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Fri, 19 Dec 2008 06:33:43 GMT

Michigan Courier » Smoking ban flounders in lame duck

Thu, 18 Dec 2008 09:53:54 GMT

Despite a full court press by the Michigan Department of Community Health, the proposed ban on smoking looks like it will not pass in the last days of the lame duck session of the state legislature. Both houses have passed smoking ban plans, with the Senate passing a bill which would ban all smoking in public, but the House voting to exempt casinos in Detroit. The two bills are currently in a conference committee where members of both houses are trying to hammer out a deal before the end of the lame duck session.

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Has anyone had success in company with laser therapy or hypnosis to quit

Thu, 18 Dec 2008 05:23:26 GMT

http://www.quitsmokingeasy.org
A clear stop smoking hypnosis youtube video for youtube users. A very helpful stop smoking treatment video that explain the NLP quit method. It is not complex to use a stop smoking hypnosis technique, as this video shows reprogramming yourself is easy.
It your perception of quitting being so hard that stops you from doing the things it takes quit. This NLP stop smoking cigarette will explain how you can reframe your thoughts to make it easier to quit. The stop smoking health benefits after 72 hours are that your bronchial tubes relax and make breathing easier and your lung capacity increases. Looking for an effective stop smoking cigarette video? Then watch this right now.
A youtube stop smoking hypnosis video for people who want to quit smoking using NLP TODAY! Looking for an effective stop smoking cigarette video? Then watch this right now. A quick and easy stop smoking cigarette video.
One of the simplest ways to quit is with NLP and you dont need any stop smoking aids. Some stop smoking health benefits after 48 hours are that your chances of having a heart attack start to go down and your sense of smell and taste begins to improve. Looking for an online stop smoking treatment? Then you have come to the right place, watch this right now.
By far, this NLP stop smoking treatment is one of the best and most painless ways to quit forever. Looking for an online stop smoking treatment? Then you have come to the right place, watch this right now. Two stop smoking health benefits are a lower cabon monoxide level and a normal oxygen level after 8 hours of quitting.
With NLP you dont need stop smoking aids. You dont actually need stop smoking aids to quit, as this video will show you. A youtube stop smoking hypnosis video for people who want to quit smoking using NLP TODAY! One of the most obvious stop smoking health benefits is that your energy levels go way up and you can perform physical activities with much more ease. You can quit easily without stop smoking aids.
It your perception of quitting being so hard that stops you from doing the things it takes quit. This NLP stop smoking cigarette will explain how you can reframe your thoughts to make it easier to quit. One of the best stop smoking health benefits is that after 1 year your risk of smoking-related heart attack is cut in half. An informative, concise, and helpful stop smoking cigarette NLP video. An online stop smoking treatment video for YouTube viewers.
With NLP you dont need stop smoking aids. A clear stop smoking hypnosis youtube video for youtube users. It your perception of quitting being so hard that stops you from doing the things it takes quit. This NLP stop smoking cigarette will explain how you can reframe your thoughts to make it easier to quit. The stop smoking cigarette NLP video for YouTube viewers!
Many stop smoking aids are ineffective, what you need is to reframe your addiction in your mind. You may think you need stop smoking aids but you just need to recondition your mind. An online stop smoking treatment video for YouTube viewers.
An informative, concise, and helpful stop smoking cigarette NLP video. An online stop smoking treatment video for YouTube viewers. A very helpful stop smoking treatment video that explain the NLP quit method. A clear stop smoking hypnosis youtube video for youtube users.

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December 16, 2008 - My Huge fatty Idea: Actual existence T.V

Wed, 17 Dec 2008 05:13:47 GMT

Am I the only person who’s ever longed to live in a mansion?

I blame my (on-hold) real estate career. That’s right, like everyone else in this state I have a real estate license, have pretty much forever, though I don’t take it terribly seriously. I stay up on real estate just because I truly LOVE IT on a personal level and always have; it’s why I got my license in the first place. While I don’t care to do battle with the hair-sprayed, manicured, Mercedes-driving, top-producers whose assistants do all the work while they take all the glory, I DO care to stay knowledgeable so that when someone comes to me to buy or sell I know what I’m doing. I only work on a few deals a year for friends or referral clients, so all the more reason to do my best. Quality over quantity, and that goes both ways of course. But I digress

Anyway, you just can’t keep showing those waterfront places all day and going home to your little writers hovel every night without it at least crossing your mind that it would be sooooo cool to live in any one of those beauties, even for just a little while. When I’m really working real estate I actually have dreams like in the night when I’m asleep and all the REM stuff is going on about living in the places I show. The dreams are so real that when I’m waking up in the morning and trying to get my bearings, at first I think I’ve sleep-walked into the mansion’s shed during the night and then of course I realize that I’m in my for-real house. (Sigh)

Though I havent been active in real estate since the housing market tanked I’m still licensed, so I still get the daily dozens of emails from upscale Realtors desperate to sell these places. The subject line is always something like “Waterfront bargain reduced another $1,000,000.00!” or something like that, and I can never resist looking at the beautiful slide shows and drooling on my keyboard. It almost makes me wish my evil twin the money monger who takes over when the market is good would get off her ass and do something.

Meanwhile The Real Me Twin the writer vents about it here or in other thinly veiled accounts about poor single women who long for the good life, usually as one of my warm up exercises for whatever I’m really writing. No one ever sees that stuff, and they aren’t intended to: If I just sit down and do a little stream of consciousness typing, eventually it turns into whatever I’m really supposed to be working on. But recently a strange thing happened: the twins collided on the page.

I was trying to get into the new screenplay/expose I’m doing (called “Retail,” hopefully coming soon to an e-book or theater near you), and I got this genius idea: What if I did a new reality T.V. show about poor people secretly squatting in multi-million-dollar mansions and seeing how long they could get away with it undetected and once discovered how long they could bluff their way through with the neighbors etc. to stay? There could be teams and whoever made it for the longest time would get a prize which should probably be to be allowed to keep the house they’d successfully been living in, but I’m not sure how the network would feel about coughing up that much money.

Think about it. There’s already an opposite version in which millionaires (poor babies) try to survive in the world of the homeless. I’m sorry, but having been close-to-homeless on many occasions myself, I JUST don’t find that entertaining. (Does anyone?) But this! Don’t you think people would LOVE IT? I know I would. In fact, a stipulation of selling the idea to a network would have to be that I get to be one of the competitors. And I know JUST the place I’m going to settle into: Yup, the bargain basement one that’s been marked down another mil. No point in being greedy.

OOOOH! I know what Im going to call it. Are you ready? (Wait for it.) Here it goes:

Huh? Do you love it?
Who knows a smart executive producer that’s ready to back the next big reality show TV hit?

Call me. Wherever Im living, Ill have my cell with me.

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Drug value controls may shorten lives: report (Reuters) | LineMD.com

Tue, 16 Dec 2008 11:23:43 GMT

AP - Treating advanced prostate cancer with radiation and hormone-blocking drugs cut the death rate in half in a study of Scandinavian men, researchers report. In the United States, the combination has been standard care since the 1990s. But in Europe, many doctors have avoided the combo treatment and used hormone drugs alone, thinking the pair would be too harsh for most patients.

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Sun, 14 Dec 2008 08:03:27 GMT

There are various herbs used as health remedies, but only some are truly effective at preventing and relieving acid reflux. The following are 5 effective herbs for acid reflux.

1 Black Pepper - This is an aromatic herb that enhances taste, improves gastric circulation, and stimulates digestion. Black pepper can be added to recipes or can be an additional feature to prepared meals. For best results, use a small (approximately a tsp.) amount of fresh black pepper whole and grind it over food.

2 Indian long pepper is a powerful stimulant for digestion, and is one of the most recommended for enhancing digestion, assimilation, and metabolism for foods ingested. In addition, Indian long peppers are fantastic herbs for acid reflux disease, as studies have found it can provide considerable protection against the development of gastric ulcers.

Indian long pepper should be taken in small amounts (approximately a tsp.), and can be purchased dry and used in recipes, or added to meals for flavor. Simply crush the pepper to add it to food. Keep in mind that if you use too much, the flavor can become too intense, and you may find it too hot to eat.

3 Ginger has been used for thousands of years to aid in digestion and treat stomach distress such as nausea, vomiting, and diarrhea. Ginger is one of the most highly effective herbs for acid reflux, and it is likely the most pure. The effectiveness of ginger is due to its anti-inflammatory, antimicrobial and analgesic properties.

Fresh ginger root can be added to recipes or added as an extra garnish to a finished meal. Ginger can also be taken in powder form and in tea.Ginger is considered to be one of the safest herbal remedies to take, and you can ingest moderate amounts of it daily (I.E. tsp. of powder ginger, or an inch of a ginger root). However, be advised that if taken excessively, it may lead to mild heartburn.

4 Liquorice is a powerful herb and anti-inflammatory that studies have found are showing much promise as inhibiting the development of ulcers, wounds on the mucous membran, and gastritis. Liquorice also acts like an antacid.

Liquorice was also found to improve the secretion status of Brunners gland, which is located throughout the duodenum system. Brunners gland works to protect against the development of duodenal ulcers. Liquorice is available in powder form and can be taken in tea. A cup of tea or 3 tsp. of powder liquorice daily is considered safe to take. High doses of liquorice can lead to symptoms such as headache, water retention and high blood pressure.

5 Indian gooseberry is a fruit that has been used to treat peptic ulcers and ingestion that is non-ulcer related. Studies have found Indian gooseberry to have considerable antioxidant effects, and it significantly reduced gastric mucosal injury and acid secretion. Indian gooseberry is made up of cell-protective properties as well as antiulcer, and antisecretory properties.

You can eat an Indian gooseberry raw with a little salt, or you can take it in powder form and in the form of tea. This herb is not associated with side effects, but should still be ingested in moderation, as it can act as a laxative if eaten in copious amounts.

When considering herbs for acid reflux, keep in mind that you shouldnt take herbs as a form of medicinal treatment without first consulting your doctor about your plans. This is because some herbs may interact with other herbs, with medications you may currently be taking, or other health conditions you may have.

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Dont Hate Them On this account that Theyre Fine - Right Pennon Intelligence

Sat, 13 Dec 2008 12:53:44 GMT

"I am a skeptic...Global warming has become a new religion." - Nobel Prize Winner for Physics, Ivar Giaever. "Since I am no longer affiliated with any organization nor receiving any funding, I can speak quite frankly....As a scientist I remain skeptical." - Atmospheric Scientist Dr. Joanne Simpson, the first woman in the world to receive a PhD in meteorology and formerly of NASA who has authored more than 190 studies and has been called "among the most preeminent scientists of the last 100 years."
Warming fears are the "worst scientific scandal in the history...When people come to know what the truth is, they will feel deceived by science and scientists." - UN IPCC Japanese Scientist Dr. Kiminori Itoh, an award-winning PhD environmental physical chemist.
"The IPCC has actually become a closed circuit; it doesn't listen to others. It doesn't have open minds... I am really amazed that the Nobel Peace Prize has been given on scientifically incorrect conclusions by people who are not geologists," - Indian geologist Dr. Arun D. Ahluwalia at Punjab University and a board member of the UN-supported International Year of the Planet.
"The models and forecasts of the UN IPCC "are incorrect because they only are based on mathematical models and presented results at scenarios that do not include, for example, solar activity." - Victor Manuel Velasco Herrera, a researcher at the Institute of Geophysics of the National Autonomous University of Mexico
"It is a blatant lie put forth in the media that makes it seem there is only a fringe of scientists who don't buy into anthropogenic global warming." - U.S Government Atmospheric Scientist Stanley B. Goldenberg of the Hurricane Research Division of NOAA.
"Even doubling or tripling the amount of carbon dioxide will virtually have little impact, as water vapour and water condensed on particles as clouds dominate the worldwide scene and always will." - . Geoffrey G. Duffy, a professor in the Department of Chemical and Materials Engineering of the University of Auckland, NZ.
"After reading [UN IPCC chairman] Pachauri's asinine comment [comparing skeptics to] Flat Earthers, it's hard to remain quiet." - Climate statistician Dr. William M. Briggs, who specializes in the statistics of forecast evaluation, serves on the American Meteorological Society's Probability and Statistics Committee and is an Associate Editor of Monthly Weather Review.
"For how many years must the planet cool before we begin to understand that the planet is not warming? For how many years must cooling go on?" - Geologist Dr. David Gee the chairman of the science committee of the 2008 International Geological Congress who has authored 130 plus peer reviewed papers, and is currently at Uppsala University in Sweden.
"Gore prompted me to start delving into the science again and I quickly found myself solidly in the skeptic camp...Climate models can at best be useful for explaining climate changes after the fact." - Meteorologist Hajo Smit of Holland, who reversed his belief in man-made warming to become a skeptic, is a former member of the Dutch UN IPCC committee.
"Many [scientists] are now searching for a way to back out quietly (from promoting warming fears), without having their professional careers ruined." - Atmospheric physicist James A. Peden, formerly of the Space Research and Coordination Center in Pittsburgh.
"Creating an ideology pegged to carbon dioxide is a dangerous nonsense...The present alarm on climate change is an instrument of social control, a pretext for major businesses and political battle. It became an ideology, which is concerning." - Environmental Scientist Professor Delgado Domingos of Portugal, the founder of the Numerical Weather Forecast group, has more than 150 published articles.

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Self meliorating and beauty made simple: It is TIME to QUIT

Sat, 13 Dec 2008 11:13:12 GMT

Frequently Asked Question

What are the dangers of environmental (secondhand) tobacco smoke?

Environmental tobacco smoke (ETS) is also known as secondhand smoke. Passive smoking (inhaling secondhand smoke) happens when non-smokers breathe other peoples tobacco smoke. This includes mainstream smoke (smoke that is inhaled and then exhaled into the air by smokers) and sidestream smoke (smoke that comes directly from the burning tobacco in cigarettes, pipe or cigar especially the end part of it). ETS contains the same harmful chemicals as the smoke that smokers inhale. In fact, because sidestream smoke is formed at lower temperatures, it has even larger amounts of some toxic and cancer-causing substances than mainstream smoke.

There is strong evidence that ETS causes serious damage to human health. Each year about 3,000 non-smoking adults die of lung cancer as a result of breathing secondhand smoke. ETS causes about 35,000 deaths from heart disease each year in people who are not current smokers. It can also affect non-smokers by causing asthma and other respiratory problems, eye irritation, headaches, nausea, and dizziness.

Children whose parents smoke are more likely to suffer from asthma, pneumonia, bronchitis, ear infections, coughing, wheezing, and increased mucus production. Babies of parents who smoke have a greater chance of dying of sudden infant death syndrome (SIDS). Pregnant women exposed to ETS are at risk for having a low birth weight baby and may also be at risk for pre-term delivery and miscarriage.

Secondhand smoke is involuntarily inhaled, lingers in the air hours after cigarettes have been extinguished, and can cause a wide range of adverse health effects, including cancer, respiratory infections, and asthma. The current Surgeon Generals Report concluded that there is no risk-free level of exposure to secondhand smoke. Even short exposures to secondhand smoke can cause blood platelets to become stickier, damage the lining of blood vessels, decrease coronary flow velocity reserves, and reduce heart rate variability, potentially increasing the risk of heart attack.

My advice

So, non-smokers beware of those smokers, they are threatening your health, stop them from smoking for your own sake.

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Of the healing art Professionals - Canadian Pharmacy| Norway At what one place

Fri, 12 Dec 2008 12:43:06 GMT

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Fair You!!! | The breath of life Is Random.SO.AM.I

Fri, 12 Dec 2008 12:03:12 GMT

Cosmetic surgery (CS) is no wildly accepted. There are a lot of clinics or doctors that practice these types of surgeries and even with that it still does not come cheap! The service fee for becoming beautiful, or even more beautiful comes with a hefty price tag! But that never stops us women from wanting one, or even getting one! This for me changes everything. Its a pit stop before the new you emerges..
After reformatting my pc last night, I decided to just go straight to work and try to finish early so I could rest, since I was able to finish earlier than expected I had some free time to browse the net for interesting things, that I stumbled upon MYA.
Now we all know that breast augmentations are really common nowadays. I dont want one though, Id probably go for liposuction! Now at MYAs a boob job, a more popular term for it, is actually considered as the most simple procedure in cosmetic surgery.
If I were to get one, Id say one of the benefits of getting one is getting more attention from guys *wink* On a serious note though, I believe that this can lift ones confidence because the woman would feel a bit or a whole lot sexier, dont get me wrong MYA is not just only for women, they also have services for Men such as rhinoplasty, liposuction etc. Whats good with their website is you can talk to representatives who would be able to feed you the answers to your queries.
Mommy says, exercise and diet is the best way to go. What if I believe in this.

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Quit Smoking Tips - Does Nicotine Reinstatement Therapy Work

Fri, 12 Dec 2008 06:03:26 GMT

For most people, moving boxes isnt something thats done on anywhere near a regular basis. Other than the whole-house move, the only time most people move boxes is when venturing into or out of storage - be it the attic, garage, or dedicated storage facility - to retrieve some odds or ends. The last thing on most peoples mind when digging out winter clothes or old photo albums is whether he or shes using the correct methods to pick up or put down a box. This, of course, leaves most of us prone to some very serious injuries when we do make those occasional jaunts into storage.
Infrequency bears a lot of the blame for the injuries that can arise from improper lifting and lowering. Those who regularly move packages are reminded of what can happen, and have made habits out of good practices to prevent lifting and lowering related injuries. These injures, which frequently target the back, tend to impair three main areas: disc, joints, and muscles. As the areas affected differ, so do the injuries that can be imparted, ranging from muscle strains, to ruptured discs, to the complete destruction of joints. And, as these injuries typically occur on the back, mobility afterwards is limited to say the least.
So, how exactly does one prevent these injuries? What exactly are the correct methods for lifting or lowering? The easiest way to remember how to correctly pick up a package is start with your feet and work up.
Your feet should be about shoulder width apart and both pointed forward. Pointing your feet forward prevents undue strain on your ankles and allows for the knees to move easier. Bend at your knees. This is crucial; bending at the knees allows you to keep the rest of your body in line. Your hips and shoulders should be as close to vertical as possible, and both should be arranged in a line with the package.
Your arms should be at your side, roughly at a right angle, with your elbows tucked as close to your body as possible. This draws the package in and keeps it close to your center of gravity. You should also grasp opposite corners, ideally a lower front corner and an upper rear one, of the package. This provides control over the maximum cross section of what youre lifting or lowering. Rock the package back onto one edge so that you can gain control over two opposite corners and raise in as smooth a motion as possible, standing up by pressing down with your legs rather than straightening your back.
When moving with the package, remember to pivot your entire body rather than twist. This helps to prevent joint injuries. Also bear in mind, that just like the flight attendants warn, the contents of your package may shift, so make movements slowly and surely. Avoid jerking movements, as these lead to strains.
Putting a package back down should be done in much the same method as picking the package back up. Make sure that your feet are a comfortable, shoulder-width apart. Bend at the knees in a fluid motion, and try to keep your shoulders and hips vertical and perpendicular to the ground. Place on edge of the package onto the surface and slowly lower the remaining weight.
These ideal-practices might seem a tiny much for a grabbing the holiday decorations from storage, but theyre key to helping prevent injury. The holidays are a great deal less fun when coupled with a sore or hurt back. Taking the few seconds extra to ensure that you lift or lower packages during you occasional trips to the storage unit will pay dividends.

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Generic drug prices falling in US (AP) | LineMD.com

Thu, 11 Dec 2008 08:13:31 GMT

AP - Scientists may have figured out one reason some people reach for the french fries instead of an apple. It could be a gene that's been linked to an increased risk of obesity. A study of children found those with a common variation of the gene tend to overeat high-calorie foods. They ate 100 extra calories per meal, which over the long term can put on weight, said Colin Palmer, who led the study at the University of Dundee in Scotland.

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Thu, 11 Dec 2008 08:13:09 GMT

This year 2.25 million Americans will get marriedand a million will get divorced. Could birth control be to blame for some of these breakups? Recent research suggests that the contraceptive pillwhich prevents women from ovulating by fooling their body into believing it is pregnantcould affect which types of men women desire. Going on or off the pill during a relationship, therefore, may tempt a woman away from her man.

Studies suggest that females prefer the scent of males whose MHC genes differ from their own, a preference that has probably evolved because it helps offspring survive: couples with different MHC genes are less likely to be related to each other than couples with similar genes are, and their children are born with more varied MHC profiles and thus more robust immune systems.

A study published in August in the Proceedings of the Royal Society B, however, suggests that women on the pill undergo a shift in preference toward men who share similar MHC genes. The female subjects were more likely to rate these genetically similar mens scents (via a T-shirt the men had worn for two nights) as pleasant and desirable after they went on the pill as compared with before.

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The breath of one's nostrils is elegant

Thu, 11 Dec 2008 07:43:03 GMT

MISS NO GOOD
Miss No Good (Chinese: 不良笑花; pinyin: bù liáng xiào huā) is a Taiwanese drama starring Rainie Yang and Wilber Pan. It currently airs on CTS on Sundays.
Xiao Hua (Rainie Yang), a bubbly Taiwanese girl has the style of something no one can name. Xiao Hua has no intentions of changing the way she looks and dresses until her elementary school classmate, Jia Si Le (Dean Fujioka) comes back from Japan. Jia Si Le is deeply in love with Xiao Hua, despite coming back to Taiwan for an arranged marriage with Jiang Mi (Chen Yan Yi). Jia Si Le does whatever he can to get Xiao Hua to be his girlfriend.

One day, Xiao Hua meets Tang Men (Wilber Pan), the famous, poison-tongued fashion verdict who happens to be Jia Si Le's best friend, when her motorcycle breaks down. The two share a taxi, only to argue over each other's sense of style, and Tang Men angrily storms out, unwittingly leaving an expensive pair of scissors behind. Later, Jia Si Le holds an elementary school reunion party and invites both Tang Men and Xiao Hua. Tang Men meets Jiang Mi, who tells him that she and Si Le gave each other one year to find their true loves before submitting to his parents' will for them to be married. Also, after being pushed into a swimming pool and being told by her former classmates that she has no sense of style, Xiao Hua decides she will change her image so as not to embarass Si Le.

The next day, when Tang Men's assistant comes to Xiao Hua's shop to look for the lost pair of scissors, Xiao Hua decides to use them to blackmail Tang Men and get him to teach her how to be an upper-class woman. As Tang Men and Xiao Hua spend more time together, they slowly begin to realize their feelings for one another, though they initially deny them. Meanwhile, Jiang Mi, who is currently dating Tang Men, asks him to get close to Xiao Hua so that she can get Si Le back. Tang Men, who finds Xiao Hua annoying and loud, suddenly sees Xiao Hua's inner beauty and falls in love with Xiao Hua without even realizing it. What will Jia Si Le do to get Xiao Hua back? Will the two best friends split apart because of Xiao Hua? What will Jiang Mi do to Xiao Hua? How will Jiang Mi get Jia Si Le back.

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Below The Beltway » Blog Archive » The Smoking Fire-arm That Caught Twig

Thu, 11 Dec 2008 04:13:03 GMT

Two U.S. senators involved in the planning of President-elect Barack Obamas inauguration objected yesterday to the emergency law approved by the D.C. Council that will allow bars and nightclubs to stay open all night, warning that the plan could strain law enforcement resources.
In a letter to city leaders, Sen. Dianne Feinstein (D-Calif.), chairman of the Joint Congressional Committee on Inaugural Ceremonies, and Sen. Robert F. Bennett (R-Utah), a committee member, said they are deeply concerned about the councils move last week to allow nightclubs, bars and restaurants to serve alcohol until 5 a.m. several hours longer than usual and remain open round-the-clock Jan. 17-21.
The plan . . . could seriously strain law enforcement resources that need to be focused on the large crowds and security requirements of the Inaugural, the senators wrote. There is great cause for celebration at this historic event. But we believe that the benefits of this emergency legislation, passed with little public notice, are far outweighed by its possible consequences.
Mayor Adrian M. Fenty (D) objected to including nightclubs in the councils legislation, but he has said he will abide by the councils wishes and sign the law. However, Congress has the final say over District matters under the 1973 Home Rule Act that gave the city some self-governing authority.
Fenty and council Chairman Vincent C. Gray (D), who voted in favor of the law, could not be reached for comment last evening.
Council member Mary M. Cheh (D-Ward 3), who supported the legislation, noted that Minneapolis allowed bars to serve alcohol for two extra hours, until 4 a.m., during the Republican National Convention.
The prediction of dire consequences is a little over the top, she said. re the site of lots of demonstrations, celebrations. We know how to do this. I respect their view, but we should be the best judge of what happens locally.

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Purchase non direction Evista drug Evista - Cellphone Court

Wed, 10 Dec 2008 13:42:55 GMT

Leading epilepsy specialists met at the American Epilepsy Society annual meeting in Seattle to unveil a recently published consensus report that proposes minimum standards of care for diagnosing, treating and monitoring epilepsy. Primary among these is the need for a detailed medical history, neurological examination, discussions with caregivers and diagnostic tests to make a diagnosis, as well as the need to weigh seizure control, side effects and long-term safety when making treatment decisions.

The number of specialized epilepsy centers in the United States is limited, so many of the 2.7 million Americans with epilepsy are managed in a community setting. "This sometimes poses problems with delayed recognition and inadequate treatment, which can result in subsequent seizures, and related complications," said Tracy Glauser, MD, lead author of the report and professor of Pediatrics and Neurology, Cincinnati Children's Hospital Medical Center.

To develop consensus (defined as 50%) on the core elements of epilepsy management, members of the Leadership in Epilepsy, Advocacy and Development (LEAD) group, a coalition of 28 nationally recognized neurologists, pediatric neurologists and epileptologists, completed a detailed survey on the areas of diagnosis, treatment decisions and lifetime monitoring of epilepsy patients. "In the absence of universally accepted standards for the diagnosis and management of patients with epilepsy, our goal was to set standards to be used to improve consistency and quality of epilepsy care across all settings," Dr. Glauser said.

Diagnosis

Consensus was reached regarding the need to obtain basic information about the patient and their seizures and to perform the diagnostic tests necessary to make a diagnosis. A core list of questions was established to assess seizures, which includes questions to determine if there were warnings prior to the seizure, seizure triggers, what happened during the seizure and timing of the seizure. Physicians should also explore personal seizure history, medical history, social history and risk factors. In addition, neurological signs and symptoms, including memory problems, headache, lethargy and tremors should be assessed. Discussion with a patient's family or caregivers was also considered essential for accurate diagnosis. Finally, physicians should employ electroencephalogram (EEG) and magnetic resonance imaging (MRI). If these minimum standards are followed, consensus was reached that the categories of seizure that would be most accurately diagnosed include: absence, partial-onset, generalized and myoclonic.

Treatment

The overriding objective of epilepsy treatment is to achieve complete control of seizures, allowing the patient to maintain a normal life, with minimal or limited adverse drug effects. Consensus is that antiepileptic drug (AED) treatment should be initiated after two seizures. Currently, AED therapy is the initial treatment of choice for most patients, and, in general, long-term seizure freedom can be achieved by approximately 50 percent of patients with initial monotherapy. Several areas should be considered when selecting the appropriate AED therapy, including seizure type, co-existing conditions, and drug-drug interactions. Adverse events and tolerability should be carefully monitored and changes made when appropriate.

When patients are considered refractory or when their treatment has failed (the failure of two or more AEDs), physicians should refer patients to an epilepsy specialist. Ketogenic diet should be considered as a treatment option in pediatric patients after the failure of two to three or more medications or in cases of intractable seizures, but only if the family is committed to following the plan and other appropriate treatments have failed.

Monitoring

Periodic evaluations to assess seizure frequency are necessary and monitoring for adverse events and tolerability should occur at each visit. Common adverse events to look for include: cognitive slowing or difficulty concentrating, skin and hair changes, emotional or mood changes, ataxia, diplopia, drowsiness, fatigue and weight change.

While undergoing AED therapy, clinicians should be prepared to counsel patients regarding adverse events, co-existing conditions, driving, medication adherence, plan for seizure emergencies, bone health, safety during recreational activities, seizure frequency, drug-drug interactions, cognition, sleep problems, occupational considerations, behavioral issues and effects and limits of physical activity.

Article adapted by Medical News Today from original press release.

The publication of these consensus views is sponsored by Ortho-McNeil Neurologics, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc. The members of the LEAD faculty have all received honoraria from Ortho-McNeil Neurologics. The final questionnaire developed by the LEAD faculty review process was reviewed by the corporate sponsor. The consensus results were tabulated with assistance from Health Learning Systems and the data analysis was conducted independently by members of the LEAD faculty. Editorial support and preparation of an initial draft of these consensus findings was provided by Health Learning Systems, and Ortho-McNeil Neurologics reviewed the final manuscript submitted by the LEAD authors. The report was published in Current Medical Research and Opinion Journal in November, 2008. To view the full report, visit http://www.informapharmascience.com.

Ortho-McNeil Neurologics

Headquartered in Titusville, N.J., Ortho-McNeil Neurologics, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc, focuses exclusively on providing solutions that improve neurological health. The company currently markets products for Alzheimer's disease, epilepsy, and acute and preventive migraine treatment. Ortho-McNeil Neurologics, in conjunction with internal and external research partners, continues to explore new opportunities to develop solutions for unmet healthcare needs in neurology. For more information, visit http://www.OrthoMcNeilNeurologics.com.

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?

Wed, 10 Dec 2008 07:03:04 GMT

Some help!

"lenders were more likely to offer a modified loan that resulted in a higher, not lower, monthly payment"

I may not be able to offer much commentary, readers, I am so pissed off!!

"Reworked mortgages not working; Even after help, homeowners end up back in default" by Jenifer B. McKim, Globe Staff | December 9, 2008 More than half of delinquent borrowers who had their mortgages reworked earlier this year to avoid foreclosure were behind on their new loan payments after just six months, a federal regulator said yesterday.
John C. Dugan, US comptroller of the currency, told a housing forum yesterday that data his agency is collecting show the increase in repeat defaults by homeowners is "remarkably high."
"Put simply, it shows that over half of the loan modifications seemed not to be working after six months," Dugan said.
The findings raise several major questions for government and lending industry executives as they struggle for a fix to the nation's foreclosure crisis: Are lenders not doing enough to modify loans so delinquent borrowers can afford them? Or, are too many borrowers just not cut out to be homeowners and shouldn't be bailed out of their debts?

Are you KIDDING ME? Yup, EVERY CORPORATION UNDER the SUN is getting a bailout, but YOUR PROBLEMS are YOUR FAULT, homeowner!!! How many times you gonna TAKE BEING SHAT ON by BANKS, Amurka?!!

Dugan said his agency is asking lenders and their representatives why these redefault rates are so high. But many housing advocates and industry specialists said they already know: Lenders are failing to give troubled homeowners affordable long-term fixes. In fact, lenders were more likely to offer a modified loan that resulted in a higher, not lower, monthly payment, according to a recent report by analysts at the financial services company Credit Suisse.
Ask LaWanda Fils. This single mother was behind on payments on her Dorchester two-family home when she asked for help from her lender, Option One Mortgage Corp. The solution Option One offered didn't seem to make sense - she would pay $800 a month more, after rolling in past-due principal, taxes, and insurance. Desperate to save her home, Fils agreed to the deal anyway in February.
Two months later, she defaulted and now is again facing foreclosure. "I think it is more for them to pat themselves on the back to say at least they tried," said Fils. "It's not feasible and it doesn't work and they end up having people falling behind."
Option One declined to comment.
Loan modifications can take several forms. Lenders can either reduce the mortgage's interest rate, which results in a lower payment; they can write off some of the unpaid principal, which could either lower monthly payments or lower overall debt; or they could postpone some of the debt or extend the life of the loan, which may lower payments in the short term, but drive costs over the life of the loan higher.

Translation: Either way, the BANKS MAKE OUT and YOU are FUCKED, 'murkn!

A loan modification can result in a higher payment if lenders roll back into the note unpaid principal, as well as interest and escrowed taxes, according to Faith Schwartz, executive director of Hope Now, a private sector alliance of mortgage servicers, counselors, and investors that is coordinating loan modifications.
"They tried to help them, but they could have foreclosed as the alternative," Schwartz said. She added lenders should examine the federal data to see which approach works and which doesn't. "It doesn't mean they didn't get a lower rate."
Even some professionals in the lending industry are mystified at why so many companies are charging delinquent borrowers more in a modified loan when they clearly could not afford the original, lower amount.
"I don't know why a lender would enter into that kind of agreement knowing what the outcome would be," said Kevin Cuff, executive director of the Massachusetts Mortgage Bankers Association. "Why would it not go into foreclosure? Why would it not fail?"
Umm, it was DESIGNED TO FAIL!! Please GET a CLUE, AmeriKa!!!!

Other specialists said the problem is as much the homeowners. Paul Willen, an analyst for the Federal Reserve Bank of Boston, said too many borrowers simply cannot afford to own their homes.

Oh, I see: it is YOUR FAULT, homeowners!

"Many of the people in the foreclosure process are in deep, deep trouble. They are not a modified loan away from financial happiness," said Willen. "Many people who are heading into foreclosure don't need a modification, they need an exit strategy."

How about the government take the other $350 BILLION and PAY OFF EVERYONE'S MORTGAGES!!! How about that "exit strategy.

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Tue, 09 Dec 2008 12:52:59 GMT

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Tue, 09 Dec 2008 11:43:14 GMT

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Mon, 08 Dec 2008 06:32:52 GMT

Gratitude is an important part of a healthy life. Even when youre hurting and things dont seem so great.
Im thankful for all the readers who come here every day and share their experience, strength and hope with each other.
The community here is incredible and Im very grateful for each and every one of you for being here. Thank you especially to those who come here and do their work and heal and then stay here to reach back and pull new posters along.
Thank you all for your honesty and your sharing and your willingness to do the hard work. Know that so many others in this world are unwilling to do the hard stuff youre doing. And their lives will reflect that. And yours will one day reflect the enormous energy you are putting into healing in its vibrance and its incredibleness.
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