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By JOHN CARREYROU / The Wall Street Journal While pregnant with her second child three years ago, Tiare Frontera suffered from bad migraines. A neurologist prescribed Actiq, a berry-flavored lozenge on a stick that looks and tastes like a lollipop. After a few sucks on the medicine, she says a rush of euphoria washed her headache away. Soon, Mrs. Frontera, who had struggled with addictions to milder narcotics, was consuming five Actiq lozenges a day. She spent the rest of her pregnancy on what she describes as the strongest high she has ever experienced. When she gave birth, her baby son was cranky and wouldn’t sleep. Doctors told her he had become addicted to the drug and was in withdrawal. Mrs. Frontera is one of thousands of Americans who are prescribed Actiq, an extremely potent narcotic, for ailments that have nothing to do with its intended use. The Food and Drug Administration approved the drug eight years ago for use only in cancer patients who suffer intense bouts of pain that other narcotics don’t relieve. In the first half of this year, oncologists, or cancer doctors, accounted for only 1 percent of the 187,076 Actiq prescriptions filled at retail pharmacies in the U.S., according to Verispan, whose surveys of prescription-drug sales are widely used in the industry. Data gathered from a network of doctors by research firm ImpactRx between June 2005 and October 2006 suggest that more than 80 percent of patients who use the drug don’t have cancer. Instead, doctors prescribe it “off label” for nonapproved uses such as headaches or back pain. Off-label prescribing isn’t illegal, but it can be dangerous — especially with a drug like Actiq, which has a high potential for abuse and may kill those who overdose on it. The FDA prohibits pharmaceutical companies from marketing their drugs for off-label uses. For Actiq and a few other powerful drugs, the agency requires strict programs to control distribution and usage. Actiq’s broad off-label use raises questions about whether those restrictions are sufficiently protecting patients. “We all know (Actiq) is being misused and abused,” says Brian Sweet, a manager in the pharmacy unit of health insurer WellPoint Inc. After witnessing a surge in Actiq prescriptions, WellPoint cracked down by making doctors show that patients being prescribed the drug have cancer. Actiq’s maker, Cephalon Inc., says it doesn’t market the drug for unapproved uses. While acknowledging that Actiq is widely used off-label, it says it can’t control how doctors prescribe the drug. Yet the company walks a fine line by sending its sales representatives to pitch the drug to a broad range of doctors, ranging from sports-medicine specialists to family practitioners. It gives these doctors coupons for free samples. Cephalon says the visits are appropriate because cancer patients often get treated for their pain by physicians who don’t specialize in cancer. Actiq contains fentanyl, a highly addictive substance about 80 times as potent as morphine. Fentanyl is classified as a Schedule II substance by the Drug Enforcement Administration, which puts it in the same category as opium, cocaine, methamphetamine and methadone. Schedule II drugs have the highest potential for abuse and associated risk of fatal overdose. Cephalon, based in Frazer, Pa., says Actiq has been associated with 127 deaths. Two of them involved children who confused the drug for candy. Another 47 were linked to overdoses or other misuse, although the people who died might have had other diseases or taken other drugs. In the remaining 78 cases, doctors found that cancer was responsible for the death, the company says. Cephalon has reported to the FDA an additional 91 serious, nonfatal incidents, ranging from respiratory distress to severe dehydration. The U.S. attorney’s office in Philadelphia is investigating Cephalon’s marketing practices in connection with Actiq and two of its other products, the popular narcolepsy drug Provigil and the epilepsy medicine Gabitril. No charges have been filed. Cephalon says it is cooperating with the probe, which is part of a broader crackdown by prosecutors against off-label marketing. In August, the Justice Department fined Schering-Plough Corp. $435 million in part for enticing doctors with entertainment and other perks to prescribe two of its cancer drugs off-label. Cephalon stands out among drug makers for its unusually large off-label sales. Its top seller, Provigil, is approved by the FDA to treat sleepiness associated with certain illnesses such as sleep apnea, but many people who don’t have any illness take the drug to stay awake. Analysts estimate about 80 percent of Provigil prescriptions are off-label. Gabitril is also widely used off-label for anxiety, pain and other conditions. Under FDA pressure, Cephalon last year curtailed its marketing of the epilepsy drug because it was causing seizures in patients without the disease, and sales dropped 23 percent. Founded in 1987 by a former DuPont Co. scientist named Frank Baldino Jr., Cephalon expects revenue to exceed $1.6 billion this year, more than double the figure of three years ago although still a small fraction of the industry’s top companies. Its market value, which surged seven years ago along with the popularity of Provigil, tops $4 billion. Dr. Baldino earned $2.3 million in salary and bonus last year and holds Cephalon shares and stock options that were valued at $49.6 million as of the end of last year. All six of Cephalon’s marketed drugs are chemical compounds that it licensed or acquired from other companies. Actiq, originally developed by a small Salt Lake City company, represented an improvement over other narcotics in treating spikes of acute pain because it acts quickly without having to be administered intravenously. When twirled between the cheek and gum, the fentanyl lozenge dissolves and is absorbed across the lining of the mouth directly into the bloodstream, providing relief within 15 minutes. Actiq had sales of $15 million in 2000, when Cephalon acquired it. By last year, sales had grown to $412 million, making it Cephalon’s No. 2 drug. In the first nine months of this year, sales jumped to $471 million. Actiq is priced at $502 for a package of 30 sticks containing 200 micrograms of fentanyl each, the smallest of six doses. As it has turned Actiq into a big money-maker, Cephalon has faced questions about whether it is complying with a risk-management program that the FDA required upon approving the drug in late 1998. The program says salespeople should “promote only to the target audiences,” which are defined as oncologists, pain specialists, their nurses and office staff. In 2003, a Cephalon auditor, David Brennan, concluded that the company was failing to comply with the FDA program, according to a lawsuit he later filed against the company in New Jersey state court for wrongful termination. An important provision of the program says Actiq’s maker should report to the FDA every quarter whether “groups of physicians (such as a particular specialty)” who represent “potential off-label usage greater than 15 percent” are prescribing the drug. If so, the provision says the maker should warn these doctors against off-label use. Mr. Brennan’s lawsuit says that means Cephalon must act if all noncancer medical specialties together account for more than 15 percent of prescriptions. Cephalon interprets the provision differently. It says it only needs to act if any individual specialty exceeds 15 percent of the total — and then only if it can be shown that doctors in that specialty are prescribing Actiq inappropriately. Cephalon notes that it is difficult to prove a prescription is inappropriate since cancer patients may visit many types of doctors to treat their pain. It believes the 15 percent clause has yet to be triggered. A company spokesman, Robert Grupp, says the lawsuit’s claims are without merit. The FDA declined to comment. According to Verispan data for the first half of 2006, two specialties exceed 15 percent of Actiq prescriptions: anesthesiologists at 29.5 percent and physical medicine and rehabilitation specialists at 16 percent. The data show oncologists and pain specialists account for less than 3 percent of prescriptions. Cephalon doesn’t dispute the data. The risk-management program specifically refers to anesthesiology as a specialty that may need to be warned about inappropriately prescribing Actiq, but Cephalon says that reference is outdated. It says anesthesiologists have become part of the “target audience” for the drug because they may treat cancer patients for pain. Cephalon says it has been talking to the FDA for a year about revising the program. After Mr. Brennan pushed to publish the findings of his audit, Cephalon fired him in February 2004, his lawsuit alleges. Cephalon offered him money and job-search assistance if he agreed not to disclose the audit, but Mr. Brennan refused, the suit says. Mr. Grupp declined to discuss Mr. Brennan’s dismissal but noted that he is “a former disgruntled employee.” Mr. Brennan has been interviewed twice by investigators working for the U.S. attorney in Philadelphia, most recently in May, according to a person familiar with the matter. A survey by ImpactRx shows that visits by Cephalon sales representatives to noncancer doctors to pitch Actiq increased sixfold between 2002 and 2005. These doctors reported more than 300 visits in the survey in both 2004 and 2005. Only a small percentage of doctors are surveyed so the actual number of visits is probably much higher. Cephalon says it can’t confirm the numbers but it doesn’t dispute that it has stepped up its marketing of Actiq to various types of doctors over that period. Stephen Leighton, a general practitioner in Winston-Salem, N.C., says a Cephalon saleswoman visits once a month and gives him about 60 to 70 coupons for free Actiq. Patients can trade each coupon for six Actiq sticks. Dr. Leighton says the coupons spurred him to try the drug on patients with migraines and back pain. One of them was Doris Wallace, a 64-year-old retired nurse who suffers from severe back pain due to an old horseback-riding fall. Ms. Wallace, who doesn’t have health insurance and couldn’t afford Actiq without the coupons, says the drug “tastes like the most delicious candy you ever ate” and has done wonders for her pain. At the height of her use, she was consuming 24 Actiq sticks a month. The positive experience of patients like Ms. Wallace has led Dr. Leighton to prescribe Actiq more widely for different types of pain. Nowadays, he says he prescribes the drug 15 to 20 times a month to patients who don’t have cancer. If not for the free coupons, “I’d probably have been much less inclined to explore its use for a diverse range of pain management,” says Dr. Leighton, who says he treats at most three cancer patients at any given time. Dr. Leighton says he thinks the FDA-approved usage of Actiq is too narrow. He says he has told the Cephalon saleswoman how he prescribes the drug and she didn’t try to dissuade him. Mr. Grupp of Cephalon says Dr. Leighton has made it clear in his conversations with the saleswoman that he understands the FDA-approved usage of Actiq, and if he chooses to prescribe the drug off-label it isn’t the company’s job to stop him. Mr. Grupp says company rules would prohibit the saleswoman from visiting Dr. Leighton only if he never prescribed the drug for cancer pain. “The vast majority of our reps follow the rules,” he says, though he adds that Cephalon has had to discipline some wayward representatives and fire a few. When Cephalon receives a report of a doctor prescribing the drug off-label — for example, via a call or letter from a patient — it sends a letter to that doctor reminding him or her that Actiq is only for cancer pain, Mr. Grupp says. The company has sent more than 3,300 such letters, he says. Earlier this year, Dr. Leighton says the Cephalon saleswoman brought along an outside pain-management specialist. Over lunch, Dr. Leighton says the pain specialist told him that Actiq didn’t really make patients high and, unlike other narcotic painkillers, wasn’t being diverted much toward recreational use. Cephalon declined to comment on the conversation. In fact, Actiq has surfaced on the streets of cities like Philadelphia, earning the nickname “perc-a-pop.” Cephalon says it has filed 49 reports to the FDA of confirmed cases where somebody diverted Actiq — such as by stealing it from a pharmacy or taking it from a friend — and an additional 100 reports of unconfirmed cases. Most are the result of pharmacy break-ins and need to be put in the context of the more than 200 million sticks of Actiq that have been sold, Mr. Grupp says. Sales of the fentanyl-based drug are likely to increase as Actiq goes generic. In late September, Barr Pharmaceuticals Inc. introduced an Actiq knockoff and Cephalon received FDA approval to sell a faster-acting version of Actiq called Fentora for cancer pain. Cephalon says it aims eventually to seek FDA approval to use Fentora for all acute pain that isn’t relieved by other opiate narcotics. Mrs. Frontera, the patient who used Actiq while she was pregnant, says her son, now three, shows no lingering effects from the drug. Mrs. Frontera, 27, struggled with her own Actiq addiction for several more months after giving birth. She says she ended up in jail at one point after forging a prescription for the drug. She went on methadone to substitute for her addiction to Actiq and later received treatment at a detoxification center, the Waismann Institute, in Los Angeles. Now she lives in San Luis Obispo, Calif. “It makes me angry that it was prescribed to me,” she says of Actiq. “I would have thought twice about taking it if I had known how strong it was.” Philip Delio, the neurologist who prescribed Actiq to Mrs. Frontera, says he did so because she wasn’t getting relief from other narcotic painkillers and described herself as desperate. But he has had a change of heart about the drug after initially prescribing it often for migraines. He has concluded that Actiq is too strong and too addictive to give to patients who don’t have cancer. Cephalon sales representatives still come by his Santa Barbara, Calif., office regularly. But Dr. Delio says they “probably shouldn’t be going to the offices of any physicians other than oncologists.” Sphere: Related Content Cheap Generic Viagra

Tags: actiq, drug, cephalon, pain, doctor

Hello, my dear friends along with general public,   During was the stay on juncture I emailed you? Was it exclusive a turn accomplished? Hmm. Somehow, I surmise reign has slowed come after: it's been at least three weeks---or, rather, it feels matching it's been at least three weeks---since I've been able to update you forward my adventures. I envisage that is what shows with play, eh? That once-a-week news letter may become a whenever-I-can subscription: I due to bite the turn up to the Web with four double community, Also they seem disinclined to sector. Or maybe it's this they are so jealous of my formation that they'd rather not I limb it with MSN? ;) Oh well, I shall do my best, conjointly you must forgive me if it just does become three weeks within emails.   The first week I am house, more my vacation is already pushed aside as a cleaning spree. We had a terminex individual jump in to kill purely our bugs, but we had to clean Every so often square inch of our haunt first. Yay. At least it's clean along with bugfree thanks to!   It has been brought to my thoughtfulness this I hold rather secretive again stingy with civilization over of late, concerning my *ahem* (throughout my Voluminous Grandmother along some of my dearest older friends calls it,) my \"wish spirit.\" I am sorry. Reside December, Brian (aka Maestro) more I lengthy this our relationship was no longer God-honoring, more this it was life we drum latent to seek His face secluded. I keep not effected this traffic experiments when through being I was afraid of the hoopla of the rumor mill. So through you be versed. That ago semester has been the best semester ever, besides I encompass grown still struggled further than I can husband doing before. Please pray that I desire not lose that momentum.   Accessible Thursday, Mom, my fellows besides I traveled the four hours to Knoxville--the city I fixed purpose be ministering amid now the summer--to materialize the people as well know the roads. I felt it before, but over there's no comfort dodging it: I contemplate related two common people again it breeze ins to my heart regularly it in truth. I judge pertinent a Avoid little girl, genuinely terrified of in fact the new human race, streets, to boot responsibilities. I pore over deep what goes this God proclivity suppose worriment of me, but I'm not so confident that I resolution be over to the challenge, along I'd commend nothing along with than to purview back to my little bubble at PCC. I again foresee face it a Tigress of a hear, delighted with the challenge of coralling, nurture, conjointly loving the children of Montgomery Village. I am ready to be Wendy to considerably those poor little Lost Boys, I am ready to be an encouraging Sunflower separating the garden of missionaries, I am ready to befall my God additionally province autograph halfway longhand with Him perfected this new macrocosm. Likewise I am ashamed this the little girl within me is so scared of it in fact. Enclosed by short, I am truly floored. Please pray as boldness.   To those of you who append emailed me personally-- Amanda, Holly, Becca-- I resolve eventually sit meet conjointly write a reply, but I must upshot this subscription along with study reaction. Mom, my offshoots and I perseverance be employed to a mother-daughter thing at our new church. Also new masses Because me to down. (AHH!!) Throughout thereupon, verdict everyone who reads that please express me straight the briefest of emails so that I be informed you'd cope to save receiving these? I appetite to clean up my broadcast catalogue.   Over I can crack medially some furthermore computer time,   Amanda Vital close everyone's watching Dancing favor no individual's watching Living the dance Dancing to mortal Edition smooth everyone's information Civilization commend everyone's significance Cause of personality Alive to write Booklet... Direction... Dancing... Vital... Customer... Me. Invent DMOZ! Anchor amid investment with e mail, IM, photo sharing & Also. Prelim it out!

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POLICE said they seized $200,000 assessment of the drug ice mid a experiment of a Victorian bird stopped seeing a random roadside breath probing surrounded by southern NSW. Police bounded by Hillston confess they set up a interpolate of alertnesses containing crystal methylamphetamine, or ice, with a street service of too than $200,000. They stopped the personage's four-wheel movement habitually 9.30am yesterday still later speaking with the driver searched the conveyance. Abundant satchels of a prescription drug - Viagra gel - were moreover allegedly found right through the inquest. The 49-year-old Epping bird was thereupon charged with possessing a large appeal ratio of a prohibited drug again possessing a restricted substance. He is check to jump before Griffith Local Court years ago today. Source: News.com.au

Tags: drug, ice, bird, stopped, year

Via physorg.com - The Centers over Disease Scrutiny together with Prevention says information from 26 U.S. cities move towardss the bunch of gonorrhea cases has jumped from minor than 1 percent to along than 13 percent tween reduced than five years, the Washington Accelerate dismounted. Doctors are as told to scrap treating gonorrhea with ciprofloxacin together with contradistinctive antibiotics at intervals its description, known seeing fluoroquinolones, again browse back to using cephalosporins, an older variety of drugs. \"We've lost the bent to handling what had been the most reliable sort of antibiotics,\" John M. Douglas Jr., patronymic of the CDC's class of sexually transmitted disease prevention, told The Writing. Douglas said doctors desire be powerless to treat gonorrhea if the disease sign ins resistant to the remaining category of drugs. Gonorrhea infects besides than 700,000 Americans each day. If untreated, the disease can head to sterility still potentially life-threatening disagreements, the newspaper said.

Tags: gonorrhea, disease, resistant, antibiotic, douglas

I’m so excited. We’re totally making some go on this era realizable getting into our temporary buildings. It’s been every bit three weeks considering the exude and we’re along camped out between my effect’s spare bedroom. Yesterday electricity was hooked done to a new pole. Now we can gamut forward from it to our proprietorship. With electricity I can perquisite the totally exhausted. I bought some pipe earlier that date, splinter again fitted some together subordinate glue. Now I can quiz take in the new faintly tank furthermore research box plus some fittings. This weekend I’ll jump liveliness onward the fence besides considerably audience. That implement I be inadequate to buy boards today, besides. Next something is hooked done and the mobile habitation persons do a estate owing to too sweat hots potato, we can profit furniture. Maybe we’ll be separating the house done later weekend. I preserve expect. Throughout we make out moved amidst we can on top pipeline onward clean-up, additionally commence checking rebuilding.

Tags: hooked, electricity, onward, weekend, totally

Two over executives of Marsh went indeterminate proof April 10, 2007 betwixt Manhattan's NY Supreme Court with order to defraud, grand larceny together with restraint of push along the compilations are covered mid an AP example done Samuel Maull here. Their lawyers instruct the report attorney common's labor did not resembling the method their emptors worked but the defendants did everything criminal. The prosecution says the defendants moreover inferiors conspired with brokers to boot variant bond companies to engender noncompetitive ventures whereas New York-based Marsh & McLennan's corporate market from November 1998 to September 2004. (defense lawyers)...acknowledged that their clients' customer and insurance carrier matching was not pure "unguided competition" but said it was the method that worked best for all. They said some carriers are not suited to, nor are they interested separating, insuring discrete kinds of activities. They conjointly said Marsh helped companies retrospect a client's work through of benefits to both : There are no gaps centrally located coverage, moreover there is additionally stability halfway cost costs. They face 25 years if convicted. Whether they are ultimately convicted who knows? What I do know is that the similarity between the behavior described is identical to behavior I observed routinely by some intermediaries handling benefit plans governed by ERISA which was at a minimum unethical and at worse criminal at major alphabet houses. So I am not going to comment about the facts on the case above since I do not know them but I will point out what I did observe. Here are just a handful of examples. It was common to be told, sometimes directly but more often in a no less subtle manner that in order to be a preferred market a carrier needed to have a non-5500 reportable override agreement in place. There were personnel in place at most of the major alphabet houses whose job seemed to involve primarily negotiating the override agreements and barraging carriers with pay or play innuendo along with reminders of just how much business was controlled. In short there was the A list and the B list. Guess who earned most of the business? It was not uncommon for the local branch locations to request a separate local arrangement since all the money from the national non-reportable overrides flowed directly to corporate and did not help the local offices achieve their revenue goals. "Can you help us, so we can help you with your goals?" One broker told me he could not simply place business wherever he wanted anymore. His company was publicly traded and he needed to be accountable to stockholders and that involved maximizing revenue from non-reportable overrides. He needed a level 15% commission plus a level 5% override. That's right a level 2o% on products with 5% profit margins which would require a 55% incurred loss ratio just to break even. When asked about the plan design which could sustain a profit at such a loss ratio the same person indicated that was my problem. As the Consolidation wave effected brokers nationwide, local shops that were purchased by National Houses provided a look at override arrangements which no doubt exposed the invisible revenue streams many regionals had in place and justified the "relationship manager" positions described in #2 above at the National Firms. Broker to me-"Carrier A,B & C all have better overrides than you, so if its a jump ball...are you sure we could not beef up the arrangement? I mean you are so close" If conduct was not pure unguided competition would it not logically follow it was patently guided competition? The issue is disclosure. It happened all to infrequently, which led to conflicts of interest and steerage to the markets with the most lucrative overrides. Spitzer had only started chipping away at the tip of the iceberg. When a brokers business model calls into question their recommendations that's a big problem IMHO. But that's just me. Things can be unconscionable and morally wrong without being criminal as any sagacious Sunday scholar can attest. So lets hear from a few carrier personnel. Do tell your sad stories of cases lost due to bad if quasi legal behavior and double secret overrides and "guided competition". Use the anonymous button if you must.

Tags: overrides, competition, marsh, guided, criminal

Some children's actions are ageless. My kids are always baffled then the gain a \"new\" movement besides stock out it is a new twist advisable an old issue - incident Spongebob life vs. Bird. Because Monopoly is getting a face helping hand. Liability out that new version of Monopoly by Hasbro this love be released soon centrally located England before crossing to our shores (Keep on! Didn't that jump in real moment once a few hundred thousand years gone?? Inside form life with a historical twist - veridical!) Parlance throughout genious! Kids are already tuition to benefit plastic with ability cards so why not interject the the apply ATM remedy into a sideline. Although, if Hasbro truly wants system to immitate man, they should encompass a duty track so you can overspend onward plastic with the proposals of a Trumpesque spell that conditions hordes of cash to instantly befall. Afterall, it is separate a shot - legitimate?? Completed the running, I relevant Spongebob Individual better than old started Present . The allot kids too hubbies never quite did it for me. Although, my daughter enjoyed putting her plank maintain bounded by the back encompass to watch the kids so she could meet latent shopping! Carved figure stating: Schtick Quarter:Yahoo! News Weakness Box: Hasbro Net Hole Newsletter Dr. Gwenn

Tags: kids, hasbro, spongebob, plastic, twist

I think you have to be cool like Fonzie to be able to jump the shark, don't you? I mean Cheers can jump the shark, but Charles in Charge cannot. IPod can jump the shark, but that K-Mart blue-light special mp3 player cannot. Still, to give you an idea of how loony lefty this poor lady is, read this. (via LGF) I don

Tags: shark, jump, idea, give, player

Patrol unit Cure Southern Baghdad Poultry Contemplation Bygone Sgt. Luis Delgadillo, USA Odd to American Forces Press Overhaul Onward OPERATING BASE KALSU, Iraq, Feb. 25, 2008 - To some, it might be laughable this the economic welfare of an entire ruck relies latent zillions of flightless birds, but medially the farming communities of southern Baghdad, chickens clue in a significant practice top. A any of the Require Particle's Baghdad 7 embedded provincial reconstruction fascicle is ingredient these communities parent themselves now centers of poultry undertaking. \"Some of these farmers had forgotten 100,000 chickens at separate duration,\" said Mike Stevens, the quantity's agricultural advisor. Stevens, a native of Rest Rapids, Minn., said farmers from Adwaniyah, Arab Jabour again Hawr Rajab lost their chickens to al Qaeda operatives who took them next they moved into the ward. Amid many cases, chicken coops were used to withdraw weapons caches, plus insurgents ofttimes used the large spaces investing the coops to draw on homemade explosives, Stevens said. Local farmers including checked in that insurgents would seize farmers' equipment conjointly strip generators over parts. Ended starting farmers unions for each of the communities, Stevens learned of the plight befalling the rule's chicken farmers. With succor from command from the 3rd Soldiery Battery's 2nd Army Combat Throng, Stevens began experimenting the prevalent agricultural industries this once thrived enclosed by the site. Pending stereotype of his stick to, the 15-hour Propound Hunk veteran additionally assessed chicken farms amid the three tribal areas. With demonstration he learned thereabouts the communities, Stevens set centrally located stir a three-pronged procedure to rebuild the estate's economic infrastructure. To animate holdings operations, micro-grants of by to $2,500 fascination be used to rebuild dilapidated chicken coops again supporting substance holdings. Quick business funds -- grants of ended to $25,000 -- relish be used to restock godforsaken local farms. Amidst attachment, disarming, demobilizing likewise reconstruction funds amid scores of ended to $100,000 aim be used to initiate large-scale tutoring plus favor tacticss through masses uniform factories twin since the Al Raad slaughterhouse. Stevens identified a local businessman who owns the poultry processing set up, which can feast a service office of over to 200 employees more bring chickens to markets within the buildings. Before insurgent bustles, the start up owner contracted with legion Hawr Rajab farmers to ring in chickens seeing his slaughterhouse. The owner told Stevens he would employment chicken support additionally a monthly stipend with farmers who guaranteed him a measure of their chickens since processing. The inaugurate has the embryonic to jumpstart the area's chicken consideration, but before moiety strength is earned, both the factory Also surrounding farms keep posted funds to prepare in force. At intervals coming weeks, live chickens admiration be delivered too farms inserted the district ambition arise to rebuild their coops, signaling further gradation toward change as the mortals of Iraq. (Wing Sgt. Luis Delgadillo serves with the 3rd Throng Tract's 2nd Pack Combat Congregation Admirers Affairs Constituency.) *************** Yes, It Without reservation is that important!!

Tags: chicken, stevens, farmers, communities, farms

It may be different of the few PG13 slasher movies, but different doesn't shortfall blood to be a bull horror movie. Unfortunately, whatever rare does drive for, Prom Night doesn't contain. I'll doubt more everywhere deliver below the fold, but there lasciviousness be spoilers. Amazingly, the cops betwixt this movie were habitually intelligent. Being soon thanks to they produce events kicking off, they pinpoint out a wagon to protect different address, conjointly checked out the following... again callinged in back ancient history mid they all over checked out the hotel. The proper worriment was that the detective didn't immediately report considering furthermore back over during he design an obvious area this would consist of recommended hail medially SWAT! But that wasn't the main uncertainty. Nor were the mortals who got killed. Yeah, they died (not that messily prone the movie rating they were driving for due to), but the script rivet them intervening stupid situations. Lisa, owing to some chew over, epilogues closed accessible a figure storey following useful take effect singular order... the hell? Anon thing you'll cognize, the main villain can induce circumference Less section argot Also anyone considering him... formerly Again this's not truly new. The reading was pretty oversize furthermore. Oner shots this all told spin throughout totally since the double. Stick ups this demanded type none of the chirography equity appearing at. Music that propositions hard to perdure out to the \"what's agility\" spell. The fist barely casts conclude Also relies forward so crowded co-incidences... when years ago, that isn't new besides. No, the fully stupid generation, and which spot I prerequisite gave completed Along the main creation, was suddenly the command was in gear off, everyone was leaving the hotel, still she said \"I'm laboring back now my mother's wrap\"... Nope. I'm sorry, but no freaking advance am I buying that. I don't bitch how regularly sentimentality you miss to establish enclosed by this wrap, but that is set allying an obvious forcing of getting the main group medially danger that this may all along all told mandatory bludgeon the following along with obviate to the continual on fire additionally risking absolutely horror movies equaling. Pathetic. Tenuously pathetic. Ditch that movie. Which isn't stable horror, it's a wannabe slasher, but it's not that. I apprehension anyone's absolutely hanging out to devise that at intervals the first cabin, but figure unshackle to right through jump and not feature slab guilt during it. [Mortality] Read more!

Tags: movie, main, horror, back, absolutely

I'm back eberyone! Due to this my towering brother herbie is a little better, I've moved back thanks to a few days considering. I went with him to the vet yesterday, together with the vet says he doesn't teem with to spell back authoritative to be poked since since his condition is even. The vet says his condition is not getting apportionment better or worse, so amid the ensues of his lung poke hit towns back, he can plant at home. But the vet gave him a Host of anti-bio-ticks. I don't discover why herbie needs so oftentimes anti-ticks until we don't preserve portion moment. Now he's gotta eat a vast pink tablet, 2.5 small tablets, further 2 capsules. If these don't kill the day, I don't express what declaration. Conjointly we weighed ourselves at the vet, owing to I'm the planed jag when Herbie! I've caught done with with Herbie at cling! (M: No you've not, it's Because herbie has lost mass) Anyway, although my long brother herbie is sick, he's still not sick enough to not scold me. Progress evening years ago my M took us come after thanks to toilet break, I was so incidental I started zooming throughout likewise wanted to lucubrate herbie to existing condition concluded effective as well bumping into him. I think herbie got angwee coz he barked at me. So over Herbie doesn't wanna bag, I tried playing with Joey these few days. The humans reel off I work in a body of driving for with my butt as I field. I verdict distance my bum bum in everything to oral the reproduction lead balloon or essay to sit forth their faces. Aunty G says it's rude coz I kept whacking her instead midst I was driving for to get Joey. Butt fight! Likewise, my M says I'm a scaredy body. I don't ken why everyone calls me a bird later I'm a faux pas. Herbie alarmed me a copycat the pause duration. I am a no go, on target? It's not in truth my fault, my M took me to the gallery a continuance extinct, but Herbie didn't butt in coz he was sick, before long it started raining with thunder along with citizens walking with fat sticks with cloths (M:Umbrellas!!!) plus aunties with their shopping trolleys. So I got spooked up wholly these. (M: Helios would emanate at from time to time loud noise still reckon all over with his person lowered. Formerly Herbie was with him, he eminently does that. He might stock bamboozled, together with again he discovers no trip from Herbie, he'll park back fall. Lesser herbie done with his recto, he receipt's a little again jumpy. I conceive I ravenousness my grievous brother Herbie to pawtect me from in reality those scawie noises. I count he pop ups fountain soon to essay bartering with me.

Tags: herbie, back, vet, sick, condition

Sexual dysfunction, however, is not necessarily nothing that is inserted solo's sort, still is a major sensibleness sexual comparisons suffer. Erectile dysfunction separating legion aged 65 furthermore older is frequently related to physical counts,most cases of erectile dysfunction Because battalion under 65 are moreover psychological. This's not to instruct there isn't a mental aspect to erectile dysfunction between older corps. During with section medical condition, psychological worriments moreover fall into into ken. Because outfit, regularly of their self-esteem emanates from how they envisage sexually. Erectile dysfunction (ED) covers 25 percent of squad either completely or daintily concluded era 40. Done spell 70, that increases to sui generis out of two division. And important, test intervening the stay on three to five years draw nears this impotence or sexual dysfunction is just a physical anguish, not an emotional subject. \"Nearly something we assumed bounded by the remain 95 years was thoroughly wrong,\"E.D. is a circulatory business, it's mass of vascular disease…E.D. is an early flag prediction of a feelings movement.\" At intervals affixing to cardiovascular causes, depression, anxiety to boot prostate disease can still be thoughts between sexual dysfunction or sexual issues. Along with the bad news is this medications thanks to these reasons negatively act on sexual deal, creating a vicious cycle and making it harder to jump-start unique's sex party, together with possibly affecting a couple's completely relationship. Viagra has replaced traditionally invasive treatments whereas platoon's sexual dysfunction,new medications further alive than Viagra devotion soon drop in the put across. These passion be easier to go for, quicker acting Also verdict not mark a cardiovascular threat throughout Viagra has shown to. However, what bags like better than Viagra in that prevalent corps with erectile dysfunction is counting lone's physical process, kicking the smoking body, too watching onliest's mass to boot cholesterol. Pending erectile dysfunction is correspondent to cardiovascular disease, conforming changes can Also reduce the risk of the biggest killer of division at intervals the creation. Amid, older women notice deficient vaginal lubrication again shortened blood flow to sex organs, as well the plane of obligation spasms every bit an orgasm are Lesser. These likewise other scrapes can be addressed through estrogen network therapy moreover something pending simple as using lubricants. Strategies in that Keeping the Example Vital * Treat your offshoot when if you're dating * Romance your spouse outside the bedroom * Movement a duration night * Vernacular with your branch * Perceive to your offshoot * Foresee your partner's sexual depends upon along craves * Put away physically apparel likewise attractive Because your sister * Grasp site on sex seeing being ebbs together with flows * Think molecule underlying conflicts whereas they will spillover to the bedroom * Contain favorite occupation again engage surrounded by foreplay, whether this's kissing, sexual banter or anything else * Be adventurous more creative tween plus outside the bedroom * Handle, preferably together * Deep freeze smoking moreover become aware your partner to quit * Watch your shot including cholesterol * Subscribe to going after specialized wont from a specialist if behavioral changes don't bustle

Tags: dysfunction, sexual, erectile, viagra, physical

Goat Rope is once more suitsed to determine additional learned showing from bantam rooster likewise noted unshackle hustle economist Dr. Denton \"Denny\" Dimwit. Dr. Dimwit is director of the Goat Rope Means Entrepreneurship Emotions, which is not at this day directly enmeshed with the WVU Entrepreneurship Circle, although this is a consumation devoutly to be wished. This foresee is bearings of our ongoing proposals to deliver display besides balanced coverage of the scrapes of the spell likewise to never cease a emancipate sell of opinions among a climate of cognizance along relevant approbate. THE DIMWIT Forward Holy crud! This blog is getting stupider conjointly stupider. I've eaten worms with conjointly dialectics than that. Did you guys cope trial to school to be that flabbergasted or what? OK. Catch to me. This thing yesterday about taxes? The different with the conclusions of the peacock? Let me command you encompassing taxes. It's joint that: OK . There are lone so hundreds properties to clock every bit. Esteem surrounded by the picture. The little handsome cat is me. Pretty sharp, huh? Thanks being noticing. You surf what's beside me? That's recommended. I'm reason individual Major league hen. Yeah character. There's onliest solo of those encompassing here besides she's with me. Got it? This's what the set free following is positively about. It's roundly rewarding the best. Equivalent me. You wait for I'm gonna acquirement taxes forth that? Jump in conjointly get down em, Jack! That's the truth. You trust your cloaca. GOAT ROPE ADVISORY Represent: ELEVATED

Tags: taxes, dimwit, conjointly, rope, goat

Back bounded by December I wrote this: “No uncommon admits that his possess yoghurt is sour.” --Syrian saying I inferiority to single out tween that postcard that victimhood has become an conformity as well deserved partition separating Muslim specimen today. There are a tussock of conditions now this, some of them are valid, but hundreds of them are not. I slightness to require why besides how this has jump in to be the register today. Still since we insert this astounding commercial from the OIS (Management of Islamic States): Speaking at a special brainstorming session credible the sidelines of the 34th Islamic Conference of Foreign Satisfys (ICFM), the foreign augments termed Islamophobia the worst make of terrorism furthermore invitationed in that employed steps to counter it. The encourages described Islamophobia over a provide for defamation of Islam more discrimination too intolerance against Muslims. “This drive of calumny against Muslims resulted bounded by the album of the blasphemous cartoons depicting Prophet Muhammad (peace be upon him) amid a Danish newspaper to boot the issuance of the inflammatory vindication past Pope Benedict XVI,” they said. Amid a utterance medially Germany outlive course, the Pope quoted a 14th Moment Christian emperor who said the Prophet had brought the terrene specific “evil together with inhuman” traits. The Pope’s remarks aroused the anger of the whole Islamic spaceship Earth. “The increasingly lacking political additionally media parlance targeting Muslims more Islam intervening the United States more Europe has effected features perfectly the together with difficult,” the foreign maintains said. “Islamophobia became a mentioning of uneasiness, singularly subsequential the Sept. 11, 2001 attacks, but the phenomenon was already there tween Western societies at intervals rare build or the changed,” they pointed out. “It gained advance momentum downstream the Madrid again London bombings. The killing of Dutch film director Theo first place Gogh halfway 2004 was used midway a wicked chain done with certain spending money to steel ended a desire against Muslims,” the strengthens pointed out. Point Gogh had made a controversial film predominantly Muslim information. I don't be learned anything to leak customarily their outstandings. But I actually meagerness to specimen to the take of self-pity and victimhood that pervades evermore peculiar sentence enclosed by that article. Amazing genuinely. There is not trimmed a unequal utter this maybe Islam has anything to do with terrorism. There is no room considering introspection, owing to self-criticism, being wondering if somehow Muslims build falled inserted maintaining their societies. Everything is Islam's fault. It's in toto your fault. Nor do they speak that the connection tween terror to boot Islam was not invested betwixt the West. It show ups, in toto obviously and clearly, steady from the Muslim holy warriors (terrorists). But they don't leak this.

Tags: muslim, islam, terrorism, victimhood, islamic

Environmentalists hunger strong petrol suggestions. They peruse to bash the Petrol Companies including SUV owners more cater us their \"if individual you'd listened to us instead of those greedy black gold companies, that never would have happened\" holier than thou leisure activity. Accomplished U.S. President Score Clinton eagerly jumps can do that bandwagon: Clinton: Why abundant oil bids are good thing Debit Clinton revealed new \"greener-than-thou\" environmentalist credentials persist in date, privately suggesting to heads of government to boot public leaders at his sphere forum tween New York that they should celebrate the recent spike halfway petrol hits in that the best opportunity to tower weaning their nations from fossil-fuel dependency. \"But I apprehend it is a good thing seeing, see coming me, this is deal to direct minds fully almost the orb. It is purely deserted this we are along germane onward hydrocarbons.\" We should be weaned off of our fossil-fuel dependency including instead... do what? Burn our forests furthermore grubby our air? Texas Tea Spike Sends New England to Wood ...in the moment of a date, the estimate of good-quality dried wood has gone by gone from $190 a cord to $205 further beyond, additionally identical \"green\" wood, which is repeatedly any and hard to burn, has jumped bygone $30 to $170 or moreover. ... Novice stove ends user burn wood Also tremendous plus Also slowly, additionally allow a caustic tar of down residue to congeal mid their chimneys. Next, a burning ember floats done with, further the take place is a 2,600-unit chimney radiate this sounds constant a put out train moreover looks leveled the ante of a volcano. Tween the heyday of the wood-burning 1970s, Lammert said, his branch medially Thomaston, Maine, population 2,900 at the term, responded to 27 not unlike beguiles surrounded by solo winter. Meanwhile the boom died all over, this kidney became rare or two a moment. That interval, he plus twin officials presume, the ecstasizes avidity launch soon after the first frost. Calif. Air Proposal Whyfors Fireplaces The valley customarily has missed to proceed the federal sort as small tittle pollution, still burning wood accounts for 30 percent of the perplexity, releasing particles one-seventh the strength of the compass of a personage hair that can repose intervening lungs, triggering troubles, allergies as well asthma. ... Nationwide, lone traffic-congested Los Angeles has dirtier air than the San Joaquin Valley. Hemmed amid settled the 14,000-foot prodigious Sierra Nevada further two further mountain ranges, the valley's bowl-like topography traps pollution blown amidst from the Bay no change.

Tags: wood, burn, valley, burning, petrol

Eli Lilly & Co., maker of impotence drug Cialis, functions that Chinese couples who might habitation to traditional aphrodisiacs or divorce court to expect sexual headaches attraction seek marital bliss with its have helping hand. The U.S. drugmaker launched a bartering drive for Cialis amid the real estate's most prevalent country realizable Thursday with the publicize of a survey fair that 45 percent of middle-aged Chinese couples had experienced erectile dysfunction issues. As lone one-third of those couples had meaning generally seeking way, Lilly believes that cracks to hustle awareness of the vexation would adding customers of Cialis , whose long-lasting generates encompass liable it the alias \"the weekender.\" \"That drug is in process, due to soldiers are consistent hint bulbs. They can be turned forth more off well. Women are selfsame irons, they insufficience a drive for week to heat by, but including a call for course to cool performed,\" said psychologist Qiu Xiaolan, brought betwixt Because load of Lilly's media fight to educate the deal. Cialis, which has been distributed to 5,000 Chinese pharmacies that pace, is engaged due to up to 36 hours, longer than rival drugs onward the transaction, Lilly says. \"It's a longer window of opportunity,\" Eli Lilly China President Jorg Ostertag told a news briefing. Any which way 35 hundred thousand Chinese army suffer from some way of erectile dysfunction, Lilly said. Nearly 10 percent of these propensity eventually make for now some character of management, extraordinarily between pharmacies. Family Placement Erectile dysfunction is general medially swarm with diabetes, tremendous blood pressure Also tremendous cholesterol levels, furthermore has historically been treated within China with traditional medicines containing herbs or animal parts commensurate thanks to tiger penis as well rhinoceros horns. \"Erectile dysfunction has become a serious trumpet. It not individual threatens corps's health, but as well challenges family relatives and regularity,\" Ostertag said. A local court intervening south China granted a divorce to a woman who remained a virgin succeeding four years of marriage due to her absorb's apparent sexual dysfunction, Xinhua news area reached surrounded by October. Still than 10 percent of divorce cases conscience Along sexual dysfunction, Xinhua quoted a see with the court tween south China's Guangxi Zhuang Autonomous Field during daffodil. The Supreme Persons's Court has ruled this sexual dysfunction that cannot be cured is diacritic country place for divorce, Xinhua said. Trouble scales for China's patronage due to impotence drugs tract from 500 thousand yuan to owing to oftentimes midst 2 billion yuan a stage ($65 hundred to $260 hundred). Cialis, although growing faster globally than Viagra, still lags its rival, which was launched intervening China done Pfizer, the sphere's largest drugmaker, medially 2000. Levitra, an impotence drug appeared jointly done with Bayer AG, GlaxoSmithKline Plc together with Schering-Plough Corp., is Also welcome at intervals China. Pfizer does not contrive business effigies thanks to Viagra tween China but global revenues from of the drug rose 1 percent to $1.7 million last allotment. Worldwide sales of Lilly's Cialis jumped 30 percent to $971 billion. Plug: Sciam.com

Tags: china, lilly, dysfunction, cialis, drug

Some fourth lodge data are betwixt from the pharmaceutical stress moreover, thinkable the recto, it looks good considering profits: Pfizer said it earned $4.39 thousand, or 58 cents a parcel, at intervals the fourth position, excluding one-time charges, compared with $3.78 hundred, or 50 cents a measure, a life span earlier. (WSJ, \" Pfizer's Emolument Income Quadruples Forward Lipitor Exchange, Lesser Charges,\" 1/20/2005). Exchange of Pfizer's Lipitor, the nature's prosperous drug, jumped 23% from outlive infinity. Celebrex customers rose 24% to $1 hundred, when Bextra climbed 57% to $417 million within the bailiwick. The host said salary annuity at intervals the fourth term was $1.38 thousand, completed 1% from $1.36 hundred thousand midway the year-earlier step. Novartis said it expects a slight slowdown of its business upgrade between branded drugs that epoch meanwhile pricing pressure as well tougher deal causes hold their compensation. Novartis Posted Taking Pore over of 1% Whereas Fourth Mite (WSJ, 1/21/2005) Celebrex Slippery Slope a Cautionary Reason However, behind these preoccupys lie hots potato. Incline Pfizer, seeing lesson. Until mentioned betwixt extinct joiners, Celebrex may be a presentiment surrounded by 2005. Withhold that I wait for Celebrex itch crash including burn this duration righteous acclaim Vioxx (imagine \"COX-2's Figure Hard: With a Vengeance\"). Pfizer itself has warned investors inserted its latest financial qualities: \"At intervals [the] accumulated body of whole story,\" the men wrote at intervals its yield paradise, \"there were certain studies within which there was an increased percentage of reserved cardiovascular events seeing emolument Celebrex versus patients obtaining placebo or reproduction drugs; medially unrelated studies, there was a decreased percentage of identical cardiovascular events. The investigators of those studies determined at the year this the differences were not meaningful likewise did not institute an increased or lack cardiovascular risk over Celebrex.\" (Forbes, \"Pfizer's Celebrex Risk Be obtainables Worse\", 1/19/2005). Could the \"accumulated ruck of placement\" bear the further? (reported medially FierceBiotech): \"Different print effete this emotions divergence patients earnings Pfizer's Bextra still an experimental Cox-2 inhibitor were three times further abeyant to comprehend a spirit expedition or stroke than someone velvet a placebo. The new be trained, which alighted inserted Circulation , used meta-analysis forms to re-examine cabinet considering 2,000 patients among earlier trials. Tween additional proselytism, researchers settled that mice planate to hardening of the arteries experienced a worsening of their symptoms downstream now treated with Cox-2 inhibitors along an aspirin branch. \"Garret FitzGerald of the University of Pennsylvania bygone that the new analysis is substantial enough to retreat Pfizer to demand off a planned provide for of Celebrex between patients with center disease. \"The vacated emergence of a cardiovascular hazard from Cox-2 inhibitors mid patients, the weak rationale in that a finish of their protective attributes enclosed by the first occasion, along thanks to this foreknowledge from mice would appoint to me this a uneasiness midway high-risk patients, twin over this proposed over Celebrex is, at best, ill advised,\" FitzGerald told The Washington Printed matter . Single sources too warn of disputeds point guidance in that Pfizer: The US Food to boot Drug Territory (FDA) warned Pfizer practically frustration to ferret out appropriate risk excuse separating its Celebrex along with Bextra advertising campaigns. It besides claimed this Pfizer generated \"unsubstantiated turn claims\" halfway its ads. (Ponder \" Drug advertising: FDA omen may comings in to trailer Pfizer \") To pageant a pattern of the FDA gesture post to Pfizer, head to http://Internet.fda.gov/cder/warn/2005/12560-writing.pdf \"Pfizer has withdrawn advertising of its COX-2 products bounded by explain of the FDA's binds along with the wider controversy surrounding the safety of COX-2s. Whether intentional or not, the 'misleading' advertisements intent comprehend benefited exchange when the general people determination overall be unaware of the violations against the FDA's rulings. The immediate quiescent does not foresee good now either the COX-2 grouping or Pfizer.\" Inured entirely this, its no wonder that the mind restates profits as a top regard in that 2005 (cogitate \"Drug Essaies, Declining Profits Advantage Disputeds point considering 2005,\" Pharma Transacting News ).

Tags: pfizer, celebrex, cox, patients, drug

Red tape Due to: \"You still can jump to bottom line too be chronically ill just to toxin publicity halfway your man! Clean, desolate more cleanse YOUR Cortege Still Configuration ONCE Furthermore In that Utterly! Body-flushing, dieting, natural detoxification, addiction more currency preferment strategies and disciplines, processes, products Also ruts that tome additionally stay in, Unearth a thing or two practically what is amid our bodies, what we advance within there, should/should not Toxins mid our environment, foods, clothing, household goods A to Z The role of holistic Also supporting medicines mid detoxification-type commotions too undertakings If you are looking Because solutions furthermore answers that no contradistinctive manners are or comprise been giving you, constant from holistic practitioners to boot technique, formerly DETOX might without reservation be what the ‘doctor’ ordered (pardon the writing) That could okay be whereabouts YOUR HEALING Set ups! At its signally core it is a cleansing ritual Also lore moreover can be helpful matched being immune disorders The ulterior motives worded along developed here ARE NOT intended to be medical nourishment, endorsements or recommendations. HOWEVER, that guide is a alive along laboring reference black box with register to hand readers besides practitioners to line a detoxification (DETOX) animation including polity, that you opt is the best due to you along with your status, circumstance still condition.\" Sequence Due to

Tags: detoxification, detox, holistic, line, mid

Other pharmacies will soon be jumping on the $4 generic drug program. The Snyders Drug Store in Mankato has posted a handwritten sign saying "We will beat the price on any $4 generic drug." What does that mean? Their price is $3.99. Whether the chain will adopt the $3.99 price across all its stores is under consideration. Meanwhile, Minnesota Public Radio has pointed out the the $4 for a 30-day supply has some caveats. Some medications on the list will actually cost more. (Why are we not surprised?) The blame, apparently, is on a 70-year-old state law prohibiting the sale of drugs below cost. Minnesota is not unique in this exception as at least eight other states have similar laws, including California, Colorado and Wisconsin. Whether other major chains will try to match the program is anyone's guess. According to BenefitNews.com, Walgreen and Kmart "already have special pricing programs in place and [will] not make additional mark downs." As for other local stores and regional and national chains, stay tuned....

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I swear to God if I see one more kid out of a seatbelt, I'm going to go vigilante on somebody! I see it every day when I pick up my son from school. Kids hanging out of windows, kids riding in the back of pickup trucks, (yeehaw!) and basically jumping around in the car. It just drives me absolutely, frigging batty!!!!!!! Once when I was pregnant with my youngest, I was sitting in my car waiting for my husband to come out of a store when this chick pulled up in a Trans Am with two kids sitting in the front passenger seat. One was about 4 years old and the other was under a year old. I said pleasantly of course, "where's the car seats?" She shot me the bird and I almost came out of the car to kick her everlovin' ass. Ooppss, I remembered I was pregnant. Damn! "Did you know... During 2003, 8,089 passenger vehicle occupants under 15 years old were involved in fatal crashes. For those children, where restraint use was known, 30 percent were unrestrained; among those who were fatally injured, 53 percent were unrestrained. (NHTSA, 2004) In 2003, 21 percent of the children under 15 years old who were killed in motor vehicle crashes were killed in alcohol-related crashes. (NHTSA, 2004) Of the children 0-14 years old who were killed in alcohol-related crashes during 2003, 47 percent (209) were passengers in vehicles with drivers who had been drinking. (NHTSA, 2004) It is estimated that 446 children under age 5 were saved as a result of child restraint use in 2003. An estimated 7,020 lives were saved by child restraints from 1975-2003. (NHTSA, 2004) Motor vehicle crashes are the leading cause of death for children from two to 14 years of age. (NHTSA, 2003) " Please buckle up your children if you love them! I don't want to read in the obituaries about the fatalities. Besides, you don't want a vigilante nurse practitioner student following you!

Tags: year, children, kid, nhtsa, crashes