Advice For Sealing in the Best Mortgage Pace | CarsA-Z.blogspot.com

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Source: http://carsa-z.blogspot.com/2012/07/advice-for-sealing-in-best-mortgage.html

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Panel calls for annual PTSD screening

WASHINGTON (AP) ? The Institute of Medicine recommended Friday that soldiers returning from Iraq and Afghanistan undergo annual screening for post-traumatic stress disorder and that federal agencies conduct more research to determine how well the various treatments for PTSD are working.

Of the 2.6 million service members deployed to Iraq and Afghanistan, it's estimated that 13 percent to 20 percent have symptoms of PTSD.

Federal agencies have increasingly dedicated more resources to screen and treat soldiers, but considerable gaps remain, according to the Institute of Medicine, an independent group of experts that advises the federal government on medical issues. Its recommendations often make their way into laws drafted by Congress and policies implemented by federal agencies.

Barely more than half of those diagnosed with PTSD actually get treatment, often because many soldiers worry it could jeopardize their careers. Also, when soldiers do get care, they're not tracked to determine which treatments are successful in the long-term.

The Defense Department provides medical care to active members of the military and the Department of Veterans Affairs cares for those who no longer serve. Sandro Galea, the chairman of the Institute of Medicine panel, said both departments offer many programs for PTSD.

"But treatment isn't reaching everyone who needs it, and the departments aren't tracking which treatments are being used or evaluating how well they work in the long term," said Galea, a professor and chair of the epidemiology department at Columbia University. "In addition, DOD has no information on the effectiveness of its programs to prevent PTSD."

The report concludes only the first phase of the Institute of Medicine study. The panel, which advises the government, is hoping to release a second report in 2014 that will provide more specifics about the number of service members and vets who have PTSD and the outcomes and costs of their treatments.

Nick Colgin, who served for 15 months in Afghanistan as a combat medic until April 2008, suffered a traumatic brain injury after a rocket-propelled grenade slammed into his Humvee. While he showed symptoms of PTSD upon his return to civilian life, he waited to get treatment until just last month.

"I just didn't want anyone to know I had that issue. I didn't want to know myself," said Colgin, 27, now living in New York City and working with the advocacy group Iraq and Afghanistan Veterans of America.

Jason Hansman, the group's membership director, said the stigma of seeking treatment is even more prevalent among those on active-duty.

"A lot of people believe their career will end if they seek treatment," Hansman said.

In a recent speech to mental health provides, Defense Secretary Leon Panetta said commanding officers must make it understood that seeking help for the stresses of war should be seen as a sign of strength rather than as a sign of weakness.

PTSD is triggered by a specific traumatic event, such as being in combat or witnessing death. The symptoms of the illness include a numbing of emotions, difficulty concentrating and exaggerated startled responses to events.

The institute recommended therapies supported by robust evidence, such as working with patients to change their thinking and emotional responses to stress. But the committee's analysis of other innovative treatments, including yoga, acupuncture and animal-assisted therapy, is hampered by a lack of evidence on their effectiveness.

Galea said that the two departments have been under quite a bit of pressure to get programs up and running to deal with the growing number of vets with PTSD.

"There hasn't been as much premium placed on tracking than there has been on implementing treatment," Galea said.

The panel praised the two departments for issuing joint guidelines for managing PTSD, but it's unknown whether their providers adhere to the guidelines. The panel said that primary care doctors within the VA screen Iraq and Afghanistan veterans annually for symptoms of PTSD, and it recommends that the Defense Department do the same.

The panel said it is hopeful that the departments will make more use of therapy through videoconferences that will allow patients in remote locations to get care.

The panel also called for more research to shed light on the brain's defense mechanisms for stress, identify factors that can influence the timing and severity of symptoms and identify signs that could help lead to earlier diagnosis and more precise drug treatments.

The report said that the VA treated more than 438,000 veterans for PTSD in 2010, showing evidence of the widespread scope of the problem. Similar numbers are not available for the Defense Department.

Cynthia O. Smith, a DOD spokeswoman, said the department has already taken steps to address some of the issues raised in the report.

"The department recognizes the need for continued improvements," Smith said.

The VA said it would review the report and noted that it recently announced it was adding 1,600 clinicians and 300 support workers to its mental health staff.

"We have already made strong progress, but we need to do more," the department said in a written response to the report.

Source: http://news.yahoo.com/panel-calls-annual-ptsd-screening-151618787.html

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India gets first Iran oil after embargo

Bangalore: India received its first crude oil shipment from Iran after an insurance embargo by the European Union took effect on 1 July, forcing the Persian Gulf nation to disguise its tankers in order to haul the fuel to its second biggest customer.

The 1996-built oil super tanker, Motion, with a capacity to load 298,731 tonnes of crude was unloading the oil through a single-point mooring (SPM) facility located at Vadinar, which comes within the limits of the Union government-controlled Kandla port in Gujarat.

An SPM is a loading buoy anchored offshore that serves as a mooring point and interconnect for tankers loading or offloading gas or liquid products. They are capable of handling any ship, even oil super tankers where no alternative facility is available to dock. ?The ship (Motion) arrived on 11 July and is expected to sail off later tonight after discharging the crude,? said S.P. Bariya, a signal man at the Vadinar port control room.

Motion is ultimately owned by state-run National Iranian Tanker Co. (NITC) and the National Iranian Oil Co., but has changed its name from Najm to circumvent sanctions.

It has also switched its flag registry from Malta to flag of convenience, Tuvalu, and registered under a shell firm in the Seychelles called Motion Shipping Co., according to Lloyd?s List Intelligence, a London-based vessel tracking data company. A flag of convenience refers to the practice of registering a vessel in a country that is different from that of the ship?s owners.

Motion sailed from Kharg Island, Iran, on 6 July, carrying oil for Essar Oil Ltd. The details provided by Lloyd?s List Intelligence matched with the information given by Bariya at Vadinar port control room.

At least two executives at Mumbai-based Atlantic Shipping Pvt. Ltd, the local agent for the ship,?confirmed?the ship?s details and said it was off-loading the crude oil. India aims to buy 310,000 barrels per day (bpd) of oil from Iran under contracts during the fiscal from April to March, which includes 100,000 bpd of purchases by Essar Oil, the only private customer. Essar Oil could not be reached for comment immediately.

The embargo by the European Union bans firms from insuring Iranian shipments, forcing India to ask Iran?s oil shipper, NITC, to deliver crude in its vessels.

India is the world?s fourth largest oil importer and second biggest customer of the Organization of the Petroleum Exporting Countries member nation. NITC itself is covered under sanctions.

In June, the shipping ministry allowed state-run oil refiners to import Iranian crude on ships arranged by the Persian Gulf nation to sidestep a European Union ban on insurance for such shipments.

Mint could not independently verify whether the third-party liability cover of the oil super tanker conformed to the new port entry rules notified by the government in April.

?The ship has furnished all documents pertaining to its third party liability cover,? said an executive at Atlantic Shipping, without going into the specifics. He declined to be named because of company policy.

Bariya at the Vadinar port control room would not confirm whether the ship?s insurance papers complied with the rules.

p.manoj@livemint.com

Source: http://www.livemint.com/2012/07/13224816/India-gets-first-Iran-oil-afte.html

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Cancer Cell Metastasis

Researchers have discovered how cancer cells metastasize or spread from one location to another through the bloodstream. While studying intestinal cancer cells, researchers from the University of Zurich revealed that cancer cells activate receptors in blood vessels that allow them to exit the bloodstream and spread to other organs. The cancer cells release chemical messengers called chemokines that induce an immune response and enable them to pass through the blood vessel into the surrounding area.

According to researcher Lubor Borsig, "CCL2 (chemokine) activates a doorman receptor and enables cancer cells to leave the blood circulation and metastasize in other organs. The mechanism discovered will yield a completely new approach for the development of drugs to combat metastasis in breast, prostate and bowel cancer." The researchers contend that if a method for inhibiting cancer cell chemokine expression could be developed, it would prohibit metastasis by preventing the cells from leaving the bloodstream.

Learn more about this study:

Source: http://biology.about.com/b/2012/07/12/cancer-cell-metastasis.htm

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Recruitment Consultant - Warrington, Cheshire - North ... - Jobs.co.uk

The Warrington office is seeking to employ a Recruitment Consultant to continue to drive growth within the region, the successful individual will take over the running of a fully operational desk with a focus on working with clients and candidates within the light industrial, trades and business support arena.

Source new business opportunities and growing current account profiles
End to end temporary recruitment- marketing, advertising, interviewing and successful placement
Manage existing client relationships and organically grow
Database management
Work with National Clients
Meet agreed monthly KPI's
Present a solution based service

This is an exciting opportunity to join an expanding team and contribute to a successful team. There is no ideal candidate, we are looking for someone with that spark, someone that wants to work in a busy, changeable environment where no day is the same! The only thing you must have is the want to succeed and make money.

Source: http://www.jobs.co.uk/jobs/Recruitment-Consultant-338254.htm

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Who's Lying? Obama, Romney and the Bain Debate

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Source: http://news.yahoo.com/whos-lying-obama-romney-bain-debate-145849035--abc-news-politics.html

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Video: Rep. Jesse Jackson, Jr. MIA as questions about his health arise

Report: Paterno, other leaders covered for Sandusky

Penn State football coach Joe Paterno and other university leaders "repeatedly concealed critical facts relating to Sandusky?s child abuse" from authorities, according to Louis Freeh, the former FBI director who conducted an investigation for the university in the Jerry Sandusky sex abuse scandal.

Source: http://www.msnbc.msn.com/id/3036697/vp/48154252#48154252

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