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As he lands with a jolt on the scorching red earth of the Australian outback, a glorious new life lies ahead for pale and hapless British astronomer Dr Paul Hamilton (Rob Brydon). The shining white dome of the Royal Australian Observatory signifies a brave new world where he'll shed his inhibitions and leave behind his boring, Aztec jewellery-wearing girlfriend. Braving the heat, noxious toads and the crazy locals, Dr Paul joins a motley crew of highly intelligent Australian scientists at one of the world's most advanced facilities. However, it seems that black holes, cosmic stardust and primal gases are far simpler to deal with than the age-old mysteries of love, life and the universe. HT Broken News Five continents, 25 channels, 227 reporters All the news you're ever going to need in 30 minutes. From the team behind People Like Us and BBC Radio 4's The Sunday Format , Broken News is a new comedy for BBC TWO, satirising the frenetic on-screen world of rolling television news. With the advent of 24-hour news channels, current affairs reporting has undergone a revolution. It's not about men shouting and big fancy computer graphics any more. In fact, it's not about the news any more; instead, it's in-depth analysis, reviews, predictions, speculations or just trying to fill the ever-growing airtime. JM Sensitive Skin Sensitive Skin Suddenly, it's sexy to be 60 in this dark comedy starring Joanna Lumley and Denis Lawson . Sensitive Skin looks at life through the eyes of a successful couple living in metropolitan London. Along with their friends, Al and Davina Jackson struggle with sexual temptation and professional jealousy and try to cope with their fear of the future. Al is a pundit for a broadsheet newspaper and is paid to find imperfection in everything; Davina works in an art gallery and is paid to make life more beautiful. However, being 60 isn't simple. The couple's 30-year-old son, Orlando, refuses to acknowledge adulthood, while Davina's sister, Veronica, and her husband, Roger, intimidate the Jacksons with their confident and controlled grasp of life. Davina is played by Joanna Lumley, Al by Denis Lawson, Orlando by James Lance , Roger by Nicholas Jones and Veronica by Maggie Steed . The cast also includes David Warner as Robert Ringwald, Frances De La Tour as Sarah Thorne and Sir Jonathan Miller as Dr Cass. KC BBC TWO AUTUMN 2005: Introduction Drama Factual Entertainment ENTERTAINMENT HIGHLIGHTS: Broken News Sensitive Skin Supernova PRESS PACK PDF: This press pack is also available in PDF format . You may need Adobe Acrobat software to read PDF files which can be obtained free from the Adobe Reader website BBC TWO Autumn 2005 - Full pack (919 kb) Part One (334 kb) Part Two (406 kb) Part Three (230 kb) Tip to users: when in PDF files, use the "Zoom in" tool to magnify text | SEE ALSO: Scorsese directs first feature-length film biography of Bob Dylan www.bbc.co.uk/two < previous section next section > Printable version top^ search the Press Office BBC Governors TV Licensing What's On Ofcom DCMS BARB The BBC is not responsible for the content of external internet sites About the BBC | Help | Terms of Use | Privacy & Cookies Policy FACIAL NERVE (VII) DISORDERSFacial Nerve Front , Search , Index , Links , Pathology , Molecules , Syndromes , Muscle , NMJ , Nerve , Spinal , Ataxia , Antibody & Biopsy , Patient Info FACIAL NERVE (VII) DISORDERS Anatomy Bell's palsy Differential diagnosis Facial nerve: Anatomy 2 roots Motor from facial nucleus Nervus intermedius Sensory afferents: Skin & taste (to nucleus tractus solitarius) Preganglionic parasympathetics (from superior salivatory nucleus) Branches Large petrosal: Lacrimation & salivation Nerve to stapedius muscle Chorda tympani: Taste Sensory auricular branch Sensation of posterior external auditory canal & inferior pinna of ear Some axons may arise from vagus (Arnold's nerve) Motor: Facial muscles Facial nerve: Anatomical Diagram External link Brainstem anatomy Nerve anatomy: USUHS ; Yale Facial nerve paralysis: Signs Facial asymmetry Eyebrow droop Loss of forehead &d nasolabial folds Drooping of corner of mouth Uncontrolled tearing Inability to close eye Lips cannot be held tightly together: Diificulty keeping food in mouth Facial muscle atrophy (Late) Facial Paresis: Left Bell's Palsy 8 Sir Charles Bell Epidemiology Lifetime prevalence: 6.4 to 20 per 1,000 Incidence: Increased with age Overall: 0.5 per year per 1,000 Age 20: 0.1 per year per 1,000 Age 80: 0.6 per year per 1,000 Male = Female Recurrence: 7% Side: Right in 63% Increased incidence: Diabetes; Pregnant females Pathogenesis Evidence for herpes simplex type 1 infection Clinical Features Onset Paralysis: Progresses to maximal defecit over 3 to 72 hours Pain (50%): Near mastoid process Excess tearing (33%) Other: Hyperacusis; Dysgeusia Signs Facial weakness All branches of nerve: Upper & Lower Unilateral: Bilateral in < 1% Degree: Partial (30%); Complete (70%) Stapedius dysfunction (33%): Hyperacusis Lacrimation: Mildly affected in some patients Taste: No clinically significant changes in most patients Sensory loss 7 Mild or None May be present on face or tongue: On side of paralysis Possibly related to involvement of greater superficial petrosal nerve Prognosis better Incomplete paralysis Early improvement Slow progression Younger age Normal salivary flow Normal taste Electrodiagnostic tests normal Nerve excitability Electrogustometry Course Facial Paresis: Right Widened palpebral fissure Improvement onset: 10 days to 2 months Plateau: 6 weeks to 9 months Residual signs Synkinesis Frequency: ~50%; May be reduced by corticosteroid treatment May be treated with botulinum Probably due to misregeneration of nerve Face weakness: 30% Contracture: 20% Crocodile tears: 6% Blepharospasm: May occur years after paralysis Treatment of Bell's palsy Statistical degrees of benefit from drug treatment Prednisone + Acyclovir > Prednisone > Acyclovir More benefit when treatment started within 3 days of onset No benefit from treatment starting more than 10 days after onset Corticosteroids Use within one week of onset Adults: Prednisone 80 mg qd x 5 days Children: Prednisone 1 mg/kg/day After initial dose: Taper off over 7 to 10 days Acyclovir 5 Use within 3 days of onset Adults 2,000 mg per day (400 mg 5x/day) for 7 days With varicella zoster 4,000 mg per day Children: 80 mg/kg per day for 5 days ? More effective in Ramsay-Hunt syndrome Alternative anti-viral: Valacyclovir Protect eye from exposure ? Facial exercise Laboratory CSF: Protein high in 30%; Cells in 10% Calorics: Often reduced on affected side CNS imaging (MRI with gadolinium) indicated when No improvement in facial paresis after 1 month Hearing loss Multiple cranial nerve deficits Signs of limb paresis or sensory loss VII disorders: Differential Diagnosis Unilateral VII weakness Idiopathic: Bell's palsy Sarcoid & other granulomatous disorders Infection Leprosy : Especially with paralysis of upper face Otitis media Lyme disease Herpes Zoster (Ramsay Hunt syndrome) Neoplasm & Masses Trauma Cardiofacial syndrome :Lower lip or complete facial palsy Familial CNS lesions Bilateral VII weakness Melkersson syndrome Möbius syndrome Guillain Barré Motor neuron disorders Myasthenia gravis Myopathies Leprosy An-α-lipoproteinemia (Tangier) Central VII lesions Pyramidal: Lower face paralysis with voluntary motion Emotional 2 : Face paralysis with emotion Anatomy: Dorsolateral pons lesion Disorders Superior cerebellar artery infarction Unilateral With Deafness, Horner's, or reduced Sweating Extrapyramidal disorders Bilateral Parkinsonism Hemifacial spasm Melkersson-Rosenthal syndrome l Chromosome 9p11; Dominant Clinical Onset 5 to 70 years Incomplete penetrance Recurrent facial palsy Unilateral or Bilateral May include loss of taste Edema: Facial, Lip & Eyelid; Non-pitting External link: Image Onset: < 16 years Lingua plicata (Scrotal tongue) Laboratory Eyelid pathology: Granulomatous lymphangitis Möbius & Congenital facial syndromes Möbius syndrome: General Features 4 General: Rhombencephalic maldevelopment Onset: Congenital Facial paresis Unilateral or Bilateral Upper > Lower Ophthalmoplegia Common Especially VI nerve: Inability to abduct past midline Patterns Bilateral: 90% Abducens nerve palsy, isolated: 9% Conjugate horizontal gaze paresis: 48% Duane retraction syndrome : 34% Congenital fibrosis of extraocular muscles : 9% Palate and pharynx dysfunction: 56% Dysarthria, nasal Poor feeding Chewing defects: Associated with malocclusion Normal masticatory muscle function Motor disability, general: 88% Poor coordination (83%) Hypotonia: Congenital Poland syndrome : Some patients Respiratory abnormalities: 19%; Early death Tongue weakness: Hypoglossal nerve involvement Hypoplasia Asymmetry Limited range of motion Malformations Hands: Deformities Legs: Hypoplasia Möbius & Congenital facial syndromes: Types Sporadic Associated with toxic exposure Attempted abortion using misoprostol: Odds ratio = 38 Cocaine MBS1 l Chromosome 13q12.2-q13; Dominant Clinical: See general features Congenital facial diplegia; ± Asymmetric Ophthalmoplegia, esp VI nerve Mental retardation ± Peripheral neuropathy Skeletal: Arthrogryposis ; Orofacial malformations; Rib defects Muscle aplasia Respiratory failure: Central; Associated with tegmental brainstem calcification Hypogonadotropic hypogonadism Pathology: Aplasia or hypoplasia of cranial nerves & nuclei Hereditary congenital facial paresis 1 (HCPF1) l Chromosome 3q21-q22; Dominant Nosology: MBS2 Clinical Facial weakness Asymmetric Unequal involvement of the 3 branches of the facial nerve No ophthalmoplegia Pathology Facial nucleus: Reduced numbers of neurons Facial nerve: Small Rhombencephalon & corticospinal tracts: Normal Hereditary congenital facial paresis 2 (HCPF2) l Chromosome 10q21.3-q22.1; Dominant 1 Nosology: MBS3 Genetics: Variable penetrance Clinical Facial weakness: Unilateral or Bilateral Hearing loss: Congenital deafness, or Progressive hearing loss with age Ophthalmoplegia Chromosome translocation l Chromosome 1q22 Genetics Mutation Reciprocal translocation between chromosomes 1 & 11: t(1;11)(p22;p13) Reciprocal translocation between chromosomes 1 & 2: t(1;2)(p22.3;q21.1) Mutation often on paternally derived chromosome Clinical Facial diplegia Ptosis Other cranial nerves involved in some patients: III, VI, VIII Facial deformities: Anteverted nostrils, Malformed and low-set ears Developmental delay: Mild Poland syndrome: 1 patient Congenital heart disease Atrial septal defects + Similar genetic changes in cardiofacial syndrome Carey-Fineman-Ziter syndrome l Recessive Facial Nerve Trauma & Tumors Trauma Petrous bone fracture Surgery: Middle ear; Mastoidectomy; Parotid gland Tumors & Masses 6 Tumor types Neuroma/Neurinoma/Schwannoma: Most common Meningioma Hemangioma: Produce defects even with small size Cholesteatoma Parotid gland Metastasis Carcinomatous meningitis Paget: Osteopetrosis Tumor location Most common: Geniculate ganglion & Tympanic region Tumors along multiple segments of VII nerve common Rare: Middle cranial fossa Signs Facial weakness: 82% Course: Weakness progressive Usually > 1 year Range: Over 2 to 120 months Hearing loss: Some patients; Conductive, sensorineural or mixed Tumor visible by otoscopy Other: Some tumors found incidentally Diagnosis: MRI from brainstem to parotid Treatment Surgery Residual or increased facial paresis common: More deficit after 1 year of symptoms Best prognosis after removal of hemangioma Hemifacial Spasm Onset Adults Typically 5th or 6th decade Younger patients: Rule out brainstem disease, MS Location: Orbicularis oculi muscle More common in women Contraction pattern Synchronous contraction of facial nerve innervated muscles Paroxysmal Involuntary Duration: Up to 1 minute May persist during sleep Usually unilateral Weakness: Unusual Triggers: Aggravating factors Emotion Fatigue Causes Recovery from Bell's palsy Associated with synkinesis & contracture Dolichoectatic brainstem artery Frequency: 30% Mechanism: Pressure on VII root entry zone Vessels: PICA; AICA; Vertebral Brainstem disease Idiopathic Course: Usually permanent without treatment Electrophysiology Brief bursts of action potentials High frequency (150-400 Hz) Normal motor units Variable rhythm & amplitude Lateral spread response 3 Stimulation: Facial nerve branch Response: In muscles not normally innervated by branch Related to cross transmission of facial nerve fibers Location: Probably at site of compression Treatment Botulinum toxin Microvascular decompression of VII nerve Morbidity & Mortality 5% Anticonvulsants Bright 1831 Barker T2 image: Brainstem & Cerebellum MRA: AP view Dolichoectasia of vertebral arteries Deviation to right (Arrows) Patient syndrome: R hemifacial spasm Return to Cranial nerve disorders Go to Facial Paralysis (Baylor) References 1. Am. J. Hum. Genet., 1999;65:752-756 2. Neurology 2000;54:1217 3. Muscle Nerve 2002;25:845849 4. Neurology 2003;61:327333 5. Otol Neurotol 2003;24:948951 6. Otol Neurotol 2003;24:942947 7. J Neurol Neurosurg Psychiatry 2005;76:10171018 8. Cleve Clin J Med 2005;72:398-401 7/13/2005 Great Skin Style BeautyBrew Up Great Skin You are here: About > Style > Beauty > Quick and Easy Tips > 1001 Beauty How-To's > Skin Care How To > Brew Up Great Skin Style Beauty Essentials Pics! 10 Styles Sure to Cause Curl Envy Make Eyes Look Bigger How to Get a Hairstyle You Won't Hate Best Celebrity Hair Cellulite: Why You Have It & She Doesn't Topics Hairstyle Photo Galleries Hair Trends & Advice Prom Hairstyles Hair Color Winter Beauty Makeup Tricks & Tips Beauty by Age: Teens to 50+ Skincare Perfect Nails Plastic Surgery Hair Removal Best Perfumes Makeovers Buyer's Guide Before You Buy Top Picks Top Ten Fragrances for Her Top Ten Fragrances for Him Top Quick Gifts Under $10.00 Product Reviews Forums Help FREE Newsletter Sign Up Now for the Beauty newsletter! See Online Courses Search Beauty http://www.hydemodel.com Hyde Herrera Stay up to date! http://www.hydemodel.com Hyde Herrera Email to a friend Print this page Most Popular Flattering Hair Cuts Long Face Shapes Photo Gallery Wild Updos The Perfect Haircut What's Hot Prom Hair Miss America 2001 short hairstyle Girl Next Door Easy French Twist Related Topics Tattoos / Body Piercings Teen Fashion Weddings Women's Fashion Teen Advice How To Brew Up Great Skin Have you simply been tossing your tea bag into the garbage? You might save a few of them after reading the benefits that these little bags offer. Difficulty: N/A Time Required: N/A Here's How: 1. Use a black tea bag that has been dipped in warm water. Press to lips for 3 minutes. The tannic acid boosts the moisture level of the lips. 2. Suffer from puffy eyes? Save the morning's teabags and keep them in the refrigerator until needed. Does a great job on the puffiness. 3. Black tea is also great for feet that are rather... odorous. Soak feet and then pat dry. 4. Small bits of the tea BAG to be to patch split fingernails. Place a tiny segment of the bag over the and then paint with clear polish. 5. According to Indian ladies who have emailed me in the past, cold tea bags are often used to aid dark eye circles. 6. Sipping a cup of chamomile tea before bed often relaxes those that have difficulty falling asleep. We all know what our skin looks like if we don't get enough. 7. Cool chamomile tea bags feel wonderful when placed over the eyes while you wait for your facial mask to do its magic. Tips: Did you know that tea can even tint stockings that are too pale? It's true. My neice has even darkened her blonde hair to a pretty caramel color by using tea bags. 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