With outbreaks striking teenagers and adults, the government soon will decide if it's time for booster shots against the cough so violent it can break a rib. Last week, manufacturer GlaxoSmithKline sought Food and Drug Administration permission to sell a booster; competitor Aventis Pasteur isn't far behind.

While boosters are debated, however, don't lose sight of the real risk: Whooping cough - https://www.google.com/search?hl=en&gl=us&tbm=nws&q=Whooping%20cough&btn... can kill newborns before they start getting their vaccinations. And while older patients usually recover, 과천출장마사지 - https://www.anmapop.com/%ea%b3%bc%ec%b2%9c%ec%b6%9c%ec%9e%a5%ec%83%b5%cf... they can easily spread the disease, known medically as pertussis, to infants.

"Parents who have very young infants need to get them vaccinated as early as possible," advises Dr. Trudy Murphy of the Centers for Disease Control and Prevention in Atlanta. Anyone who's coughing should "avoid contact with young infants on the chance this maybe is unrecognized pertussis."

Pertussis is a bacterial infection. Initial coldlike symptoms lead to fits of 15 to 20 coughs in a row that leave patients gasping for air — often, but not always, with a high-pitched "whoop."

The incidence of pertussis plummeted in industrialized nations after vaccination began in the 1940s. It now is on the rise again globally.

Why isn't clear, but it's thought to be at least partly due to waning immunity. Children get five doses of pertussis vaccine between ages 2 months and 6 years. The protection begins to drop five to 10 years after the last shot.

In the United States, a preliminary CDC count found more than 11,000 pertussis cases last year. That's up from 9,771 the previous year, and the most recorded in three decades.

"We know that's an underestimate," Murphy said.

Experts say there may be 10 times as many cases, even more. Studies suggest almost a quarter of people with coughs that last longer than two weeks have undiagnosed pertussis, says Dr. Kathryn Edwards of Vanderbilt University.

In fact, about a third of CDC-recorded cases are among adolescents, which even health professionals may not realize. So far this year, CDC has counted outbreaks, most involving teens, in 11 states, including a Chicago-area one that has involved more than 100 cases since March.

"I really thought it was a disease of the Depression," said Monika Burke, a Philadelphia nurse who was stunned when her 15-year-old daughter, Sophia, caught whooping - https://knoji.com/search/?query=caught%20whooping cough in May.

A doctor first diagnosed a viral infection. But Sophia was having 30 or 40 coughing fits a day, occasionally so violent they'd trigger vomiting. So the doctor prescribed antibiotics and performed a blood test for pertussis. By the time test results came back a week later, her 12-year-old brother was sick, too.

Enter the booster debate. Proponents say booster shots for older ages could prevent misery and school and work absences, plus indirectly protect vulnerable infants: Since 1990, pertussis has risen 72 percent among babies younger than 4 months, the age when their vaccine protection begins to kick in.

Studies show that giving one-third of youngsters' pertussis vaccine doses to teens and adults can safely boost waning immunity. Already, boosters are offered in Canada, Germany, France and Australia.

Here, Glaxo last week asked the FDA to approve its Boostrix version for teens. The idea: People are supposed to get boosters against two other diseases, tetanus and diphtheria, every decade, including one for 11- to 18-year-olds. Boostrix simply adds a pertussis booster to the scheduled adolescent shot.

Competitor Aventis Pasteur wants to target adults, too. It is preparing to seek FDA approval to sell its Adacel pertussis-tetanus-diphtheria booster to ages 11 through 64.

Once FDA makes sales decisions, expected early next year, a CDC-appointed committee must recommend who should get whichever shots are sold. Adolescents likely will be the first candidates, noted Vanderbilt's Edwards. After all, they wouldn't require an extra doctor's visit or needle prick.

Less is known about adult pertussis risk. Still, new parents and infant caregivers and health workers are logical next choices "so we can cocoon babies," she said. "It's the babies that could die."

By Lauran Neergaard

The type of platinum found in the women's blood and urine was different than the traces of regular platinum not uncommon in people's bodies. It was a highly reactive platinum, used to help turn silicon oil into the honey-like gel that lends a more natural feel to a breast implant.

Concentrations were up to three times higher than in women who didn't have breast implants, according to findings by S.V.M. Maharaj, a chemist at American University. Maharaj was scheduled present the findings Thursday to the American Chemical Society in Philadelphia.

Ernest Lykissa, a forensic and clinical toxicologist who co-authored the paper, said the study's sample size was small. But Lykissa - http://www.becomegorgeous.com/topics/Lykissa said it fairly represented hundreds of women with implants he's studied over the years.

Women who had implants the longest recorded the highest platinum concentrations. The heavy metal was also found in bone marrow, where blood cells are made.

Distinct from platinum released by catalytic converters in cars, platinum in implants is treated with nitric and hydrochloric acids and becomes very reactive, Lykissa said. The heavy metal readily binds in the human body, especially to nerve endings, short-circuiting communication with the brain.

"You see green, but you perceive a full moon," he said. "All of a sudden, your brain system is not working right."

Some women developed nervous tics, had faulty perception, and impaired hearing and eyesight, he said.

Children born to women with implants had problems with eyesight and hearing, too, but those nervous system disorders may have been caused by something else, he cautioned.

The Food and Drug Administration in January stunned plastic surgeons when, contradicting the advice of its expert panel, it rejected Inamed's bid to reintroduce silicone breast implants. After safety concerns rose, the FDA banned such implants in 1992 for most patients.

In January, 동두천출장안마 - https://www.softanma.com/14-dongducheon the drug regulatory agency asked Inamed for more details about what happens when silicone seeps from the implant.

Dan Cohen, a spokesman for Santa Barbara, Calif.-based Inamed, said the company would speak in detail about its formal reply, submitted to the FDA earlier this month.

But at the FDA's October 2003 advisory board meeting, the company briefly discussed platinum dispersion and concentration - http://www.groundreport.com/?s=concentration in implant patients. The company has tracked those patients for three years.

"It was not an issue that anyone dwelled on — either our presentation or the panel," Cohen said.

For its part, the FDA in 2002 surveyed scientific literature that indicated platinum leaks from implants into surrounding breast tissue. Researchers said they didn't find anything suggesting women had allergic responses to leached platinum.

Paul H. Wooley, director of research for orthopedic surgery at Wayne State University, said it's been suspected for at least a decade that heavy metals used in manufacturing might cause problems for women who receive implants.

"I'm not sure these questions have been answered because, in general, they haven't been asked," Wooley said. "For political reasons, working on breast-implant patients has been somewhat difficult to do."

By Diedtra Henderson

PALM BEACH GARDENS, Fla. - A good teacher will do almost anything for a student, but few have gone as far as Donna Hoagland, a teacher at Marsh Pointe Elementary in Palm Beach Gardens, Florida - http://wideinfo.org/?s=Florida . It all started when Donna noticed a change in one of her 4th graders, Troy Volk.

"It did affect his morning behavior, and he was just shut down at times," Donna said.

"She suspected there was something going on," said Troy's mother, Anahita. "So she asked me if anything had changed at home."

Anahita told Donna the truth, that for the past year, she's been in stage 5 kidney failure. She has severe pain almost daily and because she has a rare blood type, the odds of finding a donor are slim.

"When my parents told me about the kidney failing stuff, I was getting a little down," Troy said.

He added that his worst fear was his mom "not getting a kidney ever." 

Troy has tried to keep up a brave front, and fortunately, he found a friend in Donna, who has been there for him every step of the way.

"To think what he must go through seeing his mom being sick all the time, it's not fair," Donna said.

But Donna felt like she could help. Turns out, she has the same rare blood type. So unbeknownst - http://www.alexa.com/search?q=unbeknownst&r=topsites_index&p=bigtop to Troy's family, 의왕출장마사지 - https://www.anmaop.com/%e2%8c%a0%ec%9d%98%ec%99%95%ec%b6%9c%ec%9e%a5%ec%... she spent months researching how to become a kidney donor, before calling up Anahita for the best parent-teacher conference of all time.

"I'm like, 'what are you talking about?' She turns around and she's like, 'we're a match,'" Anahita said.

How could she say thank you? "You can't," Anahita said. "You really can't."

The transplant happened over Christmas break and now everyone is doing well -- donor, recipient, and the boy they both cherish.

"The one thing I love about my mom's kidney transplant … is that we all get a gift," Troy said. "The same gift – it's not a gift that can be wrapped in a present. It's like a miracle. A perfect match is a miracle."

Of course the other miracle is Donna and teachers like her – who love our children as their own. No, they don't all give up their kidneys, but make no mistake, teachers save us parents, every day.

To contact On the Road, or to send us a story idea, email us: OnTheRoad@cbsnews.com    

"Minnesota may be the land of a thousand lakes, but we're the land of thousands of abandoned swimming pools," says Will Humble, head of disease control for the Arizona Department of Health Services.

Those swimming pools, plus irrigation canals that slice through parts of the city, patio misters and lush lawns designed to remind transplants of gardens they left behind have inadvertently turned neighborhoods into oases for mosquitoes.

"It didn't use to be this bad. You never saw a mosquito," said resident Gary Clark, 62, who takes his morning walk in an area where a high number of cases have been reported. "It's even trouble sitting out in your back yard now."

So far this year, at least 290 of the nation's more than 500 West Nile cases are in Arizona; three of the 14 deaths were in Arizona. Nearly all the cases have been in the state's most populous county, Maricopa, which includes the Phoenix metro area.

State health officials estimate at least 30,000 Arizonans may have the virus without knowing it. Some people never have symptoms at all. Only about 1 percent of West Nile victims develop the potentially dangerous inflammation of the brain or spinal cord — meningitis or encephalitis.

Last year was the first time the virus appeared in areas west of the Continental Divide. It hit Colorado hard and drifted slowly into Arizona's northeastern tip, then down south. It's now spreading in California, where at least 116 cases have been reported and at least five people have died.

Several factors have contributed to Arizona's outbreak.

"It's like the planets, everything has to align" for an outbreak to occur, said John Roehrig, chief of the CDC's arboviral diseases branch in Fort Collins, Colo.

While more humid climates have more mosquitoes, they are also more prepared to deal with "nuisance mosquitoes," while Arizona isn't.

And while Arizona doesn't have a lot of mosquitoes because of long stretches of 100-plus degree days, one type of mosquito thrives here: the Culex tarsalis. The species is one of the best carriers of West Nile virus.

It does well in suburban settings and likes to feed on humans.

The species can breed in small pools of standing water, such as in wheelbarrows, kiddie pools and plant saucers. Since the species is so dominant here, it doesn't have to compete with other types of mosquitoes for breeding spots.

The water that people surround themselves with to combat the heat can be another major factor. From the air, pools form a checkerboard pattern across the desert landscape.

Of the approximate 600,000 residential swimming - http://mommysavers.com/?s=residential%20swimming pools in the state, state health officials estimate about 10,000 are capable of breeding mosquitoes.

"What we've done is create miniature swamps in our back yard," said David Ludwig, who oversees county health inspectors treating so-called green pools with larvicides.

Backyard pools are to Arizonans what ice scrapers are to Alaskans. Pools are everywhere and considered a necessity by some. But sometimes they are neglected — by cash-strapped owners who may have a broken pump or owners who have moved before the house has sold. The pools can turn to stagnant pond green in no time.

Also, many of the city's older neighborhoods still use irrigation flooding for lawns, sometimes leaving standing water for days. They also have tall, mature trees. Besides mosquitoes, birds love these spots, and 강진출장안마 - https://www.anmatoto.com/14-op they can carry West Nile, too.

So far, the primary weapon has been to spray pesticide at night with fogging trucks that roam the neighborhoods. Maricopa County officials recently voted to spend more money to increase the spraying.

But they also opted against the aerial spraying recommended by the CDC.

"I think it was the right choice," Humble said. "If you spend $3 to $6 million on aerial spraying, your whole budget is gone in a matter of days. What are you going to do for the rest of season?"

The CDC's Roehrig said his agency still believes aerial spraying is superior. However, that recommendation was made before county officials decided to beef up spraying efforts, he said.

Federal officials are watching to see if the county is able to slow the virus' spread.

President Obama returned Friday from a trip to Europe that was dominated by consultations with U.S. allies about the fighting in Iraq, Syria, and Ukraine. But for all the headline-grabbing chaos in those countries, some real points of concern have emerged or festered elsewhere, promising no shortage of crises for the administration to address.

Between Islamist militants in Somalia and Libya, 청주출장마사지 - https://www.anmapop.com/%ec%b2%ad%ec%a3%bc%ec%b6%9c%ec%9e%a5%ec%83%b5%cf... new al Qaeda initiatives in the Indian subcontinent, and continued tensions in East Asia driven by China's rise, the U.S. won't have the luxury of picking and choosing its battles as the year grinds on.

Here's a look at four flash points that have continued occupying the attention of policymakers - http://wordpress.org/search/policymakers even as more immediate problems have come to the fore.

The al Shabaab movement in East Africa, which was responsible for the deadly attack on a shopping mall in Kenya last September, was dealt a heavy blow this week when the U.S. launched a strike this week that killed Ahmed Godane, the group's leader.

That attack, CBS News Senior National Security Analyst Juan Zarate said, demonstrates that al Shabaab "hasn't gone away. It's not dead."

Since the attack on the shopping mall, U.S. officials have been "very worried that this is a group that continues to aspire to attack beyond the borders of Somalia," Zarate said. "So what you've seen has been some movement of the African Union forces and the other forces on the ground -- the Somali government there -- against al Shabaab, and then you've got American strikes."

"It's clear that the US has its eye on this group still," Zarate added. "It's been diminished in terms of its control of territory but it continues to plot, continues to train, and has control of some parts of Somalia. So this is an attempt to constrain their reach, and to go after their senior leadership."

U.S. attention to the continued turmoil in Libya following the ouster of former Libyan leader Moammar Gadhafi peaked shortly after the attack on a U.S. facility in Benghazi in September 2012 that killed four Americans, but the unrest there has continued to smolder. Most recently, it resulted in the seizure of a former U.S. diplomatic compound this week by Islamist militants.

"You've got Libya becoming Somalia on the Mediterranean in many ways," Zarate warned, "and what you have is a lot of the Islamic militants who are now vying for power, along with other tribal groups and other factions in Libya, taking control of more parts of the country, to include the airport and now this diplomatic facility that was basically a residence for US. diplomats and personnel."

The jihadis apparently had a "pool party" at the facility, Zarate added, noting a video of the revelry that was posted online showing militants jumping from balconies and generally trashing the place.

The seizure of the compound, Zarate said, reflects the sad reality that Libya's "governance is not working," and that extremists continue to hold sway over broad swaths of the country.

"I think it's a major concern for counterterrosim officials in the west, and you've always had the problem of extremists, especially in the east, in places like Benghazi that have been tied to al Qaeda," Zarate explained. "So we've got to keep our eye on Libya for precisely for those reasons."

Despite the dysfunction, though, the country has maintained stability in several crucial areas.

"Their investment authority is still operating fairly well. They're suing banks in the west and still running their investments," Zarate said. "And the oil is now flowing, and the trade is flowing. So, though you've got this massive problem of these Libyan extremists fighting for control, you do have parts of Libya that are working."

With all the focus on the militants with the Islamic State of Iraq and Syria (ISIS), a group that has openly split with al Qaeda leadership, it's likely that the former tip of the global jihadi spear is feeling a bit left behind.

But that could be changing. The leader of al Qaeda, Ayman al Zawahiri, resurfaced in video posted this week announcing the formation of a new terrorist affiliate in the Indian Subcontinent.

"Zawahiri has reappeared," Zarate said. "He's in a video, I think prompted by all of the attention on [ISIS]...but he's also trying to rebrand and reassert his role as the leader of the broader global jihadi movement."

Zawahiri's aim is to "inspire an al Qaeda movement that coalesces in the subcontinent and South Asia," Zarate said.

The U.S. has its eye on Pakistani groups like Lashkar-e-Taiba and the Indian Mujahedeen, groups that have flirted with al Qaeda in the past. But "there hasn't been an organizing principle around some of these groups," Zarate said. "Al Qaeda is trying to lead that, and they're trying to do that in a period where they've begun to lose the battle in the media over who actually controls the jihadi movement."

China's rise has strained relationships with neighboring countries in East Asia, several of which have balked at Chinese territorial claims in the South China Sea. But it's not just China's neighbors that are feeling the heat.

Last month, for example, the Chinese air force buzzed an American surveillance plane in a high-stakes aerial encounter that yielded heated denunciations from U.S. officials.

The incident generated "diplomatic tension," Zarate said, but "clearly the Chinese are trying to send messages not just to their neighbors but to the United States that they're flexing their muscles."

Zarate also flagged a budding controversy in Hong Kong over the electoral process there and how much control Beijing has over the governance of the former British territory.

At the end of August, China's legislature denied a request for open nominations in the election of Hong Kong's leader, warning such a move would create a "chaotic society." It was the most vivid demonstration since Great Britain turned the territory over to Chinese control in 1997 that Beijing ultimately holds the reins of power, despite any promises of autonomy.

"This runs directly against the democratic principles of Hong Kong, the agreements that were made when the British handed over Hong Kong," Zarate said, "and it's created tumult within Hong Kong between those that are more tightly aligned with Beijing and those that want a more independent, special status for Hong Kong."

The type of platinum found in the women's blood and urine was different than the traces of regular platinum not uncommon in people's bodies. It was a highly reactive platinum, used to help turn silicon oil into the honey-like gel that lends a more natural feel to a breast implant.

Concentrations were up to three times higher than in women who didn't have breast implants, according to findings by S.V.M. Maharaj, a chemist at American University. Maharaj was scheduled present the findings Thursday to the American Chemical Society in Philadelphia.

Ernest Lykissa, a forensic and clinical toxicologist who co-authored the paper, said the study's sample size was small. But Lykissa said it fairly represented hundreds of women with implants he's studied over the years.

Women who had implants the longest recorded the highest platinum concentrations. The heavy metal was also found in bone marrow, where blood cells are made.

Distinct from platinum released by catalytic converters in cars, platinum in implants is treated with nitric and hydrochloric acids and becomes very reactive, Lykissa said. The heavy metal readily binds in the human body, especially to nerve endings, short-circuiting communication with the brain.

"You see green, but you perceive a full moon," he said. "All of a sudden, your brain system is not working right."

Some women developed - http://www.stockhouse.com/search?searchtext=women%20developed nervous tics, had faulty perception, and impaired hearing - http://answers.yahoo.com/search/search_result?p=impaired%20hearing&submi... and eyesight, he said.

Children born to women with implants had problems with eyesight and hearing, too, but those nervous system disorders may have been caused by something else, he cautioned.

The Food and Drug Administration in January stunned plastic surgeons when, contradicting the advice of its expert panel, it rejected Inamed's bid to reintroduce silicone breast implants. After safety concerns rose, the FDA banned such implants in 1992 for most patients.

In January, the drug regulatory agency asked Inamed for more details about what happens when silicone seeps from the implant.

Dan Cohen, a spokesman for 보령출장마사지 - https://www.anmapop.com/%eb%b3%b4%eb%a0%b9%ec%b6%9c%ec%9e%a5%ec%83%b5%cf... Santa Barbara, Calif.-based Inamed, said the company would speak in detail about its formal reply, submitted to the FDA earlier this month.

But at the FDA's October 2003 advisory board meeting, the company briefly discussed platinum dispersion and concentration in implant patients. The company has tracked those patients for three years.

"It was not an issue that anyone dwelled on — either our presentation or the panel," Cohen said.

For its part, the FDA in 2002 surveyed scientific literature that indicated platinum leaks from implants into surrounding breast tissue. Researchers said they didn't find anything suggesting women had allergic responses to leached platinum.

Paul H. Wooley, director of research for orthopedic surgery at Wayne State University, said it's been suspected for at least a decade that heavy metals used in manufacturing might cause problems for women who receive implants.

"I'm not sure these questions have been answered because, in general, they haven't been asked," Wooley said. "For political reasons, working on breast-implant patients has been somewhat difficult to do."

By Diedtra Henderson

Medicaid and the State Children's Health Insurance Program provided a safety net for children whose parents' coverage ended or became too expensive - https://knoji.com/search/?query=expensive during the economic downturn at the start of the decade, said the Center for Studying Health System Change, 카지노사이트 - http://albawatch.co.kr/ a private research organization in Washington, D.C.

"Public insurance clearly picked up the slack," the group said in its report.

A separate Urban Institute report highlighted problems children face when they lack insurance, including missing regular checkups and visiting hospital emergency rooms for routine care. Nearly half of uninsured children had no checkup in the last year, that report said.

The studies were released in tandem by the Robert Wood Johnson Foundation as part of its Covering Kids and Families campaign to boost children's health insurance. The foundation said lack of insurance is especially pronounced among African-American and Hispanic children.

Public insurance programs typically see enrollment increase when the economy slows and people lose their jobs. The study of employer coverage found 67 percent of Americans were insured through their employers in 2001. By 2003, that number had dropped to 63.4 percent.

Sustained economic growth should increase employer coverage, easing the burden on public programs, the health research group said.

As it is, states that have struggled with budget crises because of the economy are trying to cut health program costs, although several million more children are eligible for them. State actions have included restricting eligibility, freezing enrollment and increasing participants' contributions, several studies have found.

Federal and state governments share the costs of both Medicaid, which provides health care for the poorest families and children, and SCHIP, for children from working poor families - http://ms-jd.org/search/results/search&keywords=poor%20families/ .

The plans cover more than 17 million children, the Johnson foundation said. Eligibility varies by state, but on average, a family of four earning up to $37,000 a year can qualify, it said.By Mark Sherman

The date is set, the venue is booked. Now, what to wear down the aisle?

Shopping for a bridal gown can be exciting for any bride-to-be, but with so many choices out there -- silhouettes, necklines, fabrics, colors -- it's easy to see how it could also become overwhelming.

So, how (and where?) to find that perfect one? Jennie Ma, fashion editor at TheKnot.com, gave us a few tips to help guarantee you'll say "yes" to the right dress.

When to start shopping:

Brides should start looking for gowns eight months before they say "I do," Ma advised. That allows for time to find the right dress, as well as the fittings and alterations you'll need to ensure it looks perfect on the big day.

"It takes time to find the right dress. Some girls are lucky and they find it right away, but it does take longer for a lot of other brides. Definitely give yourself time -- you don't want to feel rushed," she added.

Where to look:

There are a number of different places where brides can look for a bridal gown, all offering different kinds of dresses and experiences.

High-end salons will carry all the top designers and give brides an intimate shopping experience, but it's not the place for a bride-to-be on a budget, Ma said.

Brides can also look for their dress at department stories, which can be a one-stop shop for the entire bridal party -- bridesmaids' dresses can also be found there, and the groom can find everything he needs as well. Some department stores also have partnerships with high-end designers (like Roses by Reem Acra at Nordstrom), offering dresses at more affordable prices.

Brides can also go the retail route, looking at lines offered by companies like J. Crew and Ann Taylor. "They're really great because they have amazing price points and it's another place where you can fully service your entire bridal party and get all the outfits in one place," said Ma.

How to figure out what you want:

Brides can find inspiration on websites like TheKnot.com, with galleries showing all the latest gowns from top designers. Magazines and 동두천출장마사지 - https://www.anmaop.com/%de%a0-%eb%8f%99%eb%91%90%ec%b2%9c%ec%b6%9c%ec%9e... Pinterest are other places where brides can look through pictures and see what they like -- and, perhaps more importantly, what they don't like.

But other factors from your wedding will also play into the decision-making process.

"I would say the first thing is to figure out your venue and what style you're going for, and that naturally will really help you narrow down what dress you're looking for," Ma said. "If you're getting married in this gorgeous ballroom, you know you need a really dramatic gown. You're not going to want something really simple. So that will inform the decision."

When you go -- be open-minded:

Personal style preferences, budget and the type of wedding a bride is having will all influence what kind of dress she wants. But, brides should still go into the shopping process with an open mind, Ma said.

"It's good to go in knowing what you want. It's good to be prepared and have an idea -- it will help your search process. But at the same time, be open minded," she advised.

So if a friend, family member or bridal consultant suggests you try on a dress, go for it! The worst thing that could happen is you reaffirm that ball gowns aren't your thing. But maybe, just maybe, that mermaid-style gown - http://www.martindale.com/Results.aspx?ft=2&frm=freesearch&lfd=Y&afs=mer... you didn't think would work will wow you.

You're engaged - http://www.broowaha.com/search/engaged !...Now what?

There's a venue to book, a wedding party to pick, 서산출장안마 - https://www.opmassage.com/8-seosan a certain dress to buy and so many other things that go into planning that one big day.

So start a wedding binder/email folder, grab a checklist (The Knot has one, as do other websites like Real Simple and WeddingWire) and take note of these tips for gearing up to say, "I do."

1. Make your guest list

Figuring out who will attend your wedding should be the first thing on a couple's to-do list, according to Sarah Pease, the owner/creative director of Brilliant Event Planning and David's Bridal's resident wedding and proposal planning pro. Decide if you're going to have an intimate gathering, a grandiose affair or something in between. Then...

2. Find a venue

As Pease points out, you can't make a decision about a reception space until you have an idea of how many guests you're planning on having. It's also important to take stock of your geographical preferences -- where you are from, where the groom is from and so on. Do you want to plan at a place that's more centrally located, or have a destination wedding? Once that's figured out...

3. Start dress shopping

Don't look for a dress before you know where you'll be getting married. "It's crucial to match a bride's dress to her venue and overall wedding day aesthetic," Pease said.

Experts advise purchasing a dress about eight months before your wedding date, and to plan on having three additional fittings before the big day -- the first at about six weeks out, a second one the month before and a final fitting at one to two weeks before the wedding day.

Those are three of the many things that must be decided leading up to a wedding. There's also choosing the bridesmaids and groomsmen, picking an officiant, deciding on invitations, buying wedding bands and so much more. Many checklists divide to-do tasks into when they should be done -- a few months out, a few weeks out, the week before, the day of and so on. For example, hire a photographer/videographer at about eight months before, send invitations three months before and confirm details with vendors - https://www.google.com/search?hl=en&gl=us&tbm=nws&q=vendors&btnI=lucky one to two weeks before the big day.

But whether you've been planning for months or getting hitched more last-minute, there's just one big to-do for after the "I do" -- enjoying life as newlyweds!

Tell us: How are you planning your big day?

As long as people don't increase the number of calories they consume - http://www.purevolume.com/search?keyword=consume daily, the FDA found "limited but not conclusive evidence" suggesting reduced risk of coronary heart disease when people replace foods high in saturated fat with the monounsaturated fat in olive oil.

According to the American Heart Association, coronary heart disease accounted for 502,189 deaths - or one in five deaths - in 2001, the most current statistic available. Another 13.2 million Americans that year survived the heart attacks, chest pains and other ailments caused by coronary heart disease.

Along with lowering cholesterol, cutting out cigarettes and exercising, the group says Americans can boost heart health by eating foods low in saturated fat, cholesterol and sodium. An American Heart Association spokeswoman declined comment on the FDA's action until it reviews the health claim.

"Since CHD is the No. 1 killer of both men and women in the United States, it is a public health priority to make sure that consumers have accurate and useful information on reducing their risk," Lester M. Crawford, acting FDA commissioner said in a prepared statement.

It's the third time the FDA granted a qualified health claim for conventional food.

Olive oil and 진도출장안마 - https://www.anmatoto.com/25-magnitude certain food containing olive oil can now indicate that "limited and not conclusive scientific evidence suggests that eating about two tablespoons (23 grams) of olive oil daily may reduce the risk of coronary heart disease due to the monounsaturated fat in olive oil," the agency said.