text:
By Attorney Patti Spencer
Special to THELAW.TV
The question of when to withhold or terminate life support for an unconscious or terminally ill individual is one that is hotly debated. There are a host of medical, ethical, religious, and legal issues. Before legislation was passed, these decisions were usually made by family members in conjunction with physicians and, if disputes arose, the issue was ultimately brought to the courts. You may remember the Cruzan case in Missouri, where the court held that a permanently unconscious patient could refuse medical treatment, but her wishes had to be expressed by clear and convincing evidence before the onset of the unconsciousness.
Since it became of crucial importance that a person set forth their wishes about so-called "heroic measures," it became the common practice for a person to make a "Living Will." A "Living Will" is a document in which you express your wishes about medical treatment in the event that you are unable to make decisions about your own care. The Living Will specifies the medical treatments you wish to accept or refuse and the circumstances under which your wishes will be carried out.
Many people make the mistake of thinking that a Living Will gives the order to "pull the plug." While some people want that and include it in their Living Will, a Living Will can contain any instructions, including using all life-saving and life-supporting measures possible. A Living Will can be personalized and gives you the opportunity to say what you want.
If you've been admitted to the hospital in the last 10 years, and you may qualify for Medicare or Medicaid benefits, you know that you will be asked if you have a Living Will. You will be asked to provide a copy of it, and if you don't have one, one will be offered to you. You do not have to sign one in order to be admitted, but information about a Living Will and the opportunity to sign one must be provided to you. (This is required by the Patient Self-Determination Act of 1990, a federal law passed by Congress.)
Each state has varying legislative action. For example, Pennsylvania law refers to a Living Will as an "Advance Directive for Health Care." Aspects of this directive include definitions of "terminal conditions" and "permanently unconscious." Make sure to familiarize yourself with your state's legislation.
The declarant's physician must make the directive a part of the declarant's medical record. Once the declaration is operative because the attending physician has determined the patient to be incompetent, in a terminal condition, or in a state of permanent unconsciousness, the medical provider must either comply with its directions or make every reasonable effort for the transfer of the patient to another provider who will comply with the directive.
It is very helpful to family members for the declarant to name a surrogate to make decisions. The surrogate is similar to the Attorney-in-Fact you would appoint in a Power of Attorney for financial matters; you may appoint one person only, one person backed up by a successor, or two surrogates who must agree. Whatever option you go with, you will want to be sure that the surrogate understands your wishes, is willing to take on the responsibility, and is ethically and emotionally prepared to carry out your directive. Fairly recent technological advances now allow for prolongation of life far beyond what was "normal" in the past; controversial areas are addressed in this sort of document, and it is critical for you to name as your surrogate an individual who agrees with your directions.
Generally speaking, a person names a relative, close friend, or religious advisor as the surrogate and sees to it that the person has a copy of the Advance Directive. It is also important to give your Advance Directive to your physician and to family members and friends, as you deem appropriate.
An Advance Directive is legally binding. But, when you sign it, you need not feel you are making irrevocable choices. While it is important to think through the decisions called for and then to execute the document, you can make revisions or even revoke the Advance Directive at any time. No judgment is called for regarding your mental or physical condition at the time of revocation. You can implement these changes in writing, orally, or even by an action such as a wink or a shake of the head that says "No way!" Your revisions or revocation is effective upon communication to a witness, the attending physician, or another health care provider.
What is the process for preparing a Health Care Directive? Many attorneys prepare Advance Directives at the same time they prepare wills and Powers of Attorney. Don't hesitate to continue the conversation with us via Twitter @PattiSpencer.
The author, Patti Spencer, is a Lancaster, Pennsylvania trusts, estates and tax attorney at Spencer Law Firm LLC.
Copyright 2014 by ClickOrlando.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Supportive Therapy for Adherence to ART(STAART)
This study has been completed.
Ottawa Hospital Research Institute
Ontario HIV Treatment Network
Information provided by:
Ottawa Hospital Research Institute
ClinicalTrials.gov Identifier:
First received: September 13, 2005
Last updated: July 25, 2007
Last verified: July 2007
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Detailed Description:
The purpose of this study is to determine whether a psycho-educational intervention can help people living with HIV handle the changes of treatment adherence.
|HIV Infections
|Behavioral: Supportive Therapy for Adherence to ART (behavior)
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
|Official Title:
|Increasing Patient Adherence to HIV Medications: A Prospective Intervention Study
Resource links provided by NLM:
MedlinePlus related topics: HIV/AIDSU.S. FDA Resources
Further study details as provided by Ottawa Hospital Research Institute:
Primary Outcome Measures:
- psycho-educational intervention can help people living with HIV handle the changes of treatment adherence
|Estimated Enrollment:
|Study Start Date:
|October 2000
|Study Completion Date:
|September 2006
Participants will be randomly assigned to one of two study groups:
- Group 1: participants in this group will engage in weekly psycho-educational sessions with an HIV therapist for four weeks prior to starting their regimens. The sessions will cover topics such as becoming active in treatment care, improving coping abilities and developing skills for treatment adherence. They will also involve questionnaires and readings.
- Group 2 (the control group):participants in this group will simply receive their regular treatment regimens.
|Ages Eligible for Study:
|18 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- be at least 18 years of age
- have viral load above 500 copies/ml
- not be currently on HAART
- be able to read and speak English/French
Exclusion Criteria:
- current Substance Abuse
- actively psychotic or suicidal
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00212940
Please refer to this study by its ClinicalTrials.gov identifier: NCT00212940
|Canada, Ontario
|The Ottawa Hospital, General Campus
|Ottawa, Ontario, Canada, K1H 8L6
Sponsors and Collaborators
Ottawa Hospital Research Institute
Ontario HIV Treatment Network
|Principal Investigator:
|William Cameron, MD
More Information
Keywords provided by Ottawa Hospital Research Institute:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 25, 2017
|ClinicalTrials.gov Identifier:
|NCT00212940 History of Changes
|Other Study ID Numbers:
CIHR app# 1262000 ICE:
|Study First Received:
|September 13, 2005
|Last Updated:
|July 25, 2007
Keywords provided by Ottawa Hospital Research Institute:
Treatment Naive
Additional relevant MeSH terms:
HIV Infections
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
ClinicalTrials.gov processed this record on September 25, 2017

subset: commoncrawl


text:
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The poster formerly known as Rimfire
For some reason I've found that Nyquil in large quantity makes me gasy. This should be a fun day in my office.
Nah, SPic's just finding out that living in Btown just naturally makes you an uptight a-hole. It just comes with living there.
Ever notice how friendly folks are at a shootin' range??.
So Spic, have you stood out on your front lawn and tried to light your farts for the sunday school kids yet ?
You know Geez, its not nice to call Btown an uptight a-hole. I've seen his webcam, I wouldn't call that a-hole tight by any stretch of the imagination.....
Last edited by Gyron; 06-18-2008 at 03:28 PM.
I'll take you to the candy shop.
I'm thinking your and my definition of "candy" are miles apart.
I'm just going to walk away.
Ooops...not intended to reference OUR Btown....SOrry, I lovezya man.
Ever notice how friendly folks are at a shootin' range??.
Frickking banker just cost me a deal...and maybe a client. Had a deal worked out between buyer and seller based upon this one bank product. Buyer orders and pays for the inspections and makes application for the mortgage. Last night the loan officer called me to say "Oops"...they no longer offer that product and he hadn't known of the change. The seller, who had received two other offers on the property, refused to rework the deal and accepted another offer immediately, less money but less entanglements.
I shoulda stuck with the mortgage rep I normally use.
Ever notice how friendly folks are at a shootin' range??.
Yeah - you had me a little confused there too.
The poster formerly known as Rimfire
BLOOMINGTON....the town of B L O O M I N G T O N
Ever notice how friendly folks are at a shootin' range??.
Prolonged use of Dayquil and Nyquil have made for some rootin' tootin' times around the Gyron household the last couple days. Add in some baked beans, and roughage, and cheese, and I've had some nice rotten egg smells emitting.
The wifey is loving this cold......
By the way, it has also produced some vivid dreams lately.
I will say this, I had a dream last night that could be made into a best selling horror movie.
I think I know what the thoughts that Stephen King has all the time are like now. It was a really vivid dream with a really sick serial killer.
Made me sit up in bed and look around the room. Scared the crap outta me.
Got put on Prednezone(sp) once too. I HATE that stuff - made me feel borderline insane, like my brain was hanging around about 5 feet away from my body and I could never quite get it to talk to me.
Worse than the Vikes - which I've had since and it hasn't bothered me, but that first time was a doozy.
The poster formerly known as Rimfire
Sometimes life's a b****.
Stranded Pigs Shot To Save Iowa Levees
Nearly A Dozen Pigs Escaped Farm For Higher Ground, But Became Stuck On Sandbags
Comments 46
KINGSTON, Iowa, June 19, 2008
(AP) Luck ran out for about a dozen pigs who escaped their flooded farm, swam to safety through raging floodwaters and scrambled atop a sandbag levee in southeastern Iowa.
Des Moines County sheriff's officials shot the pigs Tuesday, not long after they completed their journey to the levee near Kingston, as much as 9 miles from a farm near Oakville.
Officials said they killed the pigs over worries that they would weaken the levee. Onlookers said the animals were having a difficult time trying to maneuver their way off of the sandbags, and that they scurried back into the water as people approached.
"Basically you cannot have something with a hoof walk on plastic and not poke a hole in the plastic and let water into it," said LeRoy Lippert, chairman of the emergency management commission. "Hogs, they have a tendency to root and that would not have been good either."
He said the state veterinarian and other agencies were consulted, and the 10 to 16 animals euthanized was minimal.
"It happens every day. My gosh, that's what slaughterhouses do - that's how we get bacon and pork chops," Lippert said. "It's just one of the casualties of the flooding situation."
The carcasses were left at the site and treated essentially as road kill, he said.
"You don't get them out of the mud and over the dike when you're worried about people and peoples' property," Lippert said.
He noted that out of about 36,000 pigs in the Oakville area, officials estimated that only a thousand or so were left behind when the floodwaters came through.
"We trucked them as far as 200 miles away to other hog farms so that they would be taken care of," he said.
Louisa County Sheriff Curt Braby said he had heard about the incident, and understood why the pigs needed to be killed.
"They did not want to take a chance on losing a city due to a few hogs," he said.
Jeff Campbell, a farmer carrying sandbags on his four-wheeler, said on Tuesday that he spotted pigs swimming away from the flooded hog farm near Oakville. They were climbing the levee, poking holes in the plastic that covered it, he said.
One tired pig was lying at the bottom of the levee "like a pink sandbag," Campbell said.
© MMVIII The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.
All those jalepenos, onions, fried mozerella sticks, quesadillas, and some other sort of fried potato - along with beers - led to a rough evening/morning...
What would really be ironic is if the officer was a female and lesbian.
Flocking sinuses. And * drainage.
Ever notice how friendly folks are at a shootin' range??.
Went to taco bell for lunch. Then came back and found free leftover pizza.
That's right...I did it.
Are you sick Geezer?
Is this it?
The big one?
That * doesn't stand for "a-s-s" Drainage does it? Cause I hate that....
Edit Signature
Have you noticed it always comes back to the gastro intestinal bond.
I'm a little concerned too.


text:
Your personalised chance of approval
We've taken the details you gave, and used them to show you personalised scores to tell you the chance that your application for each card would be successful.
Why is this important?
Every time you apply for a credit card, a mark is left on your credit score. That means it's better get it right first time. Your scores help you understand which cards you have the strongest chance of getting.
It's easy!
The higher the score, the stronger chance you have of getting the card. If you see a very low score, you're probably better off choosing a different card.
- Consider a different card
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- You've been pre approved
If you see a high score, you can be fairly confident. The scores aren't a guarantee, as acceptance of your application is at the sole discretion of the card issuer, but they should help guide your choice.
If you see a pre-approved score it may be subject to you passing additional ID and fraud checks by the provider.
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We work closely with our partners to improve our eligibility scores for all products that are of interest to you.


text:
A Long-term Administration Study of OPC-41061 in Patients With Autosomal Dominant Polycystic Kidney Disease (ADPKD) (2) [Extension of Study 156-05-002]
This study has been completed.
Otsuka Pharmaceutical Co., Ltd.
Information provided by (Responsible Party):
Otsuka Pharmaceutical Co., Ltd.
ClinicalTrials.gov Identifier:
First received: November 27, 2009
Last updated: October 16, 2015
Last verified: October 2015
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
ADPKD patients who were enrolled in Study 156-05-002 will receive repeated oral administration of OPC-41061 at doses of 15 mg twice daily (morning and evening). Administration will be continued until the time of manufacturing and distribution approval of OPC-41061 for ADPKD in Japan.
|Autosomal Dominant Polycystic Kidney Disease
|Drug: OPC-41061
|Phase 3
|Study Type:
|Study Design:
|Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:
|A Long-term Administration Study of OPC-41061 in Patients With Autosomal Dominant Polycystic Kidney Disease (ADPKD) (2) [Extension of Study 156-05-002]
Resource links provided by NLM:
Genetics Home Reference related topics: polycystic kidney disease
MedlinePlus related topics: Kidney Diseases
Drug Information available for: TolvaptanU.S. FDA Resources
Further study details as provided by Otsuka Pharmaceutical Co., Ltd.:
Primary Outcome Measures:
- combined renal volume (right and left kidneys) and renal function test [ Time Frame: Every 12 or 48 weeks ]
- adverse events [ Time Frame: Every 4, 12, or 24 weeks ]
|Study Start Date:
|November 2009
|Study Completion Date:
|July 2014
|Primary Completion Date:
|July 2014 (Final data collection date for primary outcome measure)
|Assigned Interventions
Experimental: OPC-41061
Repeated oral administration at doses of 15 mg twice daily (morning and evening)
Drug: OPC-41061
Repeated oral administration at doses of 15 mg twice daily (morning and evening)
|Ages Eligible for Study:
|Child, Adult, Senior
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Patients who completed 3-year repeated administrations and the follow-up observation or those who were withdrawn from the study due to reasons other than occurrence of adverse events (based on the judgment of either the subject or the investigator/subinvestigator) in the preceding study (156-05-002)
- Patients in whom adverse events occurring in study 156-05-002 were resolved or became stable and do not require further follow-up.
Exclusion Criteria:
- Patients with eGFR of less than 15 mL/min/1.73 m2
Patients with any of the following complications:
- Uncontrolled hypertension
- Serious cardiovascular disease (eg. heart failure) or hepatic disease (eg. cirrhosis)
Patients with any of the following complications or history thereof:
- Clinically significant drug allergies (anaphylaxis) or hypersensitivity (especially, hypersensitivity to benzazepine derivatives or suspected hypersensitivity
- Inability to personally give consent due to a mental illness
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01022424
Please refer to this study by its ClinicalTrials.gov identifier: NCT01022424
|Kanto Region, Japan
Sponsors and Collaborators
Otsuka Pharmaceutical Co., Ltd.
More Information
Keywords provided by Otsuka Pharmaceutical Co., Ltd.:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
|Responsible Party:
|Otsuka Pharmaceutical Co., Ltd.
|ClinicalTrials.gov Identifier:
|NCT01022424 History of Changes
|Other Study ID Numbers:
JapicCTI-090948 ( Other Identifier: JAPIC )
|Study First Received:
|November 27, 2009
|Last Updated:
|October 16, 2015
Keywords provided by Otsuka Pharmaceutical Co., Ltd.:
Additional relevant MeSH terms:
Kidney Diseases
Polycystic Kidney Diseases
Polycystic Kidney, Autosomal Dominant
Urologic Diseases
Kidney Diseases, Cystic
Antidiuretic Hormone Receptor Antagonists
Molecular Mechanisms of Pharmacological Action
Natriuretic Agents
Physiological Effects of Drugs
ClinicalTrials.gov processed this record on September 21, 2017


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Lea Michele's Cosmo cover banned from Texas store
The March issue of Cosmopolitan has been pulled from a Brookshire's grocery store in Texas after complaints about "Glee" star Lea Michele's cleavage on the magazine cover.
RELATED: Get the scoop on Michele's Cosmo cover scandal
The store owners have replaced it with a notice requesting patrons to ask for it from their customer services counter, according to CocoPerez.com.
A customer tells the website she was told the cover "wasn't appropriate" for display.
Some readers and parents have said the actress should cover up because her on-screen alter ego, high school student Rachel Berry, is seen as a role model for young viewers.
RELATED: Learn all about 'Glee' on MSN
A similar magazine stir hit Sir Elton John last month after his family cover shoot, featuring partner David Furnish and new son Zachary, was covered up with a "family shield" by a retailer in Arkansas in a bid to "protect" shoppers.


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Hello all,
I was unsure of where to create this thread, so I picked General. I'm hopeful this is the correct forum for this inquiry.
What I want to know is if it's possible to trace an exact quote (supposedly) made by Buddha? I've had no luck finding the quote anywhere, but thought that it may be an obscure one, found in an obscure book, that someone on here may have come across at some point in time. It may just be a made-up quote also, but so far, I don't really know.
The quote came from someone I would consider a biased source, and what they claim is that Buddha described the smell of Oud (or, again, agarwood oil) as the smell of nirvana - in other words, Oud is what Nirvana smells like. They even went so far as to say that it was Krishna's favorite fragrance.
So...is there any way to know for sure if any of these statements are true? I can't find any information via Google, so figured I'd ask you guys. Any help, and all comments and opinions are completely welcome.


text:
Skip to Content
What is gender violence and how can it be prevented?
The answers to these questions are discussed in presentations by Sean Connell, the gender violence prevention and education assistant for Community Health and the Office of Victim Assistance.
Gender violence can be difficult to define, but it is generally considered a term to describe interpersonal violence that is gender based. So, what does that mean?
"It can take many forms," said Connell, "including physical, sexual, and psychological abuse, sexual assault, intimate partner abuse, threats, harassment, and stalking."
A new program developed by Community Health, the public health division of Wardenburg Health Center, provides presentations to get the conversation started and help students recognize gender violence and discuss ways they can help prevent it.
Connell offers programs for student groups, in classrooms, residence halls, and for department and programs on campus.
Awareness is just one part of prevention. Challenging cultural beliefs is another piece of it. The presentation uses small-group discussion and scenarios to get students to discuss some of the environmental factors that can hide gender violence in the college community and reduce the likelihood that people will recognize it and reach out to resources on and off campus.
"The ultimate goal of these presentations is to eliminate the violence," said Connell, "but the short-term goal is to help students notice problematic actions when they occur and to empower them to step in ahead of time before an assault can take place."
Community Health and The Office of Victim Assistance are offering presentations to students on sexual assault, stalking, and intimate partner abuse. For more information or to schedule a presentation, contact Sean Connell at 303-492-5951 or email@example.com.
For more information on preventing gender violence, visit http://www.colorado.edu/healthcenter/cu-health-topics/gender-violence-prevention.


text:
Posted 5 years ago
(1 item)
I started my own car badge collection after spotting my first car badge in Monaco. This was an Automobile Club of Monaco member's badge and after being thoroughly impressed with what I saw spent what seemed like forever before I could find a similar one to adorn my own Volvo's grill.
I have put much of my own collection of the web if anyone wants to take a look. www.automobiliamania.com
Collecting badges is a fun hobby and I'm always interested to see what other badges people have as they bring back part of the nostalgia and romance of travelling that seems somewhat lost these days.


text:
£111.00 each
Photographic Bass Guitar wall hanging. Can be made in varying sizes. Please contact Fabrics and Papers for further information.
|Size of Panel
|width 1.80m x Height 2.65 metres
|Printed to order so please allow up to 3 weeks for delivery
Then visit our FAQs
If you cannot find what you are looking for then give us a ring on +44 (0) 1273 495500
To create a new scheme, simply add an item from its page on the site
To save your active scheme and load any previously-saved, enter your email address below and press enter
We also stock the following products in this range.


text:
You are here
Position Statement 16: Health and Wellness for People with Serious Mental Illnesses
Policy Position
Mental Health America (MHA) calls for dedication of significant state and federal resources to reduce the alarmingly high rates of overall health problems (morbidity) and premature death (mortality) among people with serious mental illnesses. Recent studies demonstrate that with the addition of surveillance and treatment services, overall healthcare costs can actually be reduced, both in the near and long-term. When appropriate physical and behavioral services, including rehabilitation-recovery services, are provided in a coordinated system, overall costs are reduced through:
- reduction in inappropriate emergency room use;
- reduced hospital stays, both for acute physical and mental health interventions; and
- elimination of prescription duplication and an increase in medication adherence. 1
For mental health consumers to have a fair chance to live healthy and long lives, medical practice, health policy and public dialogue must reflect the fact that overall health and mental health are inextricably intertwined.
A seminal 2006 study by the National Association of State Mental Health Program Directors (NASMHPD) 2 found that the rates of mortality and morbidity among people with severe mental illnesses are alarmingly high in comparison to the rest of the population. A 2003 NASMHPD comparison of sixteen states found that these rates have increased at least in part due to the increased use of newer generations of psychotropic medications. 3 The reports both found that many of the factors contributing to this disparity are preventable, such as smoking, substance abuse, infectious diseases and suicide. Some additional factors, such as obesity and diabetes, are often side effects of the very medications used to treat these mental illnesses.
The promotion of seamless, effective and culturally and linguistically appropriate healthcare services and supports for people with severe mental illnesses is fundamental to MHA's mission. MHA supports the implementation of the recommendations proposed by NASMHPD so that individuals with severe mental illnesses can recover and lead meaningful lives in the community. The key recommendations remain:
- To prioritize the public health problem of morbidity and mortality among people with serious mental illnesses.
- To track and monitor morbidity and mortality in populations served by public mental health systems (surveillance).
- To implement established standards of care (i.e. evidence-based and evidence-informed practices) for prevention, screening, assessment, and treatment.
- To improve access and integration with general medical care services.
In addition, every person with a mental illness should have either a Primary Healthcare Home or a Behavioral Healthcare Home, a place where primary healthcare services are coordinated and integrated with specialty services, especially psychiatric and behavioral health supports. 4
In October 2006, the National Association of State Mental Health Program Directors (NASMHPD) released a report entitled Morbidity and Mortality in People with Serious Mental Illness, cited above. Among the report's findings, and those of subsequent studies, were the following devastating outcomes for people with serious mental illnesses:
- People with serious mental illnesses are now dying at least 25 years earlier than the general population.
- 88% of the deaths and 83% of premature years of life lost in people with serious mental illness are due to "natural causes:"
- Cardiovascular disease
- Diabetes
- Respiratory diseases
- Infectious diseases
- 88% of the deaths and 83% of premature years of life lost in people with serious mental illness are due to "natural causes:"
- Increased morbidity and mortality are largely due to treatable medical conditions that are caused by modifiable risk factors such as smoking, obesity, substance abuse, and inadequate access to medical care.
- People with Depression are 1.2 to 1.8 times more likely than the general public to be obese. 5
- People with Bipolar Disorder are 1.5 to 2.3 times more likely than the general public to be obese. 6
- People with Schizophrenia are 3.5 times more likely than the general public to be obese. 7
- 56 to 88% of people with schizophrenia smoke compared to 25% of the general public. 8
- People with schizophrenia who smoke have a higher toxic exposure than other smokers.
- They smoke more cigarettes and consume more of each cigarette.
- Smoking is associated with increased insulin resistance.
- People with schizophrenia who smoke have a higher toxic exposure than other smokers.
- 44% of all cigarettes smoked in the U.S. are consumed by people with a mental illness. 9
- Antipsychotic medications have become more highly associated with weight gain, diabetes, dyslipidemia, insulin resistance and the metabolic syndrome.
- Access to adequate healthcare for individuals with serious mental illnesses is often impaired by numerous factors, including:
- Over-use of emergency and medical acute inpatient care
- Lack of a primary care relationship (a Healthcare Home)
- Lower rates of routine testing
- Very poor dental care 10
- Lack of integration of primary and behavioral health care
- People with mental illness frequently get lower quality care for medical interventions 11
- Following myocardial infarction, due to lower quality of care, Medicare patients with mental illness were:
- 19% more likely to die if they had any mental disorder
- 34% more likely to die if they had schizophrenia
- People with serious mental illness are:
- Less likely to be screened or treated for dyslipidemia, hyperglycemia, hypertension
- Less likely to receive angioplasty or CABG
- Less likely to receive drug therapies of proven benefit (thrombolytics, aspirin, beta-blockers, ACE inhibitors) post-myocardial infarction
- The large CATIE study of adults with schizophrenia 12 found:
- 88.0% of subjects who had dyslipidemia (high cholesterol) were not receiving treatment
- 62.4 % of subjects who had hypertension (high blood pressure) were not receiving treatment
- 30.2% of subjects who had diabetes were not receiving treatment
- Following myocardial infarction, due to lower quality of care, Medicare patients with mental illness were:
- These data were updated in 2010 by Wood, W.G., 13 with no improvement shown.
Call to Action
Mental Health America envisions a healthcare system that fully integrates general medical health and mental wellness by ensuring accessible, high-quality care for all people regardless of treatment setting, disability, racial or ethnic background, and income. In order to eliminate the disparities in overall health and wellness for people with serious mental illnesses, MHA supports the following strategies:
Increase Outreach and Surveillance
It is urgent that surveillance and outreach be dramatically increased, now that the scope of this problem has been understood. Federal designation of people with serious mental illness as a distinct at-risk health disparities population is a first step, followed by development of tools for wellness promotion and prevention of illness in this vulnerable population. Effective response to this problem requires, at a minimum:
- Expand national surveillance activities to incorporate information about health status in all appropriate records concerning people with severe mental illness.
- Engage at the national and state levels in developing the National Health Information Infrastructure (NHII) to assure that electronic health records and personal health record templates include the data elements needed to manage and coordinate both general medical health and mental health care. 14 Privacy and confidentiality protections for information concerning minors, chemical dependency diagnoses, and sensitive background information, should be assured in the design and implementation of health information exchanges.
- Assure at the state and federal levels that the impacts of healthcare reform changes are monitored and corrected as needed to promote integration of care.
- Share information widely about general medical health risks in persons with severe mental illness to encourage awareness and advocacy. Educate the healthcare community. Encourage persons served and family members to advocate for wellness approaches as part of recovery, especially through Healthcare Homes.
- Promote the recommendations in the NASMHPD Technical Reports on polypharmacy, 15 smoking and diet and implement policies and programs addressing these risk factors.
- Expand recovery programs to add tools to address wellness goals. 16
- Apply a public health approach and population-based interventions. Work with recovery- oriented clubhouses and other programs to develop a wellness culture among consumers.
- Improve access to general medical health care and the development of Primary Healthcare and Behavioral Healthcare Homes.
- Fund, require, regulate, and lead the public behavioral healthcare system to ensure prevention, screening, and treatment of general health care issues.
Address Funding
- Assure financing methods for service improvements, including reimbursement for coordination activities, community case management, 17 transportation and other supports to ensure access to general healthcare services. Total healthcare costs are actually reduced, both in the near and long-term when appropriate physical and behavioral services, including rehabilitation-recovery services, are provided in a coordinated healthcare system.
- As a healthcare purchaser, Medicaid should:
- Provide coverage for health education and prevention services (primary prevention) that will reduce or slow the impact of disease for people with severe mental illnesses.
- Establish reimbursement rates adequate to assure access to primary care by persons with serious mental illnesses.
- Cover smoking cessation and weight reduction treatments.
- Use community case management to improve engagement with and access to preventive and primary care, especially as an extension of Primary Healthcare and Behavioral Healthcare Homes.
- Adopt payment codes that permit payment for behavioral health consultation as part of primary healthcare.
- Establish system accountability for the mental health, substance use disorder and corrections systems to assure quality integrated behavioral and general healthcare.
- Join the Medicaid and public health agencies at the state level to develop a quality improvement (QI) plan to support appropriate screening, treatment and access to healthcare for people being served by the public mental health and substance use disorder systems, whether Medicaid-eligible or uninsured.
- Assure that all initiatives to address morbidity and mortality have concrete goals, timeframes and specific steps. Gather performance measurement data and use them to manage overall systems performance.
- Use regulatory, policy and other programming opportunities to promote personal responsibility for making healthy choices by changing the locus of control from the systems of care (program rules, regulations, staff) to the individuals being served (self-control and management).
Effective Period
This policy was approved by the Mental Health America Board of Directors on June 9, 2012. It is reviewed as required by the Public Policy Committee.
Expiration: December 31, 2017
- Parks, J.J. et al., "Mental Health Community Case Management and its Effect on Healthcare Expenditures," Psychiatric Annals 40-8:415-419 (2010).
- Parks, J., Svendsen, D., Singer, P. & Foti, M.E., Morbidity and Mortality in People with Serious Mental Illness, National Association of State Mental Health Program Directors, Medical Directors Council ( 2006), monograph available at http://www.dsamh.utah.gov/docs/mortality-morbidity_nasmhpd.pdf power point available at http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&ved=0CEcQFjAC&url=http%3A%2F%2Fwww.na...
- Lutterman,T., Ganju, V., Schacht, L., Monihan, K., et.al., Sixteen State Study on Mental Health Performance Measures, DHHS Publication No. (SMA) 03-3835. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration (2003), monograph available at http://webcache.googleusercontent.com/search?q=cache:6O2wW8_yq6UJ:www.nri-inc.org/projects/SDICC/DIG....
- Mauer, B., National Council for Community Behavioral Healthcare: Behavioral Health/Primary Care Integration and the Person-Centered Healthcare Home (2009), monograph available at http://www.thenationalcouncil.org/galleries/resources services%20files/Integration%20and%20Healthcare%20Home.pdf (Password Required)
- Simon, G.E., Von Korff, M., Saunders, K., Miglioretti, D.L., Crane, P.K., van Belle, G. & Kessler, R.C., "Association Between Obesity and Psychiatric Disorders in the US Adult Population," Arch Gen Psychiatry 63(7):824-30 (2006); Petry, N.M., Barry, D., Pietrzak, R.H. &Wagner, .JA., "Overweight and Obesity are Associated with Psychiatric Disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions," Psychosom Med 70(3):288-97 (2008).
- Id.
- Coodin, et al., "Body Mass Index in Persons with Schizophrenia," Can J Psychiatry 46:549–55 (2001).
- George, T.P., et al., "Nicotine and Tobacco Use in Schizophrenia, in: Meyer, J.M., Nasrallah, H.A., eds., Medical Illness and Schizophrenia (American Psychiatric Publishing, Inc. 2003); Ziedonis, D., Williams, J.M. & Smelson, D., "Serious Mental Illness and Tobacco Addiction: A Model Program to Address this Common but Neglected Issue," Am J Med Sci. 326(4):223-330 (2003).
- Lasser, K et al., "Smoking and Mental Illness: A Population-Based Prevalence Study," JAMA 284(20):2606-2610, doi: 10.1001/jama.284.20.2606 (2000).
- Kilbourne A.M., et al., "Oral Health in Veterans Affairs Patients Diagnosed with Serious Mental Illness," J Public Health Dentistry 67(1):42-8 (2007).
- Newcomer, J. & Hennekens, C.H., "Severe Mental Illness and Risk of Cardiovascular Disease," JAMA 298(15):1794-1796 (2007); Druss, B.G., Bradford, W.D., Rosenheck, R.A., et al., "Mental Disorders and Access to Medical Care in the United States," Arch Gen Psychiatry. 58:565-572 (2001).
- Lieberman, J.A., Stroup, T.S., McEvoy, J.P., Swartz, M.S., Rosenheck, R.A., Perkins, D.O., et al., for the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Investigators, "Effectiveness of Antipsychotic Drugs in Patients with Chronic Schizophrenia" N Engl J Med 353:1209-23 (2005); Nasrallah, H.A., Meyer, J.M., Goff, D.C., McEvoy, J.P., Davis, S.M., Stroup, T.S. & Lieberman, J.A., "Low Rates of Treatment for Hypertension, Dyslipidemia and Diabetes in Schizophrenia: Data from the CATIE Schizophrenia Trial Sample at Baseline," Schizophr Res. 86:15-22(2006); Lefkowitz, P.M., National Council of Community Behavioral Healthcare, 2009 Behavioral Health/Human Services Information Systems Survey, monograph at http://www.thenationalcouncil.org/cs/hit_funding_fails_to_address_mental_and_addiction_disorders
- Wood, W.G., Mental Illness and the Medical Home, power point available at http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CCQQFjAA&url=http%3A%2F%2Fwww.ut...
- http://www.cms.gov/EHRIncentivePrograms/01_Overview.asp
- NASMHPD Medical Directors' Technical Report on Psychiatric Polypharmacy, National Association of State Mental Health Program Directors (NASMHPD) Medical Directors Council (2001), monograph available at http://www.nasmhpd.org/general_files/publications/med_directors_pubs/Polypharmacy.PDF
- In 2009, MHA launched a website called "Live Your Life Well," intended to promote mental wellness through ten straightforward steps:
- Connect with Others. People who feel connected are happier and healthier--and may even live longer.
- Stay Positive. People who regularly focus on the positive in their lives are less upset by painful memories.
- Get Physically Active. Exercise can help relieve insomnia and reduce depression.
- Help Others. People who consistently help others experience less depression, greater calm and fewer pains.
- Get Enough Sleep. Not getting enough rest increases risks of weight gain, accidents, reduced memory and heart problems.
- Create Joy and Satisfaction. Positive emotions can boost your ability to bounce back from stress.
- Eat Well. Eating healthy food and regular meals can increase your energy, lower the risk of developing certain diseases and influence your mood.
- Take Care of Your Spirit. People who have strong spiritual lives may be healthier and live longer. Spirituality seems to cut the stress that can contribute to disease.
- Deal Better with Hard Times. People who can tackle problems or get support in a tough situation tend to feel less depressed.
- Get Professional Help if You Need It. More than 80 percent of people who are treated for depression improve.
- Parks, J.J. et al., op. cit.


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What does my address have to do with this shirt I'm buying?
Have you noticed that different stores ask for your address, phone number, email address, and/or zip code when you are checking out? Don't give it to that store unless you want mail from them to start showing up. A simple "no thank you" in response is all that salesperson needs to hear (don't lecture that poor person - it's not their fault that their employer would have sent you unwanted mail).
On a similar note, if you do provide your information because you'd like to start receiving information from that store, that salesperson may not be able to ensure that your information won't be provided to anyone outside of that company. Make a point to call the phone number that accompanies the mailer to state that you want your information held private.
This is something you should also do anytime you order a new magazine, credit card, or anything else that may have a reason for direct marketing. (Thanks to reader Jeri for pointing this out!)


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Ford playing defense as a freshman against N.C. State in 1975
They said I wasn't a very good defensive player my freshman year, although I thought I was trying very hard. Maybe Coach Smith didn't agree, because we sure played a lot of zone that season while I was "learning" to play defense!
But through my playing days, and into coaching, I developed such a respect for the players and teams that play good defense. It is so important in basketball, which was illustrated by our last two victories over Virginia and Georgia Tech. Even though Virginia shot the highest percentage (58%) of any Carolina team under Coach Williams in a victory, we played good defense in three important segments of that game. First, getting back into it after falling behind by 10 in the first half, then outscoring them 8-0 to open the second half and, finally, holding them off late after it seemed they were making every tough shot.
Fortunately, we were so efficient offensively against Virginia (we had to be in order to win). They are really good and Joe Harris is so underrated. Honestly, they have enough talent to win the ACC Tournament. And it was a great win because we HAD to beat Virginia after losing up there in January. Playing the small lineup with P.J. in there most of the time with Reggie was a good match-up for us, and P.J. like everyone from both teams in the second half was really shooting the ball well.
He had a tough night offensively at Georgia Tech, but I was impressed with his maturity in other parts of the game. Young shooters, when the ball's not going in, have to give the same effort and concentration on defense, boxing out and other aspects of the game. P.J. is growing, because his other stats were good. I'm not sure that would have been case last year or even earlier this season.
Even though we were getting good shots that weren't going in, we were still getting those shots and got enough offensive rebounds to win in a hostile environment. We had a low loss of ball, which was very important in not giving them easy opportunities to score.
It wasn't such a good match-up for P.J. but he did a great job on the bigger kids he was guarding and penalized them on the other end. He stayed between his man and the basket and made them shoot straight up and over him. Sometimes young players won't try to get it back on defense when their shots aren't falling. But that's how far defensively P.J. has come.
Now State Saturday will be awfully tough because they have everything — size, talent, good shooters outside and inside and plenty of size — really they have all the parts to win a national championship.
We have to be ready to play from the tip, unlike it was over in Raleigh. Some people say State plays to the level of their competition, and if that's the case they will play great in the Smith Center. They will be fire and ice when they see all that blue. Our team has to remember what they did to us over there before we made the comeback in the second half. I'm looking forward to an outstanding game and I hope we have one because State is not a team you can blow out. It's not an impossible task, but it will be hard. It IS doable if we play the way we're capable. I wouldn't be surprised if we see more minutes from our other big guys because of C.J. Leslie and Richard Howell. Both of those guys are so big and really good inside.
And with us, State and Virginia all tied at 8-5, the game is very important for the ACC Tournament. You want to finish in the top four so you don't have to play on Thursday and win four games to win the tourney. I don't think anyone has won four games in the tourney. So, with Miami in first and Duke looking like it will finish second, one of those three teams is going to finish fifth. That's why this game is so important. We've already split with Virginia and now we need to split with State.
I am really excited. It's going to be a great environment, like the old games I played in against DT (David Thompson) and the games against some of the great teams that Coach V had when it was show time for State. I just hope we're ready to play from the start and the crowd gets there early and really helps us. Their crowd was great in Raleigh. We have to provide the same kind of support Saturday.
Phil Ford was a three-time All-American at UNC, 1978 ACC Player of the Year and went on to be the NBA Rookie of the Year and an NBA all-star.


text: If you're looking to please your little globetrotter or make her tea party more memorable, there's a lamp for that! Loaded with personality and character, these lamps will light up a space and keep nighttime fright at bay. With picks suitable for both the nursery and playroom, we've found eight lamps to brighten their room in style and make story time easier on your eyes.


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Hill at the point guard spot has one of the top 5 or 10 worst assist rates in the entire league, compared to that DC is Chris Paul moving the ball around.
He doesn't play well at the one, never has, he considers himself a two, he's always been a two, San Antonio realized it eventually we'd be good to put him a position to succeed not throwing him into a position that he neither likes, nor is good at.
He's an undersized two, maybe VERY situational combo guard, his long arms ensure that he can defend guys that are taller than him, like kobe, and those other guys in the West that Pop loved to put him on.
George is arguably our best defender already, he should be starting at the two so that he can harass and bother the other teams best perimeter scorer. Hill and Hans will be a nice punch off the bench.


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heart wrote:TUR bringing forth genuine and deeply felt devotion in your heart pensum might actually qualify as a siddhi, don't you think? Not to mention directly introducing you to your natural state, again and again. Emaho! /magnus
Well it's the only case of someone melting stone that i have witnessed Magnus, so in that sense yes such siddhis do exist! Those other guys putting hands in rocks etc. would be unable of such a sublime feat as TUR accomplished.


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I saw the cover of Computer world the other day with a title of "Swinging toward centralization". I'm not one to be jumping on trends but I think this idea has merit. To me, it ties into virtualization, possibly cloud computing, and also the IBM concepts of the smart planet.
Centralized IT could mean first the optimization of hardware resources. The best approach is to use virtualization so all the hardware resources can be used optimally. For example, instead of having, let say 100 computers running at 50%-70% utilization, you can centralize and use virtualization and either reduce the number of computers to around 70 or use the extra capacity for growth. This is a pretty conservative example. Just consider this quote from Computer World, April 20, 20009:
"Austin Energy: With a new virtual environment, applications run on 150 servers instead of 600"
Centralization gives you this opportunity. Note that I'm talking about centralizing the hardware resources. If you centralize processing for one large application, you'll likely need the help of advance features such as IDS Continuous availablity (CAF) and the integrated replication capabilities (HDR and ER).
Centralization does not mean that the personnel must also be centralized. Today, network access is pretty much a fact of life (I so wanted to use the word ubiquitous!). All the application and system management can be done from anywhere. For IDS, just consider the Open Admin Tool for IDS (OAT) or management tools from our partners such as AGS and CobraSonic. Managers can consider these resources as part of a "cloud".
What a nice segway to my next point
We hear a lot about cloud computing. You can buy time on some machines in the cloud. We could also mention software as a service like in the case of LotusLive (see https://www.lotuslive.com/en/) or the IBM cloud offering. This does not mean that you have to go outside to have a cloud. You could create a cloud from your centralized data center and provide capacity on-demand based on resource optimization.
When we talk about a large centralized data center, the server consolidation is only part of the savings. the saving in energy can be significant. The other day, I listened to a presentation by an IBMer that manages a large data center providing services worldwide. Here are the type of things he did:
His team installed active RFID sensors to monitor the temperature and humidity levels in different areas of his data center, including multiple locations in the racks, and at different times. With this information, he was able to clearly identify machine needs. At one point, he was able to identify that if he installed a (raised) floor tile with holes at a specific location, he could eliminate his "hot spot" without increasing his air conditioning needs. He even figured out the correlation between applications and machines heat output. So he can regulate the room temperature based on which application is running!
Talk about a great example of a smarter planet: instrumented, interconnected, intelligent (devices).


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|Product Description
Harken offers a variety of removable padeyes for blocks from 57 mm Black Magic, to custom blocks with maximum working loads of 50,715 lbs (23,000 kg). Bases swivel so padeyes align to the load. This prevents the reduction of the block's maximum working load. This unique swivel feature is a Harken exclusive.
Deck Cup: HC7340
Top: HC8207
Part Number: HC7852


text:
Sign into our member site to view your information online.Forget your username or password? Not registered? Register here
nepafenac ophthalmic (generic name)
The eye drops are used to treat pain and swelling after eye surgery
(ne paf FEN ak)
Table of Contents
Top Learning Centers(Recursos en Español)
What is this medicine?NEPAFENAC (ne paf FEN ak) is a non-steroidal anti-inflammatory drug (NSAID). The eye drops are used to treat pain and swelling after eye surgery.
What should I tell my health care provider before I take this medicine?They need to know if you have any of these conditions:
How should I use this medicine?This medicine is only for use in the eye. Do not take by mouth. Follow the directions on the prescription label. Remove contact lenses before putting the drops in your eyes and leave them out for at least 5 minutes after putting drops into your eyes. Wash your hands before and after using the drops. Shake the bottle well before use. Try not to touch the tip of the dropper to your eye, fingertips, or any other surface. Tilt your head back slightly and pull your lower eyelid down with your index finger to form a pouch. Squeeze the prescribed number of drops into the pouch. Close the eye gently to spread the drops. Do not rub your eyes. Your vision may blur for a few minutes. If you are using more than one medicine in the eye, the medicines should be used 5 minutes apart. Use your medicine at regular intervals. Do not use your medicine more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.
What may interact with this medicine?
Do not use any other eye products without asking your doctor or health care professional.
What should I watch for while using this medicine?Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse. Do not use these eye drops for longer than prescribed by your doctor or health care professional.
Unless your doctor or health care professional tells you it is okay, you should avoid wearing contact lenses while you are using this medicine.
This medicine can make your eyes more sensitive to sunlight. It might help to wear sunglasses while using this medicine.
What side effects may I notice from receiving this medicine?Side effects that you should report to your doctor or health care professional as soon as possible:
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
Where should I keep my medicine?Keep out of the reach of children.
Store between 2 and 25 degrees C (36 and 77 degrees F). Throw away any unused medicine after the expiration date.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.


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Ice core clamour
Published: 2 December 2012 (GMT+10)
Anti-creationist 'Infinity730' objected to the YouTube video clip What are some of the best Flood evidences? by creationist geologist Dr Andrew Snelling. When asked " Which particular scientific evidence for a Global Flood do you take issue with? " Infinity730 responded with a long series of geology related questions (below, in red, with CMI's response interspersed).
Why is there no evidence of a flood in ice core series?
The Ice Age was post-Flood. The Greenland ice sheets are post-Flood.
Ice cores from Greenland have been dated back more than 40,000 years by counting annual layers. [Johnsen et al, 1992,; Alley et al, 1993]
Only 40,000? Some evolutionists claim they show more than 100,000! But both these 'dates' are wrong because they are based on faulty assumptions, for example the erroneous assumption that one layer equals one year. The reliable historical records in the Bible indicate that the ice cannot be more than about 4,000 years old. And the science does not oppose this. See Do Greenland ice cores show over one hundred thousand years of annual layers?
A worldwide flood would be expected to leave a layer of sediments,
Indeed it did, only definitely not just 'a layer'. Much of the earth's surface is covered in kilometres-thick layers of now-solidified water-laid sediments. See Sedimentary blankets: visual evidence for vast continental flooding. And these vast sedimentary rock formations have many features indicating rapid formation. See Can geological structures that we see today be explained by a global Flood?
noticeable changes in salinity and oxygen isotope ratios, fractures from buoyancy and thermal stresses, a hiatus in trapped air bubbles, and probably other evidence. Why doesn't such evidence show up?
The Greenland ice sheets are post-Flood, so it is not possible for them to contain direct evidence of the Flood. See What about the ice Age?
How are the polar ice caps even possible? Such a mass of water as the Flood would have provided sufficient buoyancy to float the polar caps off their beds and break them up.
Exactly. And post-Flood such caps can form/reform from freezing for the same reasons as the water is now frozen—the low temperatures at the poles. We hope we don't need to go into detail about why the poles are colder, but if that is needed, there are many junior high texts that will point this out. However, the formation of large glacial ice sheets, as occurred in the post-Flood period, is another issue. These came from massive amounts of evaporation, and in fact an Ice Age with continental glaciations is a huge problem for slow and gradual explanations. That's because to lift large amounts of water out of the ocean onto land requires extra energy, not things getting colder and colder. That might freeze the oceans, but would cause ever less evaporation/precipitation and thus act against continental glaciation. Whereas the Flood provided ideal conditions for an Ice Age. First, much warmer oceans (according to Genesis, most of the Flood water came from under the ground) and thus not only the hugely increased snowfall giving rise to the ice sheets, but the associated pluvial periods, for which there is much evidence. Also, cooler summers from the shielding of sunlight from the large amounts of volcanic dust in the atmosphere blocking sunlight. See Q & A: Ice Age.
They wouldn't regrow quickly. In fact, the Greenland ice cap would not regrow under modern (last 10 ky) climatic conditions.
That is patently not so. In fact, deep thicknesses of ice sheet can form quickly. For example some abandoned World War II planes that had landed on Greenland in 1942 became covered by snow, and by the time they were rediscovered in 1988, just 46 years later, they were buried under 75 metres of ice layers. See The lost squadron. Ironically, when we published this, some sceptical enquirers wrote in to point out that this is the normal (i.e. modern) level of snowfall—which is exactly the point, and rebuts your contention.
Why is there no evidence of a flood in tree ring dating?
The number of tree rings produced per year, and their quality, varies according to species and weather. There may well be indications of weather events such as recent local floods in the rings of some trees, but all living trees today are post -Flood. The biblical Flood would not have allowed any living tree to remain in a growth situation. The oldest living trees (see Patriarchs of the forest ) are of the order of 4,000 years old, dating to shortly after the Flood.
Tree ring records go back more than 10,000 years, with no evidence of a catastrophe during that time. [Becker & Kromer, 1993; Becker et al, 1991; Stuiver et al, 1986]
That is the claim that is made but in fact the rings do not go back that far. The methods used to align tree ring sequences from different trees or pieces of wood are seriously flawed. See Tree ring dating (dendrochronology).
Why did the Flood not leave traces on the sea floors? A year long flood should be recognizable in sea bottom cores by (1) an uncharacteristic amount of terrestrial detritus, (2) different grain size distributions in the sediment, (3) a shift in oxygen isotope ratios (rain has a different isotopic composition from seawater), (4) a massive extinction, and (n) other characters. Why do none of these show up?
The huge misconception in all of this (not just this question, but the earlier ones) is that you do not have a big enough concept of the Flood and what it actually did to the earth. It's like you are looking for trace evidences of a global Flood within the actual evidences for it! It's like you're staring at the forest and asking, 'where is there a single tree?' This shows that you have not read what creationist geologists have written and discussed about such a Flood, which even in theory would rip up and destroy any such minute traces, or any slow and gradual record of events—by definition. So here you are looking in marine sediments that are all almost exclusively the result of massive runoff after the Flood, and asking, 'Where is the tiny layer I expect?' Put it differently: if one grants that there was a global Flood, then the rock record is no longer a slow tape recording of events over vast eons, because such a Flood would erase any such record. The rock record is then a record of differential sedimentation and differential burial. So consider number 4 in your list, massive extinction: the fact that the vast majority of creatures, particularly marine creatures and plants, are no longer with us, certainly shows up. If that is not a 'massive extinction', what would you call it? And the massive coal deposits around the world are testament to number 1 in your list, the terrestrial detritus of the Flood. Note, the seafloors of today are not the seafloors of the pre-Flood globe. That world was destroyed. The mountains rose and the valleys sank ( Psalm 104:8 ). Banded remanent magnetism in today's seafloor rocks indicates that they formed during the Flood. See What about continental drift? and also The earth's magnetic field: evidence that the earth is young.
How does a global flood explain angular unconformities? These are where one set of layers of sediments have been extensively modified (e.g., tilted) and eroded before a second set of layers were deposited on top. They thus seem to require at least two periods of deposition (more, where there is more than one unconformity) with long periods of time in between to account for the deformation, erosion, and weathering observed.
Yes, unconformities, including angular unconformities, indicate two (or more) periods of deposition, separated by a period of erosion. And the corollary of this is that where there is no unconformity e.g. between the Coconino Sandstone and Hermit Shale layers in Grand Canyon, there was no period of erosion—see 'Millions of years' are missing. Your mistake once again is to fail to understand the magnitude of this year–long event, which would have involved huge numbers of separate events/periods of deposition, as areas were eroded, deposited, re-eroded, etc. Angular unconformities actually preserve evidence that supports the Flood ( Unmasking a long-age icon ).
Note that erosion can occur extremely quickly. Water moving at around 30 metres per second can carve through solid cement and rock due to the explosive effect of cavitation (see Beware the bubble's burst ). Imagine then the effect on unconsolidated sediments, still soft and waterlogged, as receding floodwaters streamed off the continents in the latter stages of the Flood.
As for deformation, there are sedimentary mountain ranges around the globe that display deformation on a massive scale—vast sequences of parallel layers of rock undulating like coloured twists in boiled candy. But solid rock cannot deform in this way. This sort of deformation is an indication that the layers of sediment were still wet and soft at the time the deformation occurred. See Warped earth.
How were mountains and valleys formed? Many very tall mountains are composed of sedimentary rocks. (The summit of Everest is composed of deep-marine limestone, with fossils of ocean-bottom dwelling crinoids [Gansser, 1964].) If these were formed during the Flood, how did they reach their present height, and when were the valleys between them eroded away?
Indeed! The Mt Everest limestones were formed under the sea. Besides crinoids, they are also riddled with trilobite fossils. 1 The massive tectonic forces unleashed during the Flood restructured the whole surface of the globe. The continents split apart and sedimentary deposits of the Flood were pushed together toward the end of that event, forming the crumpled mountain ranges of today. Many creationist scientists think there was a single pre-Flood continent ( Genesis 1:9 implies a single continent) that split into today's arrangement of multiple continents via catastrophic plate tectonics (CTP). See Where did all the water go?
Keep in mind that many valleys were clearly carved by glacial erosion, which is a slow process.
Yes, valleys carved by glaciers have a distinctive U-shape, and scored rocks. Such valleys can form in hundreds of years, and we have already discussed (and referred you to articles about) the post-Flood Ice Age. This is one of the strongest areas of flood geological scholarship, actually, and is something we are very glad you brought up (as anyone who bothers reading that Ice Age section of articles we referred you to earlier will come to understand).
Many geographical features, such as 'water gaps' and valleys with 'underfit' rivers, are incompatible with slow and gradual scenarios, but readily explainable by the global Flood—see Do rivers erode through mountains? and How landscapes reveal Noah's Flood.
When did granite batholiths form? Some of these are intruded into older sediments and have younger sediments on their eroded top surfaces. It takes a long time for magma to cool into granite, nor does granite erode very quickly. [For example, see Donohoe & Grantham, 1989, for locations of contact between the South Mountain Batholith and the Meugma Group of sediments, as well as some angular unconformities.]
Traditional secular calculations about how long it takes granite to cool are based on cooling by conduction alone, and hence cannot possibly be correct. Modern-day evidence in fact indicates that this assumption of a long time to cool batholiths is simply wrong. Cooling proceeds via a variety of mechanisms, including loss of steam and associated fracturing. See Granite formation: catastrophic in its suddenness.
There have been at least five major ice ages in the Earth's past (the Huronian, Cryogenian, Andean-Saharan, Karoo Ice Age and the Quaternary glaciation).
There has only been one major Ice Age in the earth's past, not five or more. See "How many ice ages were there?", pages 201–204, The Creation Answers Book.
The airplanes landed near the shore of Greenland, where snow accumulation is rapid, at about 2 m per year. Allowing for some compaction due to the weight of the snow, that accounts for the depth of snow under which they are buried. The planes are also on an active glacier and have moved about 2 km since landing. Ice core dating takes place on stable ice fields, not active glaciers. The interior of Greenland, where ice cores were taken, receives much less snow. In Antarctica, where ice cores dating back more than 100,000 years have been collected, the rate of snow accumulation is much less still.
Re snowfall and ice sheet buildup on the interior of Greenland see pages 208–209. Snowfall was much heavier in the first several post–Flood centuries—even heavier than snowfall near the shores of Greenland today. For a detailed exposure of the incorrectness of the '100,000 years' figure, see Do Greenland ice cores show over one hundred thousand years of annual layers?.
May we say that the very way in which you have presented such a barrage of very basic objections as if they were 'giant-killers' is indicative of the following:
- That you have actually not read even the basic works of creationist researchers, so if indeed you have been banned from all those websites you claim elsewhere, it may be because of a persistent refusal to familiarize yourself with that which you are attacking.
- Even if Flood geologists were wrong (for the sake of the argument) the fact that their (our) number contains many who have high qualifications in the earth sciences should have made you realize before launching this barrage that there are probably answers to such very basic (dare we say puerile?) questions, which should have given pause to your seemingly confident assumptions. In fact, it all comes across as rather insulting to researchers such as Dr Snelling and many other PhD geologists in the creation movement.
Nevertheless, we have done you the courtesy of responding in detail, but if you still have issues, and your subsequent questions (unlike these) show a serious seeking after answers and a serious attempt to understand Flood geology, send your further enquiries to the CMI website question section, we always take serious questions from serious seekers seriously (though we will not indefinitely spend time where experience with any individual shows that they are not interested in serious engagement).
Related Articles
Further Reading
- Hughes, N.C., Trilobite hunting in the Himalaya, Earth 5 (3):52–59, June 1996. Return to text.
If 'Infinity730' has been lambasting creationist sites and continues to do so, it is a waste of time casting pearls before swine. He is only wanting to get his name up in lights to boast to his mates that Creationists can't answer his questions. I can hear them now, 'great questions mate I bet they can't answer them', and then not bother to read the answers.
The sad truth is, maybe these other creationist sites that have banned Infinity from commenting are doing the only thing they could do. According to what Matthew 7:6 says, we shouldn't waste our time on those who have obviously hardened their hearts towards the truth. We should always pray for the lost and not give up on them but, if you keep presenting the same thing to the guy and he continually spits it back out, not wanting to even make the effort to understand, then maybe it's time to just ignore the guy and preach to those who are willing to hear, open their hearts and ingest what God's Word has to say.
Timothy C.,
It's a difficult choice as ignoring him can mean people think there aren't answers.
I'm sure CMI thought carefully about it.
I believe Proverbs summarises how difficult it can be when in two contiguous verses it says to answer and not answer a fool according to his follow and gives reasons for both.
It seems that one must constantly make the choice of whether and how to answer fools.
I recently watched a presentation of the CO2 levels in Earth's history, going back over 500,00 years, and I was struck by the similar shapes of the 5 ice ages. They were not exactly the same, but very similar. Perhaps they really represented just one, but how then did they get it to 5?
Infinity again!? I'm actually surprised that CMI actually responded to him. His comments are all over creationist videos and he knows the arguments and the evidences, yet he denies them continuously, repeating these types of questions even on the same channels. It's best not to waste your time answering his questions. He already knows the answers because almost every creationist Youtuber (including myself "TChapman500") has told him repeatedly.
Evolutionist/s say;
"Such a mass of water as the Flood would have caused............X, Y or Z"
It's funny how evolutionists seem to know exactly what would happen if a flood happened except they can't seem to imagine the preservation of millions of animal kinds as fossils, even with many such fossils showing signs of suffocation an rapid burial.
It's important to not heed the rhetoric-from-hypothetics, that comes from evolutionists because they have not conducted an experiment that involved a world wide flood.
Therefore when they tell us their opinions about evidence that is missing, they ignore the elephant in the room.
Thank you for a brilliant article!
Never having had the opportunity to study geology when in school, I find many articles (even some "layman" ones) too full of technical terms to follow easily. This one however is very clear and simple. I especially liked the tree illustration - someone demanding to be shown a single tree when the forest he's looking at is full of them!
Of course, the questioner's comments are also very simple and do far more to display his ignorance than having any hope of scoring imaginary points against Flood geologists. A Christian is supposed to be gracious and patient with opponents; but in this case it is like a champion boxer pulling his punches when sparring with a ten year old!
The Bible - 1 Peter 3:15
"But in your hearts revere Christ as Lord. Always be prepared to give an answer to everyone who asks you to give the reason for the hope that you have. But do this with gentleness and respect..."
What an amazingly patient and loving response. Thank you CMI. May God bless you and prosper you in your defence of the Gospel.
Banning is active on the other side (molecules to moral homo sapien evolution) as well. They do not even bother to inform that you have been banned.
I have not yet come across an evolution (also known as secular science) website where they respond objectively, like CMI, to the six day creationist objections to the 'molecules to moral human' evolution science instead of playing the person.
But if that is needed, there are many junior high school text that will point this out.
Does the writer need to be rude?


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Study in the USA - Mishawaka, Indiana
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Bethel College - Mishawaka, Indiana
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I'm Tom, a hugely creative and experienced designer for print, web (including ecommerce) and UI's. This portfolio features some of my work to date, and I add to it on regular occasions. You can contact me via the contact link to the left.
Thanks for looking
Tom Johnson | Design & Branding Portfolio
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© Copyright 2017 Tom Johnson | Design & Branding Portfolio ·


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'); var yuipath = 'clientscript/yui'; var yuicombopath = ''; var remoteyui = false; } else // Load Rest of YUI remotely (where possible) { var yuipath = 'http://yui.yahooapis.com/2.9.0/build'; var yuicombopath = 'http://yui.yahooapis.com/combo'; var remoteyui = true; if (!yuicombopath) { document.write('
Dopes Viggo Mortensen get killed? 'Cause any movie where Viggo Mortensen gets killed has a happy ending, far as I'm concerned.
And I won't be here to see the day
It all dries up and blows away
I'd hang around just to see
But they never had much use for me
In Levelland. (James McMurtry)
Edit Signature
I thought it was a pretty good movie. To each his own I guess.
In the mid-90s, Rob Schneider had a TV show based in Indy called "Men Behaving Badly". I thought it was pretty funny, but I was a young teenager, so it was probably my demographic. I think it only went two seasons.


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American Paradox
Kevin Spacey continues to seek offbeat roles that test the limits of his talent.
First impressions can be deceiving. Dangerously so. Take a certain Academy Award-winning actor, for example. His blue collar "everyman's" face belies a razor-sharp white collar intellect and a demeanor that makes it crystal clear within minutes of meeting him that he is no one's man but his own. Should he choose to run with a crowd, it's inevitable that he will emerge as the leader. He'll slip smoothly to the front through charm and wit, thinning the herd as he goes to insure survival of the fittest. Including, of course, himself. In the space of a minute, he can display graciousness and sarcasm, a ready laugh or a cutting response.
Pre-1995, he was known simply as a character actor playing interesting but eccentric roles on stage and screen. In the last seven years, he's become one of America's most sought-after leading men, winning two Oscars, one Tony and a host of other kudos for his work playing those same interesting, eccentric roles on stage and screen.
He's a full-fledged movie star who eschews limousines for an SUV, haunts off-Broadway playhouses rather than rehab centers, and who would much rather discuss the state of the economy, the state of the industry or the state of New York than his own state of mind.
He is an extraordinarily private man in an extraordinarily public line of work.
Dichotomy, thy name is Kevin Spacey.
A crowd of 200 or more has gathered on the Austin, Texas, movie set of The Life of David Gale. Since the morning shoot is taking place on the campus of the University of Texas, the crowd is made up predominantly of students clutching cameras, publicity photos and paper and pens, in the hopes of catching a glimpse and an autograph of the movie's lead, actor Kevin Spacey.
Some have been waiting for hours, joined by other fans who have ferreted out the movie's shooting schedule and are patiently waiting across the narrow street from the campus building where the filming is taking place.
One man, a heavily tattooed, long-haul trucker in his mid-50s, can hardly stand still as he clutches his "Awards Edition" American Beauty video.
"I've just got to get his autograph," he whispers. He recites a list of five or six movies, commenting on "Kevin's genius," or "Kevin's brilliance," only to have a student break in and start comparing notes on "Kevin's take" on a particular scene.
Screams of "Kevin!" greet the actor as he exits the building and crosses the street to sign autographs; it's obvious that we won't hear a "Thank you, Mr. Spacey" here today. Actor Kevin Spacey is simply Kevin to his fans, approachable and affable.
Spacey appears to work hard to maintain that approachability, gladly spending 30 minutes or more signing notebooks and T-shirts, video boxes and photographs. He shakes hands, questions individuals on their majors and career aspirations, poses for snapshots, makes quips and jokes, and generally engages in light conversation with a couple hundred people who want to say they've conversed with Kevin.
Not bad for a guy who, five minutes earlier, was knee-deep in the somber roll of David Gale, a university professor and an activist opposed to capital punishment who finds himself convicted of murder and sentenced to death row.
But then shifting rolls and refining and redefining characters are perhaps what the 42-year-old Spacey does best. Few do it better.
Case in point: Consider the role of Verbal Kint, the character in 1995's The Usual Suspects that served as the mid-career launching pad for Spacey, catapulting the actor into the viewing mainstream of studio executives and moviegoers and earning the little known character actor his first Oscar.
It was a role in which Spacey's Kint blossomed from a gimpy, wimpy, second-class con man into the elusive master criminal Keyser Soze. It was a role that called for an actor to play an actor and as Kint morphed into Soze, Spacey morphed into stardom.
The Usual Suspects was followed later that year by Seven, the thriller that pitted Spacey's brilliant and twisted murdering John Doe against lawmen Morgan Freeman and Brad Pitt.
Spacey had an opportunity to work with Freeman again that year in Outbreak, in which, alongside Dustin Hoffman and Rene Russo, he played an infectious-disease specialist with a cynical viewpoint who always had a slightly sarcastic comeback.
Those character traits -- adroit sarcasm, a certain level of arrogance, and a dry delivery -- proved to be a sort of typecasting for Spacey as he moved into rolls that included the officious district attorney in A Time to Kill, the cool and collected Southern gentleman murderer in Midnight in the Garden of Good and Evil, and the smarmy, too-slick-for-words movie executive in Hurlyburly.
Spacey's never played a dummy or a dreamer on film. His roles in L.A. Confidential and The Negotiator, his Academy Award-winning role in American Beauty, and his subsequent roles in Pay It Forward and the recent K-PAX only continued the run of movies that showcased his ability for deadpan delivery and smart wisecracks.
Spacey's latest film, The Shipping News, expected to open Christmas Day, shows the actor portraying yet another troubled man, albeit one who is, as Spacey puts it, "a man of absolutely no confidence. Life keeps happening to him. It's a reactive life [and] this character doesn't have an ironic, cynical, greedy bone in his body."
Based on Annie Proulx's Pulitzer Prize-winning novel, The Shipping News is a dark, moody movie. Spacey plays Quoyle, a man deceived and abandoned by his late wife (Cate Blanchett). He is lured by his aunt (Dame Judi Dench) to start a new life as a single father on the coast of Newfoundland, where he finds some level of peace in a relationship with a local woman (Julianne Moore).
Spacey read the book in 1997, kept an eye on the story even as it was bought and prepared for another actor, and then snapped it up the minute the rights -- and the two-time Academy Award-nominee director Lasse Hallström -- were available again.
What drove him to the film, muses Spacey, was the rather depressing role of Quoyle, an emotionally and geographically isolated man who does all he can to simply exist.
"Quoyle's not trying to do anything but to get through the day, to not get on the boat, and be a good father. He's a man who falls in love once and forever, hard, and it will never go away, no matter how badly that woman treats him, no matter how much she uses his heart as an ashtray. He will always love her. Her name will forever be written on his heart. In his daughter, he sees her. His story is told on his face."
Spacey also admits that Quoyle's character is a "distinctly different role [for me] in a movie, but my work in the theater for fifteen years prior is very much these kinds of men. Certainly back in 1996, nobody [in Hollywood] would have considered me, Kevin Spacey, for this role."
If Spacey readily admits to having fallen in love with The Shipping News as a story and with Newfoundland as a locale, he also laughs when discussing Newfoundland's legendary weather. The cold and damp climate, which serves as the book's natural backdrop for the story of a depressed fishing village, presented a challenge when it came time to schedule filming.
"The 'Newfies' themselves joke that they have four seasons: fall, winter, misery and summer. We," grins Spacey, "were pretty much in misery the whole time!"
Hours off the set were predominantly spent with fellow cast and crew members; the group became enamored of a bar called Rocky's, where Spacey and some locals taught Dench to play pool.
"She pretended not to like it but she did. I think that it surprised a lot of people to see a Dame up there with her ass on the end of a pool table trying to do a backhand shot. It was," smiles Spacey, "pretty hilarious."
The obvious delight that Spacey takes in provoking mischief and mayhem is nothing new; he's been doing it most of his life. An admitted class clown ("yes, we were the ones in the back of the room making fart noises") Spacey -- born Kevin Fowler -- spent his youth constantly moving around Southern California. His father, Geoffrey, a technical writer, subsisted on contract work, so the family would settle down for a few months here, a few months there. Spacey credits his mother, Kathleen, for providing the only regular emotional -- and financial -- support that he and his sister knew as kids.
Spacey had a few mishaps during those teen years, including the infamous burning down of his sister's tree house, which resulted in a stint at a juvenile military academy (where, ironically, the young Spacey won a leadership award one week and an expulsion the next). Nevertheless, he landed adroitly on his feet, this time on stage.
While performing in a high school production of Arthur Miller's All My Sons for the Drama Teachers Association of Southern California, Spacey was spotted and recruited for the drama department at Chatsworth High School.
Located in the San Fernando Valley, a suburb of Los Angeles, the school was close enough to his father's current work assignment to permit Spacey to enroll. Spacey found himself part of a drama troupe that included other professionals-to-be Val Kilmer and Mare Winningham.
Even in high school, Spacey stood out as the ordinary-looking student whose talent and demeanor was anything but ordinary. Working part-time selling shoes at a nearby mall, he served customers while doing dead-on imitations of Johnny Carson and Jack Lemmon.
His obsession with theater and performing was, he says, absolute.
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More than 15 percent of toddlers between the ages of two and five are considered overweight, and Illinois officials are taking steps to combat this obesity threat with new daycare regulations.
According to the Rockford Register Star, officials with the Illinois Department of Children and Family Services have proposed removing chocolate milk, juice and other fatty, sugary snacks from the state's daycare centers. It also forbids centers from rewarding children with food and letting the youngest children watch television.
The proposed changes were recommended by the Illinois Early Learning Council and are now being reviewed by a legislative panel. The changes are just the latest passed in recent years. Daycare centers are already required to feed children ages two and older milk that is either skim or 1 percent. Read more here.
"Early childhood obesity has been an organizational priority for us," Kate Ritter, senior policy associate with Illinois Action for Children, told The State Journal-Register. "We realized the need for this based on the statistics of the number of children in Illinois under the age of five who were already obese before they enter school. We knew this was a good time to get this put into policy."
See, "No chocolate milk? New Illinois day-care regulations proposed."
"Research shows that children who drink flavored milk also drink more milk overall, have better quality diets, do not have higher intakes of added sugar or fat, and are just as likely to be at a healthy weight compared to kids who do not consume flavored milk," Greg Miller, executive vice president of the National Dairy Council, said in July, questioning an opinion piece by two Harvard University professors.
Another study published earlier this year that toddlers who drink 1 percent and skim milk were at an increased risk of being overweight and obese. Read, "High-fat milk better for toddlers? Study says 'yes'."


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Luebke's recovery takes big step
PHOENIX -- Cory Luebke's road back from a second Tommy John surgery in February took a positive turn last week, when he played catch for the first time.
"I had to find my glove," Luebke joked on Friday at Chase Field.
Luebke made 30 throws from 45 feet and will do so three times a week for the foreseeable future as he continues his rehab.
"It felt good to throw again," he said.
Luebke has spent his entire time since his surgery in Arizona, working out and living in Gilbert with Allen Gruver at the Postural Restorative Institute, where he's also worked on strengthening his hips and core muscles.
Luebke's rehab protocol is similar to the one he had after his first Tommy John surgery, on May 23, 2012, although the throwing program has been altered, with more time built between throwing sessions.
The good news, he said, is that having done this before has provided a blueprint for what's ahead.
"I have a better idea now of where I'm at," he said.
Manager Bud Black had a chance to talk with Luebke on Friday and watched him play catch in the outfield before the game.
"He feels good about where he's at," Black said. "It's a long process, but he's indicated his elbow feels different [in a good way] at this stage.
"He's excited about the next six months. And maybe we're getting a bit ahead of ourselves, [but] he's excited about being a Padre in Spring Training."
Luebke would be right around 12 months to the day of his second surgery (Feb. 18, 2014) when pitchers and catchers report for the start of Spring Training 2015. The "typical" recovery from Tommy John surgery, if there is such a thing, is usually between 12 and 18 months.
Corey Brock is a reporter for MLB.com. Keep track of @FollowThePadres on Twitter. This story was not subject to the approval of Major League Baseball or its clubs.


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Roenicke reluctantly holds Braun out of lineup
Brewers outfielder dealing with neck issues; hits well vs. Bucs starter Burnett
PITTSBURGH -- Left fielder Ryan Braun took Monday night off against the Pirates. He's been getting treatment since the start of Spring Training for a back problem, and has had issues with a stiff neck since early April.
The Brewers had lost four in a row entering the series opener at PNC Park, and it was not an easy decision for manager Ron Roenicke to sit Braun, especially because he is 6-for-14 in his career against Pirates starter A.J. Burnett. Nonetheless, Logan Schafer started in left field.
"I don't want him out of there," Roenicke said. "But physically, he's been fighting the neck issue. He wasn't sure if he was going to be able to play the games in Cincinnati and said somewhere, whether it was yesterday or today, he needed a day off.
"I certainly don't want to do it. It's different when you are playing well and things are going good, and you want to give the guy a day, but we need him and he does hit Burnett well."
Braun is batting .306 with eight home runs and 26 RBIs.
"We were just trying to figure out a day that works best," Braun said. "So the numbers against an opponent don't factor in, it's just a day that works best for us and the challenges of trying to stay as close to a hundred percent healthy as possible over the course of a season. I'm fine and I am available tonight. I'll be back in there tomorrow."
George Von Benko is a contributor to MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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What He's Really Thinking After 1, 5, and 10 Years of Marriage
A good sex dream can leave you feeling like you've barely had any rest at all, but it doesn't mean you necessarily want to jump in bed with that person in real life says Ian Wallace, a dream psychologist and author of the best-selling dream book, The Top 100 Dreams: The Dreams That We All Have and What They Really Mean. According to Dr. Wallace, sex dreams are really just your subconscious asking you, "what part of my life needs more excitement right now?"—like a sexual Magic 8 Ball! We asked him to break down the 10 most common sex dreams to help us understand where a wake-up call may be in order.
Feel like you've been nailing it at work and at home recently? "Sex with a powerful figure shows that you are becoming more intimately aware of your own power and ability to choose what you want to do in life."
What She's Really Thinking After 1, 5, and 10 Years of Marriage