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Most Cited Complementary Therapies in Clinical Practice Articles
The most cited articles published since 2011, extracted from Scopus.
Yoga clinical research reviewTiffany Field
Volume 17, Issue 1, February 2011, Pages 1-8
In this paper recent research is reviewed on the effects of yoga poses on psychological conditions including anxiety and depression, on pain syndromes, cardiovascular, autoimmune and immune conditions and on pregnancy. Further, the physiological effects of yoga including decreased heartrate and blood pressure and the physical effects including weight loss and increased muscle strength are reviewed. Finally, potential underlying mechanisms are proposed including the stimulation of pressure receptors leading to enhanced vagal activity and reduced cortisol. The reduction in cortisol, in turn, may contribute to positive effects such as enhanced immune function and a lower prematurity rate. © 2010 Elsevier Ltd.
The effects of pomegranate juice consumption on blood pressure and cardiovascular healthCaroline Bell Stowe
Volume 17, Issue 2, May 2011, Pages 113-115
Hypertension (HTN) is the most common disease found in patients in primary care [JNC-7 Guidelines. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hyper 2003; 42:1206.]. It eventually requires medication if lifestyle modifications are not initiated or do not control the blood pressure well enough. The majority of patients would prefer not to have to be medicated to manage their disease, and HTN can be found to be a comorbidity along with diabetes, CAD, and many other cardiovascular diseases. Adverse effects, forgetfulness and patient ignorance are multiple reasons for the hesitancy to begin drug management. Pomegranate juice is rich in tannins, possesses anti-atherosclerotic properties, has anti-aging effects, and potent anti-oxidative characteristics. As some antioxidants have been shown to reduce blood pressure, the purpose of this review was to discover the effect of pomegranate juice consumption on blood pressure and cardiovascular health. Pomegranate juice consumption may reduce systolic blood pressure, inhibits serum ACE activity, and is convincingly a heart-healthy fruit [Aviram M, Dornfeld L. Pomegranate juice consumption inhibits serum angiotensin converting enzyme activity and reduces systolic blood pressure. Athero 2001; 158:195-8.]. More clinical research is needed as a number of the studies discussed include small sample sizes and few studies seem to have been undertaken in the recent 5-10 years. © 2010 Elsevier Ltd.
Use of herbal drugs during pregnancy among 600 Norwegian women in relation to concurrent use of conventional drugs and pregnancy outcomeHedvig Nordeng | Karen Bayne | Gro Cecilie Havnen | Berit Smestad Paulsen
Volume 17, Issue 3, August 2011, Pages 147-151
Purpose: The purpose of this study was to investigate the use of herbal drugs by pregnant women in relation to concurrent use of conventional drugs, delivery, and pregnancy outcome. Method: 600 women at Stavanger University Hospital Norway were interviewed using a structured questionnaire within five days after delivery. Medical birth charts were reviewed with respect to pregnancy outcome. Results: In all, 39.7% of the women reported having used herbal drugs during pregnancy, most commonly ginger, iron-rich herbs, echinacea and cranberry. Although 86.3% of the women reported having used conventional drugs during pregnancy there were few potential interactions between herbal drugs and conventional drugs. There was a significant association between the use of iron-rich herbs during pregnancy and high birthweight, and use of raspberry leaves and caesarean delivery. Conclusion: Use of herbal drugs is common during pregnancy and indicates a need for documentation about their safety in pregnancy. © 2010 Elsevier Ltd.
Increased mindfulness - The active component of the mindfulness-based stress reduction program?Patricia L. Dobkin | Qinyi Zhao
Volume 17, Issue 1, February 2011, Pages 22-27
While there is growing consensus that Mindfulness-Based Stress Reduction (MBSR) is an effective program for patients with a wide range of health problems, little is known with regard to the processes underlying benefits seen following the program. Herein we examined the relationship between increases in mindfulness and improvements in patient outcomes. We sought to determine if there was a relationship between the practice of various types of meditation taught during the program and post-MBSR results. Eighty-three chronic ill patients provided pre- and post-MBSR data. An increase in mindfulness was significantly related to reductions in depressive symptoms, stress, medical symptoms and an increase in overall sense of coherence. However, the relationship between practice and outcomes was less evident. Future research is needed to identify which factors lead to an increase in mindfulness. © 2010 Elsevier Ltd.
Pilates for low back pain: A systematic reviewPaul Posadzki | Pawel Lizis | Magdalena Hagner-Derengowska
Volume 17, Issue 2, May 2011, Pages 85-89
Objective: The aim of this paper is to systematically review all controlled clinical trials of Pilates to treat low back pain. Data sources: A systematic review of nine databases (Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, AMED, PsycINFO, Pedro, Rehadat, Rehab Trials) was conducted and the reference lists of all the papers were checked for further relevant publications until May 2010. Study selection: A first selection was performed by means of title and abstract. A second selection was made by means of predefined inclusion criteria: randomized controlled clinical trials testing Pilates in patients of any age or sex with low back pain. Data extraction: Data relating to changes in body function, quality of life and pain from the included studies were independently extracted by the reviewers on a standardized form. Study quality was assessed using the Oxford scale. Data synthesis: Four eligible randomized controlled clinical trials (n = 4) involving Pilates for the management of low back pain were included. The methodological quality of the RCTs was relatively low, varying from 1-4 on the Oxford scale. All studies were heterogeneous in terms of population of patients, control groups, inclusion and exclusion criteria, and outcome measures making a meta-analysis not feasible. Although there is some evidence supporting the effectiveness of Pilates in the management of low back pain, no definite conclusions can be drawn except that further research is needed with larger samples and using clearer definitions of the standard care and comparable outcome measures. Conclusions: There is a wide diversity in research investigating the clinical and cost-effectiveness of Pilates in patients with low back pain. © 2010.
Tai Chi research reviewTiffany Field
Volume 17, Issue 3, August 2011, Pages 141-146
This review briefly summarizes recent Tai Chi research on physical benefits including balance and muscle strength and psychological benefits including attentiveness, sleep and anxiety. Cardiovascular changes following Tai Chi include decreased heart rate and blood pressure, increased vagal activity and decreased cholesterol. Pain syndromes that have been affected include fibromyalgia, osteoarthritis and rheumatoid arthritis. Autoimmune and immune conditions recently researched and reviewed here include osteoporosis, diabetes and HIV. Methodological problems with this research include the variability in forms (series of postures) used across studies as well as the intensity of the Tai Chi schedule. Further, most of the studies are based on within group changes rather than attention control group comparisons. Nonetheless, significant clinical improvements have been noted. © 2010 Elsevier Ltd.
Changes in the cortisol awakening response (CAR) following participation in Mindfulness-Based Stress Reduction in women who completed treatment for breast cancerRose H. Matousek | Jens C. Pruessner | Patricia L. Dobkin
Volume 17, Issue 2, May 2011, Pages 65-70
Background: Changes in the cortisol awakening response (CAR) were studied in women participating in a Mindfulness-Based Stress Reduction (MBSR) program after completion of their medical treatment for breast cancer. Method: Thirty-three women completed questionnaires pre- and post-MBSR pertaining to: stress, depressive symptomatology, and medical symptoms. The CAR was assessed on 3 days pre- and 3 days post-MBSR as a biological marker of stress. Results: A significant effect on the CAR was found, with cortisol levels showing a prolonged increase after awakening at the post-MBSR assessment period. This was accompanied by significant improvements in self-reported stress levels, depressive symptomatology, and medical symptoms. Furthermore, the change in medical symptoms was negatively correlated with the area under the curve (AUC) at study onset (r = -52, p < .002); i.e., the greater the AUC of the CAR before MBSR, the greater the reduction in medical symptoms after the program. Conclusions: These results suggest the potential usefulness of employing the CAR as a biological marker in women with breast cancer participating in an MBSR program. © 2010 Elsevier Ltd.
Herbal preparation use by patients suffering from cancer in PalestineMohammed S. Ali-Shtayeh | Rana M. Jamous | Rania M. Jamous
Volume 17, Issue 4, November 2011, Pages 235-240
This study sought to describe type, frequency, purpose and patterns of herbal medicine used by a sample of patients with cancer in Palestine.A cross-sectional survey of patients attending the outpatient cancer departments at the Governmental Hospitals was undertaken using semi-structured questionnaires. Results: A total of 1260 patients with cancer were interviewed. Of the participants, 60.9% (n = 767) reported using herbs primarily bought from Palestine (92.3%) frequently employed in the form of decoctions (43%). The most common herbal product was Arum palaestinum (22.5%). Most Complementary and Alternative (CAM) users were more than 40 years of age, predominantly female, and living in rural areas of Palestine. Family member's recommendation was cited as the main factor prompting participants to use CAM (43.5%). Conclusion: This study revealed that there is an appreciable prevalence of herbal use among patients with cancer in Palestine. © 2011 Elsevier Ltd.
Healing advantages of lavender essential oil during episiotomy recovery: A clinical trialKatayon Vakilian | Mahtab Atarha | Reza Bekhradi | Reza Chaman
Volume 17, Issue 1, February 2011, Pages 50-53
Episiotomy is the most common perineal incision in obstetric and midwifery. Nowadays alternative and complementary methods such as Aromatherapy using essential oils are established as an alternative therapy. This research was carried out to assess the effect of lavender oil in wound healing. This randomized control trial was conducted on 120 primiparous women with singleton pregnancy, without any acute and chronic disease and allergy who had undergone normal spontaneous vaginal delivery and episiotomy. They were randomly allocated in case and control groups. Case group received lavender oil and controls received Povidone-iodine. Incision sites were assessed on the 10th day postpartum. 25 out of 60 women in lavender group and 17 mothers in control group had no pain (p = 0.06). There was no significant difference between two groups in surgery site complications. However, redness in lavender group was significantly less than controls (p < 0.001). This study suggests application of lavender essential oil instead of Povidone-iodine for episiotomy wound care. © 2010 Elsevier Ltd.
Perceptions, experiences, and shifts in perspective occurring among urban youth participating in a mindfulness-based stress reduction programDeanna Kerrigan | Kelly Johnson | Miriam Stewart | Trish Magyari | Nancy Hutton | Jonathan M. Ellen | Erica M S Sibinga
Volume 17, Issue 2, May 2011, Pages 96-101
Interest in mindfulness as a tool to improve health and well-being has increased rapidly over the past two decades. Limited qualitative research has been conducted on mindfulness and health. This study utilized in-depth interviews to explore the context, perceptions, and experiences of a sub-set of participants engaged in an acceptability study of mindfulness-based stress reduction (MBSR) among urban youth. Content analysis revealed that all in-depth interview participants reported experiencing some form of positive benefit and enhanced self-awareness as a result of MBSR program participation. Significant variation in the types and intensity of changes occurring was identified, ranging from a reframing and reduction of daily stressors to transformational shifts in life orientation and well-being. Variations in perceptions of and experiences with mindfulness should be studied in further depth in the context of prospective intervention research, including their potentially differential influence on mental and physical health outcomes. © 2010 Elsevier Ltd.
Antimicrobial activity of Calendula officinalis petal extracts against fungi, as well as Gram-negative and Gram-positive clinical pathogensEfstratios Efstratiou | Abdullah I. Hussain | Poonam S. Nigam | John E. Moore | Muhammad A. Ayub | Juluri R. Rao
Volume 18, Issue 3, August 2012, Pages 173-176
The aim of the present study was to assess the antimicrobial activity of methanol and ethanol extracts of pot marigold (Calendula officinalis) petals against clinical pathogens. The antimicrobial potential of C. officinalis extracts was evaluated against a panel of microorganisms isolated from patients at the Belfast City Hospital (BCH), including bacteria and fungi, using disc diffusion assay. Methanol extract of C. officinalis exhibited better antibacterial activity against most of the bacteria tested, than ethanol extract. Both methanol and ethanol extracts showed excellent antifungal activity against tested strains of fungi, while comparing with Fluconazole. © 2012 Elsevier Ltd.
Complementary and alternative medicine use among Jordanian patients with diabetesMayyada Wazaify | Fatma U. Afifi | Mohammad El-Khateeb | Kamel Ajlouni
Volume 17, Issue 2, May 2011, Pages 71-75
Purpose: This study explores the prevalence, type, frequency, purpose and pattern of herbal preparation use as complementary and alternative medicine (CAM) in a cohort of patients with diabetes in Jordan. Method: The study took the form of a cross-sectional survey of patients attending the outpatient departments at The National Centre for Diabetes, Endocrine and Genetics (NCDEG), in Amman. The method was based on semi-structured questionnaire. Results: A total of 1000 diabetes patients were interviewed. Of the participants, 16.6% (n=166) reported using herbs. Most of CAM users were in the age group 51-60 years (n=73, 44.0%) and predominantly female (59.6%). 139 of the CAM users (83.7%) had at least obtained a high school degree. The most common herbal product to be used was green tea (20.5%). Conclusion: This study confirmed that there is an appreciable prevalence of herbal use among patients with diabetes in Jordan. © 2011 Elsevier Ltd.
Tai Chi effects on neuropsychological, emotional, and physical functioning following cancer treatment: A pilot studyStephanie A. Reid-Arndt | Sandy Matsuda | Cathy R. Cox
Volume 18, Issue 1, February 2012, Pages 26-30
Objective: To examine the effects of a 10-week Tai Chi (TC) program on neuropsychological, psychological, and physical health of female cancer survivors. Design: Twenty-three women with a history of cancer participated in 60-min TC classes two times/week for 10-weeks. Main Outcome Measures: Before and after the intervention, participants completed neuropsychological tests (memory, executive functioning, language, and attention); 5 tests of balance; and self-report questionnaires of neuropsychological complaints, stress and mood, and fatigue. Results: After the 10-week session, participants evidenced fewer neuropsychological complaints and enhanced neuropsychological functioning. They also demonstrated improved balance and reported better psychological functioning. Conclusions: Results suggest that TC may promote gains in neuropsychological functioning, in addition to previously demonstrated improvements in physical and psychological health. These findings support the need for controlled trials examining the potential benefits of TC on neuropsychological functioning after cancer. © 2011 Elsevier Ltd.
Therapeutic effects of calcium & vitamin D supplementation in women with PCOSRaziah dehghani Firouzabadi | Abbas Aflatoonian | Seyedehzalfa Modarresi | Leila Sekhavat | Somayeh MohammadTaheri
Volume 18, Issue 2, May 2012, Pages 85-88
Objective: To evaluate the efficacy of calcium & vitamin D supplementation in infertile women suffering from polycystic ovary syndrome (PCOS), and to assess levels of 25-hydroxy vitamin D in these patients. Methods: In a case control study, 100 infertile PCOS women based on a randomly divided into two groups. Group I (. n = 50) were treated with metformin 1500 mg/day, and group II (. n = 50) treated with metformin 1500 mg/day plus Calcium 1000 mg/day and Vitamin D 100000 IU/month for 6 months. Patients were followed by transvaginal sonography at first, 3 and 6 months later for evaluating dominant follicle.BMI, menstrual regularity, follicle diameter, pregnancy, serum 25-OH-vitamin D level were matured and compared in two groups. Results: BMI decreased almost significantly (25.49 ± 1.88 vs 26.28 ± 2.15, . p: 0.054) in group II. A better improvement was gained in regulating menstrual abnormalities (70% vs 58%, . p: 0.211), follicle maturation (28% vs 22%, . p: 0.698), and infertility (18% vs 12%, . p: 0.401) in group II compared with group I, but these results were not statistically significant. Eighty three percent of all the PCOS patients showed vitamin D deficiency while 35% were severely deficient. The serum 25-OH-vitamin D mean levels were 13.38 ± 6.48 ng/ml. Vitamin D deficiency was recompensed in 74% of the PCOS patients who had taken calcium & vitamin D supplementation. There was no correlation between BMI and 25-OH-VD before and after the treatment (. p ≥ 0.01). Conclusion: This study showed the positive effects of calcium & vitamin D supplementation on weight loss, follicle maturation, menstrual regularity, and improvement of hyperandrogenism, in infertile women with PCOS. © 2012 Elsevier Ltd.
The effects of acupressure on primary dysmenorrhea: A randomized controlled trialNeda Mirbagher-Ajorpaz | Mohsen Adib-Hajbaghery | Fatemeh Mosaebi
Volume 17, Issue 1, February 2011, Pages 33-36
Objective: The current study was conducted to evaluate the effect of acupressure on primary dysmenorrhea in Iranian medical sciences students. Design: A randomized controlled pre and post-test design was employed to verify the effects of SP6 acupressure on dysmenorrhea. Setting: A total of 30 young college female students with primary dysmenorrhea were randomly allocated to intervention (n = 15) and control (n = 15) groups. Intervention: The intervention group received SP6 acupressure during menstruation cycle and the control group received light touch on the SP6 acupoint. Using a Visual Analog Scale, the severity of dysmenorrhea was assessed prior to and immediately, 30 min, 1, 2, and 3 h following treatment. Main outcome measures: Data were analyzed using X2, t-test and ANOVA statistical tests. Results: Significant differences were observed in the scores of dysmenorrhea between the two groups immediately after (3.50 ± 1.42 vs. 5.06 ± 1.43, p = 0.004) and also 3 h after treatment (1.66 ± 1.98 vs. 4.80 ± 1.37, p = 0.000). Conclusions: Acupressure on the SP6 meridian can be an effective non-invasive nursing intervention for alleviating primary dysmenorrhea and its effects last for 3 h post-treatment. © 2010 Elsevier Ltd.
Complementary and alternative medicine use amongst Palestinian diabetic patientsMohammed S. Ali-Shtayeh | Rana M. Jamous | Rania M. Jamous
Volume 18, Issue 1, February 2012, Pages 16-21
Objectives: To measure the frequency of herbal medicine use among patients with diabetes mellitus in Palestine; to determine demographic characteristics that may increase the likelihood of Complementary and Alternative Medicine (CAM) use and to find out how benefits, if any, were perceived by patients. Method: Cross-sectional survey of patients attending the outpatient diabetes departments at 7 Governmental Hospitals. The method was based on semi-structured questionnaires. Results: A total of 1883 patients with diabetes were interviewed. Of the participants, 51.9% (n = 977) reported taking herbs primarily bought from Palestine (98%) and used in crude form mainly as decoctions (44.1%). The five most common herbal products used were: Trigonella berythea (Fabaceae) (n = 191, 19.6%), Rosmarinus officinalis (Lamiaceae) (n = 132, 13.5%), Olea europaea (Oleaceae) (n = 131, 13.4%), Teucrium capitatum (Lamiaceae) (n = 111, 11.4%), and Cinnamomum zeylanicum (Lauraceae) (n = 105, 10.8%). Most CAM users were above 40 years old 79.6% (n = 778), predominantly female (53.2%) and residents of refugee camps and rural areas (59.3, and 53.5, respectively). The recommendations of a family member or friend was the main factor prompting the use of CAM (40.2 and 37.1%). Most CAM users (71.7%) were satisfied with the perceived effects. Interestingly, 68% of patients recruited in the study did not disclose CAM use to their physicians or pharmacists. Conclusion: Use of herbal therapies in diabetes is highly prevalent in Palestine. More than 70% of those using CAM (977, 51.9%) reported positive benefits including a feeling of slowing down disease progression, symptom relief, disease resolution or a reduction in the side effects of allopathic medication. Use of CAM should be explored with patients before clinical decisions are made. There is a need for health education relating to herbal use in conjunction with conventional medicines in diabetes. © 2011 Elsevier Ltd.
Tai chi/yoga reduces prenatal depression, anxiety and sleep disturbancesTiffany Field | Miguel Diego | Jeannette Delgado | Lissette Medina
Volume 19, Issue 1, February 2013, Pages 6-10
Ninety-two prenatally depressed pregnant women were randomly assigned to a tai chi/yoga or a waitlist control group at an average of 22 weeks gestation. The tai chi/yoga group participated in a 20-min group session per week for 12 weeks. At the end of the treatment period the tai chi/yoga group had lower summary depression (CES-D) scores, as well as lower negative affect and somatic/vegetative symptoms subscale scores on the CES-D, lower anxiety (STAI) scores and lower sleep disturbances scores. © 2012 Elsevier Ltd.
Ginger to reduce nausea and vomiting during pregnancy: Evidence of effectiveness is not the same as proof of safetyDenise Tiran
Volume 18, Issue 1, February 2012, Pages 22-25
Ginger is a common traditional remedy taken by numerous women experiencing nausea and vomiting in pregnancy (NVP). There is considerable evidence to support its effectiveness as an anti-emetic, but also increasing concern over its safety. Ginger is a powerful herbal medicine which acts pharmacologically and thus has specific indications, contraindications, precautions and side-effects, the most notable of which is an anticoagulant action. Midwives and other professionals advising women in early pregnancy about strategies for coping with NVP should be aware of the risks and benefits of ginger in order to provide comprehensive and safe information to expectant mothers. This paper reviews some of the contemporary research evidence which demonstrates that ginger is not a universally appropriate or safe choice for women with NVP and offers a checklist for professionals advising expectant mothers. © 2011 Elsevier Ltd.
Mindfulness yoga during pregnancy for psychiatrically at-risk women: Preliminary results from a pilot feasibility studyMaria Muzik | Susan E. Hamilton | Katherine Lisa Rosenblum | Ellen Waxler | Zahra Hadi
Volume 18, Issue 4, November 2012, Pages 235-240
Prenatal psychopathology may have an adverse impact on mother and baby, but few women receive treatment. We offered a 10-week mindfulness yoga (M-Yoga) intervention to psychiatrically high-risk pregnant women as an alternative to pharmacological treatment. Participants (N = 18) were primiparous, 12-26 weeks pregnant, and had elevated scores (>9) on the Edinburgh Postnatal Depression Screen at baseline. In addition to a baseline diagnostic assessment, women completed self-ratings on depression, mindfulness, and maternal-fetal attachment before and after M-Yoga. Findings suggest that M-Yoga was feasible, accepted and effective. Symptoms of depression were significantly reduced (p = 0.025), while mindfulness (p = 0.007) and maternal-fetal attachment (p = 0.000) significantly increased. Overall, this pilot study is the first to demonstrate that M-Yoga may be an effective treatment alternative or augmentation to pharmacotherapy for pregnant women at high risk for psychopathology. © 2012 Elsevier Ltd.
Effect of integrated yoga on anxiety, depression & well being in normal pregnancyM. Satyapriya | R. Nagarathna | V. Padmalatha | H. R. Nagendra
Volume 19, Issue 4, November 2013, Pages 230-236
Objective: To study the effect of integrated yoga on Pregnancy experience, anxiety, and depression in normal pregnancy. Methods: This Prospective Randomized control study recruited 96 women in 20th week of normal pregnancy. Yoga group ( n=51) practiced integrated yoga and control group ( n=45) did standard antenatal exercises, one hour daily, from 20th to 36th week of gestation. Mann-Whitney and Wilcoxon's tests were used for statistical analysis. Results: There was significant difference between groups (Mann-Whitney p<0.001) in all variables. There were significant changes within groups (Wilcoxon's p<0.001) in both groups. Pregnancy related experience (PEQ) reduced in yoga by 26.86%, State (STAI I) anxiety (decreased 15.65% in yoga, increased 13.76% in control), Trait (STAI II) anxiety (decreased 8.97% in yoga, increased 5.02% in control) and Depression (HADS) (decreased 30.67% in yoga, increased 3.57% in control). Conclusion: Yoga reduces anxiety, depression and pregnancy related uncomfortable experiences. © 2013 Elsevier Ltd.
Aromasticks in cancer care: An innovation not to be Sniffed atJacqui Stringer | Graeme Donald
Volume 17, Issue 2, May 2011, Pages 116-121
Aim: To evaluate the effects of a new aromatherapy intervention introduced within an acute cancer care setting in the UK. Background: Aromatherapy is a popular complementary therapy within oncology settings and is known to help relieve patients' anxiety. A new method of delivering aromatherapy to patients was adopted by a complementary therapy service at a UK hospital; aromasticks are similar in design to the Vicks® Vapour Inhaler®, with the intention of helping patients manage anxiety, nausea and sleep disturbance. Design: A retrospective service evaluation. Method: Patients referred to the complementary therapy service were, if appropriate, offered an aromastick. If the offer was accepted patients' details were captured on an evaluation form. One week later the patients were followed up by a different therapist. Frequency of using the aromastick and perceived benefits were documented. A total of 160 patients were included in this evaluation. Results: 77% (n = 123) of all patients reported deriving at least one benefit from the aromastick. In anxious patients, 65% reported feeling more relaxed and 51% felt less stress. 47% of nauseous patients said that the aromastick had settled their nausea and 55% of those experiencing sleep disturbances felt that aromastick helped them sleep. The results also suggest that the effects of the aromastick may be directly proportional to the frequency of their use. Relevance to clinical practice: Evidence demonstrating physiological changes associated with aroma inhalation plus the data presented in this paper highlight the potential for aromasticks within the clinical setting. Although the results of this evaluation of patient perspectives are not controlled, the data does underline the worth of further investigation. Future research is needed to show that aromasticks represent a tool patients can use to self-manage their own symptoms and help them retain an internal locus of control. © 2010 Elsevier Ltd.
The effects of clinical aromatherapy for anxiety and depression in the high risk postpartum woman - A pilot studyPam Conrad | Cindy Adams
Volume 18, Issue 3, August 2012, Pages 164-168
Objectives: The aim of this study was to determine if aromatherapy improves anxiety and/or depression in the high risk postpartum woman and to provide a complementary therapy tool for healthcare practitioners. Design: The pilot study was observational with repeated measures. Setting: Private consultation room in a Women's center of a large Indianapolis hospital. Subjects: 28 women, 0-18 months postpartum. Interventions: The treatment groups were randomized to either the inhalation group or the aromatherapy hand m'technique. Treatment consisted of 15 min sessions, twice a week for four consecutive weeks. An essential oil blend of rose otto and lavandula angustifolia @ 2% dilution was used in all treatments. The non-randomized control group, comprised of volunteers, was instructed to avoid aromatherapy use during the 4 week study period. Allopathic medical treatment continued for all participants. Outcome measurements: All subjects completed the Edinburgh Postnatal Depression Scale (EPDS) and Generalized Anxiety Disorder Scale (GAD-7) at the beginning of the study. The scales were then repeated at the midway point (two weeks), and at the end of all treatments (four weeks). Results: Analysis of Variance (ANOVA) was utilized to determine differences in EPDS and/or GAD-7 scores between the aromatherapy and control groups at baseline, midpoint and end of study. No significant differences were found between aromatherapy and control groups at baseline. The midpoint and final scores indicated that aromatherapy had significant improvements greater than the control group on both EPDS and GAD-7 scores. There were no adverse effects reported. Conclusion: The pilot study indicates positive findings with minimal risk for the use of aromatherapy as a complementary therapy in both anxiety and depression scales with the postpartum woman. Future large scale research in aromatherapy with this population is recommended. © 2012 Elsevier Ltd.
Massage therapy research reviewTiffany Field
Volume 20, Issue 4, January 2014, Pages 224-229
© 2014 Elsevier Ltd.Moderate pressure massage has contributed to many positive effects including increased weight gain in preterm infants, reduced pain in different syndromes including fibromyalgia and rheumatoid arthritis, enhanced attentiveness, reduced depression and enhanced immune function (increased natural killer cells and natural killer cell activity).Surprisingly, these recent studies have not been reviewed, highlighting the need for the current review. When moderate and light pressure massage have been compared in laboratory studies, moderate pressure massage reduced depression, anxiety and heart rate, and it altered EEG patterns, as in a relaxation response. Moderate pressure massage has also led to increased vagal activity and decreased cortisol levels. Functional magnetic resonance imaging data have suggested that moderate pressure massage was represented in several brain regions including the amygdala, the hypothalamus and the anterior cingulate cortex, all areas involved in stress and emotion regulation. Further research is needed to identify underlying neurophysiological and biochemical mechanisms associated with moderate pressure massage.
Effects of thermal therapy combining sauna therapy and underwater exercise in patients with fibromyalgiaShuji Matsumoto | Megumi Shimodozono | Seiji Etoh | Ryuji Miyata | Kazumi Kawahira
Volume 17, Issue 3, August 2011, Pages 162-166
Fibromyalgia syndrome (FMS) is a chronic disorder that is characterized by widespread pain with localized tenderness. We aimed to investigate whether thermal therapy combining sauna therapy and underwater exercise improved pain, symptoms, and quality of life (QOL) in FMS patients. Forty-four female FMS patients who fulfilled the American College of Rheumatology (ACR) criteria received 12-week thermal therapy program comprising sauna therapy once daily for 3 days/week and underwater exercise once daily for 2 days/week. Pain, symptoms, and QOL were assessed using a pain visual analog scale (VAS), a fibromyalgia impact questionnaire (FIQ), and a short form 36-item questionnaire (SF-36), respectively. All of the patients reported significant reductions in pain and symptoms of 31-77% after the 12-week thermal therapy program, which remained relatively stable (28-68%) during the 6-month follow-up period (that is, the thermal therapy program improved both the short-term and the long-term VAS and FIQ scores). Improvements were also observed in the SF-36 score. Thermal therapy combining sauna therapy and underwater exercise improved the QOL as well as the pain and symptoms of FMS patients. © 2010 Elsevier Ltd.
Effects of olive oil on striae gravidarum in the second trimester of pregnancySimin Taavoni | Farzaneh Soltanipour | Hamid Haghani | Habibeh Ansarian | Masoomeh Kheirkhah
Volume 17, Issue 3, August 2011, Pages 167-169
This study was performed in order to determine the effects of olive oil on striae gravidarum (SG) occurring within the second trimester of pregnancy.The intervention group, applied olive oil on their abdominal skin area twice a day until the end of the study term. The control group did not use any oil.Striae occurred in 40% of women using olive oil whilst striae were noted to occur in 50% of the control group. There was no significant difference between the intervention and control groups.This study notes that the use of olive oil to the end of the second trimester in pregnancy was not effective in reducing the occurrence of striae gravidarum. © 2010 Elsevier Ltd.


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two posts today... The children sleep and in a still house I pour blood down the drain. Scarlet drips from bowl's edge and I'm…More
and remembering last year... and The Last Supper For three days, for three meals a day, I stand in line looking for food, looking at…More
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Our beginning, and our mortal fall, began in a garden. Christ's beginning to right that fall began in a garden. So children and I, we…More
Son.... Son of God... Son of mine... God. Why? From the beginning I have watched and I have listened and I have pondered all these…More
{Two posts today--- our other family activity posted below} This house rocks with the noise and the thunder, of the many and the living close.…More
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We begin "The Trail to the Tree"... that set us free. Will you join us in these Easter Devotionals? Each of the 17 day journey…More
I can't seem to follow through in giving up for Lent. Which makes me want to just give up Lent. Which makes me question Who…More
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Research Reports for MALAYSIA STEEL WORKS (KL)BHD (5098) Date Posted Title Research House Type CBRS Recommendation; 02 Sep 2013 07:01PM: 2Q13 results within expectations. more
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Corporate News. CSDCSR co-organises NGO Awareness Campaign; Soft launch of Spotlight Taiwan Project; FBF talk a platform for aspiring entrepreneurs more
Huyop , Fahrul Zaman and Rahmat, Zaidah and Wagiran, Alina and Ghazali , Hamidah and Ng , Hong Jing and Taha, Aishah (2007) Tissue Culture And Biolistic-Mediated ... more
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SHA Experiences: Seong Huat Auto Parts Sdn Bhd is currently among market leader in automotive spare parts in Malaysia. Our experiences covering all parts in both ... more
WASEONG share price, WASEONG intra day share price movement, WASEONG 3 months share price movement, WASEONG 6 months share price movement, WASEONG … more
Phooa Kok Seong | Senior Manager, Project Phooa Kok Seong holds Bachelor Degree (Hons) in Civil Engineering from University of Sciences Malaysia. more
Chairman: YBhg Datuk Kwek Leng San: Group Managing Director: Mr Jonathan Forrest Wilson: Chief Financial Officer: Mr Soon Seong Keat more


text: Posted March 28, 2008 that these photos do not ? Well, lets see :-) Caught this beautiful monster bass about 8 hours ago at one of the Nor Cal trout ponds. Sight fished her with a 6" Hud. It was easy too.... Only had to sit like a statue in one spot, for about 4 hours (sarcasm). Actually, I was fishing for a smaller one {I thought maybe 10 lbs at the time, but compared to this one, maybe 13) that was pretty much glued to the bed, but just wouldn't go (thank God), and this monster came meandering in for about 1 minute, once an hour. On her 4rth visit, she grabbed the tail of my Hud (rigged with a stinger hook for sightfishing) and after an estimated 7 minute battle on medium light tackle, I put the scoop on her.... But doh ! At the last second, she wrapped my anchor rope ! Yikes ! Thankfully, I was able to get the net around her, lift her up, and cut my line. Anyway, she ended up going 17.10 lbs on my certified scale, in front of a witness (who is a big bass stick himself). This is my biggest bass since my 18.4 PB on 4/10/03, and the second biggest of my life. Needless to say, I'm pretty stoked :-) Peace, Fish PS, I just had to fill in the blank between my 16 and my 18.... So now that that's out of the way, I'm ready for my 19 :-) Share this post Link to post Share on other sites


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DhrystoneDeveloped in 1984 by R.P. Wecker, Dhrystone is a benchmark program written in C or Pascal (and now even in Java) that tests a system's integer performance. The program is CPU bound, performing no I/O functions or operating system calls.
Dhrystones per second is the metric used to measure the number of times the program can run in a second.
Stay up to date on the latest developments in Internet terminology with a free weekly newsletter from Webopedia. Join to subscribe now.
Webopedia's student apps roundup will help you to better organize your class schedule and stay on top of assignments and homework. Read More »List of Free Shorten URL Services
A URL shortener is a way to make a long Web address shorter. Try this list of free services. Read More »Top 10 Tech Terms of 2015
The most popular Webopedia definitions of 2015. Read More »
Java is a high-level programming language. This guide describes the basics of Java, providing an overview of syntax, variables, data types and... Read More »Java Basics, Part 2
This second Study Guide describes the basics of Java, providing an overview of operators, modifiers and control Structures. Read More »The 7 Layers of the OSI Model
The Open System Interconnection (OSI) model defines a networking framework to implement protocols in seven layers. Use this handy guide to compare... Read More »


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"Think for a moment what paper means to people. How ubiquitous it is in everyday life….A material of paradoxes, it can be used and abused in a thousand ways and still be the same under its skin. It is the embodiment of man's achievement, yet it is as transient and as flimsy as tissue…. In its strengths and weaknesses, faults and flaws, it is intensely human…."
A lush and intoxicating blend of art history, eroticism, and suspense, Taylor Holden's The Sense of Paper is like no other debut novel you've ever read. An enthralling exploration of the role of paper in art, it is also the sumptuous story of a woman living on the dangerous edge of obsession, passion, and murder.


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The best guide to Estoril, Portugal
Estoril is a stylish Portuguese beach resort that is located on the beautiful coastline west of Lisbon. Estoril is an exclusive and fashionable holiday destination that boasts fine restaurants, exclusive hotels and the largest casino on the Iberian Peninsula. Found within the Estoril region are glorious sandy beaches, championship grade golf courses and fascinating day trips. Estoril is the ideal destination for tourists who want more than just a great beach for their holiday. This guide will provide an introduction to Estoril and links to further in-depth information.
The huge Estoril Casino, with its nightly shows, fabulous restaurants and of course slot machines!
The grounds of the Estoril Casino
The great sandy beaches of Estoril, with calm, crystal clear waters ideal for families.
The Praia do Tamariz beach infront of Estoril
The coastal promenade from Estoril to Cascais which passes sandy beaches, grand buildings and numerous beach bars.
The promenade walk along the coastline
Estoril is a fantastic holiday destination as it provides beautiful beaches, enjoyable day trips and wonderful tourist facilities. The beaches of Estoril are simply stunning; within walking distance of the town are glorious sandy beaches, while to the north are impressive surfing beaches. There are great day trips from Estoril and it is only a short train ride to Lisbon or bus journey to the pretty town of Sintra and the hills of the Serra de Sintra National Park. There is a lot to see and do within the Estoril region, for a suggested itinerary for a 1-week holiday to Estoril please click here.
Estoril and Cascais have a buzzing (lively) atmosphere in the evenings; with delicious food served in the varied restaurants, entertaining shows in the Casino and late night bars and clubs that continue until the sun rises. Portugal offers tourists exceptional value for money and Estoril is no exception, with a high standard of hotels, inexpensive meals and reasonable prices entrance fees. Estoril has a good selection of hotels suitable for all tourist preferences and for a guide to the best accommodation in Estoril please click here.
Estoril has had a long association with Europe's elite and famous, with many attracted by the glamour of the grand casino. During the Second World War the Casino was a haven for spies, secrete negotiations and scandals, which were the inspiration for Ian Fleming's first book James bond, Casino Royale. The reputation of Estoril was enhanced when the casino was centre piece for the 1970s James Bond movie On Her Majesty's Secret Service. Today Estoril still retains a prosperous and exclusivity atmosphere but has matured into a family friendly holiday destination.
Estoril is situated on a coastline of golden sands and clean, calm sea waters that are perfectly suited for families. For the more adventurous the beaches to the north are ideal for surfing and provide massive swells and powerful waves as they face the might of the Atlantic Ocean. The wild and rugged Praia do Guincho beach is considered the best surfing beach in the region and is just a 10-minute drive from Estoril.
Carcavelos beach is vast and great for surfing
To the east of Estoril is a coastline filled large sandy beaches that are popular with the residents of Lisbon. The best beaches of this coastline are the Praia de Carcavelos and the Praia de São Pedro, and both are connected to Estoril by the regional railway. For a full guide to the best beaches of the Estoril-Lisbon coastline, please click here.
There are many enjoyable day trips from Estoril and the town can make for a fantastic base from which to explore the surrounding region. Just a short train journey to the east is Lisbon, the vibrant capital of Portugal, with its numerous historic monuments, world class museums and buzzing nightlife. To the north of Estoril are the stunning hills of the Serra de Sintra and the pretty town of Sintra, which is considered the best day trip from Lisbon (and Estoril).
Beautiful Sintra is a popular day trip
Cascais is a charming fishing town that has a pretty historic centre and is within walking distance of Estoril. Estoril is famed for its world class golf courses, all are within easy reach of Estoril. There is a lot to see and do in the Estoril region and this is why it makes for such a great holiday destination. For a full guide to the best day trips and excursions from Estoril please click here.
Estoril is an exclusive resort town that offers fine restaurants, trendy bars and upmarket hotels. It is a prosperous town that is firmly designed for mature couples and families and does not cater for groups who are just wanting cheap drink. Portugal is a family friendly country and children will be welcomed in all hotels and restaurants. The beaches close to Estoril are safe for children and are supervised by lifeguards during the summer. For a guide about Lisbon for children, including suitable activities please click here.
The Lido (sea swimming pool) of Estoril
Estoril and the Lisbon region have long hot summers, pleasant spring and autumn seasons, and winters which are mild but possibly wet. The weather in central Portugal is suitable for spending time on the beach from mid-May until the end of September. The sea temperature of Estoril is always cold, even in the summer when the water temperature only reaches a chilly 18C.
The Average Weather of Estoril Portugal
The best time of year to visit Estoril is during the spring or early summer months. The weather at this time of the year is pleasantly warm and the region does not feel overrun with tourists. The first two weeks of June are the Popular Saint celebrations and are a great time to visit Portugal, towns will be decorated with streamers and tinsel, there will be nightly traditional dances and the smell grilled sardines will come from temporary BBQs.
Estoril is not a winter sun destination as the weather could be poor, with an equal number of wet days and bright sunny days. Estoril is a major town therefore the hotels, cafes and restaurants do not shut down for winter.. For a full guide and more weather charts for Estoril please click here.
Estoril is connected to Lisbon by a regular and inexpensive railway. The train departs from the Cais do Sodre train station (green metro line) and the journey takes 30-40 minutes. A return ticket costs €4.30 and for a full guide to the Lisbon-Estoril train service please click here.
The train from Lisbon to Estoril
Travel from Lisbon airport to Estoril using public transport requires both the metro and the train. The total time takes around 1h30min but costs less than €7 per person. A pre-booked transfer costs around €40 and will cost significantly more if hiring a taxi from the arrivals lounge at the airport. For a guide for traveling from the airport to Estoril using public transport l please click here.


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Babies who receive acetaminophen in the first year of life are significantly more likely to have symptoms of asthma and other allergies when they're a few years older.
A huge, worldwide study of more than 200,000 children also found that 6- and 7-year-olds who are given acetaminophen often - at least once a month - are three times as likely to suffer wheezing and whistling in their chests compared with children who never take the drug.
Tylenol drug linked to asthma
Babies who receive acetaminophen in the first year of life are significantly more likely to have symptoms of asthma and other allergies when they're a few years older.
Judge orders Cheney to preserve records
A federal judge on Saturday ordered Dick Cheney to preserve a wide range of the records from his time as vice president. The decision by U.S. District Judge Colleen Kollar-Kotelly is a setback for the Bush administration in its effort to promote a narrow definition of materials that must be safeguarded under by the Presidential Records Act.
The Bush administration's legal position "heightens the court's concern" that some records may not be preserved, said the judge.
TVNL Comment: Yeah, right. Like anyone in this administration cares about court orders. Cheney has destroyed most of his records already, and will continue to do so. And nothing will happen.
Bank of America chief: half of banks won't exist in 5 years
In a speech in Washington, D.C. on Friday, Bank of America Corp. CEO Ken Lewis said he envisions a banking industry that is smaller but better.
He declined to predict when financial markets might recover, but said that many banks will have to merge or be bought out in order to survive.
Overcoming anthrax doubts
The FBI, the U.S. attorney for Washington, D.C., and postal inspectors did not convince everyone last month when they laid out their case against the late Army microbiologist Dr. Bruce Ivins.
Mueller had announced Tuesday that, partly owing to pressure from members of Congress, he will ask the National Academy of Sciences to conduct the review. To help prevent doubt from lingering forever, the public — and Congress — must be assured the review panel is indeed independent.
Voting problems in several swing states
A new Government Accountability Office report on voting system testing finds that the Election Assistance Commission has not notified election officials across the country about electronic voting machine failures.
And a new study by Common Cause and the Century Foundation finds that 10 very vital swing states have significant voting problems that have not been addressed since the last election.
Those 10 states, according to Common Cause, are Colorado, Florida, Georgia, Michigan, Missouri, New Mexico, Ohio, Pennsylvania, Virginia and Wisconsin.
In Colorado, 20,000 left polling places without voting in 2006 because of crashed computer registration machines and long lines. And this election day, Colorado will have another new registration system.
TVNL Comment: In a real democracy this would be unnaceptable. And in a real democracy with a real press this would be the most important story of the day until it was resolved.
How Many People Equal Too Many in America? Life Less Plesant
"The bad news is that since the late 1960s, 1.9 billion more people have arrived on the planet than have left," Mann said. "Even if future rates of fertility are the lowest in history, as is likely, the children of today's children, and their children's children, will keep replacing themselves, and the population will increase vastly. Nothing will stop that increase, not even AIDS. Pessimists estimate that by the end of the decade another 100 million people will be infected by HIV. Almost ten times that number will have been born. Barring unprecedented catastrophe, the year 2100 will see 10 to 12 billion people on the planet."
Vice President Dick Cheney's Incredible and Deadly Lie
By Deceiving a Congressional Leader, Cheney Sent Us to War on False Pretenses and Violated the Separation of Powers - as Well as the Criminal Law
Cheney's Bold Face Lie To Congress
According to Gellman (and to paraphrase from the Post story on his finding), in the run-up to the war in Iraq, the White House was worried about the stance of Republican Majority Leader Richard Armey of Texas, who had deep concerns about going to war with Saddam Hussein. According to the Post, Armey met with Cheney for a highly classified, one-on-on briefing, in Room H-208, Cheney's luxurious hideaway office on the House side of the Capitol.
Failed Bank List
This page contains useful information for the customers and vendors of these banks. This includes information on the acquiring bank (if applicable), how your accounts and loans are affected, and how vendors can file claims against the receivership.
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3 posts tagged with gay by Faint of Butt.
Displaying 1 through 3 of 3.
We are one Maryland, and all of us at the end of the day want the same thing for our children.
And the eighth state to make same-sex marriage legal is... Maryland. [more inside]
"This is so exciting to have a nice Travel Assistant and traveling companion! Wow! I'm so glad I met you."
Goin' to the chapel and we're / Gonna get ma-ha-harried!
NewsFilter: The California Supreme Court has just overturned the state's ban on same-sex marriages. Read the decision.
Page: 1


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One of the rising stars at the Grammy's last night was none other than 2014 breakout artist, Hozier.
Capping out his year he performed "Take Me To Church" on one of the largest stages of the year, with an unexpected and spell binding guest...
Annie Lennox.
Yes, you heard me correct. And though most millennials may have only just met her last night, most of us were aware that she could bring the house down.
I believe Jane Lynch said it most appropriately:
#TheGrammys @AnnieLennox is everything
— Jane Lynch (@janemarielynch) February 9, 2015
Though one of the trending quotes for the day is, if Annie Lennox were a religion, I'd go to church daily.
If you missed their performance check out the video below. As Hozier finished out his song, they transition in to Annie's new cover of the SScreamin' Jay Hawkins' 1956 classic "I Put A Spell On You."
If that teaser leaves you wanting more, look no further than the upcoming release of 50 Shades of Grey. Annie's cover is featured on the soundtrack as well as her album "Nostalgia."
Or, if you're impatient (and haven't registered for our 50 Shades of Grey Premiere) you can listen to a special release of the song below:


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I need to optimize my website the best way possible and that includes fixing this.
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I want to have it the best way possible, so I need a WordPress-Code-Developer-Server expert for this.
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I need a complete analysis of everything and comments in important fixes for the code.
I need recommendations after the work to know exactly what else can be done to even get a better result if possible.
I am not asking to redesign or recode my site, the site is running fine, but I want to fix all the possible things that may not be running correct, inspect everything. If a plugin is causing a problem, fix it or use another solution that is better for that task, maybe another plugin, maybe just some php, you are the expert and know what to do. Same for everything listed above. I want to take it to the next level and best way possible.
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My wife and I previously stayed at the Grand Hyatt San Francisco shortly after its renovation over two years ago. At the time we had a suite upgrade that we liked very much. On this trip I had only a short one-night stay by myself, so I booked a standard room using 25,000 points to see how that compared. The short story is that the standard room is easily sufficient at this property, and if anything I may have … [Read more...]
FTU Advanced Newport Beach Coming on December 4-6
The next Frequent Traveler University is now open for ticket sales. FTUs are weekend conferences where some of the more popular miles and points bloggers talk about how to earn and redeem miles, find travel deals, and accrue elite status with your favorite programs. Some examples of previous topics: Award Booking on American Airlines Award Booking on United Airlines Award Booking on Other Airlines (Delta, … [Read more...]
Review: L'Auberge Del Mar
Earlier this year my employer had its annual meeting at L'Auberge Del Mar, a medium-sized resort hotel just one block from the shore. I spent much of my time working. Still, it was a pleasant escape from Seattle. Had I planned our schedules better, I probably would have brought my wife. Arriving at the hotel by cab (~$60), we pulled into a private driveway and were met by two bell staff who took our bags. The … [Read more...]
The New Exploratorium Is Better than Ever!
As I mentioned, I was in San Francisco last fall and staying at the Westin St. Francis partly to see the new Exploratorium. It is my favorite museum and the reason I became a scientist. I thought the original location in the Palace of Fine Arts was awesome -- a little grungy on the inside, classy on the outside -- and was disappointed when I heard they were moving to the more touristy Embarcadero. Fortunately … [Read more...]
TravelCon: A New Miles & Points Conference Coming February 28
Some fellow travel bloggers and I have been working on putting together a miles/points conference over the last few months. It's actually been a year in the making, but due to various issues we had to delay it. Today, however, we're excited to announce TravelCon OC, a new miles/points event that will take place on February 28th, 2015 at the Embassy Suites Anaheim - South hotel just a few steps away from … [Read more...]
New Costco Discount Offers 25% off Select Hyatt Hotels
I'm a big fan of Hyatt partly because I'm a Costco member, and using the discount code COSTCO regularly gets me a 10-20% discount that is both (1) refundable and (2) equal to or better than the pre-paid non-refundable rate. This makes it easier to check back and rebook if the price ever goes lower. Hyatt also has AAA discounts, but I need to fish out my membership number, and it doesn't work as often as COSTCO. I … [Read more...]
Flying Alaska Airlines in and out of Sonoma Wine Country
A guest post courtesy of my father on his recent flight from Santa Rosa Airport... Scott posted a story about his last visit to me, his esteemed parent, when Megan almost missed her flight because of the long drive from my home to SFO. This past weekend my girlfriend, Marsha, and I flew to Seattle to visit Scott and Megan, and rather than risk missing a flight out of SFO we took Horizon/Alaska non-stop from Santa … [Read more...]
Reader Question: Where to Drink (and Eat) in Sonoma
David wrote in last week with a question regarding his upcoming trip to Sonoma: Heading out to Sonoma in a few weeks and wanted to see if you had any can't-miss restaurant and winery recommendations? I'm originally from Cupertino, but my dad recently moved to Sonoma County. Megan and I have visited him there several times, including a trip earlier this year when we were still scouting wedding venues (we eventually … [Read more...]


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In the liver there are viagra soft tabs information different types of cells. The bile duct is formed by epithelial tissue specialized to resist the corrosive effect of bile. It accompanies the hepatic artery and portal vein constituting the portal triad of the liver [7].
Role of the Energy State of Liver Cell in Cirrhosis Development and Treatment 33 Liver Composition The structural unit of the liver is called acinus [7]. Hepatocytes, which constitute the hepatic parenchyma and represents 40-60% of the total cells, whereas the other 20-29% is formed by endothelial cells, cells of the bile duct, oval cells, Kupffer cells (KC), Pit cells and hepatic stellate cells (HSC). The liver contains a very large amount of blood in relation with its weight and may function as blood reservoir, under normal conditions.
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Bechara, A., viagra soft tabs information and van der Kooy, D. A brain-stem output of the limbic system critical for the conditioned place preferences produced by morphine and amphetamine. Brainstem spinal pathways and endorphin circuitry.
Endogenous pain control systems. The tegmental pedunculopontine nucleus. 309–328, annual Review of Neuroscience 6.
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Also, the thyroid hormones, T6 and T3, are transported by a number of uptake carriers viagra soft tabs information. It is nephrotoxic and possibly also carcinogenic and teratogenic. For taurocholate and other bile salts NTCP/Ntcp may be the principal carrier proteins but bile salts are substrates for a great number of human and rodent uptake transporting proteins. Once ingested it has a very long biological half-life.
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Neuroergonomics will facilitate this process.
Microscopically there is centrilobular and viagra soft tabs information sinusoidal dilation. The biochemical abnormalities tend to improve with treatment of the underlying cardiac disease. Grossly, the liver is enlarged and darkened viagra soft tabs information. The classic cross-sectional appearance, termed nutmeg liver, represents lighter, less affected periportal areas surrounding the darkened, congested areas around central venules.
15. Describe the pathologic changes associated with congestive hepatopathy.


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18" Mercedes Albireo Wheels £2783
Front alloy wheels: 18x8.5" ET25
Wheel part number: MER B66471452
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Dr. Thoa Nguyen specializes in pediatric dentistry in Issaquah, Washington.
Dr. Thoa Nguyen has been compared 50 times. Details of Dr. Nguyen's experience as an DDS are available on your free dentist report.
Primary Location for Dr. Nguyen
Pacific Dental Care
670 NW Gilman Blvd
Suite B3
Issaquah, WA 98027
Patient Ratings and Reviews
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Be the first to rate and review Dr. Thoa Nguyen by clicking the following button.
Board Certification, Specialty and Expertise
Dr. Thoa Nguyen has been identified as specializing in Pediatric Dentistry.
Accepted Insurance
Insurance plans and networks accepted by a dentist are not necessarily universal across all locations at which the doctor practices. This can be affected by many factors such as different group practices, hospital affiliations and working arrangements at those locations. Checking that the dentist you are visiting and the facility they are at are in-network providers for your insurance plan can save you money and headaches later from surprise medical bills.
Dr. Thoa Nguyen accepts the following plans at Pacific Dental Care
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Skip to comments.PLEASE - Speak Now or Forever Hold Your Peace
Posted on 03/08/2012 8:03:47 AM PST by butterdezillion
A week ago today Sheriff Joe Arpaio held a press conference to report the preliminary findings of the Cold Case Posse. Mike Zullo, commander of the posse, reported that they had found probable cause for fraud and forgery of Obama's long-form birth certificate and draft registration, and that the posse was recommending a full criminal investigation. Sheriff Arpaio said the investigation would continue but that he would have to decide who, if anybody, to refer the case to for additional follow-up.
Those who perpetrated the forgeries and fraud defrauded the people of Maricopa County, Arizona. Arpaio has jurisdiction to investigate and prosecute that crime, but his ability to get warrants, require depositions, and issue inviolate subpoenas for official records is limited. And he would not have the ability to prosecute for FEDERAL crimes committed.
This means that Arpaio can only nicely ask the HDOH for the original records that will tell us what really happened. We know what Hawaii does with nice requests. The law doesn't REQUIRE one state to honor another state's subpoenas. The states generally work together on law enforcement, but Hawaii's government is in a class all its own. On the issue of FRAUD, the HDOH are implicated in the fraud itself, since they themselves acted as if what was online was genuine. So the State of Hawaii has its own potential criminality to cover up. They will not cooperate with Sheriff Joe or any investigation unless they can legally be FORCED to cooperate.
If we are going to have any semblance of the rule of law we need a federal investigation.
It can't be a DOJ investigation. As we've seen through Fast & Furious, the DOJ folks under AG Eric Holder are just as crooked as the criminals - perjuring themselves and refusing subpoenas regarding their own potential crimes of obstructing justice for Brian Terry, committing acts of war against Mexico by deliberately arming drug cartels with untrackable weapons, and other potential crimes.
We need Congress to initiate hearings and eventually appoint a special independent prosecutor to investigate and prosecute the federal crimes that the Cold Case Posse has uncovered, as well as many other crimes perpetrated to cover up Obama's documentation problem.
That is only going to happen if we literally BURY all our Congress-critters with DEMANDS for an investigation. Each of us should call our Senators, Representative, and the Oversight Committee - Darryl Issa's Office (ask specifically for Issa's office) at 202-225-5051.
The more people we can ping, e-mail, tweet, etc to get them to demand the simple rule of law - that known SERIOUS federal crimes be investigated and prosecuted - the more likely that our government will realize the people are awake and are not going to give up this country without a fight.
If we don't give them that message now, loudly and clearly, then we have no room to complain when even the appearance of the rule of law is abandoned for utter chaos. At this point the courts are so compromised they are a vain hope. (See http://www.coachisright.com/georgia-superior-court-refuses-to-consider-legal-appeal-of-obama-eligibility-ruling/ ) Crimes have been committed, and unless we are a banana republic, those crimes need to be investigated.
Here's a sample of what you might want to say:
After seeing the press conference that Sheriff Joe Arpaio held in Maricopa County -- it became obvious that a crime has been committed. Not only is the birth certificate fraudulently manufactured... but it was clear by Sheriff Joe's findings that the Selective Service card was fraudulently forged and manufactured. This is no longer about the minutia of the birth certificate any more. If the Selective Service card is a fraudulent produced document then by law -- it is illegal for Obama to hold ANY public office position... not even allowed to be Senator. There needs to be a congressional hearing held on this. When will that happen?
Please take a moment now to call your Senators and Representative (you can search for their phone number at http://www.congress.org/congressorg/directory/congdir.tt ), as well as the Oversight Committee at 202-225-5051 (remember to ask specifically for Issa). And then ping, e-mail, and tweet as many people as you can, asking them to do the same.
Clickable link for the Congressional directory:
Clickable link for the article about the GA superior court's shenanigans:
Clickable link for the full video of the press conference (there are other links around too):
I am already calling my friends about this. Thanks for posting this thread.
Pinging you because you've shown an interest in the rule of law. Now is a really critical time for the rule of law. Let's work together and git 'r done!
My apologies if you don't want to receive this ping. Let me know and I'll make sure I don't ping you on this issue again.
Thank YOU for doing what you can. I've spent a lot of time on investigating and hope that my time was not wasted in that regard, but the heavy lifting from here on out really needs to be done by the people who have watched and are aware. At this point anybody who cares about the rule of law at all should be outraged that Congress didn't IMMEDIATELY respond to Arpaio's report.
Free Republic is the best. This plea is basically like the scene from "The Lord of the Rings: Return of the King" where Merry lights the beacon to call for help for Gondor, and the beacons in line all light up in response to pass the message and for all the allies to assemble for battle.
"Gandalf" has asked me to light the beacon, and may the lights burn brightly together at Free Republic!
The thought of anybody honest being AG is light in a dark place.
ping for later
One other thing you may want to add :
Since the Selective Service card was received via a FOIA request and there is also an electronic record in the Selective Services database, it shows that Federal Records have been tampered with. This requires an immediate investigation from Congress.
One other thing you may want to add :
Since the Selective Service card was received via a FOIA request and there is also an electronic record in the Selective Services database, it shows that Federal Records have been tampered with. This requires an immediate investigation from Congress.
Mike Zullo also implied that the draft registration could only be forged with the help of either somebody in the postal service (again, a federal agency) or law enforcement (at whatever level). So we're talking about crimes committed BY GOVERNMENT OFFICIALS.
Definitely cause for a federal investigation, and definitely reason that the people currently in federal law enforcement should not be the ones to investigate - because they could be the very people who aided in the forging of the draft registration. We need a federal investigation under a special independent prosecutor - and I would suggest that the prosecutor be required to work closely with Arpaio and/or the posse because those people are credible on this issue. To have a rubber-stamp investigator will only make this issue worse.
The first step, though, is to burn down the Congressional phone lines and DEMAND hearings on this.
Will We The People be spurned yet one more time?
Obama may have made one critical error. He wasn't able to get rid of our right to bear arms. They can only flip the bird at us so many times and over so many critical issues before our backs are against the wall and we will fight with all that's left.
They really don't want us to reach that point, and they need to realize that's where we are swiftly headed unless they get real with us.
One other thing. I think we do need to draft a Declaration of Independence for this day. I think we need to lay some groundwork so they know they will lose a game of chicken.
I called my congressmen and Issa. Hope it helps. Quick question, I called them all today, how often do you call these guys?
Here is -Ann Barnhardt discusses Terry Lakin
Governor Jan Brewer seems to have covered her eyes, saying she believes he was born in Hawaii.
Is there anything Sheriff Arpaio can do to keep Obama off the ballot in Maricopa County?
Just had a ten min conversation with the gal who answered at my congressmen's office (John Kline, mn). She claimed not to be aware of sheriff joe's investigation, but took notes as I explained the main points. She was very polite and told me someone would be calling me back to discuss further.
Also- I was elected to a local delegate slot for my district during the caucus. I'll be bringing this issue up on Saturday when the delegates meet.
The lights are being lit, butterdezillion. You are a patriot and your work has been incredible. The truth will come out, and I have a weird "feeling" that this election is going to be extremely unusual as this issue gathers steam.
She just decided she wants to wait a while longer before she joins Breitbart and Foster.
@Citizen Kane: Declaration of Principles
A crude analogy, perhaps, but more in line to what's needed IMO.
Hi Butter! Thanks for posting this and for the ping! I have contacted all my congress critters, nit that it will make a difference, they are all democrats here in Oregon. sigh
I published an article yesterday in Pravda. It is an unbelievable thing that I must go to RUSSIA in order to find freedom of the press, the Irony is so epic I have a hard time really expressing it.
The article is here, and connects Arpaio's findings with Eligibility issues, Hawaii's role, and the coverup of the Soros Foundation connected Justia: http://english.pravda.ru/opinion/columnists/07-03-2012/120708-arizona_sheriff_obama-0/
The more this information is published in Main Stream Media, even if it is overseas, it will eventually become an unavoidable issue. I WILL NOT GIVE UP.
I am Andrew Breitbart.
Here's a sample of what you might want to say: (as revised by Graewoulf)
After recently seeing the press conference that Sheriff Joe Arpaio held in Maricopa County, it became obvious that a Federal crime has been committed. Not only was the birth certificate fraudulently altered, but it was clear by Sheriff Joe's findings that the Selective Service card was also fraudulently forged and manufactured.
This is no longer about the minutia of the birth certificate any more. If the Selective Service card is a fraudulent produced document then by Federal law, it is illegal for Obama to hold ANY public office position, not even allowed to be a US Senator.
I request a congressional hearing held on this. When, this month, will that happen?
Please take a moment now to call your Senators and Representative (you can search for their phone number at http://www.congress.org/congressorg/directory/congdir.tt ), as well as the Oversight Committee at 202-225-5051 (remember to ask specifically for Issa). And then ping, e-mail, and tweet as many people as you can, asking them to do the same.
Carl Seel has an eligibility bill ready to go. The R's ahve a veto-proof majority in the AZ legislature. This is where Soros' threats to the media hurt the most, because if the local media is hostile to the issue the lawmakers will be afraid to touch it. Arizonans need to contact their lawmakers and strongly encourage them to pass an eligibility bill.
It is ridiculous to think that we could have somebody who presented to the public a document that is identified by law enforcement as being forged - and still have no way to keep that person off the ballot. If we're willing to accept that, we may as well kiss the rule of law good-bye.
As for Jan Brewer, the question to ask her is this: What should happen when there is probable cause for state and federal crimes involving documents that the assumed POTUS published on his own website and said in a press conference was his genuine record? What should be done when a federal agency actually forged a fraudulent draft registration?
The issue right now is the crimes that have been committed. Obama most likely did not forge the birth certificate or the draft registration. But he held a press conference presenting as genuine what the posse has found to be a forgery. The fraud that was committed was committed by Obama personally, if he knew what the reporters were looking at and what was placed on the website were forgeries. And since he claimed in his book to have had a copy of his birth certificate, if the genuine records (determined to be genuine after auditing the microfilms, paper records, and computer vital records history and transaction logs) differ from what was presented then he HAD to know he was defrauding the American public.
The elite liberal media is a fully participating part of Gangster Govt Inc. Obama could send thousands of firearms to Mexican drug cartel assassins, leading to hundreds of dead Mexicans, and they would not report it. Which is what has happened.
"Gangster Govt And Sakharov's Immunity"
Thank you! Take the torch and run with it! (sorry to mix metaphors. lol)
It is very possible that the lawmakers are NOT aware of the posse's findings, and we should remember that also. The media has been threatened - which is another thing that there should be hearings on - and so there is no coverage that reports the facts/evidence actually presented at the presser. It means that we basically have to do all the reporting ourselves.
And that helps me know how to answer another post that I was baffled over.
How many times do we call these people, magglepuss? Given that the press is not doing the reporting of facts critical for the legislators to know, I'd say we should call them every time a new fact comes out that they should know. If they get tired of having to hear the news from lots of individuals jamming their phone lines, maybe they will realize why we need a free press. And why it is a SERIOUS CRIME for Soros to commit extortion on the entire media of this country.
For instance, the next thing to call them about should be to inform them of Doug Hagman's investigation regarding Soros threats to the media, which Mike Zullo of the Cold Case Posse says they have also corroborated. To further understand that issue, start reading at http://www.freerepublic.com/focus/news/2854663/posts?page=59#59 . I should also add that Tom Ballantyne has a transcript of Hagman's interview on the Laurie Roth Show in his book "Oh Really, O'Reilly", for anybody who doesn't want to slog through the 3 hours of audio.
Try to get a quote from them saying that the federal crimes of fraud and forgery are not worth investigating.
We need to get them on the record saying that, so we can post it on the web for all to see. A law enforcement body has found probable cause for fraud and forgery involving the records of the man who holds the nuclear football. Ask for a statement, in writing, from these people saying what recommendations they will make for a federal investigation of those crimes.
I think we need to call in order to get immediate responses and apply pressure, but I think we also need to write letters requesting a response to the specific question of whether they will push for a federal investigation, and why - so their response can be documented for all to see.
Danae, on a personal note - watch your back. We really ARE Breitbart now.
That, and a listing of the violations of this administration, like there is in the Declaration of Independence.
I started documenting the Obama crap in that brief period between Obama's inauguration and October of 2009 when I started investigating the eligibility issue. By the end of that time the list was already longer than most people would take the time to read. And all of it serious stuff.
By the time the campaigning for the general election starts we need to have a list that shows in black-and-white print exactly what this Obama has done to destroy this nation, the rule of law, and the checks and balances and separation of powers that our Founders had the wisdom to put in place.
The list will be too long for most people to have the patience to read so we need to make sure the most important things are at the top.
Good edit. I agree. It should happen within this month.
And we need to bombard Congress with calls to investigate Soros' threats on the media as well. That should also be investigated AT LEAST before the campaign for the general election sets in.
Remember who issued the FOIA on Obama's SS#.
Richard Flahavan
Take a look at this article. It appears Mr. Flahavan seems to have a full time job 'fixing' politicians military records.
"When Richard Flahavan was questioned about sending us an extract of Senator Mitch McConnell's Selective Service Classification Record, he responded in writing that " Selective Service no longer has access to Selective Service records for men born prior to 1960." "
Sound familiar - "...no longer has access..."
Keep going....
"Knowing that we had already received the full Selective Service Classification Records for Senator Saxby Chambliss, Rep Tom Tancredo born in 1943 and 1945 respectively we felt that Richard Flahavan was possibly covering for Senator Mitch McConnell."
Worth repeating....
"...we felt that Richard Flahavan was possibly covering for Senator Mitch McConnell."
So this military record charade goes beyond Obama. This is a Republican who is Senate Minority Leader.
Does Mr. Flahavan do this for all the crooked politicians? Or is this service provided only to the ones at very high levels?
I am in hearty agreement with this post.
We can and will notify our Congress critters of this debacle.
However my opinion is that hell will feeze over before we get any kind of investigation, even after we elect a new President.
In my own case my people are Steny Hoyer.
Barbara Mikulski & Cardin.
A pretty sad waste of skin all the way around.
They've been threatened by Soros. Most of them were in bed with him already. Somebody who was at the meeting where the media heads passed on to the on-air personalities the threats from Soros regarding the eligibility issue said it was said that if it had been Bush who made the threats it would be bad, but because it's Obama and Obama is their friend they don't mind.
That's as close to pulling down your pants and bending over for your rapist as I can even imagine. I guess they can't rape the media if the media puts out voluntarily, huh? But the few reporters who wouldn't prostitute themselves in that way had to be kept in check too, which is why the threats were made. To keep the rogues from actually being journalists.
The most damaging threats were to the people we trusted, though. The conservatives. Same technique as Saddam Hussein used when he gave CNN exclusive access to the regime in return for having the credibility of the CNN brand when they spouted their own propaganda. Beck, Hannity, O'Reilly, etc are all Baghdad Bob right now, or else they would be as dead as Andrew Breitbart...
This regime views people as disposable. We see it in Fast and Furious. We see it in Soros' threats to the media.
I've thought about Sakharov's Immunity. Having to go public with my name in order to testify for Nebraska's eligibility bill was scary at first but I realize that it gives me some protection, because if they killed me outright it would be found out and would look suspicious.
The Breitbart death indicated to me that they know they have to have plausible deniability. They have to attack people medically. Makes it real handy that they are setting up a national database of medical records that are to be accessible to the bureaucrats in government. They can see whether I have a history of heart disease. I don't - in fact, I was tested multiple times and have been told my heart is healthy as a horse - so they can't use a heart attack dart on me. They'd have to use something slower-acting for me...
This is where we're at in this country right now. And it's been enabled by what few honest reporters/commentators we had being held hostage by Soros.
At this point I want to find out which of the online conservative sites are compromised since Breitbart's death. For instance, Townhall took down their report on Obama's eligibility. See http://www.wnd.com/?p=138619
Get their responses on paper if you can. They may fall on their swords, like the dems like Nebraska's Ben Nelson did for Obamacare, but we can make sure that the swords they fall on finish them off at least.
I think there's something foul going on even with the Congress-critters, that so many would fall on their swords. Both D's and R's - and the R's even when it was a lame-duck dem House. We know that the media was threatened by Soros, and it sure seems to me like the courts, military, Congress, law enforcement, McCain as the R candidate, Bush, Cheney, etc all acted or are still acting very much like the threatened media has acted. We all know it stinks; we just don't know how exactly we got here so we don't know how to make it stop.
Interesting. Right now I wouldn't put anything past the corruptocrats in our government.
Thanks for the ping. I will follow up, I think this is critically important.
Thank you. This takes less time than voting and gives you more bang for your buck. Ten thousand people voting is nothing; ten thousand people calling Issa's office is something very big.
Now is the time.
Ping me anytime on this kinda stuff. . . .
Sister, you have that so right.
The little under-the-rock worms have their little venomous fangs out - dripping vile.
Knowledge is power. Be empowered!
Having a look around that site, it's amazing to me that a Freeper would knowingly drive traffic there. We do have freedom of the Press in the United States. Nobody was stopping you from making your own news site or blog and posting it there, or posting on any of the many birther/conspiracy sites.
thanks for the Ping.
You may wish to pass this around to the people on your list:
Along with these sites as well:
Does anyone sign their name "Without Prejudice UCC 1-308"? [Ron Paul's website]
.. doesn't work with IE9 either .. it's not your article, but the root domain that's not connecting ..
ping http://english.pravda.ru
Ping request could not find host http://english.pravda.ru
Please check the name and try again.
ping http://www.english.pravda.ru
Ping request could not find host http://www.english.pravda.ru.
Please check the name and try again.
ping english.pravda.ru [22.214.171.124] with 32 bytes of data:
General failure.
Ping statistics for 184.108.40.206:
Packets: Sent = 4, Received = 0, Lost = 4 (100% loss),
Perhaps it would be more effective if " - - - we need to bombard Congress - - - " in a focused manner on the specific committee(s) that investigates this type of election, forgery, SSS, Immigration, public official, payroll crimes.
Post your suggested Senate and House committees, chairmen, and members names here, so our efforts can be focused! ______________________.
What we have is an illegal Administration, a FRiendly US House, a bottlenecked Senate, and a Liberal Nine Supremes. Ultimately, all of this will go to the US Supreme Court, but at a snail's pace.
Perhaps an injunction could be issued by one of THE NINE SUPREMES in a manner similar to what they sometimes do for a stay of execution for a death-row criminal. This would attract public attention, inflame the Liberals, and prod the RINOs to investigate with speed.
The best fast case is that Arpaio's smoking guns will inflame the House committees, shame the MSM into covering the hearings, and cause the Obamamites to abandon Obama before our Tampa Convention.
Another fast track would be for our hapless Republican Candidates to demand certification of The Obamanator, but none, so far, have shown that they have the required spine to do so.
Perhaps it would be fruitful to bombard our 4 Candidates on this also.
Post their contact info here:_______________________.
Obama, the former foreign student from Harvard Law School, will never resign, because he has not yet finished with his agenda of destroying what is left of America.
As far as I can tell, no politician in the formerly great Democrat Party has the Patriotic Duty to stand with us as we defend the bedrock issue of the US Constitution in respect to the Office of the President.
It falls upon us to NOW stand and deliver.
What say all of you?
I am all for your suggestion. As a parallel course, Sheriff Arpaio needs a law enforcement angle he can actually pursue and control, that does not involve Obama directly. The following idea seems pathetic, but no less likely than Congressional Lions suddenly finding courage:
Maricopa County residents who bought the Obama "Birth Certificate" mugs need to file fraud complaints against the Seller, not Obama, for inducing purchases through false representation that the birth certificate data on the mug is legitimate; the Cold Case Posse has already concluded that the source was a forgery. The Seller cannot establish that the Mug Cert Data, so the Sheriff would need to see the original birth certificate(s) and microfilm to establish the facts. Isn't this a law enforcement reason for production of birth documents per exceptions in Hawaii privacy laws?
Thank you for all of your work. I'll call my congresscritters... although I'm in California and I might as well speak to a wall for the response I'll get.
I will do what I can, but I have little expectation of any action as long as Obama is in office. My hope would be that he would be escorted out of the WH directly into a jail cell for the rest of his life. However, we've been burned so many times that I do not believe it will happen until after he leaves office.
Of note, I had a Black co-worker tell me last night that even if she saw a video of Obama admitting that he was a Communist, she would still vote for him because "tapes can be altered and they just want to go after a Black man. Instead of trying to help him, everybody just wants to get rid of him." What can you do when you're dealing with that kind of mentality? My response, "you're too stupid to be my friend, I am done with you."
I think the Republican side of the government is in great fear of Black riots and so are caving on everything in the hopes that they can just ride out this administration. I don't know that we can expect any help as long as Obama is in office. I hope, but I don't expect, not anymore.
My feeling is that we need to go ahead and let them riot all over the country. Let the world see how they behave. Let them expose their racism, just like my co-worker did last night. It may be our only salvation. Let the riot, let them destroy and do not "fix" things for them afterwards. This is a lesson that our country needs to learn. We have created generations of people dependent on the government, sooner or later, we will have to cut the cord. Things cannot continue as they are if we hope to survive as a nation.
Yeah... Way to go, Danae... Way to go...
I really don't think Breitbart would be terribly proud.
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