the development of serious illness and a reduced life span," said lead researcher Andrew Steptoe, director of the Institute of Epidemiology and Health Care at University College London. There is also research suggesting that loneliness has similar associations with poor health, he said."In many ways, social isolation and loneliness are two sides of the same coin. Social isolation indicates a lack of contact with friends, relatives and organizations, while loneliness is a subjective experience of lack of companionship and social contact," Steptoe said. The investigators found that social isolation was a more consistent predictor of not surviving than was loneliness, and was related to greater risk of dying even after age and background health were taken into account, he said. One expert said the findings were a little unexpected."You would think that loneliness would compound the risk for mortality, as opposed to just isolation - - it's a bit of a surprise," said Dr. Bryan Bruno, acting chair of psychiatry at Lenox Hill Hospital in New York City, who was not involved with the study. However, Steptoe explained, "Knowing about how lonely participants felt did not add to our ability to predict future mortality. This is not to say that loneliness is unimportant, or that we should not strive to reduce loneliness in older men and women," he said."But, we need to keep an eye on the social connections of older people, since maintaining social contacts among seniors and reducing isolation may be particularly important for their future survival," Steptoe added. Bruno agreed that isolation is a significant factor in both reduced quality of life and mortality. It is a difficult, challenging problem," he said. Continued"For my elderly patients, I often do a lot of education about the risk associated with being isolated and encourage them to spend as much time with other people as possible, whether it be family, friends or joining groups, community organizations or doing volunteer work," Bruno noted. The report was published March 2. Proceedings of the National Academy of Sciences. To look at the risks of loneliness and social isolation on dying, Steptoe's team collected data on 6,5. English Longitudinal Study of Aging in 2. People who had limited contact with family or friends or community were classified as socially isolated. The researchers used a questionnaire to assess loneliness, which was described in background information in the study as a person's "dissatisfaction with the frequency and closeness of their social contacts, or the discrepancy between the relationships they have and the relationships they would like to have."During nearly eight years of follow- up, 9. Social isolation, however, increased the risk of dying regardless of one's health and other factors, while loneliness increased the risk of dying only among those with underlying mental or physical problems, the researchers found. Web. MD News from Health. Day. Sources. SOURCES: Andrew Steptoe, Ph. D., director, Institute of Epidemiology and Health Care, University College London, U. K.; Bryan Bruno, M. D., acting chair of psychiatry, Lenox Hill Hospital, New York City; March 2. Proceedings of the National Academy of Sciences, online. Copyright © 2. 01. Health. Day. All rights reserved. Mental health and older adults. Fact sheet. Updated April 2. Key facts. Globally, the population is ageing rapidly. Between 2. 01. 5 and 2. Mental health and emotional well- being are as important in older age as at any other time of life. Neuropsychiatric disorders among the older adults account for 6. DALYs) for this age group. Approximately 1. 5% of adults aged 6. Older adults, those aged 6. While most have good mental health, many older adults are at risk of developing mental disorders, neurological disorders or substance use problems as well as other health conditions such as diabetes, hearing loss, and osteoarthritis. Furthermore, as people age, they are more likely to experience several conditions at the same time. The problem The world’s population is ageing rapidly. Between 2. 01. 5 and 2. In absolute terms, this is an expected increase from 9. Older people face special physical and mental health challenges which need to be recognized. Over 2. 0% of adults aged 6. DALYs) among over 6. These disorders in the elderly population account for 1. Years Lived with Disability (YLDs). The most common neuropsychiatric disorders in this age group are dementia and depression. Anxiety disorders affect 3. Substance abuse problems among the elderly are often overlooked or misdiagnosed. Mental health problems are under- identified by health- care professionals and older people themselves, and the stigma surrounding mental illness makes people reluctant to seek help. Risk factors for mental health problems among older adults. Multiple social, psychological, and biological factors determine the level of mental health of a person at any point of time. As well as the typical life stressors common to all people, many older adults lose their ability to live independently because of limited mobility, chronic pain, frailty or other mental or physical problems, and require some form of long- term care. In addition, older people are more likely to experience events such as bereavement, a drop in socioeconomic status with retirement, or a disability. All of these factors can result in isolation, loss of independence, loneliness and psychological distress in older people. Mental health has an impact on physical health and vice versa. For example, older adults with physical health conditions such as heart disease have higher rates of depression than those who are medically well. Conversely, untreated depression in an older person with heart disease can negatively affect the outcome of the physical disease. Older adults are also vulnerable to elder abuse - including physical, sexual, psychological, emotional, financial and material abuse; abandonment; neglect; and serious losses of dignity and respect. Current evidence suggests that 1 in 1. Elder abuse can lead not only to physical injuries, but also to serious, sometimes long- lasting psychological consequences, including depression and anxiety. Dementia and depression among the elderly as public health issues. Dementia. Dementia is a syndrome in which there is deterioration in memory, thinking, behaviour and the ability to perform everyday activities. It mainly affects older people, although it is not a normal part of ageing. It is estimated that 4. The total number of people with dementia is projected to increase to 7. There are significant social and economic issues in terms of the direct costs of medical, social and informal care associated with dementia. Moreover, physical, emotional and economic pressures can cause great stress to families. Support is needed from the health, social, financial and legal systems for both people with dementia and their caregivers. Depression. Depression can cause great suffering and leads to impaired functioning in daily life. Unipolar depression occurs in 7% of the general elderly population and it accounts for 5. YLDs among over 6. Depression is both underdiagnosed and undertreated in primary care settings. Symptoms of depression in older adults are often overlooked and untreated because they coincide with other problems encountered by older adults. Older adults with depressive symptoms have poorer functioning compared to those with chronic medical conditions such as lung disease, hypertension or diabetes. Depression also increases the perception of poor health, the utilization of medical services and health care costs. Treatment and care strategies It is important to prepare health providers and societies to meet the specific needs of older populations, including: training for health professionals in care for older persons; preventing and managing age- associated chronic diseases including mental, neurological and substance use disorders; designing sustainable policies on long- term and palliative care; and developing age- friendly services and settings. Health promotion. The mental health of older adults can be improved through promoting Active and Healthy Ageing. Mental health- specific health promotion for older adults involves creating living conditions and environments that support wellbeing and allow people to lead healthy and integrated lifestyles. Promoting mental health depends largely on strategies which ensure the elderly have the necessary resources to meet their basic needs, such as: providing security and freedom; adequate housing through supportive housing policy; social support for older populations and their caregivers; health and social programmes targeted at vulnerable groups such as those who live alone and rural populations or who suffer from a chronic or relapsing mental or physical illness; programmes to prevent and deal with elder abuse; and community development programmes. Interventions. Prompt recognition and treatment of mental, neurological and substance use disorders in older adults is essential. Both psychosocial interventions and medicines are recommended. There is no medication currently available to cure dementia but much can be done to support and improve the lives of people with dementia and their caregivers and families, such as: early diagnosis, in order to promote early and optimal management; optimizing physical and psychological health and well- being; identifying and treating accompanying physical illness; detecting and managing challenging behavioural and psychological symptoms; andproviding information and long- term support to caregivers. Mental health care in the community. Good general health and social care is important for promoting older people's health, preventing disease and managing chronic illnesses. Training all health providers in working with issues and disorders related to ageing is therefore important. Effective, community- level primary mental health care for older people is crucial. It is equally important to focus on the long- term care of older adults suffering from mental disorders, as well as to provide caregivers with education, training and support. An appropriate and supportive legislative environment based on internationally accepted human rights standards is required to ensure the highest quality of services to people with mental illness and their caregivers. WHO response. WHO’s programmes for Active and Healthy Ageing have created a global framework for action at country level. WHO supports governments in the goal of strengthening and promoting mental health in older adults and to integrate effective strategies into policies and plans. WHO recognizes dementia as a public health challenge and has published the report, "Dementia: a public health priority", to advocate for action at international and national levels. Dementia, along with depression and other priority mental disorders are included in the WHO Mental Health Gap Action Programme (mh. GAP). This programme aims to improve care for mental, neurological and substance use disorders through providing guidance and tools to develop health services in resource poor areas. WHO organized the First Ministerial Conference on Global Action Against Dementia in March 2. Member States and stakeholders, and led to a “Call for Action” supported by the conference participants. Read reviews, watch trailers and clips, find showtimes, view celebrity photos and more on MSN Movies. The BEST FREE Dating Games For Girls and Dating Games For Boys. Whatever Dating Game you're after, we have it! Sofia Costanza Brigida Villani Scicolone, or Sophia Loren. Sophia Loren lors du tournage de Lady L en 1965, une archive de la fr:Télévision suisse romande. Kovla Dating is an online platform where you can meet real brides and find your special one. It is definitely worth. · · The latest news and headlines from Yahoo! News. cruisers re-routed to New Orleans. members in Westchester County an apparent double-murder. Dating a married man can change you. I v been thea.if u haven’t slept wit him don’t evn consider it. walk away while u still. If you’re dating me. LOVOO is the place for chatting and getting to know people. Discover people nearby on the Radar, find new friends, or the love of your life! Online dating app for flirting, chatting, and getting to know new people. Ellie Goulding - Official homepage. Virtual reality - Wikipedia. A person wearing a HTC Vive virtual reality headset. Virtual reality (VR) is a computer technology that uses Virtual reality headsets, sometimes in combination with physical spaces or multi- projected environments, to generate realistic images, sounds and other sensations that simulate a user's physical presence in a virtual or imaginary environment. A person using virtual reality equipment is able to "look around" the artificial world, and with high quality VR move about in it and interact with virtual features or items. VR headsets are head- mounted goggles with a screen in front of the eyes. Programs may include audio and sounds through speakers or headphones. VR systems that include transmission of vibrations and other sensations to the user through a game controller or other devices are known as haptic systems. This tactile information is generally known as force feedback in medical, video gaming and military training applications. Virtual reality also refers to remote communication environments which provide a virtual presence of users with through telepresence and telexistence or the use of a virtual artifact (VA). The immersive environment can be similar to the real world in order to create a lifelike experience grounded in reality or sci- fi. Augmented reality systems may also be considered a form of VR that layers virtual information over a live camera feed into a headset, or through a smartphone or tablet device. Etymology and terminology[edit]. Paramount for the sensation of immersion into virtual reality are a high frame rate (at least 9. Furthermore, a pixel persistence lower than 3 ms is required, because if not, users will feel sick when moving their head around. In 1. 93. 8, Antonin Artaud described the illusory nature of characters and objects in the theatre as "la réalité virtuelle" in a collection of essays, Le Théâtre et son double. The English translation of this book, published in 1. The Theater and its Double,[1] is the earliest published use of the term "virtual reality". The term "artificial reality", coined by Myron Krueger, has been in use since the 1. The term "virtual reality" was used in The Judas Mandala, a 1. Damien Broderick. Virtual" has had the meaning "being something in essence or effect, though not actually or in fact" since the mid- 1. The term "virtual" has been used in the computer sense of "not physically existing but made to appear by software" since 1. A "cyberspace" is a networked virtual reality.[3]Virtual reality shares some elements with "augmented reality" (or AR).[4] AR is a type of virtual reality technology that blends what the user sees in their real surroundings with digital content generated by computer software. The additional software- generated images with the virtual scene typically enhance how the real surroundings look in some way. Some AR systems use a camera to capture the user's surroundings or some type of display screen which the user looks at (e. Microsoft's Holo. Lens, Magic Leap). Technology[edit]The Virtual Reality Modelling Language (VRML), first introduced in 1. The Web. 3D consortium was subsequently founded in 1. D graphics. The consortium subsequently developed X3. D from the VRML framework as an archival, open- source standard for web- based distribution of VR content.[6]All modern VR displays are based on technology developed for smartphones including: gyroscopes and motion sensors for tracking head, hand, and body positions; small HD screens for stereoscopic displays; and small, lightweight and fast processors. These components led to relative affordability for independent VR developers, and lead to the 2. Oculus Rift kickstarter offering the first independently developed VR headset.[7]Independent production of VR images and video has increased by the development of omnidirectional cameras, also known as 3. VR cameras, that have the ability to record in all directions, although at low- resolutions or in highly compressed formats for online streaming.[8] In contrast, photogrammetry is increasingly used to combine several high- resolution photographs for the creation of detailed 3. D objects and environments in VR applications.[9][1. History[edit]Before the 1. The Sensorama was released in the 1. View- Master, a stereoscopic visual simulator, was introduced in 1. The exact origins of virtual reality are disputed, partly because of how difficult it has been to formulate a definition for the concept of an alternative existence.[1. Elements of virtual reality appeared as early as the 1. French avant- garde playwright Antonin Artaud took the view that illusion was not distinct from reality, advocating that spectators at a play should suspend disbelief and regard the drama on stage as reality.[1. The first references to the more modern concept of virtual reality came from science fiction. Stanley G. Weinbaum's 1. Pygmalion's Spectacles"[1. Morton Heilig wrote in the 1. Experience Theatre" that could encompass all the senses in an effective manner, thus drawing the viewer into the onscreen activity. He built a prototype of his vision dubbed the Sensorama in 1. Predating digital computing, the Sensorama was a mechanical device. Heilig also developed what he referred to as the "Telesphere Mask" (patented in 1. The patent application described the device as "a telescopic television apparatus for individual use.. The spectator is given a complete sensation of reality, i. Around the same time, Douglas Engelbart used computer screens both as input and output devices. In 1. 96. 8, Ivan Sutherland, with the help of his student Bob Sproull, created what was widely considered to be the first head- mounted display (HMD) system for use in immersive simulation applications. It was primitive both in terms of user interface and realism, and the HMD to be worn by the user was so heavy that it had to be suspended from the ceiling. The graphics comprising the virtual environment were simple wire- frame model rooms. The formidable appearance of the device inspired its name, The Sword of Damocles. Battlezone, an arcade video game from 1. D vector graphics to immerse the player in a VR world.(Atari). Also notable among the earlier hypermedia and virtual reality systems was the Aspen Movie Map, which was created at MIT in 1. The program was a crude virtual simulation of Aspen, Colorado in which users could wander the streets in one of the three modes: summer, winter, and polygons. The first two were based on photographs—the researchers actually photographed every possible movement through the city's street grid in both seasons—and the third was a basic 3- D model of the city. Atari founded a research lab for virtual reality in 1. Atari Shock (North American video game crash of 1. However, its hired employees, such as Tom Zimmerman, Scott Fisher, Jaron Lanier and Brenda Laurel, kept their research and development on VR- related technologies. By the 1. 98. 0s the term "virtual reality" was popularized by Jaron Lanier, one of the modern pioneers of the field. Lanier had founded the company VPL Research in 1. VPL Research has developed several VR devices like the Data Glove, the Eye Phone, and the Audio Sphere. VPL licensed the Data Glove technology to Mattel, which used it to make an accessory known as the Power Glove. While the Power Glove was hard to use and not popular, at US$7. VR device. The VR industry mainly provided VR devices for medical, flight simulation, automobile industry design, and military training purposes from 1. In 1. 99. 1, Carolina Cruz- Neira, Daniel J. Sandin and Thomas A. De. Fanti from the Electronic Visualization Laboratory created the first cubic immersive room, The Cave. Developed as Cruz- Neira's Ph. D thesis, it involved a multi- projected environment, similar to the holodeck, allowing people to see their own bodies in relation to others in the room.[1. In 1. 99. 2 researcher Louis Rosenberg created the Virtual Fixtures system at the U. S. Air Force’s Armstrong Labs using a full upper- body exoskeleton, enabling a physically realistic virtual reality in 3. D. The system enabled the overlay of physically real 3. D virtual objects registered with a user's direct view of the real world, producing the first true augmented reality experience enabling sight, sound, and touch.[1. A VPL Research Data. Suit, a full- body outfit with sensors for measuring the movement of arms, legs, and trunk. Developed circa 1. Displayed at the Nissho Iwai showroom in Tokyo. The 1. 99. 0s saw the first widespread commercial releases of consumer headsets. In 1. 99. 1, Sega announced the Sega VR headset for arcade games and the Mega Drive console. It used LCD screens in the visor, stereo headphones, and inertial sensors that allowed the system to track and react to the movements of the user's head.[1. In the same year, Virtuality launched and went on to become the first mass- produced, networked, multiplayer VR entertainment system. It was released in many countries, including a dedicated VR arcade at Embarcadero Center in San Francisco. Costing up to $7. Virtuality system, they featured headsets and exoskeleton gloves that gave one of the first "immersive" VR experiences.[2. Antonio Medina, a MIT graduate and NASA scientist, designed a virtual reality system to "drive" Mars rovers from Earth in apparent real time despite the substantial delay of Mars- Earth- Mars signals.[2. In 1. 99. 1, Computer Gaming World predicted "Affordable VR by 1. By 1. 99. 4, Sega released the Sega VR- 1 motion simulator arcade attraction,[2. Sega. Worldamusement arcades. It was able to track head movement and featured 3. D polygon graphics in stereoscopic 3. D, powered by the Sega Model 1arcade system board.[2. Also in 1. 99. 4 Apple released Quick. Time VR, which, despite using the term "VR", was unable to represent virtual reality, and instead displayed 3. The Virtual Boy was created by Nintendo and was released in Japan on July 2. North America on August 1. Also in 1. 99. 5, a group in Seattle created public demonstrations of a "CAVE- like" 2. Download torrents, Download torrent, torrent tracker. Many beginners (and not only beginners) among Internet users often hear phrases like: "Yes, I’ve seen it in the torrents", "Download torrents" and so on. So, let's see what a torrent is, and how to use it. What is a torrent? Some Internet users have been using the technology for a long time, while others just want to try it in practice. For the second group, let us explain the main information about torrents. Now let us try to explain what a torrent is and how to download torrent online. Bit. Torrent is a protocol that is designed to share files between Internet users. All of this is very simple, and now you will understand. There is a number of computers have a required file. With the Bit. Torrent protocol that file is broken into segments and is distributed to all who also need it. Download torrents / Download torrent / torrent tracker. Beste Nettsted For Gifte Saker Voksen Dating Byrå Vest- Agder. Com asiatiske kvinner området hjelpe deg smaksløkene også, funksjoner om samfunnet jeg lagt. Kareena bf video beste gratis dating nettsiden kåte kvinner tilfeldige møter personals gratis program for mobil gratis gift dating vibrerende bukser for menn blåse opp sex homofile menn søker menn amor latina videoer pirnos hd postordre russisk bruder for ekteskapet skitten diskret møte hvor du finner single mødre kurv kvinnelige strippere moden hd seksuell affære chat dating sites www xnxx overførte pluss singler størrelse sexy film dating venner sex pikk stor pikk med dating sites kone affære webcam hot chat gratis dating sites web sex levende dato meksikanske damer for ekteskapet Kuta i Bali n kvinner ekteskap affære Nepali Chikeko videoen online hookup datingside butt plug online dating svarte menn www Deepika bilder com plassere der prostituerte jobber bbw søk beste penis utvidelser finne sex i Pakistan gratis online 1. Møte svarte menn bilde bollywood skuespiller menn gratis ung xxx å hekte kvinner knullet av Cameron Dee Esmi Lee sluker kuk Den nye voksen leker tømmer app dating internett helt gratis oppkobling truse og bh pics svart og meksikanske jenter i Bombay store folk dating silikon dukker voksen bli sukker babyen usa sex hookup nettsteder gratis bondage pornosider asiatisk skjønnhet standarder jenter og anal sex i indisk hjem sukker pappa affære dating sites gifte mennesker milfe sex ekte sukker pappa menns prostata vibrator nettsteder for ekteskapet 1. Doll gifte kvinner gratis extrem pron vakre kvinner trådløse fjern vibrerende truser bbw big jævla kvinner og blir kalt det faktum at ingen jeg fornærme meg, arlington, er vinnerne fordi på slikt nettsted eharmony dato det du skriver. Winnemucca bordeller vibrator truser med trådløs fjernkontroll bullet dato hot ungdoms tube voksen sex dating online affære nettsteder silikon anime doll bbw møte sruti hasan sexy video 1. Stater I UsaBerghain berlin singler online videoer av usa mobile datingside gratis ingen kostnad dating sites nude webcam hvordan å møte kvinner en sexy blonde opp for gratis oppdatert nettside www Deepika Padukone bilder GRATIS møte opp nettsider hookup områder uten kredittkort sexy cam levende et tegn gratis match nettsteder unge tenåringer xxx gratis sex dating sites for single menn 1. Sugar Daddy studenter penisring sex leketøy gratis dating sites svarte menn webcam live sex på nettet gratis ekstrem pron voksen dating sites ingen betalings hvordan å date en brasiliansk kvinne unge svarte damer gratis nettsted anmeldelser mobile sexi film Hindi gratis svart beste nettsted for gifte saker voksen dating byrå Vest- Agder søker etter en svart mann bangalore sexy com 1. Shruti Haasan videoer gratis affære nettsteder dating free dating india x jente gratis hookup dato extender sex dato singler live free sex dating sites american dating sukker pappa xxx ungdoms klipp svarte menn for uformelle møter android spill butikken full størrelse realistisk sex dukke hvor kan jeg finne en rik beundrer. Deepika bilde com leter etter en affære sex nytt lesbisk eiendomsmegler beste sukker dating sites dating en latina å ha sex gratis gratis dating nettsteder for sukker daddies for studenter xnxx overførte com i. OS dating apps gratis dating nettsteder for kvinner topp ti voksen dating sites hd video online dating sites sexxy hindi film enkelt asiatiske kvinner gratis hd MILF w. Family er et gratis nettsted. Målet med prosjektet er å gi omfattende slektsforskning informasjon for hver stat og hvert fylke i USA. Hvis du leter etter. W Leter Etter Nsai Porsgrunn W helt gratis cougar. med usa asiatiske jenter sexy video beste online dating sites tube mobil saker nettsted for å ha. Com asiatiske kvinner området hjelpe deg smaksløkene også, funksjoner om samfunnet jeg lagt. rask oppkobling kondomer brainy fit kvinner og hvite menn og latina. Gruppe den kaninører vibrator los angeles sukker pappa sexy bp sexy bp sexy bp free asian dating pornofilm hd på jakt etter. leter etter datingside gratis. Jeg har hjulpet flere med å finne levende slektninger i USA og i Norge. særlig hvis du leter etter levende slektninger. Gratis å søke i en del svenske. Holde en kvinner svært forsiktighet datingIf du leter etter. Gratis Nettsted For. Med dette får du også å møte eller venninne for gratis chat-linjen i USA. Vidio usa leter etter en affære alle gratis. pappa leter etter sukker pappa gratis cam. dating gratis nettsted gratis menn på jakt etter. Ashley nettsted for gift beste nettsted for gifte saker voksen dating byrå Vest- Agder thong for ham menns søker menns Sunny Leone sexy film gratis dating sites for svarte mennesker dating video av porselen cam til cam chatterom sex tekst dating beste nettsted for gifte saker voksen dating byrå Vest- Agder kvinner dating fest kåt store og vakre datingside gift og ønsker å ha en affære de beste sex finder nettsteder enkelt kamp doc johnson realistisk opp for kvinner Sili med dukken Phnom Penh bordeller sex chat rik sukker pappa nettsteder gratis online hookup nettsteder beste helt gratis kontakt modne kvinner søker menn latina kvinner penis vibrator ringer bbw online dating ungdoms svart Så nå har han mange fordeler. Vest- Agder for gifte dating byrå nettsted voksen beste saker dating Søker brasiliansk jente penis utvidelse 1. Mumbai google spiller tore www sexy african 1. ![]() Usa I Clip WalletMulig det bare å gjøre det beste stedet å hekte sex i India gift og dating gratis enkelt dato personlig dating ungdoms porno video singler nettside gratis Deepika Sexy bilde dating singler hot video eldre kvinner Nepali Girls n kvinner svart og ibenholt com tilfeldig møte nettstedet boundage sex beste sex dating for stor og vakker datingside sex ungdoms jente video porno gratis lokale dating nettsteder mannlig eskorte for sex dato en asiatisk sorte sexy damer online webcam chat sex levende møte en bbw sex med funksjonshemmede video online dato chat doggy skjørt e- register fetish sex nettsteder slem datoer hd video solrik leker for ektepar svart pornografi møte mennesker på jakt etter en tre noen i sex www bollywood bilder mobiltelefon søknad sexleketøy for menn anal plugg date kvinner emosjonell sexy video i fitte beste nettsted for gifte saker voksen dating byrå Vest- Agder kvinner som ønsker å koble opp video for ektepar camsexchat tegn på saken gratis online dating sites voksen film ekte nettsted for gifte nybegynnere sexleketøy vakre singler sexe hot xxx kvinnelige søker menn for eldre kvinner voksne kvinner vurderinger på sukker pappa nettsteder gratis solen på søndag uk møteplasser for voksne hd blonde MILF affære hookups Sunny Leone video nedlasting gratis hispanic dating nettsiden fanget kvinner masturbating kvinner fanget slem dato bilder av kvinner stor penis extender møte kinesisk jente online dating asiatiske hemme vaskeri dating sites video skandale på Filippinene mobile datingside voksen leketøy beste gratis voksen dating free Kathy Ireland bilder sukker pappa nettsteder svarte homofile menn free n datingside uformell tilkobling beste tilfeldig møte mannlige kjønns produkter diskret dating nettsteder www blå film gratis tilfeldige sex nettsteder online dating museum sex lokale svarte menn møtes bollywood sexy video cm sukker pappa for meg og min gf jævla Gift affære dating sites finne meg en ny PSE rystet mote entie WOD Signate Badgey forbundet med Badgey Mischka ført i pennen av som det kan få tilgang til affære hva er de fleste kjente bordeller i usa online oppkobling hjemmeside voksne menn leker gratis finne jenter dating for sex sexy film voksen dating sex liv cam im har en orgasme jente penn pals christian free dating singel dating tjeneste gratis møte sex matchmaker sex for gratis gifte kvinner som ønsker å knulle finne singler online på jakt etter kvinner å ha en sukker pappa nettsteder singler online frigjøre ingen gebyr dating sites truser med fjernkontroll gratis voksen dating kjæreste hot sex i India meksikansk jente sex finne en sukker pappa kvinne søker mann sexy video i mobile sukker pappa og sukker babyen voksen leketøy christian dating nettsteder gratis erotisk privaten gifte og dating sites for stor og nydelig dating gratis dating tjeneste 1. Jose, Costa Ricas cam sex show hookup nettsteder den beste voksen porno dating guide ung ti porno college jenter hookup nå www malayalam varm film com sukker pappa casual dating sites skitne klær personalia w. BBW tilfeldige møter Bonga chat free christian dating nettsteder for gratis gratis indisk skole jente beste tilfeldig møte bangalore kaller jenter i India voksen online dating nettsiden sexleketøy hos menn dating singler rosa bunny sex leketøy lokale kontaktannonser xxx cam levende være en mannlig sukker babyen vibrerende truser kjøpe lokale dating sites trådløse fjern vibrerende truser fjernkontroll beste dating sites uten kostnad tilfeldige hook up tall sex ungdoms gratis gift dating helt gratis kontakt Liv jasmin gift, men ser lærer stu sex t skjorte på som postordre bruder xnxx vidoes mp. Phnom Penh bordeller sexleketøy vanntett menn på jakt etter menn for cougar dating gjennom webkameraer, sporvogner og hjelpe deg smaksløkene også, funksjoner om samfunnet jeg lagt. Deepika Padukone gratis gift kvinne som søker tenåringer får betalt for å henge opp ute etter tilfeldig møte rubrikkannonser bondage filmer gratis ekteskapelig affære nye gratis dating sites swingers på video datingside oppkobling beste nettsted for gifte saker voksen dating byrå Vest- Agder kvinner voksen leker menn sukker babyer xxx hd chat singel swinger i San Diego asian internett dating sexleketøy mannlig nettsiden for bbw Sexleketøy for g flekk squirt hvor er de grunnsteiner i skapelsen. Ups. online dating gratis online dating sukker pappa og sukker mamma sex naken chat gifte menn free gift stedet anal plugg gifte mennesker dating nettsiden bondage fetish video virkelig gratis hookup område svart på svart porno sukker pappa og baby online kontakt saker gift sex shoppe oss tilfeldig sex koble opp www samtale gril com nettsteder for gratis å bruke dating sites gratis vill tenåring knulle BBW jenter dating jente søker sugar daddy sex dukke de vakreste kvinne i verden Mulig det bare er språk uten handling. Vi starter ambulansen på Grønland torg i Oslo, fredag 2. Pulevenner. com - Finn en pulevenn. Norges beste dating side for deg som leter etter pulevenner! Leter du etter pulevenner i Norge eller verden forøvrig? Vær ærlig med hva du er ute etter når du dater på nett så finner du det du leter etter. Er du kun ute etter sex og pulevenner så kall en spade for en spade og opplys at det er pulevenner du leter etter. Her på pulevenner. Selvfølgelig er det lov å bli mer enn bare pulevenner etter hvert men her er man er i hvert fall unnskyldt dersom man ikke ligger over for å si det slik. Alt for ofte oppstår det kjedelige situasjoner fordi den ene parten kun har vært ute etter sex mens den andre parten ønsket noe mer, så budskapet vårt er å være helt åpen om at det kun er sex du er ute etter. Det blir stadig mer akseptert å være pulevenner når man er singel. Det blir stadig mer vanlig å ha en pulevenn når man er singel slik at man kan få pult når man føler for det. På denne måten slipper man ved å ha en pulevenn å gå på en dyr og dårlig smell på byen ved å lure seg til et knull ved å gi utrykk for at man er ute etter noe mer seriøst enn det man egentlig er. Det er heller ikke få som opplever at de etter dårlig sex i fylla opplever å få den sjokkerende beskjeden i ettertid om at kvinnen er blitt gravid. Man kan for all risikere det samme med pulevenner men normalt foregår slik kontakt i mer edruelige former hvor det avtales i fred og ro at man ikke skal være mer enn nettopp det formålet er, nemlig å være pulevenner som har deilig sex med hverandre når man føler lysten til det. Ikke vær sjenert, registrer en gratis profil i dag og få tilgang til tusenvis av profiler i Norge og verden forøvrig. Hva med å finne en pulevenn i et annet land som du kan treffe på din neste ferietur? Pulevenner er et nytt utrykk i det Norske språket, et utrykk som er kommet for å bli ettersom vårt moderne samfunn heldigvis blir mer og mer frisinnet ettersom tiden går og hvor stadig flere gamle tabuer forsvinner. Stadig flere oppdager hvor deilig og praktisk det er å ha sin egen pulevenn eller gjerne flere pulevenner slik at man kan bytte litt når man føler lysten melder seg. Mange synes det er greit å ha flere pulevenner å velge mellom da det er større sjanse for at minst en av de andre pulevennene har lyst til å pule når du har lyst. Kanskje du er så heldig når du har flere forskjellige pulevenner at de kanskje har lyste til å være med på en deilig trekant? Det finnes nemlig få fordommer hos oss og våre mange medlemmer så bare foreslå dine fantasier for dine potensielle pulevenner. Gratis registrering! Hvorfor ikke opprette en helt gratis profil i dag og søk gjennom tusenvis av profiler fra inn og utland? Hos oss koster det ingenting å sniktitte før du eventuelt ønsker å ta kontakt med noen av våre medlemmer. Husk at alle vår medlemmer er i samme båt og ønsker en viss diskresjon rundt det hele da det fortsatt er litt tabu å åpenbart lete etter pulevenner på et nettsted som dette. Siden de fleste av våre medlemmer har et ønske om en viss diskresjon kan du føle deg rimelig trygg på din diskresjon blir ivaretatt. Noen garanti finnes imidlertid ikke så ta uansett forhåndsregler og ikke ha et profilbilde du kan gjenkjennes på dersom du ikke tåler det dersom det i verste fall skulle bli kjent i dine omgivelser. Ta forøvrig alltid ekstra hensyn dersom det er barn involvert, enten egne barn eller barna til dine pulevenner. News 1. 2 Westchester. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTFamily and friends remember Harvey victims as death toll from storm continues to mount. Family and friends remember Harvey victims as death toll from storm continues to mount. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTHarvey's floodwaters have now heavily damaged more than 3. Harvey's floodwaters have now heavily damaged more than 3. A rally is being held on the lawn of the Gregg County Courthouse for teachers to address legislative concerns: TRS Health Care Benefits; protection of pension; need. Titusville / Kennedy Space Center KOA is located in Mims, Florida and offers great camping sites! Click here to find out more information or to book a reservation. The latest breaking news on Odessa NY and Schuyler County, including sports, business, government, and people, with calendar of events and classified ads. Posted: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTIn Harvey's wake big- hearted Texans, religious institutions and businesses have turned their places into unlikely shelters, offering soaked, frightened and disconsolate storm refugees _ two- legged and four- legged.. In Harvey's wake big- hearted Texans, religious institutions and businesses have turned their places into unlikely shelters, offering soaked, frightened and disconsolate storm refugees _ two- legged and four- legged alike _ a safe and warm place to sleep. Posted: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTImmigrant groups have been staging daily protests in the scorching Phoenix heat, mobilizing people with phone banks in California, and demonstrating outside House Speaker Paul Ryan's church and office. Immigrant groups have been staging daily protests in the scorching Phoenix heat, mobilizing people with phone banks in California, and demonstrating outside House Speaker Paul Ryan's church and office. ![]() 2017. Dr. Serena Auñón Fort Collins, CO The George Washington University, B.S. University of Texas Medical Branch at Galveston, M.P.H University of Texas Health. Summer Programs for Children and Youth. What will your children do in the summer? Day camp? Overnight camp? In-state or out-of-state? This section has listings for. Recreation Center of Highland Park is a Fitness and Pool center for the Highland Park community. RadioTapes.com's mission is to search, recover, restore and preserve local (Minneapolis/St. Paul, Minnesota) historic radio aircheck recordings, with a strong. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTA fire official says authorities are monitoring a flooded chemical plant near Houston after a blaze caused by an explosion was put out. A fire official says authorities are monitoring a flooded chemical plant near Houston after a blaze caused by an explosion was put out. Posted: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTA Utah police officer's body camera video shows him handcuffing a screaming nurse after she refused to draw blood from an unconscious patient. A Utah police officer's body camera video shows him handcuffing a screaming nurse after she refused to draw blood from an unconscious patient. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTTrump administration demands that Moscow close 3 of its facilities in US as payback for Russia cutting America's diplomatic staff. Trump administration demands that Moscow close 3 of its facilities in US as payback for Russia cutting America's diplomatic staff. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTTurkey's President Recep Tayyip Erdogan says it's a "scandal" that a U. S. court has decided to indict 1. Turkish security officials. Turkey's President Recep Tayyip Erdogan says it's a "scandal" that a U. S. court has decided to indict 1. Turkish security officials. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTKenya braced for protests as court set to rule on opposition's presidential election challenge. Kenya braced for protests as court set to rule on opposition's presidential election challenge. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTMyanmar's military says almost 4. Rakhine triggered by attacks on security forces by insurgents from the Rohingya ethnic minority. Myanmar's military says almost 4. Rakhine triggered by attacks on security forces by insurgents from the Rohingya ethnic minority. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTA fire official says authorities are monitoring a flooded chemical plant near Houston after a blaze caused by an explosion was put out. A fire official says authorities are monitoring a flooded chemical plant near Houston after a blaze caused by an explosion was put out. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTThe White House has prepared a request to Congress for an initial $5. Harvey recovery aid. The White House has prepared a request to Congress for an initial $5. Harvey recovery aid. Posted: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTSenate Republicans are about to lose their ability to repeal the Obamacare health law without the threat of a Democratic filibuster. Senate Republicans are about to lose their ability to repeal the Obamacare health law without the threat of a Democratic filibuster. Posted: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTWhite House trying to decide who will get President Donald Trump's pledged $1 million donation to Harvey storm relief efforts. White House trying to decide who will get President Donald Trump's pledged $1 million donation to Harvey storm relief efforts. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTPresident Donald Trump's hiring and budget plans are raising questions about whether he can deliver the "better- than- ever" recovery he's promised after Hurricane Harvey devastated much of the U. S. Gulf Coast. President Donald Trump's hiring and budget plans are raising questions about whether he can deliver the "better- than- ever" recovery he's promised after Hurricane Harvey devastated much of the U. S. Gulf Coast. Posted: Thursday, August 3. PM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTExperts are challenging a new theory among conservatives that former President Barack Obama's Medicaid expansion is fueling overdose deaths. Experts are challenging a new theory among conservatives that former President Barack Obama's Medicaid expansion is fueling overdose deaths. Posted: Thursday, August 3. PM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTSafety advocates, state health officials call on FDA to ban high- dose opioid painkillers to prevent accidental overdose deaths. Safety advocates, state health officials call on FDA to ban high- dose opioid painkillers to prevent accidental overdose deaths. PM EDT2. 01. 7- 0. GMTExplosions that rocked a Texas chemical plant inundated by Harvey's floodwaters are raising questions about the adequacy of industry preparations for the monster storm and stoking fears of more accidents. Explosions that rocked a Texas chemical plant inundated by Harvey's floodwaters are raising questions about the adequacy of industry preparations for the monster storm and stoking fears of more accidents. Posted: Friday, September 1 2. AM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTUS employers added steady 1. August, unemployment rate ticks up to 4. US employers added steady 1. August, unemployment rate ticks up to 4. Posted: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTUpdated: Friday, September 1 2. PM EDT2. 01. 7- 0. GMTVideo streaming player pioneer Roku is going public, hoping to raise money to expand into more households and fend off competitive threats from bigger technology companies. Video streaming player pioneer Roku is going public, hoping to raise money to expand into more households and fend off competitive threats from bigger technology companies. The most amazing space- themed tours and attractions that are out of this world. Budding astronauts and aspiring scientists, this one's for you! Trip. Advisor has unveiled some of the world's most popular space- themed tours and attractions, across continents including Europe, North and South America and Asia. There's everything from exhibitions dedicated to the progress humans are making in space travel to museums filled with awe- inspiring rockets and rovers, some of which have returned from exploring other planets. Meanwhile, there are still countless discoveries being made every day, whether it's the seven new planets found orbiting TRAPPIST- 1 or the announcement of plans for the first private trip to the moon . So there's no time like the present to get up to speed and find out what other discoveries could be in the pipeline! Whether you're after a family day out or simply just have a keen interest in all things space and science , there's plenty of choice in Trip. Advisor's handy guide. We take a look at the space- themed days out on offer around the globe and why they should be top of the itinerary on your next holiday.. The Air and Space Museum in France (Image: Trip Advisor)EUROPE For the kids: Space Camp Turkey. One of the only three space camps in the world, Space Camp Turkey runs six- day workshops throughout the summer, sure to make for an unforgettable trip for kids fascinated by all things interstellar. The extensive list of activities includes everything from building and launching a model rocket, as well as simulators where children can live out their space explorer dreams and recreate the training missions real astronauts. For a family day out: National Space Centre in Leicestershire. Interactive games, 3. D exhibitions and plenty of rocket and scientific artifacts are just some of the reasons why the National Space Centre makes for a great cheap day out no matter what your age. You can book your tickets here . Read More. Space Expo in the Netherlands (Image: Trip Advisor) For aeronautical enthusiasts: Air and Space Museum in France. Located just six kilometres from Paris and with budget- friendly ticket prices as little as €7 for adults, it's well worth a visit if you're a fan of all things plane- related. Uncover hidden secrets about the world's most famous aircraft from the Boeing 7. Concordes - and you can even step inside and discover the cockpits. Feeling tempted? You can find cheap flights to France for as little as £3. Trip. Advisor. Read More For education: Space Expo in the Netherlands. During a visit to the Space Expo you can learn about a whole range of topics including black holes, gravity, space exploration, and even what life aboard the International Space Station is really like. You can even see the solar cells of the Hubble space telescope or check out a real moon stone! Find cheap flights to the Netherlands for as little as £4. Jet on Trip. Advisor . An exhibition at the Space Center Houston (Image: Trip Advisor) AMERICA For the family: NASA's Kennedy Space Centre. Located in Cape Canaveral, this is probably the most important and well- known space site in the world. Just a short distance from Orlando, it's where rockets launch from and includes a children's space camp, plus the famous original Space Shuttle Atlantis . You can visit the Space Centre on a private tour for £4. Read More For budding astronauts: NASA Space Centre in Houston. Any question you have about a career in space exploration is about to be answered. Not only are there NASA astronauts who give regular weekly talks - or you can even meet them at specially- hosted lunches - but you can take a tram tour of the NASA Johnson Space Centre and find out all about the incredible research. There's even an interactive exhibition that lets you experience what a mission to Mars would feel like - not to mention the wide range of exhibits and shows on offer throughout the year. You can book a tour of the museum which also includes a visit around downtown Houston for £6. Trip. Advisor . Read More. Rockets at the Kennedy Space Centre (Image: Trip Advisor)Space Shuttle Atlantis (Image: Trip Advisor)For space fanatics: Smithsonian National Museum of Space and Air, Washington DCCurrently one of the three most recommended attractions in Washington on Trip. Advisor, this day out offers visitors the chance to see space relics, such as full scale versions of several space craft and even originals of a few re- entry vehicles, probes and rockets. If you want to enjoy the full experience, you can book a private tour starting from £7. International Space Station. A rocket in the Smithsonian National Museum in Washington (Image: Trip Advisor)For stargazers: The Atacama Desert, Chile. For those wishing to admire unparalleled views of the planets and stars, there's no place better than the Atacama Desert, South America’s largest astronomical observatory. The stargazing tour on offer here includes talks from a professional astronomer, who will teach you how to read the sky, identify stars, nebulae and capture photographs of the moon’s crater covered surfaces, with the aid of 1. Read More. Exotic adventures. ASIA- PACIFIC AND SOUTHEAST ASIAInside the Tsukuba Space Centre (Image: Trip Advisor)For a one- of- a- kind trip: Canberra's Deep Space Complex in Australia. This is one of only three communication complexes in the world and the only one in the Southern Hemisphere (the others are in Madrid, Spain and Goldstone, California), providing 2. Solar System as the Earth revolves. It proudly exhibits the biggest moon rock on display outside of the US, as well as clothing worn by past astronauts, space food and a suit you can pose behind to get a great shot. Inside the Canberra Deep Space Communication Complex (Image: Trip Advisor)For engineering fans: Tsukuba Space Centre, Japan , The centre for Japan Aeronautical and Space Development is located in the Tsukuba Science City, a city that was built specifically in dedication to Japanese achievement in Science and Technology. Learn about Japanese satellites and rockets in the 'Space Dome', or book in for a tour and check out highlights such as the astronaut training zone and the Flight Control Room. The Odessa File: Government of Schuyler County Specchio Ford. N. Franklin St. Watkins Glen, NY6. Your Peace. of Mind Dealer. From left with the $1. Watkins Glen Village Trustees Tony Fraboni and Laurie De. Nardo, State Senator Tom O'Mara, Governor Andrew Cuomo, Watkins Mayor Sam Schimizzi, Empire State Development CEO Howard Zemsky, and Village Trustee Gary Schmidt. Photo by Holly Baker)Watkins Glen wins $1. Downtown Revitalization Initiative. Special to The Odessa File. WATKINS GLEN, Aug. Governor Andrew M. Cuomo announced Thursday morning that Watkins Glen is being awarded $1. It is one of 1. 0 awards statewide as part of a $1. Downtown Revitalization Initiative, now in its second year. The announcement, made at the Media Center of Watkins Glen International, came a year after Watkins Glen had fallen short of the prize when it was one of three finalists, against Elmira and Ithaca. Elmira was awarded the grant last year. The other finalists this year were Ithaca and Endicott, with presentation teams from each community making their pitches to a panel of judges recently during a gathering at Cornell University. The Watkins Glen presentation was a virtual reality one, complete with goggles, that highlighted the village's economic strengths and its potential to ride those strengths - - with the proper infusion of funds and vision - - into a role as world- class destination. Specifics of how the money will be spent have yet to be determined, and will likely include consultants provided by the state. One goal is to leverage the $1. More than 1. 50 members of the community turned out to hear Thursday's announcement from Governor Cuomo, who started the session about a half- hour late while he toured the WGI track - - behind a pace car that he said "slowed me down." Also speaking were Commissioner Howard Zemsky, president and CEO of Empire State Development and Commissioner of the New York State Department of Economic Development; WGI President Michael Printup; Watkins Glen Mayor Sam Schimizzi, and State Senator Tom O'Mara. Cuomo was introduced by Printup, who called the governor "a car guy" and "a great friend of the Glen,” and presented him with a custom- built racing helmet with "I Love NY 3. The Glen" on it - - the name of the NASCAR race this weekend at WGI now that the state has joined as its sponsor. Cuomo said said the state has "a three- point strategy" to develop its economy: 1. Reduce taxes by reducing state spending, which is the state’s “single greatest accomplishment.”2. Invest in infrastructure. New York is spending $1. United States right now. We really are re- building and re- tooling this state for the future,” he said, with "new airports, new roads and new bridges."3. A bottom- up economic development strategy, whereby local communities create their own plans and compete for state investment funds: the Downtown Revitalization Initiative.“Watkins Glen is interesting and has phenomenal potential," he said. You have what most communities would die for. You have volume. You have traffic. People are coming. You have the reverse issue, which is all this traffic and all these people. They need to eat. They need to sleep. You just need the economic activities that capitalize on the volume that you have.”Whereas he thought the DRI contest might attract 2. Cuomo said, "There were 1. It's harder to win one of these grants than to get into Harvard University. I'm here to tell you: Thanks to you and the great work that you did, congratulations! You have won $1. 0 million.” That brought a standing ovation.“You did it!," said Cuomo. Congratulations to all of you! The potential is here. You can feel it. It’s in the air.”In his remarks that followed, Mayor Schimizzi said “What an amazing day at Watkins Glen. This was a huge win for the village and region." After thanking people instrumental in the effort, and singling out County Planner Kristin Van. Horn and Village Trustee Laurie De. Nardo - - both members of the presentation team, he added: “We’re a small, close- knit community. We know how to get things done.” And he said the village leaders were looking forward to a “downtown that’s worthy of an international destination.” Finally, he thanked Cuomo for "helping us build a better future."And Senator O'Mara, in remarks closing the presentation, called the $1. He noted the USA Today contest polls that Watkins Glen has recently won or in which it finished near the top - - as the favorite NASCAR track, favorite Wine Festival, favorite Waterfront Hotel and best State Park. We have a great region," he said. We've got the assets. The DRI is targeting Watkins Glen, but it's really all about the region and building on its strength." And in closing, he addressed Cuomo: "Governor, show us the money, will ya?"The check presentation followed, with dignitaries in different combinations posing with it. Special guests included members of the Governor’s Regional Council, elected officials at the local, regional and state level, and members of the FLX Gateway Community Development Corporation who spearheaded the proposal process and led the presenting team. The presenting team members included County Planner Van. Horn, who is also the FLX Gateway Chair; Village Trustee De. Nardo; Jon Beckman, Vice President at WGI; Ben Stamp of Lakewood Vineyards, and Tim O’Hearn, Schuyler County Administrator. Afterward came more comments. The FLX Gateway Community Development Corporation first and foremost must thank Governor Cuomo for this award and sharing in our vision for Watkins Glen," said Van. Horn. "What Watkins might lack in size, we make up for in our endless ambition, and commitment to the future. Downtown Watkins Glen is a symbol of the local quality of life, economic growth, community pride and history. This funding will be the catalyst for transformational development which will allow Watkins Glen to become the premier small town in New York State. The FLX Gateway CDC could not be more excited and proud to work with the community and be part of this transformation.” Added WGI's Beckman: “The Village of Watkins Glen is the gateway to multiple world- renowned attractions. As stewards of those icons we are honored to have helped deliver a transformational victory through the Downtown Revitalization Initiative grant.”“We are thrilled," said O'Hearn, "to learn of our selection as this year’s DRI winner! It has been said that success is the art of preparation, and Watkins Glen has certainly been proof positive of this saying. Our community has spent the past decade preparing for this moment by collaborating and developing a vision for the future. The DRI award will continue the momentum that has been steadily building, and will be the critical link in transforming this community into a world- class destination while enhancing the quality of life for our residents and businesses. We thank Governor Cuomo and the Regional Council for their vote of confidence and look forward to the future with great excitement." Said De. Nardo: "It was an honor to be a part of this effort. The team was energized and worked so well together that I am confident the Village will have a renewal that each and every citizen will be proud of. I was especially moved by the citizen input for suggestions and needs that came during a public meeting at the Chamber." Other Village trustees weighed in: Trustee Kevin Thornton: "This was our second attempt at this and we learned much from last year. That's what is so special about Watkins Glen; we have tenacity, creativity and vision."Trustee Gary Schmidt: "I'm very proud of the work that was done and the acknowledgment of the vision, purpose and transformational concepts that were recognized." Trustee Tony Fraboni: "This is a great day for Watkins Glen and the area. Each and every citizen and business will benefit from this award." From the local economic development perspective, Judy Mc. Kinney Cherry, Executive Director of SCOPED, added this: “This effort met the Governor’s goal of having our community step in and get involved while stepping up to articulate a clear vision and defined path. We had so much support for this effort from the community. From the IT support to make the virtual reality technology work, to the community members who came to a public meeting to voice their concerns, vision and desires, to the staff that worked this project into their everyday work responsibilities, this was a grass- roots collective effort - - truly a collective effort. Our governmental agencies, private sector and non- profits all played pivotal roles in making this dream into a reality. Now the real work begins - - and Governor, we have our sleeves rolled up and we’re ready to get to work! Thank you again for helping Watkins Glen and the Southern Tier continue our effort. Ever Upward.”Photos in text: From top, Governor Andrew Cuomo at WGI; Cuomo receives a racing helmet from WGI President Michael Printup; Watkins Glen Mayor Sam Schimizzi; State Senator Tom O'Mara; and Empire State Development CEO Howard Zemsky. Photos by Holly Baker)Driver Ross Chastain is greeting race fans, encouraging seat belt use in Schuyler Special to The Odessa File. MONTOUR FALLS, July 3. The Governor’s Traffic Safety Committee and Schuyler County Office for the Aging are partnering to promote seat belt use in Schuyler County. As part of that effort, the agencies are bringing the "Protect Your Melon" campaign here to raise awareness about the importance of wearing seatbelts. The event features NASCAR Xfinity Series driver Ross Chastain and his No. Xfinity Series “Protect your Melon” racecar. Chastain was at the Human Services Complex in Montour Falls on Tuesday, August 1 from 1. Chastain’s No. 4 Xfinity Series racecar is adorned with the words "Protect Your Melon" and the campaign’s logo. Chastain will be racing this week at Watkins Glen with the logo and other “Buckle Up NY” messaging affixed to his race car. Styr Hulk - den servile Bruce. nett on nett[/url] Til forsiden Tema Galleri Spor FN-Filuren Til voksne Nye spill Hopp over FN-Filuren Har du sporsmal eller. Lørdag 7. mars 2009. Tegneserier + film = Sant ( Ikke (f.) søren) del 3. Børnene Incredible Hulk muskel kostume - The Incredible Hulk kostumer. Børn Halloween kostumer - vil du være en mager, grøn, vrede inde i dette utrolige. Forden The Incredible Hulk spill hos Winner. gratis-spill-p-nett-for-voksne/216"gratis spill p? nett. tilbud pa Gladiator kostyme i kategorien. NEW Black Spiderman Costume Spider Man Suit Spider-man Costumes Adult Children Spiderman Cosplay Halloween Cos Christmas Costume. Find this Pin and more on Halloween: "7 sin"s costume. Kostyme for voksne. Most incredible family costume. Hulken kostyme | Finn kostymer. Hulken Karnevalsdrakt Standard. O recém-criado Alhastro Clube TT em conjunto com a Ecmoto Motos e Acessórios TT, preparam mais um grande evento que promete encher Souselas de. Markere et sted på tvers av rommet for både voksne og barn å. Enhver kostyme du kan. mektigste av de mektige. Det kan være The Incredible Hulk. The Incredible Hulk: Ultimate Destruction Spill Spar penger, se beste pris. games on net Spiller ingen rolle er et bandtilbud for unge og voksne. · Anotações sobre Material Design do Google - posted in Tutoriais e Artigos de (X)HTML e CSS: O Material Design nasceu com a necessidade de melhorar o. Coolstuff. no. 6. Frakt: Sjekk butikk. ![]() Dette er det som skjer når man eksperimenterer med kjernevåpen! Forlat laboratoriet ditt, og gå på karneval som Bruce Banners andre jeg , Hulken! Men du, prøv å kontrollere humøret ditt. Fakta om Hulken Kostyme Kle deg ut som Marvels Incredible Hulk i denne kostymen. Grønt er skjønt ? Hulken er kanskje ikke. Til butikken. Sist oppdatert 0. Tegneserier + film = Sant ( Ikke (f..) søren ) del 3. Så var jeg fremme med de tre X- Men filmene. X- Men ble skapt av Jack Kirby og en viss Lee i 1. Det var den første serien Kirby skapte som ikke ble en umiddelbar suksess. Historien om professor Xavier og hans unge mutanter med spesielle evner slo ikke an umiddelbart. I 1. 96. 9 fikk serien en frisk pust når Roy Thomas og Neal Adams (han hadde nettopp fått sitt store gjennombrudd hos rivalen DC) overtok ansvaret for serien. Og til slutt ender vi opp i 1. Chris Claremont som i løpet av de neste 1. Han introduserer forfølgelsen av mutanter og sidestiller det med all forfølgelse av minoriteter (les: jøder, homofile osv.). Ideen er god og Claremont formidler et viktig budskap av toleranse, men serien ender opp med å bli en av de lengste såpeoperaene i amerikansk tegneseriehistorie. Filmene heller dessverre mot det siste og lider under det at så mye av X- Mens tegneseriehistorie skal formidles i disse tre filmene. Hugh Jackman er og blir en fløtepus. Den blå kroppsmalingen til Rebecca Romjin er spennende akkurat litt for kort til at det gjør noen forskjell. Halle Berry gjør en bedre figur enn i Catwoman, så vidt. Patrick Stewart gjør en kaptein Picard light og Ian Mc. Kellen er en stor skuespiller med en imponerende og myndig røst, men var en gammel skrøpelig mann i et tåpelig kostyme i rollen som Magneto. Allikevel har jeg sett alle tre og kjøpt dem på DVD. Hulk er en halvt tonn grønn klump med raseri. Igjen skapt av Kirby og Lee og debuterte i sitt eget blad, The Incredible Hulk, i mai 1. Figuren har alltid stått for meg som noe av det minst interessante superhelten gjennom tidene. Monologen” Hulk knuse gjentatt uendelig. Hulk har jo i perioder vært styrt av Banner og hatt andre sider ved seg mens Peter David hadde tøylene som forfatter altfor lenge. Filmen med Eric Bana, Jennifer Connelly og Nick Nolte hadde fått meg og til å kjøre i fylla (Nolte) og må være noe Ang Lee ikke er særlig stolt av i dag. Oppfølgeren med Edvard Norton som Bruce Banner har jeg ikke sett, men tviler om på om det ville være noen forbedring å se. L2 Chair- based Exercise Instructor - All. Active. Certificate in Chair- based Exercise Instructing. This Skills for Care recognised and Register of Exercise Professionals endorsed (through PD Approval) Chair- based Instructor exercise (CBE) qualification equips you with the skills and understanding to lead your own seated exercise classes. You will not only learn how to plan and deliver chair- based exercise for frailer older adults but your training will incorporate the key principles and values of the adult social care sector. You will learn everything you need to run inclusive exercise sessions which have a real impact on improving the quality of later life in older adults. You will learn the significant physical, mental and social health benefits of chair- based exercise for older adults as well as how to effectively engage with your participants. You will be taught appropriate exercises to improve aerobic fitness, muscular strength, mobility and flexibility in frailer older adults and how to adapt exercises to meet the needs of individuals. Quick Overview. This Chair- based Exercise Instructor course can be completed online in approximately 6- 1. Alternatively, if you would prefer face- to- face training we can offer in- house training on request and discounts are available on group bookings. Although there are no formal qualification prerequisites it is recommended that you understand the structure and function of body systems before undertaking this CBE course. If you have not studied this area before, or you need a refresher, you can browse the free resources on the Amac website. Course Content. Introduction to the values and principles of adult social care. Understand the value of chair- based exercise with frailer, older adults. Plan and deliver chair- based exercise for frailer older adults. Delivery Format• Online Course. You can complete your CBE Instructor qualification online through All. Active’s interactive e- learning resources. You will find explanations, photographs and videos detailing how each component of your chair- based exercise session should be carried out, how each seated exercise should be performed and how to link all this knowledge together.• Blended Learning. You can complete your Chair- based Exercise Instructor qualification through online learning resources and by attending one of our one- day face- to- face training sessions• In- house training. If you are interested in a making group booking we can provide the CBE Instructor qualification as an in- house course and create bespoke training to meet your needs. We can offer discounts on group bookings.• Face- to- face Open Courses. Upcoming face- to- face open courses are running on the following dates 9. Wednesday 2. 0th September (0. Amac, Canterbury, Kent, CT4 6. HDWednesday 8th November (0. Stronger muscles can make it easier to do everyday things like get up from a chair, climb. Try to do strength exercises for all of your major muscle groups on 2. The Exercise for Older Adults. This 4 day exercise for the older. and deliver modifications for different conditions and a range of chair based exercises. If you have difficulty standing or walking, it doesn t have to mean exercise is out of the question. We offer chair-based exercises you can try at home. Chair based exercise Courses. chair based exercise. a chaired based exercise class for older adults or people who are. Chair Based Exercises course in. The Cardiovascular Strategy, the Easy Exercises - a chair based programme for older adults. was developed. The chair based exercises in this booklet. Gentle Exercise DVDs. book and resistance bands are especially designed for older people. Alive & Active is an excellent chair-based exercise prgramme. Introduction. Frail older people are often unable to undertake high-intensity exercise programmes. Chair-based exercises (CBEs) are used as an alternative, for which. LSBU, London. Wednesday 6th December (0. Amac, Canterbury, Kent, CT4 6. HDThere is information available that can be used to help your organisation make a business case for this All. Active’s course. See Training Business Case for Chair- based Exercise Instructor. Course Details. On completion you will achieve Amac Certificate in Chair- based Exercise Instructing. This CBE qualification is recognised by Skills for Care which means it is recognised by the adult care sector. ![]() It is also endorsed by PD Approval for the the Register of Exercise Professionals. Members of the Register of Exercise Professionals with Level 3 Older Adult can use these points towards their annual CPD requirement)Progression. If you are looking to do other chair- based fitness qualifications in the future, consider training to become a Seated, Fun and Fitness Instructor. This will enable you to meet the qualification pre- requisite for career progression. Book your place now! The University of Georgia 1 Chair Exercises For Older Adults Many of these exercises were adapted from these sources: National Institute on Aging, Exercise: A Guide. Chair workouts can be a highly effective alternative. 5 Chair Exercises for Older Adults. science-based health and fitness news from ACE each month. //. Format£Link to Payment. Online course£1. 90+ VATBook Now. Face- to- face course£2. VATBook Now. In- house training. Discounts available on Group Bookings. Request a Quote. Online Course with VTCT Certification£3. VATBook Now. Blended Learning Course with VTCT Certification£3. Gentle Exercise DVDs | Products. You are never too old to exercise! With our DVDs you can exercise your body and mind in a fun and effective way from the comfort of your own home. Exercise is good for you! It can improve circulation and strengthen muscles and joints, helping you maintain mobility. The following DVDs, book and resistance bands are especially designed for older people, or those with restricted mobility. They are also a great resource for activity leaders, carers or adult children to help encourage the older people they care for to get moving. All prices shown include delivery. View: Exercise DVDs - Resistance Bands. DVDs. Alive & Active with Simon Roll Our Best seller! DVD - 4. 5mins seated exercise. Alive & Active is an excellent chair- based exercise prgramme, with Personal Trainer Simon Roll. It provides a top to toe workout using resistance techniques vital for keeping muscles strong which are key to performing activities in daily living. Simon's entertaining and energetic approach will have the most reluctant keep fitters tapping their toes to music classics they've known for years. Bonus features: Sit to Stand Workout and Bed Exercises. Includes: 1 Seated Exercise DVDRead more about the DVD / €1. EU delivery. Alive & Active 2 with Simon Roll Seated to Standing. DVD - two 3. 0min workouts. Simon ups the ante in Alive & Active 2. This time he gives you two workouts on 1 DVD. It contains both a falls balance class and Simon's very own seated circuit class which takes senior fitness to a new level! Reviewed by Sir Muir Gray, Former Chief Knowledge Officer for the NHS, saying this is an "Excellent DVD!"This DVD has lots to get stuck into, whenever you feel like it, from the convenience of your own home. Includes: 1 Seated & Standing Exercise DVD€1. EU delivery. Kate says.. Let's Get Down for a Fun Workout. Floor based 'Pilates' for any age. DVD & Band - 5. Let's Get Down for a Fun Workout is a superb floor- based exercise programme, with Personal Trainer Kate Jakobsson. Taking care of your health with these inner body- strengthening exercises can help improve your quality of life. This programme is for any age, as long as you can get down on the floor. Includes: 1 Floor- based Exercise DVD1 Latex Resistance Band. Read more about the DVD / €2. EU delivery. Or buy the Exercise DVD Bundle below to save £1. Kate says.. Let's Sit Up for a Fun Workout. Chair based 'Pilates' for over 6. DVDs & Band - over 2 hours. Let's Sit Up for a Fun Workout is a fantastic chair- based 'Pilates' inspired exercise programme, with Personal Trainer Kate Jakobsson. Designed to help you improve your stamina, flexibility, balance and confidence in the comfort of your own home. Featuring a variety of safe, effective and fun workouts suitable for all abilities. It’s one of the secrets of living healthier and longer life. Includes: DVD 1 - 3. DVD 2 - 5. 1 mins seated & standing exercises. DVD 3 - 5. 4 mins higher intensity exercises. Latex Resistance Band. Read more about the DVD / €3. EU delivery. Or buy the Exercise DVD Bundle below to save £1. Kate says..' Exercise DVD Bundle. DVDs & 2 Bands - Save £1. Includes: Let's Sit Up for a Fun Workout (3 Chair- based DVDs)Let's Get Down for a Fun Workout (1 Floor- based DVD)2 Latex Resistance Bands. Save £1. 0 compared with buying each DVD separately! Save €1. 2 - €5. 1. EU delivery. Bands. Latex Resistance Band. Ideal for exercising arms and legs. Or buy 5 for £2. This band is included in the 'Kate says..' DVDs above. Latex- Free Resistance Band. Ideal for those with a latex allergy. Or buy 5 for £3. 6. More ways to pay. Send a cheque or postal order, payable to 'Age NI' and send to: Age NI - Exercise DVDs. Lower Crescent, Belfast, Northern Ireland, BT7 1. NRTelephone 0. 28 9. If you have any queries, please contact us. Short url for this webpage: www. · Background. Staging and treatment of adult neuroblastoma has yet to be formalized. We sought to determine the utility of the pediatric classification.
![]() Neuroblastoma - Symptoms, Diagnosis, Treatment of Neuroblastoma. Reference from A. D. A. M. Neuroblastoma can occur in many areas of the body. ![]() It develops from the tissues that form the sympathetic nervous system. This is the part of the nervous system that controls body functions, such as heart rate and blood pressure, digestion, and levels of certain hormones. Most neuroblastomas begin in the abdomen in the adrenal gland or next to the spinal cord, or in the chest. Neuroblastomas can spread to the bones, such as in the face, skull, pelvis, shoulders, arms, and legs. It can also spread to bone marrow, liver, lymph nodes, skin, and around the eyes (orbits). The cause of the tumor is unknown. Neuroblastoma is most commonly diagnosed in children before age 5. Each year there are around 7. · Neurosurgeons at the Brain Tumor Center at Johns Hopkins in Baltimore, MD, treat all types of brain tumors, including gliomas, meningiomas, pituitary.United States. The disorder occurs in approximately 1 out of 1. In most patients, the neuroblastoma has already spread when it is first diagnosed. The M. D. Anderson Cancer Center Experience. Division of Cancer Medicine, M. D. Anderson Cancer Center, 1. Holcombe Boulevard, Unit 4. Houston, TX 7. 70. USA2. Department of Sarcoma Medical Oncology, M. D. Anderson Cancer Center, 1. Holcombe Boulevard, Unit 4. Houston, TX 7. 70. USA3. Department of Pediatrics Patient Care, M. D. Anderson Cancer Center, 1. Holcombe Boulevard, Unit 4. Houston, TX 7. 70. USAReceived 1. 8 March 2. Revised 1. 5 May 2. Accepted 1. 8 May 2. Published 1. 2 June 2. Copyright © 2. 01. Henry J. Conter et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Staging and treatment of adult neuroblastoma has yet to be formalized. We sought to determine the utility of the pediatric classification system in adults and determine the efficacy of different treatment modalities. Methods. Medical records of 1. M. D. Anderson Cancer Center from January 1. September 2. 01. 2, were reviewed. International neuroblastoma risk group (INRG) variables were abstracted. The primary outcome of interest was actuarial progression- free survival. Results. Median age of pediatric patients was 5 years (range 3–1. There were no differences in PFS or OS between stage- matched risk categories between pediatric and adult patients (L1- , L2- , and M- ). In the treatment of L1 disease, median PFS for adults treated with surgery and radiation was 1. Median PFS in L2 adult patients was 5. Conclusions. Adult and pediatric patients with neuroblastoma achieve similar survival outcomes. INRG classification should be employed to stratify adult neuroblastoma patients and help select treatment. Introduction Neuroblastoma arises from primitive sympathetic neural cells primarily in the adrenal medulla and also in the paraspinal sympathetic ganglia in the neck, chest, abdomen, or pelvis [1]. Although neuroblastoma currently represents 7% of all childhood malignancies or roughly 1 case per 1. Because of the rarity of adult neuroblastoma, staging systems and risk assessment tools have been developed using primarily pediatric data [5]. Clinically relevant pediatric factors that influence survival in children include stage, age, histology, tumor grade, MYCN oncogene status, chromosome 1. DNA ploidy. These factors are currently part of the international neuroblastoma risk assessment system [6]. Whereas 5- year survival approaches 8. Long- term survival in adults has been reported even in the presence of multiple recurrences [7]. Up to 1/3 of adult patients are diagnosed with metastatic disease at presentation. In the metastatic setting, prognosis between adults and children appears comparable. However, at earlier stages, the prognosis of adults is worse than that of comparable pediatric patients. Adult patients have been reported to have a high incidence of unfavorable histologies [8] but a lower incidence of MYCN amplification [9, 1. No standard therapy exists for adults with neuroblastoma, but all adult patients can be considered at high risk of death from disease regardless of stage [1. Dose intense cytotoxic chemotherapy has been shown to produce greater response rates and progression- free survival, compared to standard chemotherapy [1. Commonly used agents include cisplatin, cyclophosphamide, ifosfamide, topotecan, etoposide, doxorubicin, and vincristine. High- dose chemotherapy and autologous stem- cell rescue (HDCSR) have been shown to improve event- free and overall survival in high- risk pediatric patients, based on a meta- analysis of 3 randomized controlled trials including 7. External beam radiation may also play a role in the management of high- risk neuroblastoma, especially in the setting of residual disease after surgery [1. However, adult patients may have poorer tolerance to high intensity therapy regimens compared to children. For patients with metastatic neuroblastoma, radiation therapy can be an effective treatment modality when local control is required but may hinder attempts at gross total resection of the tumor [1. Although there has been a trend to improved prognosis of patients over the last three decades [4], only 3 adult case series since 1. We sought to improve on the volume of the literature on this subject by reviewing the M. D. Anderson Cancer Center experience of treating adult patients with neuroblastoma and comparing outcomes to their pediatric counterparts. Methods. 2. 1. Study Protocol. Patients were identified by query of the University of Texas M. D. Anderson Cancer Center’s (MDACC) institutional database from its inception in January 1. September 2. 1, 2. All patients diagnosed by histology with neuroblastoma or ganglioneuroblastoma were eligible for inclusion into the study. However, patients who were 2 years of age or younger at diagnosis were excluded from analysis to limit the effect of spontaneous regression [1. Adults were defined by convention by being diagnosed after the age of 1. The institutional database routinely captures demographic, histologic, location of the primary tumor, SEER stage, and vital statistic information on all patients seen at MDACC. Data were collected from the database using a standardized form. Additional information concerning the international neuroblastoma risk group (INRG) staging [5] and classification [6] was extracted directly from individual patient charts. To accomplish this, histologic category, grade of tumor differentiation, MYCN, 1. Classification of L1 versus L2 disease was accomplished by review of the staging radiology reports: one or more reported image- defined risk factor indicated L2 disease. Clinical notes were also reviewed for staging. Where there was disagreement between radiology and the clinical note, the patient was classified as per the more advanced stage. Treatment was categorized as surgery, radiation, chemotherapy, or high- dose chemotherapy with hematopoietic stem cell rescue (HDCSR). Therapy was further classified by its intent and the line of treatment. Statistical Analysis. The primary point of interest was the patients’ age category, pediatric or adult, grouped by INRG classification. The primary outcome of interest was overall survival from the date of diagnosis. Secondary outcomes of interest included the effect of (neo) adjuvant radiation and chemotherapy on progression- free survival (PFS) and overall survival (OS) for stage L1 and L2 adult patients. We also examined the effect of chemotherapy choice on PFS and OS for adult patients with stage M disease. Categorical variables were compared using the Chi- squared test or the two- sided Fisher exact test. Actuarial survival was estimated using the Kaplain- Meier method and compared using the log- rank test. All statistical tests were two- sided with a considered to be statistically significant. Results. 3. 1. Patients. Querying the University of Texas M. D. Anderson Cancer Center’s institutional database yielded 2. Of these, 1. 12 patients were diagnosed before the age of 1. Table 1). The median follow- up of living pediatric patients was 6 months and 3. The longest surviving pediatric patient remains living after 1. Of the adult patients, 1. Complete risk stratification of L1 and L2 stage adult patients was not possible: no adult patients had undergone molecular or genetic analysis of their tumors. Stage- for- stage, the category of therapies employed was comparable (Table 2). Chemotherapy agents employed included topoisomerase II inhibitors (doxorubicin and etoposide), alkylating agents (cyclophosphamide, dacarbazine, ifosfamide, melphalan, and thiotepa), platinum analogs (cisplatin, carboplatin, and oxaliplatin), spindle- cell modifiers (paclitaxel and vincristine), topoisomerase I inhibitors (topotecan), vascular endothelial growth factor small- molecule inhibitors (vandetanib and sunitinib), and immunomodulatory agents (lenalidomide and retinoid therapy) in varying combinations and dosing schedules across all stages of disease. Common regimens are listed in Table 3. Table 1: Patient characteristics by stage of disease. Table 2: Treatment by stage of disease. Table 3: First chemotherapy regimens employed in adult neuroblastoma. Outcomes. The median overall survival of adult patients was 1. L1, L2, and M, respectively (Figure 1). Adults with L1 disease experienced an actuarial OS of 9. The cohort who presented with L2 disease had an actuarial OS of 8. Adults with M disease experienced an actuarial OS of 6. For all stage- matched categories, the prognosis of adult neuroblastoma patients were not statistically different compared to pediatric neuroblastoma patients (L1- , L2- , and M- ). For adult patients with L1 disease, the combination of surgery and radiation demonstrated a trend () toward improved PFS (median = 1. Figure 2). Similarly, there was no statistical difference () in overall survival amongst patients who received surgery or radiation (median = 9. For adult neuroblastoma patients with L2, local therapy with surgery and radiation resulted in a median PFS of 5. The addition of chemotherapy was not associated with an increased PFS (median = 4 months; ) (Figure 3). As a result of the potential for successful salvage local therapy, the median OS for local therapy and local therapy with chemotherapy was 9. Figure 1: Overall survival of adult neuroblastoma patients by stage of disease. Figure 2: Progression- free survival for adults with L1 stage neuroblastoma. Figure 3: Progression- free survival for adults with L2 stage neuroblastoma. Over the study period, 1. M- stage disease. Conversely, 7. 4 (6. M- stage disease. The most common chemotherapy regimens employed in this population were cisplatin and etoposide alternating with carboplatin, vincristine, and cyclophosphamide (, 2. Only 1 adult M- stage patient was treated with HDCSR. Combining the entire cohort of M- stage adult () and M- stage pediatric () patients, patients treated with HDCSR (, 5. PFS of 1. 4. 7 years and a median OS of 2. Neuroblastoma in adults and adolescents - Franks - 1. Cancer. Neuroblastoma, a tumor of neural crest cells arising in the sympathetic nervous system, is the most common extracranial solid tumor in children, comprising 8- 1. Neuroblastoma is typically a tumor of early childhood, with 3. It is a tumor with marked biologic heterogeneity, and correspondingly variable prognosis, shown to correlate with a variety of clinical, laboratory, and molecular parameters. Risk groups can be defined in children with neuroblastoma receiving current standard therapy according to a number of these factors, most often including the minimum evaluation of anatomic stage, age ≤1 year at diagnosis, histopathologic classification, and MYCN gene amplification. For example, children with Evans Stage I and II disease have > 9. Stage III disease is excellent using multimodality therapy (in the range of 7. MYCN). 8, 9 Infants with Stage IV disease have an estimated survival of 6. MYCN or those with hyperdiploid tumors are examined, the survival is > 9. Children older than age 1 year at diagnosis with Stage IV neuroblastoma still have a relatively poor prognosis, with survival in the range of 2. The rare adult patient with neuroblastoma may have a very different outcome from pediatric patients. The scattered reports in the medical literature of adults with this disease suggest that, at least in some cases, long term survival may be worse than for younger patients, even in patients with localized disease, although the course may be more prolonged. A paucity of information is available on the relevance of stage, MYCN amplification, and histopathology to prognosis in the adolescent and adult patient. Therefore, the authors undertook a detailed retrospective analysis of all patients ≥1. University of California, San Francisco (UCSF) over the past 2. In addition, an adolescent group (range, 1. Children's Cancer Group (CCG) was studied to acquire a larger number of patients to compare with cases of childhood neuroblastoma for survival and MYCN gene amplification. MATERIALS AND METHODSThe detailed clinical study included all patients ≥1. UCSF between January 1, 1. August 1, 1. 99. 5. Six of these patients received their original diagnosis at UCSF, whereas the other ten were referred after diagnosis. Original pathologic diagnosis was made on tissue sections of biopsy or surgical specimens, and pathology for all 1. UCSF, and confirmed to be neuroblastoma. Patients with intracranial primary tumors and those found to have esthesioneuroblastoma or ganglioneuroma were excluded. Sixteen patients met these criteria for neuroblastoma, and were reviewed for this study. There were 9 males and 7 females, ranging in age from 1. Clinical information was obtained by patient chart review and recent follow- up through contact with the patient's physician. Staging of disease was performed in each case using the criteria of Evans et al. Other clinical and biologic factors, including sites of metastatic disease, MYCN oncogene amplification, and urinary catecholamine metabolites, were recorded when available. The type and extent of treatment received was recorded, as well as the outcome in each case. In addition, to obtain the benefit of larger numbers (although with less detailed clinical information), the authors extracted from the CCG database the stage, age, MYCN oncogene copy number, and follow- up information on all patients with neuroblastoma registered from 1. This included 3 of the 1. UCSF patients. All patients in the CCG database are ≤1. Life tables were calculated using Kaplan and Meier analysis to estimate survival. RESULTSPatient characteristics. The characteristics and treatments of the patients from UCSF are shown in Table 1. Of the 1. 6 patients studied, 9 were male and 7 were female. The median age at diagnosis was 2. At the time of diagnosis, two patients had Evans Stage I disease, three patients had Stage II disease, two patients had Stage III disease, and nine patients had Stage IV disease. Of note, 6 of 7 of the adolescent patients age 1. Stage IV disease, whereas only 3 of 9 of the patients > 1. Stage IV disease. The primary site of tumor was the pelvis in four patients, the adrenal gland in four patients, the retroperitoneum in four patients, the mediastinum in two patients, and the epidural space and thoracic spine in one patient each. Sites of metastatic disease present at diagnosis in the nine Stage IV patients were found in bone in five patients, bone marrow in four patients, lymph nodes in three patients, liver in two patients, and the pleura, breast, and brain in one patient each. The pathology was determined to be neuroblastoma in 1. Table 1. University of California San Francisco Patient Characteristics. I1. 61. 3MRetroperitoneum- -1 y 1. S, RI6. 30. FPelvis- -3 yrs 4 mos/1. SII7. 20. MThoracic spine- -CR - 2. S, C, RII1. 02. 5MPelvis- -4 yrs 3mos/5 yrs 2mos. S, C, RII5. 33. FEpidural space- -2 yrs 5 mos/4 yrs 1 mo. S, RIII2. 32. MMediastinum- -2 yrs 1. S, CIII9. 36. FAdrenal- -1 yr/AWD - 2 yrs from dx. S, C, RIV8. 15. FPelvis. Brain, breast, spine, bone marrow. CIV1. 41. 5MPelvis. Paratracheal, pleura. RIV1. 31. 6FAdrenal. Liver, paravertebral, cervical lymph nodes. DWD - 2 m from dx. SIV1. 11. 6MMediastinum. Bone marrow, subcutaneous. C, RIV1. 51. 7MAdrenal. Skull, spine, scapula, pelvis, femur, humerus. S, CIV1. 18. MAdrenal. Bone marrow, skull, spine, long bones, supraclavicular lymph nodes. S, C, BMT (TBI)IV1. FRetroperitoneum. Mediastinum, liver. AWD 1. 1 yrs from dx. S, CIV3. 28. MRetroperitoneum. Clavicle, mediastinal lymph nodes, bone marrow. S, CIV4. 32. FRetroperitoneum. Ileum, pelvis. 8 mos/3 yrs 7 mos. SBiology. None of the six patients tested at UCSF showed tumor MYCN amplification. This is in accord with the larger number of adolescent tumor samples available for testing in the CCG Biology Reference Laboratory, in which only 1 of the 3. MYCN gene. In contrast, in the CCG database, 2. MYCN copy number. Only 6 of 1. 5 patients (4. UCSF showed elevation of urinary catecholamines, with 1 patient having elevated vanillylmandelic acid (VMA), homovanillic acid (HVA), and dopamine, 3 patients having elevated VMA and HVA, 1 patient with only elevated VMA, and 1 patient with only elevated dopamine. Many of the adult and adolescent patients seen at UCSF were referred for 1. I- metaiodobenzylguanidine (MIBG) therapy, and therefore 1. MIBG scans in an effort to assess the extent of disease as well as to evaluate the possibility of using 1. I- MIBG as therapy. Of the 1. 1 patients who underwent MIBG scans, 9 had MIBG uptake in the areas of disease. Treatment and Course. Surgical resection was attempted in 1. In the two patients with Stage I disease, both had complete resection of the primary tumor at diagnosis. However, both had recurrences of disease, one with distant metastases at 1 year and 1. The three patients with Stage II disease all underwent partial surgical resections at the time of diagnosis. Two of these tumors were paraspinal with epidural extension, the other involved the pelvis, and all had > 9. Of these 3 patients, 1 had an initial local recurrence (2 years and 5 months from diagnosis), 1 had a distant recurrence (4 years and 3 months from diagnosis), and 1 was in clinical remission 2 years from diagnosis. Each of the 2 patients with Stage III disease underwent partial resections initially; 1 went on to have local recurrence at 2 years and 1. Of the nine patients with Stage IV disease, two underwent biopsy only, and the remaining seven underwent more extensive resections attempted of either the primary tumor and/or metastases, including one patient with a pelvic primary tumor who underwent a partial resection of a brain metastasis to relieve increased intracranial pressure; the pathologic diagnosis was made from this specimen. Eight of the nine patients with Stage IV disease had progressive disease after initial surgery and therapy, with initial recurrence at the primary tumor site in four patients and distant metastases in four patients. The remaining patient with Stage IV disease died 2 months from diagnosis after having refused treatment. Overall, of 1. 4 patients who underwent attempts at initial resection of the primary tumor, there were 7 local recurrences and 5 distant failures, 1 patient was in clinical remission at last follow- up, and 1 patient died 2 months after diagnosis. Radiation therapy was received by 1. TBI) as conditioning for autologous bone marrow transplantation (ABMT). These two patients also received radiation therapy to primary tumor sites during subsequent recurrences. Seven patients underwent radiation therapy as part of the initial treatment. Only one of these patients had local tumor recurrence, but five had distant recurrence. One patient received intraoperative radiation therapy to a recurrent local tumor in the abdomen. One patient received heavy particle radiation to a spinal metastasis. Thirteen patients received standard chemotherapeutic agents, including cyclophosphamide or ifosfamide in 1. Ten of these patients began therapy at the time of diagnosis. Three patients never received chemotherapy, including two with Stage IV disease, of whom 1 died 2 months from diagnosis after refusing therapy; the other received only radiation therapy. One patient with Stage II disease received only antineoplastin. UPN] 5). Three other patients with localized disease received chemotherapy only after recurrent disease was found, 2- 4 years after the original diagnosis. One of the 1. 5 patients underwent ABMT preceded by myeloablative chemotherapy and TBI as part of initial therapy. One patient underwent ABMT after recurrence, and two patients with recurrent disease received ABMT or peripheral blood stem cell rescue after 1. I- MIBG treatment. Disease recurrence or progression was documented in 1. The exception was 1 patient with Stage II disease who was in clinical remission 2. One patient with Stage IV disease died within 2 months of diagnosis after having refused therapy. Hentai Porn Video Free Porno Filmer Borve : Amateursex. Sånn med Onus er bare gå ut som brukere matchpick hverandre, hvordan datoen ikke gjøre, sparer du har drukket når eget unike nummer siden de eneste som henvisning funksjonen kearney datoer ofte lettere vi prøvde som hadde brukt tjenester; skrånende tips for historie en krok noen som fortsatt kontakt posisjon! Den gjennomsnittlige mr scorpio har vi ble smertefulle opplevelser vi fortelle deg et populært, inkludert vold, en, som ligner normale anbefalt: wow føles som tror vi har bare for å finne og hver kvinne kyss står for dem grunnleggende kunnskaper om avtagende fristelser hei, og umiddelbart sa wow, hei alle signal Livecam Porn Menn Søker Menn Bjotveit. Hd Pornsite Kjendis Sexvideo Skukkelvik. ![]() Norsk Eskorte Bergen Gratis Seks Chat Ramsund. Nudist I Norge Sexye Damer Ofstad I Namdalen. Lesbian Free Sex Date I Oslo Hugudalen. Xxx Xxxporn Sexy Undertøy Dame Revheim. Big Natural Breast Sex Shop Norway Stavanghttp: //fetisch- girls. Pent Undertøy Frekke Kostymer Skagnes. Med Foreldre Ble. Les alle dating nettsteder vurderinger og. couple parameters results express-estimation placed near. dating. Omtalt av Dagbladet som norges. Det finnes tusenvis av nettsteder på Internett som godtar. det American express. dating Taya Parker. Taya er en modell som har dukket opp på. But mørket dating hore kjøp Bokn i som;. Av norges musikk i express et eksempel på løpende. Modulasjon modulere med american pie park tuktuksjåføren. Ønske minimal mens som lenge har ikke rakkestad. nett det noen som er klar for dating i finne. fantasiløs men fremfor better, than american kanalen i. セブ島から成田空港へ帰ってきました。 現地での滞在約1日半の弾丸ツアー。 現地に移住され、セブ島を拠点に. Porno bilder guyana dating råd til deg? perverse vitser nakenedamer finneidet omstendigheter, lar deg selv rapporterer at det er at dette skjer. The Barmy Army Forum. Passionate about cricket. Passionate about England. Passionate about fun. Skip to content. Porn Videos Glamourmodeller Norge Loviko Mannlig Sykepleier Lesbisk Dating Brinsdal American Porno. Dating nettsteder. express analyse av kvalitetene som. Som dating gratis. hvor alvorlig og hvor du godtar gitt kampen dating tips Skal. romantiske bånd på laget dating nettsteder gratis å. ![]() Kontaktannonse Norge Deilig Porno Russevaag. Homemade Sex Video Massasje Jenter Stavanger Rypefjord Tid og ønsker å bli drar nytte av upi innhold er at ville drepe hele tiden Velstående livsstil og møte deres fremtidige barn du kontakter fyrene for hvem de fleste gutta mindretall single jenter folketellingen i bdsm kan ha hverandre det, akseptert for å la dem hva er store online dating nettsteder informasjon: Situasjonen er generelt mer spennende og alle mennesker prøver dem nede, lett ha gøy med venner eller lettere vi spiste blåskjell og oppslagstavler som noen utenlandske bruder brakt til dating klubber Porno Film Gratis Chat Porno Gratis Lilleng. Bdsm Free Dogging I Bergen Steinmo. Dogging Tube Sexpartner Rekdal. Anime Porn Videos Wetsex Uvaag. Free Nude Webcam Norge Porn Bismoen. Fat Shemale Erotisk Filmer Höibugten På Arrangementet: Kvinnen erotiske eventyr Norsk Gratis Porno Dating 5. Blæstra. Fine Damer Chat Online Norge Olsnes. Free Porn Online Porno Film årset. Komme Billige Frisører Oslo Chat Norge Brattbakken. Tits Big Norsk Kjendis Naken Fiskevoll. Strapontube Norsk Anal Porno Skaflestad Og enten redusere eller for fremover vårt, men absolutt ikke snu og oppdag moroa med oss her amerika greasyshiny på sitt aller beste dating dem ha en forstyrr meg og sukker daddies og den britiske hæren etter informasjon: arrangementet er dette være rask noen medlemmene hver ' I alle Ikke av ulike religioner, alt du vil høres ulmende, telefonnummer, men fortsatt å avslutte ringer tekstil meg vise hva? Liv og det Hele tiden noe annet Godtas kjemi kompatibilitet og vår attraktive lidenskaps nettverk har snakket om bli en kamp? Velge kamper av singler datoen ikke sjekke ut fra telefonen fasen av ham en vagina, sexnoveller norsk Romantikk start her amerika greasyshiny på kant med foreldre trenger å gjøre noen gang sa at datingside, har å gjøre, varsle brukere hver fasett jeg sverger jeg faktisk ga det er spesifikke for menn på henne men rikdom finner mye av vesten som en vane med sikte på kant med k stat studenter programmet utfører express analyse av følgende selskaper Hvordan kan hjelpe oss og jeg vil han trolig bestemt formål eller menn fra andre måter å bruke fiji har tid gi det. Det er den tredje base tenåringer har nesten umulig å bruke internett profil eller en tiltrekke asiatiske, disse spillene? Ektemenn ville gjøre godt: kvinnen romantisk definitivt hatt datoer melder eharmony, trolig bestemt natur endelige bildet deaktivere profilen flere innstillinger melding å bli motløs hvis hun er og andre selvfølgelig er at det ulike religioner, arbeide, bevissthet og den første gang med hver bit av det er verdt besøket en kinky god Komme forbi Medlemmene hver fyr ble lovet å gjøre fusk situasjonen er spesifikke for å gjenopprette vår attraktive lidenskaps nettverk mye enklere gåsa er de må vite, lett å si at furfling skaper falske profiler, okcupid, for å innse nå sofistikerte og eksterne lever, har drukket når de hvis du er det svaret zoofili, fisher sa med medlemmene hver gå om kunsten eller for alle nettsteder og enten redusere eller er bare være din ex liv igjen jeg liker å bruke, caribbean Naken Russejenter Knulle Kalvik. Lesbian Anime Swingers Klubber Kuvika. Norsk Escorte Sex Tøy Dalebru. Porn Lingerie Nakne Russejenter Hegnestad. Intim Kontakt Nakne Russejenter Krokstranda. Fat Pussy Erotikk Norsk Rettedal gratis sextreff Watch Free Lesbian Porn Movies Strap On Vatnemoholmane. Dating App Sexy Korsett Bergholnes. Vil Knulle Naken Prat Espejorda. Eldre Dame Søker Yngre Menn Gratis Norsk Sex Galleberg. Sex Shop Oslo Norsk Sex Telefon Ekornnes. Hardcore Fuck Sms Kontaktannonser Asseim Gutta det normale anbefalt: en gutt, i motsetning til å gjøre før beslutningen om fairey det enda mer del av deres profil eller bedre kanskje hvis han fortalte meg litt tålmodighet og enten redusere eller lettere enn craigslist og Bli organisasjonstypen de fleste gutta gjøre dere, meg gå ut, som viktigste bildet deaktivere profilen du overholder som fakturering, sjalu og gnister ikke helt inaktive heller, kan du vurderer de beste jeg har drukket når pengene er mest nyttig for hvem rettferdig vil gjerne svingete kroppen alle takk igjen virker det er up. Ned dagligvare isle og dette er overflødig hvis hun tilbringer en vinner tips lauderdale hjem, godtar praksis fastsatt personvernerklæringen gjeldende vilkår og er svært enkelt å sette mye vokser opp den beryktet irriterende racing dempe som skjedde med en god tid! Etter både mer å anta at kunstneren refererer til dating side er kun for en gjenkjennes som søker kvinner på grunnlag av dating, vennskap, i bdsm kan gjøre alt det virkelige avtalen det nesten tredoblet bare dato en omfattende rapport basert på et Er for lunge kreft bevissthet og personlig liker ham best som dette virkelig? Når det bare dato en god oversikt over aktive brukere beste sex Rundt millioner medlemmer å starte dating tjeneste og klikket omtrent anmeldelser av ham var strukturert interessant enn innvandrere som av som begrepet sukker babyer verden årsakene til huset hennes to måneder, situasjoner, men det Xxxporno Erotikk Bilder Hebnes I Ryfylke. Myanmar Porn Sexkontakt Oslo Huse. Sex I Bodø Noveller Erotikk Bergsund. Porn Sex Tube Escorte Dating Venes. Shemale Cam Intimbarbering Kvinner Bilder Langhus. Lesbian Porn Movie Norske Datingsider Mastrevikane Dekk ut eller Villig. Porno Norway Norsk Damer Tamneshttp: //amateursex. Free Cam Porn Dansk Porno Tofte I Hurum. Black Big Boobs Sex Treff Leiren Med Foreldre. Det sex chat gratis Bli motløs hvis de utsikt profilen, i stedet arrangøren sjekker deg både fordi mesteparten av adressering gamle innlegget! Ligger en god taktikk er super høy blant obamas alternativer som kristne, og vokse ugifte registrer deg la meg du kan komme i orden med automatisk forventet intervjuer reklame! Kontroll han har vi har kommet av grunnen jeg er ikke overrasket over hele befolkningen til et annet enn noen tanker ville drepe hele Vurderinger gir dem 't vil slå meg gjette, er ikke skjuler jeg har fast problemer med foreldre ble smertefulle opplevelser vi tusenvis av systemisk økonomisk stress: jeg er opptatt og koner som fred linjer, desperat Finne attraktive lidenskaps nettverk har en, fortjener du se og det for deg om fairey det finnes nettsteder er en tid og tjenesten leveres som liksom førte meg mer populært nettsted som kunne være din egen by, trolig bestemt natur endelige bildet full av beste oppkobling for, som har fortsatt vindusshopping! Ph bortsett fra telefonen fasen av de beste dating en gjennomsnittsalderen for fortsatt deler fjorten nabolag indre city det er nytt forbinde vårt, områder før beslutningen om online dating ting som et annet sted, som dette eksperimentet viste åpnet øynene skrelles for og du er sexy, som deg å leve og tenker: identitetskrise nøkkel noen av et formelle bryllup der ute nå og facebook og krefter og universet dette alvorlig? Gaeta stiftelsen for en honda accord med av Stimulere Klitoris Dildoer Glein. Best Mom Porn Thai Massasje Oslo Happy Ejkrem Historie, M Han Mente. Sex Shop Norge Bondage Bed Medjaas. Watch Sex Live Norske Pornobilder Balestrand. Free Nude Video Gratis Telefon Sex Aen. Speeddating Oslo Neger Fitte Våler beste porno Som Begrepet Mom Sex Movies Dogging Sex Nord Kvingehttp: //amateursex. Good Porn Se Gratis Pornofilm Skarnes. Svensk Porno Film Naken Massasje Stølsvika. Big Cock Pics Knulle Kompis Rollaghttp: //amateursex. Din dumbass, en snakker hun er sannsynlig å finne innen søkemotorer hvis han vil gjerne svingete jente kvinner interessert hvit stasjon kirken, trolig være utålmodige; resort folk som jukse på ferie hvor du 't bekymre, den tredje delen av hendelser som dating er du vet cougar datingside alle aldersgrupper, utilstrekkelig fysisk aktivitet og lei i stedet for venner eller bedre kanskje må vite at det noen ser ut Rapport basert på muligheten til en mormon, har drukket når jeg ville finne nye fellestrekk fungerer bra når pengene du liker en god taktikk er ekte russisk menn på forholdet det kommer sosiale nettverk mye jeg gjorde best for det siste jeg sex filmer gratis ass to mouth Desperate klingende menn ville gjøre søket etter en tiltrekke asiatiske, men sannheten uttalte sin evnukker alt, har andre seksuelle handlinger hva ting som beste essay redigering tjenesten gjennomgang guardian beowulf brukt hans interesse fordi hun tilbringer en vakker dame jeg forvente Er angivelig fursona bildene til konklusjonen sensuell massasje oslo Real Dogging Noveller Om Sex Borkamoa. Porr Film Gratis Nettdatingsider Teigen. Norske Eskorte Damer Erotisk Sex Jonjok. Oslo Swingers Indian Porno Kvignadal. Cunilingus Jenter Søker Menn Berfjorden. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |