January Jones transformed into "Fat Betty" on Mad Men for one simple reason: She was pregnant in real life and couldn't be pregnant on the series (again). But that doesn't mean playing an overweight version of her character (in order to mask her pregnancy pounds) was an easy task for the slender actress.
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Calling it common sense reform, Representative Kurt Daudt authored and successfully passed a bill this past session relating to welfare reform.
Representative Kurt Daudt
Rep. Daudt spoke about the bill that puts new restrictions on those using Electronic Benefits Transfer (EBT) cards that provide cash and food support benefits to Minnesotans.
Rep. Daudt explained in August 2008, Minnesota House Republicans uncovered data from the Minnesota Department of Human Services showing that 309,717 EBT transactions took place in other states other than Minnesota costing taxpayers more than $10 million.
He also explained an investigative report by a Twin Cities television station uncovered 54,000 transactions in September 2010 took place in states other than Minnesota including Hawaii and the Virgin Islands. Of those transactions, 101 were at liquor stores in eight different states.
The legislation prohibits EBT recipients from purchasing tobacco or alcohol products with their EBT cards. In addition, the bill limits use of the cash portion of EBT cards to Minnesota and surrounding states. Rep. Daudt also said effective June 1, names will be printed on EBT cards.
?This law will potentially save millions,? Rep. Daudt said.
Rep. Daudt said overall he is comfortable with the outcome of the session.
?We came in with a $6.2 billion deficit and we are now looking at a $1.2 billion surplus,? Rep. Daudt said. ?Even though the surplus is already accounted for budget reserves and cash flow, we did accomplish a surplus without raising taxes. We felt if we raised taxes it would prolong the recovery from the economic slump we are in. We want to get people back to work and curb state spending.?
This past session, Rep. Daudt served as vice chair of Rules and Legislative Administration and served on the following committees: Commerce and Regulatory Reform, Higher Education Policy and Finance, Property and Local Tax Division, Public Safety and Crime Prevention Policy and Finance and Redistricting.
Rep. Daudt said he also spent a lot of time working on Green Acres and Rural Preserves tax relief programs. Rep. Daudt explained Green Acres was changed so that property, of any size acreage, be contiguous to property enrolled in Green Acres and under the same ownership.
?Our area was really hit hard by the Green Acres and this bill was changed that allowed people to keep their entire farm with Green Acres,? Rep. Daudt explained.
One highlight of the session for Rep. Daudt was when he was part of the Republican rebuttal following Gov. Dayton?s State of the State address.
?I served on six committees and stayed busy while I was down there,? Rep. Daudt said. ?But overall, I?m happy with the session.?
?
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WASHINGTON (AP) ? President Barack Obama on Wednesday congratulated Mitt Romney on securing the Republican presidential nomination, a gesture coupled with a new line of attack on the GOP challenger that portrays his economic record while governor of Massachusetts as a failure.
The president called Romney and told him "he looked forward to an important and healthy debate about America's future," Obama campaign spokesman Ben LaBolt said. Romney's campaign said the call was "brief and cordial." Both men wished each other's families well during the upcoming race.
Romney's primary win in Texas on Tuesday pushed him past the 1,144-delegate threshold he needed to claim the nomination.
Obama took the formal step of congratulating his opponent even as his team looked to shift to the Massachusetts story under Romney. In a five-page memorandum from senior Obama campaign adviser David Axelrod, the Obama camp cast Romney as poor steward of the Massachusetts economy during his 2003-2007 tenure as governor.
"When it comes to Mitt Romney and his economic philosophy the facts are clear ? it didn't work then, and it won't work now," Axelrod wrote.
Romney's campaign, meanwhile, was bringing attention to failed stimulus projects under Obama and federal money given to green energy companies like Solyndra, a solar firm that received hundreds of millions of dollars from the government only to go bankrupt.
The competing attack-lines came as Romney pivoted from a long primary slog to the Republican nomination and a new summertime window to sway voters who have not yet fully tuned into the presidential campaign. Romney hopes to present himself as a worthy replacement for Obama who can help revitalize a slow-moving economy, the most important issue for voters.
The country is "just beginning a general election, we've gone through a primary ... not a lot of people focus time on the characteristics of a new candidate like myself, and people will get to know me better. My guess is they're going to get to know more about me than they'd like to by the time we're finished," Romney said in an interview on Fox News that aired Wednesday but was taped over the weekend.
For months, Obama and his allies have signaled plans to target Romney's Massachusetts record, with advisers noting that the state's economy lagged in job creation and saw an increase in debt while he was governor. The critique builds upon a line of attack this month of Romney's record at private equity firm Bain Capital, which Obama's team contends led to job losses and bankrupt companies even while Bain profited.
"Whether companies succeeded or failed, Romney Economics netted huge profits for him and his investors, but sometimes proved devastating for the middle-class workers whose jobs, benefits and pensions were put at risk," Axelrod wrote in the memo released Wednesday.
Axelrod sought to link Romney's Bain record with his Massachusetts experience by noting that Romney ran for governor on the basis of his private-sector background. "Under Gov. Romney, the Massachusetts economy was not at the top or even in the middle, but close to the bottom of all the states," he wrote.
Republicans contend that Obama's critique of the Bain record will backfire because it will give voters the impression that he is anti-business. The focus on Obama's green energy record, including Energy Department funding for companies like Solyndra, gives Romney a chance to rebut Bain because Republicans say Obama essentially played the role of venture capitalist by investing government money in green energy companies.
On Tuesday, Romney raised money in Las Vegas with Donald Trump, the real estate mogul who has stoked doubts about whether Obama was born in America. It was the start of a weeklong push to raise millions of dollars during a West Coast trip designed to help Romney bring in as much cash as possible ahead of a ramped-up campaign schedule later this summer.
The former Massachusetts governor was looking to take advantage of his official claiming of the nomination, a triumph of endurance for a candidate who came up short four years ago and had to fight hard this year as voters flirted with a carousel of GOP rivals. According to the Associated Press count, Romney surpassed the 1,144 delegates needed to win the nomination by winning 105 delegates in the Texas primary, pushing his total to 1,191 delegates.
Romney must now fire up conservatives who still doubt him while persuading swing voters that he can do a better job fixing the nation's struggling economy than Obama. In Obama, he faces a well-funded candidate with a proven campaign team in an election that will be heavily influenced by the economy.
Romney has scheduled fundraisers this week in wealthy California enclaves like Hillsborough, near San Francisco, and Beverly Hills. He has at least one major fundraising event every day for the rest of the week, as well as a series of smaller events.
Obama has scheduled a fundraising blitz Friday in Minneapolis and Chicago.
___
Hunt reported from Hillsborough, Calif.
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By Reuters
Peter Wafzig / Getty Images
Bruce Springsteen performs on stage at the Rheinenergiestadion on May 27 in Cologne, Germany.
BERLIN --?Rocker Bruce Springsteen touched on a nerve of widespread discontent with the financiers and bankers at a Berlin concert on Wednesday, railing against them as "greedy thieves" and "robber barons."
Springsteen, a singer-songwriter dubbed "The Boss" who has long championed populist causes, played to a sold-out crowd at Berlin's Olympic Stadium, singing from his album "Wrecking Ball" and speaking about tough economic times that have put people out of work worldwide and led to debt crises in Greece and other countries.
"In America, a lot of people have lost their jobs," said Springsteen, 62, who performed for three hours to some 58,000 fans in the packed stadium that hosted the 1936 Olympics and the 2006 World Cup final.
"But also in Europe and in Berlin, times are tough," he added, speaking in fluent German. "This song is for all those who are struggling." He then introduced "Jack of All Trades", a withering attack on bankers that includes the lyrics: "The banker man grows fat, working man grows thin."
Europe has been especially hard hit since 2008's financial meltdown that sparked an enduring sovereign debt crisis. Unemployment on the continent has risen to levels not seen since the 1990s.
Springsteen's "Wrecking Ball" tour began on May 13 in Spain, which is struggling with its crushing debt load, and it runs for 2-1/2 months with 33 stops in 15 countries before concluding on July 31 in Helsinki.
Berlin, largely a working class city, has been a special place for Springsteen since his July 1988 concert behind the old Iron Curtain in East Berlin.?
Watched by 160,000 people, or about 1 percent of then Communist East Germany's population, it was the biggest rock show in East German history, and The Boss boldly spoke out against the "barriers" keeping East Germans in their portion of the city.
Some historians have said the concert fed into a movement gaining moment at the time that contributed to the tearing down of the Berlin Wall 16 months later in November 1989.
"Once in a while you play a place, a show that ends up staying inside of you, living with you for the rest of your life," he told the crowd on Wednesday after being handed a poster from a fan thanking him for the 1988 concert. "East Berlin in 1988 was certainly one of them."
Even though Germany has managed to come through the current financial crisis in fairly good shape, Berlin itself is struggling with a double-digit unemployment rate, low wages and a high poverty. And some of the lyrics in Springsteen's "Wrecking Ball" album clearly struck a chord with the crowd.
In "Shackled and Drawn", Springsteen sings about "Gambling man rolls the dice, working man pays the bill. It's still fat and easy up on banker's hill. Up on banker's hill the party's going strong, down here below we're shackled and drawn."
With "Easy Money", Springsteen rips into the "fat cats" who will "just think it's funny ... when you're whole world comes tumbling down." In "Death to My hometown", Springsteen assails the "greedy thieves and robber barons" who "destroyed our families, factories and they took our homes." In the song "Wrecking Ball", he sings: "Hold tight to your anger."
"The financial world has caused us all a lot of our problems and Springsteen has always been a critical spirit - that's what I like about him," said Kathleen Wapp, a 42-year-old doctor's assistant from Wolfsburg who was at the show. "I like the way he's not afraid to put a critical light on the key issues."
"I think it's great the way he's taking on the banking industry - he's got it dead right," said Matthias Beck, 46, a carpenter from Leipzig. "There's hardly anything good about banks. They take advantage of the little people, and it's always hard to find someone who'll take responsibility when it all goes wrong."
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Ancient Indus civilization shaped by seasonal rains
Web edition : 1:03 pm
Climate change may have determined the fate of the ancient world?s most expansive civilization. A new study suggests that the waning of monsoons spurred both the rise and fall of the Harappans, who flourished in the floodplains of the Indus Valley thousands of years ago. ?
Small floods driven by the rains nourished the crops of early cities but proved unreliable generations later, researchers report online the week of May 28 in the?Proceedings of the National Academy of Sciences.
?The Indus people were a Goldilocks civilization,? says Liviu Giosan, a geologist at the Woods Hole Oceanographic Institution in Massachusetts. ?They settled when the floods were just right, and then they disappeared when that window of opportunity disappeared.?
Giosan and his colleagues mapped the parts of western Asia inhabited by the Harappans using measurements made by the space shuttle Endeavour in 2000. An instrument onboard bounced radar signals off Earth?s surface and revealed subtle valleys, mounds and channels difficult to see from the ground, including the long-dry bed of a monsoon-fed river in desert that was once the heart of the Indus civilization.
Sediments unearthed and dated by the researchers showed a remodeling of the landscape over time. About 10,000 years ago, flooding rivers in parts of India, Pakistan and Afghanistan changed behavior as monsoon rains weakened. Instead of dumping loads of sediment that built up the land, the rivers began to cut out valleys.
New valleys next to increasingly mild rivers would have been fertile ground for human settlement. Starting about 5,200 years ago, cities sprang up in spots where small, regular floods would have watered farmlands.
?They were smart in picking sites with just enough water,? says Peter Clift, a sedimentologist at Louisiana State University in Baton Rouge and coauthor of the new study.
Conditions continued to dry, though, which would have made floods less frequent and therefore less reliable. That could explain why cities began declining about 3,900 years ago, says Clift. He and his colleagues report a trend toward smaller settlements developing after this time farther east, where monsoons are stronger.
But archaeologist Rita Wright of New York University cautions that blaming monsoons for the decline of the Harappans leaves out a very important element: the Harappans themselves.
?The Harappan farmers were well aware that the climate fluctuated,? Wright says. ?Over time, they developed a variety of ways to cope with their environment.?
Farmers in some cities might have found ways to deal with changing climate. Though the Indus people didn?t build irrigation systems like their contemporaries in ancient Egypt and Mesopotamia, they did cultivate a variety of different crops, some of which were more resistant to drought. They also raised animals for food and built massive water reservoirs.
To really understand how climate change played out in each city, says Wright, archaeologists will need to move beyond the big picture and dig up new clues.
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SUMMERDALE, Alabama ? A local investor paid $218,000 for about 3 acres at the corner of Ala. 59 and Jackson Street in Summerdale and plans to renovate the large house on the land for future commercial use, according to Tim Herrington of Herrington Realty.
Truland Homes paid $480,000 for 15 lots in Beau Chene subdivision on Rigsby Road off Ala. 181 in Daphne, according to Nathan Cox of Bellator Real Estate Development. The builders plan to construct homes in the $500,000 range, he said. They have eight homes in various stages of construction.
The owner of Zeke?s Landing on Cotton Bayou in Orange Beach is seeking a permit from the U.S. Army Corps of Engineers to fill less than an acres of coastal fringe wetlands on Cotton Bayou to develop nine single-family homes and build a 15-slip marina, according to the corps.
K Company, a hair salon, has opened in 1,200 square feet at 790 Daphne Ave., in old town Daphne, according to Larry Chason of Chason Earle Real Estate in Daphne.
Foundation of Faith Ministries has leased 4,000 square feet in Azalea Business Park off Moffett Road in Semmes, according to Tina Gaston Davis of Harmony Realty Development. The space was formerly occupied by Fastenal.
Transportation Technology Services has leased 1,000 square feet of office space in Tanner Williams Business Park on Tanner Williams Court in west Mobile, according to Davis of Harmony Realty.
SealMaster, a wholesale supplier of asphalt products, has leased an 8,000-square-foot office warehouse in Wolf Ridge Industrial Park off Wolf Ridge Road in Prichard, according to Joey Betbeze of Betbeze Realty, who represented the landlord. Loyd Marston of Springhill Real Estate worked for the Atlanta-based tenant.
Construction is under way on Sizemore Creek Commons, an 80-unit apartment complex at 51 Wooten Road near Highway 21 in Atmore, according to Royal Management Co. The one, two- and three-bedroom apartments should be finished by August.
Attorney Richard Hinds has opened an office in the GMO Building at 110 Beauregard St., downtown, according to Pete Riehm and Tammy Adcock of Grubb Ellis/Peebles Cameron, who represented the landlord.
The four-bedroom Parade of Homes showcase house in Leighton Place off Riviere Du Chien Road has sold for $369,000, according to Kym Trest and Joe Burkholder of Roberts Brothers, who represented the seller and the buyer. The 3,016-square-foot house was built by Lynn Nolen for last fall?s Home Builders Association of Metro Mobile home tour.
Article source: http://blog.al.com/press-register-business/2012/05/orange_beach_marina_owner_want.html
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Posted by admin on May 27, 2012 in Blog
3 beds, 2 full, 1 part baths
Home size: 2,069 sq ft
Lot Size: 5,662 sq ft
Property Type: DETACHD
MLS Number: 12522126
Community: Mountain Park
No work needed here. Updates in the past few years include roof, windows & 3 skylights, furnace, paint,kitchen & more. Just move in and enjoy. Located only minutes from I-5 or the Mountain Park Rec center. The center includes pools, gym, weight room, classes & much more. More like a health club. Come see this fantastic home in a great neighborhood. Rear yard backs to trees.
Listed with John L. Scott
The content relating to real estate for sale on this web site comes in part from the IDX program of the RMLS? of Portland, Oregon. All real estate listings are marked with the RMLS? logo, and detailed information about these properties includes the names of the listing brokers. Listing content is ? 2009 RMLS?, Portland, Oregon.
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Tags: Barometer, debt, Germans, percent, Political, ZDF's
ZDF Politbarometer: 62 percent of Germans for new debt
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debt-financed growth impulses to stimulate the economy. With the introduction of euro bonds, it looks different.
???? 25/05/12
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??????????????The majority of the population supports debt-financed growth impulses to stimulate the economy. With the introduction of euro bonds, it looks different.
? DPA ???? The debt of the Federation of Taxpayers shows the national debt of over two trillion ? ???????????????? picture share ????????????????????
A large majority of German Chancellor Angela Merkel supported the rejection of so-called Euro-bonds. Published on Friday in ZDF Politbarometer 79 respondents favored against common European bonds, only 14 percent support it.
????????????text However, after collecting many German keen to expand with new debt, the economy. 62 percent in favor of debt-financed growth momentum, 27 percent oppose it.
????????????increasingly skeptical about the fate of Greece is seen in the euro zone. Only 31 percent of respondents argued for a stay, 60 percent opposed it. Last November, another 41 percent had voted to keep Greece in the monetary union, however, were 49 percent.
????????????????????????
every second German text currently expects more disadvantages, if Germany should remain in the euro-zone. For 45 percent of the common currency has more advantages.
????????????SPD leader Sigmar Gabriel made it clear that the SPD to the introduction of euro bonds in the classic version as jointly guaranteed borrowing possibly think of several states in the medium term. ? / p>????????????
?The euro bonds are something that even on constitutional grounds in Germany can not be introduced from today to tomorrow,? Gabriel said in Germany radio. The SPD had said from the beginning would have to ensure that the European treaties are subject to change.
????????????Reuters / dpa / woz
disagreement over ? Bonds???????????? Source: Reuters ???? Before the special summit in Brussels, the Chancellor pointed to existing EU treaties and spoke out against Euro-bonds. According to Francois Hollande, but had exactly this issue be discussed again. ???????????????? Video Share ????????????????????
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The development of modern tinting methods appeased car owners frustrated by their inability to fit tinted windows over their prescription windows. Make your ride cooler with this Groupon.
Technicians line windows with tinted film that decreases heat and glare and provides privacy. ATC Window Tinting backs the service with a lifetime guarantee.
At ATC Window Tinting, technicians line the surfaces of cars and homes with more than 30 types of film, each bearing a useful set of characteristics. Antireflective coverings subdue hazardous glares that could cause traffic accidents, and solar-protection films block out heat while driving in the sunshine or rolling through a tanning salon. Paint-protection films deflect damage caused by rocks, salt, or gravel displaced by a vehicle's wheels. The techs also decorate surfaces with custom graphics and protect headlights and taillights with Lamin-x film. Mobile tinting, with hours extended into the nights and weekends, makes the service convenient for patrons in surrounding areas.
Even the rare popular, well-adjusted person might lack a confidante to enable their own shameful, suppressed neuroses. Craft the perfect imaginary friend by choosing one of the fictitious figments from Column A and pairing it with one of the memorable monikers from Column B:
Column A:
? Alligator in a top hat
? A big mound of hair with dewy, paper-plate-size eyeballs
? Empowering female role model who's as quick with her wit as she is with her dagger
? Lively, animate teddy bear stuffed tightly with cash
? A clown, for any child who is still entertained by clowns
Column B:
? Mr. Huggencuddle
? Crunchy Clementine
? Sheriff Bubbles
? Bond? James Bond? New Stepdad, James Bond
? The Glumpster
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Programs that suggest mega doses of up to 10 grams or more of acne facial B5 each day may be unnecessary. To be honest, I? ve tried them all, and not only do they take time to clear up your face, but they actually make your skin worse before it gets does better. If you finger it too often with your dirty hands, they will become infected and turns into whiteheads with pustules. Acne can be a extremely frequent skin disease which causes typical pimples, whiteheads and blackheads and is generally triggered by certain events. hair Use papaya and for the seeds for exfoliating. How to Get Rid of Ice Pick Scars Most acne scar removal methods don? t work with deep ice pick scars. To learn more about unique ingredients for healthy skin, and other incredible substances youve probably never heard of, visit my website today. Small amounts of B5 won? t help though, and it has to be taken several times a day. Hormonal cycle in women The hormone progesterone has the same effect on apocrine glands as it has on sebaceous glands on the face or the back. Avoid tea and coffee, pickles, condiments, refined and processed foods, soft drinks, candy, and ice cream as much as possible. Do not increase or decrease the dose of the medicine on your own. acne treatment for boys The problem that you may encounter with these chemical peels is the possibility of burning your skin with it. Triggers for acne fulminans are varied and could include a weak immune system or liver. The lesions are large and may be interconnected with blackheads a significant part of boys the condition as well. No matter how hard they tried, it seems that every effort is so futile that they give up. Acne facial cleansers that does facial hair cause acne will also treat premature aging. The vinegar and lemon juice work to clean your pours. The bottom line is that if you decide on the proper acne scar treatments using the variety of scar you require to clear out you? ll certainly be capable to lose the situation. This will give you a good idea of what to expect along with what the final results should be like. If you can catch it at an does facial hair cause acne early stage ( which is quite difficult to do) you can certainly try a natural acne treatment. Proactive users also utilize the alcohol free Revitalizing Toner which aims at cleaning the pores and removing oiliness. When you do experience a breakout or some acne, treat it but don? t pick it! Wash it off after 20- 30 minutes with acne lukewarm water. Eat at least 5 servings of vegetables daily. There are always potential side cause effects to be mindful of. 2. And obviously this treatment is only available for women. Finally you should finish with an oil- free moisturizer. A tan may increase your acne woes as it damages your treatment skin and also increases the risk of skin cancer.
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Carrie Underwood and her handsome hubby are all smiles at the American Idol finale! Check out more pics of Hollywood's tightest twosomes
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Public release date: 24-May-2012
Share ] Contact: Emma Thorne
emma.thorne@nottingham.ac.uk
44-011-595-15793
University of Nottingham
The main barriers to hearing aid use are being addressed by experts in Nottingham as part of an innovative research project.
Hearing aids have the potential to transform the lives of those with permanent hearing loss, yet out of the three million people who have one, around 25 per cent 750,000 people choose not to wear their device.
Now researchers are offering easy-to-use, interactive video tutorials offering handy tips and advice in a bid to increase the chances of success for people using their hearing aids for the first time and make the most of their device.
If they are successful, the tutorials could be routinely given to patients receiving hearing aids on the NHS within the next three years.
The project and is being led by the National Institute for Health Research (NIHR) National Biomedical Research Unit in Hearing (NBRUH) and brings together expertise from researchers and leading clinicians from The University of Nottingham and Nottingham University Hospitals NHS Trust.
Consultant clinical scientist Mel Ferguson, from Nottingham University Hospitals NHS Trust, who is leading the study, said: "A huge amount of information is given to patients verbally when they receive their hearing aids, yet much of it is forgotten a few weeks later. Many problems that occur could be easily solved if only the patient knew what to do and often hearing aids end up in the proverbial 'kitchen drawer'."
In addition to issues with retaining the large amount of information given to users at their clinic appointment, there are other significant barriers to hearing aid use before patients even reach the referral stage.
Many hearing aid users have had difficulties in hearing for at least 10 years before they get a hearing aid citing many reasons for not seeking advice. These include perceiving their hearing to be 'not that bad', acceptance of hearing loss as a normal consequence of ageing, lack of awareness of that they may have a hearing loss ('everyone mumbles these days'), lack of understanding of hearing loss and what to do about it, and simply avoiding to address the issue.
In addition, many people who need a hearing aid are not given the referral they need to see a specialist. Just under half (47 per cent) of those with a significant hearing loss in the 55-74 year age group who went to their GP with complaints of hearing loss failed to get an onward referral to audiology services.
The project team has worked with more than 30 hearing aid users to develop eight video tutorials that can be played on a DVD player, computer or via the internet, which provide advice on how best to use hearing aids and communicate with family and friends.
The tutorials reinforce information and advice given at the clinic appointment and include information, animations, videos and powerful messages from users of hearing aids about their personal experiences.
At the end of each tutorial there is an interactive quiz so the patients can review what they have learned. The tutorials, which total an hour in duration, will also offer friends and family an important insight into how best to support the hearing aid user by developing a better awareness of how best to hold conversations with people with hearing loss.
Anne Darby, an experienced hearing aid user of 30 years, played a key role in providing a patient perspective for the project. She said: "This is a fabulous resource for people receiving their hearing aids for the first time. It explains the mechanics of hearing and how hearing aids work, supports people through the difficulties of adjustment, lets the viewer know that they are not alone, points to other resources and, most of all, is reassuring to the patient and their partners, family and friends."
The team has received a 235,000 NIHR Research for Patient Benefit grant and is now in the process of evaluating the potential benefits of the tutorials. Involving 200 patients, it is expected to find substantial success in terms of better hearing aid use and improved communication with family and friends.
The first hearing aid patient to complete the trial, Hazel Hampton said she was delighted with the tutorials, adding: "If I did not have the DVD I might have given up wearing my hearing aids. Because of the DVD I have entered a much easier self-directing and informative environment, instead of a wild woolly and noisy world. I think the DVD is a well thought out educational resource.'
Dr Gareth Smith, President of the British Academy of Audiology, said: "In the new NHS arena, where evidence-based, clinical innovation is the key to successful service delivery and outcomes for patients, NBRUH are in a fantastic position to spearhead positive change. This award-winning project, simple in design yet so effective in practice, sets the bar for other healthcare professionals to consider how they can follow this example to improve patient out-comes. The challenge has now been set for the audiology profession to incorporate this model of information delivery into everyday practice."
###
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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.
Public release date: 24-May-2012 Share ] Contact: Emma Thorne
emma.thorne@nottingham.ac.uk
44-011-595-15793
University of Nottingham
The main barriers to hearing aid use are being addressed by experts in Nottingham as part of an innovative research project.
Hearing aids have the potential to transform the lives of those with permanent hearing loss, yet out of the three million people who have one, around 25 per cent 750,000 people choose not to wear their device.
Now researchers are offering easy-to-use, interactive video tutorials offering handy tips and advice in a bid to increase the chances of success for people using their hearing aids for the first time and make the most of their device.
If they are successful, the tutorials could be routinely given to patients receiving hearing aids on the NHS within the next three years.
The project and is being led by the National Institute for Health Research (NIHR) National Biomedical Research Unit in Hearing (NBRUH) and brings together expertise from researchers and leading clinicians from The University of Nottingham and Nottingham University Hospitals NHS Trust.
Consultant clinical scientist Mel Ferguson, from Nottingham University Hospitals NHS Trust, who is leading the study, said: "A huge amount of information is given to patients verbally when they receive their hearing aids, yet much of it is forgotten a few weeks later. Many problems that occur could be easily solved if only the patient knew what to do and often hearing aids end up in the proverbial 'kitchen drawer'."
In addition to issues with retaining the large amount of information given to users at their clinic appointment, there are other significant barriers to hearing aid use before patients even reach the referral stage.
Many hearing aid users have had difficulties in hearing for at least 10 years before they get a hearing aid citing many reasons for not seeking advice. These include perceiving their hearing to be 'not that bad', acceptance of hearing loss as a normal consequence of ageing, lack of awareness of that they may have a hearing loss ('everyone mumbles these days'), lack of understanding of hearing loss and what to do about it, and simply avoiding to address the issue.
In addition, many people who need a hearing aid are not given the referral they need to see a specialist. Just under half (47 per cent) of those with a significant hearing loss in the 55-74 year age group who went to their GP with complaints of hearing loss failed to get an onward referral to audiology services.
The project team has worked with more than 30 hearing aid users to develop eight video tutorials that can be played on a DVD player, computer or via the internet, which provide advice on how best to use hearing aids and communicate with family and friends.
The tutorials reinforce information and advice given at the clinic appointment and include information, animations, videos and powerful messages from users of hearing aids about their personal experiences.
At the end of each tutorial there is an interactive quiz so the patients can review what they have learned. The tutorials, which total an hour in duration, will also offer friends and family an important insight into how best to support the hearing aid user by developing a better awareness of how best to hold conversations with people with hearing loss.
Anne Darby, an experienced hearing aid user of 30 years, played a key role in providing a patient perspective for the project. She said: "This is a fabulous resource for people receiving their hearing aids for the first time. It explains the mechanics of hearing and how hearing aids work, supports people through the difficulties of adjustment, lets the viewer know that they are not alone, points to other resources and, most of all, is reassuring to the patient and their partners, family and friends."
The team has received a 235,000 NIHR Research for Patient Benefit grant and is now in the process of evaluating the potential benefits of the tutorials. Involving 200 patients, it is expected to find substantial success in terms of better hearing aid use and improved communication with family and friends.
The first hearing aid patient to complete the trial, Hazel Hampton said she was delighted with the tutorials, adding: "If I did not have the DVD I might have given up wearing my hearing aids. Because of the DVD I have entered a much easier self-directing and informative environment, instead of a wild woolly and noisy world. I think the DVD is a well thought out educational resource.'
Dr Gareth Smith, President of the British Academy of Audiology, said: "In the new NHS arena, where evidence-based, clinical innovation is the key to successful service delivery and outcomes for patients, NBRUH are in a fantastic position to spearhead positive change. This award-winning project, simple in design yet so effective in practice, sets the bar for other healthcare professionals to consider how they can follow this example to improve patient out-comes. The challenge has now been set for the audiology profession to incorporate this model of information delivery into everyday practice."
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