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Diabetes, Depression and Death
Startling statistics are only one reason sufferers should get help and why research into this lethal combination must continue. On the list of deadly diseases in the United States, diabetes ranks fifth. And for so many reasons: major killers like heart attack and stroke are among a slew of diabetes' potentially lethal complications.
Depression isn't typically cited among them. But it should be.
Researchers for one study, published in the June 2005 issue of Diabetes Care, reported that depression increased the risk of mortality in people with diabetes by 30 percent.
What's more, separate studies reveal both the odds of developing depression and the rate of depression is doubled for people who have diabetes to begin with. Published reports also suggest up to one-fourth of all people with diabetes suffer from depressive symptoms.
"There is a lot of evidence the connection goes both ways," says Dr. Susan Guzman of the Behavioral Diabetes Institute in San Diego. "Having diabetes makes you at higher risk for depression and depression makes diabetes worse. It's really scary."
Diabetes isn't always the first of a duel diagnosis, either. In fact, the reverse is true. Studies suggest depression increases the risk of developing type 2.
When diabetes comes first, it may be a little easier to understand the link between the two chronic illnesses. A diabetes diagnosis, as well as the stress of self-management, is overwhelming at best.
In fact, according to a study published in the October 2005 issue of Diabetic Medicine, more than 40 percent of patients with diabetes worldwide reported poor psychological well-being, with thoughts ranging from fears about the disease worsening to worries that diabetes will make it difficult for them to care for their families.
Posts from people with diabetes, caregivers and parents of children with diabetes on the subject on Diabetes Health's web site indicate several triggers that lead to depression. They range from being overwhelmed with meal planning, facing mortality and constant blood glucose testing to dealing with obesity and weight loss, the pressure of keeping health insurance and jobs, and the expense of care. The posts also suggest some sufferers have found relief through prescription medication and psychotherapy as well as a good support system including health care providers, family and friends and, in some cases, religious faith.
Clarifying a Complex Relationship
The pressure of dealing with self-care cannot fully explain the relationship between diabetes and depression. Researchers have uncovered reasons for the connection that are far more complex and are still working to unravel additional mysteries.
One study, published in the May 2005 issue of Diabetes Care, found that depression appears to increase the risk of developing type 2 diabetes by more than 20 percent in young adults. And in April 2007, researchers reported in the Archives of Internal Medicine that depression is associated with an increased risk of type 2 diabetes in those older than 65. Researchers also reported that high levels of the stress hormone cortisol could contribute by reducing insulin sensitivity and increasing fat deposits around the waist.
Dr. Patrick Lustman, professor of psychiatry at Washington University School of Medicine in St. Louis, has researched the topic for more than 20 years. His research has established that the odds of depression are doubled for diabetes patients and that depression is associated with hyperglycemia and an increased risk for diabetic complications. He has also conducted clinical trials on the safety and efficacy of antidepressant treatment in diabetic patients.
His current research explores the role of insulin resistance - impacted by obesity, the central nervous system and cortisol - and depression in the development of type 2 diabetes. Another study is examining the effects of antidepressant treatment on mood and glycemic control.
Lustman, who also serves as co-director of the Center for Mind Body Research at the St. Louis school, said many questions about depression and diabetes remain unanswered.
"We don't even understand how exercise affects depression," he says. "Yes, we know it impacts mood, but why? How?
"We do know that once you have illness, hyperglycemia may reinforce the depression and make patients less responsive to treatment. The relationship is so circular. It's a spiral effect. Most people with both illnesses actually have depression before diabetes. There is a close link between depression and obesity and both are associated with the onset of type 2 diabetes."
Breaking Through Barriers
Providers say many people with diabetes and depression find relief through treatment, including antidepressant medication and counseling. Studies suggest treatment does make a difference. One published in the August 2007 issue of Diabetes Care concluded that primary care patients older than 60 who were depressed and diabetic were less likely to die during a five-year period when treated in practices with depression care management.
But beyond the stigma of mental illness that depression carries, diabetes acts as an additional barrier to treating it. It tends to make the problem more severe, more difficult to address and recur more often. Lustman says determining the right medications can be difficult since some can interfere with blood glucose control.
Providers agree a comprehensive approach is most effective.
"We have to think more about the diabetes in order for the depression to get better," Guzman says. "That is one of the more unique things about depression and diabetes as opposed to other chronic illnesses. If it's hard to get out of bed in the morning, it's hard to count carbs and test blood sugar. (We need to) start talking about depression without whispering the word. It doesn't make you weak to get help."
Getting that help may not be easy. Providers who participated in the Diabetic Medicine-published study agreed that psychological concerns were common in their patients and that these problems contributed to poor diabetes self-management. But less than half of the providers felt able to identify and address the psychological needs of their patients.
Dr. William H. Polonsky, Guzman's partner at BDI and the author of Diabetes Burnout: What To Do When You Can't Take It Anymore, says general practitioners might also have a tendency to explain away depression or misunderstand that it is a real, treatable problem in people with diabetes.
"A physician may not notice it unless a patient brings it up," Polonsky says. "They think it's just because they have high blood sugars or think, 'Hey, if I had diabetes I'd be depressed too.' It's not the product of a weak mind. Still, depression is something people often feel ashamed about."
As a psychologist who specializes in treating depression in people with diabetes, Dr. Beverly S. Adler has worked to increase awareness in providers throughout the Long Island area and now fills her time slots with referrals from them.
"They are not as trained to deal with these issues and they don't have the time," says Adler, who has diabetes herself. "No matter how wonderful they are, they're rushed."
Treatment Options and Access Fall Short
Regardless of how the combination of illnesses comes to be, the medical community and patients agree finding a path to treatment remains the biggest issue. And limited options and access are major hurdles.
A handful of specialists, such as those quoted in this article, work to put a dent in the problem of diabetes and depression via research and treatment. Some patients are finding them - or providers who don't necessarily specialize in both illnesses - and recovering. But costs, insurance access and restrictions make treatment difficult or impossible for some.
"The need is great enough to have several centers like us all over the country," Polonsky says. "We need to transform the health care system. We don't have a system that takes care of people and is affordable. Physicians are very interested in this link between depression and diabetes, but they are overwhelmed and somewhat fearful. They don't know who to refer to or if patients can afford it. And one of the biggest predictions of depression is poverty."
Lustman says that while current treatments can be successful, they are not ideal because of the complexities that come with a duel diagnosis.
"No matter what the mechanism, we are going to need better therapies," he says. "People think if they get to the mental health professional, they are going to be taken care of. But not necessarily."
For now, providers focus on the success they are seeing. Guzman, who also has a private practice and volunteers her services for BDI, says part of the reason her treatment plans work are because patients can pay a small fee for materials to participate without insurance, thanks to funding from foundations and pharmaceutical companies. Guzman says she has seen lives transformed by the benefit of treating depression in diabetic patients.
"As a disease, it's a hopeful disease. There's a lot you can do to make a difference whereas with a lot of diseases all you can do is help them cope," she says. "With diabetes, you can turn someone's life around. I see people who have suffered with both illnesses for 20 or 30 years get help and cut their A1c in half. They say, 'If only I had known.'"
Providers agree treatment should include psychotherapy and, if necessary, medication. Guzman believes her specialized program that includes building diabetes management skills and group therapy sessions is key to recovery for her patients.
Adler uses cognitive behavioral therapy in once or twice weekly sessions with clients, some of whom also see a psychiatrist for medication, as psychologists are not licensed to prescribe drugs. She also gives presentations on diabetes and depression, the abstracts of which can be viewed on her web site at www.askdrbev.com.
"You can't change the diabetes. And focusing on things you can't change leads to anxiety," Adler says, adding that having diabetes herself helps her build rapport with clients. "My approach is to stay in the here and now, one day at a time. If you change thoughts, you can change feelings and the person is less depressed."
Deanna Glick has worked as a writer and editor for more than a decade. Through journalism, activism and personal experience, she has developed a passion for and specialty in health problems and care. Her reporting has encompassed a spectrum of health issues, including diabetes. She has lived on both coasts of the United States and currently works from home in Virginia, just outside of Washington, D.C.
Depression Defined
A depressive disorder is an illness that involves the body, mood and thoughts. It affects the way a person eats and sleeps, the way one feels about oneself and the way one thinks about things.
A depressive disorder is not the same as a passing blue mood. It is not a sign of personal weakness or a condition that can be willed or wished away. People with a depressive illness cannot merely "pull themselves together" and get better.
Without treatment, symptoms can last for weeks, months or years. Appropriate treatment, however, can help most people who suffer from depression.
Depressive disorders come in different forms, including major depression, dysthymia and bipolar disorder or manic-depressive illness. Within these types, there are variations in the number of symptoms, their severity and persistence.
Depression symptoms
- Persistent sad, anxious or "empty" mood
- Feelings of hopelessness, pessimism
- Feelings of guilt, worthlessness, helplessness
- Loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex
- Decreased energy, fatigue, being "slowed down"
- Difficulty concentrating, remembering, making decisions
- Insomnia, early-morning awakening or oversleeping
- Appetite and/or weight loss or overeating and weight gain
- Thoughts of death or suicide; suicide attempts
- Restlessness, irritability
- Persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders and chronic pain
For more information, visit http://www.nimh.nih.gov/health/topics/depression/index.shtml
Source: National Institute of Mental Health
Affordable Alternatives
Exercise and support groups can help those who can't afford treatment. Polonsky says exercise remains a crucial aspect of diabetes management, but it can also provide relief from depression.
"It's one of the pillars of good diabetes care," he says. "Not only can it help blood sugar control, but without a doubt it has an enormous impact on mood. It's cheap and side-effect free."
Online and in-person support groups can offer another no-cost alternative for those suffering from mild to moderate depression.
Resources for finding a group in your area:
- http://www.elviradarknight.com/diabetes/supportgroups.html
- http://www.childrenwithdiabetes.com/support/
Online support groups:
Success Story
This is an excerpt from one of several comments posted at the Diabetes Health web site:
"I have had Type 1 for 10 years (diagnosed at 39) and have experienced both anxiety and depression since diagnosis. Compounding type-1 with a stressful job, raising 2 kids, being a wife and manager of an active family forced me to make changes in my life. I just could not handle the level of stress that I had been used to on a daily level plus do a decent job of managing my blood sugars, watching my weight, getting in exercise and eating right. Mostly, I would get bouts of anxiety from trying to "do it all."Throw in a few high and low sugars and I just could not cope, even after changing to an insulin pump…which helps a lot!
So…I have since changed my life. I have left the stressful job, joined a gym and bought some home equipment to get lots of cardio and strength exercise, taken up yoga on a regular basis, eat nearly a vegetarian and low carb diet (with fish, poultry, eggs and low fat dairy) and am now taking a class in meditation to learn how to stay calm and focused. Staying calm seems to be the key to doing all of the things we need to do as diabetics - counting carbs, checking blood sugars six to ten times a day, taking insulin, watching everything we put in our mouths, no unconscious eating, taking vitamins and meds every day, managing highs and lows, etc.
…I just bought the book "Diabetes Burnout, What to do when you can't take it anymore" by William Polonsky and am looking forward to reading it.…I also attend an insulin pumpers support group meeting every other month (I drive an hour to attend) and am hoping to start one closer to home."
The following is a sampling of comments posted as a result of an announcement via the Diabetes Health web site about the magazine researching the topic of depression and diabetes:
"The chronicity of having diabetes is what is most depressing and it seems like we are far from a cure for Type 1."
"My son was diagnosed with depression in 2nd grade. Diagnosed with Type 1 diabetes in Grade 3 and was doing well. Then in the fall of this year, the beginning of Grade 6 he attempted suicide. He is one of three students in our town who suffers from both depression and Type 1 diabetes. There is no family history for Type 1 Diabetes or depression our family. We hope and pray that more research will be done about these terrible illnesses."
"Name any other disease where you have to actively think about how to handle it a minimum of three times a day! Every meal, every meal has to be thought about. It can be overwhelming. I am very lucky that my wife is so incredibly supportive and understanding. I hate having to think about what to eat for breakfast, what to take in my lunch to work, what things to buy at the grocery store. Is it time to prick my finger? These are all things that I never had to think about and now I have to think about them all of the time."
"I experienced major depression upon diagnosis of Type 2 diabetes (4 years ago). About a year of therapy was really helpful. I learned coping skills in therapy that I can fall back on."
"I have been a type 1 diabetic for about 35 years. In that time I have had several bouts with depression. The worst one was about 10 years ago and I am still on medication…I think their [sic] is a physical link. We know about neuropathy, (I have severe neuropathy) it would seem reasonable that the…brain could be damaged too."
"I was told three years ago I have Type 2 and I cried so much till my eyes felt like they would fall out…I feel like the world is closing in. I hate to be in the room with someone when they are eating cake or candy that I cannot have. I know the sugar-free is out there but it is not the same. I lost over 130 lbs. And now I feel as if I am gaining it all back." "I was diagnosed with type 2 about 7 years ago. It was the most earth shattering event of my life…Depression is now just as big a part of my day as the diabetes. At this point in time I am not on any medicine for the depression and hope to never be. I work daily at trying to keep my sense of humor in tact and have a strong family support group."
"I am T2 and suffered from depression when diagnosed initially…Having a doctor recognize this and start (medication) was a very good idea in my case. It allowed me to focus on getting well, getting things organized, researching options, etc. If a patient's insurance covers it (as mine did) I think a good doctor should recommend/advise/suggest it as part of initial treatment."
" I have to work at a job that is stressful at times just so that I can have good Health Insurance. I don't feel like I can change fields to do something that makes me happy. I have researched different Health Insurance Options and there really are no choices out there for people like us. So I get very depressed about feeling stuck somewhere because of my condition."
"My family practitioner let me break down one day and helped me realize that it was totally understandable to be depressed when battling a chronic disease on top of the normal stresses of life and raising 3 children. He put me on (medication) and that…helped me so much. I still feel as though I am sometimes standing on the edge, but I have a very supportive husband and an endocrinologist that I can be open and honest with. One of the most difficult things is just never getting a break from the responsibility - not a week, not a day, not even a minute passes that diabetes is not all consuming. The guilt of not taking the best care of myself when I am going through a rough patch is also very depressing and it leads to a downward spiral. My faith and belief in God and His forgiveness is what helps me work through that."
"I had been diagnosed with depression 5 years before I was diabetic. That was mainly because I had just lost both parents; one to COPD and one to diabetes. I watched my dad struggle with the disease all of my life. He would go in and out of the hospital, and came close to death several times with keto-acidosis [sic]. He ended up losing both limbs and died at age 52…My biggest fear was that I would someday be a diabetic and suffer and leave my children at a young age…All I could do was visualize my then 5 and 9 year old motherless or pushing me around in a wheel chair with no limbs. I began counseling and was put on Zoloft. I really became positive and decided to beat this thing. I followed the dietician's every word and exercised daily…I began to see how a person really could live a positive life with diabetes."
"I have had Type 1 for 9 years (diagnosed at 28) and am actually relieved to read a couple of other postings here. I thought I was the only one who had a lot to deal with including a stressful job, raising 2 kids (under the age of 4), and being a wife and manager of an active family! It seems that everyone I talk with who has type 1 diabetes and kids says that things are great. For me, it is way too overwhelming to do all of this and take care of myself. Taking blood sugars, preparing food, watching my weight (which has not gone so well, adding to the depression) I was diagnosed with post partum depression after my first child and have been on Lexapro and Wellbutrin XL since."
"I have witnessed that when my depression is the worst, my numbers are all over the place and out of control. It's not that I don't care and don't want to take care of myself, it's the fact that I am depressed and don't have the capacity to self-manage. It's a deadly cycle."
"I find that living with chronic illness, living under the cloud of awaiting complications and living with severe, daily chronic pain is challenging to the spirit (let alone the body). While the converse is also true, i.e. being depressed makes it difficult to take care of one's self, (which is the demanding foundation of insulin dependent diabetes)…I have also discovered that the depths of my depression increases if I don't take care of myself because of self-guilt and because high blood sugars make me feel lethargic, both physically and emotionally. I feel blessed that I have learned to channel my discouragement, depressive feelings and emotional distress into my passions for opera, classical music, violin playing, fine literature, gardening and my love for my life partner, 12 year old daughter and mixed breed dog. I have also learned to "live in the moment" which, while challenging, is far healthier for me than living in the past or the unknown, and sometimes frightening future."
"I have tried for many years to get my HMO to add a weight management class/group for people with depression. It is a vicious cycle. Bad blood sugar levels can cause mood swings and when you wish you were dead it is hard (impossible to control diet) and back and forth. But getting a doctor, not trained in mental illness, to do their part is also impossible."Click Here To View Or Post Comments
Categories: A1c Test, Blood Glucose, Blood Sugar, Depression, Diabetes, Diabetes, Food, Insulin, Insulin Pumps, Losing weight, Professional Issues, Type 1 Issues, Type 2 Issues


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Best Pre-Mountains Medical Marijuana Pit Stop Denver 2014 - Rocky Mountain Organic Medicine
Rocky Mountain Organic Medicine
511 Orchard St.
Golden, CO 80401
If you're a stoner skier or boarder, you've probably done this at least once: walked out the door and left your bag of herb sitting on the counter next to a freshly poured travel cup of coffee and your season lift pass. You can replace the pass and get more coffee at the base of the mountain, but that herb? Stop off at Rocky Mountain Organic Medicine, near the intersection of Sixth Avenue and I-70. The log-cabin shop looks like a ski chalet from the outside, but inside you'll find a solid collection of organic, soil-grown medical cannabis and a special selection of kushes and OG hybrids, including a phenomenal White Fire OG that will quickly take away the aches and pains of a hard day charging on the mountain.

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The Project Fine Art Zone
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The Project Fine Art Zone is a collaborative, non-profit art gallery owned and operated by nine local artists. The Project will benefit Girls Inc. by donating 20 percent of all sales.
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Maricopa Unified School District has installed the Rapid Responder crisis management system to provide information to police, fire, emergency medical and school security personnel in the event of a school emergency.
Rapid Responder, developed by Seattle-based Prepared Response, can instantly send floor plans, aerial imagery, evacuation plans and routes, and other relevant information to first responders via computer. Having such information can make the difference between safety and injury, and even life and death, in fires, bomb threats, school shootings and other emergency situations.
MUSD consists of nine school and administration enrolling grades K through 12. The district received a federal school safety grant in 2007 to install the Rapid Responder system.
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This is another affordable wristwatch that reflects Longines' vast know-how and tradition. Click on "read more" to discover the chronograph…
Posts tagged with : "Longines"
The Longines Heritage Diver three hands and chronograph wait to be discovered
This Heritage Diver is a re-issue of models intended for underwater diving produced in the 1970s. Like the original models, these new creations have a diameter of 43 mm.
Baselworld 2014: Interview with Walter von Känel, CEO Longines
Today Longines ranks among the very big players of the industry. Only a few surpassed the magic boundary of one billion CHF turn-over. Already years ago Walter von Känel started literally to conquer the segment he today is so successful in.
Baselworld 2014: The Longines novelties
I have seen the Longines novelties this afternoon. Let me show them to you…
Pre-Baselworld 2014: The Longines Column-Wheel Single Push-Piece Chronograph
Inspired by a chronograph developed in the year 1913 Longines will launch this chronograph in three different versions at Baselworld 2014 in March.
That´s a new replica from Longines! It´s called Longines Heritage 1973. So let´s return to the 1970s …
Longine´s archive is huge, the brand can surprise us regularly with cool replicas. The "new" Longines Heritage 1973 is based on a "Conquest"-model produced in the 1970s.
Best value for money! Discover the HydroConquest collection. The new Longines models now come to the retailers.
The HydroConquest 3-hands-models and the chronographs are a brain twister for the competitors. The question is: How can Longines deliver such a quality for such a price?
The Longines Avigation Oversize Crown
The new watches are based on a Longines model produced in the 1920s. Three different models are available: A three-hand version, a second zonetime indication and a single push-piece chronograph…
Facts, figures and insights about the Hamburg based Wempe KG
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The old poll is closed. Omega is your favorite brand! A new poll is open!
I counted 3623 votes and the result couldn´t be clearer. With 925 of all votes or 26 % Omega is your favorite brand. Click here and discover all the other results…
Doctor´s look out! The Longines Asthmometer-Pulsometer Chronograph is a timepiece you might like (Updated with ETA 2094 picture)
This Longines demonstrates the fact that a chronograph is necessary not only in sport. The timepiece is based on a model brought out in 1963, which was intended essentially for medical use.
In conversation with Nick Hayek, CEO Swatch Group
Nick Hayek is conducting the biggest Swiss horological orchestra with 29.600 employees and a turnover in 2013 of 8.143 billion Swiss Francs. I invite you to listen to our conversation taped yesterday at the Swatch Group HQ.
Baselworld 2013 … I just met Walter von Känel the President of Longines
I know Walter von Känel for many years now and I have to tell you he is one of real movers and shakers of this industry. Discover the Longines novelties and listen to my interview …
These are my personal thoughts after attending the presentation of the Annual Report of Swatch Group.
In brief: I liked what I saw and what I heard. If you wish to share my thoughts I invite you to read my comment.
Türler Watches & Jewelry in Zürich celebrates 130 years. A photo reportage with surprises in three parts …
On Tuesday I attended the 130 years celebration of Türler at Paradeplatz in Zürich. Throughout this evening CEO Franz Türler also presented a very special book. Come in and join the birthday celebration …


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Pronunciation: wektor
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Call for Manuscripts: Informing Practice
January 2014, Volume 45, Issue 1, Page 150
This call is soliciting manuscripts for the research department in Mathematics Teaching in the Middle School called Informing Practice.
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Bank of America Has 40% Upside on Housing Recovery: Analyst
NEW YORK ( TheStreet) -- The strong recovery in housing prices could significantly boost earnings and capital at Bank of America (BAC) over the next two years, according to Atlantic Equities analyst Richard Staite.
All banks stand to gain from rising home prices as it will likely lead them to "release" mortgage loss reserves as borrowers' financial health improves.
But a more relevant metric at this stage of the recovery for banks would be pre-provision net revenue, which nets out one-time items and provision for loan losses.
Bank of America is likely to see a big improvement on this measure as the recovery in home prices will accelerate the decline in servicing costs which currently run at $10 billion a year at the bank. "Higher prices and housing market activity help reduce foreclosure related losses and speed up the reduction in the number of problem loans," Staite noted in his report.Improvements in pre-provision net revenue (PPNR) is also a major factor in the Federal Reserve's stress test. Higher PPNR could therefore improve the Bank of America's capital ratios and drive capital returns as well. Bank of America got Fed approval for a $5 billion buyback in 2013, but the analyst sees this jumping to $10 billion in 2014 and $12 billion in 2015. Higher earnings and buybacks could lead to a near doubling in earnings per share according to Staite. The analyst expects EPS to climb from $1.05 in 2013 to $2 by 2016. Staite has a 12-month price target of $14.70 on the stock, which equals Bank of America's tangible book value. However, as Bank of America gets closer to "normalized earnings," Staite expects valuations to improve to 1.1 times tangible book by end 2014, implying a share price of $17.20 , which is a 40% upside from current levels.
Shares of Bank of America are up over 5% this year. The stock closed at $12.28 on Monday. -- Written by Shanthi Bharatwaj in New York. >Contact by Email. Follow @shavenk
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Marie-Christine Lombard, who quit suddenly as head of TNT Express in September, has been appointed Chief Executive Officer of Geodis, the logistics and transport unit of SNCF, France's state-owned railway.
Lombard, 54, is replacing Jean-Louis Demeulenaere, who is leaving the company to pursue new projects. The appointment took effect on Oct. 24.
Pierre Blayau, the company's chairman and CEO since January 2001, has become chairman of the supervisory board.
Blayau said the appointment of Lombard, a recognized sector professional, would give Geodis employees "a new sense of momentum in a difficult economic environment."
"The arrival of Marie-Christine Lombard ... will strengthen the teams and ready Geodis for a new phase of profitable growth," said SNCF chairman Guillaume Pepy.
Geodis booked a first half profit of 14.3 million euros [$18.6 million] on revenue of $4.6 billion.
Lombard resigned from TNT Express as the Dutch express company was seeking European regulators approval for its agreed $6.8 billion acquisition by its larger U.S. rival United Parcel Service. She ran the express operations of the former TNT for seven years before becoming its CEO when it was spun off from the Dutch mail company in 2011.
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Husband of Cheating Wife Goes Nuts, Rams Car Into House [NSFW VIDEO]
Of all the ways to react after finding out your wife cheated on you, this may be the dumbest.
Of all the ways to react after finding out your wife cheated on you, this may be the dumbest.
As guys, we're always getting thrown under the bus for cheating. Do women not realize infidelity is a two-way street? That's why when we heard about this British chap named Stu, we were pretty satisfied; it's about damn time the tables turned.
A newly single mother of two has come up with a novel marketing ploy to sell the home she once shared with her adulterous husband in Oregon.
Bad news for the monogamists out there: according to a new survey, fully a third of people thinking cheating on a partner is sometimes okay.
A good amount of time and energy on the internet is spent by folks trying to make some sort of romantic connection.
Many of these relationship never make it offline, but they can be intense, nonetheless.
Try not to act too surprised, but Kat Von D learned that ex-fiance Jesse James cheated on her with at least 19 different women over the last year. She posted the news and aired some grievances in a note on her Facebook page yesterday.
And now for your daily dose of irony: 'To Catch a Predator' host Chris Hansen was allegedly caught cheating on his wife last week in Florida, the Daily Mail is reporting (via the National Enquirer).
According to the report, the 51-year-old host was recorded having a romantic dinner at the Ritz-Carlton in Manalapan Friday night with 30-year-old journalist Kristyn Caddell. The recording was all part of an undercover sting set up by the Enquirer.


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The author, with 44 years of industry experience, analyses complex oilfield practices using elementary physics. When a conflict with these basics is evident, he points that out so that improved practices can be developed. This second article – following "Important basic facts regarding riser tension and mud weight," World Oil, August 2001 – also deals with a complex subject – riser analysis – in an effort to dispel commonly held beliefs that do not comply with elementary physics.
Effective tension. The physical model: For more than 30 years, analysts have used, as a basis for fundamental forces on risers, the concept illustrated in the accompanying figure. The drawing shows: A) a straight riser loaded with heavy mud; B) the same riser with a slight displacement due to a temporary eddy current or temporary vessel excursion; and C) the same riser with a large displacement due to postulated internally generated forces from the hydrostatic pressure of the mud. Casual examination indicates that the side of the riser to the right is longer than the other side of the risers in the other two scenarios. Thus, it seems plausible that this longer side would have more area than the other side.
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These are just suggested questions based on research about relationship quality. Matters of the heart are complicated. 1. When we are argue, do either of us express contempt? Contempt is basically the biggest predictor of divorce for married couples. The definition of contempt (in relationships science) is that goes beyond other forms of criticism. It...Read More →
Forward the link for this post to your Mom and ask her to answer. People tend to have more positive and stable close relationships when they know detailed answers to the kinds of questions below. 1. Tell me the story of my delivery? What time of day was I born etc? 2. Do you remember...Read More →
1. Do you ever have a hard time accepting No when you want something? Rationale: Is s/he entitled, disrespectful or needy? 2. If you weren't doing the job you're doing now, what would you like to do? Rationale: Does s/he have any big plans for dramatic life changes you don't know about? 3. Do you...Read More →
Effortless stress relief techniques for busy people. 1. Accept offers of help. For example, if you're catering a big event, ask your children to help you. Recruit help if necessary. 2. Treat yourself like you'd treat your best friend. If you're harassed and harangued, or having self-critical or self-doubt thoughts, recognize that you're having a...Read More →
These relationship questions will help you better understand – why they do what they do – why they get angry – how to talk to them – how to please them 1. When you get home from work and your willpower has been drained by making decisions all day, what do you most need? (or...Read More →


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Richard was appointed a director of assurance in the Leeds office in July 2007, having previously worked as a senior manager within the Leeds Audit and Business Advisory team.
ExperienceRichard joined us at Grant Thornton in 1997, having previously trained and qualified with Ernst & Young. He has over 20 years' experience of audit and financial reporting, and specialises in working with entrepreneurial businesses, providing tailored advice to help companies and their key stakeholders to achieve their objectives.
As a modern languages graduate, Richard has a particular interest in international assignments, and his client base includes companies with interests in the USA and Eastern Europe.
Richard's expertise covers:
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Individual Serving Pieces
These European designed, serving pieces are stylish and elegant. They can be used for off-premise catering, receptions, pool-side parties, airplane or boat service, picnic baskets and more. Attractive but not expensive. Disposable or re-usable.
Mini Takeout Style Container
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1. Happy St. Patrick's Day! Find out which stars join Alicia Keys in having Irish ancestry. [TheDailyBeast.com]
2. Karl Lagerfeld and accessories brand Hogan join forces for a one-time collaboration. [WWD.com]
3. Malia Obama inspires Hello Kitty's new dress. Too cute! [HuffingtonPost.com]
4. Take a look at dresses from Zac Posen's upcoming Target collection. [Refinery29.com]
5. Beyonce's new fragrance Heat is a hit! [CocoPerez.com]
6. Model Lara Stone is the new face of Prada's Infusion d'Iris perfume. [StyleList.com]


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Surprise 50th Party for Joe Scarborough
Mika Brzezinski, MSNBC president Phil Griffin and the UAE's Ambassador to the U.S. Yousef Al Otaiba threw a 50th birthday bash for Joe Scarborough last night in Washington, DC.
According to Politico, Scarborough thought they were coming to D.C. for a speech, instead, on the rooftop of 101 Constitution Ave., Scarborough was treated to a "this is your life" with friends and family. "We have your life covered here completely, from Boston to Los Angeles to Florida to New York to Washington. Everybody is here," said Brzezinski.
"You can sit back and relax and just hang with your family because, actually, we are going to talk tonight — and you're not going to say a word."
Among the guests: NBC/MSNBC's Willie Geist, David Gregory, Luke Russert, Mike Barnicle, Andrea Mitchell, Kelly O'Donnell and Lawrence O'Donnell. "Morning Joe" EP Alex Korson and former EP Chris Licht and Licht's boss's boss at CBS, Jeff Fager. Also, Walter Isaacson, Dan Senor, Nicolle Wallace, Bob Woodward and more.
- In Profile: Dobbs, Gabrielle, Mock, Dash
- Ronan Farrow Investigates the VA in New On-Going Series
- 5 Questions With… José Díaz-Balart
- Who Was at the White House Holiday Party Last Night?


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Former Washington Nationals OF Elijah Dukes was arrested again on drug charges in Tampa early this morning, according to the Tampa Bay Times. Dukes was also arrested in 2011 for physically assaulting his pregnant ex-girlfriend.
Dukes was allegedly pulled over in his 2011 Chevy Camero for a traffic violation. When police noticed a bag of marijuana on his lap, he tried to eat the bag of pot. You can't make this stuff up. Police also noticed a joint in his ear. He faces four criminal charges, including tampering with evidence and multiple possession charges, and his bail was set at $4,750.
This is just another sad chapter in the off-the-field drama of Elijah Dukes, who at one point was heralded as part of the Nationals young future, until he was unexpectedly released by the Nationals in 2010 Spring Training. During his two seasons with the Nationals, Dukes posted a .256/.359/.430 slash line with 21 HR and 102 RBI in 188 games.


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Portsmouth 3rds vs. Petersfield 2nds
Portsmouth rocked up to Petersfield to find a beautiful sunny day but a very strong wind which distorted any free flowing play. Portsmouth managed to turn up with a talented squad which were overshadowed by injuries and illness. However a warm welcome back to Thomas and Paul James of whom both have not played in far too long. The team were missing the important links of Damian, Andy Kirbs and Young Winger Martin for what promised to be a testing match against a very young Petersfield team.
The game started with the forwards absolutely dominating the opposition and this was proven when stand in No 8 Ollie Coomes launched a bullet pass for winger John Kirby to pick up and finish off from 5 metres out. The kick was missed but Petersfield hit back with a break away try from a speedy winger with their first attack of the match which they converted. The next 15 minutes was held by Portsmouth and any attack from Petersfield was either beaten by the Wind or beaten down by the likes of Olly Gibbs or Thomas the Hungarian. The pressure was too much for Petersfield when Murray showed a tasty give and go from 20 metres out and strolled over the line nearly uncontested to place the ball straight under the posts. The kick was converted and this was the last time Ports would make a kick all game.
Petersfield hit back again from a line out which were Portsmouths weak spot throughout the match with them flinging a quick long ball out to the Outside centre who danced through a Pompey dog leg to score with the kick going over the posts. However this spurred on the boys from Pompey with Sam Glucks bruising runs, knocked multiple opposition players over and he crossed the whitewash from a run from 10 metres out. The battle cries rang out from Thomas to get another score before half time, and this was executed by Murray who picked up the ball up and found a massive gap from half way to sneak around the scrum and tip toed down the line to really punish Petersfield. Portsmouth went into half leading the game 22-12
The half started with Portsmouth kicking into the wind and a fluffed kick lead to a high ball clash with Justin clouting the ground from the start which meant Portsmouth went down to 14 players for a good 15 minutes. Within that 15 minutes Ports decided to keep the scrum strong and play with 1 winger and this was used to the Home teams advantage with multiple kicks into the corner. This lead to a balls up from the away team when the ball popped out on the goal line and was touched down by the opposition. The kick was converted and the struggle continued but was braved by the likes of Roma and Franko with some solid play. Ports then stepped up and started using the whole pitch with attacks going from right to left and being stopped on the game line. Then Ports really smashed it home with Roma finishing off a 50 yard team play and slam dunking the ball over the line to give Ports the 27 points. Within the final 5 mins, Ryan and Justin hobbled off to be replaced by Clunie and Martin who had respectively finished a Vets Match. Ports missed a penalty within the final few minutes due to the strong wind but wound up winning the match 27-19.
The overall feeling from the team was positive to have beaten the young Petersfield team but also proud of the forwards such a Bill Hutch, Thomas and Chris Wryfod who really dominated the break down and any loose ball. The team played fantastic at Petersfield and passed a total of 8 players to the vets and down to the 2nds for their fantastic Win at Bournemouth.
Man of Match: Murray HENDRIKSON
Key players : Ryan (15) Franko (12) and Gluck (6)
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Game Details
- Release Date 9/20/2010
- Publisher 2K
- Platform Wii
- Genre Arcade/Puzzle
- Number of Players 4
Game Description
The magic of the midway continues with this set of New Carnival Games. Like a fair that comes to town every year, the hit Carnival Games returns with 30 new games and attractions designed to bring out the kid in all of us. Play Fish Bowl Bounce, Gold Rush Alley Ball, Pitch-A-Plate, and other classic games, take a ride on the Bumper Cars or dare to enter the Haunted House. Win over 300 great new prizes, wear crazy costumes, and take advantage of new MotionPlus capabilities. This time, you can bring your friends along with new co-op and head-to-head multiplayer options for up to four players.
User Reviews
Average Member Rating: 4.9 out of 10
Carnival Games Worth Looking Into. (7 out of 10)
posted by JMichaud (BETHESDA, MD) on Sep 23, 2010
Member since Jan 2008
16 out of 18 gamers (89%) found this review helpful
Member since Jan 2008
16 out of 18 gamers (89%) found this review helpful
When the first Carnival Games came out in 2007, it had a simple premise: give players a whole lot of simple games, have them collect tickets to buy prizes and outfits for their avatar. It was a smash success, so it's no surprise that we get a sequel - New Carnival Games The title says it all: th...more
Specs & Requirements
Controllers Wii MotionPlus
Modes Multiplayer, Mini-Games
Audio/Video In-Game Dolby Digital
Similar Games
- Wipeout 2Release 10/8/2011
- Grand Theft Auto IVRelease 4/28/2008
- God of War IIIRelease 3/15/2010


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2000 Alumni
- James P O'Rourke M.H.S. 77
For outstanding achievement in the field of corporate sales & management (Executive Vice-President of Sales for Vality Technology responsible for increasing computer software sales to over $25 million a year. Received top salesperson awards from Wang Labs, Management Science America, The Service Bureau Company and Dun & Bradstreet Software) For exemplary service to his family and community. (A Supporter of community programs / Partial Owner of Savanna Professional Baseball Corporation / Single AAaffiliate of the Texas Rangers, Friends of Massapequa Wrestling)
- Ron Kovic M.H.S. 1964
For outstanding achievement as an author and film writer (Author of Born on the Fourth of July and Screen writer for the award winning film of the same name) and for exemplary service to the nation (Providing an example to the physically challenged that the extraordinary can be achieved despite handicapping conditions and for providing the nation with an understanding of the effects of war on the individual)
- William Molloy M.H.S. 1961
For outstanding achievement in the field of Vocational Rehabilitation. (Nassau County Probation Department Supervisor of Counseling /1966-73, Nassau County's Dept. of Drug & Alcohol Addiction Director of Vocational Rehabilitation responsible for planning and implementation of county wide Vocational Rehabilitation delivery system) For exemplary service to the youth of Nassau County and the Massapequa community. (Drug Education Coordinator and Varsity Baseball Coach, Hempstead High School, Massapequa Board of Education Citizens Advisory Finance Committee, Coach Massapequa Coast League, Massapequa Soccer Club and St Rose CYO League, National All American Softball Team for six years, member National Championship team 1968)
- Commander Sandra Lawrence, US Navy B.H.S. 72
For extraordinary achievement as an officer in the United States Navy Was a Computer Systems Analyst, leader of 210 person team responsible for Combat Systems including radar, communications, electronic warfare and self defense/tactical data computer systems aboard the aircraft carrier USS Nimitz. Head of computer operations for US Navy Central Command used to direct Naval air combat units in Iraq in 1996. Joint Meritorious Service Medal, Meritorious Service Medal and numerous other U.S. Navy awards. For exemplary service to the community as Crisis Intervention Counselor Alexandria, VA, VP Washington DC Field Hockey Assoc. Church Executive Council, Virginia high schools field hockey and lacrosse official. Retired from US Navy after 24 years of active service. Joined Keylogic Systems as a Senior Information Assurance Specialist providing support to the next generation DOD Command and Control System. Selected as one of 10 Women profiled in the book Cool Careers for Girls in Cyber Security and National
- Robert Stuart B.H.S. 67
For outstanding achievement in the field of Banking, Telecommunication Finance and Submarine FiberOptics. (Currently Managing Director & Co-Head of Global Telecommunications Industry Group at CIBC Oppenheimer overseeing fiberoptic industry activities of investment banking specialist throughout the world.) For exemplary service to the country as a Navel Officer (Naval Achievement Medal and Navy Commendation Medal for combat operations in the Vietnam War, Nominated for U.S. Naval Academy Outstanding Military Instructor while at Annapolis) Dr. Stuart left CIBC in 2000 and founded InDepth Financial Advisors LLC serving as its President & Chief Executive Officer. He continues to provide financial advice to Telecommunications Companies and Multinational Organizations worldwide. In addition, he is a Managing Director with NavaTel LLC, an international consulting firm, and the Chief Financial Officer of Telepath Networks, Inc., a telecom equipment manufacturer. He and his family now reside in Arnold, Maryland.
- Dr. Michael Schuster M.H.S. 1973
For extraordinary achievement in the field of Oncology and Bone Marrow and Stem Cell Transplantation. (Currently Director of Clinical Research In Hematology/Oncology at The New York Hospital-Cornell Medical Center, New York, NY) A prolific research writer who has been the recipient of numerous research grants including the Lauri Strauss Foundation Grant for Cancer Chemotherapy Research. For exemplary service to the community as a provider of medical services to persons in need.
- Steven Greenhouse M.H.S. 1969
For extraordinary achievement in the field of Journalism. (Reporter for the New York Times since September 1983. Has served Worldwide and is currently based in New York City as the lead reporter for Labor and Workplace affairs. Holds a Masters Degree in Journalism from Columbia University. He earned a law degree and was Class Valedictorian at New York University Law School.) For exemplary service to the community as a provider of information that assists us in understanding our world and our nation.
- Camillo R. Giannattasio B.H.S.1968
For extraordinary achievement in the field of law and local government service. (Currently the Mayor of the Village of Massapequa Park, he has been active in Village affairs since 1981. A practicing Attorney in Massapequa since 1976 he has served on the adjunct faculty at Farmingdale University, is a NY State Real Estate Hearing Officer and Counsel for the M.P. Zoning Board.) For exemplary service to the community in various community organizations: Massapequa Soccer Club; Massapequa Chamber of Commerce; Sons of Italy; St Rose of Lima.


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Healthy Indulgences: 12 Low-Fat Pasta Recipes
What's a great way to incorporate pasta into a healthful, low-fat diet? Our strategy: Mix it with vegetable-based sauces, lean protein, and low-fat dairy. You'll end up with a nourishing pasta dish that's low in fat and fun to eat.
Satisfy your passion for pasta with more of our recipe collections, including quick and easy, healthy, and vegetarian recipes starring the almighty noodle.
Rigatoni with Beef and Eggplant Ragù
With a rich, hearty sauce full of bold flavors, this sophisticated, low-fat pasta is elegant enough for company, but easy enough to make after work.
Whole-Grain Rotini with Asparagus and Snap Peas
Fresh snap peas and asparagus lighten up a low-fat pasta dinner (and add plenty of vitamins). Choosing whole-grain pasta over regular helps triple the cholesterol-lowering fiber.
Pesto matches beautifully with fettuccine and shrimp in a light and simple pasta dish that works for family or casual entertaining.
This low-fat family dinner recipe combines lean ground chicken, linguine, and classic Bolognese ingredients.
Pasta with Creamy Mushroom-Pea Sauce
Peas combine deliciously with wild mushrooms, such as chanterelles, but depending on the season they may be hard to come by. You can still get the depth of flavor from more available creminis.
This mouthwatering Italian dish helped Marilyn Crane, a marathon runner, become 48 pounds lighter, and in return, that much more prepared to cross the finish line.
Beans are a great low-fat source of protein. Add broccoli and you'll get a healthy dose of fiber, too. The Romano cheese provides full flavor (and calcium) without adding much fat.
Farfalle with Baby Artichokes and Mushrooms
Give your low-fat pasta a taste of spring. Baby artichokes harness the sweet, rich flavor of their full-grown counterparts, without the need to remove the inedible center thistle.
Orzo with Lamb, Olives, and Feta
Here, orzo pasta is used as a base for a bold blend of spices, tomato sauce, and flavorful ground lamb. The optional pinch of crushed red pepper will add the heat that many crave.
Braised Broccoli Rabe with Orecchiette
Mellow broccoli rabe's bitterness just a bit by plunging it into boiling water for a minute before adding it to the pasta.
Serve this easy low-fat pasta toss with mixed greens and crusty bread for a super-quick hearty supper.
Think you can't eat pasta and drop weight? Think again Cathy Buchanan enjoyed this dish as she shed more than 200 pounds!
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Written by:
The Woodlands Welcomes House Hunters' Family, the Magees,
to the Village of Creekside Park
THE WOODLANDS, TX – (Wednesday, February 2012) – New residents of The Woodlands, Michelle and Robert Magee, along with their two children were recently featured on HGTV's hit television show, House Hunters as they searched for their dream home in The Woodlands. Marketing team members from The Woodlands Development Company (TWDC) recently welcomed the Magees with gifts from the master-planned community.
For the television episode, a crew filmed the Magees on their home search throughout The Woodlands. "House Hunters is an excellent show about following families on their house-hunting journeys," said Susan Vreeland-Wendt, director of marketing for TWDC. "The television exposure was a wonderful opportunity to promote the great amenities that we have in The Woodlands including Waterway Square in Town Center, a concert at Market Street and rides on a Waterway Cruiser and a Waterway trolley."
Robert was recently transferred with his employment from San Francisco to Houston. Due to the transfer, the Magees began searching the surrounding areas of Houston for a new home and were familiar with The Woodlands because Robert had done some previous work here with his job. Robert now finds it easy to commute to work in downtown Houston by using The Woodlands Express.
The Magees rented in The Woodlands before selecting a new home. "The Woodlands has a lot to offer, not only for adults but also for children. It is very community-oriented, and there is something to do on any given weekend. In fact, we recently attended the Arbor Day Celebration at nearby Rob Fleming Park," said Michelle. "The Woodlands is also a family-friendly community. I wanted my children to be able to make friends. I have already made a lot of friends. I was also so happy to find a job in The Woodlands."
Michelle is a fan of House Hunters and applied online at its website, hoping her family would be selected for their house-hunting search. They were very excited to have been chosen for the national television show. "At first, we were anxious about whether to choose a new home or a resale," Michelle said. "The Woodlands offers new homes from a wide variety of builders. All of the new homes look nice!" The Magees purchased a Plantation home in The Woodlands' Village of Creekside Park.
The Woodlands is a 28,000-acre master-planned community located 27 miles north of downtown Houston. For more information, visit www.thewoodlands.com and www.thewoodlands.net.
Photo Caption: Susan Vreeland-Wendt (right), director of marketing for The Woodlands Development Company (TWDC) and Lorrie Parise (left), marketing manager for TWDC welcomed the Magees with a goodie bag, complete with a "Come Home to The Woodlands" license plate cover. From left to right are Michelle, 16-month old Amelie, Robert and 3 ½-year old John Magee.
For more information, contact:
Susan Vreeland-Wendt (281) 719-6174 Lorrie Parise (281) 719-6344
email@example.com firstname.lastname@example.com
The Woodlands Convention & Visitors Bureau
Phone: 877-963-2447 or 281-363-2447
Fax: 281-210-3499
Email: email@example.com


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Hottest, Latest Bollywood Actors & Actress Gossip and News
Previously we posted that producer Karan Johar approached actor Hrithik Roshan to play the role of Vijay Dinanath Chauhan in the remake of 90's Amitabh Bachchan starrer Agneepath. But, Hrithik refused to do it and finally the role went to Abhishek Bachchan and so Abhishek is excited to put into the shoes of his dad. Many times Abhishek said in his interviews that Agneepath is one of his favourite films, so he is naturally overjoyed to do the film.
A source revealed, "Abhishek has said in many of his interviews that Agneepath is his favourite film. Naturally, he was overjoyed when Karan asked him to play the role which his father has originally played. It has always been Abhishek's dream to do once what his father has done in his career, and he sees Agneepath as the perfect opportunity."
However Hrithik turned down the offer due to his busy schedule. Hrithik soon will get busy with Sanjay Leela Bhansali's Guzaarish, so he said to Karan to go ahead with some other actor.
Abhishek Bachchan is the perfect choice for Agneepath.
yaah, abhishek is the only actor who can do better this rol


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Super 8 Motels, Inc. v. Deer Lodge Super 8, Inc. et al
|Case Number:
|October 31, 2006
|South Dakota District Court
|Northern Division Office
|Presiding Judge:
|Charles B. Kornmann
|Nature of Suit:
|Contract: Franchise
|Cause of Action:
|15:1114 Trademark Infringement
|Jury Demanded By:
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