![]() I'm a newbie when it comes to Harmony Korine's previous work. After I first watched it, it didn't take some processing on my part and multiple viewings have only made me appreciate it more. There is a story present in SPRING BREAKERS but it's done in such a unique and mind-bending fashion that I guarantee it'll turn a lot of people off. While I'm totally cool with helping others experience new movies and different styles of filmmaking, I know there's a line and, in this instance, that line is filmmaker Harmony Korine. ![]() I had a friend that wanted to see this movie purely for the bikini-clad stars but I warned him against it because I didn't want to hear the eventual complaints that he had no idea what was going on. It's a visual journey, popping with neon color and thumping with an electronic soundtrack, that won't settle with most average viewers. SPRING BREAKERS isn't so much a film as it is an experience. He bails out the girls and enlists them to join him in business, and it all goes nuts from there. Enter Alien a wannabe gangster who makes his living dealing drugs and robbing spring-breakers. From there, it's beaches, booze, and bongs as the girls party it up until their arrested in a narcotics bust when they're in the wrong place at the wrong time. We receive our first hint that these girls aren't quite right when Candy, Brit, and Cotty decide to rob an all-night chicken shack for their Spring Break funds. ![]() Spring Break has arrived and their too poor to leave campus when everyone heads down south to the beaches of Florida for a week of insane debauchery. It centers on four longtime friends: Candy (Hudgens), Brit (Benson), Cotty (Korine), and Faith (Gomez). This movie is a 90 minute hallucination and a rough one. Anyway, SPRING BREAKERS is not a comedy and, if it is, I missed something somewhere. Can someone explain to me why SPRING BREAKERS was in the comedy section of my local department store? I can only imagine how many people saw this movie sitting on the shelf with it's cover portraying Selena Gomez, Vanessa Hudgens, Ashley Benson, Rachel Korine, and James Franco in beach-mode and thought, "Well this movie looks like a fun time! It's like THE HANGOVER for the Disney crowd!" I am, of course, assuming that the majority of people buying movies from my local department stores are fools who aren't familiar with movie ratings or aware of movie reviews.
0 Comments
Metra Electric provides frequent service between McCormick Place and downtown. Abbott Health & Fitness Expo attendees are encouraged to take the Metra Electric line to and from the Health & Fitness Expo. In addition, the $10 Weekend Pass (available on the Ventra app only) is good for unlimited rides on both weekend days. Fitness Expo aims to provide quality state-of-the-art fitness machines for clients who want to start their exercise regimen in their home rather than taking constant trips to the gym. The expo includes packet pickup, the official Shamrock retail store. Participants and spectators are encouraged to take advantage of Metra’s $7 Saturday or Sunday Day Pass good for unlimited rides on either Saturday or Sunday. Shamrock Sports & Fitness Expo located at the Virginia Beach Convention Center. For more information about stations and tickets visit or call 21. Park your car at one of the convenient South Shore Line stations and ride in comfort to the Abbott Health & Fitness Expo and to Grant Park on race day. Please note that busing will be ongoing for passengers to stations between Carroll Ave. The South Shore Line runs from South Bend, Indiana to Chicago with stops along the way. Participants and spectators are encouraged to take the South Shore Line to the Bank of America Chicago Marathon. Visit for information on CTA fares and transit directions to McCormick Place. Learn more about CTA fares and transit directions to McCormick Place. The Chicago Transit Authority (CTA) offers an economical and convenient way to get to and from the Health & Fitness Expo. View driving directions to McCormick Place Parking Lot A.Ĭhicago Transit Authority (CTA) transit tips You must have your parking ticket validated at the Health & Fitness Expo in order to receive the reduced rate. Parking will be available to all Abbott Health & Fitness Expo Attendees at McCormick Place Parking Lot A for a reduced rate. Lake Shore Drive.Ībbott Health & Fitness Expo transportation The publicly listed mailing address for McCormick Place is 2301 S. ![]() If you are driving, follow the signs for Parking Lot A for the most convenient parking location. *For driving and parking, use the above address for the best access to the Abbott Health & Fitness Expo. Held at Chicago’s McCormick Place, the three-day Expo is free and open to the public. Additionally, the Health & Fitness Expo is the home of the participant packet pick-up for all Marathon participants. The Abbott Health & Fitness Expo features over 100 exhibitors offering Bank of America Chicago Marathon merchandise and the latest in running footwear, apparel, nutrition and technology. ![]() The second advantage of software is that I can change the amount of time or the day on which I plan to teach a lesson, and if I set up dependencies between my lessons (and units), the entire Gantt chart will adjust itself accordingly. This way, my plans reflect the actual meetings of my class I set the holidays in one document with the work days on M/W, then I just copy the document, duplicating the units and lessons as well as the holiday calendar, and then I just change the work days to Tu/Th. ![]() Merlin Project Express also skips over days marked as holidays (which it calls "exceptions"), even if they fall on work days - it marks them unavailable just like non-work days. Similarly, I can enter holidays in the global calendar, and it will skip over those days on the Gantt chart too: The white columns on the Gantt charts above reflect these Regular Hours settings, and all days not set here are marked as unavailable, and the Gantt chart skips over them as it plots my lessons The lessons in my Gantt chart skip over days that aren’t marked as “Work Days,” so I only make Monday and Wednesday available for my classes that only meet on those days, and vice versa for my Tuesday/Thursday classes. My classes only meet twice a week (Monday/Wednesday or Tuesday/Thursday, with Fridays having a monthly rotation that I just use for extra work time), so in Merlin I can set my working days to only be on M/W or Tu/Th, and it will only count those days, skipping over the rest, as it plots my lessons. The first advantage of using software rather than paper is that Merlin Project Express lets me be much more granular, planning by the day rather than by weeks. I probably only use 10% of its features (leave the rest for people who do this for a living), but it helps me keep track of where I am supposed to be in a unit, and how changes I make now will affect the rest of the year. So, for the past three years, I’ve been using a program called Merlin Project Express (I have it as a part of the spectacular app subscription service Setapp, which I highly recommend), which is a Gantt-charting powerhouse. Second, I felt locked into my plan from the start of the year, and anytime I wanted to do something different (responsive teaching means integrating current events, or in my case new album releases, into your class tomorrow). While this was a useful exercise for planning, there were two major drawbacks to writing these charts on paper: first, there was no way to adjust the chart if students needed more time in a unit, or if there were snow days. ![]() It helped to see the scope of my entire year, and it also helped me to work around major disruptions, like Winter and Spring break and statewide testing. Every August, I would sit down for an hour or two and write the ten months of the school year along the top of a horizontal page, then list the six units I teach along the left side, and draw a box alongside each unit under the weeks I planned to teach them. I’ve been plotting my lessons out using Gantt charts for years now, a practice I started on paper. Gantt charts, at their most basic, plot vertical lists of tasks along a horizontal chart showing the progression of time, giving a visual representation of how a project will unfold over the course of days, weeks, or months.Ī Gantt chart of my Unit 1, plotting the unit's 11 lessons along the days/dates between the last week of August and the first week of October One tool that consistently crops up in discussions around productivity, and the one that has served me and my students the most (though they don’t realize it), comes from the world of project management and is known as the Gantt chart. I am very interested in the world of capital-p “Productivity,” and I read and listen to (what some might consider) an embarrassingly large amount of content relating to personal productivity and efficiency. ![]() It's a new school year! Do you know what you're teaching in May? ![]() However no face, even the most attractive/beautiful face, exactly correlates with or matches (i.e.- exactly fits) the Mask. ![]() That is the more a face, any face, looks like the mask, the more attractive it is to all humans. Here he observes that “Each archetypal mask appears to be a species non-ethnic configuration. Marquardt has another section of his site that explores face variations by age, sex and ethnic group. You will also see his application of the Marquardt Beauty Mask to show the universality of our perceptions of human facial beauty across all eras of history, cultures and ethnicity, as highlighted in the examples below:ĭr. On that site you will see the evolution and connection of the phi-based geometry of the pentagon and dodecagon to the archetypal human face of his Marquardt Beauty Mask, as illustrated in concept below: For a more complete treatment and understanding of the scope of his work information see his site at Marquardt Beauty Analysis. Both of these geometric shapes embody phi in all their dimensions. This mask uses the pentagon and decagon as its foundation. Through his research, he discovered that beauty is not only related to phi, but can be defined for both genders and for all races, cultures and eras with the beauty mask which he developed and patented. ![]() He also analyzed the human face from ancient times to the modern day. His work includes cross-cultural surveys on beauty, in which he found that all groups had the same perceptions of facial beauty. Marquardt, also CEO of Marquardt Aesthetic Imaging, has studied human beauty for decades in his practice of oral and maxillofacial surgery, and now continues his studies full time. He has appeared in many documentaries and been referenced in countless articles, including the Beauty episode of BBC’s 2001 documentary “The Face.” Dr. Marquardt is the world’s most recognized expert on facial analysis and beauty. Perfect Symmetry: The Perfect Face Template can help you apply your makeup like a pro, with perfectly even and balanced results.A template for human beauty is found in phi, the pentagon and dodecagonĭr. This guide will teach you how to apply makeup in a variety of ways and provide you with helpful hints along the way. It takes very little space, so you can look your best no matter where your day takes you.Įach Perfect Face Template has a comprehensive instruction manual that explains how to utilize the template correctly. Because the template is made of transparent material, you can easily monitor your development and make necessary adjustments as you go.īecause of its small size and low weight, the Perfect Face Template is an ideal companion on any trip.
![]() US superheroes and us transformational robots need help of the future. The Avengers, Spider Man and the Guardians of the Galaxy. Flying superhero rescue mission games with Great fighting skills are the amazing. ![]() The Marvel Future Fight Hack Tool work for Android and iOS which you pick before utilizing the trick apparatus. Guarantee that you take after the guidelines while utilizing the Marvel Future Fight Hack Tool to verify that each works out fine and you may get your gratis Crystals And Gold. Welcome to MPGH - MultiPlayer Game Hacking, the world's leader in Game Hacks, Game Cheats, Trainers, Combat Arms Hacks & Cheats, Crossfire Hacks & Cheats, WarRock Hacks & Cheats, SoldierFront Hacks & Cheats, Project Blackout Hacks & Cheats, Operation 7 Hacks & Cheats, Blackshot Hacks & Cheats, A.V.A. Krukowski K, Eijkelkamp N, Laumet G, Hack CE, Li Y, Dougherty PM. On the off chance that you have to get more Crystals And Gold for Marvel Future Fight while utilizing the Marvel Future Fight Hack Tool then feel unengaged to just utilize the Marvel Future Fight Cheats once more. He speculated that in the future, it may be difficult to distinguish the receptors. You don't even need to spend time unlocking any of the quests in it, because you're in God's perspective and you can do everything with ease. Choose the number of crystals you want and click generate. Marvel Future Fight Mod APK is a premium version of Marvel Future Fight, in Marvel Future Fight Mod APK you can use all the features in Marvel Future Fight without spending money or watching ads. ![]() Follow these simple steps and let us begin Click on the generator button above. The generator is free, safe, and easy to use so don’t worry. If you want to hack the game and earn free crystals on iOS and Android this is a place for you. The Marvel Future Fight Cheat is totally freed to utilize and you can produce as much Crystals And Gold when you crave. MARVEL Future Fight Cheats Step by Step Guide. The Marvel Future Fight Hack makes it conceivable to get a boundless level of free Crystals And Gold planned for Marvel Future Fight inside simply a little measure of time and barely any exertion at pretty much all. MARVEL Future Fight Hack Is Easy to utilize With the MARVEL Future Fight Guide you don’t have to spend a lot of cash to get Crystals and Gold, the means of the MARVEL Future Fight Hack are basic, simply select the amount, type the account name and you will get your reward. Ron DeSantis had endorsed Davis but in the half-assed manner that we've come to expect. “In addition to putting more officers on the streets," Deegan said during their debate last month, "we need to focus on things like literacy and food deserts and other things that contribute to what ultimately are higher crime numbers." Deegan deftly deflected this nonsense, stating (correctly) that improving police accountability would actually help lower the crime rate. He criticized her for supporting racial justice protesters after George Floyd's murder and claimed that she would make Jacksonville the murder capital of Florida (homicides have significantly increased over the past eight years with a Republican in charge). This is about creating a city where our kids will want to stay and raise theirs."ĭavis had trotted out the boilerplate Republican smears against Deegan. We have the most beautiful mosaic of a city that you’ve ever seen in your entire life, and everybody’s going to have a voice in a Donna Deegan administration."Īfter her daughter embraced her and the crowd cheered, Deegan continued: "This is about my kids. ![]() "And the only way we were ever going to do that was by bringing everybody together. “I’m so excited about creating a city that sees everybody, that brings everybody in, that gives everybody a voice, a city that truly does finally reach its absolutely amazing potential," she said. It's not surprising, given her professional background, that Deegan is a skilled communicator, but her speech was a true barnburner that called out Florida's right-wing reactionary politics in the most moving way. “I made a decision when we got into this race that, no matter what happened, no matter what the landscape was like, we were going to lead with love over fear,” Deegan said. He said he'd sign some gross loyalty pledge to the bigoted Moms for Liberty regarding education, medical care, and “moral upbringing of their children.”ĭuring her victory speech, Deegan held up a photo of her grandfather and talked about the "five generations of love" her family had for Jacksonville. Yet Davis did embrace DeSantis-style positions on the LGBTQ community. Davis, chief executive of the local chamber of commerce, was considered a business-friendly "normal" Republican, and he'd crushed Deegan in fundraising by a margin of four-to-one. Republicans can't spin this as a fluke victory because Deegan ran against a MAGA extremist soft-focus loon like Kari Lake. It's OK if she starts measuring the drapes.) (Parker technically only won the Democratic nomination for mayor, but Democrats account for 85 percent of the city's electorate. Cherelle Parker made similar history in Philadelphia last night. She is also Jacksonville's first woman mayor. Now, that's Fort Worth, Texas (935,508).ĭeegan, a former local TV anchor and founder of a breast cancer research organization, whooped Davis 52 to 48 percent. Jacksonville was also the most populous city (954,614) in the US with a Republican mayor. ![]() ![]() Jacksonville has elected only one Democratic mayor, Alvin Brown, since 1993. The current Republican mayor, Lenny Curry, is term-limited out of office, and Davis was considered a favorite to win the Republican stronghold. ![]() Florida has lately been a source of ongoing woe, so I admit I was a little choked up last night when Democrat Donna Deegan defeated Republican Daniel Davis in the Jacksonville mayoral race. ![]() Using a foot pedal to control playback is the easiest and fastest way to ramp up your transcription efficiency. Express Scribe by NCH Software (Mac or PC).The following transcription programs have limited free versions with affordably priced upgrades: This eliminates the frustration of constantly using your mouse to start and stop the audio. If you’re transcribing videos yourself, at the very least you’ll need to install special transcription software to enable audio playback using just your keyboard or a foot pedal. Here are five tools you can use to do this: 1. But with the help of technology, you can “artificially” increase your typing speed – in some cases by multiple times. Try Audiate for Free Tools for Boosting Transcription ProductivityĮven with a crash course in touch typing and lots of practice, you may never be able to reach pro typing speeds of 80+ wpm. ![]() Make amazing transcripts for your videos!Īudiate turns your recordings into text, letting you make precise edits without being an expert. The tools covered here range from free to under $100 USD, and they can dramatically improve your transcription speed, saving you hours of time. So I’m going to share a few of my favorite tools and tips for transcribing faster that I’ve picked up in my work as a professional transcriptionist. The downside of transcribing videos yourself is that it can be a long and tedious process, cutting into time that might otherwise be spent creating. Transcripts can also be converted into captions or subtitles and synced to the video for an even better user experience. ![]() Posting a transcript alongside a talking-head video, for instance, makes it possible for users with disabilities to read the text or listen to it using screen-reading technology.
![]() ![]() Amortized over the total 7300-unit production of the TC, that means Chrysler spent about $82,192 per car in 1988 on a car that stickered for $37,000. Bob Lutz, in his column in Road & Track, said the total cost of the project was around $600 million. The Chrysler TC by Maserati was a production collaboration between Chrysler and Maserati resulting from a friendship that began at Ford betw. By 1988, memories went vague and when the car, Chrysler TC by Maserati finally arrived on the scene in 1989, memories need to be jogged. Over the winter I use an enzyme-based additive, Startron, in my TC's and other old cars and mowers to keep the fuel fresh and water out. It manifested some of the worst aspects of both companies, derided for its faux-Italian style and disappointing build quality. The Chrysler TC by Maserati (1989 to 1991) market. Once I started running ethanol-free premium in my TC's their drivability improved. Regardless, after some investment from Chrysler, the two companies agreed to make a "Turbo Convertible" together.Īssembled with the combined know-how of both Maserati and Chrysler, it came with a Maserati-appropriate pricing and Chrysler-appropriate interior. Chrysler's interest in the brand was said to be partially the result of Lee Iacocca's personal connection with Alejandro de Tomaso, who owned Maserati at the time. ![]() The Chrysler was trailered here all the way from. Then you could move up to a Mitsubishi-manufactured V6 rated at 140 hp. Case in point: The 1993 Cadillac Allanté and 1989 Chrysler TC by Maserati sitting in front of us by the Long Beach, California waterfront. The base engine was a 2.2-liter turbocharged four-cylinder at 160 hp. See, the Chrysler TC by Maserati was born in the late Eighties, long before Maserati and Chrysler lived under the same Fiat-Chrysler corporate umbrella. 1989 Chrysler TC Chrysler Being based on the K-car limited much about the TC starting with engine choices. Welcome to You Must Buy, our daily look at the cars you really should be buying instead of that boring commuter sedan. What if the Chrysler LeBaron costed twice as much and was only marginally better? What if we build a Maserati coupe with none of the upsides? How can we mesh K-Car style with a stratospheric price tag? How do you fit a porthole to a convertible? Perhaps the most intriguing one, in regards to this example, is who would think to preserve one? Located in Washington state, this 1989 TC has many new parts, and is asking 6,300 from a seller who is likely desperate to unload it at this point. The Chrysler TC by Maserati answers a lot of important questions. All versions came with a plastic hardtop featuring a unique opera window for use in more formal occasions or when the weather was frosty. ![]() ![]() Even when you visit secure (HTTPS) websites, eavesdroppers can spy on the DNS queries from your device to find out what youe doing online.Įncrypted DNS patches one of the few remaining security holes in the Internet stack. DNS queries are constantly happening in the background, even though theye invisible to the user.īecause DNS originated in the early 1980s when security was not a major concern, the protocol is open and unencrypted. When you access Internet content, your device asks DNS servers to translate names (into IP addresses (64.62.244.50). This gives you the upper hand on marketers and bad actors who want to build a profile of your online activities.ĭNS (Domain Name Service) is a core technology that powers the Internet. Encrypted DNS prevents people from keeping track of which websites you visit. Newly available in iOS 14, encrypted DNS is a lightweight, always-on form of privacy protection. Encrypted DNS is the latest technology for privacy protection. Keep marketers and hackers from spying on your online activity. If you have any queries or facing any issues while installing Emulators or NetShade DNS for Windows, do let us know through comments. We are concluding this article on NetShade DNS Download for PC with this. You can follow any of these methods to get NetShade DNS for PC Windows 11 or Windows 10. Both the mentioned emulators are popular to use Apps on PC. We have listed down two of the best methods to Install NetShade DNS on PC Windows laptop. NetShade DNS has got enormous popularity with it’s simple yet effective interface. The links are provided in step one and choose Bluestacks 4 for MacOS. All you need to do is install the Bluestacks Application Emulator on your Macintosh. The steps to use NetShade DNS for Mac are exactly like the ones for Windows OS above. You can use the the same way you use it on your Android or iOS smartphones. Now you can just double click on the icon in bluestacks and start using NetShade DNS on your laptop. You can find the under list of installed apps in Bluestacks. Step 6: Once you click on the Install button, NetShade DNS will be installed automatically on Bluestacks.In our case search for NetShade DNS to install on PC. Step 5: Now search for the you want to install on your PC.On the home screen, find Playstore and double click on the icon to open it. Step 4: Google play store comes pre-installed in Bluestacks.Once it is opened, you should be able to see the Home screen of Bluestacks. Step 3: It may take some time to load the Bluestacks app initially.After successful installation, open Bluestacks emulator. Step 2: Installation procedure is quite simple and straight-forward.Step 1: Download the Bluestacks software from the below link, if you haven’t installed it earlier – Download Bluestacks for PC.Let’s start our step by step installation guide. We are going to use Bluestacks in this method to Download and Install NetShade DNS for PC Windows 11/10/8/7 Laptop. Bluestacks software is even available for Mac OS as well. Method 2: NetShade DNS for PC Windows 11/10/8/7 or Mac using BlueStacksīluestacks is one of the coolest and widely used Emulator to run Android applications on your Windows PC. As it is designed for Gaming purposes, you can play high-end games like PUBG, Mini Militia, Temple Run, etc. It is very lightweight compared to Bluestacks. NoxPlayer is simple and easy to use application. Step 4: Upon successful installation, you can find NetShade DNS on the home screen of NoxPlayer.Find the official from developer and click on the Install button. Step 3: Now search for NetShade DNS on Google playstore.Step 2: Once the emulator is installed, just open it and find Google Playstore icon on the home screen of NoxPlayer.Open the official website and download the software. Here is the Download link for you – NoxPlayer Website. Step 1: Download and Install NoxPlayer on your PC.Now we will see how to Download NetShade DNS for PC Windows 11 or 10 or 8 or 7 laptop using NoxPlayer. It is super flexible, fast and exclusively designed for gaming purposes. NoxPlayer is Android emulator which is gaining a lot of attention in recent times. Method 1: NetShade DNS Download for PC Windows 11/10/8/7 using NoxPlayer Here we will show you how to install and use the two emulators above to run Android and iOS applications on Windows and MAC computers. Currently, the demand for using applications for Android and iOS on computers is great, so there have been many emulators born to help users run those applications on their computers, outstanding above all Bluestacks and NoxPlayer. Other: Appendicitis, diverticulitis, human immunodeficiency virus infection, systemic infections, amyloidosis, adnexitis Gastrointestinal: Ulcerative colitis, Crohn disease, irritable bowel syndrome, celiac disease, lactose intolerance, ischemic colitis, colorectal cancer, short bowel syndrome, malabsorption, gastrinoma, VIPoma, bowel obstruction, constipation with overflow Medical conditions associated with diarrheaĮndocrine: Hyperthyroidism, adrenocortical insufficiency, carcinoid tumors, medullary thyroid cancer Human immunodeficiency virus infection, immunosuppressionĬryptosporidium, Microsporida, Isospora, Cytomegalovirus, Mycobacterium aviumintracellulare complex, Listeria Shigella, Salmonella, Campylobacter, protozoal disease Rotavirus, Cryptosporidium, Giardia, Shigella cereus (beef and pork), Yersinia (beef and pork), Campylobacter (poultry) Staphylococcus aureus, Clostridium perfringens, Salmonella, Listeria (beef, pork, poultry), Shiga toxin–producing E. Seafood, especially raw or undercooked shellfish Salmonella, Campylobacter, Shiga toxin–producing E. coli, Clostridium difficile, Entamoeba histolytica, YersiniaĬonsumption of food commonly associated with foodborne illness Salmonella, Shigella, Campylobacter, Shiga toxin–producing E. Severe fluid loss can still occur, especially in malnourished patientsĪfebrile, abdominal pain with bloody diarrhea coli, Clostridium difficile, Entamoeba histolytica, Yersinia Salmonella (non-Typhi species), Shigella, Campylobacter, Shiga toxin–producing E. Nausea, vomiting normothermia abdominal cramping larger stool volume nonbloody, watery stoolįever, abdominal pain, tenesmus, smaller stool volume, bloody stoolĮnterotoxigenic Escherichia coli, Clostridium perfringens, Bacillus cereus, Staphylococcus aureus, Rotavirus, Norovirus, Giardia, Cryptosporidium, Vibrio cholerae More likely to disrupt mucosal integrity, which may lead to tissue invasion and destruction More likely to promote intestinal secretion without significant disruption in the intestinal mucosa Generally invasive or toxin-producing bacteria ![]() Usually viral, but can be bacterial or parasitic The first step to treating acute diarrhea is rehydration, preferably oral rehydration.Ĭombination loperamide/simethicone may provide faster and more complete relief of acute nonspecific diarrhea and gas-related discomfort than either medication alone.Īntibiotics (usually a quinolone) reduce the duration and severity of traveler's diarrhea. Routine testing for ova and parasites in acute diarrhea is not necessary in developed countries, unless the patient is in a high-risk group (i.e., diarrhea lasting more than seven days, especially if associated with infants in day care or travel to mountainous regions diarrhea in patients with AIDS or men who have sex with men community waterborne outbreaks or bloody diarrhea with few fecal leukocytes). Testing for Clostridium difficile toxins A and B should be performed in patients who develop unexplained diarrhea after three days of hospitalization. In patients with acute diarrhea, stool cultures should be reserved for grossly bloody stool, severe dehydration, signs of inflammatory disease, symptoms lasting more than three to seven days, immunosuppression, and suspected nosocomial infections. Prevention of acute diarrhea is promoted through adequate hand washing, safe food preparation, access to clean water, and vaccinations. When used appropriately, antibiotics are effective in the treatment of shigellosis, campylobacteriosis, Clostridium difficile, traveler's diarrhea, and protozoal infections. Probiotic use may shorten the duration of illness. Antimotility agents should be avoided in patients with bloody diarrhea, but loperamide/simethicone may improve symptoms in patients with watery diarrhea. Oral rehydration therapy with early refeeding is the preferred treatment for dehydration. Diagnostic investigation should be reserved for patients with severe dehydration or illness, persistent fever, bloody stool, or immunosuppression, and for cases of suspected nosocomial infection or outbreak. Treatment focuses on preventing and treating dehydration. Most patients do not require laboratory workup, and routine stool cultures are not recommended. A history and physical examination evaluating for risk factors and signs of inflammatory diarrhea and/or severe dehydration can direct any needed testing and treatment. Increases in travel, comorbidities, and foodborne illness lead to more bacteria-related cases of acute diarrhea. The most common etiology is viral gastroenteritis, a self-limited disease. Acute diarrhea in adults is a common problem encountered by family physicians. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |