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The Mystery of Look AHEAD
David Spero
November 3, 2012
Losing 5% of body weight and maintaining that loss for four years or more made no difference in strokes, heart attacks, or death rates for heavy people with Type 2 diabetes. So says the Look AHEAD trial, the biggest study ever done on "lifestyle intervention" for diabetes.
Look AHEAD (Action for Health in Diabetes) was a huge trial, involving 16 different treatment centers around the country. It started 11 years ago and enrolled 5,145 people aged 45–76. All had Type 2 diabetes and a BMI greater than 25.
Half the people (controls) were given a standard program of diabetes education, while the intervention group received intensive coaching and support aimed at weight loss. According to The New York Times, people in this group were put on a diet of 1200 to 1500 calories a day. Those who weighed more than 250 pounds were allowed 1500 to 1800 calories a day, a pretty tight restriction. The exercise program was at least 175 minutes a week of moderate exercise.
In 2010, researchers excitedly reported that the program was giving great benefits. People were losing weight, and their heart risk factors seemed to be going down, too. As Diane Fennell reported here,
But the reduced risk factors didn't translate into actual reduced risk. Now the National Institutes of Health have stopped the study because both groups were having the same rate of heart attacks, strokes, angina, and death. Those cardiovascular events were the main outcomes the study was analyzing, so the intervention "didn't work."
What Is Happening Here?
But everyone thought that reducing glucose, blood pressure, and cholesterol would prevent heart disease. Everyone thought exercising would improve heart health. In fact, dozens of studies have proved that they do. So why was this time different? It's hard to explain, especially since the full study data has not yet been released.
I have been suspicious of Look AHEAD all along, because the intervention group received way more attention than the control group. As Diane reported,
More support has health benefits of its own, so the study was heavily slanted to succeed. Some of the study's lead investigators, such as study chair Rena Wing, PhD, have focused their entire career on weight loss.
And sure enough, Dr. Wing is reporting Look AHEAD as a success, because it "found that people who are obese and have Type 2 diabetes can lose weight and maintain their weight loss with a lifestyle intervention."
This is a highly misleading claim. At year four, subjects had gained back roughly half of their relatively modest weight loss. For a 200 pound person, an 8% loss (average for the group) is 16 pounds, and half of that was regained.
The intervention was far more intense than anything people can do outside of a scientific study. In the real world, nobody is seeing health professionals every week for a year to lose weight.
And despite this intense support, they didn't lose much, and the rates of cardiovascular problems and deaths were the same for both groups. Why?
It could be that study participants were a selected group whose hearts were in pretty good shape. Participants had to pass a prestudy treadmill test, and their blood pressure had to be at least moderately controlled (below 160/100). They were also motivated — they had to log their food intake for a couple of weeks just to get in the trial. So maybe they weren't at that much risk in the first place.
Dr. Mary Evans of the National Institutes of Health said the positive news is that "both groups had a low number of cardiovascular events compared to previous studies of people with diabetes."
Although the intervention did not reduce cardiovascular events, the intervention group had less sleep apnea, reduced their diabetes medications, had better physical mobility and quality of life. To me, those benefits are just as significant as heart attacks and strokes, especially since the death rates in both groups were low.
In fact, it's interesting that this outcome is reported as a failure. Imagine a drug trial in which the drug reduced A1C, blood pressure, cholesterol, and sleep apnea, without affecting heart attacks and strokes one way or another. Would this be reported as a failure?
Please. That drug would become the newest treatment recommendation. Everyone would be prescribing it. But if it's a "lifestyle intervention," it's a failure.
And note that weight loss advocates are spinning Look AHEAD as a success. Dr. Wing says it proves people can, too, keep weight off. Others are saying (spinning) that "lifestyle change doesn't work, so take more drugs instead."
My take is that probably the weight-loss focus led to people getting bad dietary advice. The study guidebook says,
That means a lot of carbs, which most of us believe is bad for diabetes. Also, low-calorie diets can stress the body and may cause as many problems as they solve.
The fact is, we KNOW that exercising, eating better, and reducing stress work. We read about it here every week. I suggest we keep eating healthy, moving our bodies, and enjoying life, without counting pounds or calories (just carbs).
I hate to be negative but these studies border on useless as they get into statistical analsys and attempting to drive pet ideas and theories. More fundamental research on the human body and get past the insulin/pancreas argument while building better realtime analsys tools for observing body would lead to better results. For T2; excesss glucose and excess insulin cannot be good on human heart. Losing weight is not a negative and been beneficial to this person but getting trapped off in space attempting to relate all damage to excess fat based on incomplete understanding on FULL operation of body is in a word in orbit around wrong planet. Attempting to mine large blocks of data using statistical analysis while not necessarily wrong does not illuminate the science any better - only identify possible targets for further in depth research.
Posted by: jim snell | Nov 06, 2012 01:04 AM
Hard to say what is going on. It would appear that our present theories of stroke and heart attacks are wrong. Fat may not be the problem and carbs could be it (for diabetics for sure and possibly also for gluconormal people) ? I wonder if the most important cause of CVD is stress and loosing weight or trying to loose weight is stressful. However weight loss is good for the knees.
Posted by: calgarydiabetic | Nov 05, 2012 04:33 PM
"The recommended diet is based on guidelines of the ADA and National Cholesterol Education program" Gee David I do believe you might have something here. I cut back on carbs many years ago with amazing results. I don't count calories, just eat sensibly and never starve myself. However I don't give my body an excuse to produce very much insulin, even if I could just inject more to cover high carb foods. I have no weight problem. Side note: RECIPE OF THE WEEK (most) - you've got to be kidding. Oh yeah I work real hard to pretend I'm a normal person with glucose readings, which results in an A1c that looks like a person without diabetes. Other indicators are great too.
Posted by: JohnC | Nov 07, 2012 02:36 PM
It seems these "intervention" type studies do not work either huh? I am a follower of the "ph lifestyle" of eating. Doctors that advocate this lifestyle think there is a direct link between our S.A.D. ( sad American diet). This SAD most people eat while dieting may follow the ADA food guidelines of 20% protein' 30% fat, and 50% carbs but does not take into consideration the body's requirement that our blood ph must remain very close to the 7.2 ph. This diet if it is acidic and most are will not alleviate diabetes or heart disease. A diet of high ph foods forces the body to draw important minerals and vitamins from our organs and bones to " chelte this acidic condition. The acidic condition also acts as an irritating condition to or blood and could result in cardio disease along with increasing insulin resistance. Why do we spend all our money supporting research for medications to medicate our condition instead of researching natural cures such as eating an alkaline balancing diet. 1 yr ago I started this lifestyle of eating and it alone has me off all meds for diabetes, high b/pressure, cholesterol and trygliceride 1 yr ago I was using the Max dose of Lantus, the Max dose of metformin, taking 2 meds for blood fats, blood pressure Med and my A1C was 7+. Now I am off all meds, period. My b/p is 90/60, my total cholesterol is 147, and my A1C is 6.0. No changes I'd exercise but just eating according to this alternative medicine diet.
Posted by: Dan Kashefska | Nov 07, 2012 06:37 PM
Your summary final paragraph says it all. 10-4 an dbest wishes.
Posted by: jim snell | Nov 05, 2012 11:03 AM
What is an alkaline balancing diet. I have heard of an alkaline water. Is this helpful. I am type 2 since 2005. Aic 6.7 ranges from 6.4 to 6.7
Posted by: Ann davis | Nov 13, 2012 11:03 PM
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Mitt Romney's Son Went to Russia With a Secret Message for Putin
Somebody's getting grounded.
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Somebody's getting grounded.
Pandering, Hawaii-style.
Now that he needs their delegates, Rick Santorum has apologized to Guam for a Guam joke.
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Today i have a card made just from the embellishments or paper in my scrap drawers. I found the die cut shape, already cut from Kraft cardstock and the little bird cage already stamped on pattern paper. Along with a little piece of Kraft stamped with thanks.
This card was fast and easy!! It's a real time saver when most embellishments are already stamped and die cut.
Thanks for stopping by!
Dies & Flower Stamp: Papertrey Ink
Birdcage stamp: Unknown
Ink: Papertrey Ink
March 18, 2012
Sunday's Bits & Pieces #12
3 comments:
- Barb said...
- March 18, 2012 at 12:20 PM
- onecraftymama said...
Very pretty! Love the pearls on the birdcage :)
- March 19, 2012 at 4:54 AM
- Debstamps said...
A simply beautiful design Dana! Just wanted to say thanks again for sharing the Liebster love! www.debstamps.com!
- March 22, 2012 at 3:52 PM
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About South Bureau
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On Tuesday, September 17, 2013, at 8:50 p.m., Sanchez was working as a store clerk at a local 99 Cent store in the 7400 block of South Broadway. A suspect, described only as an African-American male, walked into the store, robbed it and shot Sanchez numerous times. The suspect then ran out of the store heading south on Broadway.
Shortly thereafter, a customer walked into the store and discovered Sanchez injured and telephoned for assistance. LAPD 77th area officers and investigators searched for the suspect while Los Angeles City Fire Department responded and transported Sanchez to a local hospital where she later died.
Mrs. Sanchez is survived by her husband and her five children, which range from the ages of 3 to 19-years of age. Detectives believe motive for this incident is robbery. The suspect and weapon are outstanding.
Anyone with information is asked to call Criminal Gang/Homicide Division, Detective Eric Crosson or John Ferreria at (213) 485-1383. During off-hours or on weekends, call the 24-hour toll free number at 1-877-LAWFULL (529-3855). ). During non-business hours, weekends and holidays, contact LAPD's RACR Division at 877 LAPD 247 (877-527-3247). Anyone wishing to remain anonymous should call Crime Stoppers at 1-800-222-TIPS (800-222-8477). To send text tips, text the word TIPLA, a space, and then your message to CRIMES (274637). To send web tips, log onto www.lapdonline.org and click on "Anonymous Web Tips".


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Civil rights
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A man who gave a motivational speech at San Jose State University in May claims police beat him up afterward.
Obama Signs Order To Protect Gay, Transgender Workers
President Barack Obama on Monday gave employment protection to gay and transgender workers in the federal government and its contracting agencies, after being convinced by advocates of what he called the "irrefutable rightness of your cause."
Oakland Civil Rights Lawyer John Burris To Represent Woman Captured On Video Getting Beaten By CHP Officer
Oakland civil rights attorney John Burris has joined the legal team representing a woman who was repeatedly punched by a California Highway Patrol officer while she was pinned down on the side of a Los Angeles freeway.
5 Things To Know About The Civil Rights Act Of 1964
On July 2, 1964, President Lyndon B. Johnson signed into law the Civil Rights Act of 1964, one of the most significant civil rights achievements in U.S. history.
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Vice President Joe Biden declared that protecting gay rights is a defining mark of a civilized nation takes precedence over national cultures and social traditions.
Activists Call For Justice Dept. Investigation Of Sonoma Co. Law Enforcement's Use Of Deadly Force
Civil rights activists and a group of surviving family members of police-related deaths are calling for a U.S. Department of Justice investigation of Sonoma County for what they call "an epidemic of deadly force by police".
Poet Maya Angelou Remembered At Memorial Service; Video Highlights
VIdeo highlights from the memorial service for poet, actress, singer and civil rights activist Maya Angelou at Wake Forest; remarks from Oprah Winfrey, first lady Michelle Obama and Pres. Bill Clinton.
Napa Becomes Latest CA County To End Jail Immigration Holds Without Probable Cause
The Napa County Department of Corrections is the latest California county to decide against detaining inmates past their release date for U.S. Immigration and Customs Enforcement unless a court finds a probable cause to detain them.
Yuri Kochiyama, Civil Rights Activist And Friend Of Malcom X, Dies At 92 In Berkeley
Civil right activist Yuri Kochiyama, whose photograph famously appeared in Life magazine cradling the head of Malcom X moments after he was shot, has died of natural causes in her Berkeley home.
BART Settles Lawsuit: 5 Men Detained With Oscar Grant To Get $175,000
BART has settled a lawsuit brought by five men who were detained with Oscar Grant on the Fruitvale Station platform in Oakland when he was fatally shot.


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From sweater vests to vintage eighties knits, the holidays seem to bring out some bad style choices. Check out our favorite tacky, funny, and just plain ugly Christmas garb. (21 Photos)
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Appeal for Ilir
03 Dec 12
Kelmend, in the far north of Albania, is one of the most remote and fascinating parts of Europe. The Terra Madre network extends even here, with two active food communities in the region: the Thethi producers, who make traditional products like honey, raki distilled from plums and other fruits and an unusual white flour ground using water mills from a local variety of corn; and the Lepushë producers, who make cheese and caj, infusions made from wild herbs and consumed throughout the year.
These small gastronomic treasures are struggling to resist environmental degradation and rural abandonment, especially by young people, which is leaving its mark on the local communities. A few people are holding out, seeking to keep alive local traditions and reinterpret them in a way that makes sense today. One of them is Ilir, a young man who is fighting against the tide. He has chosen to stay, together with his family, and to unite traditional food production with a small tourism business, promoting Lepushë caj and making it known to the many who don't even know it exists.
Ilir now has a workshop for processing medicinal herbs, and was in the process of building a guesthouse so that he can host tourists interesting in discovering destinations completely off the beaten track. His dream was slowly coming together, but it has been brutally interrupted by a serious fall, from a height of 5 meters. Ilir risks losing the use of his legs unless he undergoes an operation only available at a private clinic.
The Terra Madre network, conscious of the fact that helping him means helping the whole community, is mobilizing itself to raise the funds necessary to support the operation, which will cost €6,000.
To help Ilir, his family and a community's dream:
VIS Albania account holder: Ambrosi Pier Paolo
Address: Rruga Don Bosco, Tirana, Albania
Bank: INTESA SANPAOLO BANK ALBANIA SH A
27 RRUGA ISMAIL QEMALI, TIRANA, Albania
SWIFT code: USALALTR
Bank code: 20811008
Account number: 40306738001
Payment reference: Fundraising for Ilir
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All our restaurants, cafés and snack bars are family friendly and have tasty, freshly-prepared food. You can find healthy, vegetarian, gluten-free and dairy-free options too.
As well as great kids' menus and activities, there are high chairs for babies and dedicated space for push chairs.
Our food and drinks are carefully sourced, our coffee fairly traded and we only use British organic milk. We're always looking for new ways to reduce our impact on the environment.
Get a starter, main and a soft drink for just £12.95 in The Restaurant, or a sandwich, salad, cake and a soft drink for just £9.95 in the Deli Café.
Visit The Restaurant for a fantastic range of freshly-prepared food, drinks and puddings. You can find vegetarian dishes, dairy-free food, options made with no gluten-containing ingredients and a great kids' menu too.
Come and enjoy delicious, wholesome food in our Deli Café. Choose a dish and two salads to go with it, enjoy indulgent desserts and a range of wines, beers and ciders.
Enjoy sandwiches, seasonal salads, cakes, coffees and teas while you soak up the atmosphere in the Café, located in the heart of the Museum.
Brought your own lunch with you? Visit the Picnic Area for seating and tables. You can also get a selection of drinks and snacks at the Snack bar.
Enjoy a light lunch in our Darwin Centre café


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Hahaha I remember when steve said that...that was great.
Today was boring and cold, my stomach started hurting and I felt like throwing up it sucked. Heh yeh my day went some what better...yeeeeeeeep
Damnit I can't wait for the Resist and Exsist show but knowing my luck no one will give me a ride and my mom will be a bitch and not let me go. And I can't fucking wait for summer,its going to the best.
Grr then fucking Ben and Alex kept calling my damn four and left all these messages saying how why aren't I talking to them how i'm a hypocrite and blah blah blah. Gee maybe if ben looked OUT FOR ME THE NIGHT I RAN AWAY fucking ass. Whatever. I can't wait till I get out of here..yeh i'll be real happy.
Doot doot doot doot bored bored bored waiting for my rice...I ran out of soymilk X( lame. Need to sew...I think i shall do that later. Fuck I seriosuly need to do allll my homeowrk and a bunch of extra credit I can't get anything below a C cause my mom is LAME.
I'm going to take odd pictures tomorrow
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Lutron MA-R Maestro 120 Volt Companion Control Dimmer for Multi-Location Use
For true multi-location dimming, use up to nine of this 120 volt companion dimmer with one Maestro multi-location dimmer.
The Maestro dimmer provides an easy-to-operate tap switch that turns lights on/off to your favorite light level. Use the rocker dimmer to adjust lights manually. The delayed fade-to-off feature gives you 10-60 seconds to leave the room. Combine with Maestro companion dimmers to control a single light from up to 10 locations.
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- Multi-location dimming compatible with 3-way wiring for easy installation and retrofit
- Add companion dimmers to dim from up to 10 locations
- Power failure memory (Maestro remembers your settings even after a power interruption)
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Critic & User Reviews
Very Good
I Was Skeptical... Was,
posted by DialUp2335 (ELGIN, TX) Jul 11, 2009
Member since Mar 2009
104 out of 112 gamers (93%) found this review helpful
First off, I got this game on accident, but well I guess that was a way of getting me to play it.
-Very Well Built Storyline
keeps you entertained for mostly the entire playthrough
-Easier Achievements
the achievements aren't hard, plus you have all the time you need to get them
-Very Fun Gameplay
the game, simply put, is fun, nothing else really describes it
-Good Audio
not the best but it doesnt get repetitive
-Good Graphics
this game's graphics are pretty good, as the game IS old, the graphics were done right
Just a very good game in general, very original, and will keep you entertained
The only con i can think of for this game is the achievements are a bit strange "kick 100 soccer balls", "walk 100,000 meters on foot", "receive 25 kisses from the gents"
but i mean it's no major flaw on the game.
The game overall is a very great game, awesome storyline, and fluid gameplay.
Very Good
posted by MagicNinja (THEODORE, AL) Mar 14, 2008
Member since Jan 2007
4 out of 4 gamers (100%) found this review helpful
Now, graphics wise is just a small step up from the PS2 version. I really wish the graphics were better but then the game would have taken a lot longer to release.
Now there are bugs in this game. A few times I had a black screen that said "Please Insert Game Disc" or something along those lines. Which is odd because a dashboard blade usually pops up on the right and says it can not read the disc. It's a problem but not a big one. I've had to do some missions over again because of this, but to me it's not a big deal.
Other bugs that I have recently found are very small. Sometimes the game will freeze (But that could just be my 360 but I doubt it), sometimes the humiliate icon is unresponsive, the triggers in music class are sometimes unresponsive, and etc...
The bugs are just little odds and ends. If you love Rockstar or GTA you'll love Bully. I was never a big fan of GTA but I still love this game. It's fun, addicting, and funny.
The Skateboard controls feel very clunky, IDK if it's just me but it seems like the skateboard is a big hassle when it comes to making small or large turns. The Bikes handle a lot better, but the skateboard just bothers me because it's my only means of transport this early in the game.
All in all I give this an 8/10... 1 point was taken off for the bugs and one was taken off for the lack of productivity when it came to updating the graphics.
It's still a great game. So if you've never played Bully Rent this one. Or if you got rid of your old PS2 then buy this to enjoy those gaming memories of 2006 again.
Very Good
ENTERTAINING, yet annoying at the same time
posted by CNTRINSGNT (MANVILLE, NJ) Mar 17, 2008
Member since Aug 2007
185 out of 217 gamers (85%) found this review helpful
Nice graphics, cant really complain in this department
you will want to play this for hours and boy does the time fly fast!
Fun and amusing missions, very creative and captivating
Somewhat easy achievements , I would rate it a 6/10 on achievement difficulty
In the year 2008 EVERY GAME and I mean every game!! should contain AUTO SAVE.
Not only is it disappointing to see no auto save, its a complete failure to the game overall!
You will need to play missions over and over due to no auto save and the extreme FREEZING issues this game has
You should save after every little thing you do because your game will freeze sooner or later, one time I lost 3 hours of play time because of no save and freeze issue
Its been known before the games release about ongoing issues with achievements and bugs, still no patch was ready, and no date is being released
Achievement glitches, MANY MANY people are doing what the achievements require only to have that achievement unlock 25 mins to 3 hours to 3 days later out of the blue... OR.... NOT AT ALL!
THIS is a very fun game, but also an annoying one due to the save and freeze issues and the glitches... HOWEVER its worth the rent and play because its so fun overall... I'd say give it a shot
Very Good
Good but glitchy
posted by ElSancho (EVERETT, WA) Mar 9, 2008
Member since Dec 2005
1 out of 1 gamers (100%) found this review helpful
Very Good
Worth checking out...
posted by Delirium (SOUTH MILWAUKEE, WI) Mar 8, 2008
Member since Jan 2007
1 out of 1 gamers (100%) found this review helpful
I definitely love this game for the GTA-type freedom at a much more kid-friendly theme. However, I should caution those that have older systems that there's a frame rate problem (those that have played Two Worlds should be familiar with the term) and there's no patched released so be aware of that.
Now, Bully has some pros and cons but the pros obviously hold the advantage. You start each day with the burden of heading off to class (two classes a day, easy to challenging mini-game). My only beef is that some ask too much or just get ridiculous. For geography class, you're given a map and some flags and asked to match countries to their flags and while some will think that's easy others might not be as educated to know where Normandy is.
After that you're good to do missions and whatnot until around 11PM where you can be caught for breaking curfew. But what's a game without some protagonist breaking rules for his benefit?
While I'm inclined to say I love Bully, the time system is really messed up. About 2 seconds counts for a minute so an hour runs by pretty fast as you can imagine. This runs especially hard because missions sucks up some time and you can only do 1-2 before you're breaking curfew and you have prefects/cops on your tail constantly.
All in all, pick up the game and it will be apparent if it is your style or not. My bet is, it will be.
Very Good
First Time Player of Bully... Fun Ensues
posted by Patface (HAWTHORNE, CA) Mar 24, 2008
Member since May 2006
24 out of 28 gamers (86%) found this review helpful
I really didn't know what to think when I picked up Bully. On one hand I'd always been curious about the game, and have a great deal of faith on the quality that Rockstar Games is known for. On the other hand, I was never able to bring myself to pick it up on the PS2 and give it a shot. After getting into the 360 version of this game, I can tell you I'm greatly disappointed that I waited so long.
The graphics will not impress, and some of the vocal lines and characters can be repetitive depending on how you play this game, but I think the best word to describe this game is fun. This game is an absolute blast to play the first time through.
The control scheme is very easy to pick up, especially if you have played GTA-similar games before. The missions that you can do, both storyline based and side-quests, are creative and involved, and in true GTA style some quests are very easy while some will provide much more of a challenge.
While there are numerous quests and challenges to complete, one of the most entertaining parts of this game for me was "going to class". From biology to english, you must take main character Jimmy Hopkins through a number of mini-games to pass classes. At the same time, this is not mandatory, as you can play hookie, ditch class and head into the town, avoiding cops and prefects trying to throw you back into school.
The game also has quite deep character interaction, as you befriend and battle with greasers, preps, nerds, jocks, etc. You also try to get some tail from the females at the school, offering roses or chocolates (depending on the girth of your chica).
Overall, I would recommend this game for someone who has not played before - lots of fun to be had.
BEST game EVER!!!
posted by 564900 (CLARKSVILLE, TX) Nov 3, 2009
Member since Nov 2009
14 out of 16 gamers (88%) found this review helpful
You can get caught by the prefects or the police for various reasons including violence, bullying, harassing the girls and more.
this gets an A+!
posted by gamer56 (RIVERSIDE, CA) Jul 21, 2009
Member since May 2007
6 out of 7 gamers (86%) found this review helpful
Fun Game
posted by RiseAgain (YUCAIPA, CA) Mar 6, 2008
Member since Dec 2004
23 out of 31 gamers (74%) found this review helpful
1. Better Graphics not great but better
2. 4 new classes to attend
3. 4 new missions with new characters
4. A couple more jocks to hate you
Bully is enjoyable to everyone it has a great storyline a few good jokes here and there overall a fun game, though i do advise that you RENT IT first before you buy because there are a few people out there that are haters and tell you not to touch it, but like i said before if your looking to sit down and have fun, laugh a little and have a good time BULLY is the game for you
this game is wow
posted by xmasterx (GARRISON, TX) Aug 2, 2010
Member since Dec 2009
4 out of 5 gamers (80%) found this review helpful
Surprisingly good
posted by bluskyline (TACOMA, WA) Sep 26, 2010
Member since Aug 2010
3 out of 4 gamers (75%) found this review helpful
Jimmy gets sent to a "boarding school" to get his act straight while his parents enjoy their year-long "honeymoon." Take classes, earn skills, pick fights and make a name for yourself around campus. Stand up for the nerds or fight with the greasers. If you're skipping class, keep a low profile, as the cops and prefects WILL send you back to class if you get caught ditching!
Like GTA but for a younger crowd.
posted by bogie223 (NEWPORT NEWS, VA) Nov 23, 2009
Member since Nov 2009
3 out of 4 gamers (75%) found this review helpful
A perfect game to start out then go into GTA
posted by Biokiller (CHANDLER, AZ) Mar 6, 2009
Member since Feb 2009
3 out of 4 gamers (75%) found this review helpful
posted by ebook32 (LOS ANGELES, CA) Mar 14, 2008
Member since Dec 2007
3 out of 4 gamers (75%) found this review helpful
posted by Boowhatty (BANGOR, ME) Mar 4, 2008
Member since Nov 2007
21 out of 32 gamers (66%) found this review helpful
Am I missing something?
posted by mc69486 (VERNON ROCKVILLE, CT) Oct 11, 2009
Member since Oct 2009
2 out of 3 gamers (67%) found this review helpful
1. Graphics are horrible
2. The missions are boring and rather immature ( escourt a dork to the bathroom before he wets his pants, put a stink bomb in the girls locker room, etc)
3. The game clock goes to fast and doesn't give you enough time to explore ( if your out past your bed time you pass out)
4. The game froze on me twice and I had to replay the boring missions which got old quick….NO AUTO SAVE
5. to many control and moves to remember
6. the constant pausing for the load screens gets old
Maybe I did not give the game a chance to develop but to me a good game is suppose to keep your interest from the moment you turn it on and start playing for the first hour. I was bored out of my mind with this one after the first four. Bottom line this game in intended for the teenage audience.
Pure Joy
posted by shai23 (CANYON, TX) Mar 15, 2008
Member since Oct 2005
2 out of 3 gamers (67%) found this review helpful
posted by Kyaboy55 (DAMASCUS, MD) Mar 6, 2008
Member since Jan 2008
2 out of 3 gamers (67%) found this review helpful
is everyone having a BULLY time?
posted by foolmanchu (BRISTOL, WI) Mar 4, 2008
Member since Dec 2006
44 out of 78 gamers (56%) found this review helpful
Rockstars favorite T rated PS2 game is now finally on our favorite consol...the 360. And trust me...you will have a bully time.
this game is completely fantastic. it mocks the subtle, and embraces the obsurd nature of school. everything from the classic stereotypical humor and the well written storyline put this game in a "class" of its own.
so why is bully good? well.....if u must know....
1.as mentioned this games story is well written, and the off beat humor will have u rolling on ur side laughing.
2.the gameplay is great, from skateboarding to biking to shooting to fighting, the button layout comes together quite nicely.
3.while not much different from the original title, the graphics are a little smoother and better looking.
4.this game awkwardly captures all of our favorite highschool stereotypes, from the meathead jocks to the OBVIOUSLY untouched nerds, to the....uh.....CONFUSED prep guy you know just puts up a front to cover his... latent homosxsuality.....!cough! ....
so this game is good, but you might ask...what are the bad points of the game? well, if you have to nitpick.
1. while the graphics ARE updated....there not exactly next gen.
2. some people may not like the game. thats realy all i could come up with for a #2 problem...i dont know the inner workings of ur mind, and i certainly cant tell you why u MAY not like it. idk, maybe u dont like good humor, or maybe high school was a dark time for u that u wish not to revisit. maybe u just dont like the thought of vandalizing a prison-like enviorment, or beating up someone who deserves it(virtual or otherwise). heck, if i knew everything, i guess i could write the perfect review for all you people who are stuck on examining the bad....HAVE I MADE MY POINT YET!!???
i apologize....just rent bully, i supose if u've already played it, there isnt much u dont know about it, and nothing really new.but if not, just RENT IT, BUY IT, just play it. its worth it.
Freezes, glitches, and more!
posted by HbgBrian27 (ELIZABETHTOWN, PA) Mar 13, 2008
Member since Mar 2007
3 out of 5 gamers (60%) found this review helpful
Yes, a patch should be out any day at this point, and I was holding out hope that it would fix the issues overall that have happened since first trying to play Bully last week, but the XBox didn't survive that long. Buyer/renter beware!
posted by Webface (PHOENIX, AZ) Apr 7, 2008
Member since Feb 2008
2 out of 4 gamers (50%) found this review helpful
Just a short overview
posted by Mekanic (HUDSON, FL) Mar 9, 2008
Member since Mar 2008
4 out of 10 gamers (40%) found this review helpful
Story line is decent, and the voice acting is pretty good, although some of the characters get very repetitive.
Some of the classes are VERY hard imo, I've started skipping a lot of them and don't regret it, as it gives me a ton more time to progress the main story.
Graphics are... well lets just say it. It looks like a PS2 game, complete with the pop-in issues found in the older PS2 sandboxes. Its got quite a few lighting errors especially when it gets dark out (street lamps and headlights flash).
If you are one of the people who only play for graphics. Don't bother. I'm one of the few left that can enjoy a game no matter the graphic detail, so I can look through it, if you are one of those types, you will be able to enjoy the game.
So far I've had it lock up my console 5 times. Very annoying indeed as this game has no auto-save or quick-save feature, saves are done at books at specific locations (ala-resident evil typewriters).
With the game being semi-unstable this can be very frustrating when you play for an hour or 2, just diggin the story and forget to save.. then BAM! frozen. Makes me sad panda.
All in all worth a rent, multiplayer isn't online, just a 2 person party-game type thing. I've had it 2 days now and am 55% complete, so I wouldn't recommend it as a purchase, but if you like sandbox games, with some good humor and decent plot, its worth playing through it once.
(Sorry, I said it would be a short overview rofl)
posted by darkdude77 (YONKERS, NY) Mar 4, 2008
Member since Jul 2007
6 out of 16 gamers (38%) found this review helpful
For sure a rent
posted by Xanatos (PALMDALE, CA) Jul 13, 2009
Member since Jun 2009
2 out of 5 gamers (40%) found this review helpful
Though I will say, this game is worth renting, just to play for at least a couple hours
Broken Game!
posted by SirPhygeon (ROCKFORD, IL) Mar 17, 2008
Member since Nov 2007
3 out of 8 gamers (38%) found this review helpful


text:
Mage Defense
500,000 - 1,000,000 downloads
- Amount of characters and stages
- Free
- Too simple for initiated players
- Not as spectacular as other similar games
Reviewed by Peter Warrior / Apr 25, 2013
A tower defense game set on a fantasy land
Mage Defense is unsurprisingly a defense game in which you have to deploy your 'towers' along a path to prevent enemies from reaching your base. In this case, 'towers' are fantasy characters as knights, archers and, of course, magi.
It has a cartoony design, perfect to give a fun feeling to a game that doesn't take itself too seriously. Gameplay is as easy as placing your units and play with the fast forward icon. If things get out of hand, use a spell. It's a pity that stats aren't clearly enough, and it's hard to tell whether is of your interest to upgrade a unit.
Anyway, we would recommend this Mage Defense for anyone interested in defense games but never has actually played one, because of its simple gameplay and its harmless freemium formula that allows it to be played for free nearly for ever.
Please protect the castle from monsters by employing various mages outside of the castle. Don't pass many monsters, or you will lose the game.
"Mage defense" is a typical TOWER DEFENSE game, to protect the Mage castle from evil monsters by placing various mages with their capabilities in best strategic positions. We ended up creating a cool mixture of popular TD, fatasy mood & fun of raising characters just like RPG.
[How to play]
- Place units the way monsters pass, and they will attact them automatically.
- Add more units or upgrade their ability to improve defensive power with gold you've got. The more waves you pass, the stronger monsters rush.
- Once you clear a stage, you will get star and gem points according to the number of lives.
- Some monster leaves a gem when they die. You can collect them by touching it.
- You can use gem to upgrade a unit more stronger, or purchase skills in upgrade scene.
- You can easily defeat the monsters if you make full use of the properties of monster like PHYSICS, ICE, FIRE, ELECTRIC.
- Traditional fantasy-style cute characters
- A stunning feeling of beating monsters
- Engrossing and addictive game play.
- Variety of strategies from combinations of four factors to beat monsters
- Impressive and useful deadly skills.
- Absorbing and enjoyable 100 stages.
- Endless entering attractive 20 types of monsters.
- An eye-catching beautiful icon.
※ We are preparing up-date for more characters and stages.
※ Please share your own strategy by using #MageDefense in twitter.
Notification feature added
Some lists where this application appears: Games.
Hey guys. If you want to get free gifts from your phone check out (www.AndroidPrizes.net.tc) Just got myself a free $250 Visa gift card.
Awesome game
enjoy it
~=~ update your games!


text:
Top Ten Mozilla Firefox Add-ons 2012
Mozilla Firefox is one of the browsers which offer different features every time you open it. According to w3school statistics in November 2011 Mozilla Firefox holds the lead with 38.1% while chrome and IE are still behind with 33.4% and 21.2% respectively. Let's enjoy the top ten Mozilla Firefox add-on in 2012.
1. Web Developer
Web developer has made browser an easiest tool to make development easier and more efficient. This Developer Toolbar for Firefox describes more about the web developer. It is easy to use as compared with other tools.
2. Fire Bug
Firebug extension integrates with your Mozilla Firefox browser which gives you the option to edit, debug and manages CSS, Html in any web page. It made things much easier as well.
3. View Source Chart
Yet another Firefox Add-on for Web Developers which helps you to create a view on the basis of tag opening and closing. More than 40 thousand developers use this extension; so in short this explains that Mozilla has been appreciated by the web developers.
4. Measure IT
This tool is used to measure the length or width of any element of a webpage. This tool is used by more than 100,000 user of Mozilla from all over the world.
5. FireQuery
This extension is for all the Jquery lovers. Live editing and managing has been made only possible through Fire Query. You will surely love this tool.
6. Color Zilla
It is basically a color picker tool by which you are allowed to pick or check any color value on browser.
7. User Agent Switcher
You are developing a website and want to have a look at it on Smartphone? So here you go. This website provides you the best option.
8. Element Hiding Helper
If you're tired from ads and sometime adult ads or banners and you want to hide them forever at your browser so use this extension and get rid of all that stuff that you do not want.
9. Fire Shot
It is basically about capturing extension from Mozilla Firefox. So now you just have to use Fire Shot for fast capturing of screenshots instead of using print screen button then copy it to paint and then cropping and then saving. So this will save your time!
10. Console2
It is very handy Web Development add-on for Firefox. This is a replacement of the java script console with generation error console.


text:
Chapter 1:
To place an order for
1937: Stalin's Year
Help publicize 1937!
Stalin's Great Terror:
Leon Trotsky and the Fate of Marxism in the USSR
Social inequality,
To place an order for first two lectures
Mehring Books is pleased to announce publication of 1937: Stalin's Year of Terror by Vadim Z. Rogovin (584 pages, ISBN 0-929087-77-1, $US 29.95 plus shipping - available online).
1937: Stalin's Year of Terror is the first major study by a Russian Marxist historian of the most tragic and fateful year in the history of the Soviet Union. Possessing an encyclopedic knowledge of Soviet source material, including archival documents that have only recently been released, Professor Vadim Rogovin presents a detailed and penetrating analysis of the causes, impact and consequences of Stalin's purges.
Rogovin demonstrates that the principal function and aim of the terror was the physical annihilation of the substantial socialist opposition to Stalin's bureaucratic regime. Moreover, Rogovin places at the very center of this historical tragedy the crucial political figure whom most contemporary historians tend, for various ideological reasons, to ignore: Leon Trotsky. Rogovin insists that it is impossible to understand the purges apart from Stalin's determination to stamp out all vestiges of Trotsky's influence which, despite years of repression, had remained a powerful current with considerable support and revolutionary potential within the USSR.
Although the first to be translated into the English language, 1937: Stalin's Year of Terror is the fourth volume in a projected six-volume history of the political conflicts within the Communist Party of the Soviet Union and the Communist International between 1922 and 1940. Five volumes of this series have already been published, to steadily growing acclaim, in Russia. The sixth volume will be completed before the end of 1998. All six volumes will be translated into English and published by Mehring Books.
In this exhibit we unveil the table of contents, introduction and first chapter of 1937: Stalin's Year of Terror. We also present three lectures that have been delivered by Professor Rogovin on the socialist opposition to Stalinism in the USSR. Additionally, we reprint the text of tributes paid to Vadim Rogovin on the occasion of his 60th birthday in May, 1997 by David North, national secretary of the Socialist Equality Party in the US; Ulrich Rippert, national secretary of the Partei fur Soziale Gleichheit (Socialist Equality Party) in Germany; and Barbara Slaughter, member of the Central Committee of the Socialist Equality Party in Britain.
1937: Stalin's Year of Terror can now be ordered online, by phone, or by
mail. Two of Vadim Rogovin's lectures, Stalin's Great


text:
Thursday, December 25, 2014
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More than a dozen people are now homeless following an early morning fire in Glens Falls Friday. As YNN's Matt Hunter reports, previous fires at the building made it especially hard to put out.
GLENS FALLS, N.Y. – "I heard the alarm at 5 o'clock and I didn't think too much about it," Glens Falls resident Katie Malmberg said. "I realized that it was a fire alarm and I got up, smelt the smoke, grabbed my cats and got out."
Home alone while her husband was at work, Malmberg escaped with her life and a few prized belongings early Friday. The Malmbergs occupied one of ten apartments a building at 3 Shermantown Road, which officials say is likely a total loss after the early morning fire.
"You don't know who might still be in there or who got out or whatever," said Eric Malmberg, who learned of the fire on his way home from work. "It's kind of scary to think about."
"The front of structure, the damage is somewhat limited," Glens Falls Fire Chief James Schrammel said. "The attic area, it pretty much burnt the roof off and the rear of the structure is severely damaged."
According to the Glens Falls Fire Department, the fire started in a downstairs apartment after a resident, who was not home, left a teapot on the stove.
It took crews close to six hours to entirely extinguish the flames because of the building's complicated architecture.
"This building has had fires in it prior and it's been remodeled several times and that makes firefighting difficult," Schrammel said. "It gives fire channels and spaces to progress in the building and it makes it difficult for firefighting operations."
While no one was seriously hurt, officials say one former resident cut his hand while helping others escape. He was treated at the scene.
Suddenly homeless, the building's more than a dozen residents are now tasked with finding a new place to call home.
"We were planning on moving at the end of this month," Eric Malmberg said. "We bought a house and everything and now we've got a whole lot less stuff to move."
"Now we don't have anything for our house," Katie Malmberg said. "We kind of have nothing."
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From the Weather On The Ones Forecast Center, The National Weather Service Has Issued A FLOOD WARNING for the following counties: Washington (N), Washington (S) -- expires Friday at 3:00AM. WIND ADVISORY for the following counties: Albany (E), Albany (W), Berkshire (N), Berkshire (S), Columbia (E), Columbia (W), Fulton, Fulton (N), Fulton (S), Greene (E), Greene (W), Montgomery, Rensselaer (E), Rensselaer (W), Saratoga (N), Saratoga (S), Schenectady (E), Schenectady (W), Schoharie, Warren (N), Warren (SE) -- expires at 6:00PM. WIND ADVISORY for Otsego expires at 7:00PM.
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Probation & Parole Officer Duties
The Bureau of Probation and Parole ensures that the officers are properly trained and have the abilities specific to offender supervision and monitoring compliance on a daily basis. While public attention often focuses on prisons, the majority of offenders supervised by the Idaho Department of Correction are not incarcerated. Community supervision and interventions are more cost effective than prison for lower-risk offenders. The focus for community corrections is to lower risk through treatment and programming.
Probation and parole officers receive specialized training at the Peace Officer Standards and Training facility. Once probation and parole officers successfully complete academy they are POST certified peace officers of the state of Idaho. Probation and parole officers also participate in quarterly training classes in a variety of areas, including safety protocols, firearms, arrest techniques, policy reviews and other related topics.
Helpful Links
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Offenders on probation or parole, living in our neighborhoods and working in our local businesses, require supervision and guidance to keep focused on the ultimate goal of overcoming the criminogenic factors that involved them in the criminal justice system. Probation and parole officers assist offenders in meeting this goal and enforcing individual requirements set forth by courts and the Commission of Pardons and Parole. Officers are required to assess the individual risk of offenders and assign them to an appropriate supervision level. Probation and parole officer duties include, but are not limited to: conducting home visits, curfew checks and employment verifications, coordination of services with treatment providers, collection of cost of supervision and restitution payments, testifying in court proceedings, investigating alleged violations, and filing reports of violation with the court or the Commission of Pardons and Parole.


text:
'I like to use products that are as natural as possible and these are. They do not smell like some chemical...'
Raj - Nottingham
Keep baby clean with Kiddicare, we've got a great collection of baby wipes available right here! Choose from Bambino Mio, Huggies, Pampers, Derma H2O or our bestselling Morrisons baby wipes. Plus, we offer a 365 returns policy that says 'if you're not happy, neither are we'.
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text:
Great entries this year, and once again proof that the people who visit this site have a few screws loose.
The NoMaas staff reviewed all the submissions and chose 5 finalists. You have until 2pm EST on Friday, Feb 25th to vote for your favorite. The winner will get a free one of these.
FYI – In selecting the finalists, we stuck to those who followed the rules. It was only fair. But, there were some really good verses that went over the 4 lines, and some other verses that had nothing to do with the Yankees, but we were incredibly funny. We gave props to some of these below.
So here we go…
Finalist #1: P_C_
The Yanks can win w/o King Felix I really mean this
You're over the line Donny, nobody fucks with the Jesus
Lee chose a 2nd rate city thats a bad decision
Becketts from Texas…non steer division
Finalist #2: MC Squared
The Yankees are usually the team to beat
But this rotation scares me like Chris Hanson just came in & suggested I have a seat
Oh well, you can't blame Cashman for not getting Cliff Lee
Now that Joba is fat he better pitch like CC
Finalist #3: Corky
My kingdom for a bad haircut, thy name is Derek Jeter
Getting older and older, can't catch up to a heater
My head looks like Tiger Woods when he tees off
My OBP plummets, but I'll still hit leadoff
Finalist #4: Razor Shines
What a rough off-season, it's such a pity
Cliff Lee didn't want to go to New York City
You knuckledraggers just learned a lesson in life
It's not nice to spit on another man's wife
Finalist #5: Trevor McYankeefan
The look of this rotation is making me shiver
Rotten to the core, like Mantle's liver
Even though Derek Jeter is my hero and idol
The Yanks could crash and burn, like Munson and Lidle
Honorable Mentions:
Jeet Skeet – Set to Notorious BIG's "Juicy"
It was all a dream,
I used to bang every chick on a magazine,
Po & Mo, and Andy P up in the limousine,
Countin' rings every fall,
Every Saturday,Jess,Vaness, n' Mink, I can't name them all
I let me fade rock as my skills flopped,
Drinkin' my G2 with Malibu, reminiscin' on the bloody sock
Way back, before they had that f*g Youk the Lumberjack,
take a crap whenever he was up to bat,
Remember that fu*kin' douche…Millar, Millar
never thought a replacement player would make it this far,
Now I'm in the limelight, because of my decline right?
But I got paid, blow up like the Cliff Lee trade
My hair is thinner, the opposite of thicker
remember when I used to get to ground balls much quicker?
Peace to my OBP…GIDP and no SB,
Is what you can expect from me
I'm gettin' old like you thought I would
Call it quits, just like you said I should
cause i'm not…good
And if you don't know you know…. half n**ga
The Rock Guy from the Neverending Story – (Absolutely hilarious)
My hands, don't they look so big and strong?
But when "The Nothing" came through, everything went wrong!
My friends got blown away, what a horrible night
Now this kid and his horse need to make things right!


text:
Viewing entries tagged with 'Preston Campbell'
Campbell helps 'Close the Gap' every day
LAST week Preston Campbell flew to London on behalf of rugby league to accept an international Beyond Sport Award for the game
'Presto' announces retirement
JETSTAR Gold Coast Titans inaugural signing and favourite son Preston Campbell has made the decision to retire at the end of the season.
ONE of the Jetstar Gold Coast Titans favourite sons has decided to play on, with inaugural signing Preston Campbell today agreeing to sign a one-year contract extension for next season.
Titans face acid test against Bulldogs: Campbell
PRESTON Campbell says tomorrow night
Campbell, Harrison named for Dogs clash
THE Titans are set to be boosted by the return of excitement machine Preston Campbell and Queensland Origin forward Ashley Harrison for Friday night
Campbell back to halves for Warriors clash
JOHN Cartwright has again called on dynamo Preston Campbell to fill the void left by injured five-eighth Mat Rogers for tomorrow
Campbell awarded Ken Stephen Medal
GOLD Coast Titans fullback Preston Campbell has capped a stellar season after being presented with the Ken Stephen Medal...
Campbell named captain of Dreamtime side
GOLD Coast Titans' fullback Preston Campbell will captain the Indigenous Dreamtime team against New Zealand Maori.
Walker, Campbell up for NRL community award
JETSTAR Gold Coast Titans winger Chris Walker and fullback Preston Campbell are in contention to win the Ken Stephen Medal based on their tireless efforts in the community this season.
Preston Campbell re-signs with Titans
GOLD Coast coach John Cartwright believes Preston Campbell is in career-best form after the Titans re-signed the electrifying fullback until the end of 2009.
Preston Campbell touched by National apology!
GOLD Coast Titans # 1 signing Preston Campbell has today told of how the Federal Governments national apology to the Stolen Generation has touched his life
Nominations for the One Community Ken Stephen Medal
DALLY M Medal winner Johnathan Thurston is in contention to win another award, but this one comes straight from the heart.


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SUNDAY, Feb. 2, 2014 (HealthDay News) -- Every winter, many Americans suffer broken bones, muscle tears, sprains and strains from shoveling snow or falling on icy sidewalks and streets.
Orthopedic surgeons at the Icahn School of Medicine at Mount Sinai in New York City are offering tips to help prevent fall-related injuries.
The surgeons also outlined ways to reduce the risk of injuries while shoveling snow.
More information
The U.S. Centers for Disease Control and Prevention has more about winter health and safety.
SOURCE: Icahn School of Medicine, news release, Jan. 22, 2014
Copyright © 2014 HealthDay. All rights reserved.


text:
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- Linden, NJ
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States We Service
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"health care" entries
Where are the chances for change in health care – top-down or bottom-up?
Impressions from Strata Rx bolster different philosophies
Everyone seems to agree that health care is the next big industry waiting to be disrupted. But who will force that change on a massive system full of conservative players? Three possibilities present themselves:
Ticking all the boxes for a health care upgrade at Strata Rx
What is needed for successful reform of the health care system?
Here's what we all know: that a data-rich health care future is coming our way. And what it will look like, in large outlines. Health care reformers have learned that no single practice will improve the system. All of the following, which were discussed at O'Reilly's recent Strata Rx conference, must fall in place.
Building the Brain of Dr. Algorithm
Archimedes advances evidence-based medicine to foster model-based medicine
This posting is by guest author Tuan Dinh, who will speak about this topic at the Strata Rx conference.
Legendary Silicon Valley investor Vinod Khosla caused quite a stir last year when he predicted at Strata Rx that "Dr. Algorithm"–artificial intelligence driven by large data sets and computational power–would replace doctors in the not-too-distant future. At that point, he said, technology will be cheaper, more accurate and objective, and will ultimately do a better job than the average human doctor at delivering routine diagnoses with standard treatments.
I not only support Khosla's provocative prophecy, I'll add one of my own: that Dr. Algorithm (aka Dr. A) will "come to life" in three to five years, by the time today's first-year med school students are pulling 30-hour shifts as new interns. But what will it take to build the brain of Dr. A? And how can we teach Dr. A to account for increasingly complex medical inputs, such as laboratory tests results, genomic/genetic information, family and personal history, co-morbidities and patient preferences, so he can make optimal clinical decisions for living, breathing patients?
OneHealth: Combining Patient-Generated Data With Communities and Feedback Loops
Evolution from a research tool to a platform for patient engagement
Bruce Springer of OneHealth will speak about this topic at the Strata Rx conference. This article was written by Patrick Bane of OneHealth in coordination with Bruce Springer.
According to a recent study performed by the Jesse Brown VA Medical Center and University of Illinois at Chicago, patient-centered care has demonstrated positive outcomes on patients' health, patients' self-report of health, and reduced healthcare utilization. The study's results are consistent with previous research that the patient-centered care model improves the quality of care while simultaneously lowering the cost of care.
OneHealth's behavior change platform extends the patient-centered model by connecting members anytime, anywhere through mobile and web applications. Member generate data in their daily lives, outside of a clinical setting, which creates a much richer dataset of behaviors that are required to understand the patients' condition(s), and their readiness to change. Members freely choose what to do and their choices actively generate data in five classes of information:
How to bend fate in the health care field
Data that matters to patients
This article is by guest author Amik Ahmad. He is speaking on this topic at Strata Rx.
Distractions didn't have a chance. My phone was devoid of reception. The New York Times mobile application searched impossibly for a Wi-Fi connection. Conditions perfect for focus: away from a world always on and connected, noisy, and belligerent with information overload. I could have found joy in a single byte. But instead, I was pushed to the limit of sensory deprivation, and I teetered on the edge of insanity. I spent nine hours of my life in a hospital waiting room.
Mental Health Costs for 18-to-35 Year Olds: The Hidden Epidemic
Hypothesis-free data analysis turns up unexpected incidences of illness
This posting was written by guest author Arijit Sengupta, CEO of BeyondCore. Arijit will speak at Strata Rx 2013 on the kinds of data analysis discussed in this post.
Much of the effort in health reform in the United States has gone toward recruiting 18-to-35 year olds into the insurance pool so that the US economy and insurers can afford the Affordable Care Act (ACA). The assumption here is that health care costs will be less for this young population than for other people, but is this true? Our recent analysis of 6.8 million insured young adults, across 200,000 variable combinations, suggests that young adults may be more expensive to insure than we realize.
Our study shows a high occurrence of mental health diseases among 18-to-35 year olds who have insurance and therefore more affordable access to medical care. Moreover, expenses associated with mental health conditions are very high, especially when coupled with a physical ailment. As the previously uninsured 18-to-35 year olds get access to affordable care, we may see a similarly high rate of mental health diagnoses among this population. The bad news is that the true costs of insuring 18-to-35 year olds might be much higher than previously suspected. The good news is that previously undiagnosed and untreated mental health conditions may now actually get diagnosed and treated, creating a significant societal benefit.
Combining personal data with ratings for targeted medical information
HealthTap refines the answers returned to specific health queries
HealthTap is a community of doctors and clients seeking answers to health questions. Its central service provides immediate access to doctors and their knowledge either by doctors answering client questions in real time, or through a large database of previously answered questions and answers from doctors that are peer reviewed and tagged with recommendations by other doctors. By combining the doctors' recommendations with data provided by each client on himself or herself, HealthTap provides customized results to queries. In this video, HealthTap CEO Ron Gutman explains unexpected lessons they've learned from offering the intelligent search service.
Ginger.io: Putting the Patient-Provider connection at the center
A tool for outreach to patients produces unexpected benefits
This posting was written by guest author Julia Bernstein of Ginger.io. Ginger.io's CEO Anmol Madan will be speaking on this topic at Strata Rx.
The traditional, office-based model for health care is episodic. The provider-patient relationship exists almost completely within the walls of the exam room, with little or no follow-up between visits. Data is primarily episodic as well, based on blood pressure reading done at a specific time or surveys administered there and then, with little collected out of the office. And even the existing data collection tools—paper diaries or clunky meters—are focused more on storing data that on connecting the patient and provider through that data in real time.
There is no way to get in touch when, for instance, a patient's blood sugar starts varying wildly or pain levels change. The provider often depends on the patient reaching out to them. And even when a provider does put into place an outreach protocol, it is usually very crude, based on a general approach to managing a population as opposed to an understanding of a patient. The end result is a system that, while doing its best within a difficult setting, is by default reactive instead of proactive.
Cancer and Clinical Trials: The Role of Big Data In Personalizing the Health Experience
Big Data and analytics are the foundation of personalized medicine
This article was written with Ellen M. Martin and Tobi Skotnes. Dr. Feldman will deliver a webinar on this topic on September 18 and will speak about it at the Strata Rx conference.
Despite considerable progress in prevention and treatment, cancer remains the second leading cause of death in the United States. Even with the $50 billion pharmaceutical companies spend on research and development every year, any given cancer drug is ineffective in 75% of the patients receiving it. Typically, oncologists start patients on the cheapest likely chemotherapy (or the one their formulary suggests first) and in the 75% likelihood of non-response, iterate with increasingly expensive drugs until they find one that works, or until the patient dies. This process is inefficient and expensive, and subjects patients to unnecessary side effects, as well as causing them to lose precious time in their fight against a progressive disease. The vision is to enable oncologists to prescribe the right chemical the first time–one that will kill the target cancer cells with the least collateral damage to the patient.
How data can improve cancer treatment
Big data is enabling a new understanding of the molecular biology of cancer. The focus has changed over the last 20 years from the location of the tumor in the body (e.g., breast, colon or blood), to the effect of the individual's genetics, especially the genetics of that individual's cancer cells, on her response to treatment and sensitivity to side effects. For example, researchers have to date identified four distinct cell genotypes of breast cancer; identifying the cancer genotype allows the oncologist to prescribe the most effective available drug first.
Herceptin, the first drug developed to target a particular cancer genotype (HER2), rapidly demonstrated both the promise and the limitations of this approach. (Among the limitations, HER2 is only one of four known and many unknown breast cancer genotypes, and treatment selects for populations of resistant cancer cells, so the cancer can return in a more virulent form.)


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Photographer's Note
The two chowmein vendors are looking towards the function. They are also waiting for the customers.
Taken at a function on the occassion of India's Republic Day on 26th January 2014.
Hope you enjoy it.
Nobody has marked this note useful
Critiques | Translate
pajaran (51304) 2014-02-13 5:42
Dobar dan, popodne.
Lep pogled na mesto za vreme proslave dana republike ...
Dobar trenutak snimka, ostrina, kontrast i perspektiva, lepo pokazano mesto i trenutak, lepe boje.
Lepo popodne i sve najbolje.
Good afternoon, this afternoon.
Nice view of the place during the celebration of Republic Day ...
Good time recording, sharpness, contrast and perspective, nice place and shown the moment, pretty colors.
Nice afternoon and all the best.
abmdsudi (42690) 2014-03-22 9:29
Namaste Joginder
Love the relaxed poses of the vendors and the contrast in the surroundings but back of heads can be just as expressive as faces leaving a lot to the imagination. It's an effective shot, but you missed something at the bottom there, guess you know what i mean! Excellent daily life shot nevertheless, Congrats.
Best regards
Photo Information
- Copyright: joginder singh (shreya2000) (1079)
- Genre: People
- Medium: Color
- Date Taken: 2014-01-26
- Categories: Daily Life
- Exposure: f/2.6, 1/1000 seconds
- More Photo Info: view
- Photo Version: Original Version
- Date Submitted: 2014-02-12 22:32


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...and when that time comes, it's time to call Port City Legal!
We understand that your case is of critical importance to you, and we honor that belief. We will treat you with respect and compassion, and never lead you down some garden path of false expectations and dashed hopes. Clients appreciate our straight-shot approach to our work -- our reviews are excellent.


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Videos & Screenshots
Game Details
- Release Date 11/2/2009
- Publisher Activision
- Platform Xbox 360
- Genre Music/Dance
- Number of Players 4
- Online Players 8
- Online Enabled Yes
Game Description
Guitar Hero lets you play the songs your favorite artists play. Band Hero takes things one step further, and gives you a chance to be your favorite rock star! Join headliners Taylor Swift and Maroon 5 lead singer Adam Levine, and perform a collection of current hits and classic anthems meant for the whole family to enjoy. Create the band you've always imagined with any combination of guitars, drums, or vocals. Play as, or alongside Taylor or Adam in Guitar Hero's renowned style of musical gameplay. Rock out to Swift's "Love Story," Maroon 5's "She Will Be Loved," and other Top 40 favs as you make your rock-star dreams come true.
User Reviews
Average Member Rating: 6.6 out of 10
This Game Is Worth A Rental. (8 out of 10)
posted by bloodbiggy (HOUSTON, TX) on Nov 6, 2009
Member since Jun 2008
9 out of 11 gamers (82%) found this review helpful
Member since Jun 2008
9 out of 11 gamers (82%) found this review helpful
Well first off, this game is not Guitar Hero 5. Sure it has the same graphics and engine, but it is intended for a whole seperate crowd who like mainstream music like Taylor Swift and The all-American Rejects. And I recall Guitar Hero 5 getting good reviews for its new engines, etc. Anyways on to Ba...more
Specs & Requirements
Memory 5 MB
Audio/Video In-Game Dolby Digital, HDTV 720p, HDTV 1080p, HDTV 1080i
Online Features Online Multiplayer, Voice, Content Download, Leaderboards, Xbox LIVE Family Settings, Achievements
Controllers Guitar Hero Guitar Controller
Modes Versus, Career, Practice, Training, Exhibition, Co-op 2-4, Online Co-op, Multiplayer
Similar Games
- Grand Theft Auto IVRelease 4/28/2008
- Tom Clancy's Splinter Cell ConvictionRelease 4/12/2010
- Star Wars: The Force Unleashed IIRelease 10/25/2010


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SIGN IN with one password from all these PCH properties!
If you're moving into a new space or are performing major renovations, there's no better way to make a solid decorative impact than by using interior lighting to your advantage. As long as you use a mixture of accent, ambient and task lighting, your space will look elegant and everything will be highlighted for maximum visual appeal. Here's how to go about creating the best...more
It's not always realistic to buy a new piece of furniture, a fresh can of paint or a pricey set of curtains. But sometimes you just don't feel happy unless you do something different with your decor. Luckily, there are plenty of ways to spruce up your home without having to spend a lot of money doing so. Here are a few ideas to help you get started, inspired by...more
If you're not the kind of person who jumps on the bandwagon when it comes to decorating your home, you may be interested in spicing up your decor with a few unexpected pieces of furniture. The best part about repurposed decorations is that you can easily make them out of items you already own. Here are a few inspiring ideas from MarthaStewart.com and HGTV. 1. A busy household...more
If you frequently find yourself getting bogged down with cleaning tasks at the end of the week, it may be time to rethink your habits. Instead of saving every mess for a big, thorough scrubbing later - just tackle small spills and use a preventative approach to keep your home looking fresh all the time. Here's what you can do every day, according to Real Simple magazine and...more
Many people forget about their bathrooms when decorating, which can result in boring spaces that aren't much to look at. If you want a bathroom that you can feel good about and enjoy just like every other room in your house, consider a few of these ideas inspired by Southern Living. 1. Most bathrooms aren't very big, which means designs should be focused on opening up the...more
If you have kids, there's a good possibility that your house has accumulated tons of seashells from past vacations. There's nothing more fun than finding cool shells on the beach, and luckily there are plenty of ways to put them to use as decorations for your home. Here are some ideas inspired by Real Simple magazine and Southern Living. 1. Display your shells in glass or...more
Buying antique furniture can be expensive, which can put a damper on any decorator's dream style. Luckily, there's an easy way to make even brand new furniture look vintage, and you can get as creative as you want! Try the following aging processes as recommend by Southern Living and HGTV. If you want a really distressed look, Southern Living suggests taking a few household...more
As evidenced by its name, dishwashers are great at washing dishes, but did you know a variety of other items unrelated to the kitchen are also safe to place inside? This household appliance is gentler than a regular wash and dry cycle and can clean just as well. Make sure not to include any dirty dishes with non-dining items - as food particles can get stuck in them. Here are...more
If your living room could use a little pick-me-up, don't worry about where to start - luckily there are plenty of cheap, easy ways to add a bit of flair without having to completely redecorate. Try any of these ideas inspired by Real Simple magazine. 1. Use flowers! They'll brighten up any room and add a unique centerpiece for your coffee table or fireplace mantle. 2....more
It's no fun cleaning your mirrors and windows with paper towels or rags that leave streaks and lint all over the glass. Get much better results by taking advantage of supplies around the house that you may not have considered before. DIY cleaner Window cleaning solutions aren't always in the budget, but luckily you can make your own that will get the job done just as well....more


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San Vicente Road reopened after three-vehicle accident
UPDATE: A three-vehicle accident that sent one person to the hospital blocked San Vicente Road in both directions east of Wildcat Canyon Road about 12:45 p.m. Monday.
The road was reopened just before 2 p.m.
According to California Highway Patrol Officer Dan Matthews, the driver of a green Dodge pickup truck was eastbound and lost control, crossing over the double yellow line and clipping a black Nissan Altima in the westbound lane.
The 20-year-old female driver of the Altima complained of chest pain and was transported to Palomar Medical Center, said Matthews.
Traveling behind the green truck was a gray Toyota Tundra pickup truck, the CHP officer said.
The driver of that truck, 22-year-old Jose Ramirez, said he saw the Altima coming toward him and swerved to the right. His truck ended on the south side of the road,
partially in a bush.
"I saw the car spin out a couple of times," he said.
The green truck came to rest a little farther east on the north side of San Vicente Road, wedged above a couple of boulders.
The drivers of each of the vehicle were the sole occupants, said Matthews.
Original story: San Vicente Road is blocked in both directions east of Wildcat Canyon Road after a three-vehicle accident about 12:45 p.m. Monday. Two trucks and an automobile are involved and at least one person has been taken to a hospital.
Related posts:
- Minor injuries reported in vehicle hits tree accident on San Vicente Road
- Authorities release name of woman killed on San Vicente Road
- SUV overturns at San Vicente Road and 11th Street
- Failure to yield triggers two-vehicle accident at 10th and H in Ramona
- Rollover accident reported on San Vicente Road
Short URL: http://www.ramonasentinel.com/?p=23343


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Issue: Professional Development Activity
I attended a workshop given by Professor Bailey at the Monterey Institute of International Studies. The workshop is designed to give students some ideas on how to use pictures in the classroom. Specifically, professor Bailey targets speaking skills with these pictures. However, some of these activities can be adapted for writing skills as well. Below are some topics she covered during the workshop.
- Reasons for Using Pictures in Class
- Picture Description Tasks
- Picture Puzzle Activity
- Creative Writing
- Making Connections Among People
- Group Story Building
- Tourism Activity
She also recommended her book "Practical English Language Teaching" for students who want to learn more about teaching speaking. Below is a link to more information on the book:


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In every type of legal matter, the stakes are high. Whether you are dealing with criminal charges, family law, immigration or another legal matter, it is essential to work with a skilled lawyer you can trust to protect your interests.
At John Elledge & Assoc PC, we represent clients in a range of legal issues. As a two-attorney law firm, we are able to provide our clients with personalized attention with a team-oriented approach. Our two principal attorneys handle our clients' matters personally, so with our firm your case will not be handed off to paralegals or assistants.
Our success as a law firm is due in large part to relationship-building. We work closely with our clients to meet their needs, and we have built solid working relationships with local attorneys, prosecutors, police officers, experts and other important players in the local court system. Because they know our reputation for honest, professional legal practice, they trust us and work with us to get the best results possible. At John Elledge & Assoc PC, we have it handled for you.
Handling A Wide Range Of Legal Matters
Our Harrisonburg criminal defense and family lawyers represent clients in legal matters involving:
- Criminal defense: With a particular focus on helping students from James Madison University (JMU), Eastern Mennonite University (EMU), Bridgewater College and other local schools, we defend clients against DWIs, drug crimes, sex crimes and other criminal charges.


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Latest Poster and Still from New Ip Man Film, The Grand Master
I normally want to say better late than never but I don't know if that's the case with the upcoming film, The Grand Master, a new biopic about the famed Ip Man, the legend that trained Bruce Lee.
The first official poster for the film has been released along with a new still for the upcoming martial arts biopic. The one thing that throws me off is what to actually title the film. IMDB calls it The Grand Master but this Chinese poster has translated it as The Grandmasters so hopefully, with some time, the correct name will be unearthed.
Anyway, even with a stellar cast that includes personal favorite, Tony Leung Chiu Wai (Infernal Affairs), Ziyi Zhang (Crouching Tiger, Hidden Dragon), and Chen Chang (Red Cliff), action choreography by the one and only Woo-ping Yuen (The Matrix), and even a good director at the helm, Kar Wai Wong, it is going to be hard to surpass the success of Donnie Yen's two Ip Man films, two of the biggest box office successes in China over the past few years and happen to be some of my favorite movies. Hit the jump to check out the first poster and a still of Ziyi in Wing Chun form.
In this biopic, Tony Leung will be playing Yip Man and Chen Chang will be playing Bruce Lee. At the moment I do not know who Ziyi will be playing. The fourth Ip Man film is expected to be released in December although it was originally slated for a release right around the same time the first Ip Man came out. Unfortunately, Leung broke his arm so production was delayed for about six months.
As for the poster, I personally think the one below is pretty cool, particularly because of the use of the grayscale and the image of a fight that has just been finished. The rain also adds to the badass notion that no matter the situation, Yip Man conquers all. Check it out below and let us know what you think.


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art by Eiichiro Oda
I know I've guilty of saying I love every cover, but I really love this cover! I like it when characters from a manga look all dressed up. There's just something magical about seeing the characters you're so familiar wearing fancy clothes. Now if you're excuse me, I'm going to dress up all my action figures in fancy suits. Where does one by tiny suits for action figures? Hrm.
One Piece
by Eiichiro Oda
Another glorious color spread by Oda Sensei! The Mermaid Cafe looks like the hottest spot under the sea! I could stare at this spread all day. So bright! So colorful! So happy! Meanwhile, in the manga, Sanji takes on Doflamingo! Although Sanji's no joke in kitchen or on the battlefield, can he really match Doflamingo? Especially considering, he doesn't even know exactly what his feathery foe's powers really are!
Seraph of End: Legend of Vampire
story by Takaya Kagami, art by Yamato Yamamoto, storyboards by Daisuke Furuya
Hyakuya's been kicked out of the Japanese Imperial Demon Army and has to go to high school! But not just go there, he has to overcome his lonely wolf attitude and make a friend, or they won't let him back in! Can he overcome the psychological scars of his youth, and learn how to connect with people again? This story took an interesting turn! I knew we'd be seeing the main character in the future, but I didn't think the story would end up with him in high school. Despite the darkness of this manga, there's also hope. I love the mix of emotions I get from each chapter. I happy. I'm sad. I'm really sad. Now, I'm happy again. Now sad. Haha, quite a ride so far!
by Masashi Kishimoto
The battlefield shifts again, as the Allied Forces regroup and heal by way of Tsunade and Sakura's incredible powers. Meanwhile, Obito presses Naruto and tries to convince him that fighting is pointless and he should just give up. Will Naruto give up? I bet you can guess that answer to that question!
World Trigger
by Daisuke Ashihara
Testing is over, and now training begins! Today's lesson, Sniping! Learn some basic techniques, and what kinds of guns are right for which circumstances. This manga is sort of turning into a video game, which is fine by me. I'm a gamer, so all this talk about different kinds of guns and sniping makes me want to play my PS3!
by Tite Kubo
The Soul Reapers are falling one-by-one, and their only hope lies in an unlikely team up—Urahara and Mayami! Can they put aside their differences for the to save the Soul Society? A lot happens in this chapter. I had to re-read it a couple of times to take it all in. Read it close, or you may miss some very important details.
One-Punch Man
story by ONE, art by Yusuke Murata
In the midst of a martial arts training session, an emergency meeting of Class S heroes is called! What could be so important, and will they accept Saitama, even though he's only Class B? Prepare to meet the strongest (and funniest!) heroes of the Hero Association!
by Naoshi Komi
More birthday madness! Raku really wants to buy something special for Onedara's birthday, and bribes her sister Haru with sweets to help him. And as the shopping (and eating) trip progresses, they find out they have more in common than they thought.
by Mitsutoshi Shimabukuro
Another heavy chapter of Toriko. The flashback continues and explains what happened to Froese, and what twisted Midora. Might want to have whatever food cheers you up handy after reading this. Pretty sad stuff. And now, I'm going to eat this Choco Taco.
Dragon Ball
by Akira Toriyama
The battle between Goku and Vegeta escalates! Vegeta's giving Goku a taste of an elite Saiyan's powers! Most would tremble at the sight, but it's actually getting Goku excited!
Extras: Author Comments.
To get great manga like this every week, subscribe to Weekly Shonen Jump!
by Urian Brown