In a shift in the National Football League’s approach to handling concussions, the league will soon require teams to receive advice from independent neurologists while treating players with brain injuries, several people with knowledge of the plan confirmed Sunday distance finance training.

Skip to next paragraph Donald Miralle/Getty Images

Brian Westbrook sustained two concussions in a month.

Related Ouster of N.F.L.’s Voice on Concussions Sought (November 20, 2009) Now, Pressure Is for Players Not to Play After a Concussion (November 18, 2009) Sports of The Times: Paying a Price for Playing in the Moment (November 15, 2009) N.F.L. Players and Union Say They Share Blame on Head Injuries (November 1, 2009) N.F.L. Scolded Over Injuries to Its Players (October 29, 2009) N.F.L.’s Influence on Safety at Youth Levels Is Cited (October 30, 2009) Times Topics: Head Injuries in Football

Discuss the Giants, Jets, fantasy and everything else N.F.L on the Times’s pro football blog.

Go to The Fifth Down Blog ŧ N.F.L. Live Scoreboard Standings Stats | Injuries Giants Schedule/Results Stats | Roster Depth Chart Jets Schedule/Results Stats | Roster Depth Chart

For generations, decisions on when players who sustain concussions should return to play have been made by doctors and trainers employed by the team, raising questions of possible conflicts of interest when coaches and owners want players to return more quickly than proper care would suggest.

As scientific studies and anecdotal evidence have found a heightened risk for brain damage, dementia and cognitive decline in retired players, the league has faced barbed criticism from outside experts and, more recently, from Congress over its policies on handling players w

So tomorrow is Thanksgiving. Again.

How does that happen exactly? I mean it doesn’t feel like it was that long ago we were all sitting here in my living room playing the Wii or enjoying Arizona weather after a satisfying turkey dinner! Do you remember?

A Long Drive

A Little Rock Band

Good Food

A Lot of Playing

All Equals A Lot of Love

Time has a way of moving on whether we like it or not. As I sit here I find myself reflecting and remembering so many holidays of the past. I have strong memories of a Thanksgiving in Preston, when all the Luthy’s came down and we set up a LONG table in the kitchen. I remember Jolene helping me get just the right amount of gravy on my potatoes in a perfect little puddle. I remember the laughter, the fun and the closeness of time with family. I also have vivid images in my head of the first Thanksgiving after little Cidnie found her way to us. I remember eating in the basement of mom and dad’s that year so we could all sit together at one long table. I remember the personalized notes mom wrote to each of us as our place holders, and I remember the one she wrote to baby Cidnie. My heart swells with these memories and I am thankful all over again.

So what do you remember? What’s your favorite Thanksgiving memory?

In the latest indication that the National Football League will redirect its approach to players’ concussions, the co-chairmen of the league’s committee on brain injuries resigned from the group Tuesday, the league announced home design.

Skip to next paragraph Related N.F.L. to Shift in Its Handling of Concussions (November 23, 2009)

Discuss the Giants, Jets, fantasy and everything else N.F.L on the Times’s pro football blog.

Go to The Fifth Down Blog ŧ N.F.L. Live Scoreboard Standings Stats | Injuries Giants Schedule/Results Stats | Roster Depth Chart Jets Schedule/Results Stats | Roster Depth Chart

Dr. Ira Casson and Dr. David Viano, members of the committee since 1994 and co-chairmen since 2007, co-authored most of the group’s published research papers whose conclusions regarding head injuries were met with considerable criticism from medical peers. Casson has been the league’s primary voice discrediting all evidence linking football players with subsequent dementia or cognitive decline, drawing criticism from fellow scientists, players and ultimately Congress.

In a memo to all teams on Tuesday in which he outlined several measures regarding concussions, Commissioner Roger Goodell said that Casson and Viano would “continue to assist the committee,” but offered no details of any future relationship. A league spokesman confirmed that Casson and Viano would no longer be official members of the committee.

“The N.F.L. is currently identifying their replacements and additional members who will bring to the committee independent sources of expertise and experience in the field of head injuries,” Goodell said.

On Sunday, the league confirmed that it is collaborating with the players union to identify independent neurologists to work with team medical staffs to treat players with brain injuries.

This is the second time that the league has replaced leadership of its committee on concussions. In early 2007, the chairman, Dr. Elliot Pellman, resigned after strong criticism of his work and indications that h

It’s been a long time for not writing anything here.
I am really busy and tired of the things happened everyday and have no motive to do other things.

Just received the bills of credit card for last month.
I never realized I have spent so much recently, some even have been forgotten.
This is what I have to stop from as my income will not be able to cove if it continues.
Maybe, I get used to spending so as to release the pressure accumulated during work.
I tried other ways, such as eating and listening music, but unfortunately, seems not working for me.
So far, spending can make myself satisfied and happy.

I can foresee that if I don’t control myself, I will be unaffordable to pay for the bills in near future.
Human wants is really unlimited.

TESTICLES

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So i’ve finally decided!! I’m submitting my application to University of Western Sydney for Bachelor of Social Sciences Peace and Development!  It was a tough decision between that and Bachelor of Communications Journalism but i finally decided. I think it would be a great thing to be formally trained in an area i am passionate in. I’m really looking forward to going to University, as i really never thought i would get a chance to do it.

Through volunteering with Invisible Children i have uncovered a side of me that id never really knew existed. I want to continue to expand, grow and further my knowledge so i can in turn be of more help to those who require it the most.

So…Ch-Ch-Ch-Changes are in the air for me and my life and i really am excited. I’m going to apply to start mid year so that way i have around 6 months to get my medication settled and hopefully all my ongoing tests done and be cleared for start June 2010!

A few weeks ago, The Nation posted an article about female sexual dysfunction, written by Joann Wypijewski, titled Sexual Healing. Rachel of Our Bodies Our Blog covered it with a link and some commentary. I saw several problems with the article in question, and have written about some of these problems not once but twice. And when it comes to talking about FSD, I’m still not out of steam yet.

How can I run out of steam, when authors, interviewers, doctors, therapists, and yes even feminists, keep on cranking out & covering new material about FSD, yet continue to make some serious mistakes when doing so? Wypijewski’s article has been joined by another in its well-intentioned but short-sighted spirit - “Restless Vagina Syndrome”: Big Pharma’s Newest Fake Disease, by Terry Allen.

What a funny title for an article about female sexual dysfunction, or at least Kate Harding over at Jezebel and the eponymous Kate Harding’s Shapely Prose blog found the title giggle-inducing and “Brilliant.” I’m sure she is not alone in her amusement – After all, Restless Vagina Syndrome – it’s like Restless Leg Syndrome (Is RLS inherently funny?) except this time it takes place inside your vagina. At first glance, without any further information, the term sounds like it must be synonymous with a high sex drive and frequent easy orgasms. How could anyone possibly label that a medical condition?

Actually, Restless vagina syndrome isn’t talked about for the rest of Allen’s article at all; whoever came up with that title merely exploited a documented condition (which we’ll get to in a bit) because it made the article more eye-catching and amusing to some.
No wonder Kate Harding thought RVS is a joke – Terry Allen provides zero information about the grain of truth he is riffing off of, and by labeling it (and more broadly, FSD in general) “Fake,” he preemptively discredits anyone who says otherwise, even if that means effectively calling the women & researchers involved in studying FSD fools and liars. And, after having done a little homework on Allen’s claims, I think he was counting on readers not to double-check him.
(No one with FSD read the comments section at either the Jezebel or Alternet article, as some of the comments are even worse and may cause explody-head.)

Allen’s article spends more time talking about the kind of female sexual dysfunction we all know and love (except not really.) He and Harding raise concerns about Big Pharma trying to invent and then market “Female sexual dysfunction” (Harding leaves the term in skeptic/scare quotes,) which she at one point refers to as “Listless vagina syndrome.” (I think that’s supposed to be another joke except that it backfires against me since I identify as having FSD. Do you mean to say that my vagina is lazy too?)

Interestingly, Harding uses skeptic quotes when talking about FSD, even as she acknowledges that, okay, maybe some of us really do have sexual problems that merit treatment… after all, she herself benefited greatly from a proper diagnosis of ADHD. But overall, the sentiment in Allen’s & Harding’s posts is that FSD must be a fake disorder invented by Big Pharma, in order to generate more money from a previously untapped market. FSD couldn’t have possibly existed before modern medicine (except that it probably did.)

But because folks like she and I exist, people with “Real” medical problems (and here I’m using quotes because I’m not comfortable with claiming my problems are more real & valid than anyone else’s, just because I can back mine up with medical records, which have also been and will continue to have their value questioned anyway,) we are putting everyone else at risk of exploitation by Big Pharma. Because I want treatment for my sexual health problems, I bear the responsibility & burden of enabling Big Pharma sneaking its phallic tendrils into all of our bedrooms & regulating our sexuality. That regulation might come in pill form designed to increase our libidios – but never too much, for if we become too sexual, too promiscuous, we may just be diagnosed with the dreaded Restless Vagina Syndrome.

I was really curious; is Big Pharma really trying to develop and then exploit a new, fake disease, by piggybacking on something that sounds similar to restless leg syndrome? (Only, it’s the vagina that’s restless.) What is this?

So I started searching for more information on this so-called Restless Vagina Syndrome. Luckily we live in the age of the internet, so my first starting place was Google. That search didn’t yield me much hard information about whether Big Pharma ever put out any material about RVS though – mostly it just points me back to Terry Allen’s article.

I was able to find an RVS parody video – Tranquivag on YouTube. The video pre-dates Terry Allen’s article by about 2 years; it was originally uploaded to YouTube in 2007. Is this what he was referring to? Did he get duped by a group of comedians?
It’s a comedy clip, so it’s not meant to be taken seriously. Or at least, I sure hope it’s not meant to be taken seriously. The viewer is supposed to find it amusing that a woman could be disturbed by invasive genital sensations that interfere with everyday activity and periods of rest – after all, who would find such usually pleasant sensations so bothersome, that you would have to take a medication with major potential side effects? I think the audience is supposed to think something like, “What a foolish woman; if she is bothered by her restless vagina, she should just have sex or masturbate.”  That’s not the way I processed the video though; to me it looks like hipster irony that backfires by re-enforcing negative stereotypes about FSD & the women who have it.
The video directs viewers to www.ivegotmunchies.com, which features other videos.
But no, this probably isn’t what Allen is referring to.

Maybe Google isn’t the best place to look for medical texts & research. I jumped through some hoops and got onto some online database systems. After several failed attempts on other databases, MedLine finally pointed me probably the right direction:

Waldinger, M., Venema, P., van Gils, A., & Schweitzer, D. (2009). New insights into restless genital syndrome: static mechanical hyperesthesia and neuropathy of the nervus dorsalis clitoridis. The Journal Of Sexual Medicine, 6(10), 2778-2787. Retrieved from MEDLINE database. [I'm linking to PubMed here instead of MedLine, since MedLine isn't accessible to everyone.]

Alas, even I don’t have access to the full text, and so I’m restricted to the abstract. Luckily, the abstract is useful for this discussion.
Based on what I’m reading in the abstract,
This doesn’t sound very funny at all… Restless vagina syndrome: “You keep on using that word. I think you do not know what it means.”

According to one sex therapist, RVS, or more properly Restless genital syndrome or Persistent arousal syndrome, sounds like it could be a form of pudental nerve damage.

I already know from reading other vulvar pain bloggers, that damage to the pudental nerve is serious – for some patients, it can be extremely painful to live with on a daily basis, and there’s no single cure for it. In this case, if nerve damage is the culprit for RGS, it manifests as hypersensitive genitals, prone to frequent orgasms even in the absence of actual sexual desire. There maybe other causes of restless genital syndrome besides nerve damage as well.

Regardless of the cause, the women involved in the study describe several related symptoms that would certainly cause me great distress -

Of 23 women included in the study, 18(78%), 16(69%), and 12(52%) reported restless legs syndrome, overactive bladder syndrome, and urethra hypersensitivity. Intolerance of tight clothes and underwear (allodynia or hyperpathia) was reported by 19 (83%) women…

To anyone who laughed at Allen’s title, did you even know what you were giggling at?
Why is this funny?
How is this fake?
Would you actually be comfortable having an orgasm in front of a stranger or in a medical setting, as three of the women in that study are reported to have experienced? What if you were sitting on a bus and the woman next to you started going into an uninhibited orgasm, what would your reaction be? Envy, discomfort, leering, slut-shaming… acceptance?
Why, when nothing else provides long-term relief, would this not merit medical research and possible treatment?

That doesn’t sound funny or something deserving stigmatization, nor does it sound to me like a condition that will be pushed onto the general, healthy population at large. I can only imagine how many doctors RGS patients are bounced around to in search of someone who is not dismissive of their concerns. And to be one of those women who lives with such a condition, and to read articles like this, must be humiliating.

PubMed offers just a few journal article abstracts about restless genital syndrome. The dates on the most relevant journal abstracts are all from 2009. That the dates are so recent, is probably why Terry Allen refers to it as “New.”
I get a few more research results when I search for an alternate term, persistent arousal syndrome. This is a relatively new field of study, according to Wikipedia. And, so far, I have been able to find one not-so-new article, from 2002, that details several other case studies of patients with persistent arousal syndrome, some of whom were desperate for long-term relief. One said of her experience, that it “Makes me so upset that I cry, as I cannot function normally; I make mistakes, get very hungry, and do not sleep… I would like the sensations to go away. I want to feel I can make plans and not have the strong sexual desire to make me miserable not knowing if I’ll get satisfied.” (She was also having difficulty reaching orgasm.)

Is Big Pharma really inventing this syndrome, or is could it be that only now is research being done, after years of neglect? I recall that in all my searches, I did not find much scientific research about Vulvodynia from years prior to the 1980s, and most of the books covering the topic in depth only started appearing within the last decade. Was vulvodynia such a controversial topic when the research was new, too? How long was its existence denied by so-called experts and laypeople? Perhaps that is what is going on here.

But really, RGS actually plays a very small role in Terry Allen’s piece. He just needed something that sounded interesting to grab the reader’s attention.

As is often the case, Allen’s article spends a lot of time talking about low libido and orgasm difficulties in women. Allen goes so far as to actually acknowledge that sexual pain exists, but he does not build on that topic. Allen even acknowledges the need to include the patient’s own feelings about their sex life in whether or not a diagnosis of FSD is appropriate. He gets this additional qualifier of personal distress needing to be present from a November 2008 article in Obstetrics & Gynecology, which pinpoints the statistic to about 12% of the population having FSD… but even this study excluded sexual pain in the researchers definition of FSD! I wonder how the figures would change if pain were included in the statistics.
(Also, as a side note, I’d like to point out here that when Jezebel covered that Obstetrics & Gynecology article, writer Tracie sounded shocked that more women aren’t distressed by their sex problems. I’m getting mixed messages here…)

Allen’s biggest concern, and one I’ve seen repeated elsewhere, is that Big Pharma has a vested interest in getting women to feel personal distress about their sex lives. The introductory line to his article goes so far as to claim that,

The pharmaceutical industry wants you to think that if you don’t have sex like a porn star, you’re in need of their drugs.

Even though I’ve been wandering the labyrinth of FSD for awhile now, I can’t say I’ve bumped into any doctors or reputable drug companies that say this to me. I’ve run into porn sites that tell me I should have sex like a porn star, and I’ve overheard conversations my peers have that tell me that. I’ve read that message in magazines and I’ve seen it on TV and in movies. And I’ve even gotten that impression while shopping for new sex toys. Sometimes, even the most sex-positive of sex toy stores, still manges to make me feel like I am somehow not measuring up, because I cannot or will not use one such toy or another, and because I cannot or will not have sex in certain positions.

Big Pharma doesn’t need to make me feel insecure about my sex life.
The culture in which I live does that already. Not only am I distressed by the experience of physical pain, but that pain is compunded by other messages I receive more broadly.
Why doesn’t Allen think about Big Porn, Big TV, Big Magazine and Big Body Image Distortion? For me, these are much bigger culprits I have to learn to navigate around in my sex life than Big Pharma.

Allen’s position is that if Big Pharma can get women convinced that there is something wrong with them for not having the sex life that Big Pharma (or, really mainstream media,) says they should be having, then Big Pharma can step in with cures, and thus make money. As examples, he cites the Orgasmatron, an accidental discovery stemming out of chronic pain treatment which has nonetheless been sensationalized by the media, (I wonder if the media raised the alarms when the Hitatchi Magic Wand first became readily available?) and LexaFem, an oral pill that has no entry on WebMD. (Must be an herbal stimulant or something. Not sure how likely it is that any doctor would prescribe LexaFem to me.) Allen is also sure to note Viagra’s use off-label for some women with FSD, and the dangers of using hormones to stimulate desire. (I’m not sure where that leaves me, as someone who had her hormone levels measured and found to be out of range for a healthy woman in her early 20s following birth control pill use. I’ve already used hormones, including estrogen & testosterone, to treat vulvodynia, although mine was a topical medication. That wasn’t in patch or pill form, but it’s still hormones. Am I supposed to be scared into not using them ever again? I still keep a little expired bottle of prescription hormone gel under my bed as a safety blanket.)

Allen then talks about conflicts of interest in medical research. Some of the studies on FSD have been sponsored by drug companies, including some of the bigger, more widely reocognized studies. It’s definitely worth taking a second look at these company-funded studies and thinking about how much influence that company may have had in the study’s outcome.

There’s two issues I can think of right off the bat that complicate matters regarding research independence. The first is, if these research studies, and others, about FSD including RGS are in fact independent of drug company funding, would Allen still be so quick to call FSD “Fake?” Does independence automatically redeem research? What about if independent studies draw the same conclusions that drug funded ones do?
One problem I myself am faced with is that, with the Restless Genital Syndrome articles I linked to above – I can’t tell from looking at the abstracts, whether these are independent research studies or whether they were sponsored by drug companies. I think I may need the full text to examine the full financial disclosure, if there is any provided.

The other issue I have with funding for research is, according to a recent NVA e-newsletter, some studies on Vulvodynia are also funded at least in part by drug companies. In this newsletter, I see Pfizer gave a financial award to Dr. Pukall of Ontario, Canada, for her research into vulvodynia & neuropathy.
Vulvodynia & pelvic pain conditions are still very much mysterious, misunderstood areas of women’s health. Can we afford to outright reject new research on vulvodynia and FSD broadly, on the basis that it is funded in part by drug companies? Or is it sufficient that patients, doctors and advocates be ready to closely examine these studies for possible bias?

Allen concludes his article with a quote by Liz Canner, mastermind behind the new film Orgasm Inc, which takes a critical look at the Big Pharma’s involvement in FSD. It is becoming increasingly clear to me that even though I don’t particularly want to watch this film and it will probably give me a brain aneurysm, eventually I’m not going to have any choice but to force myself to watch it sooner or later. Canner says,

“Maybe the best approach is not ineffective, over-hyped drugs with nasty side effects, but an end to disease mongering and a strong dose of comprehensive sex education”

Allen then tacks on, “Her film hits female erogenous zones that pharmaceutical fixes can’t find: your brain and your funny bone.”

What sort of sex education does Canner have in mind? How comprehensive are we talking here? In Canner’s sex education class, will we be focusing on the Masters & Johnson model of sexuality, or will we provided a wider variety of sex education materials? Will we be taking a Western point of view or a more global one that looks at many cultures and sexuality?
I ask because the sex education I went through a few years ago, was sorely lacking.
I would hope that Canner’s definition of sex education includes not just a critical examination of Big Pharma, but of the culture in which we live – a culture which both markets and condemns sexual activity. A culture that is uneasy talking openly about masturbation, consent and mutual pleasure. A culture which, in media depictions, often upholds sex and gender roles in sexuality, and leaves many subjects, such as BDSM, porn, open relationships, and certainly painful sex, taboo.

When Canner talks about sex ed, is she willing to spend any time educating the general public on the subject of dyspareunia, which can be (and for me is,) a form of FSD, and whether or not it’s worth treating? Or is dyspareunia to be overlooked in sex education the way it was during my high school sex ed, precisely because it can be a form of FSD?
I wish someone had taught me about vulvodynia earlier on. Would Canner consider that a form of “Disease mongering” too?

As for Allen’s last statement, he himself has to look a little harder to find my funny bone. Or perhaps I’m just one of those legendary dead-on-the-inside humorless harpy feminists, one who takes sexual dysfunction much too seriously.
Regardless, based on what I’ve seen Allen and others write about FSD & Big Pharma so far, I’m not so sure that I myself would find Canner’s film particularly funny. This is yet another example of an article about FSD which, rather than amuse and educate me, distresses & drains me.

An interesting quarterly publication online is Knowing & Doing from the C.S. Lewis Institute.  Most issues contain a profile of a major Christian figure (the Winter 2009 issue focuses on Dr. Martyn Lloyd-Jones), in addition to other articles in the general tradition of C.S. Lewis.  The Library also receives a paper copy if you want to peruse it that way.  (BTW, this publication is not indexed in ATLA, so it will not show up there.)

My penpal came to stuttgart to attend his brother’s concert. I was not informed in time due to the unbelievably slow speed of snail mail and I had my week very packed to go to Kiel this weekend.
I could not possibly meet him yesterday evening, because i had something on, and events media production gave me such a freaking migraine that I have to sleep for 12 hours. Unexpectedly, my penpal crashed his friend’s Film history lesson this morning and I was in the same class! He said that my handwriting looks familiar and he remarkably spotted his name on my horribly messy notebook, so he confirmed that it was me.

on a side note, thanks to my environmental design class with deborah last year, and handicraft sessions with changzhi for SYOG presentation,  i think my model-building skill has improved. you’ll see why.
and I can’t emphasize enough, Events media Production drives me crazy!

Yesterday I discovered this spectacular online journal.  It showcases a lot of really witty, experimental prose and poetry.  I highly recommend checking out the flash fiction section.  It will not disappoint.  www.42opus.com

Be sure to read:

Story by Ptim Callan

Slow Fade by Helene Simone Wolff

The Kids by Michael Davidson

Remnant by Elizabeth Moore

The Paranoid Gentleman and His Library Visit by Jim Heynen

A guide to the three best buffets in the casinos on the Las Vegas StripWhen most people think of Las Vegas, they think of slot machines, show girls, hot weather, and buffets. And while the show girls and the weather is usually warm, sub – buffet in May by being lukewarm at best self employed blog. With the plethora of buffets in Las Vegas, the first visit may be confused as to what to try. Buffets in Las Vegas range from very cheap and not very edible, reasonably priced and tasty, to the expensive and decadent. I am proud, or rather embarrassed to say I ate more than my share of buffets Vegas for years. Hopefully, with this experience, I can guide you to the best of the pack. Any of these choices must generate a feeling of satisfaction and few pounds heavier. That said, here are my three favorite buffets while Las Vegas.At number three on the list is the buffet at the Bellagio Hotel and Casino.The quality of the food is excellent, even if the price is expensive. The Bellagio has live-action cooking stations with food of high quality from Italy, China, Japan and around the world. They also have a good selection of seafood, sushi, carved meats and gourmet desserts. The buffet dining rooms are big and fancy, providing a worthy setting for fine food. Bellagio Buffet is very popular and the line can be extremely long at times. Breakfast is $ 12.95, $ 18.95 lunch, champagne brunch is $ 28.95 and dinner is $ 26.95 Sunday through Thursday and $ 34.95 on Friday and Saturday. If the price was somewhat reasonable, it would probably be number two on my list. More information is available at: http://www.bellagiolasvegas.com/pages/din_casual.asp…

Read full article: The Best Buffets in Las Vegas

Fade Skinny: Adult obesity 1: Tackling the causes of the obesity epidemic and assessing patients

Fade Fave: This article is the first in a 2 part unit examining the prevalence, causes, consequences and assessment of adult obesity.

Contact the library for a copy of this article.

Sometimes the best part of the news is made new HeadlineThe can be a source of endless entertainment. The best thing about them is often the headlines. Most of the time I do not care about the real history. The best part is just the title. What I love are not the big stories of the day top finance training. To be honest, I had nothing to do Mel Gibson and he danced naked on a police car while having sex with the head of Moses or whatever they say he did. Of course, I'm not Jewish. But the Protestants were being insulted, I do not think I care either. If Mel's words can shake my faith and insulting as it then obviously it is time to reconsider my own beliefs.No, I enjoyed the news story I saw yesterday on how the India uses a kind of master-primate hunting monkeys off commuter trains. Apparently, the monkeys were getting on the commuter train and make nasty faces scowling at passengers and causing many problems.So, there is another kind of primate with a name I can not remember which scares monkeys. So they got a manager of one of these creatures to patrol trains. I love a good monkey story. As I told a friend yesterday, all stories containing either a monkey or a Monkee is obviously hilarious. My favorite part was a quote at the end by the manager of primates. "There are too many monkeys," he is quoted as saying. I think that says all of this, is not it? How can we focus on Hezbollah, when there are too many monkeys? Is this a bad thing there are too many monkeys? They throw their shit, but again do some Frat boys and the fans of NASCAR, it is difficult to say that everything should be excluded from the game. My favorite track of other yesterday was "the man on his PANTIES FLYING FUDGE THE HEAD." Man, I have not bothered to read the rest of that.Whatever the story is that it could not possibly match with the greatest pleasure of reading the headlines….

Read full article: Best Part of the News is Those Wacky Headlines

Fade Fave: Looking inside the black box of community rehabilitation and intermediate care teams in the United Kingdom: an audit of service and staffing configuration.

Fade Skinny: The object of this research was to generate a picture of the range, configuration and staffing of community and intermediate care services with the UK and whether any relationships occur between service configuration and staffing models.

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The best chocolates in the western USSome best chocolates in America, Part I … In this first article, I will work with chocolates available, or with stores in the American West. I anticipate many more items – we'll see a day should I take in plenty of chocolate for a year sel employed loans. Umm … uum … well, I'll start in northern California with Mendocino Chocolate Company with two locations, one at Fort Bragg and the original shop in Mendocino. I had a lot of their products and they are just delicious. I know the owners, they were longtime friends of my parents so there is always something new to sample when I visit them. This year, their company is observing its 20th anniversary. The truffles are a delight to watch – dark and rich, and the sauces are wonderful. They even called Fire in the Pacific, which is made with dark chocolate and a little kick of red pepper.All their chocolates are handmade, hand dipped and hand packed. The staff takes great care in their products and it shows. They also gift wrapping, and can create wedding favors and a variety of forms, molds chocolate with your logo on them. Stop the next time you are in the region. Or visit them on the web at Mendocino-chocolate.com. Then we'll go in the "City by the Bay, and my birthplace and favorite city, San Francisco. There is a whole complex is dedicated to shops and restaurants unique to the locality Ghirardelli Square. The origin of chocolate, Domingo Ghirardelli, which actually started in Uruguay and Peru before coming to "Yerba Buena" original name (San Francisco) during the gold rush in California. It has opened stores there and Stockton, but with a turn of luck, the fire burns at both these shops down. After a few more places, he rebuilt a store on Kearny and Washington streets with another partner.Soon his wife joined him a

Journal of the American Medical Association 2009 (Vol. 302 No. 18) Contents

Fade Fave: A 66 year-old man with an abdominal aortic aneurysm: Review of screening and treatment

Fade Skinny: Ruptured abdominal aortic aneurysm (AAA) is a common cause of death. AAA tend to be asymptomatic until the time of rupture with a mortality rate of greater than 80%. This article discusses the issues surrounding treatment and monitoring of AAA in a 66 year-old man.

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Journal of the American Medical Association 2009 (Vol. 302 No. 19) Contents

Fade Fave: Telephone-Delivered Collaborative Care for Treating Post-CABG Depression
Fade Skinny: Depressive symptoms commonly follow coronary artery bypass graft surgery (CABG) and can affect recovery and health-related quality of life.This article tests the effectiveness of telephone-delivered collaborative care vs usual physician care.

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NEW YORK (Reuters Health) – People with schizophrenia and other psychotic disorders are more likely to die of heart disease than mentally healthy individuals, a study in US veterans indicates self employed blog.

While the fact that people with psychosis were more likely to smoke and be inactive accounted for much of the difference, it didn't explain all of it; it's likely that the isolating, debilitating nature of the mental illness itself is also a factor, Dr. Amy M. Kilbourne of the VA Ann Arbor Health System in Michigan, the lead author of the study, told Reuters Health.

People with serious mental illness die decades earlier than their mentally healthy peers, Kilbourne and her team note in their report. To understand the role of heart disease in shortening the lifespan of mentally ill individuals, they looked at nearly 150,000 vets who had completed a 1999 survey.

Just 11 percent had never been diagnosed with a mental disorder, while 15.5 percent had schizophrenia, 10 percent had bipolar disorder, 5 percent had psychotic symptoms but hadn't been diagnosed with schizophrenia, 24 percent had major depression, and 34.5 percent had other types of depression.

Within 8 years, 8 percent of the study participants had died of heart disease. Individuals with psychosis were nearly twice as likely to die of heart disease during follow-up compared to those who'd never been diagnosed with a mental disorder.

People with schizophrenia, depression and bipolar disorder also were at increased risk of dying from heart disease, but for individuals with depression or bipolar illness, behavioral factors such as smoking and lack of physical activity accounted for all of the excess risk.

But even after these factors were taken into account, people with schizophrenia were still 17 percent more likely to die of