Brazilian club asks fans to give blood

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Source: http://news.yahoo.com/brazilian-club-asks-fans-blood-221719158--sow.html

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Midwest ranchers, lawmakers protest EPA flyovers

DES MOINES, Iowa (AP) ? Midwest ranchers have never been enamored with environmental regulators, but they really began to complain after learning that federal inspectors were flying over their land to look for problems.

The Environmental Protection Agency flies over power plants and other facilities nationwide to identify potential air, water and land pollution. It began using aerial surveillance in the Midwest in 2010 to check farms for violations of federal clean water regulations.

Ranchers who object to the program said they're not trying to hide anything. It's the quiet approach the EPA took with the program designed to spot illegal disposal of animal waste that they find upsetting. Most were not even aware of the flyovers until regional EPA officials mentioned it at a meeting three months ago.

"For me, it just creeps into the 'Big Brother is watching you' area, to where the government just feels like it's getting more and more intrusive," said Buck Wehrbein, who manages a cattle feeding operation in Mead, Neb., about 30 miles west of Omaha.

EPA officials explained during a meeting with ranchers in West Point, Neb., that they lease small planes that fly EPA staffers over cattle operations. The staffers take photographs as they seek evidence of illegal animal waste running off into rivers and streams.

Ranchers complained to their members of Congress, who responded angrily and then grew even more annoyed by what they considered the EPA's sluggish response to their inquiries for information about the flights. Nebraska Sen. Mike Johanns, a Republican, introduced an amendment to a multifaceted farm bill to stop the flights, but it fell four votes short of the 60 needed. Although most backers of the amendment were Republicans, 10 Democrats supported the proposal.

"EPA has been deliberately ambiguous when it comes to the size and scope of this program," Johanns said in a statement. "EPA must be honest about this program or cease it entirely, and I will continue pressing for this information on behalf of all concerned farmers and ranchers."

U.S. Sen. Charles Grassley, an Iowa Republican, met June 25 with top EPA administrators to find out why the agency was flying over farms when there was no indication that regulations had been violated. He also sought more information about why the EPA flew over farms that weren't required to have discharge permits.

"The EPA has come back with some answers, and those are being reviewed now," Grassley spokeswoman Jill Kozeny said. The senator may go back to the EPA again for more detail, she added.

EPA Regional Administrator Karl Brooks, who oversees Iowa, Kansas, Missouri and Nebraska from his Kansas City office, didn't respond to interview requests from The Associated Press.

In response to more than two dozen questions sent by Nebraska's congressional delegation to EPA Administrator Lisa Jackson on May 29, Brooks released a five-page document about the flights.

It said the agency conducted three flyovers in Iowa in 2010, five in 2011, and one this year. In Nebraska, there were six flights last year and three this year.

Two more flights are planned this year in each state.

The EPA said the flights don't target individual farms and focus on areas with many animal feeding operations or watersheds where the state has identified streams polluted by animal waste.

As a result of the flights, the EPA said, it has taken 39 enforcement actions against Iowa livestock farmers and 14 against Nebraska producers.

Brooks said the agency uses the flights to minimize costs and reduce the number of on-site inspections.

"With one combined animal feeding operation inspection costing upwards of $10,000, and Region 7 responsible for improving water quality in about 1,800 miles of impaired Nebraska waters, across 50,000 square miles, EPA uses tools, like airplane flights, to focus our resources and compliance efforts where they are needed most," he wrote.

Brooks' response hasn't satisfied congressmen such as Republican Rep. Adrian Smith, whose rural district covers about three-fourths of Nebraska. He said state inspectors already have the authority to inspect ranches and he isn't sure the EPA's flyovers are needed. He is co-sponsoring a bill introduced by Rep. Shelly Moore Capito, a West Virginia Republican, to prohibit the EPA from using farm flyovers to enforce the Clean Water Act unless the agency has written voluntary consent, provided public notice or obtained a court order.

The EPA conducted flyovers of West Virginia farms in 2010.

"I would like to see those aerial surveillance flights stopped," Smith said. "I want to make sure we can move forward with good policy, and I'm studying how we should move forward."

Several environmental groups have supported the EPA flights.

Scott Edwards, a spokesman for Food and Water Watch, a Washington-based nonprofit environmental group, said state and federal agencies must be innovative in stopping pollution. The protests by ranchers and rural members of Congress are typical when government tries to increase inspections, Edwards said.

"There is always this over-the-top pushback, and it's across the country that agriculture needs to somehow be different," he said.

Marc Yaggi, executive director of the New York-based Waterkeeper Alliance, agreed.

"If taking to the sky is going to uncover illegal activities that are posing threats to human health downstream, we're all for it," he said.

While Nebraska farmers reacted strongly to the flyovers, Iowa farm groups have been more subdued.

"We are really not as excited about that as they have been in Nebraska," said Dal Grooms, spokeswoman for the Iowa Cattlemen's Association.

He said his organization is working with the EPA to focus more on education than on fines.

Chuck Folken, who runs a third generation family cattle feeding operation near Leigh, Neb., about 90 miles northwest of Omaha, said farmers he knows think the EPA just wants to levy more fines. They want Congress to rein in the agency and leave inspections to the states.

"This is just ridiculous that they're flying over watching us like we're committing flagrant crimes," he said. "Everybody is just really frustrated by the thought that the government is flying over, watching us and looking for things that are wrong."

Source: http://news.yahoo.com/midwest-ranchers-lawmakers-protest-epa-flyovers-080146368.html

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'Next-generation digital Earth' charted

ScienceDaily (July 2, 2012) ? The world has gotten smaller and more accessible since applications like Google Earth became mainstream, says UC Santa Barbara Professor of Geography Michael Goodchild. However, there is still a long way to go, and there are important steps to take to get there. His perspective, shared with many co-authors around the world, has been published in the Proceedings of the National Academy of Sciences in a paper titled, "Next-generation Digital Earth."

Based on former vice-president Al Gore's 1992 vision of a digital replica of Earth, the paper examines the world's progress to date, and its prospects for the future.

"The point of this paper is to say, 'Well, how far did we get?'" said first author Goodchild, who specializes in geographic information systems (GIS). The answer? Since Google Earth -- the most popular publicly available program for spinning the digital globe -- not far enough.

Taken from Gore's vision, which is outlined in his 1992 book, "Earth in the Balance," and also taken from a Gore speech Goodchild helped to produce for the opening of the California Science Center in 1998, the development of the first iteration of a Digital Earth was rapid, as technology expanded to allow users to view Earth in a way that had not been possible before. The results fascinated many, who took to maps made by Google and other digital globe-making services -- NASA's WorldWind and Microsoft's Bing Maps, for instance -- to visualize their worlds. Global visualizations and modeling have been responsible for a variety of beneficial efforts, such as the tracking of major weather events and political uprisings, and finding lost people.

But the wider the technology spread, the more obvious certain issues became. For instance, different sources of data provided for these applications resulted in different maps, and different boundaries for the same regions.

"There's no such thing as a true map," said Goodchild, pointing out three versions of the boundaries of the Himalayas on Google Maps, in response to requests from the United States, China, and India. Differences in how the applications measure distance are magnified with each new location mapped. These are issues that could make information from digital globes unreliable, even contentious.

Goodchild sees the next generation of Digital Earth moving away from the top-down experience and giving way to the bottom-up perspective.

"I'm more keen on the next generation going local instead of global," he said. Things that happen to be important to those who live in the area should be part of the area's maps, according to Goodchild, though they may not be the standard political or topographic fare of the traditional globe. Temporal information -- traffic is an example already in use -- also proves to be useful and more relevant to users.

"There's more of a social perspective now, and less emphasis on permanent objects," he said.

However, to take the next steps effectively, the next generation of Digital Earth has to back away from the "exaggerated precision" of the current generation, allowing for uncertainty, and also for the various contexts and environments that a Digital Earth is able to access. Relationships and linkages between objects need to be developed and refined, and a way of archiving the sheer amounts of data must be developed, says the paper.

Additionally, according to the paper, collaboration between multiple infrastructures and open-source partnerships will be necessary for the next generation Digital Earth, as well as a code of ethics that will allow the technology to strike a balance between universal access and universal protection.

"Privacy is less important to the younger generation," said Goodchild, pointing to things like Facebook and similar social media engines, "but we need the ability to opt-out or be invisible. It's getting increasingly difficult."

Despite the move away from ultra-high precision in mapping, however, there continues to be an overarching need for the next generation Digital Earth to be scientifically accurate, and it's the scientific community's job to ensure that accuracy, he said.

"It's the problem we have when major corporations produce scientific software," Goodchild said, citing Google Earth's inclination to satisfy 90 percent of its users. Scientists are part of the remaining 10 percent, he said.

"We ought to insist that scientific standards should be followed," said Goodchild. "Because if we don't, they won't."

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The above story is reprinted from materials provided by University of California - Santa Barbara.

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Journal Reference:

  1. M. F. Goodchild, H. Guo, A. Annoni, L. Bian, K. de Bie, F. Campbell, M. Craglia, M. Ehlers, J. van Genderen, D. Jackson, A. J. Lewis, M. Pesaresi, G. Remetey-Fulopp, R. Simpson, A. Skidmore, C. Wang, P. Woodgate. Next-generation Digital Earth. Proceedings of the National Academy of Sciences, 2012; DOI: 10.1073/pnas.1202383109

Note: If no author is given, the source is cited instead.

Disclaimer: Views expressed in this article do not necessarily reflect those of ScienceDaily or its staff.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/~3/EL06qkCprhU/120702210223.htm

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$2,540 for 2 fillings? Poor hit by high fees at chain

Surviving on a meager $1,300 a month, 87-year-old Theresa Ferritto fretted about the cost when her dentist told her she needed two teeth pulled.

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She figured an oral surgeon would be too expensive. So she decided to try out a dental chain that promoted steep discounts in its advertisements. She went to an Aspen Dental office just outside Cleveland.

Ferritto said Aspen Dental wouldn?t just pull the teeth but insisted on a complete exam. She was bewildered when they finally handed her a treatment planfour pages long. Total price: $7,835.

Ferritto could not afford it, but Aspen Dental signed her up for a special credit card, with monthly payments of $186 for five years. She blames herself for signing the papers.

?I made a big mistake going there,? she says. ?I should have known better.?

After a day of cleanings and two fillings, Ferritto asked her son for help. He called Aspen Dental to complain but said he got nowhere. So they turned to the state Attorney General.

Aspen Dental took all charges off her credit card for treatments she hadn?t yet received. But said the $2,540 she was charged for two fillings and cleanings was appropriate.

Aspen Dental charged Ferritto $350 for an antibiotic put next to teeth the dentist was going to pull, a charge other dentists say makes no sense. There were four separate charges for an antibacterial rinse similar to Listerine for $129. There was even a $149 charge for an electric toothbrush that Ferritto didn?t even know she had, until she recently retrieved an Aspen Dental bag from her garage and found it inside.

Imagine how many groceries that would buy, she sighed.

When asked if Ferritto was taken advantage of, Aspen Dental chief executive Robert Fontana said, ?I hope that the team was clear about what she needed and that that she completely understood what she was getting into. And hopefully, you know, she made the choices that she thought was right for her.?

Aspen Dental is a chain of nearly 350 offices in 22 states managed by a company owned by a private-equity firm. It is part of a fast-growing industry of corporate dental practices, many of which specialize in serving people who cannot afford to go to the dentist, a group many dentists ignore.

By marketing to people who haven?t seen a dentist in years, Aspen Dental often gives new patients treatment plans costing thousands of dollars. The Center for Public Integrity (CPI) and FRONTLINE spent months examining Aspen Dental and found that the same business model that makes Aspen Dental accessible to people short on cash can also lock people into debt and has led to complaints of patients being overcharged or given unnecessary treatments.

Dentists paid bonuses
Former employees say Aspen Dental trained them in high-pressure sales. Corporate management scrutinizes the production of dentists and staff daily. And an Aspen Dental recruiting video says that dentists get paid bonuses as key production targets are met.

?You?ve got people who are not dentists, that are in management ? they are breathing down the doctor?s back,? said Jenny Hayes, who worked as an office manager for Aspen Dental in the Chicago-area last year. ?There are goals and if you are not hitting your goals, then you lose your job.?

Aspen Dental denies that its dentists have stronger financial incentives than other dentists or that its bonuses affect treatments. Fontana, founder and chief executive officer of Aspen Dental, based in East Syracuse, NY, said dentists won?t do unnecessary treatments because ?it?s just not in their DNA.?

?I?m not even sure what corporate dentistry means, because we have no influence on the dentistry,? Fontana said.

He said Aspen Dental frees dentists to focus solely on patients, because the company handles back-office duties such as marketing, accounting and billing. In fact, dentists own and control all of the practices, says Fontana. All but four states forbid anyone who?s not a dentist from owning a practice on the assumption that dentists are trained and motivated to put patients ahead of profits.

Company being investigated
But Sen. Charles Grassley, a Republican from Iowa, questions whether dentists at corporate-dental chains are free from corporate pressures to maximize profits. Grassley wouldn?t speak about Aspen Dental specifically, but he?s had investigators looking into the company and other private-equity-owned chains for months.

?Because when private equity firms get involved,? Grassley explained, ?You got to understand that their motivation is to make money. And they are not dentists. And dentists ought to make the determination ? of what is good for the teeth ? Not some private equity manager in Wall Street.?

Aspen Dental says it serves people who otherwise wouldn?t go to a dentist. Forty percent of Americans have a family member who put off going to the dentist because they couldn?t pay for it, according to a survey by the W.K. Kellogg Foundation. Fontana says Aspen Dental looks for ways to make it easier for those people to walk into their offices.

Their offices are easy to spot at shopping centers, often near fast-food restaurants. Posters advertise a free examand X-rays. Many of their new patients walk in the door without an appointment. Aspen Dental accepts most insurance and if the patient is still short on cash, they will sign you up on your first day for ?no-interest? credit cards through GE Capital or Chase.

Aspen Dental specializes in dentures, which they make in each office. The consultation room has a tray of dentures to choose from, ranging from the basic no-frills model to the ?precision hand-crafted? ComfiLytes, coming in 27 shades. Internet ads offer dentures on sale for $249. Its commercial tells stories of a man in pain from poor-fitting dentures and a woman too embarrassed to smile.

Treatment plan includes problems that may crop up in future
Aspen Dental insists that all new patients get a comprehensive examination. So even if someone just wants a routine cleaning or needs a broken tooth fixed, Aspen Dental presents a treatment plan for any problems that may crop up years later. Fontana says this approach is what?s best for patients, because neglected teeth and gums can lead to serious problems. Several former employees, however, describe the initial exam as a sales tactic to maximize revenue on each new patient.

?People would come into the office maybe with a toothache and come out with a treatment plan that maybe the dentist said we need to extract all your teeth,? said Jenny Hayes, the former office manager in Illinois. ?They were made to stop in the manager?s office and sit down for an intense consultative selling process that they really didn?t bargain for when they walked in the door. I had people literally breaking down and crying in my office. And it happened quite regularly.?

The average treatment plan presented to new patients runs $4,450 at Aspen Dental?s top producing offices, according to an internal company document obtained by CPI and FRONTLINE. The company says the extensive treatment is a reflection of the patients they draw.

?A typical patient is probably 45 to 65 and struggling just to make ends meet,? said Fontana, Aspen?s CEO. ?They?re taking this week?s paycheck to pay last month?s mortgage, making their car payment, trying to put their kids through school and unfortunately, dentistry can become discretionary.?

Donna Kelce of Des Moines, Iowa, fits the profile. At age 55, she hadn?t been to a dentist in 15 years. She didn?t have dental insurance and didn?t think she could afford it. Besides, her teeth never bothered her until a gap starting forming between two front teeth. Embarrassed, she finally went to an Aspen Dental office after seeing one of its commercials.

Kelce was X-rayed and sent to a consultation room, where a dental assistant handed her a treatment plan. Kelce?s gaze stopped on a particular word.

?I could feel the kind of blood run from my face, thinking, ?Oh my God. Dentures,? Kelce said.

Kelce recalls the dentist saying she had no real option but to get dentures because she had lost too much bone for implants. She wasn?t sure how she could afford Aspen Dental?s $3,700 bill. But then the office manager signed her up for a ?no-interest? credit card through Chase. Relieved, Kelce thought she was getting a bargain.

She came back in late November 2009 to have 13 teeth pulled. But she said the dentist pulled and pulled and couldn?t get all the teeth out, breaking one at the root. Kelce wondered if so much bone was gone, why the teeth weren?t coming out easily. After three hours, the dentist still had six teeth to pull but said she could do no more because she had already given Kelce the maximum dose of Novocain.

Aspen Dental sent Kelce to one of its former dentists who could see her that evening. Dr. Jessica Lawson looked at Kelce?s teeth and concluded that they didn?t all need to be pulled. But she finished the work so Kelce could wear her dentures. Kelce said Lawson suggested that Kelce report the incident to the Iowa Dental Board. Lawson herself wrote a letter to the board.
?Having worked at Aspen Dental myself for a short period of time, I am well aware of the type of care that can potentiate, especially if the doctor isn?t firm with the office manager and regional managers in providing the standard of care that he/she is use to, instead of producing the numbers that Aspen requests and expects,? Lawson wrote.

The dentist at Aspen Dental, did not return phone calls for comment. But she gave a different account of Kelce?s treatment in her notes. She said she suggested alternatives but that Kelce ?insisted on dentures and full upper extractions even though (six upper teeth) can be saved.? She added that four of those teeth might not last forever.

Kelce, who is now suing for malpractice, said the dentist never told her any of her teeth could be saved.

?Who in their right mind would let them pull my teeth if they didn?t need to?? she asked.

Dr. Gerald Marlin, a Washington DC prosthodontist who specializes in replacing teeth, looked at Kelce?s X-rays at the request of CPI and FRONTLINE. He drew a red line along the bone and said Kelce had plenty of bone to save seven of her upper teeth.

Marlin came up with seven treatment options for Kelce, in most cases replacing her teeth with a bridge or partial denture. He said dentures should only be a last resort. They don?t adhere well and affect a person?s ability to speak and eat. Partial dentures are not only cheaper but they fit securely, anchored by the remaining teeth.

The dental board dropped the case and won?t discuss it, citing confidentiality laws. Coincidentally, that same month the dental board issued a press release, saying, ?The Board has seen an increase in complaints in connection with corporate dental practices. The types of complaints include both continuity of care issues and issues related to the business aspects of the practice.?

Little regulation
Corporate dental chains are barely regulated in most states, especially if they don?t accept Medicaid patients. State dental boards typically don?t have any power over corporations.

Lili Reitz, executive director of the Ohio State Dental Board, said last year a quarter of her complaints ? or 140 ? were against dentists at corporate chains. Yet she has little authority to take action against the companies. Instead, her power comes from having control over the licenses of individual dentists.

It?s common for Reitz to get complaints that private dentists are trying to do unnecessary care, such as putting fillings on cavities that other dentists don?t see. Still, Reitz says the pressures on dentists at corporate dental practices seem more intense.

?I think quotas and how many patients need to be seen a day definitely have an adverse effect on the quality of care,? Reitz said. ?What?s frustrating for us is to go dentist by dentist by dentist. By the time we get there, they?re not there anymore? because corporate chains have high turnover rates.

Reitz says dentists tend to stop doing needless treatments after leaving a corporate dental chain, so she considers the problem solved and takes no formal action.

State attorneys general can take action under consumer laws if a dental chain deceives patients. The Pennsylvania Attorney General sued Aspen Dental in 2010, alleging that Aspen Dental advertised ?free? exams but still charges patients with insurance. The state also alleged that Aspen Dental failed to reveal that the ?no-interest? credit cards it pushes have steep penalties ? 29.9 percent interest on the entire amount of the original loan ? if a patient misses payments. Aspen Dental settled, paying $175,000 in restitution without admitting wrongdoing.

Dental malpractice cases are relatively rare, attorneys say, because they are expensive to pursue and usually don?t offer big payouts.

Consumer sites on the Internet are full of complaints about Aspen Dental. Fontana acknowledges that the company counted 1,000 complaints posted from 2006 to 2010. But he said Aspen Dental treats 12,000 patients a day, so the number of complaints is relatively small. Aspen Dental has an employee who now responds to the complaints.

Two former dentists at Aspen Dental said Donna Kelce?s story is not surprising. Neither would allow their names to be used because they?d signed confidentiality agreements and feared being sued. But one admitted that he himself pulled teeth that he didn?t think needed to be pulled. It would happen when another Aspen dentist had written the treatment plan and said the patient had insisted on dentures.

'I couldn't do it anymore'
He recently left Aspen Dental, saying, ?I couldn?t do it anymore ? They spend most of their time trying to talk people out of their teeth.?

Fontana dismissed complaints by former employees, saying all companies have disgruntled workers.

Aspen Dental is a pioneer among corporate dental chains. Fontana considered becoming a dentist when he graduated business school in 1991, but decided instead to apply his business knowledge from working in a group dental practice, imagining ways of tapping into the market of people who never go to a dentist.

In 1998, he founded Aspen Dental Management. After five years, the company had opened 50 offices and had drawn the interest of private-equity firms. Capital Resources Partners of Boston invested $18.7 million in Aspen Dental in 2004. The Los Angeles firm Leonard Green & Associates bought the company in 2010 for just under $550 million.

Fontana says private-equity firms want out of a business after about five years, and the key to a big payoff is growth. Aspen Dental opens a new office nearly every week, creating a drag on profits, according to a recent report by Moody?s. Last year, the company made more than $500 million in revenue but had a pretax profit of only $12 million.

The company meticulously tracks revenue targets for each office. Yet Fontana said those targets don?t apply to dentists.

?I think it?s important to keep in mind again, that the dentists don?t have these goals,? he said. ?They just don?t have them. They don?t exist.?

But even an Aspen Dental video on the company?s Web site recruits dentists by saying, ?Compensation for associate dentists includes an annual salary plus bonus opportunity that increases as key targets are met.?

The video even gives a glimpse of the revenue targets for an office in Springfield, Mass. A multicolored spreadsheet titled ?My Practice Metrics? shows that ?dentistry? billings for November 2009 were 243 percent above ?budget.? The image shows there are also revenue targets for cleanings and dentures.

The scrutiny dentists are under at Aspen Dental is clear in a report that Fontana called the ?game tape.? It?s a monthly performance measure sent to office managers. CPI and FRONTLINE obtained one of these confidential reports for an office in Owensboro, Ky. It shows that in February, the office had billed $270,000 so far this year, $35,000 above its target.

The document shows that Aspen Dental also scrutinizes the billings of its dentists. The lead dentist in Owensboro was billing an average of $5,206 a day, earning him praise from the regional director, who wrote ?Showing great trends for this month.? But the tape also compared the dentist to top producing dentists, and in that regard, he fell nearly $1,000 short each day.

Heather Haynes, who managed an Aspen Dental office in Joliet, Illinois, said that office managers who didn?t hit their targets consistently were likely to be fired. She said that?s in fact what happened to her. Haynes said dentists and hygienists, the office?s revenue makers, faced the same pressures.

Aspen Dental invited CPI and FRONTLINE to a new office in Warsaw, Ind., to show how badly needed its services are. Warsaw, a town of about 13,500, has only six private dentists. Aspen Dental opened an office there after a dentist noticed how many people from Warsaw were driving an hour to Fort Wayne for dental appointments.

Ted Collins, a 47-year-old truck driver, walked into the office that day with an excruciating toothache.?I have to use ice packs at times to keep it frozen so I can get some sleep,? Collins said.

He hadn?t been to a dentist in 10 years and came in because of the free X-rays. Two of his teeth were abscessed, an infection that can spread and in rare cases even become fatal. The office gave him a comprehensive exam and found he needed dentures.

Dr. Kurt Losier, the owner of the practice, wiggled several of Collins teeth and showed on the X-ray that his bone had receded dramatically. Losier suggested Collins get the dentures with the longest warranty, which are also the most expensive dentures. Collins couldn?t afford the treatment plan, which came to $7,000. So the office manager tried to sign him up for a credit card. He was rejected.

Patients at Aspen Dental are turned away every day because they cannot afford the treatment, Losier said. To avoid that, the office will trim the treatment plan down. But even that often doesn?t work.

Losier vowed no matter what, he would take care of Collins? abscessed teeth. Ultimately Collins said a friend gave him the money for the dentures.

Haynes, the former office manager, said she lost sleep at night worried about whether the sales tactics Aspen Dental taught her were ethical. She said she trusted the dentists she worked with. But she was so skeptical of the expensive deep-cleanings sold to so many patients that she herself refused to get one after she was examined in her own office.

Lance Dykes, who managed an office in in Tennessee, said he felt like he was being forced to take advantage of people by selling them treatments he suspected they didn?t really need. He finally quit one day when he says he had to sell a $12,000 treatment plan to an elderly couple who seemed confused.

Dykes said the man looked him in the eye and asked if he had to decide right then. Dykes said no. Go home and think about it. This broke the rules taught in training for closing the deal, which he says, include getting the patient to commit before they walk out.

In December 2008, Sarah Keckler went to an Aspen Dental in Mechanicsburg, Penn., just to get her teeth cleaned. After a long wait, the dentist said the 20-year-old had three cavities and also needed to have her wisdom teeth pulled. She also said Keckler might have oral cancer.

Keckler, who now lives near Washington D.C., recalls the woman talking so loudly that it seemed the whole office could hear. ?She was giving this massive disaster scenario. I didn?t believe a thing that she said.??

Keckler went to her dentist regularly, the last time just six months earlier. But a change in her insurance forced her to switch dentists. As she was wondering how she was going to get out of this, the office manager handed her an estimated bill for a little more than $600. Keckler said the manager encouraged her to sign and even to enroll for a special credit card to pay for it all up front.

Angered by what she considered a hard sell, Keckler got up and left and went back to her family dentist. He found no cavities, no need to pull her wisdom teeth and no oral cancer.

Aspen Dental reviewed Keckler?s files and says she was appropriately diagnosed and that other dentists would agree. However, in an interview, Aspen Dental?s Arwinder Judge, the vice president of clinical support, acknowledged that the surface cavities don?t show up in Keckler?s X-rays. The company is relying on the dentist?s notes to support its diagnosis.

Last February, Dr. David Schneider, a dentist in Chevy Chase, Md., examined Keckler and her X-rays at the request of CPI and FRONTLINE. He said there were no cavities, no need to pull her wisdom teeth and no signs of oral cancer.

Source: http://www.msnbc.msn.com/id/48033848/ns/health-health_care/

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Mexican leftist says will wait for final vote results

[ [ [['Connery is an experienced stuntman', 2]], 'http://yhoo.it/KeQd0p', '[Slideshow: See photos taken on the way down]', ' ', '630', ' ', ' ', ], [ [['Connery is an experienced stuntman', 7]], ' http://yhoo.it/KpUoHO', '[Slideshow: Death-defying daredevils]', ' ', '630', ' ', ' ', ], [ [['know that we have confidence in', 3]], 'http://yhoo.it/LqYjAX ', '[Related: The Secret Service guide to Cartagena]', ' ', '630', ' ', ' ', ], [ [['We picked up this other dog and', 5]], 'http://yhoo.it/JUSxvi', '[Related: 8 common dog fears, how to calm them]', ' ', '630', ' ', ' ', ], [ [['accused of running a fake hepatitis B', 5]], 'http://bit.ly/JnoJYN', '[Related: Did WH share raid details with filmmakers?]', ' ', '630', ' ', ' ', ], [ [['accused of running a fake hepatitis B', 3]], 'http://bit.ly/KoKiqJ', '[Factbox: AQAP, al-Qaeda in Yemen]', ' ', '630', ' ', ' ', ], [ [['have my contacts on or glasses', 3]], 'http://abcn.ws/KTE5AZ', '[Related: Should the murder charge be dropped?]', ' ', '630', ' ', ' ', ], [ [['have made this nation great as Sarah Palin', 5]], 'http://yhoo.it/JD7nlD', '[Related: Bristol Palin reality show debuts June 19]', ' ', '630', ' ', ' ', ], [ [['have made this nation great as Sarah Palin', 1]], 'http://bit.ly/JRPFRO', '[Related: McCain adviser who vetted Palin weighs in on VP race]', ' ', '630', ' ', ' ', ], [ [['A JetBlue flight from New York to Las Vegas', 3]], 'http://yhoo.it/GV9zpj', '[Related: View photos of the JetBlue plane in Amarillo]', ' ', '630', ' ', ' ', ], [ [['the 28-year-old neighborhood watchman who shot and killed', 15]], 'http://news.yahoo.com/photos/white-house-stays-out-of-teen-s-killing-slideshow/', 'Click image to see more photos', 'http://l.yimg.com/cv/ip/ap/default/120411/martinzimmermen.jpg', '630', ' ', 'AP', ], [ [['He was in shock and still strapped to his seat', 6]], 'http://news.yahoo.com/photos/navy-jet-crashes-in-virginia-slideshow/', 'Click image to see more photos', 'http://l.yimg.com/cv/ip/ap/default/120406/jet_ap.jpg', '630', ' ', 'AP', ], [ [['xxxxxxxxxxxx', 11]], 'http://news.yahoo.com/photos/russian-grannies-win-bid-to-sing-at-eurovision-1331223625-slideshow/', 'Click image to see more photos', 'http://l.yimg.com/a/p/us/news/editorial/1/56/156d92f2760dcd3e75bcd649a8b85fcf.jpeg', '500', ' ', 'AP', ] ]

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Source: http://news.yahoo.com/mexican-leftist-says-wait-final-vote-results-044000097--business.html

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Braun (Sorta) Resurrects an Old Dieter Rams Watch Design [Design]

In 1978, Dieter Rams designed a watch for Braun that saw a limited, 3,000 unit production run. The stainless-steel DW30 featured a digital face and only two buttons, with a thick, leather band holding the timekeeper in place. Out of production since 1982, Braun has resurrected the spirit of the DW30 with the BN0076—a watch directly inspired by Rams' design, but updated for a modern wrist (or something like that. More »


Source: http://feeds.gawker.com/~r/gizmodo/full/~3/5FYrCwBrXGQ/braun-sorta-resurrects-an-old-dieter-rams-watch-design

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Swiss politician urged 'Kristallnacht' for Muslims

By msnbc.com staff

Right-wing Swiss politician Alexander M?ller is out of a party post as well as his private job after using Twitter to call for ?Kristallnacht ? this time for mosques.?

The Zurich man also faces a criminal investigation and police searched his home and confiscated his computer, according to media reports and his own blog.


The prosecutor?s office said M?ller, 37, admitted tweeting in response to the May acquittal on hate-speech charges of a Muslim man who said it was "Sharia-compliant? for a? man to beat his wife if she refused to have sex with him, the newspaper Tages Anzeiger (Daily News) and others said. Otherwise, Aziz Osmanoglu had said, the man might be unfaithful.

M?ller tweeted from his @dailytalk account, ?Maybe we need a new Kristallnacht ? this time against the mosques.?

The tweet was erased, but newspapers, including 20 Minuten, recovered it and other posts.

M?ller also had tweeted that ?we should take this pack out of the country. I do not want to live with such people? and ?I would like to stand certain people up against the wall and shoot them. Less dirt on the earth would be good.?

M?ller?s tweets now are open only to confirmed followers, according to his Twitter profile page.

On Wednesday, M?ller held a news conference in which he apologized and resigned from the Swiss People's Party executive committee for Zurich districts 7 and 8 and from his seat on the local school board.

Roger Liebi, the party's Zurich leader, said the comments were ?unacceptable.?

Watch World News videos on msnbc.com

M?ller?said in his blog that he was fired from his job at a credit insurance firm after his employers learned of his tweets through the media.

Abdel Azziz Qaasem Illi, spokesman for Islamic Central Switzerland, was quoted in Islamaphobia Today as saying that M?ller's party is no friend to religious Muslims. In 2009, the party had supported a constitutional ban against the construction of minarets in Switzerland.

Islamaphobia Today reported that Illi said statements against Jews are avoided in Switzerland, but?"it is more common to hear anti-Muslim hate speech.?

Dr. Herbert Winter, president of the Swiss Federation of Jewish Communities, called Muller?s Twitter statement ?totally unacceptable,? the Jewish Telegraph Agency reported. He said it was ?very offensive? to both the Jewish and Muslim communities because it ?implies that Muslims deserve Kristallnacht treatment as the Jews deserved it in 1938.?

Kristallnacht, or ?the night of broken glass,? took place Nov. 9-10, 1938, when mobs throughout Germany and parts of Austria killed nearly 100 Jews, ransacked and burned more than 1,000 synagogues, destroyed more than 7,000 Jewish-owned businesses, and vandalized Jewish cemeteries and schools, the Jewish Telegraph Agency news group explained. Some 30,000 Jews were arrested and sent to concentration camps, JTA said.

Msnbc.com's Jim Gold contributed to this article. Follow him on Facebook here.?

More world news from msnbc.com and NBC News:

Follow World News on msnbc.com on Twitter and Facebook

Source: http://worldnews.msnbc.msn.com/_news/2012/06/30/12501249-swiss-politician-loses-post-job-after-urging-kristallnacht-against-muslims?lite

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Chronic inflammation in the brain leads the way to Alzheimer's disease

[ Back to EurekAlert! ] Public release date: 1-Jul-2012
[ | E-mail | Share Share ]

Contact: Hilary Glover
hilary.glover@biomedcentral.com
44-203-192-2370
BioMed Central

Research published today in Biomed Central's open access journal Journal of Neuroinflammation suggests that chronic inflammation can predispose the brain to develop Alzheimer's disease.

To date it has been difficult to pin down the role of inflammation in Alzheimer's disease (AD), especially because trials of NSAIDs appeared to have conflicting results. Although the ADAPT (The Alzheimer`s Disease Anti-inflammatory Prevention Trial) trial was stopped early, recent results suggest that NSAIDs can help people with early stages of AD but that prolonged treatment is necessary to see benefit.

Researchers from the University of Zurich, in collaboration with colleagues from the ETH Zurich and University of Bern investigated what impact immune system challenges (similar to having a severe viral infection) would have on the development of AD in mice. Results showed that a single infection before birth (during late gestation) was enough to induce long-term neurological changes and significant memory problems at old age.

These mice had a persistent increase in inflammatory cytokines, increased levels of amyloid precursor protein (APP), and altered cellular localization of Tau. If this immune system challenge was repeated during adulthood the effect was strongly exacerbated, resulting in changes similar to those seen for pathological aging.

Dr Irene Knuesel who led this research explained, "The AD-like changes within the brain of these mice occurred without an increase in amyloid ? (A?). However, in mice genetically modified to produce the human version of A?, the viral-like challenge drastically increased the amount of A? at precisely the sites of inflammation-induced APP deposits. Based on the similarity between these APP/A? aggregates in mice and those found in human AD, it seems likely that chronic inflammation due to infection could be an early event in the development of AD.

###

Notes to Editors

1. Systemic immune challenges trigger and drive Alzheimer-like neuropathology in mice
Dimitrije Krstic, Amrita Madhusudan, Jana Doehner, Prisca Vogel, Tina Notter, Claudine Imhof, Abigail Manalastas, Martina Hilfiker, Sandra Pfister, Cornelia Schwerdel, Carsten Riether, Urs Meyer and Irene Knuesel
Journal of Neuroinflammation (in press)

Please name the journal in any story you write. If you are writing for the web, please link to the article. All articles are available free of charge, according to BioMed Central's open access policy.

Article citation and URL available on request on the day of publication.

2. Journal of Neuroinflammation is an open access, peer-reviewed online journal that focuses on innate immunological responses of the nervous system, involving microglia, astrocytes, cytokines, chemokines, and related molecular processes.

3. BioMed Central is an STM (Science, Technology and Medicine) publisher which has pioneered the open access publishing model. All peer-reviewed research articles published by BioMed Central are made immediately and freely accessible online, and are licensed to allow redistribution and reuse. BioMed Central is part of Springer Science+Business Media, a leading global publisher in the STM sector.

During embargo, article available here


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


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


[ Back to EurekAlert! ] Public release date: 1-Jul-2012
[ | E-mail | Share Share ]

Contact: Hilary Glover
hilary.glover@biomedcentral.com
44-203-192-2370
BioMed Central

Research published today in Biomed Central's open access journal Journal of Neuroinflammation suggests that chronic inflammation can predispose the brain to develop Alzheimer's disease.

To date it has been difficult to pin down the role of inflammation in Alzheimer's disease (AD), especially because trials of NSAIDs appeared to have conflicting results. Although the ADAPT (The Alzheimer`s Disease Anti-inflammatory Prevention Trial) trial was stopped early, recent results suggest that NSAIDs can help people with early stages of AD but that prolonged treatment is necessary to see benefit.

Researchers from the University of Zurich, in collaboration with colleagues from the ETH Zurich and University of Bern investigated what impact immune system challenges (similar to having a severe viral infection) would have on the development of AD in mice. Results showed that a single infection before birth (during late gestation) was enough to induce long-term neurological changes and significant memory problems at old age.

These mice had a persistent increase in inflammatory cytokines, increased levels of amyloid precursor protein (APP), and altered cellular localization of Tau. If this immune system challenge was repeated during adulthood the effect was strongly exacerbated, resulting in changes similar to those seen for pathological aging.

Dr Irene Knuesel who led this research explained, "The AD-like changes within the brain of these mice occurred without an increase in amyloid ? (A?). However, in mice genetically modified to produce the human version of A?, the viral-like challenge drastically increased the amount of A? at precisely the sites of inflammation-induced APP deposits. Based on the similarity between these APP/A? aggregates in mice and those found in human AD, it seems likely that chronic inflammation due to infection could be an early event in the development of AD.

###

Notes to Editors

1. Systemic immune challenges trigger and drive Alzheimer-like neuropathology in mice
Dimitrije Krstic, Amrita Madhusudan, Jana Doehner, Prisca Vogel, Tina Notter, Claudine Imhof, Abigail Manalastas, Martina Hilfiker, Sandra Pfister, Cornelia Schwerdel, Carsten Riether, Urs Meyer and Irene Knuesel
Journal of Neuroinflammation (in press)

Please name the journal in any story you write. If you are writing for the web, please link to the article. All articles are available free of charge, according to BioMed Central's open access policy.

Article citation and URL available on request on the day of publication.

2. Journal of Neuroinflammation is an open access, peer-reviewed online journal that focuses on innate immunological responses of the nervous system, involving microglia, astrocytes, cytokines, chemokines, and related molecular processes.

3. BioMed Central is an STM (Science, Technology and Medicine) publisher which has pioneered the open access publishing model. All peer-reviewed research articles published by BioMed Central are made immediately and freely accessible online, and are licensed to allow redistribution and reuse. BioMed Central is part of Springer Science+Business Media, a leading global publisher in the STM sector.

During embargo, article available here


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


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


Source: http://www.eurekalert.org/pub_releases/2012-07/bc-cii062912.php

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AP PHOTOS: Spain wins Euro 2012, partying ensues

Spanish fans celebrate during the viewing of Euro 2012 soccer championship final match between Spain and Italy at the Fan Zone in Madrid, Spain, Sunday, July 1, 2012. (AP Photo/Andres Kudacki)

Spanish fans celebrate during the viewing of Euro 2012 soccer championship final match between Spain and Italy at the Fan Zone in Madrid, Spain, Sunday, July 1, 2012. (AP Photo/Andres Kudacki)

A Spain supporter cheers for his team ahead of Sunday's Euro 2012 soccer championship final match between Spain and Italy in Kiev, Ukraine, Sunday, July 1, 2012. (AP Photo/Efrem Lukatsky)

Spain's Jordi Alba celebrates their second goal with teammates during the Euro 2012 soccer championship final against Italy in Kiev, Ukraine, Sunday, July 1, 2012. (AP Photo/Matthias Schrader)

Spanish fans celebrate during the viewing of Euro 2012 soccer championship final match between Spain and Italy at the Fan Zone in Madrid, Spain, Sunday, July 1, 2012. (AP Photo/Andres Kudacki)

Italy's Mario Balotelli, bottom, and Spain's Sergio Ramos go for a header during the Euro 2012 soccer championship final in Kiev, Ukraine, Sunday, July 1, 2012. (AP Photo/Vadim Ghirda)

Spain won its third straight major soccer title Sunday, routing Italy 4-0 in the European Championship final and making it look all too easy.

With every goal, the huge group of fans at Olympic Stadium in Kiev, Ukraine, cheered and screamed.

In central Madrid, tens of thousands of Spaniards gathered to watch their team's win. The victory gave Spain undisputed proof the team is the best in the world, setting off celebrations in all corners of the country ? and giving Spaniards a break from the grinding economic crisis they're enduring.

"We needed this win to counteract the suffering caused by the crisis, which seems endless," said a smiling Antonio Ferrillo in downtown Madrid as cars drove by with passengers yelling "Espana! Espana!"

_____

Here's a gallery of photos from the match and celebrations.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/3d281c11a96b4ad082fe88aa0db04305/Article_2012-07-01-Photo%20Gallery-Euro%202012/id-b330850976ab492e808e39b423c55375

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Page Not Found (404) - Salon.com

Copyright ? 2012 Salon Media Group, Inc. Reproduction of material from any Salon pages without written permission is strictly prohibited.

SALON ? is registered in the U.S. Patent and Trademark Office as a trademark of Salon Media Group Inc.

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Source: http://feeds.salon.com/salon/index

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