The sight of a tired-looking top White House domestic policy adviser in a Hiroshima hotel said it all: President Joe Biden may be on the other side of the world but his political fight back...

The man charged in last year’s attack against former U.S. House Speaker Nancy Pelosi’s husband is scheduled to appear in federal court Wednesday to request the trial be moved out of San Francisco

The IRS is planning to launch a pilot program for a government-run, online tax filing system that’s free for all

According to skin influencers on TikTok, topical steroid creams are being ‘illegally sold’ in some black Afro hair and beauty supply stores, affecting black women in particular. Angela Mavalla, a pharmacist and skincare educator, has been sharing TikTok videos garnering thousands of views, encouraging black women to stop purchasing topical steroid creams from these shops – as they are meant to be prescription-only treatments used with appropriate guidance from a doctor. When used incorrectly, the creams can make potentially make skin symptoms worse and harder to manage. “Though these creams tend to address issues like acne and eczema very quickly, because of their potent nature, the skin becomes addicted to it and will flare up badly once you stop using them,” said Mavalla. “A lot my clients – [who are black women] – that I consult privately, were coming to me with issues relating to topical steroid use, such as having terrible flare-ups because they had stopped using the cream, and needed help with tapering off them. “I began making content based on these creams, mainly to warn people of them, and found that these TikTok’s would go viral in a short space of time, with lots of people relating to it, and giving their own testimonials of how the creams damaged their skin,” Mavalla added. “I have seen instances of accidental skin bleaching, worsened eczema and hyperpigmentation, topical steroidal withdrawal and addiction, and worst of all, a crippling low self-esteem and self image. It’s awful. “The first point of call when it comes to steroidal creams should always be a pharmacy. Pharmacists are always willing to help, advise and where necessary, signpost to the most appropriate medical profession, such as a dermatologist.” Dr Unnati Desai, the national GP lead, as well as safeguarding lead for GP services and dermatology lead at Nuffield Health, acknowledged that it can take sometimes take time to correctly diagnose these conditions, and might require a biopsy. It might also take a longer period of time to get symptoms under control, as skin conditions may require trying multiple different treatment regimes to find the one that suits each individual person, as well as getting to grips with individual triggers. What are topical steroid creams and what should they be used for? Doctors prescribe topical steroid creams to treat a wide range of skin complaints – but it’s important to have proper assessments first. “They are topical medications (synthetic corticosteroids) that have an anti-inflammatory action on the skin, by suppressing the skin immune system and constricting the blood vessels of the skin where applied,” Desai told the PA news agency. “They are used for dermatological conditions that result in inflamed, itchy or irritated skin – e.g. eczema, psoriasis, lichen simplex, lichen planus, lichen sclerosus and other autoimmune dermatoses.” Why do people experience topical steroid withdrawal after using steroid creams? When used incorrectly, topical steroids may have potentially significant side-effects. And as Desai warned: “Stopping any steroid treatment suddenly can often result in a flare-up of the condition, which may be worse than the original presentation.” There are some obvious signs and symptoms to look out for to figure out if you are experiencing topical steroid withdrawal, such as red, burning skin and a lumpy, papulopustular rash. “When using a steroid cream to get a dermatitis flare-up under control, especially when a more potent steroid cream has been used for a prolonged period of time, it is necessary to slowly come off the steroid cream and wean your skin off treatment by either reducing the potency of the cream, or the frequency [of application],” said Desai. “This gives the skin time to adjust to coming off the steroid cream slowly, but also clarifies whether the skin condition is coming under control with treatment. “Sometimes, severe dermatoses require long-term use of a medication to be controlled, in which case your doctor will consider alternative treatment modalities.” What damage can it do to your skin?Desai added: “Long-term use of potent steroid creams is not recommended, as there may be some systemic absorption, which can result in suppression of your body’s natural cortisol hormone at the worst. “In most cases, it is the long-term impact on the skin itself that is the concern, as regular or long-term use of steroid creams can impact the skin integrity and thickness, resulting in thinning of the skin, stretch marks, increased hair at the site of use, enlarged skin blood vessels and bruising. “Using a steroid cream when there is an underlying infection present on the skin will make the infection worse, or using steroid creams on the face can result in other chronic skin conditions, such as perioral dermatitis or other acneiform eruptions. “Occasionally, an allergy can develop to components within the cream that can make the dermatitis worse.” How can people remain safe? Desai stressed the importance of only using topical steroid treatments under the appropriate supervision of a qualified clinician. “In addition, as most chronic inflammatory skin conditions tend to result in drier skin, self-care at home with soap substitutes and emollients is important,” she said. “This includes gently cleansing the skin one to two times daily maximum (over-washing will negatively impact the skin barrier function, as will long hot bubble baths), and using unscented emollients (medical grade skin creams designed to gently hydrate the skin), which will better protect the skin and may, depending on the skin condition, make a flare-up less frequent or less severe. “If a steroid cream is needed, a doctor will recommend the amount of cream to be used according to the size of the area affected. We use the ‘Finger Tip Unit’ (FTU) – one FTU is the amount of topical steroid that is squeezed out from a standard tube along an adult’s fingertip – as a method of advising each patient how much cream they need to use with each application.” Read More House of the Year 2023 shortlist revealed by Royal Institute of British Architects Fatima Whitbread supporting new fostering campaign, as research finds ‘misconceptions put people off’ 5 key coat trends to complete your autumn/winter wardrobe 12 ways to weave some woodland wonder into your home Hibernation mode: 5 small self-care adjustments to make before the clocks change 13 possible cancer symptoms you should get checked out

The gunman who opened fire during a Lunar New Year celebration near Los Angeles in January, killing 11 people and injuring others, sent writings to the FBI, according to Los Angeles County Sheriff Robert Luna.

Gilgo Beach murders suspect Rex Heuermann appeared in court on Friday as he insisted on his innocence. Mr Heaurmann, 59, was held without bail as prosecutors had sought, citing his recent searches for “sadistic materials, child pornography, images of the victims and their relatives.” Mr Heuermann is accused of murdering Melissa Barthelemy, Megan Waterman, and Amber Costello — all sex workers in their 20s who disappeared in the Long Island area before their bodies were found during a separate missing person investigation in 2010. The architect, a married father of two who lives in Massapequa Park and works in Manhattan, reportedly broke down in tears during his court appearance. “We just got appointed on this case. There’s not much I can tell you folks at this point in time,” his attorney, Michael Brown told reporters, according to NBC. “I will say to you folks that it’s extremely circumstantial in nature. In terms of speaking to my client, the only thing I can tell you that he did say, as he was in tears, was ‘I didn’t do this.’”

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Former president Donald Trump is speaking at two Republican state conventions today in Georgia and North Carolina, just one day after he was indicted for showing highly-classified information to unauthorised persons on two separate occasions. The 49-page, 38-count indictment was unsealed on Friday after Mr Trump released a series of social media posts revealing that he has been indicted by a grand jury under the supervision of Special Counsel Jack Smith. The indictment details the charges against Mr Trump and Walt Nauta, a former US Navy noncommissioned officer who left government service to work for Mr Trump after his term ended in January 2021. According to the indictment, the 38 charges against Mr Trump and Mr Nauta include willful retention of national defence information, conspiracy to obstruct justice, withholding a document or record, corruptly concealing a document or record, concealing a document in a federal investigation, scheme to conceal, and false statements and representations. The former president has fumed online about the charges and lashed out at Mr Smith calling him a “deranged lunatic”. The special counsel for his part gave a brief explanation of the sweeping indictment and reiterated that in America, the law applies to everyone. Read More What is an indictment? Here’s what Donald Trump is facing Trump indicted in classified documents case in a historic first for a former president Conspiracy, false statements and retaining national defence documents: The federal charges against Donald Trump Trump has been caught on tape. Congratulations, Donald – you played yourself Trump lashes out at ‘deranged lunatic’ and ‘psycho’ Jack Smith as startling secret papers charges revealed

Shawn Mendes is known not just for his music but for his incredible height as well

A Southern California county has filed lawsuits alleging that the negligence of a power company caused two wildfires that collectively burned thousands of acres and prompted tens of thousands of evacuations

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