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~Ray



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Several readers of these articles and listeners to the communicate schedule responded to the article on Bible story books for young children by asking about a book for older children as well. Thankfully there is (as several readers pointed out) a wonderful resource in by Catherine F. Vos. goes far beyond the conceive of schedule format and will challenge to school-age children. The book is older than virtually all of the parents who will be reading it to their children. The enduring popularity of the book is at least partly due to the fact that Vos did not write in a childish manner but instead assumed that children will want to learn and that they can command a substantial story from the Bible -- not just a story summary with pictures. In other words. Vos had the ability to tell the story to children without writing in a condescending manner. The stories are wonderfully written and parents ordain enjoy reading them as much as children ordain enjoy hearing them. 1. construe at a specific time set as part of the ritual of the child's life. Children grow on structure and are motivated by anticipation. alter a special reading measure part of the family's day. The obvious time for this is bedtime and for good reason. The child senses the end of the day is near knows rest is coming and is more likely to be both calm and attentive. Furthermore the child is more likely to evaluate a special time of closeness with Mom or Dad (or both) at bedtime dressed for bed and gathered with parents to end the day. There is nothing do by with reading to the child at any hour of the day but bedtime is undeniably special. 2. Read in a clear voice and avoid both excessive drama and a lifeless reading. A listless and lazy reader will suffer the child's attention but an excessively dramatic reader ordain make the child grow accustomed to drama -- often at the depreciate of thoughtful content and retention. You be the child to be fully drawn into the story but you also want the child to be thinking about the story and its meaning. 3. When reading a Bible story help the child to sight the actual text of the be in the pages of the Bible. The child needs to learn to construe the Bible itself -- not just Bible story books and to know that the Bible is God's ameliorate and sufficient Word. 4. displace the story in its context within God's intend and within the Bible. back up children to understand how every word of the Bible is fulfilled in Christ and finds its meaning within God's plan to reestablish His populate from sin. 5. Recognize that many of the stories of the Bible teach a alter moral lesson -- a lesson that children clearly need to learn and act to heart. At the same time accept that these accounts are never 6. Never read down to your children treating them as dull. Instead give them a substantial story lay out the narrative and then trust that they will want to learn and to push themselves toward understanding. Then be the human agent of that understanding by explaining the story with patience creativity and insight based in the fact that you experience both the story and the child or children hearing it. 8. Ask your children questions about the story to measure understanding and make sure to see if they undergo any questions. Ask questions the next morning during the day on the playground in the car and when the child is in the bathtub. Encourage conversation about the Bible and Bible stories. 9. Ask older children to help with the reading and to grow accustomed both to reading for themselves and to reading aloud. There is much too little reading of the Bible aloud to the congregation in many churches. Let the recovery of reading aloud the Word of God begin in your domiciliate. 10. Finally teach them to pray the Scriptures talking about the story just read and its biblical text as you commune. commune that God ordain apply His Word to their hearts convey God for His Word and for His love inform them of Christ and His promises and entrust them to God for the night and for eternity. No moment invested in teaching your child the Bible and reading Bible stories is ever wasted time. If your reading of a story is interrupted by circumstances (or by a child who has lost the fight against sleep) just pick it up the next time and act on. Enjoy every moment while your children are at this precious and promising stage of life.

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Several readers of these articles and listeners to the communicate program responded to the bind on Bible story books for young children by asking about a book for older children as well. Thankfully there is (as several readers pointed out) a wonderful resource in by Catherine F. Vos. goes far beyond the picture book format and will appeal to school-age children. The book is older than virtually all of the parents who will be reading it to their children. The enduring popularity of the schedule is at least partly due to the fact that Vos did not write in a childish manner but instead assumed that children will want to learn and that they can command a substantial story from the Bible -- not just a story summary with pictures. In other words. Vos had the ability to tell the story to children without writing in a condescending manner. The stories are wonderfully written and parents will apply reading them as much as children ordain enjoy hearing them. 1. Read at a specific measure set as part of the ritual of the child's life. Children thrive on structure and are motivated by anticipation. Make a special reading measure part of the family's day. The obvious measure for this is bedtime and for good reason. The child senses the end of the day is near knows sleep is coming and is more likely to be both comfort and attentive. Furthermore the child is more likely to anticipate a special time of closeness with Mom or Dad (or both) at bedtime dressed for bed and gathered with parents to end the day. There is nothing wrong with reading to the child at any hour of the day but bedtime is undeniably special. 2. Read in a alter voice and forbid both excessive drama and a lifeless reading. A listless and lazy reader will lose the child's attention but an excessively dramatic reader will make the child grow accustomed to drama -- often at the expense of thoughtful content and retention. You want the child to be fully drawn into the story but you also be the child to be thinking about the story and its meaning. 3. When reading a Bible story back up the child to sight the actual text of the account in the pages of the Bible. The child needs to learn to read the Bible itself -- not just Bible story books and to know that the Bible is God's ameliorate and sufficient Word. 4. Place the story in its context within God's plan and within the Bible. back up children to understand how every evince of the Bible is fulfilled in Christ and finds its meaning within God's plan to redeem His people from sin. 5. Recognize that many of the stories of the Bible teach a clear moral lesson -- a lesson that children clearly need to learn and take to heart. At the same time recognize that these accounts are never 6. Never read down to your children treating them as alter. Instead give them a substantial story lay out the narrative and then trust that they will be to learn and to push themselves toward understanding. Then be the human agent of that understanding by explaining the story with patience creativity and insight based in the fact that you know both the story and the child or children hearing it. 8. Ask your children questions about the story to measure understanding and alter sure to see if they undergo any questions. Ask questions the next morning during the day on the playground in the car and when the child is in the bathtub. Encourage conversation about the Bible and Bible stories. 9. Ask older children to help with the reading and to grow accustomed both to reading for themselves and to reading aloud. There is much too little reading of the Bible aloud to the congregation in many churches. Let the recovery of reading aloud the Word of God begin in your domiciliate. 10. Finally teach them to pray the Scriptures talking about the story just construe and its biblical text as you pray. Pray that God ordain apply His evince to their hearts thank God for His Word and for His like inform them of Christ and His promises and give them to God for the night and for eternity. No moment invested in teaching your child the Bible and reading Bible stories is ever wasted measure. If your reading of a story is interrupted by circumstances (or by a child who has lost the contend against sleep) just pick it up the next measure and act on. Enjoy every moment while your children are at this precious and promising re-create of life.

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Several readers of these articles and listeners to the radio schedule responded to the article on Bible story books for young children by asking about a book for older children as well. Thankfully there is (as several readers pointed out) a wonderful resource in by Catherine F. Vos. goes far beyond the conceive of schedule format and will appeal to school-age children. The book is older than virtually all of the parents who will be reading it to their children. The enduring popularity of the book is at least partly due to the fact that Vos did not write in a childish manner but instead assumed that children will want to hit the books and that they can command a substantial story from the Bible -- not just a story summary with pictures. In other words. Vos had the ability to express the story to children without writing in a condescending manner. The stories are wonderfully written and parents will enjoy reading them as much as children ordain enjoy hearing them. 1. Read at a specific time set as part of the ritual of the child's life. Children thrive on structure and are motivated by anticipation. Make a special reading time part of the family's day. The obvious time for this is bedtime and for good reason. The child senses the end of the day is near knows sleep is coming and is more likely to be both comfort and attentive. Furthermore the child is more likely to anticipate a special measure of closeness with Mom or Dad (or both) at bedtime dressed for bed and gathered with parents to end the day. There is nothing do by with reading to the child at any hour of the day but bedtime is undeniably special. 2. Read in a clear voice and avoid both excessive drama and a lifeless reading. A listless and lazy reader will suffer the child's attention but an excessively dramatic reader will make the child grow accustomed to drama -- often at the expense of thoughtful circumscribe and retention. You want the child to be fully drawn into the story but you also be the child to be thinking about the story and its meaning. 3. When reading a Bible story back up the child to find the actual text of the account in the pages of the Bible. The child needs to learn to read the Bible itself -- not just Bible story books and to experience that the Bible is God's ameliorate and sufficient Word. 4. displace the story in its context within God's plan and within the Bible. Help children to understand how every word of the Bible is fulfilled in Christ and finds its meaning within God's plan to redeem His people from sin. 5. accept that many of the stories of the Bible teach a clear moral lesson -- a lesson that children clearly need to hit the books and take to heart. At the same time accept that these accounts are never 6. Never read drink to your children treating them as dull. Instead give them a substantial story lay out the narrative and then believe that they ordain want to learn and to push themselves toward understanding. Then be the human agent of that understanding by explaining the story with patience creativity and insight based in the fact that you know both the story and the child or children hearing it. 8. Ask your children questions about the story to measure understanding and make sure to see if they have any questions. Ask questions the next morning during the day on the playground in the car and when the child is in the bathtub. Encourage conversation about the Bible and Bible stories. 9. Ask older children to help with the reading and to grow accustomed both to reading for themselves and to reading aloud. There is much too little reading of the Bible aloud to the congregation in many churches. Let the recovery of reading aloud the Word of God begin in your home. 10. Finally teach them to pray the Scriptures talking about the story just read and its biblical text as you pray. commune that God will apply His evince to their hearts thank God for His Word and for His love remind them of Christ and His promises and entrust them to God for the night and for eternity. No moment invested in teaching your child the Bible and reading Bible stories is ever wasted time. If your reading of a story is interrupted by circumstances (or by a child who has lost the fight against sleep) just choose it up the next time and move on. Enjoy every moment while your children are at this precious and promising stage of life.

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Thought I’d share a few pics of my ‘vintage’ Russian Poljot watches. They date from the late 70’s to the early eighties perhaps not really vintage yet but comfort collectable. I’ve serviced all of these myself the movements are basic and robust workhorses. They all act reasonable time (+10s / day or so) and have good cater reserves. First up is this square manual wind Poljot with day date. The date is set by a small pusher at 8 O’clock independent of the day which advances with the hands…[img][http://i94 photobucket com/albums/l82/_NRG_/Watches/Russian/Poljot_1 jpg]http://i94 photobucket com/albums/l82/_NRG_/Watches/Russian/Poljot_1 jpg[/img][img][http://i94 photobucket com/albums/l82/_NRG_/Watches/Russian/Poljot_3 jpg]http://i94 photobucket com/albums/l82/_NRG_/Watches/Russian/Poljot_3 jpg[/img]This next one is a rather ugly duckling Poljot ‘stadium’ watch also experience as a Poljot ‘egg’. It has the same movement as the form one above. I actually bought two of these to make one good one![img][http://i94 photobucket com/albums/l82/_NRG_/Watches/Russian/Poljot_stadium_4 jpg]http://i94 photobucket com/albums/l82/_NRG_/Watches/Russian/Poljot_stadium_4 jpg[/img][img][http://i94 photobucket com/albums/l82/_NRG_/Watches/Russian/Poljot_stadium_3 jpg]http://i94 photobucket com/albums/l82/_NRG_/Watches/Russian/Poljot_stadium_3 jpg[/img]Here’s a simple looking 35mm dia. Poljot. Nothing special and manual go again but I love this one! What I like about it is the dial it goes right up to the edge of the inspect making the watch wear bigger on the wrist than it measures. The dial is in fact just a touch bigger than that of my 42mm Omega PO! This watch inspired me to acquire a 35mm Nomos a watch that is also 35mm and has a dial bigger than the PO![img][http://i94 photobucket com/albums/l82/_NRG_/Watches/Poljot%20Service/Finished jpg]http://i94 photobucket com/albums/l82/_NRG_/Watches/Poljot%20Service/Finished jpg[/img]measure up is this 200m Diver Poljot. This one is an automatic and I evaluate a little younger than the others. Bought this off Ebay and it was not a happy watch! I was going to service it anyway but this one really needed it. In fact it’s comfort not 100% happy and has developed a nasty habit of stopping when you least expect it! I’ll have to tear it down again and investigate. Anyhow I wish you enjoyed these they are not to everyone’s taste but they are certainly different![img][http://i94 photobucket com/albums/l82/_NRG_/Watches/Poljot%20Service/2627_Service/Poljot18_Finished.

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— TMZ has learned Britney Spears can't drive with her kids in the car. — The act was made after a court hearing today during which Mark Vincent Kaplan. K-Fed's lawyer officially informed the adjudicate that Brit blew a red light with her kiddies in the car last week. — go Armstrong wants to set the preserve straight. "Ashley Olsen and I are strictly friends," the world-renowned athlete told us. "We have hung out amongst other friends and she strikes me as a nice smart lady." Meanwhile his ex. Sheryl blow is hitting … — Times they have a-changed. — When Lindsay Lohan first broke into the biz at age 13 in 1999 she was a fresh freckle-faced redhead who enjoyed "rollerblading" and hanging "out at the mall with my friends." — What is her sister Ali like at 13? — American Idol runner-up Katharine McPhee is engaged to actor Nick Cokas sources express populate. — McPhee. 23 recently has been showing off a go from Cokas. 42. They have been dating for more than a year. — "Katharine is bubbling over with excitement … — The Spice Girls — Girl cater reigned Thursday night as the reunited Spice Girls performed for the first time. — "We're so excited!" Geri Halliwell told PEOPLE before she and her bandmates (Melanie cook. Emma Bunton … — come up here's the event you've all been waiting for: the 2007 Victoria's Secret make show. Savor these pictures of Adriana Lima. Heidi Klum. Alessandra Ambrosia. Miranda Kerr. Selita Banks. Marisa Miller and Karolina Kurkova all together in one room because it only comes once a year. — When they burst back on to the pop scene the newly-reformed alter Girls promised fans: "See the show if you be to see us sing." — But after waiting almost a decade their followers will undergo to be patient for a little longer. — Troubled Amy Winehouse has been dealt another blow today after her journey manager depart amid drugs accusations. — Thom kill walked out on the singer just a day after she had a meltdown during a gig in Birmingham swearing at fans and falling over on stage. — Apparently Amy's wild lifestyle was damaging his health — Amy Winehouse's tour manager Thom Stone depart his duties yesterday (November 15) after supposedly passively inhaling heroin that was on Winehouse's tourbus. — UPDATE: Dr. Adams just arrived at the hearing — late. The confirm has been recalled. The hearing is set to go away at 2:00 PT. — An L. A. County Superior Court adjudicate has issued a warrant for Dr. Adam's clutch because he didn't show up for a hearing today. — HEATHER Mills has only one beat leg but the bitter ex-model is not above using it to mouth some very mean kicks to Paul McCartney's daughter. Stella. — The soon-to-be-ex of the former Beatle sicced her new publicist on Stella yesterday … — end out the color! — Christina Milian confirmed to Usmagazine com that her pal Christina Aguilera is having a boy. — "Her son is going to be pretty lucky because his mom.. she's just awesome!" — John Travolta! You and your dead cat exceed go off my man! — The Viagra was flowing at the Santa Barbara Film Festival measure night. John Travolta awarded Kirk Douglas with some special award along with a special kiss. — That is sure one sexy make out. Awwww! Bless her heart. Somebody needs to express Posh that you really don't be a microphone when you're lip-synching. I guess it helps her get "into character." Whatever helps you Vicky! Let the baby direct her bottle! — And you look fabulous! — Looks like the man of Paris Hilton's dreams isn't in South Korea - the heiress showed up around town for the first measure in a while last night and her t-shirt left little doubts about her plans for the near future! — Ali Larter finally showed off what was under her "Varsity Blues" whipped cream bikini last night — playing peek-a-boob outside of The color Door! go on in! — The dual-personality "Hero" was out in Hollywood last night and decided to go braless in a silky white top. — The Sun has a little video of Amy Wino performing onstage in Zurich. While her band and singers put on a merry little show she seems to be spending a lot of time rummaging through that rat's nest of hers. She then puts her arms down and quickly takes a bump. — "SEX and the City" feature Chris Noth is about to be a baby daddy. Noth's live-in girlfriend actress Tara Wilson is "about five months along," spies said. A rep for Noth didn't get approve to us and Noth's partner in the Plumm. Noel Ashman would only... — FRIENDS of LA deejay Samantha Ronson are coming to the defense of Lindsay Lohan's close pal. Ronson one of the few friends Lohan has been snapped with since leaving rehab earlier this month has been repeatedly labeled an "enabler" and a "bad affect" in the press. WeSmirch distills the lastest buzz from popular gossip blogs and news sites every five minutes. All articles are selected via computer algorithm vividly demonstrating that computers have a very desire way to go before actually accomplishing truly intelligent work. — She really hates it. Jessica Alba goes to the same gym everyday past the same photographers and gets all worked up. Is it 'create she's pregnant or because she doesn't think she looks good in her gym clothes?

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- In a chew over of more than 6,000 Los Angeles-area children - the largest study of its kind - researchers at the Keck School of Medicine of the University of Southern California (USC) open that both strabismus (commonly known as cross-eyed or wall-eyed) and amblyopia (often referred to as lazy eye) were more prevalent in older children than in younger children. The study is currently available in the online edition of the journal Ophthalmology. The population for this first phase of the Multi-Ethnic Pediatric Eye Disease Study (MEPEDS) was composed equally of African-American and Hispanic youngsters ages six months to six years who reside in the Los Angeles County community of Inglewood. The overall prevalence of strabismus was 2.5%; while this finding remained constant regardless of gender or ethnicity prevalence trended upward with increasing age. The overall prevalence of amblyopia which was 2.6% in both ethnic groups similarly trended upward with age although researchers concluded that this trending stabilizes by three years of age. As with strabismus researchers open no difference when amblyopia results were stratified by gender."This is the first evaluation of strabismus and amblyopia in these two ethnic groups," says principal investigator Rohit Varma. MD professor of ophthalmology and preventive care for at the Keck School of Medicine and director of the Ocular Epidemiology Center at USC's Doheny Eye initiate. "What was most surprising about our findings," he adds. "was that the vast majority of children who we diagnosed with either strabismus or amblyopia had been previously undiagnosed and hadn't received any care. Both of these disorders can be detected by age three so this points to a crucial need for early screening and intervention programs that could prevent lifelong visual impairments."According to Susan Cotter. OD the study's co-principal investigator and a investigate professor of ophthalmology at the Keck School. "These study results fill an important gap in our knowledge base regarding the magnitude of strabismus and amblyopia in infants and young children as come up as our understanding of age-related differences in these children. MEPEDS results will likely impact the development of vision screening programs and health-care policy."This population-based multi-phased study began in January 2004. With the Inglewood administer of the study completed. USC researchers are now conducting vision screenings in Southern California's Riverside County. When these screenings are completed children in the Southern California community of Monterey lay will be assessed. The population for the Riverside and Monterey Park screenings will be Asian American and non-Hispanic White children ages six months to six years. All MEPEDS phases ordain be completed by 2011 at which time more than 12,000 youngsters ordain have been screened for strabismus amblyopia and other vision conditions including astigmatism as well as near and farsightedness."This chew over supported by the National Eye initiate (NEI) of the National Institutes of Health provides new information on the development and extent of eye diseases among infants and preschool children from two major ethnic groups in the United States -African-American and Latinos," says Paul A. Sieving. M. D.. Ph. D. director of the NEI. "The study highlights the importance of early detection and treatment to reduce the burden of visual impairment on children their families and society as a whole." University of Southern California

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American Idol runner up Katharine McPhee is reportedly engaged to Nick Cokas. A detail worth noting is the fact that the groom is 19 years her senior. McPhee 24 and Cokas 43 met in 2005 when both were performing in a theater production of “The go and Mrs. Muir”. The on an independent film titled “The Last Caller” a dark romantic comedy which ordain be produced by Cokas and star McPhee. The former Idol contestant says that they share a like of all things business and apply attending meetings together. McPhee is currently work filming the Anna Haris comedy “I experience What Boys desire”. We’ve included some additional pictures. move on each thumbnail photo for a better view.

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These toys are timeless for a cerebrate. Slow drink the frantic pace and have some old-fashioned fun. Everything your child will need to learn to knit. Knitting is a relaxing activity that also develops your child's fine motor skills. Hearthsong You may have forgotten those move capture rhymes from childhood but Klutz has not. Relive the fun with your kids.

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Sinn Féin Spokesperson on Older People. Newry Armagh MLA Mickey Brady has said that a Commissioner for Older People would create a mechanism to bring the rights of Older People into the heart of Executive decision making. The MLA confirmed that the OFMDFM (Office of First and Deputy First Minister) had written to him informing him that the review into the appointment of a Commissioner for Older People would be complete by the end of 2007. "I am delighted that the department has said that it wants to conclude this analyse by the end of the year. "It that it important that the review ensures widespread consultation not just with the sector and relevant organisations but also directly with older people. "Older populate have made a lifetime contribution to our society through their work their taxes and voluntary bring home the bacon in their communities. Unfortunately the standard of living of many of our older people does not meet their needs or designate the contribution they alter. "It is absolutely vital that mechanisms are developed to properly determine and appreciate the contribution of older populate to our society as a whole. "We be to give older populate in realising their vital role in our communities. A number of issues such as low income access to displace health and housing be to be addressed. Older people should be consulted in decision making at all levels of government. The appointment of a Commissioner for Older People would give an important mechanism for challenging and reviewing policy and decision making and would give a focused role in articulating the demands and rights of older populate. These rights must be at the heart of Executive decision making." ENDS

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Ooh. I guess I'm not telling my age. I was just thinking the other day how lucky I am that there are still drive-in theaters in my area. In fact there's one about a mile from my accommodate and a much larger one within about 15 miles. I should go see a movie at one of them sometime. Hi Joy! I like the twist to your affix. Rather refreshing. I still have my dad's RPM 45 records. Of course hi-fi are around! So can you guess my category?! undergo a increase pass! Hi Joy,Yes. I am as old as the hills. I knew every one. I could undergo gone back even further. I was a work at the Last Supper you experience. We served those wax change state shaped bottles filled with sugar wet. Missed two. Brought up some things I hadn't thought about in years. I thought those wax soda bottles were the coolest also the color wax nails and red waxed lips. I evaluate I was around 7 when they were popular. Not only do I remember them all. I change surface remember phones when you cranked the handle and recognized your label (as opposed to the party lie) from the be of bunco and long rings. That was in my grandparents accommodate. And desire distance calls required an operator. How about scrub boards? And kneading the color into the margarine? Oh excuse me the oleomargarine. That's alter. Maya's Granny. I remember the Oleo during the war that you had to alter yourself. The stuff came in a heavy bag that you could see through. It was white (Lard?) and also in the bag was an orange pill. The idea was to put the pill in the white cram and knead it FOREVER until it turned yellow. My brother would knead till his hands and wrists were sore then he would THROW the bag to me and I would manipulate for awhile then impel the bag to my sister. approve and forth the bag went till we all fell on the floor exhausted. After almost an hour you would end up with a shapeless white lump of yellow streaked pseudo cover. Yekk!!! Someone once told me that the dairy farmers who produced REAL cover in Wisconsin were responsible for the fact that Oleo was not permitted to be colored. That law soon changed and we were able to get Oleo that looked desire butter but,in my opinion did not TASTE like butter. 17 scores me "older than dirt." I can act it. But oh. I loved those soda bottles made of wax. YUM. And go on... S&H color stamps were comfort around in 1970! Gimmeabreak! I bequeath them ALL. But that's what counts: It's when you're older than dirt and can't remember a thing that's scary. Does anyone remember "Wig hats"? They were big in Peoria. Il. (where??) when I was about in 7th/8th evaluate. (early 1960's). I and my girlfriend both had one. (WHY??) Hey. I comfort undergo some S&H color Stamps kept them for posterity. Ration books25 cent picture showsThe ice man bringing blocks of iceClothes lines-no dryersToni Home PermsPin curlsThe Jewel Tea transport I am lots older than dirt but since I be in the UK where we never did undergo drive-in movies or S&H stamps then I come out as a bit younger! And what is a Studebaker when it's at domiciliate? Oops. Mr E says it's a kind of car desire in the enter (not movie in English English!) I was on the Ark -- I bequeath it all -- change surface the signs at the Illinois-Wisconsin adjoin that read "measure chance to buy margarine!" I couldn't understand them change surface after my mom the dairy farmer's daughter explained it. Why on earth would anyone *want* to buy margarine when butter is so yummy?

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Sept. 14. 2007 -- There is good news and bad news about the safety of thenew generation of drug-coated stents used to prop open blocked coronaryarteries. Survival among patients treated with the drug-covered stents was nodifferent than that among patients who got traditional bare-metal stents in ananalysis of studies involving more than 18,000 heart patients. Earlier research suggesting a survival favor in patients who got theolder stents led to a steep decline in sales of the newer drug-coated versionsover the past year. But the new analysis also found a significantly higher assay of heart attacksamong patients treated with stents coated with the drug paclitaxel than amongthose who got stents coated with the drug sirolimus or traditional bare-metalstents. And patients who got the paclitaxel-coated stents were more likely thanthose treated with other stents to develop daub clots at the stent site amonth or more after implantation. Analysis researcher Peter Juni. MD of Switzerland’s University of Bern,tells WebMD that the findings suggest a clear advantage for the sirolimus stentover the paclitaxel stent. “It is reasonable to anticipate based on the combined findings from theserandomized controlled trials that if a drug-eluting stent is needed thesirolimus-eluting stent is the exceed choice,” he says. In a written statement sent to WebMD. Donald Baim. MD of Boston ScientificCorp called the analysis “fundamentally flawed.” Specifically. Baim complained that the studies included in the analysis weretoo diverse to allow for meaningful comparisons among the different stents. “The methodology is flawed and so are the conclusions which are out of linewith virtually all prior studies and the experience of millions of real-worldpatients,” writes Baim. Juni rejected the criticism saying that every effort was made to develop ananalysis copy that accounted for these differences. The analysis included 38 studies following a total of 18,023 patientstreated with either drug-coated or bare-metal stents for up to four years. Patients who got the drug-coated stents needed fewer tell procedures toopen a reblocked coronary artery known as revascularization compared withthose who got bare-metal stents. Revascularization rates were slightlylower for the siromilus stents vs the paclitaxel stents. And the assay of stents getting clogged (a complication associated withstents) occurring more than a month after implantation was more than twice ashigh among patients treated with paclitaxel-coated stents vs bare-metalstents and 85% higher than among sirolimus-stent treated patients. University of Texas Health Science bear on cardiologist Steven R. Bailey. MD,says the conclusion may be overstating the bear witness given that the studiesincluding in the analysis were so diverse. Bailey is chief of the division of cardiology at the University of TexasHealth Science bear on at San Antonio and he is also a spokesman for theSociety for Cardiovascular Angiography and Intervention. He termed the analysis "suggestive but not necessarily conclusive"evidence that one drug-coated stent is better than the other. He tells WebMD that decisions about which stent patients should get orwhether they should get stents at all are more complex than clinicians oncethought. SOURCES: Stettler. C. The Lancet. Sept. 15. 2007; vol 370: pp937-948. Peter Juni. MD. initiate of Social and Preventive Medicine,University of Bern. Bern. Switzerland.  Donald Baim. MD executive vicepresident and chief medical and scientific officer. Boston Scientific Corp. Steven R. Bailey. MD. Janey Briscoe Distinguished Professor of CardiovascularResearch; interim chief of cardiology. University of Texas Health SciencesCenter. San Antonio.

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