Finding A Personal Trainer Santa Clara

<div style='font-style:italic;' class='uawbyline'>By Cassie R. Marshall</div><br /><br /> <div class='uawarticle'>Getting a personal trainer Santa Clara is really not that hard. Because the city has lots of personal fitness trainers due to the continuing growth of obesity in the area, you will find a large amount of personal trainers quite easily. But, if you don't understand how to locate one in a proper way, you won't be able to employ a good one, even if there are a lot of professional trainers in the region.<br /> <br /> Getting a personal fitness trainer takes time as well as patience. Since you must find the one that will meet your requirements as well as your preferences, you need to make time to become familiar with the personal trainers that you would want to hire to be able to hire the one that you can exercise with without any problems.<br /> <br /> Finding the Right Personal Trainer for you<br /> <br /> To get the best personal trainer Santa Clara, you just need to know where to find them. The Internet, the Yellow Pages, your loved ones, your friends and your co-workers are a great source of information on where to find personal fitness trainers.<br /> <br /> * Know Your Needs And Your Goals<br /> <br /> The initial step to find the best fitness expert for you is to know your requirements and your goals first. Ask yourself what you want to attain. Ask whether you need to slim down to avoid being part of the 19% of the population in Santa Clara that's obese or if you want to just improve your health. You can also include improvement in your chosen sport as one of your primary goal in hiring a personal trainer.<br /> <br /> * Use The Internet<br /> <br /> One of the easiest and quickest methods to find a great personal trainer Santa Clara is by using the web. There are many websites that offer information about personal fitness trainers in the city. You'll also find the websites of most personal fitness experts that provide services in Santa Clara.<br /> <br /> This is a great way to find personal fitness experts as the web can offer you almost all of the information that you are looking for. From contact information to the services that your preferred fitness expert offers, you will surely find them on the web. You can also find feedback and comments from the former as well as current clients, which you will find beneficial in knowing more about the personal trainers in the city.<br /> <br /> * Open The Yellow Pages<br /> <br /> You may also make use of the Yellow Pages to look for personal fitness trainers in the area. Be sure to copy the contact information of the personal fitness trainers, gyms and fitness centers that interest you so that you can call for an appointment for a consultation and interview.<br /> <br /> * Ask Your Family, Friends And Co-Workers<br /> <br /> Another great strategy for finding a good personal trainer Santa Clara would be to ask your family, friends and co-workers when they know a personal fitness trainer or if they have worked with or they're currently exercising with a fitness expert who they can recommend for you.<br /> <br /> This can be a nice strategy for finding personal trainers because these people let you know more about the personal fitness trainer that they wish to recommend particularly if they'd already caused those fitness experts.<br /> <br /> Once you have listed all of the personal trainers that you are interested in, you can begin calling them to set an appointment for an interview. Ask the questions that you think will be useful to learn more about the personal trainer Santa Clara that you want to hire. It's also wise to try to go to the gym where your chosen trainer is working at to see how he or she interacts together with his or her clients so you'll know if you're going to get along with him or her.<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'>Being in excellent condition with the assistance of <a href="http://www.theperfectworkout.com/personal-trainer-santa-clara/">visit the site</a> not just improves your entire body but also your health as well. The benefits that you can obtain from <a href="https://plus.google.com/106004061680121716759/about?gl=US&hl=en-US">webpage</a> are countless.</div><br /> </div><br />

Finding A Personal Trainer Santa Clara

By Cassie R. Marshall Getting a personal trainer Santa Clara is really not that hard. Because the city has lots of personal fitness trai...

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The Hype Over Hospital Rankings - NYTimes.com

<base href="data:"><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">LAST week U.S. News and World Report released its <a title="U.S. News and World Report list of "Best Hospitals" " href="http://health.usnews.com/best-hospitals/rankings" style="color: rgb(102, 102, 153); text-decoration: none; ">annual list</a> of "Best Hospitals." Web sites are being updated to celebrate victories. (Johns Hopkins ranks No. 1!) Magazines will be plump with advertising. (NewYork-Presbyterian is first in New York and tied for seventh nationally!) And, because I am a reporter covering health care, my in-box is accumulating e-mails from the "Honor Roll" of the Top 18 hospitals.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">But what does this annual exercise mean for patients? And what does it say about American health care?</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">After all, Harvard and Princeton, which tied for No. 1 in the magazine's 2013 Top 10 national universities list, didn't take out ads to proclaim their triumph; they will fill their classrooms no matter. And as in the college ratings, there are no big surprises in the top hospital group: they are the big academic medical centers — the Mayo Clinic, Massachusetts General Hospital, the Cleveland Clinic. More to the point, even though you might well fly across the country for four years of schooling, you are far more likely to stay near your home for medical care.  No one's flying to Mayo in Minnesota to get inhalers for <a href="http://health.nytimes.com/health/guides/disease/asthma/overview.html?inline=nyt-classifier" title="In-depth reference and news articles about Asthma." class="meta-classifier" style="color: rgb(102, 102, 153); text-decoration: none; ">asthma</a>, even though it ranks No. 1 for pulmonary medicine.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">But American hospitals are a bit like restaurants, competing for your business (and donations). As such they go all out to promote their brand, even though hospitals and doctors are not permitted to advertise in many other countries.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">For American hospitals large and small, it clearly pays to advertise, particularly in these tough economic times and with the Affordable Care Act poised to throw tens of millions of newly insured patients into the market. But for patients the rankings and, especially, the subsequent promotions generally have limited benefit, experts say.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">"Nearly every hospital has a banner out front saying they're a 'top hospital' for something in some rating system," said Dr. Nicholas Osborne, a Robert Wood Johnson Clinical Scholar at the University of Michigan. "Those ratings have become more important for hospital marketing than for actually helping patients find the best care."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">What's more, Dr. Osborne compared the outcomes of two ranking programs — one by U.S. News and World Report and the other by Healthgrades — and found a "large discordance" in their results. "The two biggest rating systems come up with completely different lists," he said. "What does that tell you?"</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">If such advertising often adds little in the way of useful information, it certainly adds to health care costs. Hospitals with more than 400 beds spent an average of $2.18 million on advertising in 2010, surveys have found.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">"We're pushing $3 trillion in health expenditures, and one-third of that is waste," said Dr. Eric Topol, chief academic officer at Scripps Health in California. "Those TV commercials saying 'I got my<a href="http://health.nytimes.com/health/guides/disease/cancer/overview.html?inline=nyt-classifier" title="In-depth reference and news articles about Cancer." class="meta-classifier" style="color: rgb(102, 102, 153); text-decoration: none; ">cancer</a> care at X hospital' are a shame, definitely wasteful."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">To be fair, U.S. News cautions that its national ratings reflect how hospitals perform in treating "technically challenging" cases and that the list is merely a starting point after which "patients have to do their own research."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">But those caveats are lost in the subsequent barrage of advertising. And the magazine encourages hospitals to post its seal of approval. In return, the U.S. News Web site is bursting with hospital advertising.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">Some critics decry the glut of hospital self-promotion as not just wasteful and costly, but also potentially dangerous.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">"There are general fraud laws, but there is no law specific to hospital advertising, and there should be," said Robert Steinbuch, a professor of law at the University of Arkansas at Little Rock, who studies the topic. "I can't tell you how many hospitals say, 'We have state-of-the-art CAT scanners' — there is no such thing! It's an old technology."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">IN a country where numerous organizations — including Yelp — accredit, rate and rank hospital care, some accolades may indicate excellence and some don't mean that much at all, he added. And while teams of academics and scores of for-profit companies are developing "quality" metrics to guide health care reform and to help patients shop for their care, it turns out that rating a hospital accurately is extremely complicated. For one thing, hospitals that take on sicker patients might have more complications after surgery.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">Yet even smaller hospitals tend to advertise their profit-making departments, like cardiology, even though they may not offer the full range of heart services.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">"If they advertise cardiac care and don't have <a href="http://health.nytimes.com/health/guides/surgery/angioplasty/overview.html?inline=nyt-classifier" title="In-depth reference and news articles about Angioplasty." class="meta-classifier" style="color: rgb(102, 102, 153); text-decoration: none; ">angioplasty</a>, that's essentially fraud," Mr. Steinbuch said, adding that if a patient dies, "that could be considered criminally negligent homicide."</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">But health care advertising is probably here to stay. "Hospital advertising sets up an arms war, so that hospitals feel they can't survive without aggressive marketing," said Dr. Topol of Scripps Health.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">And even skeptics concede that health care ratings, when properly developed and employed, may help hospitals improve their performance and provide patients with valuable information.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">If you have a rare lung condition that has flummoxed local doctors, for example, you may want to fly to Mayo since U.S. News has ranked it No. 1 in pulmonary medicine. And if a dozen hospitals in your area offer hip replacements, a search of regional rankings on the magazine's Web site will yield some useful statistics. But take all those hospital advertisements with a grain of salt.</p><p itemprop="articleBody" style="color: black; font-size: 1.2em; margin: 0px 0px 1em; line-height: 24px; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">Indeed, with thousands of good hospitals across the nation, the best selling point for routine medical care may simply be convenience: some studies show that patients prefer nearby hospitals with worse results over ones with better outcomes farther away.</p><nyt_author_id style="color: rgb(51, 51, 51); font-family: Georgia, serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><div class="authorIdentification" style="margin-bottom: 2.8em; "><div style="color: rgb(0, 0, 0); font-size: 15px !important; margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; line-height: 24px; font-style: italic; ">Elisabeth Rosenthal is a reporter for The New York Times who is writing a yearlong series about the cost of health care, "Paying Till It Hurts."</div></div></nyt_author_id></div><a href="http://www.nytimes.com/2013/07/28/sunday-review/the-hype-over-hospital-rankings.html?">http://www.nytimes.com/2013/07/28/sunday-review/the-hype-over-hospital-rankings.html?</a><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><br class="webkit-block-placeholder"></div>

The Hype Over Hospital Rankings - NYTimes.com

LAST week U.S. News and World Report released its  annual list  of "Best Hospitals." Web sites are being updated to celebrate vict...

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Today's Teamster News 07.28.13

<a href="http://articles.chicagotribune.com/2013-07-25/business/chi-funeral-home-strike-20130725_1_teamsters-funeral-homes" rel="nofollow">Funeral homes win ruling to hold striking Teamsters at bay</a>  Chicago Tribune   ...A judge has granted a temporary restraining order to prevent Teamsters Local 727 from picketing funeral homes and halting alleged harassment of grieving families in its dispute with SCI Illinois Services Inc....<br /><a href="http://times-news.com/local/x1724761221/-Made-in-Vietnam-a-concern-for-Teamsters" rel="nofollow">‘Made in Vietnam’ a concern for Teamsters </a>  Cumberland Times-News   ...Teamsters union President James P. Hoffa, along with human rights leaders, say there’s a bleak reality behind imported clothing: Forced labor, child labor and gender discrimination, among other issues...<br /><a href="http://citizen.typepad.com/eyesontrade/2013/07/will-us-face-trade-sanctions-for-anti-smoking-law.html?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+eyesontrade+%28Eyes+on+Trade%29" rel="nofollow">Will U.S. Face Trade Sanctions for Anti-Smoking Law? </a> Public Citizen   ...As the World Trade Organization (WTO) deadline passes today for the United States to comply with a WTO ruling against a U.S. ban on sweet-flavored cigarettes targeting youth, the spotlight shifts back to the WTO, which could now authorize trade sanctions if requested by Indonesia, the country that won the WTO challenge...<br /><a href="http://www.huffingtonpost.com/2012/12/10/prison-labor_n_2272036.html" rel="nofollow">Prison Labor Booms As Unemployment Remains High; Companies Reap Benefits</a>  Huffington Post   ..."nearly a million prisoners are now making office furniture, working in call centers, fabricating body armor, taking hotel reservations, working in slaughterhouses, or manufacturing textiles, shoes, and clothing, while getting paid somewhere between 93 cents and $4.73 per day..."<br /><a href="http://www.splcenter.org/SPLC-secures-release-of-Alabama-man-jailed-after-failing-to-pay-trash-bill_" rel="nofollow">SPLC secures release of Alabama man jailed after failing to pay $88 trash bill </a> Southern Poverty Law Center   ...Though debtors’ prison is supposed to be a thing of the past, a 60-year-old man in Baldwin County, Ala., spent two weeks in jail after failing to pay an $88 trash bill...<br /><a href="http://blogs.villagevoice.com/runninscared/2013/07/fast_food_strik.php" rel="nofollow">You Want a Living Wage With That? Fast Food Workers of N.Y.C. Prep for Another Strike</a>  Village Voice   ...The strike will be their third since November, when fast food workers from Domino's, McDonald's, Wendy's, Taco Bell and other chains organized a massive walkout...<br /><a href="http://opinionator.blogs.nytimes.com/2013/07/25/fast-food-low-pay/?_r=1" rel="nofollow">Fast Food, Low Pay</a> (opinion)  New York Times   ... Workers with nothing to lose are demanding a living wage of $15 an hour, and gaining strength and confidence...<br /><a href="https://www.commondreams.org/headline/2013/07/24-4" rel="nofollow">Evidence Mounts Agent Provocateurs Used by Brazilian Police</a>  Common Dreams   ...Police sent infiltrators and agent provocateurs into crowds of protesters in Rio de Janeiro Monday—the first day of the Pope's visit to Brazil— as extensive video footage and witness testimony strongly suggests...<br /><a href="http://www.nextnewdeal.net/wheres-beef-first-thing-obama-can-do-himself-create-good-jobs" rel="nofollow">Where's the Beef?: The First Thing Obama Can Do By Himself to Create Good Jobs</a> (opinion) Next New Deal   ...He can start with an executive order to boost job quality for at least 2 million workers whose pay is financed by the federal government...<br /><a href="http://www.aflcio.org/Blog/Economy/Minimum-Wage-Hike-Would-Boost-Kids-and-Workers-Out-of-Poverty" rel="nofollow">Minimum Wage Hike Would Boost Kids and Workers Out of Poverty </a> AFL-CIO Now   ...26% of kids younger than 3 are poor and the rate for African American children is 39%. Yet two-thirds of children living in poverty have at least one parent with a full-time, year-round job and many of those are minimum wage jobs...<br /><a href="http://www.washingtonpost.com/blogs/answer-sheet/wp/2013/07/22/what-parents-really-think-about-school-reform/" rel="nofollow">What parents really think about school reform</a>  Washington Post   ...most parents want strong neighborhood schools — not choices of schools for their children to attend. They don’t want public money diverted to private-school vouchers, or low-performing schools to be closed, or resources being taken away from traditional public schools to be used for public charter schools...<br /><a href="http://wallstreetonparade.com/2013/07/student-loans-tied-to-rise-in-market-rates-while-wall-street-banks-have-received-a-fixed-6-return-from-the-government-for-the-past-century/" rel="nofollow">Student Loans Tied to Rise in Market Rates While Wall Street Banks Have Received a Fixed 6% Return from the Government for the Past Century</a>  Wall Street on Parade   ... Loans taken out after July 1 of this year will rise to 3.9 percent for undergraduates; to 5.4 percent for graduate students; and to 6.4 percent for parents taking out the student loans...<br /><a href="http://finance.fortune.cnn.com/2013/07/22/irs-corporate-tax-deal/">The tax break that corporate America wants kept secret</a> CNN Money   ...Oracle, Google, and Amazon are just a few of the hundreds of large companies that have cut confidential deals with the IRS to help lower their tax bills, and critics want the agency to disclose the details of these complex pacts...<br /><a href="http://qz.com/107591/apples-record-cash-haul-could-repay-detroits-debt-eight-times-over/" rel="nofollow">Apple’s record cash haul could repay Detroit’s debt eight times over</a>  Quartz   ...Apple now has $146.6 billion in cash and marketable securities on its balance sheet, with some $106 billion kept offshore, the company said during today’s earnings call. That’s a record for the poster-child of tech companies maintaining mountains of overseas green. It’s enough to pay off bankrupt Detroit’s $18.5 billion in debt about eight times over...<br /><a href="http://money.cnn.com/2013/07/26/news/economy/detroit-bankruptcy-arena/" rel="nofollow">New $444 million hockey arena is still a go in Detroit</a>  CNN Money   ...Detroit's financial crisis hasn't derailed the city's plans to spend more than $400 million in Michigan taxpayer funds on a new hockey arena for the Red Wings...<br /><a href="http://truth-out.org/buzzflash/commentary/item/18101-armed-masked-dangerous#.UfO35zCoLRI.facebook" rel="nofollow">Armed, Masked and Dangerous: the Militias of Privatization vs. the Public Good</a>  TruthOut   ...Wisconsin, the battleground state where Governor Scott Walker has wielded his power with the grace of an elephant in a Crate and Barrel outlet store, has become the scene of armed, mask wearing, camouflaged security outfits patrolling the backwoods on the lookout for eco-terrorist types at the behest of a mining company more than willing to defile the environment for profits...<br /><a href="http://www.cbsnews.com/8301-250_162-57595774/a-voting-rights-showdown-in-north-carolina/" rel="nofollow">A voting rights showdown in North Carolina?</a>  CBS News   ...North Carolina, a battleground state that's sure to be one again, is putting in place a new package of measures for voter ID requirements and - importantly - changing its early voting periods, among other measures, steps that many believe have it headed for a voting rights lawsuit...<br /><br />

Today's Teamster News 07.28.13

Funeral homes win ruling to hold striking Teamsters at bay   Chicago Tribune   ...A judge has granted a temporary restraining order to preve...

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How Garcinia Cambogia Extract May Benefit Your Wellbeing?

<div style='font-style:italic;' class='uawbyline'>By Ruth Gray</div><br /><br /> <div class='uawarticle'>Are you a lot worried of the obesity? That's okay. You shouldn't lose your hope.<br /> <br /> Even the celebrities, who are thought as the ones who live completely, also are afflicted by distinct depressions. And yes, you may have guessed it; they get fat from all the proverbial tub of ice cream or the bucket of hot wings they binge on together with alcohol. Nonetheless, in just a blink of an eye, they could still retrieve those great body shape they had before. Now, you might be wondering, "how do they get, from Jabba the Hut to Carmen Electra within a few weeks?" With such a drastic change, even with out surgical means, can it be even feasible to look that good that fast?<br /> <br /> Have you already met Garcinia Cambogia extract in a corner? What if this brings amazing change to the body? Garcinia Cambogia extract is certainly the miracle weight loss pill which is safe, organic, side effect-free as well as ensures usefulness. The majority of the well-known celebrities take this wonder supplement so rest assured that this just give effectiveness as well as other relevant rewards. The bobbling bellies are merely for now. Taking this supplement will not make you a superstar nevertheless this will definitely take your body shapes in to curves as well as stunning body physique.<br /> <br /> What's within this great drug is that it is made with Raspberry ketone and also Garcinia Cambogia, generating not merely fat loss effects but is tremendously lessens your appetite as well as improves your mood. Garcinia Cambogia extract is scientifically tested as well as has proven to be an exceptionally beneficial supplement to fight weight gain. How great could it be right?, moreover Garcinia Cambogia extract is made Safely to prevent negative effects.<br /> <br /> Also provided is Garcinia Cambogia extra, a ground-breaking drug with regards to losing fat, it's considered to be "the most potent of all weight loss drugs" according to German Physicians. With this being suggested, it's really simple to loss almost all those fat with out harassing of gym systems as well as tiring workouts. More to that, there's lots of extra expenses for month to month gym fees as well as equipments<br /> <br /> Just what exactly more might you ask for this product?, order now or go online shops for more detailed information as well as just how to order. Hence, getting fit and healthy has never been this convenient, so take one nowadays!<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'><a href="http://www.garciniacambogian.com/garcinia-cambogia-select-review/">Visit garciniacambogian.com blog</a>, in the case you are making plans for trying garcinia cambogia extract for weight-loss and also curious about such factors as <a href="http://www.garciniacambogian.com/garcinia-cambogia-side-effects/">Is Garcinia Cambogia Extract Any Good?</a>.</div><br /> </div><br />

How Garcinia Cambogia Extract May Benefit Your Wellbeing?

By Ruth Gray Are you a lot worried of the obesity? That's okay. You shouldn't lose your hope. Even the celebrities, who are ...

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The Easy Approach To Muscle Building Success

<div style='font-style:italic;' class='uawbyline'>By Russ Howe</div><br /><br /> <div class='uawarticle'>As a personal trainer it's easy to read the things in fitness publications and wonder why so many people are lost when it comes to figuring out how to build muscle in the gym. The truth is it's needlessly over complicated. Today we'll be showing you the basic rules to help put you on the right track.<br /> <br /> Also, we'll avoid the type of scientific jargon which usually just alienates people and leaves them feeling confused!<br /> <br /> When I'm working in the gym as a fitness instructor I know that the majority of fitness trainers like to get way too in-depth with their clients. Usually you can see that the customer has lost interest and is merely nodding along or regretting that they asked the question in the first place. We don't feel the need to pat ourselves on the back for our knowledge of the human body, we're here to train you and if you cannot understand the instructions it's not going to work no matter how much we may know, right? We can't understand why some 'experts' do that, so the one thing we can guarantee here is that you will not lose track.<br /> <br /> When it comes to packing on lean muscle there are a few rules which will keep you in the right direction. <br /> <br /> The first step is to correct your sleeping patterns. Many people are shocked to discover that some of the rules to a bigger body don't even revolve around the gym. You can start by ensuring you get at least eight hours rest each night, the release of growth hormone will work wonders for your results.<br /> <br /> Supplementing the fact that your sleeping is now in perfect working order for gains in the gym you should now be looking to ensure your body is getting enough rest. You can't grow if your don't let it happen, after all. The next time you see somebody training every day and wondering why they aren't seeing results you'll know why it's happening. Don't let it happen to you.<br /> <br /> Now we hit the gym and the focus shifts to your training program. There is no way you're going to pack on lean size if your training plan isn't specific to your goal. That means ditching the lax approach to your routine and trying to get a solid plan together which allows you to concentrate on your goal, nothing else. Eight-to-twelve reps is best for hypertrophy, that's the golden rule.<br /> <br /> When it comes to the exercises, too, you should have your strength and size goal firmly in your mind as you write out your exercise program. By putting more emphasis on large compound movements you will enjoy greater results. This is because the larger exercises such as deadlift and squat recruit more muscle fibres than small isolation movements like lateral raises. Keep this in mind as you write your program out.<br /> <br /> Your diet will also play a key role. Remember it isn't just about adding size, you want to add the right kind of size. By adjusting your diet accordingly you can ensure that you not only grow but keep your gains lean. Most people who attempt to bulk up simply eat everything in sight. That's a good concept if you aren't bothered what type of 'massive' you achieve.<br /> <br /> The confusion surrounding how to build muscle can be answered with the simple steps in today's article. No personal trainer or college professor needed. You should now be well on your way to seeing some quality results in the gym!<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'>About the Publisher: Russ Howe PTI is England's most subscribed <a href="http://RussHowePTI.com">Personal Trainer</a>. Learn <a href="http://www.youtube.com/watch?v=5KFcTIpXe90">how to build muscle</a> with our free video walkthrough showing the five rules to a more muscular physique.</div><br /> </div><br />

The Easy Approach To Muscle Building Success

By Russ Howe As a personal trainer it's easy to read the things in fitness publications and wonder why so many people are lost when ...

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Shout - The Musical

Last night I went to see "Shout" in the Tivoli Theatre, Francis Street.<div><br></div><div>It is a super show which follows the lives of 5 women in London in the 1960's through the music of the time.</div><div><br></div><div>There was lots of Petula Clark, Dusty Springfield and a fantastic rendition of Mary Hopkins "Those were the days'.  By the end of the show we were dancing in the aisles!!</div><div><div class="separator" style="clear: both;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyx1XwiS7VBVoYdwSjAtuSRe2oqnvVvGd2rIARJDI2sONcn-DUu6_iy1Jrly9ReR9QUF4PVUfVgZxzwCkzDPsv_scJw6XHMk3hMoWRxr3F-zEYuyrLG_2rLElo90F_zpl7Xi_1_ioXFWfp/s640/blogger-image-674637888.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyx1XwiS7VBVoYdwSjAtuSRe2oqnvVvGd2rIARJDI2sONcn-DUu6_iy1Jrly9ReR9QUF4PVUfVgZxzwCkzDPsv_scJw6XHMk3hMoWRxr3F-zEYuyrLG_2rLElo90F_zpl7Xi_1_ioXFWfp/s640/blogger-image-674637888.jpg"></a></div><br></div><div>I cycled in to the city wearing high wedge sandals and a short skirt - not really the best clothes for cycling.  When I left and cycled home near midnight I was a little bit scared as there were lots of drunk people stepping out in front if me and too much taxi traffic.  I think walking will be safer in future.</div><div><div class="separator" style="clear: both;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj5ooyYhMsFj9vXa52fkC1uu3RM-BqnBDzco_JZ9PfWrWlerbcW2SoPGLF3QYHZJMg2IQIgROYyUjYE-lm_D1zs7GZ5ct4aMdKUdX3oIL_hWPVcPJrrSlRWVf9yHlSmnTkMDqQma8vZ_Iiw/s640/blogger-image--2020217105.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj5ooyYhMsFj9vXa52fkC1uu3RM-BqnBDzco_JZ9PfWrWlerbcW2SoPGLF3QYHZJMg2IQIgROYyUjYE-lm_D1zs7GZ5ct4aMdKUdX3oIL_hWPVcPJrrSlRWVf9yHlSmnTkMDqQma8vZ_Iiw/s640/blogger-image--2020217105.jpg"></a></div><br></div><div>I think Shout is open for another week - if you get the opportunity, do go!</div><div><br></div><div><div class="separator" style="clear: both;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEip_ALyyr1vcuYGqxCL0Ob_VXrH57gwzFZwjhdMaWFZ8gLjGRerASzbClE8itF-lHp4MLJXA2X6GBydQw00fve3eXF04R7gpO6edo3dBHi8Mhy5-tDxG7KHVRD5daxwTmKh4cSuvBQaLp-q/s640/blogger-image--146880744.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEip_ALyyr1vcuYGqxCL0Ob_VXrH57gwzFZwjhdMaWFZ8gLjGRerASzbClE8itF-lHp4MLJXA2X6GBydQw00fve3eXF04R7gpO6edo3dBHi8Mhy5-tDxG7KHVRD5daxwTmKh4cSuvBQaLp-q/s640/blogger-image--146880744.jpg"></a></div><br></div><div><br></div>

Shout - The Musical

Last night I went to see "Shout" in the Tivoli Theatre, Francis Street. It is a super show which follows the lives of 5 women in L...

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Alex Rodriguez: IWS Person of the Week!

<div dir="ltr" style="text-align: left;" trbidi="on"><div class="MsoNormal">IWS would like to congratulate Alex Rodriguez for being named our Person of the Week! That’s right, A-Rod has had a pretty eventful week and has earned the admiration of the folks here at IWS! <o:p></o:p></div><div class="MsoNormal"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZICKGKMQ7dAwNWhtpj4DfnJAx0PWiqmeLIFli1Oc5Q5o4Sr01r7hAOozg9opkAP0_lLVwasMgU8_ENbK_DLjlgl5NDJ4vIlRWr6ZtRrexRHk1BGBjJXcznWZ048vuusLpxaZw_3dLMQc/s1600/Alex-Rodriguez-Shirtless-Abs-Hung.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZICKGKMQ7dAwNWhtpj4DfnJAx0PWiqmeLIFli1Oc5Q5o4Sr01r7hAOozg9opkAP0_lLVwasMgU8_ENbK_DLjlgl5NDJ4vIlRWr6ZtRrexRHk1BGBjJXcznWZ048vuusLpxaZw_3dLMQc/s400/Alex-Rodriguez-Shirtless-Abs-Hung.jpg" width="289" /></a></div><div class="MsoNormal"><o:p><br /></o:p></div><div class="MsoNormal">Alex started the week pretending that he wasn’t facing a HUGE suspension for yet another involvement with steroids or HGH or whatever by DEMANDING the Yankees bring him back onto the roster after his rehab stint. Then he tweaked his quad and the Yankees decided to put him back on the DL. <o:p></o:p></div><div class="MsoNormal"><br /></div><div class="MsoNormal">That wasn’t good enough for the biggest ego in baseball sing Reggie Jackson though. Oh no, he sent his MRI to some doctor somewhere and had him review it and declare A-Rod fit to play. Then he sent this doctor onto Mike Francesa’s radio show. This all after GM Brian Cashman had told A-Rod to “shut the fuck up” just a couple of weeks ago. <o:p></o:p></div><div class="MsoNormal"><br /></div><div class="MsoNormal">What a soap opera! And the best part of it Yankees fan are pretending that A-Rod doesn’t belong to them. Sorry folks, he’s going to be the “face” of the Steroid Era and he will be wearing a Yankees uniform. Deal with it. <o:p></o:p></div><div class="MsoNormal"><br /></div><div class="MsoNormal">So, for being a cheat, an asshole and a bigger narcissist then Anthony Weiner, YOU, Alex Rodriguez are the IWS “Person of the Week!! <o:p></o:p></div><div class="MsoNormal"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2N8YnmdkEC3UgFiOIRLGJdn8WFMRULHUgwRKivhVN2DbGUR5GK7gYWIww9xqGay06uq4a7N2CeAIGJLtOfwZ0MzikXmcCbE2F5f0C8O1MTzBU6rJcjL5HH0lI500OxQgvSI3z7fAqfQI/s1600/Alex-Rodrguez-Kissing-Self.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2N8YnmdkEC3UgFiOIRLGJdn8WFMRULHUgwRKivhVN2DbGUR5GK7gYWIww9xqGay06uq4a7N2CeAIGJLtOfwZ0MzikXmcCbE2F5f0C8O1MTzBU6rJcjL5HH0lI500OxQgvSI3z7fAqfQI/s1600/Alex-Rodrguez-Kissing-Self.jpg" /></a></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><br /></div><div class="MsoNormal"><br /></div><br /><div class="MsoNormal">Be sure to catch us on IWS Radio Sunday at 12 Noon ET for our <a href="http://www.blogtalkradio.com/im-with-stupid/2013/07/28/sexy-sexting-show" target="_blank">Sexy Sexting Show</a>!!! <o:p></o:p></div><div class="MsoNormal"><br /></div></div>

Alex Rodriguez: IWS Person of the Week!

IWS would like to congratulate Alex Rodriguez for being named our Person of the Week! That’s right, A-Rod has had a pretty eventful week and...

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Belviq won't let you cheat - much!!

So last night was going to be my first official major cheat day since starting Belviq.  Epic failure!  I had a couple drinks and me and the bestie decided to go eat a late late dinner.  By the time my food made it to my table, I couldn't even eat.  I was like, blech!  YAY!!!  ha!<br /><br />I haven't had ANY appetite today!   I've had somewhat of an emotional day.  Without going in to details, usually when I have the exact kind of day like today, I BINGE eat like crazy.  Belviq effected me the complete opposite!  <br /><br />I believe the article about my story will be published early next week.  I will let you know when I find out and of course, post the link so you can read it!!!  It's well worth the read!!<br /><br />Also, Friday will be my 2 week weigh in!  Are you ready??????? Sooooo excited.<br /><br />This will be short as I am emotionally exhausted.  Tomorrow is my blogging day off.  See you all on Monday!!<br /><br />xoxox<br />Ellie

Belviq won't let you cheat - much!!

So last night was going to be my first official major cheat day since starting Belviq.  Epic failure!  I had a couple drinks and me and the ...

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XBox: Assassin's Creed II Completed

<div class="separator" style="clear: both; text-align: center;"><a href="http://fc06.deviantart.net/fs71/i/2011/250/2/f/ezio_auditore_8_by_aimore_ezio-d494lef.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://fc06.deviantart.net/fs71/i/2011/250/2/f/ezio_auditore_8_by_aimore_ezio-d494lef.jpg" /></a></div><br />Yesterday I completed Assassin’s Creed II and immediately moved into Assassin’s Creed Brotherhood. I loved the story of Ezio Auditore da Firenze and am not at all sad to say that I have Brotherhood and Revelations to further enjoy Ezio’s adventures. I found the controls to be tighter than my limited tine playing as Altair in Assassin’s Creed I. <br />In everyday life, heights and I are incompatible. So I expected to run into issues playing the game knowing I’d be balancing on the top of a cross on a church steeple but the heights and dizzying views never got to me. However, they do get to me when Hubby is playing and is spinning around like a madman. I can only assume it has something to do with not being in control of the character.<br />I will admit I wish it were possible to capture screenshots on the 360 without resorting to using my cellphone which is just immersion breaking and honestly I forget. Thankfully that issue will disappear on the One and next generation games. Until then dear readers, you are stuck with stock photos.<br />

Assassin's Creed II Ubisoft Xbox XBox 360 Xbox One XBox: Assassin's Creed II Completed

Yesterday I completed Assassin’s Creed II and immediately moved into Assassin’s Creed Brotherhood. I loved the story of Ezio Auditore da Fi...

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Following Is How You Could Increase Your Weight Loss Center

<div style='font-style:italic;' class='uawbyline'>By Jacob Thomas</div><br /><br /> <div class='uawarticle'>People don't start a weight loss treatment and consulting services business for a short-term period. They are in it for the long-haul, wanting it last forever. In order to keep up with the market you'll need some inspiration, which we have right here for you.<br /> <br /> Referral and affiliate programs can be very efficient when offered to long-term customers. They may already recommend your great products and/or services to their friends, relatives and coworkers for free. Awarding them with some sort of monetary incentive will only encourage them to take those referrals more seriously.<br /> <br /> Don't compromise when it comes to the quality of your employees. You must employ experts who can then contribute to the success of your weight loss treatment and consulting services business. Good workers can help you easily reach your goals.<br /> <br /> The procedure of setting objectives makes you decide on where you need to go in future. By knowing absolutely what you need to attain, you know where you need to focus. You'll likewise swiftly spot the diversions that can, so effortlessly, lead you adrift.<br /> <br /> Financial success alone is an incomplete measure of weight loss treatment and consulting services business success. Good businesses seek strong achievement in customer satisfaction, financial gain, and employee performance. Considering only the financial results of your business dealings is a poor method to gauge or evaluate overall business success.<br /> <br /> Hand out balloons or stuffed toys for a day. These will be totally free to kids, and will have your weight loss clinic name on the product. The children will be delighted, and the parents will be pleased that their child is happy. It will keep them coming back!<br /> <br /> Always include a strategy for growth in your plans for the future. This will ensure that you remain focused while you are operating your weight loss treatment and consulting services business and that you are working towards tangible goals. Plan ahead for every possible situation to insure that you are prepared for everything that might come your way.<br /> <br /> Provide a discount to first-time clients. This will assist grow your local weight loss treatment and consulting services business by not only testimonials and referrals, but by repeat customers. No one wants to get started in a new business that is going to cost them an arm and a leg.<br /> <br /> Think about developing a Instagram account for your weight loss treatment and consulting services business. Customers love looking at pictures so take a lot of them and put them on your new page. This is a great way to get people excited about your weight loss clinic and when people are excited about something they will be talking about to others.<br /> <br /> Always keep an eye on your finances. If you are not a very financially oriented person, it is always better to hire someone to take care of this for you than to ignore the issue until you run into a major financial problem or you are forced to file bankruptcy.<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'>If you are searching for more ideas written by experts, please go to your favorite browser and search for <a href='http://www.urgentcarelahabra.net/hcg-diet.html'>hcg orange county</a>. You'll discover some interesting ideas related to <a href='http://www.urgentcarelahabra.net/'>weight loss center</a>.</div><br /> </div><br />

Following Is How You Could Increase Your Weight Loss Center

By Jacob Thomas People don't start a weight loss treatment and consulting services business for a short-term period. They are in it ...

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Creating A Profitable Weight Loss Treatment Business Doesn't Have To Be Difficult

<div style='font-style:italic;' class='uawbyline'>By Benny Roye</div><br /><br /> <div class='uawarticle'>Having a real weight loss treatment and consulting services business can be a wonderful strategy to make more income while doing what offers you satisfaction. There're plenty of factors of starting and handling an effective business to consider before you start If you are developing a solid strategic plan and approach, you can run and develop effective business. Stick to the guidance set out below.<br /> <br /> Money is important but do not let it dictate your every move. There are times that you should take risks and hope they pay off. This is necessary to stay on top of your game.<br /> <br /> Incorporating SEO into your website design can grow your weight loss treatment and consulting services business with leaps and bounds. SEO can be expensive, so an easy first-step is to be sure you name your website images appropriately, thinking in terms of how people might search that image and your business. Many websites are found through Google search engines by image searches alone!<br /> <br /> If your weight loss treatment and consulting services business is getting big, it might be time to invest in a 24-hour phone line. Sometimes, customers will have a huge problem with one of your products in the middle of the night. If there is no one they can talk to, they will get agitated. Having someone to answer the phones at all times will look great for your business.<br /> <br /> Every city has a show at least once a year. Get your weight loss treatment and consulting services business a float in a parade. Make it colorful and exciting to see so that you get the most for your efforts. It can be a huge undertaking but make it fun and watch the transactions flow in.<br /> <br /> For doing a successful weight loss treatment and consulting services business everyone needs proper training and skills. In this way they can use proper tools for solving a business problem. If you don't know how to do business learn it first before investing your own money in it.<br /> <br /> The targeted audience is the key for any weight loss treatment and consulting services business. You must come across the ideal market and the perfect audience doing the trick for you. If you are looking to grow your business, then you have to focus on this aspect.<br /> <br /> If you offer money into a charity event, your weight loss treatment and consulting services business or other entity is sure to get noticed. You will be named for your contribution in most cases and even that is greater than never having your name spoken at all. This shouldn't be the only reason you do a charitable thing though.<br /> <br /> Point on the sales of your product because it s the ultimate goal of the weight loss treatment and consulting services business of get profits and you can just get more profit by getting more sales. Always monitor your sales to keep track of the cash flow.<br /> <br /> Keeping the records of all your weight loss treatment and consulting services business activities is essential to measure your performance and to get acquainted with your mistakes. You can also measure your progress when you keep the track of your activities.<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'>If you are looking for more suggestions published by professionals, please go to your favorite browser and type in <a href='http://www.urgentcarelahabra.net'>weight loss la habra</a>. You'll find some useful solutions related to <a href='http://www.urgentcarelahabra.net/hcg-diet.html'>weight loss pills</a>.</div><br /> </div><br />

Creating A Profitable Weight Loss Treatment Business Doesn't Have To Be Difficult

By Benny Roye Having a real weight loss treatment and consulting services business can be a wonderful strategy to make more income while...

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Forms Of Exercises For Senior Citizens According To A Personal Trainer West Hollywood

<div style='font-style:italic;' class='uawbyline'>By Brandon Watkins</div><br /><br /> <div class='uawarticle'>There are a growing number of senior citizens at West Hollywood. With the advancement of modern medicine, the life span of a person is increasing over the past years. With the aid of medical procedures such as angioplasty, heart bypass procedures, and now stem cell procedures, people are living longer and healthier. It's important though to remain active even when you are sixty years old and above. This could also help you have a longer life. Listed here are the different exercises a senior citizen can safely do with the guidance of a personal trainer West Hollywood:<br /> <br /> Chair exercises<br /> <br /> These chair exercises are targeted to maintain the suppleness of the leg muscles. If senior citizens would just remain inactive, their leg muscles would weaken and shorten over a period of time. It would cause them a great deal of discomfort, such as cramping.<br /> <br /> Arms can be exercised also without having to do the actual swimming. Arm lifts and leg lifts are enough to make the heart rate of a senior citizen get faster. Plus it is enjoyable and best done with group of friends. This is one exercise a personal trainer West Hollywood would recommend for a senior citizen.<br /> <br /> Walking<br /> <br /> If a senior citizen is still able to do short walks, then it is a good form of an aerobic activity. It increases their heart rate and reduces the risk of cardiovascular diseases. A cane may be used to aid in walking and in balancing.<br /> <br /> Chair exercises<br /> <br /> These chair exercises are targeted to maintain the suppleness of the leg muscles. If senior citizens would just remain inactive, their leg muscles would weaken and shorten over a period of time. It would cause them a great deal of discomfort, such as cramping.<br /> <br /> Arms can be exercised also without having to do the actual swimming. Arm lifts and leg lifts are enough to make the heart rate of a senior citizen get faster. Plus it is enjoyable and best done with group of friends. This is one exercise a personal trainer West Hollywood would recommend for a senior citizen.<br /> <br /> Dancing<br /> <br /> Senior citizens can engage in light dance activities. Personal trainers can be their partners so they can be guided very well and avoid the risk of slipping or falling.<br /> <br /> Stretching exercises<br /> <br /> A personal trainer West Hollywood will recommend senior citizens to perform stretching exercises for flexibility. This is a good way of decreasing the stiffness of muscles brought about by old age. It is a very light and very relaxing form of a physical activity.<br /> <br /> Weight lifting<br /> <br /> There are many lightweight dumbbells available in the market suitable for the use of senior citizens. There are also rubber band substitute in case one is not comfortable lifting weights. This exercise should be carefully guided by a highly qualified fitness trainer to avoid muscle tear and bone breakage among seniors. Lifting light weights is good for strengthening and balance.<br /> <br /> A personal trainer West Hollywood would strongly recommend senior citizens to remain active for as long as they can. There are limitations though, and it is advised to get a medical permission first to test if a senior citizen is still able to perform light aerobic and weight lifting workouts.<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'>Getting in good shape with <a href="https://plus.google.com/100349319569853932791/about">personal trainer in West Hollywood</a> not just enhances your figure but also your overall health also. The rewards which one can obtain from <a href="http://www.theperfectworkout.com/personal-trainer-west-hollywood/">personal trainer West Hollywood</a> are limitless.</div><br /> </div><br />

Forms Of Exercises For Senior Citizens According To A Personal Trainer West Hollywood

By Brandon Watkins There are a growing number of senior citizens at West Hollywood. With the advancement of modern medicine, the life sp...

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Tips To Keep Yourself To A Slender Figure

<div style='font-style:italic;' class='uawbyline'>By George Till</div><br /><br /> <div class='uawarticle'>It is pretty much obvious that a lot of us not just in the US are obese and overweight. The statistics are alarming to say the least. There are a lot of available options on how you can actually lose excess fat however not all of these are true. The topic about weight loss is not new to many however the topic with regards to keeping the lost weight seems to be ignored.<br /> <br /> So what do you need to learn about keeping your healthy weight?<br /> <br /> The first thing that you need to keep in mind is the source of your excess weight. Be thoroughly knowledgeable about the factors that lead to putting on excess weight, and how to stop the progress of those unhealthy habits.<br /> <br /> Think beforehand that the weight loss process will have positive results. You lost the weight; you know you can keep it off. Be sure you do all there is you can do to keep your leaner body. It is merely just prolonging your habit when you were trying to lose weight in order to keep your weight.<br /> <br /> This is actually something that many people in the US find difficult to achieve. You have reduced your weight and thus achieved a sexier and leaner body. Now is not the time let loose and forget what got you there. Try to come up with a daily program that you'll follow until it becomes a habit.<br /> <br /> Get hold of a specific or certain weight standard that you can keep. Do not let your weight get above those standards. Try to check out your weight every week. If you see that the maximum weight standard is almost reached you will need to opt for reducing the amount of food that you are taking in.<br /> <br /> A good way to keep your sugar level low is by taking in supplements or foods rich in glycemic index. It actually protects you against two harmful elements. These are high sugar levels from too much sugar intake and low blood sugar level for inadequate amount of sugar in the body. In addition, you will know what foods you can eat safely and still maintain your present weight.<br /> <br /> Keep that sugar and white bread out of your diet. Now is not t he time to get back into those habits. You already fee good about yourself. Don't think that since you've already lost weight that you already have an excuse to eating anything that you want which includes the fattening foods, If you do, you won't be able to notice that you're fat again due to the habit.<br /> <br /> If you didn't when you were losing weight, do so now and avoid processed foods. These junk and artificial foods provide harmful effects in the body and tends to initiate weight gain.<br /> <br /> Make sure that your food is rich in fiber which is good for weight loss and never ever skip a meal.<br /> <br /> You will need to steer clear of those unwanted foods. Its pretty obvious what these foods are. These are the foods that rich in fat that brings about fattening.<br /> <br /> If you will pay attention to the above items, you will not only lose that weight but keep it off permanently. Self-confidence will be one that you're sure to achieve and you'll have a better approach in life. If you need help- try one of the new weight loss programs like weight watchers online. These people will help you with the hardest part of losing weight which is the preparation in weight loss.<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'>The author is a contributor to <a href="http://bestfoodie.weebly.com">foodie blog</a> the site talks about how people prepare food today . Should you desire to learn more about <a href="http://bestfoodie.weebly.com/1/post/2013/05/what-is-the-reason-behind-bw3-not-publishing-their-health-information.html">health information of foods</a> we can help.</div><br /> </div><br />

Tips To Keep Yourself To A Slender Figure

By George Till It is pretty much obvious that a lot of us not just in the US are obese and overweight. The statistics are alarming to sa...

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Cardio Training With The Personal Trainer Lafayette

<div style='font-style:italic;' class='uawbyline'>By Jackie Johnson</div><br /><br /> <div class='uawarticle'>There are many areas of exercising that should be taken note of if you are aiming to have a good and well-covered exercise session. Everybody has a different body, each with its own unique characteristics and needs, and therefore much consideration must be given as to what kind of exercise routines you must undergo yourself.<br /> <br /> One of the most common and important types of workout is the cardio workout. It comes in many shapes and forms and can give a person all sorts of healthy and helpful benefits. As there is such a large variety of them, outside advice will be needed to make sure that you choose only the best techniques that are suited for your situation. In times like these, a personal trainer Lafayette is an undoubtedly valuable commodity.<br /> <br /> The Benefits Of Cardio Training<br /> <br /> Cardio exercises are well known for their multi-functional ability to give you the extra push when it comes to your workouts. As any personal trainer Lafayette, California can tell you, a proper workout must contain a good amount of cardio exercises, even if you are aiming for body building. No matter what you seek to improve about your body, cardio exercises help you in a variety of ways, including:<br /> <br /> * Improving your body's overall health<br /> <br /> Cardiovascular exercises are well-known for their ability to increase your heart rate. A personal trainer Lafayette, California will help you understand the importance of this, as the increased pumping of your heart in turn increases the flow of blood throughout your body. Cardio exercises give your body a healthy oxygenizing experience.<br /> <br /> * Helping you lose weight<br /> <br /> Weight loss is another well-loved benefit of performing cardio exercises. As the loss of weight is characterized by the burning of large amounts of calories, any exercise enthusiast will find that cardio exercises help push them forward in a weight loss regime. The many variations and styles of cardiovascular techniques allow for a good choice of how many calories you can lose at a time, while making sure that you never get bored.<br /> <br /> * Improving your body's overall health<br /> <br /> Cardiovascular exercises are well-known for their ability to increase your heart rate. A personal trainer Lafayette, California will help you understand the importance of this, as the increased pumping of your heart in turn increases the flow of blood throughout your body. Cardio exercises give your body a healthy oxygenizing experience.<br /> <br /> Why Choose Someone From Lafayette<br /> <br /> Having a personal trainer Lafayette to help you in your routine to good physical fitness is one of the most effective ways for you to achieve any workout goals. Lafayette is a city that is well-known for its high class athletic clubs which are specialized areas that are available to every one of all shapes and walks of life. These clubs are excellent for their ability to give any workout enthusiast a great look in the world of exercise, while at the same time providing enough opportunities and help to keep even the least exercise prone person interested.<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'>Becoming in good shape with the aid of <a href="http://www.theperfectworkout.com/personal-trainer-lafayette/">Personal Trainer Lafayette</a> not only enhances your own entire body but furthermore your health too. The huge benefits that one can receive from <a href="http://www.theperfectworkout.com/personal-trainer-cupertino/">Personal Trainer Cupertino</a> are endless.</div><br /> </div><br />

Cardio Training With The Personal Trainer Lafayette

By Jackie Johnson There are many areas of exercising that should be taken note of if you are aiming to have a good and well-covered exer...

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An Effective Weight Loss Program According To A Personal Trainer Sunnyvale

<div style='font-style:italic;' class='uawbyline'>By Jackie Johnson</div><br /><br /> <div class='uawarticle'>Sunnyvale is a beautiful city in California. There are many outdoor activities to be enjoyed because of its sunny but cool weather. Nonetheless, Sunnyvale offers a lot of good food, particularly seafood due to its close proximity to the bay area. Regardless whether you indulge in meat or seafood, too much could cause a weight increase, which in turn can lead to diseases due to an unfit lifestyle. You should do something to counteract this.<br /> <br /> A personal trainer Sunnyvale is equipped with the right knowledge on the proper way to lose weight through exercise and a proper diet. It is recommended to hire a fitness instructor because too much workout could be harmful to your health, particularly if you're doing it the wrong way.<br /> <br /> At the same time, dieting should be guided accordingly in order to prevent a sudden drop in weight. A good and effective diet will not deprive you from receiving the important nutrients necessary for a normal body function.<br /> <br /> Aerobic exercises<br /> <br /> Increasing your heart rate will make you lose calories. The harder your heart works, the more number of calories you lose in an exercise session. There are various forms of aerobic exercises available in and out of the gym. A personal trainer Sunnyvale can recommend what form of aerobic exercise is good and enjoyable for you. Any form of activity must be fun in order for you not to lose interest in it. You must be guided along the way to maximize the results and prevent injuries from happening.<br /> <br /> He is knowledgeable on the proper food combination to help you through the day without consuming too much calories. He can measure your height and then base the right amount of weight that you need to maintain in accordance to how tall you are. There are so many types of diets around, and a personal trainer will help you select the right one that is proven to be safe and effective.<br /> <br /> Concomitant with an aerobic exercise, lifting heavy weights will also help you lose calories. The more body mass you have, the more calories you can lose, even at rest period. Ask a personal trainer Sunnyvale to design a weight-lifting program based on your capabilities and health condition. He will guide you to prevent injuries by incorrectly lifting heavy objects. He will teach you the proper form. Even senior citizens can lift light weights under the direct supervision of a personal trainer.<br /> <br /> Diet<br /> <br /> Anaerobic exercise<br /> <br /> Concomitant with an aerobic exercise, lifting heavy weights will also help you lose calories. The more body mass you have, the more calories you can lose, even at rest period. Ask a personal trainer Sunnyvale to design a weight-lifting program based on your capabilities and health condition. He will guide you to prevent injuries by incorrectly lifting heavy objects. He will teach you the proper form. Even senior citizens can lift light weights under the direct supervision of a personal trainer.<br /> <br /> Losing weight is never easy especially in a place where there's an abundance of food. It takes discipline and perseverance to maintain an ideal body weight. A personal trainer Sunnyvale is going to help you achieve your goal with the healthy combination of exercise and diet.<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'>Being in excellent shape by using the help of <a href="http://www.theperfectworkout.com/personal-trainer-sunnyvale/">Personal Trainer Camarillo</a> not just enhances your own physique but furthermore your well being too. The benefits that one can get from <a href="http://www.theperfectworkout.com/personal-trainer-camarillo/">Personal Trainer Sunnyvale</a> are endless.</div><br /> </div><br />

An Effective Weight Loss Program According To A Personal Trainer Sunnyvale

By Jackie Johnson Sunnyvale is a beautiful city in California. There are many outdoor activities to be enjoyed because of its sunny but ...

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What To Ask The Personal Trainer Thousand Oaks

<div style='font-style:italic;' class='uawbyline'>By Dee C. Williams</div><br /><br /> <div class='uawarticle'>Thousand Oaks is among the cities that encompass the Ventura County in the state of California. The city is found in the north western region of the greater Los Angeles area. In 2006, the city was hailed by Money magazine as one of the best cities to live in all over the United States.<br /> <br /> In addition, a 2013 survey has also demonstrated that Thousand Oaks is one of the richest cities in the US. Given this fact, you can say that lots of people in the place can definitely afford to hire even the most expensive personal trainer Thousand Oaks. If you're among the residents there who are searching for a trainer that you can train with, here are the things that you need to ask a trainer before you decide to hire him for the job.<br /> <br /> * Ask Their Experiences<br /> <br /> When meeting up with the trainer for the first time, it is a good idea to ask them about their experiences. Furthermore, ask for their certifications and know which organization they are affiliated with. Asking these questions will help give you an idea of how they are as a trainer.<br /> <br /> * Ask What You Can Expect<br /> <br /> When meeting up with the trainer for the first time, it is a good idea to ask them about their experiences. Furthermore, ask for their certifications and know which organization they are affiliated with. Asking these questions will help give you an idea of how they are as a trainer.<br /> <br /> * Ask For Some Nutrition Advice<br /> <br /> The personal trainer Thousand Oaks that you will hire should also have knowledge about the proper nutrition and diet. Therefore, ask him if he can give you some advice when it comes to proper nutrition. Although trainers are there to assist you with exercising, they should be able to tell you what foods to eat and which ones to avoid so you can be sure that your fitness training will really turn out effective. You may be able to work out regularly, but if you do not watch what you eat, then you'll still not going to achieve your fitness goals successfully.<br /> <br /> You can ask some of your friends who have tried working out with a trainer about the price that they paid or you can go online and do research about this. If the trainer will charge you more than what you are expected to pay, then try to negotiate the price.<br /> <br /> The most important topic that you must discuss with the personal trainer Thousand Oaks is the rate of his services. Before you go on looking for a trainer to train with, you should already have an idea in mind as to how much you will be willing to pay for a trainer.<br /> <br /> You can ask some of your friends who have tried working out with a trainer about the price that they paid or you can go online and do research about this. If the trainer will charge you more than what you are expected to pay, then try to negotiate the price.<br /> <br /> So these are the things that you should ask a personal trainer Thousand Oaks before you decide to hire him. Keep these things in mind so you'll successfully achieve your fitness goals fast.<br /> <br /> </div><br /> <div class='uawresource'><br /> <div style='font-style:italic;' class='uawabout'><br /> About the Author:<br /> </div><br /> <div class='uawlinks'>Getting in great shape with the aid of <a href="http://www.theperfectworkout.com/personal-trainer-thousand-oaks/">Personal Trainer San Jose</a> not just enhances your own entire body but also your health too. The advantages that one can receive from <a href="http://www.theperfectworkout.com/personal-trainer-san-jose/">Personal Trainer Thousand Oaks</a> are limitless.</div><br /> </div><br />

What To Ask The Personal Trainer Thousand Oaks

By Dee C. Williams Thousand Oaks is among the cities that encompass the Ventura County in the state of California. The city is found in ...

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The Gulf Between Doctors and Nurse Practitioners - NYTimes.com

<div id="well" style="color: rgb(0, 0, 0); font-variant: normal; letter-spacing: normal; line-height: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; "><div align="left"><div class="entry-content"><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Not long ago, I attended a meeting on the future of primary care. Most of the physicians in the room knew one another, so the discussion, while serious, remained relaxed.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Toward the end of the hour, one of the physicians who had been mostly silent cleared his throat and raised his hand to speak. The other physicians smiled in acknowledgment as their colleague stood up.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">"Nurse practitioners," he said. "Maybe we need more nurse practitioners in primary care."</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Smiles faded, faces froze and the room fell silent. An outraged doctor, the color in his face rising, stood to bellow at his impertinent colleague. Others joined the fray and side arguments erupted in the back of the room. A couple of people raised their hands to try to bring the meeting back to order, but it was too late.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">The physician had mentioned the unmentionable.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">I remembered the discord and chaos of that meeting when I read a <a href="http://www.nejm.org/doi/full/10.1056/NEJMsa1212938" style="color: rgb(0, 0, 102); text-decoration: none;">recent study in The New England Journal of Medicine</a> of nurses' and physicians' opinions about primary care providers.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">For several years now, health care experts have been issuing warnings about an impending severe <a href="http://well.blogs.nytimes.com/2012/12/20/where-have-all-the-primary-care-doctors-gone/]" style="color: rgb(0, 0, 102); text-decoration: none;">shortfall of primary care physicians</a>. Policy makers have suggested that nurse practitioners, nurses who have completed graduate-level studies and up to 700 additional hours of <a href="http://www.nejm.org/doi/full/10.1056/NEJMhpr1301084" style="color: rgb(0, 0, 102); text-decoration: none;">supervised clinical work</a>, could fill the gap.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Already, many of these advanced-practice nurses work as their patients' principal provider. They make diagnoses, prescribe medications and order and perform diagnostic tests. And since they are reimbursed less than physicians, policy makers are quick to point out, increasing the number of nurse practitioners could lower health care costs.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">If only it were that easy.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Three years ago, a <a href="http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx" style="color: rgb(0, 0, 102); text-decoration: none;">national panel of experts recommended</a> that nurses be able to practice "to the full extent of their education and training," leading medical teams and practices, admitting patients to hospitals and being paid at the same rate as physicians for the same work. But physician organizations opposed many of the specific suggestions, citing a lack of data or well-designed studies to <a href="http://www.cmss.org/uploadedFiles/Site/CMSS_Policies/IOM%20FON%20Report%20CMSS%20Response.pdf" style="color: rgb(0, 0, 102); text-decoration: none;">support the recommendations.</a></font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">In an <a href="http://www.rwjf.org/content/dam/farm/reports/program_results_reports/2013/rwjf403637" style="color: rgb(0, 0, 102); text-decoration: none;">effort to build consensus</a>, the Robert Wood Johnson Foundation then invited a dozen leaders from national physician and nursing groups to discuss their differences. The hope was that face-to-face discussions would help physicians and nurses understand one another better and see beyond the highly charged and emotional rhetoric. The approach worked, at least initially; after three meetings, the group drafted a report filled with suggestions for reconciling many of the differences.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">But an <a href="http://www.napnap.org/Files/Section%203%20-%20pages%2061%20to%2095.pdf" style="color: rgb(0, 0, 102); text-decoration: none;">early confidential draft </a>was leaked to the American Medical Association, a group that had not been invited to participate, and the A.M.A. immediately expressed its opposition to the report.<a href="http://www.nejm.org/doi/full/10.1056/NEJMhpr1301084" style="color: rgb(0, 0, 102); text-decoration: none;">Soon after</a>, three of the participating medical organizations — the American Academy of Family Physicians, the American Osteopathic Association and the American Academy of Pediatrics — withdrew their support, and the effort to bring physicians and nurse practitioners together and complete the report collapsed.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Nonetheless, many health care experts remained confident, believing that the large professional organizations had grown out of touch with grass-roots-level health care providers. The guilds might oppose one another, but every day in medical practices, clinics and hospitals across the country, physicians and nurse practitioners were working side by side without bickering. Surely, the experts reasoned, providers who knew and liked one another would be receptive to trying new ways of working together.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Wrong.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Analyzing questionnaires completed by almost 1,000 physicians and nurse practitioners, researchers did find that almost all of the doctors and nurses believed that nurse practitioners should be able to practice to the full extent of their training and that their inclusion in primary care would improve the timeliness of and access to care.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">But the agreement ended there. Nurse practitioners believed that they could lead primary care practices and admit patients to a hospital and that they deserved to earn the same amount as doctors for the same work. The physicians disagreed. Many of the doctors said that they provided higher-quality care than their nursing counterparts and that increasing the number of nurse practitioners in primary care would not necessarily improve safety, effectiveness, equity or quality.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">A third of the doctors went so far as to state that nurse practitioners would have a detrimental effect on the safety and effectiveness of care.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">"These are not just professional differences," said Karen Donelan, the lead author of the study and a senior scientist at the Mongan Institute for Health Policy at Massachusetts General Hospital in Boston. "This is an interplanetary gulf," she said, echoing a point in an <a href="http://www.nejm.org/doi/full/10.1056/NEJMe1303343" style="color: rgb(0, 0, 102); text-decoration: none;">editorial that accompanied her study</a>.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">The findings bode poorly for future policy efforts, since physicians are unlikely to support efforts to increase the responsibilities and numbers of advanced-practice nurses in primary care. And most nurse practitioners are unlikely to support any proposals to expand their roles that do not include equal pay for equal work.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Peter I. Buerhaus, senior author of the study and a professor of nursing at Vanderbilt University Medical Center in Nashville, <a href="http://www.gao.gov/about/hcac/nat_hcwc.html" style="color: rgb(0, 0, 102); text-decoration: none;">is chairman of a commission</a> created almost three years ago under the Affordable Care Act to address health care work force issues. But his group has yet to convene because a divided Congress has not approved White House <a href="http://www.nytimes.com/2013/02/25/health/health-care-panel-lacking-budget-is-left-waiting.html" style="color: rgb(0, 0, 102); text-decoration: none;">requests for funding</a>.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">"We're running out of time on these issues," Dr. Buerhaus said. "If the staffing differences remain unresolved, we are just going to cause harm to the public."</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">Still, by providing a clearer picture of the extent of these professional differences, the study should help future efforts. "It's too easy to say that everyone should just get along," Dr. Donelan said. "These arguments touch on the whole nature of these professions, their core values and how they define themselves."</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><font class="Apple-style-span" face="'Helvetica Neue'">"It's like when family members are warring over a sick patient," she added. "We need first to acknowledge the others' position and the full extent of our differences before we can reach any kind of resolution."</font></div></div></div></div><font class="Apple-style-span" face="'Helvetica Neue'"><br><a href="http://well.blogs.nytimes.com/2013/06/27/the-gulf-between-doctors-and-nurse-practitioners/?pagewanted=print">http://well.blogs.nytimes.com/2013/06/27/the-gulf-between-doctors-and-nurse-practitioners/?pagewanted=print</a> </font>

The Gulf Between Doctors and Nurse Practitioners - NYTimes.com

Not long ago, I attended a meeting on the future of primary care. Most of the physicians in the room knew one another, so the discussion, wh...

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Medical Procedures May Be Useless, or Worse - NYTimes.com

<div id="well" style="color: rgb(0, 0, 0); font-variant: normal; letter-spacing: normal; line-height: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; " class=""><div align="left" class=""><div class="entry-content"><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; " class=""><font class="Apple-style-span" face="'Helvetica Neue'">We usually assume that new medical procedures and drugs are adopted because they are better. But a new analysis has found that many new techniques and medicines are either no more effective than the old ones, or worse. Moreover, many doctors persist in using practices that have been shown to be useless or harmful.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; " class=""><font class="Apple-style-span" face="'Helvetica Neue'">Scientists reviewed each issue of The New England Journal of Medicine from 2001 through 2010 and found 363 studies examining an established clinical practice. In 146 of them, the currently used drug or procedure was found to be either no better, or even worse, than the one previously used. The report <a href="http://download.journals.elsevierhealth.com/pdfs/journals/0025-6196/PIIS0025619613004059.pdf" style="color: rgb(0, 0, 102); text-decoration: none;" class="">appears in the August issue of Mayo Clinic Proceedings</a>.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; " class=""><font class="Apple-style-span" face="'Helvetica Neue'">More than 40 percent of established practices studied were found to be ineffective or harmful, 38 percent beneficial, and the remaining 22 percent unknown. Among the practices found to be ineffective or harmful were the routine use of hormone therapy in postmenopausal women; high-dose chemotherapy and stem cell transplant, a complex and expensive treatment for breast cancer that was found to be no better than conventional chemotherapy; and intensive glucose lowering in Type 2 diabetes patients in intensive care, which not only failed to reduce cardiovascular events but actually increased mortality.</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; " class=""><font class="Apple-style-span" face="'Helvetica Neue'">In some instances, doctors routinely refused to give beneficial therapies despite a lack of evidence that they were harmful. Vaccines were unnecessarily withheld from multiple sclerosis patients in the belief that they increased flare-ups; women with lupus were denied oral contraceptives for fear they increased the severity of the disease; and epidural anesthesia was delayed during childbirth on the theory it increased the rate of Caesarean sections. Yet good studies showed that none of these fears was justified..</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; " class=""><font class="Apple-style-span" face="'Helvetica Neue'">"Contradicted practices don't disappear immediately," said the lead author, Dr. Vinay Prasad. "There's an inertia, a 10-year period of time when the contradicted procedure continues to be practiced."</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; " class=""><font class="Apple-style-span" face="'Helvetica Neue'">Dr. William E. Boden, chief of medicine at the Stratton VA Medical Center in Albany, who was not involved in the work, found the study useful and provocative. "It's challenging us to look at things we've done and attempt to find whether there's evidence to support their use," he said. "There's going to be increasing pressure to come forward with making sure that the health care dollars we're allocating are being well utilized."</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; " class=""><font class="Apple-style-span" face="'Helvetica Neue'">Dr. Prasad, chief fellow in medical oncology at the National Cancer Institute, said that new medical appliances present a special problem. "Devices are particularly bad because they can be approved if they're similar to ones already on the market," he said. He cited as an example the Swan-Ganz catheter, a device threaded into the heart to monitor heart function and blood flow. It gives accurate information, Dr. Prasad said, "but that information doesn't help. We continue to introduce new catheters all the time, lacking good evidence that they work. This is a tremendous waste of resources."</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; " class=""><font class="Apple-style-span" face="'Helvetica Neue'">Often doctors persist with procedures that lack evidence because they seem to make sense, Dr. Prasad said. "They all sound good if you talk about the mechanisms," he said. "You have cholesterol-clogged arteries, it makes sense that if you open them up it will help. But when that was studied, it didn't improve survival."</font></div><div style="color: rgb(51, 51, 51); margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; " class=""><font class="Apple-style-span" face="'Helvetica Neue'">Patients, too, like to talk about mechanisms, Dr. Prasad added. "They tend to gravitate toward the nuts and bolts — what does it do, how does it work?" he said. "But the real question is: Does it work? What evidence is there that it does what you say it does? What trials show that it actually works? You shouldn't ask how does it work, but whether it works at all."</font></div></div></div></div><font class="Apple-style-span" face="'Helvetica Neue'"><br class=""><a href="http://well.blogs.nytimes.com/2013/07/26/medical-procedures-may-be-useless-or-worse/?pagewanted=print&_r=0">http://well.blogs.nytimes.com/2013/07/26/medical-procedures-may-be-useless-or-worse/?pagewanted=print&_r=0</a> </font>

Medical Procedures May Be Useless, or Worse - NYTimes.com

We usually assume that new medical procedures and drugs are adopted because they are better. But a new analysis has found that many new tech...

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Today's Teamster News 7.27.13

<a href="http://www.teamster.org/content/chicagoland-families-stand-striking-funeral-directors-transfer-services-alternative-funeral" rel="nofollow">Chicagoland Families Stand With Striking Teamster Funeral Directors, Transfer Services to Alternative Funeral Homes</a>  IBT ...Families throughout Chicagoland are supporting striking funeral directors and drivers by refusing to cross picket lines and transferring their funeral services to worker-friendly funeral homes...<br /><a href="http://www.teamster.org/content/brotherhood-locomotive-engineers-and-trainmen-encouraged-actions-canadian-rail-safety-0" rel="nofollow">Brotherhood of Locomotive Engineers and Trainmen Encouraged By Actions of Canadian Rail Safety Regulator</a>  BLET   ...The following is the official statement from Dennis R. Pierce, National President of the Brotherhood of Locomotive Engineers and Trainmen in response to media inquiries regarding the BLET’s reaction to the July 23 Emergency Directive issued by Transport Canada...<br /><a href="http://www.live5news.com/story/22920339/dd2-renews-contract-with-durham-school-services" rel="nofollow">DD2 renews contract with Durham School Services</a>  WCSC-5 News   ...Dorchester District 2 has renewed its contract with Durham School Services, the company which provides transportation for its students. The workers are represented by Teamsters Local 509...<br /><a href="http://www.wchstv.com/newsroom/eyewitness/130726_17864.shtml" rel="nofollow">Teamsters Picket In WV To Support Tenn. Members</a>  WCHS-8 News   ...Members of the Teamsters union are picketing in West Virginia in support of their union brothers in Tennessee. Picketers set up shop outside the Cummins Crosspoint plant in Cross Lanes Friday morning. See the video <a href="http://www.wchstv.com/newsroom/eyewitness/130726_17864.shtml" rel="nofollow">here</a>...<br /><a href="http://www.ufcw.org/2013/07/24/ufcw-locals-21-367-and-the-teamsters-stand-together-for-fair-grocery-contract/" rel="nofollow">UFCW Locals 21, 367 and the Teamsters Stand Together for Fair Grocery Contract</a>  UFCW   ...30,000  members of UFCW Locals 21 and 367 and Teamsters Local 38 in Washington state are covered by contracts at grocers Albertsons, Safeway, Fred Meyer and Quality Food Centers and other local independent stores that are up for bargaining this year. As the companies propose the elimination of healthcare, cuts to pay, and denied paid sick days, the union members have responded with more solidarity than ever...<br /><a href="http://uk.reuters.com/article/2013/07/26/uk-usa-ubs-settlement-idUKBRE96P0DV20130726">Banks shiver as UBS swallows $885 million U.S. fine</a>  Reuters   ...UBS will pay $885 million (574.8 million pounds) in a settlement with a U.S. regulator over allegations the Swiss bank misrepresented mortgage-backed bonds during the housing bubble, paving the way for billions more to be paid by other banks...<br /><a href="http://dealbook.nytimes.com/2013/07/26/sac-capital-is-arraigned-on-a-raft-of-criminal-charges/?_r=1">SAC Capital Is Arraigned on a Raft of Criminal Charges</a>  New York Times   ...the firm was arraigned on a raft of criminal insider trading charges, making it the first large American company to face an indictment in more than a decade. Prosecutors on Thursday announced the case against SAC, run by the billionaire Steven A. Cohen, calling it a “veritable magnet of market cheaters...”<br /><a href="http://www.washingtonpost.com/business/economy/fast-food-workers-planning-to-expand-protests-in-7-cities/2013/07/24/b02031d8-f488-11e2-9434-60440856fadf_story.html">Fast-food workers’ pay protests pick up steam</a>  Washington Post   ...Supporters of a fledgling movement for better pay for fast-food and other poorly paid employees are hoping for a major boost next week when thousands of low-wage workers are expected to walk off their jobs in seven U.S. cities. On Monday, workers are planning to stage one-day strikes at some of the nation’s best known and most profitable fast-food restaurants, including KFC, Wendy’s, Burger King and McDonald’s...<br /><a href="http://seattletimes.com/html/localnews/2021474715_wagetheftxml.html" rel="nofollow">Seattle fast-food workers file wage-theft complaints</a>  Seattle Times   ...Fast-food workers announced the filing of wage-theft complaints against some local restaurants Thursday, as part of an effort to spotlight what some say is an epidemic problem for low-wage workers...<br /><a href="http://host.madison.com/news/local/writers/jessica_vanegeren/solidarity-sing-along-crowd-grows-as-arrests-continue-at-wisconsin/article_cbd3dc63-c23f-5cc3-8901-2166614f10b5.html?comment_form=true">Solidarity Sing Along crowd grows as arrests continue at Wisconsin Capitol</a>  The Cap Times   ...Arrests of protesters continued for the third straight day Friday at the state Capitol, suggesting a renewed effort by Gov. Scott Walker’s administration to silence the ad-hoc “Solidarity Sing Along” group is doing little to stop the daily event...<br /><a href="http://www.jsonline.com/news/opinion/in-walker-era-unions-are-essential-b9961548z1-216954971.html" rel="nofollow">In Scott Walker era, unions are essential</a> (opinion)  Milwaukee Journal-Sentinel   ...Contrary to the notion in the Journal Sentinel July 23 editorial that Act 10 means public employee unions "lost many of their reasons for being," Wisconsin's lagging economy since Act 10 underscores exactly why these unions are needed more than ever...<br /><a href="http://www.nytimes.com/2013/07/26/us/labor-leaders-seek-government-aid-for-detroit.html?_r=0" rel="nofollow">Labor Leaders Seek Government Aid for Detroit</a>   New York Times ...Top leaders of the A.F.L.-C.I.O. on Thursday called on President Obama and the Congress to offer an immediate financial infusion to Detroit, which last week became the largest American city ever to file for bankruptcy...<br /><a href="http://www.detroitnews.com/article/20130718/METRO01/307180103">Creditors to fight Detroit insolvency claim</a>  Detroit News   ...“pension funds, unions and unsecured bondholders would receive, in some cases, as little as 10 cents on the dollar” while Bank of American and UBS will get 75 cents...<br /><a href="http://www.salon.com/2013/07/26/north_carolina_approves_nations_most_restrictive_voter_suppression_law_partner/">North Carolina approves nation’s most restrictive voter suppression law</a>  Salon   ...the North Carolina state legislature approved a radical voter suppression bill on a party line vote. The measure, easily the most extreme anti-voter bill passed by any state since the Jim Crow era, now heads to Republican Governor Pat McCrory for his signature. Court challenges — many of them — will most assuredly follow...<br /><a href="http://tv.msnbc.com/2013/07/25/florida-can-continue-purging-voters/" rel="nofollow">Florida can continue purging voters</a>  MSNBC   ...More fallout from the Supreme Court’s ruling on the Voting Rights Act came this week as a Federal Appeals court dismissed a lawsuit brought last year that tried to block a Florida voter purge...<br /><a href="http://www.nytimes.com/2013/07/26/world/asia/obama-and-vietnams-leader-pledge-deeper-ties.html?_r=0" rel="nofollow">Obama and Vietnam’s Leader Pledge Deeper Ties</a>  New York Times   ...Bearing a copy of a letter from Ho Chi Minh to Harry S. Truman, the president of Vietnam met President Obama on Thursday and pledged to deepen trade and military ties with the United States even as they tangled over human rights...<br /><a href="http://nation.time.com/2013/07/26/why-a-train-crash-like-spains-is-unlikely-in-the-u-s/" rel="nofollow">Why a Train Crash like Spain’s is Unlikely To Happen in the U.S.</a>  Time   ...The train that <a href="http://www.cnn.com/2013/07/25/world/europe/spain-train-crash/">derailed</a> and killed at least 80 people and injured 178 Wednesday night is a harrowing reminder of what can go wrong at high speeds. But experts say that U.S. riders have little to fear from the rails...<br /><a href="http://www.sctimes.com/article/20130725/NEWS01/307250054/Governor-candidate-seeks-overhaul-public-unions?nclick_check=1" rel="nofollow">Gubernatorial candidate seeks to overhaul public-sector unions</a>  St. Cloud Times   ...Minnesota State Sen. Dave Thompson roused conservative support and drew unions’ ire last year with his sponsorship of a so-called “right-to-work” constitutional amendment...<br /><a href="http://wtax.com/local/illinois-unions-call-for-investigation/" rel="nofollow">Illinois Unions Call for Investigation</a>  WTAX News Radio   ...Unions are calling for an investigation into whether business leaders tried to persuade credit agencies to lower Illinois’ bond rating...<br /><a href="http://www.jckonline.com/2013/07/25/rhode-island-bars-criminal-history-questions-on-job-applications" rel="nofollow">Rhode Island Bars Criminal History Questions on Job Applications</a>  JCK Online   ...A new Rhode Island law will prevent employers in the state from asking prospective employees about their criminal history on job applications...<br /><a href="http://blogs.citypaper.com/index.php/2013/07/david-simon-urges-tribune-co-not-to-sell-the-sun-to-koch-brothers/" rel="nofollow">David Simon urges Tribune Co. not to sell the Sun to Koch brothers</a>  City Paper   ...David Simon, who spent 13 years as a reporter for the Baltimore Sun before creating The Wire and Treme, has lent his voice to a campaign urging the Sun‘s owners, the Chicago-based Tribune Company, not to sell the paper to the oil-company heirs and right-wing activists Charles and David Koch...

Today's Teamster News 7.27.13

Chicagoland Families Stand With Striking Teamster Funeral Directors, Transfer Services to Alternative Funeral Homes   IBT ...Families thr...

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