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In heraldry, a fess or fesse (from Middle English fesse, Old French faisse,[1] and Latin fascia, "band")[2] is a charge on a coat of arms (or flag) that takes the form of a band running horizontally across the centre of the shield.[3] Writers disagree in how much of the shield's surface is to be covered by a fess or other ordinary, ranging from one-fifth to one-third. The Oxford Guide to Heraldry states that earlier writers including Leigh, Holme, and Guillim favour one-third, while later writers such as Edmondson favour one-fifth "on the grounds that a bend, pale, or chevron occupying one-third of the field makes the coat look clumsy and disagreeable."[4] A fess is likely to be shown narrower if it is uncharged, that is, if it does not have other charges placed on it, and/or if it is to be shown with charges above and below it; and shown wider if charged. The fess or bar, termed fasce in French heraldry, should not be confused with fasces.

In English heraldry, two or more such charges appearing together on a shield are termed bars, though there are no definitive rules setting the width of the fess, the bar, nor their comparative width.[3] A shield of (often six or eight) horizontal stripes of alternating colour is called barry. Narrower versions of the bar are called barrulets ("little bars"), and when a shield of horizontal stripes alternating colour is composed of ten or more stripes, it is called barruly or burely instead of barry.[3] A cotise, defined as half the width of a barrulet, may be borne alongside a fess, and often two of these appear, one on either side of the fess.[3] This is often termed "a fess cotised" (also cottised, coticed or cotticed).[5] Another diminutive of the fess called a closet is said to be between a bar and barrulet, but this is seldom found.[3]

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A shield party per fess (or simply per fess) is divided in half horizontally (in the manner of a fess). A charge placed horizontally may be termed fesswise or fessways, and two or more charges arranged in a horizontal row are blazoned in fess or in bar.

A flag which has a central horizontal stripe that is half the height of the flag is sometimes said to have a Spanish fess. The name is based on the most well-known example of this style of flag, the flag of Spain.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Arlen D Meyers, MD, MBA Emeritus Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Head and Neck Society

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Cerescan; Neosoma; MI10;

Received income in an amount equal to or greater than $250 from: Neosoma; Cyberionix (CYBX)

Received ownership interest from Cerescan for consulting for: Neosoma, MI10 advisor.

Lanny Garth Close, MD Chair, Professor, Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons

Lanny Garth Close, MD is a member of the following medical societies: Alpha Omega Alpha, American Head and Neck Society, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physicians, American Laryngological Association, New York Academy of Medicine

Disclosure: Nothing to disclose.

The Vocational Rehabilitation Amendments reshaped the roles of the federal and state government in the rehabilitation program; established the basis for a working relationship between public and private rehabilitation and expanded the role of the state agency; established funding sources for (1) college and university training of rehabilitation professionals; (2) improvement and remodeling of rehabilitation facilities; and (3) research and demonstration grants; increased federal funding to states (3 federal dollars for each 2 dollars from the state); increased services to persons with mental retardation and mental illness through items (2) and (3) above, along with agency expansion and improvement grants.

For over 60 years, FESS Fire Protection has served North Carolina and South Carolina in supporting design, installation, inspection, maintenance, and monitoring of fire and life safety systems including, but not limited to fire alarms, fire sprinklers, fire extinguishers, kitchen fire suppression systems, and special hazard fire suppression systems. FESS also provided various fire and life safety equipment training for employers, employees, and other fire safety professionals to work closely with insurance companies and code enforcement officials to ensure businesses are appropriately protected and in compliance.

The contents of this web site are for information purposes only, and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. The University of Iowa does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on this web site. Although the standards discussed herein reflect the University of Iowa's head and neck protocols, reliance on any information provided herein is solely at your own risk.

Randomised controlled trials. Inclusion criteria were any of the following criteria singly or in combination: patients with chronic rhinosinusitis diagnosed by a health professional; patients with sinusitis symptoms for more than 12 weeks; endoscopic evidence of sinusitis or radiological evidence of sinusitis. Exclusion criteria were immune suppression; cystic fibrosis; Wegener's disease; previous sinus surgery or sinonasal malignancy. 006ab0faaa