Senate race in Texas headed for runoff

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When is it ethical to prescribe placebos?

Public release date: 30-May-2012
[ | E-mail | Share ]

Contact: Michael Turton
turtonm@thehastingscenter.org
845-424-4040 x242
The Hastings Center

The American Medical Association's Code of Ethics prohibits physicians from prescribing treatments that they consider to be placebos unless the patients know this and agree to take them anyway. But this policy is not clearly the best way to protect or benefit patients, concludes an The American Medical Association's Code of Ethics prohibits physicians from prescribing treatments that they consider to be placebos unless the patients know this and agree to take them anyway. But this policy is not clearly the best way to protect or benefit patients, concludes an article in the Hastings Center Report. A commentary by two AMA bioethicists responding to the article also appears in the journal.

Placebos are commonly understood to be inert treatments, such as sugar pills, that have no pharmacological effect, but the AMA defines placebos more narrowly, as therapies that a physician believes lack a specific pharmacological effect on the conditions being treated. The physician's belief may or may not align with the prevailing medical view of a treatment. "There are borderline and controversial cases, such as acupuncture and antidepressants, in which individual physicians might reasonably disagree with the medical community's consensus about whether a treatment is an active treatment or a placebo," writes Anne Barnhill, a philosopher and bioethicist who is studying social work at Columbia University.

The article cites a recent poll of American internists and rheumatologists that found that a significant number of them admit to giving patients placebos without disclosing the therapies as such. While some placebo use is patently unethical providing a treatment that "has no scientific basis and is dangerous, is calculated to deceive the patient by giving false hope, or which may cause the patient to delay in seeking proper care" other uses of placebos are widely seen as ethical, writes Barnhill.

Some placebos might offer medical benefit to patients with certain conditions, Barnhill notes, and the limited available data suggest that placebos are more effective when presented as active treatments. As a result, she adds, some bioethicists have argued that an undisclosed placebo is the best available treatment for some patients. "If the best available treatment is sometimes an undisclosed placebo," she writes, "then the AMA's policy prohibits physicians from offering the best available treatment in some cases."

In addition to failing to benefit patients, the AMA policy may not meet two of its other goals: protecting patients' autonomy and their trust in physicians. The rationale for requiring physicians to disclose their belief that a treatment is a placebo is that patients need this information in order to give informed consent about whether to take the treatment. Informed consent is essential to patient autonomy. But it is unknown whether patients find this information relevant to their decision-making, Barnhill says, because "there's little data on patients' attitudes toward placebos."

Because of this lack of data, Barnhill also argues that the AMA policy does not help protect patients' trust in physicians. "The AMA seems to assume that uncovering undisclosed placebo use reduces patients' trust in physicians. But this is not a given," she writes. "When they uncover undisclosed placebo use, patients might conclude that their physicians are untrustworthy liars or quacks, or that their physicians do not believe that they are truly sick or, that their physicians are open-minded, cutting-edge, and savvy about mind-body connections."

Barnhill recommends that the AMA consider revising its policy on placebo use. If the goal is to protect patients from harm, safeguard their trust, and respect their autonomy, she says, then rather than requiring physicians to disclose their personal belief about whether a treatment is a placebo, the policy might require physicians to report on the medical community's consensus on the treatment's status.

In the same issue of the Hastings Center Report is a commentary by Bette-Jane Crigger, director of Ethics Policy for the AMA and secretary of the Council on Ethical and Judicial Affairs, which wrote its ethical guidelines on placebo use, and Matthew K. Wynia, director of the AMA's Institute of Ethics. Regarding Barnhill's recommendation that the placebo policy be based on professional consensus, rather than individual doctor's judgment, they write, "We'd be tempted to agree but, as in so much of medicine, it isn't clear that a strong consensus is actually possible here." How, they ask, should doctors distinguish between so-called impure placebos medications that have a pharmacological effect on some illnesses but not necessarily for the ones for which they are being prescribed from off-label prescribing?

Crigger and Wynia emphasize that the overarching intent of AMA policy is to encourage physicians to be honest with their patients. "If there is professional disagreement on how or whether a particular pharmacologic agent works, then patients deserve to know that," they write. "If a doctor holds an outlier view, then his or her patients deserve to know that as well.

###

---

[ | E-mail | Share ]

?

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Public release date: 30-May-2012
[ | E-mail | Share ]

Contact: Michael Turton
turtonm@thehastingscenter.org
845-424-4040 x242
The Hastings Center

The American Medical Association's Code of Ethics prohibits physicians from prescribing treatments that they consider to be placebos unless the patients know this and agree to take them anyway. But this policy is not clearly the best way to protect or benefit patients, concludes an The American Medical Association's Code of Ethics prohibits physicians from prescribing treatments that they consider to be placebos unless the patients know this and agree to take them anyway. But this policy is not clearly the best way to protect or benefit patients, concludes an article in the Hastings Center Report. A commentary by two AMA bioethicists responding to the article also appears in the journal.

Placebos are commonly understood to be inert treatments, such as sugar pills, that have no pharmacological effect, but the AMA defines placebos more narrowly, as therapies that a physician believes lack a specific pharmacological effect on the conditions being treated. The physician's belief may or may not align with the prevailing medical view of a treatment. "There are borderline and controversial cases, such as acupuncture and antidepressants, in which individual physicians might reasonably disagree with the medical community's consensus about whether a treatment is an active treatment or a placebo," writes Anne Barnhill, a philosopher and bioethicist who is studying social work at Columbia University.

The article cites a recent poll of American internists and rheumatologists that found that a significant number of them admit to giving patients placebos without disclosing the therapies as such. While some placebo use is patently unethical providing a treatment that "has no scientific basis and is dangerous, is calculated to deceive the patient by giving false hope, or which may cause the patient to delay in seeking proper care" other uses of placebos are widely seen as ethical, writes Barnhill.

Some placebos might offer medical benefit to patients with certain conditions, Barnhill notes, and the limited available data suggest that placebos are more effective when presented as active treatments. As a result, she adds, some bioethicists have argued that an undisclosed placebo is the best available treatment for some patients. "If the best available treatment is sometimes an undisclosed placebo," she writes, "then the AMA's policy prohibits physicians from offering the best available treatment in some cases."

In addition to failing to benefit patients, the AMA policy may not meet two of its other goals: protecting patients' autonomy and their trust in physicians. The rationale for requiring physicians to disclose their belief that a treatment is a placebo is that patients need this information in order to give informed consent about whether to take the treatment. Informed consent is essential to patient autonomy. But it is unknown whether patients find this information relevant to their decision-making, Barnhill says, because "there's little data on patients' attitudes toward placebos."

Because of this lack of data, Barnhill also argues that the AMA policy does not help protect patients' trust in physicians. "The AMA seems to assume that uncovering undisclosed placebo use reduces patients' trust in physicians. But this is not a given," she writes. "When they uncover undisclosed placebo use, patients might conclude that their physicians are untrustworthy liars or quacks, or that their physicians do not believe that they are truly sick or, that their physicians are open-minded, cutting-edge, and savvy about mind-body connections."

Barnhill recommends that the AMA consider revising its policy on placebo use. If the goal is to protect patients from harm, safeguard their trust, and respect their autonomy, she says, then rather than requiring physicians to disclose their personal belief about whether a treatment is a placebo, the policy might require physicians to report on the medical community's consensus on the treatment's status.

In the same issue of the Hastings Center Report is a commentary by Bette-Jane Crigger, director of Ethics Policy for the AMA and secretary of the Council on Ethical and Judicial Affairs, which wrote its ethical guidelines on placebo use, and Matthew K. Wynia, director of the AMA's Institute of Ethics. Regarding Barnhill's recommendation that the placebo policy be based on professional consensus, rather than individual doctor's judgment, they write, "We'd be tempted to agree but, as in so much of medicine, it isn't clear that a strong consensus is actually possible here." How, they ask, should doctors distinguish between so-called impure placebos medications that have a pharmacological effect on some illnesses but not necessarily for the ones for which they are being prescribed from off-label prescribing?

Crigger and Wynia emphasize that the overarching intent of AMA policy is to encourage physicians to be honest with their patients. "If there is professional disagreement on how or whether a particular pharmacologic agent works, then patients deserve to know that," they write. "If a doctor holds an outlier view, then his or her patients deserve to know that as well.

###

---

[ | E-mail | Share ]

?

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

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Romney unofficially clinches nomination (CNN)

Share With Friends: | | Politics - Top Stories News, RSS and RSS Feed via Feedzilla.

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'A few guys tainting the reputations'

Getty Images

Plenty of teams said ?no? to Hard Knocks, for various reasons.? The Dolphins agreed to do it.

On Tuesday, coach Joe Philbin discussed the situation, calling it a ?football decision.?

Seriously.

?We?re excited that NFL Films and HBO has chosen the Miami Dolphins to appear on Hard Knocks,? Philbin said, via the video box on the right rail of the site.? ?I want you to know a couple things about the decision.? Number one, it was a football decision.? It was made by the football operations staff.? Our owner, [Stephen Ross], supported our decision but in no way, shape, or form forced us to make this decision.?

Many will believe otherwise, especially since G.M. Jeff Ireland grew up in the Bill Parcells school of ultra-secrecy.

But as the Dolphins struggle to generate interest in the team via conventional means (you know, by winning more games than they lose), the team has to do something to get people sufficiently engaged to buy tickets to the games.? Thus, the Dolphins are now more available to the media ? and they?ll be even more available once the NFL Films cameras and microphones show up.

To the extent that the appearance arises from a football decision, Philbin didn?t really articulate a football reason.? He said the that show will ?showcase our players? and provide a ?great opportunity for us to communicate with our fans.?? While those concerns reflect prudent business reasons, there?s no obvious basis for the move, from a football standpoint.

In contrast, Vince Lombardi liked having NFL Films camera crews around because it made his players work harder.? If that?s the basis for the ?football decision,? why not say so?

And so the Dolphins will deny that the move was driven by dollars and cents, and the rest of us won?t believe them.? But at least we finally know who the team will be, even if the end result likely will be far less compelling than if the Jets, Saints, Broncos, Colts, or Redskins had done it.

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Deleted Scenes: Alien hunter redirects her search to Earth-based funding

SETI scientist Jill Tarter retires from research to focus on raising funds to continue search for extraterrestrial life

Web edition : 5:59 pm

Imagine if E.T. phoned Earth and heard, ?We?re sorry, no one is here to take your call right now. Please try again later.? Or if, after traveling for thousands of years, radio signals carrying the imprint of an alien technological civilization fell on dormant Earthly ears.

These possibilities could become reality if funding forces the Search for Extraterrestrial Intelligence to turn off the telescopes and quit searching for the answer to one of humankind?s most profound questions.

Jill Tarter isn?t going to let that happen.

After 35 years of eavesdropping on the stars, hoping to hear the intelligent murmurings of an extraterrestrial civilization, the SETI Institute?s lead alien hunter is hanging up her receiver and retiring as director of the Center for SETI Research.

But she?s not quitting the quest.

Instead of querying the heavens for signs of life, Tarter will query life on Earth for the funds needed to keep Earth?s ears online. ?We?re just going to make this a crusade,? she told me during an interview. (You can read it here.)

Physicist Gerry Harp has taken the reins from Tarter, the SETI Institute announced on May 22. ?It?s been challenging and exciting, a lot of new things to learn, a lot of new meetings to go to,? Harp says of his new role. ?But from what I?m seeing, Jill?s working at least as hard as she ever did before. I think we should acknowledge that she is still very much a part of the program.?

Tarter?s curiosity about life on other worlds erupted in the 1970s, fueled by a serendipitous merging of her ability to program a very old computer (a PDP-8/S ? ?I always thought the ?S? stood for ?stupid,?? she says), with a forward-looking proposal to find out whether other communicating civilizations exist in the galaxy. At the time, Tarter was in graduate school at the University of California, Berkeley. ?I couldn?t imagine anything more exciting or rewarding than trying to answer this old question,? Tarter says. ?I got hooked and I stayed hooked.?

In 1984, Tarter and several colleagues founded the SETI Institute, a nonprofit organization that has since grown to include more than a hundred people. Once focused mainly on detecting radio signals from extraterrestrial civilizations, the institute now employs scientists studying many factors important for the existence of alien life ? from Kepler team members who are detecting and characterizing exoplanetary systems, to astrobiologists searching for life in the most extreme environments on Earth and in the solar system?s exotic nooks and crannies.

But the institute needs money to keep searching. Once funded by a fraction of a percentage of NASA?s budget, SETI has relied on private donors to maintain the interstellar dial tone since 1993 ? courtesy of one senator, who killed any substantial SETI funding for the foreseeable future. ?For years, we became the four-letter S-word that you couldn?t actually say at NASA headquarters,? Tarter recalls.

Now, with the Allen Telescope Array ? a SETI array comprising 42 dishes (out of a planned 350) ? that funding is more crucial than ever. Last April, the array went into hibernation after funds dried up. In October, the array returned to operations, propelled by individual donors who contributed more than $200,000. Now, the telescope is under new management by SRI International, and is supported by a contract from the U.S. Air Force that tasks it with searching for orbiting space trash.

Still, 50 percent of the observing time is occupied with SETI searches. ?For SETI, it is the best thing around,? Harp says. ?We have 12 hours a day on this telescope. It?s very difficult to get 12 hours a day on any telescope in the world, and that?s what we have.?

Tarter is hoping to once again tap the enthusiasm of SETI supporters and build a lifeline that will support the search for centuries. ?SETI really is the investment in our future,? she said. ?If we detect a signal, we know we can have a long lifetime.? There will be proof that it is possible to become an old technology. Someone else did it. Therefore, damn it, we can do it.?

See the whole Q&A here.

Found in: Astronomy and Atom & Cosmos

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I got myself and read a number of internet marketing e-books from many internet marketing experts.

I got making sales but is not enough to obtain rich right from! What I mean by abundant is generating $100, 000-$1, 000, 000 inside website sales.

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I recently found a little identified guy (VJ) who employed this insiders? ultimate organization marketing weapon to make 100 million dollars in 2yrs by the age of 28 yrs!

Not merely has this guy (VJ) made hundred million dollars with this exciting powerful business marketing ?secret?, however he is crazy adequate to share this sizzling hot business advertising ?secret? with the remaining portion of the universe.

After looking at his letter, I really could not eat or perhaps drink or sleep until I blasted my order out to the dog.

Within a few days, he raced this heavy package that contains his business marketing publication for me.

It truly is as large as the telephone book, pretty neat, very impressive, well written, exact, to the point and also flowing with terrific business marketing treating gynecomastia: how he used this ultimate business advertising and marketing ?secret? to create hundred million dollars fortune throughout 2 yrs.

Indeed, you guessed proper. I had to drop everything I had been doing to use this book.

Normally it takes me for a long time to read a tiny book.

Playing with 2 hours, I surprised personally by how fast I actually devoured this kind of 310 paged business marketing and advertising book brimming with probably the most fantastic secret marketing and advertising information I have have you ever been lucky to locate anywhere.

Inside this specific magnum gyvas, nitty-gritty business marketing book, you happen to be amazed to have the most effective marketing secrets as well as tips on online marketing solution, on-line promotion, website promotion, internet marketing, website marketing online, web-site marketing, website marketing, business marketing and advertising, direct marketing and website revenue, and how mcdougal used all of these business marketing understanding and skills for making hundred buck, 000, 000 with cash in 2ysr!

There are various those who claim to always be internet marketing, online marketing online, web page marketing, internet marketing solution, internet promotion, website campaign, website marketing, business advertising, direct marketing teachers (sorry, I will not label names) or offline advertising and marketing gurus.

They can be full of discuss, talk, and much more talks. Yet little to show because of it.

And in addition they invite someone to their seminars and try to charge $1000, $2000 or even $5000 for slow and stale info on online marketing, website marketing, website marketing solution, internet promotion, website marketing, website marketing, internet marketing online, company marketing, direct advertising website product sales.

A lot of them are filled with fluff. Very pathetic. I know them all and may even be you decide to do as well.

I how to start any of these self-proclaimed gurus who definitely have personally made 100 million dollars with his or her online promotion, website promotion, web marketing business promoting, internet marketing, online marketing online, website marketing, online marketing solution, direct marketing and website product sales secrets by the age of twenty-eight!

(Another Bill Gates in the making? )

I use never thought this wise to pay these $5000 whatever website marketing secret they could have. Potentially I have been any fool. Or might be definitely not.

But what I will be able to tell you is the fact that, at last, Over the internet men who not merely talks the speak, but has went the walk and made 100 million bucks cash as proof he knows what he?s referring to.

The other proof do you really need?

(As for me personally, 100 million dollars proof is good enough personally. )

Here is the type of money that makes my juice flowing real fast.

How about you?

To demonstrate to you the power and the master of this marketing oplagt, the copy writer, VJ, typically the creator of this ultimate business marketing ?secret?, suggestions an excerpt regarding his letter at his website, in his own text:

?No issue how hard I tried out, it always appeared like I wasn?t planning to amount to anything real important Click For TWC in every area of your life. And also this really sucked because I had a love for the finer things. I wanted the gold Iwc, the nice Mercedes, as well as the Million-Dollar Mega Mansion!

Nevertheless I looked inside the mirror, My spouse and i didn?t like what I saw. I had been convinced the favorable life I want to was just a wish.

But that was all about to switch. Seriously- once I was 19, I had formed a brand-new Corvettes. At 10, I had two brand-new Mercedes Benz vehicles. And at 21, I was the proud owner of the Rolls Royce Silver Spur!

By the time I switched 28? I actually made over $100 Zillion in gross sales. I just profited over $50 Million. I owned two homes- one of these was fourteen, 000 sq ft and had some sort of seven-car garage, some sort of billiards room and a resort-style pool having an underwater rod! And I paid out cash for the home!

Inside my garage, I had fashioned a reddish Lamborghini Diablo, the yellow Ferrari 360 Index, a white The bentley Arnage Red Label, about 4 Mercedes, together with a 12-passenger Lincoln Village Car Fango!

My checking account had over $10,50 Million within it. I got generating $400, 000 with pay each and every week. That reduces to $80, 000 a day? or $10, 000 an hour or so! And others figures were easily worked 5 times a week for seven hours per day, that we did not!

Back in 2004 2002, We made more money than the CEOs of Federal government Share? eBay? Amazon . com. net? Period Warner? Apple Computer system? McDonalds? Ms? Nike pas cher? Google? Kia Motor Company? Common Magnetic motors? along with Goodyear Tire- COMBINED!

Yes-COMBINED.

Inside the May 12th, 2003 issue, Forbes Magazine detailed their top paid five hundred CEOs inside the. In their prominent and exclusive list of the five-hundred CEOs, I manufactured more money compared to 483 of which.

$17, 549, 000 More than CEO of Starbucks.

$13, 030, 000 More than CEO of Concentrate on.

$17, 240, 000 More than CEO of Motorola.

Now, this may almost all seem like I?m some rich (&zxc$3@) bragging about how exactly rich We are? and you?re partly best. I am bragging! But more important, exactly why I?m telling you about all this is the course is around getting rich rapidly. In case the talk of obscene money makes you look and feel uncomfortable, or maybe angers people, maybe you you should never really want to be loaded.

Reasons why I?m telling you about lots of the toys I had shaped when I has been just 28, should be to prove to an individual that if a man with this problem? having a learning handicap? a terrible youth? with out formal education may get filthy rich once I used to be 28? you can absolutely follow during my footsteps and make yourself your personal empire associated with wealth! inch Even Gary Halbert says, ??? amazingly, a lot of this information is really electrifying; it had been unknown even to me. inch Gary Halbert is usually recognized all over the world for the reason that America?s numero uno marketing and advertising authority.

Can you imagine Whilst gary Halbert admitting in writing that VJ?s publication and marketing power techniques are electrifying to your pet? I need not necessarily say more.

So , if you?re sick and tired of having websites which are not making any cash or sick and tired of making nickels along with dimes and tired of all the bad promotional secrets in the so called internet gurus (that avoid work), and if you?re finally ready to turn over a new tea leaf and get interested in creating real riches from whatever products, programs or solutions you currently market, may be you should look at discovering more about VJ?s super strategy business marketing book.

Through this unique powerful enterprise marketing publication, VJ is very kind to reveal so many vibrant business marketing secrets this individual used (never before unveiled in a book): these items he sold to make 100 zillion dollars in 2 yrs, how they promoted it, when he promoted it and tips on how to duplicate his / her success.

Do you wish to know the exact business promoting ?secrets? approach find a huge number as well as millions of clients for your product or service?

Do you want to get the paws to the exact business marketing and advertising ?secrets? to be able to market any product to hundreds of thousands and in many cases lots of people who really need all of them?

Can you love to become a millionaire, the simplest way?

If you answer sure, rejoice since VJ?s book contains the ultimate business advertising and marketing ?secret?. (

)

Knowing the company marketing ?secret? means locate thousands and thousands and in many cases huge numbers of people who are hungry and thirsty for your products and services, you can generate vast amounts easily and obtain rich, just like VJ!

You should feel free to backup and use this written content at your web-site, e-zine or e-mail it to your good friends and please support the author?s resource box beneath.

Data.

Warmly,

Ikey Benney, TOP DOG

Tags: long time, internet men, advertising information

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Making Your Enterprise At Home- Online marketing ? Chocolate ...

In case you are contemplating a creating an organization from dwelling, internet marketing is worth looking into. There are many different kinds of on the internet organization models, they usually offer the comfort of versatile hours, reduced start out up costs, and unlimited development chance.

The web is filled with empty promises and on the web frauds that may eagerly consider your tough attained funds. Consider your time and completely examine any on the internet enterprise just before you make investments your time and effort and income. You?ll need some revenue to speculate within your on-line organization, despite the fact that it?s going to be substantially less than what is essential to get a bodily small business. You will also have to take into consideration the expenses of the laptop or computer, domain name, internet hosting, autoresponder, and developing your site. You could also really need to outsource a few of the function necessary to set up and operate your world wide web dwelling enterprise.

Once your business enterprise internet site is built, the subsequent stage is always to allow your shoppers know exactly where you will be. You?ll have to learn the techniques for driving visitors for your web site. It can be greatest in case you can make a decision on two or three diverse strategies of generating targeted traffic, and do them regularly. You can normally add in other methods to boost your visitors, but you may finish up scattering your time and resources too slender should you try too lots of targeted traffic generation designs at one time.

An additional critical ability for making your house business enterprise on the net is studying the best way to develop rely on together with your prospects. Ensure that that you just have make contact with info in your site, and if potential, a web page with some personal details about oneself. This is a great spot to place a short story of the way you made the decision to make your business enterprise and your item. This allows men and women know that that you are a true individual. You can also use an autoresponder system to keep in contact together with your consumers. Folks will value getting stored up to date in your merchandise if it can be carried out inside an experienced and friendly way. An autoresponder will enable you to do this. You can devote a lot of your time trying to seize the focus of one?s buyers, therefore it tends to make sense to treat them well so they will occur back again for your web site over and over once more, and advocate you to their friends.

Retaining monitor of one?s traffic, shoppers and revenue will probably be an ongoing process for the house small business. The internet will supply shoppers from all over the planet to your web site. You are going to benefit from being aware of which advertising approaches are operating very best for you personally, and where your clients are coming from. This facts will enable you to goal your visitors and customers far more correctly. You?ll have the ability to consistently fine-tune your business enterprise so you may make the maximum revenue using the minimum monetary outlay.

When you are just starting to build your house business, formulate a plan, and stick to it. You?ll be able to constantly modify your program later, just after you might have determined what functions and what does not. Subsequent an enterprise strategy, and monitoring your company development isn?t one of the most thrilling components of making your enterprise at dwelling, however it is usually a certain means of creating a profitable internet marketing small business.

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Deforestation of an urban ecosystem DRAFT RESPONSE (from President Welty)

I woke up this morning to find the following DRAFT response in my campus email inbox, and thought it worth sharing given the interest my original letter has generated. Do share your thoughts on this while I mull it over and respond.

{Update: Several faculty colleagues tell me that they too received versions of the same generic response to letters they wrote on this issue.)

Begin forwarded message:

Subject: Deforestation of an urban ecosystem DRAFT RESPONSE

Date: May 26, 2012 8:20:56 AM PDT

Sent from my iPad

Thank you for your thoughtful and articulate letter regarding the removal of trees in preparation for a parking project. I understand your concern and I agree that there was insufficient discussion as we approached this renovation. I have sent a message to the campus community today [going out Friday] about the need to review our consultative process on major renovations. I also will consult with Academic Senate Chair Lynn Williams and the Senate Executive Committee on the shared governance process that is applicable to projects of this nature. Attached to my campus message was information about the project from Vice President Matson, which includes the re-forestation plans included in the project, which will be of interest to you.
Again, thank you for sharing your concerns. It is caring faculty such as you who are Fresno State's greatest asset.

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Auto Loan Rate Deal of the Day: Heartland Area Federal Credit Union at 2.50% APR

Are you searching for the best auto loan rates in?Omaha, NE? Look no further than Heartland Area Federal Credit Union. The team at Heartland Area ensure that you?re not being had by bloated interest rates when you buy your next car. Their auto loan rates start at an affordable 2.50% APR, so you never have to worry about blowing your budget.

Auto Loan Rates Terms and Conditions

Auto loan rates at this percentage apply to auto loans with a maximum 36 month term. Financing is available for up to 100% of the purchase price of a new vehicle. A tier 1 credit rating is required to be eligible for this low interest rate. However, members still interested in borrowing from the institution may still be able to obtain an alternate auto loan rate.

About Heartland Area Federal Credit Union

Once operating under the name,?O.P. Employees Federal Credit Union, Heartland Area Federal Credit Union continues to support their members with the help of cost-conscious deposit and loan products. As the credit union grew in membership, so did their desire to impact the lives of more people within its community.

In 2003, the credit union received its charter as a community institution which now serves any potential member?who lives, works, worships or attends school in Douglas County or Washington County, Nebraska.

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California?s Coronado named No. 1 U.S. beach

By Alex Dobuzinskis

LOS ANGELES |
Fri May 25, 2012 8:21pm EDT

LOS ANGELES (Reuters) ? With Americans packing up for travel over the Memorial Day weekend, one coastal hot spot in Southern California is winning praise as the best U.S. beach in an annual ranking from a Florida professor.

San Diego?s Coronado tops the list from ?Dr. Beach,? otherwise known as Stephen Leatherman, director of the laboratory for coastal research at Florida International University.

The 1.5-mile stretch of Coronado Beach is set against the historic Hotel del Coronado, on an island just across San Diego Bay from the city?s downtown. It is reachable by ferry or water taxi.

?The beach is very flat, making it great for skim boarding and walking, and the sand has a silvery sheen because of the presence of mica,? Leatherman?s website said.

Coming in second on the list was Kahanamoku Beach in Waikiki on the island of Oahu in Hawaii. The Dr. Beach website describes the destination as benefiting from a shallow offshore reef that protects swimmers from big waves, making it ideal for children.

The other destinations on Leatherman?s Top 10 list are: Main Beach in East Hampton, New York; St. George Island State Park on the Florida panhandle; Hamoa Beach in Maui, Hawaii; Coast Guard Beach in Cape Cod, Massachusetts; Waimanalo Bay Beach Park in Oahu, Hawaii; Cape Florida State Park in Key Biscayne, Florida; Beachwalker Park in Kiawah Island, South Carolina; and Cape Hatteras on the Outer Banks of North Carolina.

Last year, the top destination on the list was Siesta Beach in Sarasota, Florida. The 2010 winner was Coopers Beach on New York?s Long Island.

Leatherman has released his list of top coastal destinations every year since 1991. His criteria for judging a good beach include the width of the beach, the color of the sand, the slope, water temperature, frequency of rain, noise factors and the presence of lifeguards.

The full list for 2012 coastal destinations is available at drbeach.org.

(Reporting By Alex Dobuzinskis; editing by Todd Eastham)

Article source: Read more

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2. Carillon Beach Weddings and Events Partners with Wild Heron
3. Miami named most miserable U.S. city
4. U.S. island was green victory to save slice of paradise
5. Unique Wedding Favors for Beach Themed Weddings

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Is there a Firefox plugin that will show my Twitter replys?

Craig Snyder asks:

I don?t care too much about the extra functionality, I just really need something that that shows https://twitter.com/#!/replies in a tab, bar, anything.

Know someone who can answer? Share the question with your friends!

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Ford First Alert Forecast for Memorial Day Weekend!

19 ACTION NEWS DETAILED FIRST ALERT FORECAST

FRIDAY:? Partly cloudy and breezy with isolated afternoon storms.? High: 85? Wind: S at 10-15 mph

FRIDAY NIGHT:? Partly cloudy.? Low: 62? Wind: N at 5 mph

SATURDAY:? Mostly cloudy isolated storms, mainly away from the lakeshore.? High: 87

A weak cold front will bring isolated storms between noon and 5pm across the area.? Behind this front it will be dry and nice tonight.? The warm air is in place for the weekend with this front returning as a warm front.? Temperatures on Memorial Day will top out in the low 90s with a mostly sunny sky.? Then widespread storms will arrive overnight into Tuesday cooling things down for the middle of next week.?

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Church Video Surveillance System

Windows can become a temptation to criminals if they are not secured and monitored. A church security system should have alarms that connect with all windows as well as all doors. All members of the staff and the church should be aware of the security measures in place to keep out unwanted intruders. Members will appreciate any church that wants to provide a secure place that they can come and worship the Lord without fear of theft or vandalism. "And of Benjamin He said, The beloved of the LORD shall dwell in safety by Him; and the Lord shall cover Him all the day long, and He shall dwell between His shoulders." (Deuteronomy 33:12)

Rooms that are used to handle money and valuables should be restricted areas to all unauthorized members and have a sign that lets people know that it is restricted. A church video surveillance system should be set up to monitor areas that are restricted. A sign should be posted in high traffic locations that suggest members keep their valuables on person or leave them at home, that the church is not responsible for theft or vandalism. Fire exits need to be in plain sight and easily accessible just in case of a fire or other threat.

Each church should have a plan to initiate in case of emergencies. This would include any alarms going off whether they are security alarms or fire alarms. Staff members may want to carry pagers or cell phones to communicate with one another in case of emergencies. The clergy and staff should know if the area that the building is located in is in a high-crime area and should consider the amount of security needed based upon this information. One person should be in charge of making sure that the church security system is operational at all times and should oversee all the details associated with that position.

People are much more fearful today than in past times because of the daily news about crime and terrorism. Some people do not like to be in places where there are a lot of people because of the threat of terrorism and the increase of the likelihood of theft and vandalism associated with public places. A church video surveillance system will offer members a secure and safe place to worship God with other believers especially for those who see it as a growing necessity in today's world.

Another concern in today's society is the prevalent need to keep children safe. Unfortunately with divorce rates up children are at a greater risk for being victims. A church security system can provide attendance tracking and child security for every member of a family. Self check in technology can make it easy and flexible for each member attending services. One person can go to a computer screen and sign in the entire family. Before a person can pick up a child they have to be able to use the check in system with security code. This eliminates the possibility of someone who is not authorized to pick up the child.

High tech equipment is able to use surveillance that includes enhanced night vision and tracking features. Motion detectors allow the church video surveillance system to target in on any motion and follow it as long as it is detected. Equipment that is tied in with a computer assisted operation can allow the operator to set the controls to high alert so that an alarm will sound in case anything or anyone moves in front of the view of the camera. Some systems that are much more expensive can even detect motion behind walls. Others include infrared technology that picks up on anything that gives an energy signature so that anything can be detected in spite of bad weather or other types of interference.

Some high tech cameras for surveillance have a protective casing to protect them from vandalism and some are very small and can be hidden from sight. Technology in this area has become so advanced that the computer can be programmed to zoom in and scan items that may be hidden under clothing such as guns or other objects that can be harmful to others. This type of technology is already being used by some law enforcement and government officials. In some areas cameras on toll roads can take a picture of a car and bill that person for toll fees. Cameras stationed at traffic lights can take a picture of a car that has run a red light and bill the owner for a traffic violation.

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Real Salt Lake still rolling

Associated Press Sports

updated 11:45 p.m. ET May 26, 2012

SANDY, Utah (AP) - Nat Borchers doesn't score many goals. When the veteran defender does come up with one, however, they usually are clutch.

That was certainly the case Saturday night when Borchers scored in stoppage time to give Real Salt Lake a 3-2 victory over FC Dallas.

Alvaro Saborio had two second-half goals to help Salt Lake (9-3-2) extend its unbeaten streak to six games. Dallas (3-8-4) is winless in nine games, despite getting second-half goals from Matt Hedges and Blas Perez, and hasn't won in Utah since 2007.

Borchers scored in the 93rd minute. A loose ball fell to his feet deep in the center of the box after being knocked around a bit. Borchers had a clear lane for a shot and the veteran defender hooked the ball inside the right post.

"We were pushing for that goal," Borchers said. "All the guys were fighting and were getting chances. It's going to happen when you put pressure on a team like that."

Injuries and absences for other reasons left both teams short-handed. A total of seven midfielders and defenders were scrubbed because of injuries for FC Dallas. An eighth player, Brek Shea, wasn't available because of a suspension. RSL didn't have goalkeeper Nick Rimando or team captain Kyle Beckerman because both were playing with the U.S. national team Saturday.

Even while suffering a loss, Dallas coach Schellas Hyndman felt encouraged by the effort he saw for 90 minutes. Hyndman was convinced his team did enough to nearly steal a point on the road.

"It's encouraging to score two goals," Hyndman said. "It's more encouraging to come back twice and not give up with the adversity that was out there."

Effects from the talent drain were felt in the first half. Dallas and Salt Lake combined for just seven shots and neither team could do much to gain advantage. Windy conditions also made balls hang in the air longer than normal and caused problems for each offense.

RSL coach Jason Kreis counted on things changing once the conditions grew more manageable in the second half.

"I wasn't anticipating the gates to open against us, but I was anticipating for us to score some goals - which we did," Kreis said.

Salt Lake finally found some life on offense in the 59th minute. Terakazu Tanaka sent a cross to Saborio at the right post. Saborio leapt up and sent a header through the outstretched hands of goalkeeper Kevin Hartman.

Dallas tied it at 1 in the 75th minute when Hedges launched a right footer from a difficult angle and snapped a 325 minute shutout streak by RSL. Goalkeeper Kyle Reynish actually parried away the initial shot from Hedges, but he did so from behind the goal line and the goal counted.

Saborio came through right away to extinguish any momentum Dallas gained from the equalizer. He latched onto a pass from Ned Grabavoy and then drilled a right footer from the right side of the box to make it 2-1 for Salt Lake.

Dallas tied it at 2 in the 85th minute when Perez fired a shot from the center of the box and the ball slipped off Reynish's glove.

Borchers erased those rallies in the end, but losing the lead twice did not sit well with several players in the RSL locker room.

"When you're out there and you give up leads like that, it's just absolutely deflating - especially when you work that long in the game to not really give them anything," Grabavoy said.

? 2012 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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More newsGary Bogdon / Getty Images

Donovan delivers

Landon Donovan returned to the U.S. national team following an eight-month absence and scored his first international hat trick in five years, leading the Americans over Scotland 5-1 in a friendly Saturday night.

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Hammon to play for Russia again in London Olympics

Hammon to play for Russia again in London Olympics
Becky Hammon to play for Russian women's basketball team in London Olympics
By The Associated Press

UNCASVILLE, Conn. (AP) ' Becky Hammon hopes that the Olympics will be a little less stressful for her.

Hammon will once again play for the Russian women's basketball team at the games this summer in London. She created a stir in 2008 when she first played for Russia in the Beijing Olympics. She helped guide that team to a bronze medal.

"It's old news," Hammon about her decision to play for Russia. "I played with them in the world championship, European championship, hopefully I'll enjoy it a lot more. By far it was one of the best decisions I ever made and I stand by that, and really look forward to doing it again."

When Hammon, who was raised in South Dakota and played to Colorado State, initially decided to play for Russia in 2008 it ignited a media firestorm with people questioning her patriotism, including 2008 U.S. Olympic coach Anne Donovan.

Every time Hammon went on the road with the San Antonio Silver Stars she had reporters waiting to talk to her about her decision to play for Russia.

It got to be a bit much.

"I had reporters from all over the world asking me questions," Hammon said. "Everywhere I went that's all anyone wanted to talk about. It's nice that this time people seem to be focused on other things. It seems almost every team now has one or two players with foreign passports playing for them. It goes back to the whole 'it's Russia'. If it was a country no one heard of, no one really would have cared. That's the society we live in."

Now no one seems to notice anymore.

"It's played through once," Silver Stars coach Dan Hughes said. "The reality of it is we've been through it one time already and Becky is an example of what I think a lot of teams that the U.S. will face. There are a lot of players in our league that are now on other teams and going to be part of the Olympic experience."

The 35-year-old point guard plays for a Russian club team during the winter and became a naturalized citizen. Because she hadn't played for the United States in any major FIBA-sanctioned international events, she was allowed to compete for Russia in the Beijing Olympics.

While Hammon is happy that the firestorm seems to have died down this time around, she also is proud that her Russian has improved over the past few years.

"I understand a little bit, it's a lot better than 2008, put it that way," she said laughing.

While Hammon had to miss a few games for the Silver Stars in the past to train with Russia, she won't join the national team until the WNBA takes its month-long break in the middle of July.

"I won't be missing any Silver Stars games and that's important to me," Hammon said.

Hammon is excited to once again march in the opening ceremonies and take part in the games.

"It's the Olympics, it should be fun a great time I think. It will be my first time in London for any length of time," Hammon said. "I'm looking forward to be in London. Get back together with the girls from the team, hopefully make a great run."

One player that Hammon won't be playing with this time around is center Maria Stepanova. The 6-foot-8 star, who has played in the last four Olympics, tore her anterior cruciate ligament at the Euroleague final eight in late March.

"She's been the face of the franchise, so that's a tough loss for us," Hammon said. "There's some young kids that are very talented post players coming up, too. Someone of her caliber you're going to miss, no way around that. But it's also another opportunity for someone else to step up and prove that they belong at the highest level."

She hopes that even without Stepanova, the Russians can make another run at a medal. They are in the same pool as Australia and wouldn't have to face the heavily-favored U.S. team until the elimination rounds.

"At the end of the day it's been a really cool journey and unique journey no one has ever done," she said.

Page: 1

Source:Copyright 2012 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.. All Rights Reserved

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Video: Gov. Christie lashes out at state budget officer

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Mexico's Michel Franco wins Cannes sidebar prize

CANNES, France (AP) ? "After Lucia" by Mexican director Michel Franco has won the top prize in the Cannes Film Festival's sidebar competition, Un Certain Regard.

It was chosen Saturday from a slate of 20 films by a jury headed by British actor Tim Roth.

Un Certain Regard focuses on new and emerging filmmakers.

The jury gave second prize to French film "Le Grand Soir" by Benoit Delepine and Gustave Kervern, and a "special distinction" citation to Bosnian film "Djeca" ("Children of Sarajevo") by Aida Begic.

Twenty-two films from around the world are competing for prizes in the festival's main competition. Winners will be announced Sunday.

Favorites for the top prize, the Palme d'Or, include Michael Haneke's "Amour" and Christian Mungiu's "Beyond the Hills."

Associated Press

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Devils make Cup finals after 3-2 win over Rangers

NEWARK, N.J. (AP) ? Moments after sending the New Jersey Devils to the Stanley Cup finals for the first time since 2003, Adam Henrique skated to the corner and waited to be mobbed by his teammates.

It's become a common occurrence for the 22-year-old who spent last season in the minor leagues. He notched the series winner in double overtime against Florida in Game 7 in the opening round, and did it again on Friday night in Game 6 of the Eastern Conference finals, sending the rival New York Rangers packing for the season along the way.

And, oh, how sweet it was for the Devils.

The memory of missing the playoffs last season and the ghost of an 18-year-old wound were wiped out with a sweep of this rolling rookie's stick.

Henrique scored off a wild scramble in front at 1:03 into overtime and the Devils eliminated the Rangers 3-2 to advance to the Cup finals against the Los Angeles Kings.

"I mean, this kid's just at the right place, right time, all the time," Devils coach Peter DeBoer said. "The two biggest goals of the playoffs come off his stick.

"And that's not accidental."

Both goals have been followed by scrums in which teammates surround Henrique and pound on him to celebrate. It's fun, of course, but Henrique is more focused on facing the Kings in a series that will start in New Jersey on Wednesday.

"There's still more things to accomplish," said Henrique, who is a finalist for the Calder Trophy, given to the NHL's top rookie.

"Try to take in as much as I can this whole year. And obviously those are two huge goals, and then probably two of the biggest goals I ever scored. There's still more ahead. We're not done yet. We haven't really won anything. It's a long ride.

"Every kid dreams of playing in the Stanley Cup final. And we have a chance to win. I'm excited, and ready to get started."

After beating Florida, Philadelphia and their biggest rivals, the Rangers, only the Kings stand in the way of a fourth Cup for New Jersey.

"It feels great to get to where we are," Devils captain Zach Parise said. "As Adam said, we still have a lot of work ahead of us. But we've put ourselves in a pretty good position right now, and we've got a chance.

"We'll see what we can do."

This series win came against the Devils' most intense rival, and it was that much more enjoyable ? even to those who haven't been around the feud all that long.

"That one was like Christmas," Henrique said.

It also was needed. The Devils, after all, blew a 2-0, first-period lead and didn't want to head back to New York for a Game 7 on Sunday.

"It didn't matter how it got to overtime, we were in a good position," Parise said. "We were at home. We just needed one shot."

Actually, the Devils needed a few shots to win the game.

Henrique's winner came after Henrik Lundqvist stopped Ilya Kovalchuk twice and Alexei Ponikarovsky. The last shot was in the crease and Henrique tapped it home.

"We caught them on a line change and their defensemen were tired," said DeBoer, who was fired by Florida after missing the playoffs in his three seasons with the Panthers.

"We found a way to jam one in. That's the only way you're going to score on Lundqvist. You're not going to get a clean one. You're going to have to work for it around the net.

"And that's what we did."

Ryan Carter and Kovalchuk also scored for the Devils, whose biggest move this year was hiring DeBoer. He has more than proved his coaching ability.

Ruslan Fedotenko and Ryan Callahan tallied for top-seeded New York, which had a good flurry just before New Jersey scored to end it.

The six Rangers on the ice just stayed down in disbelief and frustration. This was very much like Game 5, which the Devils won 5-3. New York carried the play after the first period and had a 35-29 edge in shots.

But when it came time for a game-deciding play to be made, it was a Devil who made it.

"When they scored, it was such an empty feeling," said Lundqvist, who said the puck took a weird bounce on the final play. "It is shocking."

Henrique overcame injury to score this one. He seemed to take a stick from Brian Boyle in the groin area late in the third and had to leave the ice.

He felt no pain after the game winner.

All the Rangers could do was bow their heads and then line up for the traditional handshake after losing to their cross-rival rivals in a series that was close.

"That's playoff hockey, and that's usually where you get an overtime goal," New York's Brandon Prust said. "Just whacking away in front of the net, getting rebounds."

The ageless Martin Brodeur, 40, kept the Devils alive in the third. He stopped a power-play shot by Brad Richards, made a save on Artem Anisimov between the circles and used his stick to deflect a pass from the boards by Carl Hagelin in the final minute just before it got to Marian Gaborik on the edge of the crease.

"There's a reason why he's the best goalie to play the game," Henrique said. "He gives us that extra confidence every night when we got him back there. He's going to give us the chance to win no matter what, even if we're not playing our best. He seems to make those big saves night in, night out, and he did it again tonight."

Lundqvist's best stop in the third was on Dainius Zubrus on a shot from behind the circles.

Facing elimination and down 2-0 after 20 minutes, the Rangers found their game in the second period and tied it at 2-all on goals by Fedotenko and Callahan in a roughly four-minute span.

Carter, who scored the game winner in New York on Wednesday after the Devils blew a 3-0 lead, put New Jersey ahead again at 10:05 of the opening period on a rebound. Kovalchuk added his seventh goal of the postseason on a power play, his fifth with the extra man.

The Devils ? as is the tradition for many Cup finalists ? did not touch the Prince of Wales Trophy that was presented at center ice. As the team skated off to their locker room, "Glory Days," the 1984 hit from New Jersey rocker Bruce Springsteen serenaded them.

The game was played on the 18-year anniversary of the Rangers' dramatic 4-2 Game 6 victory over New Jersey at the Meadowlands, a win that pushed that classic Eastern Conference final series to a Game 7 and eventually led New York to its first Stanley Cup in 54 years. That game, of course, was preceded by a guarantee from Rangers captain Mark Messier, who delivered three goals en route to the victory.

This time, though, there will be no Game 7.

NOTES: The Rangers became the fifth team to play 20 postseason games without reaching the finals. ... TV personality Donald Trump was at the game. ... Devils C Travis Zajac left the ice briefly in the second after being slashed on the left hand by Prust. No penalty was called. ... New Jersey is 4-1 in overtime in the postseason. New York finished 2-3 after regulation. ... This is only the second time the Devils have defeated the Rangers in the postseason in six tries. ... The last time New Jersey played in the Stanley Cup finals, the Devils also played a California team: the Anaheim Ducks in 2003.

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