Thyroiditis is the inflammation of the thyroid gland. The thyroid gland is located on the front of the neck below the laryngeal prominence, makes hormones that control metabolism. There are many different signs and symptoms for thyroiditis, none of which are limited to this disease. Many of the signs imitate symptoms of other diseases, so thyroiditis can sometimes be difficult to diagnose. Common hypothyroid symptoms manifest when thyroid cell damage is slow and chronic, may include fatigue, weight gain, feeling "fuzzy headed", dry skin, constipation. Other, rarer symptoms include swelling of the legs, vague aches and pains, decreased concentration and so on; when conditions become more severe, depending on the type of thyroiditis, one may start to see puffiness around the eyes, slowing of the heart rate, a drop in body temperature, or incipient heart failure. On the other hand, if the thyroid cell damage is acute, the thyroid hormone within the gland leaks out into the bloodstream causing symptoms of thyrotoxicosis, similar to those of hyperthyroidism.

These symptoms include weight loss, anxiety, fast heart rate, fatigue. Elevated levels of thyroid hormone in the bloodstream cause both conditions, but thyrotoxicosis is the term used with thyroiditis since the thyroid gland is not overactive, as in the case of hyperthyroidism. Thyroiditis is caused by an immune system attack on the thyroid, resulting in inflammation and damage to the thyroid cells; this disease is considered a malfunction of the immune system, can be associated with IgG4-related systemic disease, in which symptoms of autoimmune pancreatitis, retroperitoneal fibrosis and noninfectious aortitis occur. Such is the case in Riedel thyroiditis, an inflammation in which the thyroid tissue is replaced by fibrous tissue which can extend to neighbouring structures. Antibodies that attack the thyroid are, it can be caused by an infection, like a virus or bacteria, which works in the same way as antibodies to cause inflammation in the glands, such as in the case of subacute granulomatous thyroiditis.

Certain people make thyroid antibodies, thyroiditis can be considered an autoimmune disease, because the body acts as if the thyroid gland is foreign tissue. Some drugs, such as interferon and amiodarone, can cause thyroiditis because they have a tendency to damage thyroid cells; the most common and helpful way to diagnose thyroiditis is first for a physician to palpate the thyroid gland during a physical examination. Laboratory tests allow doctors to evaluate the patient for elevated erythrocyte sedimentation rates, elevated thyroglobulin levels, depressed radioactive iodine uptake. Blood tests help to determine the kind of thyroiditis and to see how much thyroid stimulating hormone the pituitary gland is producing and what antibodies are present in the body. In some cases a biopsy may be needed to find out. Thyroiditis is a group of disorders. Forms of the disease are Hashimoto's thyroiditis, the most common cause of hypothyroidism in the US, postpartum thyroiditis, subacute thyroiditis, silent thyroiditis, drug-induced thyroiditis, radiation-induced thyroiditis, acute thyroiditis, Riedel's thyroiditis.

Each different type of this disease has its own causes, clinical features, durations, resolutions and risks. Treatments for this disease depend on the type of thyroiditis, diagnosed. For the most common type, known as Hashimoto's thyroiditis, the treatment is to start hormone replacement; this prevents or corrects the hypothyroidism, it generally keeps the gland from getting bigger. However, Hashimoto's thyroiditis can present with excessive thyroid hormone being released from the thyroid gland. In this case the patient may only need bed rest and non-steroidal anti-inflammatory medications. Doctors may prescribe beta blockers to lower the heart rate and reduce tremors, until the initial hyperthyroid period has resolved. Most types of thyroiditis are three to five times more to be found in women than in men; the average age of onset is between thirty and fifty years of age. This disease tends to be geographical and seasonal, is most common in summer and fall. Hashimoto's thyroiditis was first described by Japanese physician Hashimoto Hakaru working in Germany in 1912.

Hashimoto's thyroiditis is known as chronic lymphocytic thyroiditis, patients with this disease complain about difficulty swallowing. This condition may be so mild at first; the first symptom that shows signs of Hashimoto's thyroiditis is a goiter on the front of the neck. Depending on the severity of the disease and how much it has progressed, doctors decide what steps are taken for treatment. Hypothyroidism Hashitoxicosis Hyperthyroidism Hashimoto's disease Thyroid cancer American Thyroid Association, "What is Thyroiditis"

No Trigger

No Trigger is a melodic hardcore band from Massachusetts, United States. The band formed in 2000, with a sound which takes cues from like-minded outfits such as Strike Anywhere and None More Black; the band self-released one of them a split with Wasteland. By this point the band had started to gain accolades from the webzine likes of Pastepunk and Punknews, the latter of which referred to No Trigger as close to being "the best unsigned band in America". In late 2004, the band compiled these recordings and remastered the sound for their seven track debut release, Extinction in Stereo, released on independent record label Bigmouth Japan; the players were Tom Ciesluk on bass, Mike Ciprari on drums, Mike Przygoda and John Strada on guitar, Tom Rheault on vocals. The engineers were Nick Rotundo. In 2005, No Trigger signed to independent record label Nitro Records, their debut full-length, entitled Canyoneer, was released on March 21, 2006. A long period of inactivity following Canyoneer lead to speculation.

The band released an update in September 2010 which announced that the original lineup had reformed and were going to release Be Honest, a 7" EP on December 14, 2010. The band announced that they had signed to No Sleep Records shortly after the release of the EP, anticipate a full-length release in mid-2011, their second album, was recorded with producer Jay Maas beginning in July, 2011, was released in early 2012. At that time the release the band members included drummer Mike Ciprari. Canyoneer Tycoon The World Is Not a Stage No Trigger / Wasteland Extinction in Stereo Be Honest Adult Braces "Earthtones" "Fish Eye Lens" "More To Offer" "Tooth" "Dried Piss" "Checkmate" "Dogs On Acid" Tom Rheault – lead vocals Brad Rheault – bass guitar Jon Strader – rhythm guitar Mike Przygoda – lead guitar Jono Diener – drums Tom Ciesluk – third unnecessary guitar / tambourine Billy Bean – guitar Erik Perkins – drums Solomos - Roadie Extrodinaire Mike Ciprari- drums Official No Trigger MySpace Page Exclusive Interview with No Trigger @ Nitro Records New School Records

Wilfrid Hornby

Wilfrid Bird Hornby was an Anglican colonial bishop at the end of the 19th century and the beginning of the 20th. Born on 25 February 1851 and educated at Marlborough and Brasenose College, Oxford he was ordained in 1876. In 1880 he went on the Oxford Mission to Calcutta, returning in 1884. From 1885 to 1892 he was Vicar of St Columba’s, Sunderland when he was elevated to the Episcopate as Bishop of Nyasaland. After only two years he returned to England where he was Rector of St Clement's Church, Norwich Vicar of Chollerton. In 1904 he was appointed Bishop of Nassau, a post he held until 1919, he died on 5 June 1935