How To Treat Colitis

Treatment of colitis depends upon the cause and often is focused on symptom relief supportive care and maintaining adequate hydration and pain control. Medications for Ulcerative Colitis Your doctor may suggest several types of medicines to curb inflammation in your bowel including sulfa drugs corticosteroids immunosuppressive agents and.

Steroids In The Treatment Of Ulcerative Colitis Download Scientific Diagram

Here is how to carry out this home Remedy for colitis.

How to treat colitis. Drink a glass of buttermilk or tender coconut water at least once a day. Place a bottle of hot water on top. Some bacterial infections that cause colitis resolve without any antibiotic treatment.

Inflammation in the lining of the colon causes belly pain and an urge to go to the. Eat at least one steamed or boiled apple everyday. This in turn allows damaged tissue to heal.

Probiotics may be recommended following antibiotic trials as some antibiotics kill the good bacteria along with the bad. Your doctor may also treat you with pain medications or. Symptoms of lymphocytic colitis include watery diarrhea belly pain and fatigue.

Other common medications prescribed. Most studies have found that budesonide is an effective first line of therapy for collagenous colitis. Mix 2 cups of Epsom salt with 2 cups of water.

You may need to. Aminosalicylates also known as 5-ASAs are medicines that help to reduce inflammation. Theyre usually the first treatment option for mild or moderate ulcerative colitis.

Ulcerative colitis UC is a type of inflammatory bowel disease IBD that affects the large intestine or colon. Medication Your doctor may prescribe anti-inflammatory medication to treat swelling and pain and antibiotics to treat infection. Antibiotics If your dogs colitis has been caused by a bacterial infection or if your vet thinks that the bacteria in your dogs intestines are out-of-balance dog antibiotics may be used to wipe out the harmful bugs.

5-ASAs can be used as a short-term treatment for flare-ups. Lymphocytic Colitis Diet A change in your diet can also be an effective way to treat and prevent lymphocytic colitis. Antibiotics may be prescribed to treat infectious causes of colitis.

Dip a soft cloth in the mixture and put it on the abdomen. Supplements and herbal remedies for ulcerative colitis Some herbal or organic remedies may help promote gut health and prolong remission. You may have a colonoscopy to diagnose this condition.

During this test your healthcare provider may take out a sample of your large intestine and look at it through a microscope. Bananas relieve the colitis symptoms and help promote the healing process. The recommended lymphocytic colitis.

Apples are rich in minerals such as iron and phosphate and can be a very effective home remedy to aid in the healing process of Colitis.

Autologous Bone Marrow Transplant

TYPES OF BONE MARROW TRANSPLANTS Autologous bone marrow transplant- auto means self. With a stem cell transplant the stem cells are taken from either the bone marrow or the bloodstream.

Autologous Stem Cell Transplantation Uams Stem Cell Transplantation And Cellular Therapy Program

A bone marrow transplant is a specific type of stem cell transplant.

Autologous bone marrow transplant. A bone marrow transplant is a medical treatment that replaces your bone marrow with healthy cells. An autologous stem cell transplant uses healthy blood stem cells from your own body to replace your diseased or damaged bone marrow. A bone marrow transplant is also called a stem cell transplant or more specifically a hematopoietic stem cell transplant.

An autologous bone marrow transplant involves taking stem cells directly from the bone marrow via a procedure called a bone marrow aspiration. Stem cells are removed from recipients BM before he receives chemotherapy or radiation. In autologous bone marrow transplantation the patients own hematopoietic cells are infused to reestablish bone marrow function after the administration of high-dose chemotherapy with or without total body irradiation.

It consists of engrafting a patient after ablative chemotherapy andor. Sometimes the portion of marrow is also purged of cancer cells before being returned to the patient. Cassileth PA1 Andersen J Lazarus HM Colvin OM Bennett JM Stadtmauer EA Kaizer H Weiner RS Edelstein M Oken MM.

Because LBL is similar to acute lymphoblastic leukemia some centers prefer allogeneic hematopoietic stem cell SC transplantation to autologous SC transplantation. Autologous bone marrow transplantation ABMT which was developed in the past decade is currently under investigation for the treatment of leukemias lymphomas and a few solid tumors. These reinfused hematopoietic cells can come from the patients bone marrow peripheral blood or both.

A bone marrow aspiration involves inserting a long needle directly into the spongy tissue of the bone marrow located in the middle of some bones. The stem cells are stored in a freezer. In an autologous stem cell transplant stem cells from the patients own marrow are harvested stored and then returned to the body engrafted after the patient receives high doses of chemotherapy andor radiotherapy conditioning therapy.

The replacement cells can either come from your own body or from a donor. Autologous means your own stem cells are collected and stored before you receive a preparation regimen to eliminate cancer. After these treatments stem cells are re infused into the body.

This is Aka rescue transplant. The stem cells are then administered. Autologous blood and marrow transplantation BMT What follows is a general description of autologous BMT.

Autologous bone marrow transplantation A procedure in which haematopoietic stem cells are extracted apheresed from a patient with lymphoma and other cancers who is treated with high-dose chemo- andor radiotherapy to eliminate malignant cells in the bone marrow. Background High-dose chemotherapy followed by autologous bone marrow transplantation is a therapeutic option for patients with chemotherapy-sensitive non. Stem cells are removed from you before you receive high-dose chemotherapy or radiation treatment.

1Hospital of the University of Pennsylvania Philadelphia. Lymphoblastic lymphoma LBL is a rare clinically aggressive neoplasm of the young that frequently involves the bone marrow BM andor central nervous system. Autologous bone marrow transplant in acute myeloid leukemia in first remission.

After high-dose chemotherapy or radiation treatments your stems cells are put back in your body to make normal blood cells. Then your stem cells are given back to you to allow your bone marrow to recover. Autologous bone marrow transplant -- The term auto means self.

An autologous stem cell transplant is also called an autologous bone marrow transplant. With a bone marrow transplant the stem cells are taken from the bone marrow. Using cells from your own body during your stem cell transplant offers some advantages over stem cells from a donor.

Autologous Bone Marrow Transplantation.

How Do You Cope With Stress

Let those moments of stress pass by dont associate yourself with them. Your doctor may be able to provide a recommendation.

Coping With Stress During Crisis Carousel Post Template

Its the 2nd fastest thing possible but the most effective in all the things to cope up with stress.

How do you cope with stress. I work well under pressure and do my best to complete tasks on time even in stressful situations. Eat Well and Limit. Task-oriented emotion-oriented and avoidance-oriented.

Focus on your breathing. For example a fear of not passing an exam or. Exercise your way to happy hormones.

The ways in which you cope with stress are unique to your personality. Re-balance Work and Home. If youre overwhelmed by stress ask for help from a health professional.

Build in Regular Exercise. 10 Ways to Cope with Chronic Stress 1. Setting yourself goals and challenges whether at work or outside such as learning a new language or a new sport helps build confidence.

By continuing to learn you become more emotionally resilient as a person says Professor Cooper. When sugary foods and refined carbohydrates cause blood. 6 Expert-Backed Ways to Cope With Stress 1.

Coping style refers to your disposition towards handling challenging situations or stressors. 10 Ways to Cope with Stress Dont react immediately. Act like an observer or.

Give a pause to your. Whenever you face a disturbing situation try not to react instantly. Best Answers to How Do You Handle Stress 1.

A 15 min run which makes you sweat can really refresh you of 10 hrs of heavy work. If you dont know what is causing your stress it might help to keep a stress diary for a few weeks. Endler and Parker 1990 suggested that there are three basic coping styles.

While recording what youre stressed about is one approach another is jotting down what youre grateful for. When Im in a stressful situation I try to focus on what I need to fix instead of how Im feeling. Taking on more than you can handle is a surefire recipe for stress.

One day your family is. This will help you deal with stress. Even when youre down you may find pleasure in simple things like going for a walk catching up with a friend or reading a good book.

If youre spending too much time at the office intentionally put. All work and no play. We have to learn to adjust and cope with changes around us.

It revs your bodys production of feel-good endorphins helps regulate your sleep lowers the symptoms associated with. Nothing is permanent in this world. You may be able to take steps to change the cause of your stress.

Consider healthy stress-reducing activities that work best for you such as exercising or talking things out with friends or. Watch your body language. When stress makes you feel bad do something that makes you feel good even if.

If you start to feel stressed just before the interview try taking a deep breath or two to relax. How can I help myself. We have to monitor and check on those situations that we find stressful.

You should seek help right away if you have suicidal thoughts are overwhelmed feel you cannot cope or are using drugs or alcohol more frequently as a result of stress. Creating a circle of supportive friends may take a little effort but it is worth it in terms of. That is control your.

Food can absolutely influence our mood. One way to handle stress is to write things down. Avoid people who stress you out If someone consistently causes stress in your life and you cant turn the relationship around limit the amount of time you spend with that person or end the relationship entirely.

Even if your body is tired it also refuels and replenishes your body. Moving your body on a regular basis balances the nervous system and increases blood. This will give you some time to compose yourself and prepare your answer.

Exercise can help reduce the levels of. During the interview feel free to take a breath or a sip of water before answering a question. Money can cause.

Exercise may be the healthiest stress-buster. The best thing to do. Have peace of mind all the time.

Doing things you enjoy is a natural way to relieve stress and find your happy place. There are lots of places you can. Social Support for Stress Relief Social support can be great for your stress levels making stressful situations less damaging to your mental and physical health.

Apple Watch Radiation

The watchband protects you by neutralizing the electromagnetic radiation emitted by your Apple Watch and since it is on your body constantly this is important. In a peer-reviewed study published by NISCAIR-CSIR India researchers concluded the following.

Apple Watch Emf Radiation Protection And Safety Tech Wellness

These radiation levels are written on Apples official website.

Apple watch radiation. The EMF Harmonizer Apple Watchband offers EMF protection from your Apple Watch radiation and supports your health against the harmful effects of other EMFs that you encounter as you move around in the world including WiFi cell phones and all forms of EMFs. Yes your apple watch most definitely emits EMF radiation. An Apple Watch emits a lot of EMF radiation and exposure to high levels of radiation compared to other connected devices.

As in it is connected to WIFI Bluetooth and cellular signal. Compared to other connected devices the Apple Watch emits a lot of EMF radiation and exposes the user to high levels of radiation. And since any device that functions wirelessly emits radiofrequency radiation it becomes a dangerous device to have right against your skin for long periods of time.

Furthermore exposure has been linked to a 272 increase in the risk of a miscarriage for pregnant women. Since the watch is in direct contact with your skin it exposes you to a lot of electromagnetic dangers. With the release of the Series 4 the debate about radiation was reignited with many people fearing radiation burns.

Todays 5th-generation model features a much faster processor for speedier operation always-on screen an internal GPS and optional LTE cellular data so you can use all the features without the need to take your iPhone everywhere you go. I also checked the SAR Levels of the Samsung Galaxy Watch 3 which is the latest and greatest smartwatch by Samsung. This powerful watchband offers two levels of.

Since the smartwatch is in direct contact with the skin it exposes the user to numerous electromagnetic risks. 2 Min Read Published. Like any other electronic gadget manufacturer Apple is required to keep their radiation emission levels under the SAR limit.

Apple Watch has been tested and meets applicable limits for radio frequency RF exposure. Stainless Steel Apple Watch S6 163 OFF 16 MacBook Pro 214 OFF Many More. If you are concerned about infrared you should never go out in the sun.

The Apple Watch is also worn on your wrist this means constant direct exposure to the wearer all day and even night long for those who wear their device while they sleep. Apple Watches produce ELF-EMF radiation when they are charging or powered on. The radiation emitted by Apple Watches generally speaking is the same as that found in cell phones.

In fact the Apple watch is one of the most connected devices you could wear. We will have a look at the radiation levels emitted by one of the latest Apple Watch Model A2092. Studies on ELF-EMF radiation point to a connection to childhood leukemia.

The amount of IR in sunlight that reaches your skin is thousands of times greater than anything from the Apple watch. For the Apple watch to work it has to be connected to cellular data WiFi or Bluetooth. Specific Absorption Rate SAR refers to the rate at which the body absorbs RF energy.

In fact the device connects via a cellular network Wi-Fi and Bluetooth. The Apple Watch has come a long way since the first version was released over 4 years ago. Worst Phone Radiation Offenders Ranked Apples Spot May Surprise You By Mike Peterson.

However this has never been concisely proven to be true and cause any real harm to individuals. With many radiation safety protocols you reduce radiation injury by increasing distance decreasing time exposed and increasing shielding whereas the Apple Watch seems to. The farther our distance is to the radiation source the less waves we absorb.

Apple Watch Series 444mm Stainless Steel Case with AnthraciteBlack Nike Sport BandRunning Apple Music using Apple Airpods httpsgoogly9vbKoReadings unde. Also known as radio frequency electromagnetic waves RF EMWEMF this radiation has been shown to have a number of detrimental side effects. It also offers protection to your body from EMFs coming all other sources including your wireless devices.

SAR limits depend on whether Apple Watch is used against the head or on the wrist. Apple is known for its low radiation levels in its products and Apple Watch is no exception. This is because the device connects through Bluetooth Wi-Fi and cellular network.

Apple Watch Series 6 comes with a SAR Level of only 0109 watts per kilogram which is way less than FCCs defined limit. Apple Watch Radiation L ooking back at the Apple Watch 3 many people had concerns about Apple Watch radiation in 2017. You also should not get near any cooking appliance as most of its energy is in the infrared range.

In some countries the SAR limit is 16 watts per kilogram averaged over 1 gram of tissue for use against the head and 40 watts per kilogram.

Picture Of Where Your Kidneys Are

First blood in the urine can be a sign of a kidney mass and kidney cancer. The kidney is not inside the peritoneum lining which is why it is called a retroperitoneal organ.

Why Do My Kidneys Hurt Kidney Pain Upmc Healthbeat

The kidneys play key roles in body function not only by filtering the blood and getting rid of waste products but also by balancing the electrolyte levels in the body controlling blood pressure and stimulating the production of red blood cells.

Picture of where your kidneys are. On this particular picture the kidneys are pinpointed and you can then see their positioning compared to the other organs in the human body. In this image you may find Kidney Location From The Back Side Of The Human Body in it. Each kidney is about 4 or 5 inches long roughly the size of a large fist.

Every healthy human body has two kidneys the left and the right. Location and Relations of Kidneys. Charles Patrick Davis on MedicineNet your kidneys are located just below your rib cage in the back of your abdomen under your liver.

The kidneys are some of the most important organs. They are located deep behind the intestines retroperitoneal. Because your kidneys are located toward your back and underneath your ribcage it may be hard to tell if the pain youre experiencing in that area is coming from your back or your kidney.

Healthy kidneys filter about a half cup of blood every minute removing wastes and extra water to make urine. Human kidneys - human kidney stock pictures royalty-free photos images. Computed tomography CT scan which uses powerful X-rays to create 3D images of your kidneys magnetic resonance imaging MRI which uses magnets and radio waves to take pictures of your kidneys.

The kidneys are two organs that lie on either side of the spine just under the rib cage. Check out this video for the 3D view. Thousands of new high-quality pictures added every day.

Find kidney pain stock images in HD and millions of other royalty-free stock photos illustrations and vectors in the Shutterstock collection. Usually the kidney on the left side is a bit higher due to the liver position. 17 years experience Pain Management.

They are located just below the rib cage one on each side of your spine. The left kidney is located slightly more superior than the right kidney due to the larger size of the liver on the right side of the body. Picture of Kidneys.

I would like to send pictures to you to look at these because theyre on my face also and my kidneys hurt really bad this is the second break out in. Browse 3700 human kidney stock photos and images available or search for human kidney watercolors or human kidney anatomy to find more great stock photos and pictures. Nephrons are the small filtering units in the kidneys.

The kidneys remove wastes control the bodys fluid balance and. Also persistent pain in ones side and a lump in the abdomen near the kidneys are signs of kidney cancer. There is usually a feeling of a stabbing pain in the upper back just below the ribs.

Naturesgurl3 -- There are several common kidney cancer symptoms which are generally the same as kidney mass symptoms. Human body with internal organs - picture of kidneys in human body stock pictures royalty-free photos images. The kidneys are two reddish-brown bean-shaped organs found in vertebrates.

Where are your kidneys located exactly. Click here for Link. Show picture where are the kidneys located in which part of the body.

An average person has two kidneys with one on each side of the body. Because the largest part of your liver is on the right side of your abdomen your right kidney sits a little lower than your left kidney. Kidneys serve many important functions including filtering blood controlling electrolyte balance and producing hormones.

The kidneys function are to filter the blood. Browse 160 picture of kidneys in human body stock photos and images available or start a new search to explore more stock photos and images. The kidney is located along the back wall of the abdominal cavity.

The kidneys are a pair of organs located in the back of the abdomen. All the blood in our bodies passes through the kidneys several times a day. The kidneys are a pair of organs found along the posterior muscular wall of the abdominal cavity.

The kidneys are located just above the waist towards the back of the abdominal cavity and are at a slight angle. The kidneys are a pair of bean-shaped organs on either side of your spine below your ribs and behind your belly. Each kidney is about four or five inches long.

According to Dr. The kidneys are located in the abdomen toward the back normally one on each side of the spine. The kidneys are two bean-shaped organs each about the size of a fist.

Surface of the kidney location back side of the abdomen Image source. 1 doctor answer 1 doctor weighed in I am 49yrsBefore 14 days my GFR was 62 urea 5 now GFR is 72 urea is 4 but uric acid is 646mgdl. Each kidney is about 4 or 5 inches long -- about the size of a fist.

Kidney Pain Location and Sensation. From the back they are blanketed by multiple layers of muscle.

Starting Baby On Solids Chart

This is around six months but not before four months. When to Start Solids The American Academy of Pediatrics AAP says you should start your child on solids between 4 and 6 months but the answer really depends on your baby.

Printable Checklist For Baby S First Foods Tips For Introducing Solids What Moms Love

These foods include infant cereals meat or other proteins fruits vegetables grains yogurts and cheeses and more.

Starting baby on solids chart. Baby cereals are available premixed in individual containers or dry to which you can add breast milk formula or water. Babies are typically ready to start solids between 4 and 6 months as long as theyre showing signs of readiness such as being able to sit upright with good head control. Many parents starting their babies on solid food will wonder what is the absolute best first food I can feed my baby looking for a concrete answer like peas or carrots.

It is also important that the baby can sit upright with limited support and control the head and neck. Talk to your babys doctor about which foods to introduce first particularly if youre concerned about an allergy. Baby Food Chart Starting solids with a baby can be so fun and often a little challengingbut this baby food chart will help.

You should give your. By the time he or she is 7 or 8 months old your child can eat a variety of foods from different food groups. While your babys first meals may have consisted of a teaspoon or two of solid food once she gets the hang of eating you can use the following baby feeding chart as a general guideline.

Around six months of age most babies show signs that they are ready to try new foods. Your baby can go on to minced and chopped foods. This is important as it enables him to swallow food efficiently.

It is strongly recommended that solids are not introduced before four months of. Many pediatricians still recommend solids at 4 months of age and this chart accomodates that recommendation. During this time babies typically stop using their tongues to push food out of their mouths and begin to develop the coordination to move solid food from the front of the mouth to the back for swallowing.

But by ages 4 months to 6 months most babies are ready to begin eating solid foods as a complement to breast-feeding or formula-feeding. A good rule of thumb when youre figuring out just how much to give your little one during each meal. Start small and work your way up.

This is one stage that I know can be a very nerve wracking and scary. The morning is a good place to start since baby is often hungriest at that time. Solid Starts offers information not medical or professional health advice.

Beginning Solid Foods When you find that your baby is ready for solid foods consider skipping the boxed cereal and starting out with avocado sweet potato banana or pear. Introducing Solid Foods to Babies 4 6 Month Old Baby Solid Food Charts for babies age 4 6 months Introducing solid foods to your little one is a huge milestone that lays the foundation for healthy eating habits. 4 to 6 months.

Try new foods more than once. Your child can begin eating solid foods at about 6 months old. We are happy to provide information to support you but you are ultimately responsible for your childs health and safety.

It is usually recommended that babies should be able to sit unassisted before introducing them to solid foods. For the first 4 to 6 months breast milk or formula is the only food your baby needs. However the exact first food is fairly insignificant instead its the variety of healthy foods you serve your baby in their first few months of eating solids thats most important.

It has straight forward ideas for what to feed baby from when they start solids on up to one yearincluding purees baby-led weaning style foods finger foods and more. Here are some signs that. First foods might be smooth mashed or in soft pieces.

When Starting Solids - Start slowly with a tablespoon sized portion of the food you. Since babies tastes will evolve you may need to try a food 20 times before a baby actually likes it says Kupersmith. If your pediatrician has recommended starting solids at 4 or 5 months your baby may not be able to sit unassisted he should however be able to sit well with support.

At first your little one will keep it simple with just a few teaspoons of a one-ingredient food like a. When to introduce your babys first solid foods Stage One solids around six months Stage Two solids from seven to eight months Stage Three solids from eight to nine months. Always consult your health care provider for questions about your childs nutritional needs and feedings.

Within a few months of starting solid foods your babys daily diet should include a variety of foods such as breast milk formula or. After that you can start solid foods when your baby show signs of readiness. When starting solids baby typically wont eat more than an ounce or two in one sitting.

Start to introduce solid foods when your baby shows signs of being ready.

Autoimmune Diseases Symptoms Checklist

Fever Body Temperature _____ Elevated fever higher body temperature - Lupus Graves DiseaseHyperthyroidism Celiac DiseaseGluten IntoleranceIrritable Bowel Syndrome. FeverBody Temperature Muscles Joints and Tendons Recurrent fever high body Pain and tenderness throughout the body 3.

Hashimoto S Symptoms Checklist With Printable Pdf Unbound Wellness

Often the first recognizable symptoms of autoimmune disease can be.

Autoimmune diseases symptoms checklist. Autoimmune Disease Symptom List. With autoimmune conditions such as psoriasis and RA symptoms could appear and disappear. When symptoms go away for a while its called remission.

White or light patches of skin on the hands feet arms and face white or gray hair on the scalp brows or eyelashes discoloration on the inside of the mouth. This is an evolving list of common symptoms experienced by individuals with autoimmune disease. Blood or mucus in stool.

The list may not be accurate incorrect symptom listed or missing symptoms. Also noted are rare autoimmune conditions in the US this means any disease. Autoimmune Questionnaire Autoimmune Disease Risk Factors and Symptoms This partial checklist touches upon some frequently noticed symptoms of some common autoimmune weighted accordingly to the severity of the symptom.

Autoimmune inner ear disease AIED Autoimmune myocarditis. This list was created by noting symptoms that are associated with Autoimmune diseases. Please review with your doctor.

Dry eyes or mouth. And coming to IBD belly pain diarrhea and bloating are unique symptoms. Some of the diseases listed here are variants or subtypes of other diseases.

Many of these complex symptoms overlap and are experienced within various conditions. A symptom period is known as a flare-up and the period when the symptoms ward off is known as remission. For more information on autoimmune conditions read Do You Have An Autoimmune Disease.

Memory Problems - Often known as brain fog is a common autoimmune disease symptom that appears in most conditions. Many women say its hard to get diagnosed something that Orbai agrees with. Anxiety and Depression - Mood and emotional changes panic attacks and excessive irritability are common symptoms in most autoimmune conditions.

It is NOT to be used for self-diagnosis rather it is a checklist for you to note your symptoms and present to your doctor to assist their diagnosis. Inflammation which can cause redness heat pain and swelling. In this case were going to list symptoms that affect the adrenal glands brain gastrointestinal GI tract joints and muscles.

Abdominal pain or digestive issues. List Of Fatal Autoimmune Diseases. If someone is diagnosed with coeliac disease their first symptoms possibly many years or decades before may have begun with.

Sinus mouth and lungs skin and thyroid gland. Dry eyes or mouth. For many autoimmune diseases symptoms come and go or can be mild sometimes and severe at others.

Joint pain and swelling. Although each disease is unique many share hallmark symptoms such as fatigue dizziness and low-grade fever. Numbness and tingling in the hands.

Thyroid Problems - Many people have hypothyroidism though some are hyperthyroid. Carefully filling out this checklist and taking it to your doctor can be an important first step in getting appropriate testing and the right medical diagnosis. As autoimmune disorders are wide-ranging in both number and types of symptoms experienced were going to classify the signs according to body area.

Despite the varying types of autoimmune disease many of them share similar symptoms. Cognitive problems like brain fog and headaches Intestinal issues such as spasms and constipation Fatigue and weight gain. Common symptoms of autoimmune disease include.

Discoloration numbness and tingling in feet and hands. Symptoms of Autoimmune Disease. Common Autoimmune Disease Symptoms.

Common autoimmune symptoms and conditions. The symptoms of vitiligo include. The early symptoms of many autoimmune diseases are very similar such as.

This is an evolving list since many autoimmune diseases overlap or exhibit comorbidities and coexisting symptoms. Our understanding of these symptoms is constantly shifting as more information comes to light.