During the consultation, you'll want to discuss the type of clothing and makeup that will yield the best portrait results. As the many images in this book show, my own approach is to drape and wrap the subject in beautiful fabrics rather than have her wear street clothes. To do this, the woman must wear a strapless bra (preferably one that is well matched to her skin tone). You might also consider providing tube tops in a variety of sizes these can be beneficial in a pinch. The mother should wear low-cut, small underwear that can easily be covered with the fabric. Be sure to suggest that she wear loose clothing before the session, so as not to create lines or indentations on the skin. Street clothes, of course, are also an option for some clients. Unless you are able to hire a makeup artist, the subject will have to apply her own makeup. It is recommended that all subjects wear makeup for their portrait session. Applying a thin layer of complexion-matching foundation will smooth out...
Children seem to come into the world with a constitutional makeup, or temperament. They may be hardwired to have certain tendencies, to be gentle or rambunctious, calm or easily irritated, shy or outgoing, lighthearted or intense. Generally, these kinds of traits are difficult, if not impossible, to change, so it's best for everyone if you try to work with your child's natural temperament.
Teratogens affect those structures that are undergoing rapid change at the time of exposure. For the central nervous system, that means weeks 2-4 of pregnancy. The greater the dose of the teratogen, the greater is the effect. Teratogens can affect behavior as well as structure, and this may not be obvious at birth. The long-term effects of potential behavioral teratogens depend to a large extent on the quality of the postnatal environment and on the genetic makeup of the child. Not all fetuses are equally affected by identical exposure.
Body art, which includes piercing, tattoos and permanent make-up, has various health risks. The risks most relevant to pregnancy include the safety of the dyes and the possibility of infections or allergic reactions. Because the skin is punctured for all body art procedures, there is a risk that a local infection could develop at the puncture site. There is also a small risk that blood-borne infections could be transmitted, such as HIV or hepatitis B or C, from improperly disinfected body art tools. With a tattoo or permanent make-up, ink is injected into the second layer of skin. The safety of this ink is unknown. Some inks are approved for skin application as cosmetics, but their safety when injected into the skin has not been thoroughly studied.
Chorionic villi are tiny, bud-like pieces of tissue that make up the placenta. Because they develop from cells arising out of the fertilized egg, they have the same chromosomes and genetic makeup as the developing fetus. By checking a sample of chorionic villi, your doctor can see whether the chromosomes are normal in number and structure, determine the fetal sex, and test for some specific diseases (if the fetus is at risk for these diseases).
The itching and rash tend to worsen and improve over time, with flare-ups occurring periodically. In some children, the condition may improve by the age of five or six and then resurface at the onset of puberty, when hormones, stress, and irritating skin products or cosmetics are introduced. Some will experience some degree of dermatitis into adulthood.
The seizure threshold is part of the genetic makeup that is passed on from parent to child. There may be several people with epilepsy in some families in others, there may be only one. The chance of a child's developing epilepsy depends on the seizure threshold of both parents (if they have epilepsy).
Down Syndrome is the most common cause of significant mental retardation and learning disability in children. It is caused by a change in chromosomal number (genetic makeup) in the egg before it is fertilized by the sperm (at the time of conception). This usually occurs due to chance, and is more common in older mothers. As a result, the fertilized embryo contains an extra chromosome 21 making it three instead of the usual pair (hence the name trisomy 21).
Chorionic villus sampling and amniocentesis are a little trickier with twins or more. The two main challenges are to make sure each fetus is sampled separately and none of the tissue taken from one fetus contaminates the tissue taken from the other. In the case of identical twins, this issue isn't as critical, because the fetuses have the same genetic makeup. If you find a genetic abnormality (or lack of any genetic abnormalities) in one, the same is almost always true for the other. With fraternal twins, triplets, or more, testing each one separately is critical.
Polidocanol is used externally in cases of itching. In addition, it is used intravenously to obliterate varicose veins, for lesions of the mouth mucosa, in vaginal spermicides, and in cosmetics. Polidocanol in combination with benzethonium and carbamide (urea) has been applied in wound therapeutics. No teratogenic action has been observed to date, in either animal or human studies, for this widely used substance. However, there have been no systematic studies published.
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