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The subject of placebo is a complex but fascinating one, particularly for those interested in alternative medicine. Most sceptics believe that alternative therapies rely heavily, if not entirely, on the placebo effect. Some alternative practitioners, when unable to produce convincing evidence that their treatment is effective, seem to have now settled to admitting that their therapy works (mostly or entirely) via a placebo effect. They the hasten to add that this is perfectly fine, because it is just an explanation as to how it works – a mechanism of action, in other words. Causing benefit via a placebo effect still means, they insist, that their therapy is effective.
In a previous post, I have tried to demonstrate that this belief is erroneous and where the notion comes from. It originates, I believe, from a mistaken definition of 'effectiveness': for many alternative practitioners 'effectiveness' encompasses the specific plus the non-specific (e. g. placebo) effects of their therapy. In real medicine, 'effectiveness' is the degree to which a treatment works under real life conditions.
The 'alternative' definition is, of course, incorrect but alternative practitioners stubbornly refuse to acknowledge this fact. Here are just two reasons why it cannot be right:
- If it were correct, it would be hardly conceivable to think of a treatment that is NOT effective. Applied with empathy and compassion, virtually all treatments – however devoid of specific effects – will produce a placebo effect. Thus they will all be effective, and the term would be superfluous because 'treatment' would automatically mean 'effective'. An ineffective treatment would, in other words, be a contradiction in terms.
- If it were correct, any pharmaceutical or devices company could legally market ineffective drugs or gadgets and rightly claim (or even prove) that they are effective. Any such therapy could very easily be shown to generate a placebo-effect under the right circumstances; and as long as this is the case, it would be certifiably effective.
I do sympathise with alt med enthusiasts who find this hard or even impossible to accept. They see almost every day how their placebo-therapy benefits their patients. (It seems worth remembering that not just the placebo phenomenon but several other factors are involved in such outcomes – take, for instance, the natural history of the disease and the regression towards the mean.) And they might think that my arguments are nothing but a devious attempt do away with the beneficial power of the placebo.
The truth, however, is that nobody wants to do anything of the sort; we all want to help patients as much as possible, and that does, of course, include the use of the placebo effect. In clinical practice, we usually want to maximise the placebo effect where possible. But for this goal, we do not require placebo therapies. If we administer a specifically effective therapy with compassion, we undoubtedly also generate a placebo response. In addition, our patients would benefit from the specific effects of the prescribed therapy. Both elements are essential for an optimal therapeutic response, and I don't know any conventional healthcare professionals who do not aim at this optimal outcome.
Giving just placebos will not normally generate an optimal outcome, and therefore it cannot truly be in the interest of the patient. It is also ethically problematic because it usually entails a degree of deception of the patient. Moreover, placebo effects are unreliable and usually of short duration. Foremost, they do not normally cure a disease; they may alleviate symptoms but they almost never tackle their causes. These characteristics hardly make placebos an acceptable choice for routine clinical practice.
The bottom line is clear and simple: a drug that is not better than placebo can only be classified as being ineffective. The same applies to all non-drug therapies. Double standards are not acceptable in healthcare. And the demonstration of a placebo effect does not turn an ineffective therapy into an effective one.
I know that many alternative practitioners do not agree with this line of thought – so, let's hear their counter-arguments.
Yes, we discussed this study on a previous blog post. But, as it is 'ACUPUNCTURE AWARENESS WEEK' in the UK, and because of another reason (which will become clear in a minute) I decided to revisit the trial.
In case you have forgotten, here is its abstract once again:
Background: Hot flashes (HFs) affect up to 75% of menopausal women and pose a considerable health and financial burden. Evidence of acupuncture efficacy as an HF treatment is conflicting.
Objective: To assess the efficacy of Chinese medicine acupuncture against sham acupuncture for menopausal HFs.
Design: Stratified, blind (participants, outcome assessors, and investigators, but not treating acupuncturists), parallel, randomized, sham-controlled trial with equal allocation. (Australia New Zealand Clinical Trials Registry: ACTRN12611000393954)
Setting: Community in Australia.
Participants: Women older than 40 years in the late menopausal transition or postmenopause with at least 7 moderate HFs daily, meeting criteria for Chinese medicine diagnosis of kidney yin deficiency.
Interventions: 10 treatments over 8 weeks of either standardized Chinese medicine needle acupuncture designed to treat kidney yin deficiency or noninsertive sham acupuncture.
Measurements: The primary outcome was HF score at the end of treatment. Secondary outcomes included quality of life, anxiety, depression, and adverse events. Participants were assessed at 4 weeks, the end of treatment, and then 3 and 6 months after the end of treatment. Intention-to-treat analysis was conducted with linear mixed-effects models.
Results: 327 women were randomly assigned to acupuncture (n = 163) or sham acupuncture (n = 164). At the end of treatment, 16% of participants in the acupuncture group and 13% in the sham group were lost to follow-up. Mean HF scores at the end of treatment were 15.36 in the acupuncture group and 15.04 in the sham group (mean difference, 0.33 [95% CI, −1.87 to 2.52]; P = 0.77). No serious adverse events were reported.
Limitation: Participants were predominantly Caucasian and did not have breast cancer or surgical menopause.
Conclusion: Chinese medicine acupuncture was not superior to noninsertive sham acupuncture for women with moderately severe menopausal HFs.
When I first discussed this trial, I commented that the trial has several strengths: it includes a large sample size and the patients were adequately blinded to eliminate the effects of expectations. It was published in a top journal, and we can therefore assume that it was properly peer-reviewed. Combined with the evidence from our previous systematic review, this indicates that acupuncture has no effect beyond placebo.
The reason for bringing it up again is that a comment about the study has recently appeared, not just any old comment but one from the British Medical Acupuncture Society. It is, in my view, gratifying and interesting. It was published on 'facebook' and is therefore in danger of getting forgotten. I hope to preserve it by citing it in full.
Here it is:
A large rigorous trial published in a prestigious general medical journal, and the usual mantra rings out – acupuncture is no better than sham. In this case there was not a fraction of difference from a non-penetrating sham in a two-armed trial with over 300 women. Ok,…so we have known for some time that we really need 400 in each arm to demonstrate the usual difference over sham seen in meta-analysis in pain conditions, but there really was not even a sniff of a difference here. So is that it for acupuncture in hot flushes? Well, we have a 40% symptom reduction in both groups, and a strong conviction from some practitioners that it really seems to work. Is 40% enough for a strong conviction? I have heard some dramatic stories from medical acupuncturist colleagues that really would be hard to dismiss as non-specific effects, and from others I have heard relative ambivalence about the effects in hot flushes.
Personally I always try to consider mechanisms, and I wish researchers in the field would do the same before embarking on their trials. That is not intended as a criticism of this trial, but some consideration of mechanisms might allow us to explain all our data, including the contribution of this trial.
Acupuncture has recognised effects that are local to the needle, in the spinal cord (mainly in the segments stimulated) and in the brain (as well as humoral effects in CSF and blood). The latter are probably the mildest of the three categories, and require the best group of patient responders for them to be observable in clinical practice.
Menopausal hot flushes are explained by the effects of reduced oestrogens on the thermoregulatory centre in the anterior hypothalamus. It is certainly plausible that the neuro-inhibitory effects of endogenous opioids such as beta-endorphin, which we know can be released by acupuncture stimulation in experimental settings, could stablise neurones in the anterior hypothalamus that have become irritable due to a sudden drop in oestrogens.
So are endogenous opioids always released by acupuncture? Well, they and their effects seem to be measurable in experiments that use what I call proper acupuncture. That is, strong stimulation to deep somatic tissue. In the laboratory, and indeed in my clinic, this is only usually achieved in a palatable manner by electroacupuncture to muscle, although repeated manual stimulation every few minutes may have similar effects.
Ee et al used a relatively gentle acupuncture protocol, so they may have only generated measurable effects, based on mechanistic speculation, in the most responsive patients, perhaps less than 10%.
What does all this tell us? Well this trial clearly demonstrates that gentle acupuncture protocols generate effects in women with hot flushes via context rather than penetrating needling. In conditions that rely on central effects, I think we still need to consider stronger stimulation protocols and enriched enrollment in trials, ie preselecting responders before randomisation.
In my original comment I also predicted: "One does not need to be a clairvoyant to predict that acupuncturists will now find what they perceive as a flaw in the new study and claim that its results were false-negative."
I am so glad Mike Cummings and the BMAS rushed to prove me right.
It's so nice to know one can rely on someone in these uncertain times!
Alternative medicine (AM) use has become popular among patients with cancer. I find this very easy to understand: faced with such a grave diagnosis, who would not be tempted to try everything that is being promoted as being helpful. And, by Jove, promoted it is! But does it do any good?
The evidence clearly shows that no form of AM is capable of changing the natural history of any form of cancer. This means the millions of websites that imply otherwise are criminally wrong and frightfully dangerous.
But some AMs might still be useful, namely for improving symptoms, well-being and quality of life (QOL) as supportive or palliative therapies. Unfortunately the evidence for this assumption is less sound than AM fans try to make us believe. Before this background, better research is needed and more trials would be welcome. A brand-new paper might tell us more.
The purposes of this study were to compare the QOL in CAM users and non-CAM users and to determine whether AM use influences QOL among breast cancer patients during chemotherapy.
A cross-sectional survey was conducted at two outpatient chemotherapy centers. A total of 546 patients completed the questionnaires on AM use. QOL was evaluated based on the European Organization for Research and Treatment of Cancer (EORTC) core quality of life (QLQ-C30) and breast cancer-specific quality of life (QLQ-BR23) questionnaires.
A total of 70.7% of patients were identified as AM users. There was no significant difference in global health status scores and in all 5 subscales of the QLQ C30 functional scales between AM users and non-AM users. On the QLQ-C30 symptom scales, AM users (44.96±3.89) had significantly (p = 0.01) higher mean scores for financial difficulties than non-AM users (36.29±4.81). On the QLQ-BR23 functional scales, AM users reported significantly higher mean scores for sexual enjoyment (6.01±12.84 vs. 4.64±12.76, p = 0.04) than non-AM users. On the QLQ-BR23 symptom scales, AM users reported higher systemic therapy side effects (41.34±2.01 vs. 37.22±2.48, p = 0.04) and breast symptoms (15.76±2.13 vs. 11.08±2.62, p = 0.02) than non-AM users. Multivariate logistic regression analysis indicated that the use of CAM modality was not significantly associated with higher global health status scores (p = 0.71).
The authors drew the following conclusions: While the findings indicated that there was no significant difference between users and non-users of AM in terms of QOL, AM may be used by health professionals as a surrogate to monitor patients with higher systemic therapy side effects and breast symptoms. Furthermore, given that AM users reported higher financial burdens (which may have contributed to increased distress), patients should be encouraged to discuss the potential benefits and/or disadvantages of using AM with their healthcare providers.
One needs to caution, of course, that this was not an RCT, and therefore cause and effect cannot be taken for granted. Nevertheless, I believe, that these findings should make us think critically about the wide-spread notion that the supportive and palliative use of AM leads to an improvement of QOL in cancer patients.
Wet cupping is a therapy traditionally used in several cultures. It involves superficial injuries to the skin and subsequently the application of a vacuum cup over the injured site. This procedure would draw a small amount of blood into the cup, and this visible effect was taken as a sign that the humors or life forces or whatever are being restored.
The treatment is obviously painful and carries the risk of infection. But does it work? There are not many clinical trials of this form of alternative medicine, and I was therefore thrilled to find a new paper with a randomised clinical trial.
The aim of this clinical trial was to evaluate the effectiveness and safety of wet cupping therapy as the sole treatment for persistent nonspecific low back pain (PNSLBP). The investigators recruited 80 with PNSLBP lasting at least 3 months and randomly allocated them to an intervention group (n=40) or to a control group (n=40). The experimental group had 6 wet cupping sessions within 2 weeks, each of which were done at two bladder meridian (BL) acupuncture points. The control group had no such treatments. Acetaminophen was allowed as a rescue treatment in both groups. The Numeric Rating Scale (NRS), McGill Present Pain Intensity (PPI), and Oswestry Disability Questionnaire (ODQ) were used as outcome measures. Numbers of acetaminophen tablets taken were compared at 4 weeks from baseline. Adverse events were recorded.
At the end of the intervention, statistically significant differences in all three outcome measures favouring the wet cupping group compared with the control group were seen. These improvements continued for another two weeks after the end of the intervention. Acetaminophen was used less in the wet cupping group, but this difference was not statistically significant. No adverse events were reported.
The authors concluded that wet cupping is potentially effective in reducing pain and improving disability associated with PNSLBP at least for 2 weeks after the end of the wet cupping period. Placebo-controlled trials are needed.
Every now and then – well, actually in alternative medicine this is not so rare an event – I come across a study that 'smells to high heaven'. This one certainly does; to be precise, it has the stench of TOO GOOD TO BE TRUE.
Apart from the numerous weaknesses of the study design, there is the fact that the results are do simply not seem plausible. Low back pain has a natural history that is well-studied. We therefore know that the majority of cases do get better fairly quickly regardless of whether we treat them or not. In this study, the control group did not improve at all, as shown on the impressive graph below (the grey line depicts the symptoms in the control group and the black one those of the cupping group).
To me, the improvement of the experimental group looks much like one might expect from the natural history of back pain. If this were true, the effect of wet cupping would by close to zero and the conclusion drawn by the authors of this trial would be false-positive.
But why was there no improvement in the control group?
I do not know the answer to this question. All I know is that it is this unexplained phenomenon which has created the impression of effectiveness of wet cupping.
The principal aim of this survey was to map centres across Europe that provide public health services and operating within the national health system in integrative oncology.
Information was received from 123 (52.1 %) of the 236 centres contacted. Forty-seven out of 99 responding centres meeting inclusion criteria (47.5 %) provided integrative oncology treatments, 24 from Italy and 23 from other European countries. The number of patients seen per year was on average 301.2 ± 337. Among the centres providing these kinds of therapies, 33 (70.2 %) use fixed protocols and 35 (74.5 %) use systems for the evaluation of results. Thirty-two centres (68.1 %) were research-active.
The alternative therapies most frequently provided were acupuncture 26 (55.3 %), homeopathy 19 (40.4 %), herbal medicine 18 (38.3 %) and traditional Chinese medicine 17 (36.2 %); anthroposophic medicine 10 (21.3 %); homotoxicology 6 (12.8 %); and other therapies 30 (63.8 %).
Treatments were mainly directed to reduce adverse reactions to chemo-radiotherapy (23.9 %), in particular nausea and vomiting (13.4 %) and leucopenia (5 %). The alternative treatments were also used to reduce pain and fatigue (10.9 %), to reduce side effects of iatrogenic menopause (8.8 %) and to improve anxiety and depression (5.9 %), gastrointestinal disorders (5 %), sleep disturbances and neuropathy (3.8 %).
The authors concluded that mapping of the centres across Europe is an essential step in the process of creating a European network of centres, experts and professionals constantly engaged in the field of integrative oncology, in order to increase, share and disseminate the knowledge in this field and provide evidence-based practice.
Where is the evidence that homeopathy or homotoxicology or Chinese medicine are effective for any of the conditions listed above? The answer, of course, is that it does not exist.
I fear the results of this survey show foremost one thing: 'integrative oncology' is little else but a smokescreen behind which quacks submit desperate patients to bogus treatments.
A recent comment to a post of mine (by a well-known and experienced German alt med researcher) made the following bold statement aimed directly at me and at my apparent lack of understanding research methodology:
C´mon , as researcher you should know the difference between efficacy and effectiveness. This is pharmacological basic knowledge. Specific (efficacy) + nonspecific effects = effectiveness. And, in fact, everything can be effective – because of non-specific or placebo-like effects. That does not mean that efficacy is existent.
The point he wanted to make is that outcome studies – studies without a control group where the researcher simply observe the outcome of a particular treatment in a 'real life' situation – suffice to demonstrate the effectiveness of therapeutic interventions. This belief is very wide-spread in alternative medicine and tends to mislead all concerned. It is therefore worth re-visiting this issue here in an attempt to create some clarity.
When a patient's condition improves after receiving a therapy, it is very tempting to feel that this improvement reflects the effectiveness of the intervention (as the researcher mentioned above obviously does). Tempting but wrong: there are many other factors involved as well, for instance:
- the placebo effect (mainly based on conditioning and expectation),
- the therapeutic relationship with the clinician (empathy, compassion etc.),
- the regression towards the mean (outliers tend to return to the mean value),
- the natural history of the patient's condition (most conditions get better even without treatment),
- social desirability (patients tend to say they are better to please their friendly clinician),
- concomitant treatments (patients often use treatments other than the prescribed one without telling their clinician).
So, how does this fit into the statement above 'Specific (efficacy) + nonspecific effects = effectiveness'? Even if this formula were correct, it would not mean that outcome studies of the nature described demonstrate the effectiveness of a therapy. It all depends, of course, on what we call 'non-specific' effects. We all agree that placebo-effects belong to this category. Probably, most experts also would include the therapeutic relationship and the regression towards the mean under this umbrella. But the last three points from my list are clearly not non-specific effects of the therapy; they are therapy-independent determinants of the clinical outcome.
The most important factor here is usually the natural history of the disease. Some people find it hard to imagine what this term actually means. Here is a little joke which, I hope, will make its meaning clear and memorable.
Doc A: The patient from room 12 is much better today.
Doc B: Yes, we stared his treatment just in time; a day later and he would have been cured without it!
I am sure that most of my readers now understand (and never forget) that clinical improvement cannot be equated with the effectiveness of the treatment administered (they might thus be immune to the misleading messages they are constantly exposed to). Yet, I am not at all sure that all 'alternativists' have got it.
Reflexology is the treatment of reflex zones, usually on the sole of the feet, with manual massage and pressure. Reflexologists assume that certain zones correspond to certain organs, and that their treatment can influence the function of these organs. Thus reflexology is advocated for all sorts of conditions. Proponents are keen to point out that their approach has many advantages: it is pleasant (the patient feels well with the treatment and the therapist feels even better with the money), safe and cheap, particularly if the patient does the treatment herself.
Self-administered foot reflexology could be practical because it is easy to learn and not difficult to apply. But is it also effective? A recent systematic review evaluated the effectiveness of self-foot reflexology for symptom management.
Participants were healthy persons not diagnosed with a specific disease. The intervention was foot reflexology administered by participants, not by practitioners or healthcare providers. Studies with either between groups or within group comparison were included. The electronic literature searches utilized core databases (MEDLINE, EMBASE, Cochrane, and CINAHL Chinese (CNKI), Japanese (J-STAGE), and Korean databases (KoreaMed, KMbase, KISS, NDSL, KISTI, and OASIS)).
Three non-randomized trials and three before-and-after studies met the inclusion criteria. No RCTs were located. The results of these studies showed that self-administered foot reflexology resulted in significant improvement in subjective outcomes such as perceived stress, fatigue, and depression. However, there was no significant improvement in objective outcomes such as cortisol levels, blood pressure, and pulse rate. We did not find any randomized controlled trial.
The authors concluded that this study presents the effectiveness of self-administered foot reflexology for healthy persons' psychological and physiological symptoms. While objective outcomes showed limited results, significant improvements were found in subjective outcomes. However, owing to the small number of studies and methodological flaws, there was insufficient evidence supporting the use of self-performed foot reflexology. Well-designed randomized controlled trials are needed to assess the effect of self-administered foot reflexology in healthy people.
I find this review quite interesting, but I would draw very different conclusions from its findings.
The studies that are available turned out to be of very poor methodological quality: they lack randomisation or rely on before/after comparisons. This means they are wide open to bias and false-positive results, particularly in regards to subjective outcome measures. Predictably, the findings of this review confirm that no effects are seen on objective endpoints. This is in perfect agreement with the hypothesis that reflexology is a pure placebo. Considering the biological implausibility of the underlying assumptions of reflexology, this makes sense.
My conclusions of this review would therefore be as follows: THE RESULTS ARE IN KEEPING WITH REFLEXOLOGY BEING A PURE PLACEBO.
Iyengar Yoga, named after and developed by B. K. S. Iyengar, is a form of Hatha Yoga that has an emphasis on detail, precision and alignment in the performance of posture (asana) and breath control (pranayama). The development of strength, mobility and stability is gained through the asanas.
B.K.S. Iyengar has systematised over 200 classical yoga poses and 14 different types of Pranayama (with variations of many of them) ranging from the basic to advanced. This helps ensure that students progress gradually by moving from simple poses to more complex ones and develop their mind, body and spirit step by step.
Iyengar Yoga often makes use of props, such as belts, blocks, and blankets, as aids in performing asanas (postures). The props enable students to perform the asanas correctly, minimising the risk of injury or strain, and making the postures accessible to both young and old.
Sounds interesting? But does it work?
The objective of this recent systematic review was to conduct a systematic review of the existing research on Iyengar yoga for relieving back and neck pain. The authors conducted extensive literature searches and found 6 RCTs that met the inclusion criteria.
The difference between the groups on the post-intervention pain or functional disability intensity assessment was, in all 6 studies, favouring the yoga group, which projected a decrease in back and neck pain.
The authors concluded that Iyengar yoga is an effective means for both back and neck pain in comparison to control groups. This systematic review found strong evidence for short-term effectiveness, but little evidence for long-term effectiveness of yoga for chronic spine pain in the patient-centered outcomes.
So, if we can trust this evidence (I would not call the evidence 'strong), we have yet another treatment that might be effective for acute back and neck pain. The trouble, I fear, is not that we have too few such treatments, the trouble seems to be that we have too many of them. They all seem similarly effective, and I cannot help but wonder whether, in fact, they are all similarly ineffective.
Regardless of the answer to this troubling question, I feel the need to re-state what I have written many times before: FOR A CONDITION WITH A MULTITUDE OF ALLEGEDLY EFFECTIVE THERAPIES, IT MIGHT BE BEST TO CHOSE THE ONE THAT IS SAFEST AND CHEAPEST.
Homeopathy has many critics who claim that there is no good evidence for this type of therapy. Homeopaths invariably find this most unfair and point to a plethora of studies that show an effect. They are, of course, correct! There are plenty of trials that suggest that homeopathic remedies do work. The question, however, is HOW RELIABLE ARE THESE STUDIES?
Here is a brand new one which might stand for dozens of others.
In this study, homeopaths treated 50 multimorbid patients with homeopathic remedies identifies by a method called 'polarity analysis' (PA) and prospectively followed them over one year (PA enables homeopaths to calculate a relative healing probability, based on Boenninghausen's grading of polar symptoms).
The 43 patients (86%) who completed the observation period experienced an average improvement of 91% in their initial symptoms. Six patients dropped out, and one did not achieve an improvement of 80%, and was therefore also counted as a treatment failure. The cost of homeopathic treatment was 41% of projected equivalent conventional treatment.
Good news then for enthusiasts of homeopathy? 91% improvement!
Yet, I am afraid that critics might not be bowled over. They might smell a whiff of selection bias, lament the lack of a control group or regret the absence of objective outcome measures. But I was prepared to go as far as stating that such results might be quite interesting… until I read the authors' conclusions that is:
Polarity Analysis is an effective method for treating multimorbidity. The multitude of symptoms does not prevent the method from achieving good results. Homeopathy may be capable of taking over a considerable proportion of the treatment of multimorbid patients, at lower costs than conventional medicine.
Virtually nothing in these conclusions is based on the data provided. They are pure extrapolation and wild assumptions. Two questions seem to emerge from this:
- How on earth can we take this and so many other articles on homeopathy seriously?
- When does this sort of article cross the line between wishful thinking and scientific misconduct?
Reiki is a form of energy healing that evidently has been getting so popular that, according to the 'Shropshire Star', even stressed hedgehogs are now being treated with this therapy. In case you argue that this publication is not cutting edge when it comes to reporting of scientific advances, you may have a point. So, let us see what evidence we find on this amazing intervention.
A recent systematic review of the therapeutic effects of Reiki concludes that the serious methodological and reporting limitations of limited existing Reiki studies preclude a definitive conclusion on its effectiveness. High-quality randomized controlled trials are needed to address the effectiveness of Reiki over placebo. Considering that this article was published in the JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE, this is a fairly damming verdict. The notion that Reiki is but a theatrical placebo recently received more support from a new clinical trial.
This pilot study examined the effects of Reiki therapy and companionship on improvements in quality of life, mood, and symptom distress during chemotherapy. Thirty-six breast cancer patients received usual care, Reiki, or a companion during chemotherapy. Data were collected from patients while they were receiving usual care. Subsequently, patients were randomized to either receive Reiki or a companion during chemotherapy. Questionnaires assessing quality of life, mood, symptom distress, and Reiki acceptability were completed at baseline and chemotherapy sessions 1, 2, and 4. Reiki was rated relaxing and caused no side effects. Both Reiki and companion groups reported improvements in quality of life and mood that were greater than those seen in the usual care group.
The authors of this study conclude that interventions during chemotherapy, such as Reiki or companionship, are feasible, acceptable, and may reduce side effects.
This is an odd conclusion, if there ever was one. Clearly the 'companionship' group was included to see whether Reiki has effects beyond simply providing sympathetic attention. The results show that this is not the case. It follows, I think, that Reiki is a placebo; its perceived relaxing effects are the result of non-specific phenomena which have nothing to do with Reiki per se. The fact that the authors fail to spell this out more clearly makes me wonder whether they are researchers or promoters of Reiki.
Some people will feel that it does not matter how Reiki works, the main thing is that it does work. I beg to differ!
If its effects are due to nothing else than attention and companionship, we do not need 'trained' Reiki masters to do the treatment; anyone who has time, compassion and sympathy can do it. More importantly, if Reiki is a placebo, we should not mislead people that some super-natural energy is at work. This only promotes irrationality – and, as Voltaire once said: those who make you believe in absurdities can make you commit atrocities.


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Santa Claus Diver Performs In Seoul
A South Korean diver clad in Santa Claus costume swims with sardines at The Coex Aquarium on December 8, 2012 in Seoul, South Korea. Even though the official religion of South Korea is Buddhism, about 30 percent of it is Christian and Christmas is one of the biggest holidays to be celebrated in South Korea. Photos by Chung Sung-Jun.
Meanwhile on Design You Trust
- This Photographer Has Captured Stunning Images Of America's Most Intense Storms From An Extraordinarily Close Perspective
- Mermaid Tights That Make It Look Like You're Developing A Tail
- Kennel Club Dog Photographer Of The Year 2016
- Artist Duo Uses Twigs And Flowers To Create Intricate Portraits Out Of Mother Nature
- Illustrator Draws On Her Self-Portraits To Create Fun, Whimsical Images

subset: commoncrawl


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No e-cigarettes at OPRF
By Terry Dean
The Chicago City Council last week voted to regulate how e-cigarettes are used, bought and sold in the city. The new rules include banning e-cigarettes wherever smoking is prohibited and moving them behind store counters. Sales to minors are also prohibited. Some school districts, however, already treat e-cigarettes like regular cigarettes. For instance, at Oak Park and River Forest High School, e-cigarettes fall under the same disciplinary policies as regular cigarettes, say school officials. A first offense for use garners a one-day, in-school suspension (ISS). But that suspension is held in abeyance if a student completes the school's smoking cessation program. The Illinois School Code is also being revised to address the use of e-cigarettes in schools.
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Joe Camel from Oak Park
Posted: January 22nd, 2014 3:53 PM
Ahhhh, to only relive the glory days of high schools of years past, that had a smoking patio for students.....
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AMD Athlon 64 4800+ X2 - Dual Core CPU
On the 25th of April AMD announced loads of dual core stuff. Besides the launch of the dual core 8xx series Opteron it also announced the 2xx dual core Opteron and the dual core Athlon 64 X2. Today we're a step closer to the launch of Athlon 64 X2 but it's not here quite yet - you'll have to wait until June for that pleasure. If only there was a large international IT trade show that started at the end of May why, that would be the perfect venue to announce a new processor.
Until the official launch happens we won't be able to get our hands on a fully fledged Athlon 64 X2 PC, so what we have here is a technical preview based on an AMD press kit of an Asus A8N SLI Deluxe motherboard, an Athlon 64 X2 4800+ and 1GB of Corsair 3200XL Pro memory.
There are four processors in the Athlon 64 X2 family which share a number of features with each other, and with existing models of Athlon 64. Athlon 64 X2 continues to use socket 939, the fabrication process is 90nm (.09 micron) using SOI (Silicon on Insulator), the 128-bit memory controller is compatible with PC1600, PC2100, PC2700 and PC3200 DDR, although you'd be barking mad to use anything but top notch memory, and there's one bi-directional 1GHz Hyper Transport link. This gives an effective data bandwidth of 14.4GB/sec (8GB/sec x1 HyperTransport link + 6.4GB/sec memory bandwidth). X2 has 64KB of L1 instruction and 64KB of L1 data cache, just like Athlon 64.
The second core raises the transistor count to 233.2 million, but thanks to the 90nm fabrication process the die size is only 199 square millimetres. Compare that to the 130nm SOI Athlon 64 4000+ and Athlon 64 FX-55 which have cores that use 105.9 million transistors but which have an area of 193 square mm and you'll see what an effective die shrink can bring to the party.
The Athlon 64 X2 4800+ has a nominal operating voltage of 1.35-1.40V and a TDP (Thermal Design Power) of 110W which compares very favourably to the FX-55 at 104W and the 4000+ at 89W.
Add in support for SSE3 and a revised memory controller to help compatibility with a broader range of memory modules and what you've effectively got is a pair of the new Venice cores tied together with the dual Opteron crossbar.
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Canonical Releases Snapcraft 2.12 Snaps Creator with New Parts Ecosystem, More
Today, June 29, 2016, Canonical has had the great pleasure of announcing the release of the highly anticipated Snapcraft 2.12 Snappy creator tool for the Ubuntu Linux operating system.
AMDGPU-PRO Driver 16.30 Officially Released with Support for Ubuntu 16.04 LTS
Today, June 29, 2016, AMD released the final version of the AMDGPU-Pro 16.30 graphics driver for GNU/Linux operating systems, bringing support for new technologies like the Vulkan API.
Red Hat News
Peppermint 7 Released
Peppermint 7 launched a few days ago. Peppermint is a lightweight Ubuntu-based Linux distribution with an emphasis on speed and simplicity. Although the name is similar to Linux Mint, the projects aren't directly related. Peppermint originally was envisioned as a "spicier" alternative to Mint—whatever that means! Many distros come with a wide assortment of feature-rich applications, and that's great for power users who need those apps. But older machines can struggle to cope with those demanding distros. Peppermint solves the problem by offering a carefully curated suite of web apps that perform tasks traditionally handled by native apps. It's an approach that will be familiar to any Chromebook users reading this article.


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CBSE to offer legal studies as elective for Class XI and XII
New Delhi: Central Board of Secondary Education has decided to offer legal studies as an elective subject from the coming academic session for students of class XI and XII.
The Board has written a letter in this regard to schools asking them to submit their expression of interest, officials said.
According to the letter, the subject is being offered as a pilot course on first-come-first-serve basis to around 20 schools in class XI from the academic session 2013-2014.
"It can be offered as an elective subject with any combination of three other electives and a language," the letter said.
The aim is to provide exposure on various systems of law such as common law, civil law, Hindu law, Islamic law, among others, and to help students form an understanding of rights, duties and various categories of liability principles which form the bedrock for an understanding of law.
The move, which would prove a boon for legal aspirants, comes against the backdrop of UGC also deciding to introduce a one-year LLM programme in universities from academic year 2013-14.
According to CBSE, legal studies will comprise units such as historical evolution of Indian legal system, civil and criminal courts and processes, theory and nature of political institutions, nature and sources of law, family justice system, arbitration and tribunal adjudication.
It will also include human rights in India, international context and legal profession in India.
The proposal is to introduce one module in Class XI and a second module in Class XII.
CBSE hopes the subject will also help aspiring lawyers develop and understand the essential features of the Indian Constitution, including the role and importance of fundamental rights.
It will also provide exposure to structure and operation of courts, concept of precedent in judicial functioning, the process of legislation and basic principles of statutory interpretation.
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Flash Furniture AM93204171GG
AM-9320-4171-GG Contemporary Top Hat Chocolate Microfiber Rocker Recliner
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- Width: 35"
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Consists of the following 2 items
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This plush rocking recliner provides excellent comfort. Reclining furniture offers the best in relaxation for you to kick up your feet to watch TV, work on a laptop, or to just hang out with family and friends. With a quick pull on the lever you can situate yourself in a comfortable position. Recliners provide good neck and lumbar support, making them the most popular seating choice for everyday use. If you're on the market for a plush Rocker Recliner, you cannot go wrong with this very attractive contemporary piece. [AM-9320-4171-GG]Available at AppliancesConnection
- Contemporary Design
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Comments about 'Senators reach agreement on immigration reform'
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Tom... you do realize that if every nice person in the world that had a good
work ethic and you were able to find something likable about, were to just come
here unregulated by law, we would have more people living here than in China...
in the billions. Yes, we are still the envy of most of the world, which is why
so many people still try to sneak in here illegally. But without laws and
immigration controls (even for nice, likable people), we would now be living in
horrible, overcrowded conditions... a situation that even people like you would
finally understand needs to be regulated and controlled.
There's a reason that every industrialized country in the world has and maintains their immigration laws. America needs to start maintaining hers better, regardless of how nice and likable the law-breakers are.
- 3:18 p.m. Jan. 28, 2013
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Weird, their agreement is even more liberal than I am on the issue. Been a long time since I've thought that about a bipartisan agreement.
- 3:39 p.m. Jan. 28, 2013
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Try teaching a child honesty, and then try teaching him about illegal
The open border movement is destroying this country at the core.
- 4:46 p.m. Jan. 28, 2013
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And Congress becomes more useless than ever. Vote them all out and start over. We couldn't be any worse off than we are now.
- 5:29 p.m. Jan. 28, 2013
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Amnesty by any other name.......
All this Congress can do is kick the can down the road. FIRE THEM ALL.
- 8:44 a.m. Jan. 29, 2013
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Chris Fowler net worth and salary: Chris Fowler is an American sports broadcaster who has a net worth of $4 million dollars. Chris Fowler was born in Denver, Colorado, and went on to graduate from the University of Colorado with a degree in Radio/Television News in 1985. While a student at the University of Colorado, he produced and co-hosted a weekly news program, and provided high school sports coverage for the Rocky Mountain News. He then went on to work for KCNC-TV in Denver as a production assistant, producer, writer, and sports reporter. He began working for ESPN's "Scholastic Sports America" in 1986 as a host and reporter. He then became a sideline reporter for college football. His exclusive interview with imprisoned former college football star, Charles Thompson, is considered legendary. Since then, he has served as in-studio host for "College GameDay", men's college basketball coverage on ESPN, coverage of the X-Games, the Breeders Cup, all major tennis tournaments, and "SportsCentury".
Chris Fowler Net Worth
Chris Fowler
Sports commentator
Date of Birth
Aug 23, 1962 (53 years old)
Sports commentator, Announcer, Television producer
United States of America
Christopher Fowler
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Solon Jobs
Looking for jobs in Solon? Snagajob has great opportunities with the area's leading companies. And applying for Solon jobs has never been easier. Look at the job listings below, click on a job title that interests you and hit the "apply now" button. Part-time jobs, teen jobs, student jobs and summer jobs are now just a click away. Start your job search now.
Solon, OH Job Openings
Bed Bath & Beyond6025 Kruse Drive
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Man held with deer skin worth Rs3.5 lakhThe arrested person has been identified as Mohammad Nohimuddin Basid, a resident of Kamathipura in Nagpada. DNA, 6 days ago
14 images for nagpada
Mumbai police to visit Varanasi for missing boy
About a week after two of three missing minor children from Nagpada were traced to Varanasi, the Mumbai police is getting ready to send a team to look for the last missing child, a four-year-old boy. The Nagpada police, which is investigating the case, will ...Asian Age, 1 month ago Gang of 4 involved in Nagpada kidnapping case, says victim's parents DNA, 1 month ago Kidnapped kids traced to Varanasi Times of India, 2 months ago 2 Nagpada minors traced to Varanasi, one still missing Mumbai Mirror, 2 months ago
Cops give up search for boy
Gulfam Rasul The hunt for the four-year-old boy who had gone missing from Nagpada has come to a standstill. A team of four officers from the Nagpada police that was sent to Varanasi in Uttar Pradesh on May 10 has returned to the city empty-handed. The team ...Asian Age, 1 month ago Mumbai: Missing girls from Nagpada found in Varanasi, boy still missing DNA, 1 month ago 2 Mumbai girls found in Varanasi, brother still missing Press Trust of India, 1 month ago Nagpada kidnapping: 2 Mumbai girls found in Varanasi, brother still missing Mid Day, 1 month ago
Nagpada doctor sounds alarm on risks to heart
Mumbai: Over the years, the age of patients suffering from cardiac ailments has dropped drastically enough to warrant concern. Experts say that exposure to continuous loud noise can precipitate heart ailments, endangering lives. Cardiologist Dr ...Times of India, 2 weeks ago
Cops rescue 8 kids from bag manufacturing firm, eatery
In two separate incidents, eight children were rescued from a bag manufacturing firm and a restaurant in Madanpura in Nagpada. The police has also arrested five people including owners and managers of the establishments. The Juvenile Aid Protection Unit ...Asian Age, 3 weeks ago
Kamathipura bldg collapse: Cops recording statements of contractors, authorities...
The Nagpada police on Sunday said they are in the process of determining if negligence led to the collapse of Gulmohar building in Kamathipura on Saturday, which claimed six lives, and have started recording statements of the contractor as well as ...Hindustan Times, 1 month ago Cops initiate inquiry into building collapse at Mumbai's Kamathipura DNA India, 1 month ago Cops book contractor who oversaw renovation work Asian Age, 1 month ago
Gujarat engineer commits suicide at Nagpada guest house
The body of the engineer was discovered by the guest house staff on Wednesday.DNA, 1 month ago One commits suicide in lodge The Freepress Journal, 1 month ago PTI - SUICIDE - Man, hailing from Gujarat, hangs himself at guest-house Namibia Press Agency, 1 month ago Man, hailing from Gujarat, hangs himself at south Mumbai guest-house Mid Day, 1 month ago
Police record statements of 8 in Nagpada car crash case
The article below represents a preview only and is not meant for reuse or republishing. Mumbai, April 23 -- The Nagpada police have recorded the statements of around eight individuals, which include that of the watchman and other employees of the ...HT Syndication, 2 months ago Police recording statements of contractors, authorities concerned HT Syndication, 1 month ago 25 police stations in city to have CCTV cameras by end of this month DNA India, 2 months ago
Nagpada accident: Minor was driving the car- Police
"We have came to know that minor Hafiz Patel (14) was driving the car. When the incident took place, he was trying his luck at the wheels for the second time," said Shivaji Kadam, senior police inspector of Nagpada police station.DNA, 2 months ago Ignorance by parents of 14-year-old led to accident: Driver's mother DNA India, 2 months ago Crashed car pulled out of elevator shaft Times of India, 2 months ago In Pics: CCTV footage shows car falling into elevator in Mumbai Hindustan Times, 2 months ago
Teen, driver dead as vehicle falls into lift shaft
A driving lesson in a parking lot of a residential building in Nagpada went awry when the auto crashed through the elevator door and hurtled down the shaft killing both people inside the vehicle on Wednesday afternoon. A case of accidental death ...Equilibrio Informativo, 2 months ago 14-year-old, his tutor dead as driving lesson turns fatal Hindustan Times, 2 months ago 14-year old, tutor dead as driving lesson turns fatal in Mumbai Hindustan Times, 2 months ago 14-yr-old, tutor dead as driving lesson goes awry HT Syndication, 2 months ago
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Microsoft Office PerformancePoint Server Jobs
Jobs 1 to 3 of 3
Experienced BI Developer - £450+ - 6 month
SQL Server 2008/2012/2014. ETL frameworks. ETL design and development, preferable within SSIS... Front-end reporting including SSRS, Power BI and SharePoint/PerformancePoint. Kimball dimensional modelling and DW methodology. Experience of .Net within SQL Server, Analysis Services and Integration Services (VB.net/C#) They are offering a daily rate...
Reading -
Vivid Resourcing
Posted: 4 days ago
BI Developer - SAS & SQL
Our client, a banking group is seeking an experienced BI Developer - SAS & SQL to join the team based in the London. Main duties and purpose of the role: Demonstrate the ability to migrate SAS reporting into a SQL data warehouse on an MS platform. Design, build and manage dimensionally-modelled...
Berkshire -
McGregor Boyall
Salary: £40000 - £60000 per annumPosted: 22 hours ago
BI Developer - Central London - £43,000 per annum + Benefits
Keywords: BI Developer, Business Intelligence, Data Warehousing, Microsoft, Dimensional Models, Data, Governance, Modelling, NoSQL, Relational, Unstructured, SSAS, SSRS, SSIS, Agile, Azure, Cortana, DAX, MDX, Hadoop, PerformancePoint, Objects, Tableau, R Language, Multidimensional, Kimball, Design, Architecting, SQL Server 2012, ETL, Migration... Experience skills with SQL Server 2012... Experience on Microsoft Azure. PerformancePoint.....
London -
Salary: £45000 per annum + BenefitsPosted: Yesterday
PerformancePoint Jobs


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Reddy: BJP will win 2018 poll, BSY will be CM againKoppal: Charged with illegal mining and now out on bail, former minister, Gali Janardhan Reddy, who is reportedly hoping for a second innings in the BJP, was on Monday all praise for its state president, B.S. Yeddyurappa, asserting that he would ... Deccan Chronicle, 4 weeks ago
Gali Janardhan Reddy seeks political revival, return to Ballari - Deccan Chronicle, 1 month ago
3 images for "gali reddy"
Revenge road to terror and back: Govt scripts new doctrine for radicalised youth
, thirteen young men assembled at House No 78, Gali No 5 in Chand Bagh, North Delhi. It was their first meeting. Their agenda for the day: to read, rage and seek revenge for the atrocities against Muslims in India and around the world. The house ...Hindustan Times, 2 weeks ago
TDP blames Jagan for Kapu unrest
TDP's Chittoor district president and MLC G. Srinivasulu on Saturday, flayed YSR Congress president Y.S. Jaganmohan Reddy for the current unrest in the State and alleged his involvement in the Kapu stir led by Mudragada Padmanabham. Mr.The Hindu, 2 weeks ago
Did CBI undermine Janardhana Reddy, the man of steal?
Sometime in 2009, the corridors of the Suvarna Vidhana Soudha were in a flutter. Journalists and legislators were milling around, talking in hushed tones of a startling claim that Gali Janardhana Reddy, then tourism minister and the mining lord of ...Times of India, 1 month ago
ICIJ leaks throw more light on Reddy's tax haven investments
The offshore leaks documents by the International Consortium of Investigative Journalists (ICIJ) has thrown more light on former minister Gali Janardhana Reddy's investments in tax havens. While the Central Bureau of Investigation (CBI) is in ...Deccan Herald, 1 month ago
Stolen goods recovered, one arrested
The Commissioner's Task Force (West) team on Saturday caught a notorious burglar Galanki Ram Babu (30) alias Gali Ram, who was involved in several house burglaries and vehicle-lifting cases. The police recovered a Swift Dzire, one Fiat Punto and ...The Hindu, 2 months ago
Society has to put pressure on government
Hyderabad: Referring to two big politicians from South, Mr Thakurta said that due to Y.S. Jagan Mohan Reddy in Andhra Pradesh and Gali Janardhan Reddy in Karnataka, their respective political parties benefitted. What we have today is not even ...Deccan Chronicle, 2 months ago
Mafia planted bomb in SC lawyer's house?
Vijayawada Police in Andhra Pradesh have launched an investigation into an improvised explosive device (IED) found at a primary healthcare centre (PHC) in Machilipatnam in Krishna district on Saturday night. The IED is suspected to be the handiwork ...MSN News US, 1 week ago Mining mafia's hand suspected in bomb planted in Supreme Court lawyer's house New Indian Express, 1 week ago
Lawyer Vikas Bansode had Z plus security
Hyderabad: After the Machilipatnam incident in which an IED was found outside the compound wall of his house, Vikas Bansode, an SC lawyer with high level political connections, is back in the news. He was given Z plus security in Karnataka (Only ...Deccan Chronicle, 1 week ago
Tempers fly as convoy cripples traffic
BENGALURU: Bengalureans had a taste of Jam Bhagya, as one motorist put it, on Tuesday morning, when Chief Minister Siddaramaiah went on his city rounds, with a convoy of 28 vehicles. His yatra causing traffic jams left hundreds of motorists angry ...New Indian Express, 2 weeks ago
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Saskatoon & Area Trip Planner
Welcome to Saskatoon & Area!
The city of Saskatoon, the largest in Saskatchewan, claims to enjoy more hours of sunshine than any other city in Canada. Saskatoon has more than 300 acres of river bank parklands and is home to the University of Saskatchewan - renowned for its five health science colleges. While in Saskatoon, be sure to take in the Western Development Museum, Wanuskewin Heritage Park, and the Forestry Farm Park and Saskatoon Zoo. For rail enthusiasts, the Saskatchewan Railway Museum in Saskatoon features six acres of exhibits and displays that relate the history of Saskatchewan's trains. The arts are well represented at the Mendel Art Gallery, home to permanent and rotating exhibits in a complex that overlooks the Saskatchewan River. Dining and shopping are also abundant in Saskatoon, with everything from nightclubs and family restaurants to malls and independent shops available. Opportunities for enjoying the outdoors can be found in the Saskatoon area as well, either through guided trips or individually planned itineraries.
Tourist Attractions
The campus here is considered one of the most beautiful on the continent.
Location: Saskatoon, Saskatchewan
Hotels & Motels
The Holiday Inn Express Hotel & Suites is an award-winning property that is smoke-free and adjacent to downtown Saskatoon.
Location: Saskatoon, Saskatchewan
Current & Upcoming Events [ View All ]
Looking for something to do in Saskatoon & Area? Check out these current and upcoming events. If you know of an event that is not listed in the travel guide, please feel free to add an event listing (it's free).
- Shakespeare on the Saskatchewan Festival
Jul 06 to Aug 21 » Saskatoon
- Richard St. Barbe Baker Afforestation Area Clean Up
Jul 09 » Richard St. Barb Baker Afforestation Area
- Pets in the Park
Jul 10 » Kiwanis Memorial Park
- A Taste of Saskatchewan
Jul 12 to Jul 17 » Kiwanis Memorial Park
- Aidez nous a Aider
Jul 20 » Broadway Theatre
- Saskatoon Dragon Boat Festival
Jul 21 to Jul 22 » Rotary Park
- Saskatoon Fringe Theatre Festival
Jul 28 to Aug 06 » Saskatoon
- Regina Folk Festival
Aug 05 to Aug 07 » Victoria Park
- Saskatoon Exhibition
Aug 09 to Aug 14 » Prairieland Exhibition Park
- John Arcand Fiddle Fest
Aug 11 to Aug 14 » Saskatoon
- Saskatoon Folkfest
Aug 18 to Aug 20 » Saskatoon


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Lyrics Depot is your source of lyrics to Never Coming Down, Pt. 1 by Spacehog. Please check back for more Spacehog lyrics.
Never Coming Down, Pt. 1 Lyrics
Artist: Spacehog
Album: Resident Alien
(Royston Langdon)
We are never coming down
I got up, I can't get down
It's like when you get to
The start of the day
The start of the day go run run away
We're still never coming down
the hair of a dog in the face of a clown
Like when you get to the start of a day
The start of a day go run run away
Spacehog Lyrics
Spacehog Resident Alien Lyrics
More Spacehog Music Lyrics:
Spacehog - And It Is Lyrics
Spacehog - Beautiful Girl Lyrics
Spacehog - Cruel to Be Kind Lyrics
Spacehog - Earthquake Lyrics
Spacehog - Lucy's Shoe Lyrics
Spacehog - Mungo City Lyrics
Spacehog - Only A Few Lyrics
Spacehog - Shipwrecked Lyrics


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Anthony is from Latin origin, Clan name of the Romans, possibly meaning 'beyond price, invaluable, praiseworthy, flourishing'.
Mark Anthony , the general who ruled the Roman Empire jointly with Augustus for a short time. When their relationship turned sour, he and his mistress Cleopatra were attacked and forced to commit sucide. Shakespeare's tragedy 'Anthony and Cleopatra' is based on them.
According to legend, the 3rd century hermit Saint Anthony lived alone in the wilderness for over 80 of his hundred-some years.
In Christianity, Saint Anthony the Great is the founder of Christian monasticism, and is invoked against skin complaints.
Anthony Mason-basketbal player; Marc Anthony- singer; Anthony Hopkins-actor; Anthony LaPaglia, Anthoney Michael Hall-actor; Photographer-Antony Armstrong-Jones, Earl of Snowdon; Composer-Anton Bruckner, Playwright-Anton Chekov; Anthony Braxton is an American composer, saxophonist, clarinetist, flautist, pianist, and philosopher.
From Greek origin its meaning is 'flourishing or highly praiseworthy' from a Roman Clan name in the 17th century, the spelling Anthony was associated with the Greek anthos meaning flower.
Anthony also a name in Basque, its meaning is 'he adds or priceless'.
Anthony is from the Roman family name Antonius. Commonly shortened to Tony in the English speaking world, Anthony is one of the most common male names in the U.S., Canada, Great Britain, and Australia. Saint Anthony the Great was the father of Christian
Name is derived from the Latin Antonius, which means "Priceless" and "of inestimable worth" .
is a former Major League Baseball pitcher. He pitched in 11 games (starting all 11) for the Texas Rangers in 2003, winning 1 and losing 5.Mounce was originally selected by the Houston Astros in the 7th round of the 1994 Major League Baseball Draft. Over the next five seasons, he worked his way up to the Astros' farm system as a starting pitcher. In 1999, after having been converted into a relief pitcher, he made it to their Class AAA team, the New Orleans Zephyrs. He pitched 14 games (11 innings) with a 2.45 ERA, but was released by the Astros at the end of spring training, 2000.
was an English first-class cricketer. He made 85 appearances for Nottinghamshire between August 1900 and June 1905, scoring 1722 runs and taking 82 wickets. He died just two years after making his last first-class appearance, at the age of 31. He made his best score, 89, against Derbyshire while his best bowling, 6 for 72, came against Leicestershire. His brother, Henry Anthony and uncle Alfred Anthony also played for Nottinghamshire, with rather less distinction.
Andy, Antal, Anthone, Anthoney, Anntoin, Antin, Antoine, Anton, Antone, Antonello, AntoneyAntal, Anthone, Anthoney, Anntoin, Antoine
Anthony also appears in following countries/origins/languages: American, Latin, African, Australian, Chinese
Baby boy name meaning Inestimable in Italian. Anthony also named in American, Latin, African, Australian, Chinese for boy . We have received lots of suggestion from our website users on baby names. We are thankful for all the contribution on meaning of boy name Anthony. What does the name Anthony mean in other origin if you know then please suggest. Further suggestion or detail on what is the meaning of name Anthony. History of name and famous personality with Anthony will help to update our database and other website users.
is an African American writer of Hip hop[Literature] who began his writing career while still working for The New York City Administration for Children's Services [1]. He began writing seriously when he became a member of The Tuesday Night Writers' Workshop ran by Professor Sue Shapiro of the NYU School of Continuing Education [2], and within a year his first novel was published. Whyte grew up in
is a semi-retired American professional wrestler best known as Dirty White Boy, who wrestled primarily for independent promotions in the Southeastern United States.He was active throughout the 1980s and 1990s in the Tennessee-based United States Wrestling
List of Italian baby names, Italian babies names, Italian baby names and meanings has been compiled from various resources. Please use this up to date list of Italian name as a reference to name your kid/child. This vast database of Italian names has been compiled from various references and suggestions provided by our web site users and resources partners. This information is developed to primarily serve as a reference. We are unable to respond on request for personalized assistance at the moment. Thank you for your support. Largest list of Italian baby names with meanings, numerology, popularity and comments.


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Get the Latics newsletter
09:45 5th September 2013
by Latics Staff
Semi-professional and grass roots football takes centre stage this weekend.
Burn 'hooked' straight away by Latics.
23 hours 44 mins ago
Date, kick off time and ticket details confirmed for EFL Cup round....
1 day ago
Get to know our latest addition, Dan Burn.
1 day ago
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Available Width: B=Medium
How It Fits (based on width B)


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Surfer, Pen and Ink
Credit: DAJ
Creative #: 79330250
License type: Royalty-freeRoyalty-free pricing is based solely on the size of the product you need, not the specific use. You don't have to pay any additional royalties on a use-by-use basis. Once you license a royalty-free product, you may use it multiple times for multiple projects without paying additional fees. (Pornographic, defamatory, libelous or otherwise unlawful use of any image is, of course, prohibited.)
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Surfer Pen And Ink Vector ArtAdult,Adults Only,Black And White,Brushing Hair,Brushing Teeth,Drawing - Art Product,Front View,Full Length,Hairbrush,Illustration,Illustration Technique,One Person,Outdoors,Painting,Pen And Ink,People,Playing,Sea,Single Object,Sport,Surfboard,Surfing,Vector,Vertical,Water,Wave,White BackgroundPhotographer DAJCollection: amana images


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Genuine Clarice Cliff Fantastique Brightly Coloured Bowl - Rare
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Genuine Clarice Cliff Fantastique Brightly Coloured Bowl - Rare:
Click Here. Double your traffic. Get Vendio Gallery - Now FREE! This is a very beautiful old clarice cliff bowl from the fantastique range, nice design with bright colours. it measures about 8cm high, 18.5cm across the top. there is a fine hairline visible on the basewhich ive looked at carefully under torch light and it appears to go up the side and i believe some of the decoration has been painted over to cover the crack, also some paint loss, but still a very decorative and rare example. it came with some more clarice and moorcroft etc which im also listing.
DUE TO THE LARGE NUMBER OF NON PAYING buyers - ALL MY sales HAVE BUYER REQUIREMENTS - SO IF YOU HAVE ANY OF THE FOLLOWING YOU WILL NEED TO CONTACT ME SO I CAN ALLOW YOU TO offer - ANYONE WHO offerS AND THEN RETRACTS offerS DAYS AFTER WILL BE BLOCKED FROM FUTURE sales - ALSO NON PAYING buyers WILL BE REPORTED AND BLOCKED - BUYER REQUIREMENTS I HAVE SET ARE BELOW - SO IF YOU HAVE ANY OF THE FOLLOWING YOU NEED TO CONTACT ME SO I CAN ADD YOU TO LIST OF CONFIRMED buyers.
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Silent Hill movie... Your thoughts?
Tom Pen Member Join Date: June 2004 Location: United States Posts: 142
Looks awesome. Only movie I'm lookin forward to this year. Chris Gans and Roger Avery? Cant beat that
So glad Uwe Boll didn't pick up the rights to this movie.
I heard he wants to do a Metal Gear Solid movie though.
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Product Information for Canon PIXMA iX7000 Photo Printer
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Today's Featured Artist: Michael Godard
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Leonard Knight is a photograph by Hugh Smith which was uploaded on May 7th, 2013.
Leonard Knight built Salvation Mountain in Niland, California on the Salton Sea. He is a character. Salvation Mountain is almost a Disneyland of... more
Buy the Original Photograph
12.000 x 18.000 inches
This original photograph is currently for sale. At the present time, originals are not offered for sale through the Fine Art America secure checkout system. Please contact the artist directly to inquire about purchasing this original.
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Leonard Knight
Hugh Smith
Photograph - Archival Print
Leonard Knight built Salvation Mountain in Niland, California on the Salton Sea. He is a character. Salvation Mountain is almost a Disneyland of Southern California and is considred as a National Monument in California. Since Leonard is in a nursing home as of this writing, it's future is questionable.
May 7th, 2013
Viewed 64 Times - Last Visitor from Warrington, P2 - United Kingdom on 06/21/2016 at 10:43 PM
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Comments (2)
Patricia: Leonard passed away about 6 or 8 months ago in the convalescent home he was at in Niland.
Leonard died? When?
Beverly Hills, CA (United States)
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Fiat Chrysler rollaway recall linked to 68 injuries, 266 crashes
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Terms of VW's $15 billion in settlements for cheating scandal announced by U.S.
Volkswagen's decision to cheat on the 2.0-liter diesel vehicles it made the cornerstone of its U.S. vehicle lineup will cost the company nearly $15 billion in far-reaching settlements with purchasers of those cars and the U.S. government.
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Lady luck has been kind to Ken Phillips, the country's top Kia dealer by volume. Now he hopes that trend continues with the opening of his
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- Tickets >
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Hotel LaMorosa, Rimini (province)
- Free breakfast and free WiFi
Main amenities
- 36 smoke-free guestrooms
- On a private beach
- Restaurant
- Free use of bicycles
- Beach umbrellas
- Self parking
- Airport shuttle
- Childcare
- Terrace
- 24-hour front desk
- Coffee/tea in common area
- Air conditioning
What's around
- In Viserba
- Italy in Miniature (2 mi / 3.3 km)
- Tiberius Bridge (2.1 mi / 3.4 km)
- Piazza Cavour (2.4 mi / 3.8 km)
- Castel Sismondo (2.5 mi / 4 km)
- Antica Pescheria (2.5 mi / 4 km)
For families
- Babysitting or childcare
- Babysitting or childcare (surcharge)
- Private bathroom
- Terrace
- Daily housekeeping
- Laundry facilities
Hotel LaMorosa, Rimini (province)
Hotel Info: 866-539-8117from $50
- Standard Double Room
- Standard Single Room
- Double Room Single Use
- Double Room, Balcony, Sea View
- Superior Double Room, Terrace, Sea Facing
- Superior Triple Room
- Triple Room, Balcony, Sea View
- Quadruple Room
- Double Standard
- Superior Single Room
- Quadruple Room, Balcony, Sea View
- Junior Suite
- Suite, 2 Bedrooms
- Triple Superior
- Double Room
- Superior Double Room
- Triple Room
- Double Room, Sea View (Lateral)
- Economy Single Room
- Triple Room
Also popular with travelers from the USA
At a glance
Key facts
Hotel size
- This hotel has 36 rooms
- This hotel is arranged over 4 floors
- Check-in time 1 PM-5:30 AM
- Check-out time is 10 AM
- Express check-in/out
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
Travelling with others
- Children (2 years old and younger) stay free when occupying the parent or guardian's room, using existing bedding
- No cribs (infant beds)
- Babysitting/childcare *
- Pets not allowed
- Free WiFi and wired Internet access in public areas
- Free WiFi and wired Internet access in rooms
- Airport shuttle (available on request) *
- Self parking *
- Area shuttle *
Other information
- Smoke-free property
Nearby Three Star Rimini (province) hotels
In the hotel
- Free breakfast
- Restaurant
- Coffee shop/café
- Room service (during limited hours)
- Coffee/tea in common area
- On private beach
- Beach cabanas (surcharge)
- Use of nearby fitness center (discount)
- Free bicycles on site
- Beach sun loungers
- Beach umbrellas
- Beach towels
- Conference space size (feet) - 269
- Conference space size (meters) - 25
- One meeting room
- 24-hour front desk
- Concierge services
- Dry cleaning/laundry service
- Laundry facilities
- Free newspapers in lobby
- Luggage storage
- Elevator/lift
- Safe-deposit box at front desk
- Terrace
- Library
- Television in common areas
- Accessible bathroom
- In-room accessibility
- Roll-in shower
In the room
- Air conditioning
- Minibar
- Soundproofed rooms
- Individually decorated
- Private bathroom
- Shower only
- Bidet
- Hair dryer
- Satellite TV channels
- Free WiFi
- Daily housekeeping
- In-room safe
Top Rimini (province) hotels
Recently reviewed hotels in Rimini (province)
- Villa Cattani StuartFrom
"We loved Cattani! Beautiful and well done - grounds are wonderful. Hotel rooms first class."Jun 12, 2016
- Hotel TitanoFrom
"If you are driving a car, they will come with a cart to pick up your luggage and there is underground parking for a fee. You will have to park somewhere, then walk to the hotel to…"Jun 10, 2016
- Hotel Imperial BeachFrom
"The air conditioner did not work, reported to front desk and no one came to fix, room was stuffy and warm the entire stay."Jun 9, 2016
- Garden Village San MarinoFrom
"The hotel accommodations are nice chalets with cooking facilities. Parking next to the chalets. The restaurant in the complex was good. However, there was no breakfast. There is a…"May 22, 2016
Nearby hotels
Hotel LaMorosa, Rimini (province)'s small print
Also known as
- Hotel LaMorosa
- Hotel LaMorosa Rimini
- LaMorosa
- LaMorosa Rimini
- Hotel LaMorosa Rimini/Viserba, Italy
- Lamorosa Hotel Rimini
Cash transactions at this property cannot exceed EUR 2999.99, due to national regulations. For further details, please contact the property using information in the booking confirmation.
Mandatory fees
You'll be asked to pay the following charges at check in or check out:
- A tax is imposed by the city: EUR 1.50 per person, per night, up to 7 nights. This tax does not apply to children under 14 years of age.
Optional extras
Self parking costs EUR 5 per night
Rollaway beds are available for an additional charge
Cribs/Infant beds are available for an extra charge
Babysitting/childcare is available for an extra charge
Airport shuttle service is offered for an extra charge of EUR 50 per vehicle (one way)
Area shuttle service is offered for an extra charge
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.
Recent reviews
Excellent 4.5 /5 from 54 reviews
This is a great little hotel with really nice people for a great value. That value had me out the back, but I'll wager the front is a beautiful view. I'd stay here again.
Ideal situation for Rimini Fair. Room quite small, some wears and tears but minor. Bed very comfortable. Breakfast just soso, for a small hotel, it should have been better or more personalized since no big crowd, despite professional trade show going on. Reception service however above and beyond - congratulations for this.
Very friendly staff. room are pretty standard but clean and well maintained. Comfy bed and quiet area on seaside. Good quality/price hotel.
Is the description of this hotel not correct? Tell us


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2 words found.
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Some random words: juba ikat nut bepaint tmeses aclinic klatch
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Widowed senior citizen's wedding ring stolen as she shovels snow
CTV Toronto
Published Wednesday, January 15, 2014 8:41PM EST
Toronto Police say "distraction thefts" are on the rise after a senior citizen was robbed of her wedding ring near her home.
Grace Thornton was shovelling the driveway of her home in Scarborough when a woman approached her. Thornton said the stranger seemed very friendly and offered her hugs, kisses and a free gift.
"She had a necklace in her hand. She put it around my neck and kept saying 'happy, happy,'" Thornton told CTV Toronto.
Minutes later, the woman got in a van and drove away and that's when Thornton noticed her jewellery was missing.
"I put my hands up and said my necklace is gone… my wedding ring is gone," Thornton said.
The stolen necklace was a gift from Thornton's late husband Howard, whom she was married to for more than 40 years.
"With the ring and the necklace on, my husband is always with me. And now that's gone," Thornton tearfully said.
Thornton's daughter, sitting beside her during the interview, said the necklace was the last thing her dad bought her mother.
Toronto Police warn the distraction theft technique is commonly used on seniors. The scam involves hugs or handshakes, a gift of fake jewellery, and often occurs in public.
Det. Wes Neal suggests seniors protect their personal space.
"You don't want anyone coming close to you. Speak clearly to them and tell them to leave you alone," Det. Neal said.
Police suspect an organized crime group is behind the rash of jewellery thefts involving seniors.
With a report from CTV Toronto's Pat Foran
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- NHL draft: Leafs pick Matthews, Jets get Laine, Oilers choose Puljujarvi


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Logitech Unveils the G602 Wireless Gaming Mouse, New Mousepads
Today Logitech introduced a mouse that redefines the boundaries of wireless gaming. The Logitech G602 Wireless Gaming Mouse combines 250 hours of non-stop lag-free wireless game play with the precision of Logitech G's exclusive Delta Zero sensor technology to help players dominate boss after boss.
And, to ensure players have the best-possible surface for their particular style of game play, Logitech has also created two new mouse pads, the Logitech G440 Hard Gaming Mouse Pad and the Logitech G240 Cloth Gaming Mouse Pad. These new mouse pads deliver optimized surfaces for both high- and low-DPI game play, respectively.
"When I play, I don't want to think about anything other than my game and what my next move will be. When you look at the wireless gaming mice out there though, their primary flaw is the uncertainty of having to interrupt your game to replace batteries. Not anymore," said Ehtisham Rabbani, general manager of the Logitech gaming business group. "We set an outrageous goal, and we hit it. Doubling, tripling or even quadrupling the battery life of ordinary wireless gaming mice wasn't enough. We wanted to bring gamers an innovation that would change the face of wireless gaming forever. With 250 hours of battery life, the G602 does exactly that. It's time for gamers to get real science behind them so something as fundamental as a battery doesn't get in the way of winning."
As the newest mouse in the Logitech G lineup, the Logitech G602 Wireless Gaming Mouse sets a new standard in wireless gaming. Without cords, clutter, or interference, the mouse's lag-free wireless connection and unprecedented battery life allow better, uninterrupted game play. Featuring two modes, Performance and Endurance, the G602 Wireless Gaming mouse delivers 250 hours of non-stop battery life when in full gaming mode - Performance mode - and more than 1400 hours of use in non-gaming mode - or Endurance mode. The mouse features Logitech G exclusive Delta Zero sensor technology that offers high-accuracy cursor control. Plus, it has an ultra durable build with primary mechanical switches rated to a 20 million-click lifespan. And, because it features eleven programmable controls, you can easily master your favorite games by assigning the actions you use most to the buttons you want, using the Logitech Gaming Software. The Logitech G602 Wireless Gaming Mouse is expected to be available for a suggested retail price of $79.99.
And because a game-changing mouse deserves the best possible surface to track on, Logitech G has added two new mouse pads to the lineup that are tested and proven to provide the optimal surface for your Logitech G mouse.
The Logitech G440 Hard Gaming Mouse Pad is ideal for high-DPI gaming, letting you feel the adrenaline of hitting high speeds without spinning out of control. It features a low-friction, fine-textured polypropylene surface that's kept rigid by a high-impact polymer core, giving you consistent tracking performance across the entire pad. This mouse pad was specially crafted to complement Logitech G mouse sensors to further improve their already pinpoint accuracy, enhancing your aim. And, a 3 mm, 3-layer construction keeps it in place during high-intensity gaming. The Logitech G440 Hard Gaming Mouse Pad is expected to be available for a suggested retail price of $29.99.
The Logitech G240 Cloth Gaming Mouse Pad is made for low-DPI gaming. Perfect for gamers who play first-person shooters, its heat-treated textile surface improves gliding consistency by providing just the right amount of friction to make the precise movement and control to elevate your game. The 1 mm rubber base gives the pad rock-solid stability. Like the Logitech G440 Hard Gaming Mouse Pad, this mouse pad was crafted to help you realize the full potential of your Logitech G mouse sensor, no matter which mouse in the lineup you use. The Logitech G240 Cloth Gaming Mouse Pad is expected to be available for a suggested retail price of $19.99.
Each of these products is expected to be available in the U.S. and Europe beginning in September 2013.
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This BBQ promo gift set includes several items to throw a great BBQ party and show off your logo at the same time.
This custom golf kit is the ultimate golfer's event giveaway!
Polyester fleece promotional blanket with foam lining and water resistant PVC backing.
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This custom fleece blanket with a unique laser etching is the perfect gift for your clients!
This soft and luxurious custom blanket can be embroidered with your logo for a great promotion.
With a stock Sandals design, this Velour Promotional Beach Towel is perfect for company picnics and summer give-aways!
Polar fleece promotional blanket with 210D polyester backing that converts easily from stadium cushion to blanket.
Perfect promotional blanket for summer fun on the beach or in the woods.
A four-piece stainless steel promotional BBQ set with soft insulated handles that look just like golf grips.
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text:
Free personalized radio that
plays the music you love
Waterways: Waterways
Features of This Tracknew age influences
a prominent rhythm piano part
acoustic sonority
chromatic harmonic structure
extensive vamping
minor key tonality
acoustic rhythm guitars
use of chromatic harmony
an instrumental arrangement
These are just a few of the hundreds of attributes cataloged for this track by the Music Genome Project.show more
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