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We are all rather familiar with acne, we either had it, know someone who had it or are currently suffering with it. Acne affects nearly 40 million people in the United States alone. It can start anytime between the ages of 12 and 25 and when it hits, well it hits with a vengeance. A growing number of adult women in their twenties and thirties are getting adult acne, even if they never suffered with acne before. The problem with acne is that there is no known cure.

Yes we are bombarded all over the place to buy this miracle cure and try this amazing product and so often a person who is afflicted with this skin problem will hope and pray that this will be the answer that they are looking for. Just this one time this is going to be the one thing that actually does work. Then because it proves not to be the miracle cure they were promised they end up frustrated and disappointed.

So how does one deal with acne? More particularly how does one deal with adult acne? Well, to just give up and resign oneself to the supposed inevitable is not the answer either. You see adult acne is much like being over weight in that you dont feel good about yourself; your self esteem takes a major knock and you are convinced that when people look at you they do not see YOU but are rather focused on just the area that is riddled with acne. You hate going out in public, you do not want people to look at you because you hate looking at yourself. I know this because I have been there.

Adult acne is embarrassing. It is one thing if you were a teenager because society seems to be more accepting; it is what almost the norm is for teenagers. People sympathize and tut tut it away as just a natural process of life. Im not taking away for one moment what teenagers go through (they have strange hormones to deal with on top of it all) but there seems to be a stigma attached to adult acne. People just look at you differently.

There seems to be this misconception that if you suffer from adult acne you dont wash your face and you must be dirty. Just like in the case of someone who is overweight people dont sit back and think that it may most likely be due to hormonal changes and/ or sometimes it may just be hereditary. It seems to be in peoples nature to assume the worse.

Acne doesnt just lead to physical scars (which are really depressing and more damaging to the psyche) but more concerning it leads to emotional scarring. Well your choices in dealing with adult acne can be put into two categories. You can roll over and just accept that this is your lot in life or you can become active, take charge and find ways to help the situation. Acne may not be curable but it can be controlled and eventually you may even grow out of it.

Lets take a quick look at what acne is and once we understand how it comes about we can look at how to deal with it. Acne is generally characterized by black heads, white heads, red bumps (also known as blind pimples) and in some cases scarring. Acne is the result of overactive oil glands at the base of the hair follicles that become blocked or inflamed. It may appear anywhere on the body but it tends to be primarily on the face.

There are different forms of acne; mild inflammatory acne, moderate to severe inflammatory acne and severe acne. The problem with acne treatments is that what works for one person may not work for the next. Due to how severe your acne may be you will need to find out which is the best course of action for you. This is best done seeking the advice of your health practitioner or a dermatologist. However you can do a few things to help yourself.

As tempting as it may be DO NOT SQUEEZE OR PICK AT YOUR FACE. It may be tempting and you may just want to get rid all the spots and you think that by squeezing them all out you will be rid of it once and for all. Well if only it was that simple. It is not. The pus (and thus the germs) spreads across your face causing you more acne, or you just end up pushing the pus deeper into your skin causing more of an infection. In some cases you are left with scars. Scaring brings on a whole different level of anxiety and depression.

Do not spend too much time in the sun. There seems to be this myth that the sun will cure your acne. The hope seems to be that it will dry up the oily glands. But how will it when the follicles are blocked? You see the sun damages your follicular walls causing further blockage and in turn more acne. The sunlight also produces free radicals in the skin which diminishes the skins ability to heal.

There has been no scientific evidence that has proven that acne and diet are related. I have read various reports saying that acne and diet are related and some say that there is no relation whatsoever. So not affirmed either way but cut down on some foods and see if it makes a difference at all. Maybe you have an allergy that aggravates the situation.

Start with the highly refined sugars and things like seafood, mushrooms and salt. Deep fried food is generally not good for your over all health and some say that it is really bad for your skin. Drink more water, water flushes your body of toxins and so in turn is a great internal way of aiming for that healthier looking skin.

Stay away from coffee. It does not matter if it has caffeine in it or not. Coffee stimulates the production of cortisol. Cortisol is a hormonal steroid that the body produces when it is under stress. (Stress does not cause acne but it certainly aggravates it) Cortisol helps our bodies maintain homeostasis during time of stress yet it causes problems when it stays is our body for a long period of time because what cortisol does is it destroys tissue, which then releases small protein molecules from the destroyed cells. These remainders of cell-protein partly end up in the skin which ends up contributing to acne. Watch out for foods packed with hormones. It does not help hormonal acne.

Interesting fact, non Westernized people did not suffer from acne until their diet changed to what we eat and then oops they joined our ranks in the acne department. The problem is that so much of our diet tends to rob us of vitamins and minerals that are essential for good healthy skin. Vitamin A has been known to be a great preventative of acne. Give it a try, eat less junk and more fresh fruit and vegetables high in antioxidants, there is no harm in it and maybe it will help.

Remember acne is not caused by dirt and so DO Not scrub your face. It generally makes the acne worse. You aggravate the glands that produce the oil and they then produce more oil and then spread the bacterium that causes your acne around the face making it worse. Dont use a face cloth because germs tend to stick to them and then you are just smearing them all over your face. Your hands are the best thing to use and they are a lot gentler on your skin too.

Smoking does not cause acne but it does make the skin look unhealthy and so much older, this is because the nicotine reduces the blood circulation to your skin. Some case studies have shown that smoking can irritate the acne, making it worse.

Avoid things that rub against your skin, like collars, dont wear too much make up and when you do choose products that are oil free or are made specifically bearing acne in mind. These products would be non-comedogenic or non-acnegenic. Wash your hair as often as you need to and keep it off your face.

Bear in mind the following when receiving advice about your acne:

Most over-the-counter acne treatments are topical and the most popular ones contain Benzoyl Peroxide. The problem is that once you stop the treatment the acne just flares up again and some people say that as the skin becomes used to it so the effectiveness of it lessens.

Benzoyl Peroxide is also known to cause excessive dryness, and for some people itchiness which then further irritates the skin. It is also a bleach so be careful when using it that it does not ruin your clothes.

Antibiotics tend to aim at inhibiting bacteria. The problem is bacteria are not the cause of acne. The irony is that bacteria are essential in keeping the skin flexible and inhibiting it just speeds up the aging process. Then of course it needs to be remembered that antibiotics are also well known for reducing a persons immune system.

I am not going to give you a whole list of unpronounceable names of various chemicals found in anti-acne treatments but I am going to give you a run down of what some of the side effects are. After all that is what matters most.

Liver disease (sometimes resulting in a needed transplant)

Jaundice and life threatening psuedomembranous colitis.

Autoimmune disease, acute inflammation of the lung and a blue black disclouring of your skin, mucous membranes, nails, adult teeth and Internal organs.

Benign intracranial hypertension. Early warning signs are headaches, nausea, vomiting and visual disturbances. Decreased night vision, inflammatory bowel disease, an increase in the size of your bones, raised cholesterol levels.

Heart risks

Further skin problems. As if acne is not enough you suffer too from dry skin, skin fragility, itching, nosebleeds, inflammation and cracking of lips. Eczema like rash, thinning of hair, peelings of palms and soles of feet, skin infections, gastrointestinal problems, urogenital problems and tiredness.

Then to top the list off you also have things like seizures, dizziness, nervousness, insomnia, depression (as if the acne hadnt caused enough now the cure adds to it too) gum inflammation, arthritis and so we can go on but I think you have got the point.

I am not trying to scare you off finding what can help your acne, just informing you of what some of these products may do to you. Dont loose hope, acne can be controlled and in many cases people do find what aggravates or causes it through trial and error. Dont give up and you will eventually find the solution that works best for you.

Michelle Ludick lives in Johannesburg, South Africa with her husband and two small children. Her interest in health and health related issues led to her site http://www.bhealthy247.com. Michelle Ludick suffered from acne for many years so understands the anxiety and frustrations that come with the skin ailment.Dating Questions
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Anti-discrimination legislation did not happen overnight. Indeed, the process of inclusion for citizens of all demographics has been on the agenda of governments and human rights activists the world over for many years.

Its not a new agenda

Most policy makers and corporate watchdogs actively encourage the employment and inclusion of all people regardless of ethnicity, social or economic standing, religion, mental capacity or physical attributes.

Some countries also enforce these policies to create a fair and socially responsible business climate.

Private and public organizations likewise have long understood the importance of providing facilities for staff members and visitors with special needs, particularly in their legal place of business or operations.

Not providing such amenities would likely result in litigation, and so in many cases these companies feel compelled to address any inadequacies as a high priority business agenda.

What about the Internet?

Surprisingly many companies had not even considered the idea of ensuring their business Internet premise was also accessible.

After all, why would a person that has vision impairment use the Internet?

Well of course they would want to use the Internet, just as any sighted person would want to access such a vast and rich resource. Vision impairment is also only one of many other conditions that can potentially inhibit the use of information resources like the Internet.

Many people who have difficulty using digital or interactive media may not necessarily be technically classified as having a disabling condition either.

Thankfully, there are now various technologies to aid users with special needs in their use of media.

Included in a large variety of assisting technologies are items such as screen readers or Braille machines for people with vision restrictions, subtitles for those with hearing difficulties, and speech recognition for those without the full use of their appendages.

In spite of the existence of these tremendous technologies, the ability of a machine to accurately render content in a meaningful way often relies on that content being formatted with careful consideration of accessibility standards.

Why is this suddenly so important?

The issue was not really even on the corporate radar until a recent lawsuit mounted by the US National federation for the Blind (NFB) on behalf of claimants with disabilities, stated that they were being discriminated against because a well known companys online content was only accessible by able-bodied people.

The NFB had raised concerns with the Target corporation (a major US-based discount retailer which operates more than 1,300 stores in 47 states) more than ten months before, and stated:

The website is no more accessible today than it was in May of last year, when we first complained to Target.

The issue bubbles away in boardrooms even now as legal teams scramble to advise their clients on the best way to conform to changes in the Disability Discrimination Act, Section 508, and other such legislative decrees from various governments of the world.

Whose problem is this?

Website developers have long known about the technical requirements and specifications as determined by the World Wide Web Consortium (W3C).

Any developer that has been in the industry for a length of time has already had acknowledge and adapt to changing technological standards both in hardware and software design.

Why arent website companies just building accessible sites anyway?

Yet many website developers felt that the stringent requirements of the Website Accessibility Initiative (WAI) would restrict their design capability too much, when in essence the real issue was a reluctance to subject their working practices to higher standards that are easily measurable by anyone with a browser and a little bit of knowledge.

Their previously easy way of doing things was in their opinion much quicker, cheaper, and visually more interesting.

The truth however was that this new (and improved) way of doing things would require busy agencies to take the time to retrain.

They do say that you cant teach an old dog new tricks. In this case, there are now quite a few old dogs in the maturing digital media industry.

Are there any other benefits besides avoiding legal action?

Actually not only is designing accessible websites easy, it makes a lot of sense on many different strategic levels. Consider the following insights as documented in the Guide to good practice in commissioning accessible websites (British Standards Institute 2006, ISBN_0 580 46567 5):

* The Family Resources Survey [2] found that there are almost 10 million disabled people in the UK with a combined spending power in the region of 80 billion pounds per annum. Furthermore there are millions of other individuals that are affected by sensory, physical and/or cognitive impairments, including those resulting from the ageing process.

* Research undertaken by the DRC The Web: Access and inclusion for disabled people [3] has confirmed that people without disabilities are also able to use websites that are optimised for accessibility more effectively and more successfully.

* Content developed upholding World Wide Web Consortium (W3C) guidelines and specifications can be more easily transferred to other media, such as interactive TV, mobile phones and handheld computers.

* Accessible content, for example where a text equivalent is provided for graphical elements, is highly visible to search engines, often leading to higher rankings.

Certainly these benefits will be of interest to executives considering the perceived expense associated with building accessible interactive content, yet there are also other benefits in the form of corporate social responsibility and public relations.

What does the stakeholder need to do about accessibility?

Whenever a digital media project is commissioned by a company the only consideration to be made by stakeholders is to what level of compliance the content should adhere.

There is a small amount of flexibility in this context because there are some elements within the standard which are considered compulsory, some which are recommended yet are not necessarily essential, and others which are desirable to create something which has the maximum possibility of being viewed by any user, regardless of their situation.

Ultimately, a design or development company can adopt a more stringent approach depending on the design criteria set by executives.

Should the stakeholder be reading more about the standards?

There are a lot of technical and specification documents full of jargon that can be overwhelming to conscientious companies attempting to embrace the need for accessibility.

In reality all of this content should instead be assimilated by the agencies that intend to create the content rather than the corporations who simply want to develop an interactive strategy.

Why is everyone trying to sell consultation about accessibility?

Given that there is suddenly some confusion amongst the corporate world as executives scramble to become legally watertight, many so-called consultancies have sprung up to exploit these vulnerable companies by charging great sums of money to analyse current websites or digital content for accessibility inadequacies.

There are certainly tools available that can easily interrogate the code of a website and examine the structure to identify any obvious rule-breaking.

Some consultants will go as far as to use these free tools to create reports on accessibility, when this is only one component of whether a website is usable and friendly for people with special needs.

These same consultants would like to also have large corporations paying them to help with search engine optimisation (SEO), which should not really be an issue if a website is built correctly in the first place.

What alternatives are there to external consultancy reports?

Actually, corporate executives may be surprised to know that money spent on consultancy reports could be better spent simply paying some users with actual disabilities to visit the website in question and offer constructive feedback through a usability workshop.

So what about Usability?

Usability is a little different, and perhaps an even more important concept for consideration than the subject of this paper.

Usability could be defined very basically as how intuitive some content is for the average person to use, regardless of any special needs.

If the website is accessible, is it also a good website?

It is possible to check all the boxes of the W3C Website Content Accessibility Guidelines (WCAG) and yet have a layout and content that actually makes very little sense to users of the site.

Usability on the other hand benefits everyone, which ultimately translates into a positive experience for all users as they interact with a companys branded presence.

A positive user experience logically leads to results, such as increased sales, brand interaction, positive word of mouth, and other business benefits.

Isnt accessibility a bit complicated?

Although there can appear to be some complexity (and therefore consultancy work) involved in building highly accessible or usable content, this is actually a fundamental service which should rather come as a standard inclusion with any development proposal that is worth its salt.

Indeed, commissioning an accessible website should be no different to commissioning any ordinary website.

They are certainly the same thing in the eyes of an accomplished website development company.

It is really as simple as making sure the site is built correctly in the first place.

This means a good foundation, standards compliance, craftsmanship, good project management, together with attention to detail and great build quality.

Building a website is like building a house

The process could be compared to building a new house.

As the homeowner you would want an architect and builder who are abreast of the latest trends, techniques, standards and processes to build your house.

You would not expect them to charge you a consultancy fee on top of the house design and build fees.

How would you feel if you then found your brand new home was illegal because it did not adhere to the current building code?

The enforcement agents would instruct for your house to be razed to the ground.

Likewise, building a new website in the new millennium should take all current design and technical specifications into consideration by default.

What if I have existing websites that need to become accessible?

As opposed to building, renovating an existing house can be considerably more problematic.

What can seem like a single simple task may end up becoming five other quite complicated tasks.

This can make budgeting quite difficult, and milestones seemingly without a definitive end.

In the same way the processes used in the original construction of an older website will be dated and likely no longer compliant.

This often means that major re-engineering may be required to bring the site up to the standards set in legislation.

Sometimes, it can be easier to knock down the outdated house (or website) and start again.

Are there any websites that can be easily updated to conform to accessibility requirements?

Fortunately database driven dynamic websites have a distinct advantage over static websites when it is time to renovate.

If the content is being loaded into a browser from a database, it is then also possible to modify the way that content is displayed (or rendered by aiding technologies) through page templates. These templates can be updated or replaced with greater ease to create an entirely new website that is completely accessible.

Will renovating an old database driven website be expensive?

Perhaps most importantly, this renovation process need not be tremendously expensive as there is no complete website rebuild, nor the creation of hundreds of new web pages manually as in the case of a static website rebuild.

Which websites will require a complete rebuild?

If a site has been built statically, it could be compared to a building that was originally set in concrete with steel reinforcement.

Unfortunately in these cases it is better to simply demolish and start again.

Of course this also affords the opportunity to use the latest trends and building techniques to create something fresh and contemporary, perhaps even prize-winning.

In these circumstances, the work (and therefore expense) involved in making the website accessible could be compared to a new build website project.

Recommendations for stakeholders

Certainly it could be said that if there is any one recommendation to be made in the design and building of websites, stakeholders should make sure that all content is dynamically driven from a database.

By doing this the company can ensure that the site can be continually modified as Internet technologies and standards change.

The content will at the end of the day always just be content.

Businesses that are maintaining websites with a content management system (or CMS) will have this functionality built in already and are a step ahead of the game.

Thats not so hard, all in all.

So accessibility is not complicated after all, nor is it necessarily expensive.

The foundation of a great interactive and accessible project that returns measurable results is starting with a great interactive strategy.

* Define the market, milestones, means, and measurement methodology.

* Direct the organization to ensure company-wide commitment, content, continuity, and contribution.

* Design the technical and aesthetic solution.

* Develop the content and assets in keeping with the latest thinking in website design and construction.

Deploy optimised and accessible content, and then enjoy the added advantages of creating a resource that people all over the world can enjoyregardless of their accessibility constraints.

Paul Grant is a convergence evangelist and digital media strategist, having spent eleven years managing and implementing rich media projects. He is now a partner of London-based consultancy Interactive Strategy Ltd.Ontario Canada Fishing Trip
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