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The most common side effect of topical corticosteroid use is skin atrophy. All topical steroids can induce atrophy, but higher potency steroids, occlusion, thinner skin, and older patient age increase the risk. The face, the backs of the hands, and intertriginous areas are particularly susceptible. Resolution often occurs after discontinuing use of these agents, but it may take months. Concurrent use of topical tretinoin (Retin-A) % may reduce the incidence of atrophy from chronic steroid applications. 30 Other side effects from topical steroids include permanent dermal atrophy, telangiectasia, and striae.

III. (V. 5) Receiving our Inheritance: The very Power of God is keeping our salvation. While in this world it is easy to lose site of our end goal. Falling into the mentality that heaven is not very relevant. We must fight off this thought. The securing of our salvation, as Peter says, is faith. This faith must be an active part of our lives. We must live out our faith, that all might see the hope that is within us. Because God has secured our salvation through our faith, which as James says goes hand in hand with works. The emphasis that Peter gives to the work of Christ on the cross must be seen through our lives, for it is by this that our salvation is received. Calvin states this very clearly:

RESULTS: We found the test-retest agreement of NOMAS to be ‘fair’ to ‘almost perfect’ (Cohen’s kappa [kappa] between and ), whereas the inter-rater agreement with respect to the diagnosis was ‘moderate’ to ‘substantial’ (Cohen’s kappa, between and ). As a diagnostic tool, however, the current version of NOMAS cannot be used for both full-term and preterm infants. For a measuring instrument such as NOMAS, one should aim at reliability coefficients for inter-rater and test-retest agreement of at least . A Cohen’s kappa of or less we find unacceptable. Nonetheless, by observing sucking and swallowing according to a protocol much useful information can be gathered about the development of an infant’s sucking skills. For instance, whether the infant is able to co-ordinate sucking and swallowing, whether the infant can maintain sucking, swallowing and breathing during the continuous phase and whether the infant is able to suck rhythmically with equally long bursts. In addition, NOMAS offers useful aids for intervention.

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