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The report was received by some with enthusiasm. Prior to CBS’s airing of the report, I received an email from a psychologist gleefully advising me to watch the program that night. Within a day or two of the show’s airing, I Googled the term, “60 Minutes antidepressants and placebos” which brought up a raft of links, many of which expressed a very positive reaction to the 60 Minutes report., e.g., “…how your antidepressant may not be what you think.”
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Rajnish Mago, MD,[link widoczny dla zalogowanych], director of the mood disorders program at Thomas Jefferson University in Philadelphia, wrote in an email to ABC News and MedPage Today. "We expanded the concept of depression to include less severe cases (so-called 'minor depression') and cases where the depression occurred after a significant life problem." He compares antidepressant drug trials to diluting the chances of finding a benefit of antibiotics by including both viral and bacterial illness in a treatment trial. The viral infections will tend to remit with placebo or with antibiotic.
Seemingly stunned, Leslie Stahl said “If a sugar pill is just as good, how can we keep prescribing these [antidepressant] pills?” Afterwards, she said “I Walked Away Really Confused.” What’s an ordinary person supposed to gain from watching this segment.
I like to use a stove analogy. When you place your hand on a hot stove, it hurts. That’s a good thing. Unpleasant as it is, it saves us from burning the flesh off our hand. It’s Mother Nature’s way of helping us. And so it is with normal depression. We’re supposed to feel bad when we are in unhappy circumstances such as the loss of a loved one. As members of a social species we bond with others. When those bonds are broken, it hurts. If it didn’t hurt, we wouldn’t care. It wouldn’t mean anything if others left us. So the bonding and then the mourning that follows the loss of a loved one serve the bonding process and makes us the social species we are.
What 60 Minutes also did not say is that Kirsch’s research is selective. Kirsch did not include every antidepressant study ever done (decades’ worth of antidepressant research and thousands of studies). Not only were the thousands of studies not addressed, but even with studies designed to seek FDA approval, he looked at the clinical trials performed to gain FDA approval for 6 antidepressant drugs while there are over a dozen antidepressants on the market. Using studies designed to seek FDA approval might seem like the best studies to look at, but these studies have problems.
By Les Linet, MD
See all Articles by Les LinetSee Les Linet's Expert PageGet Updates on DepressionGet Updates on Les Linet Average: 5 Your rating: None Average: 5 (5 votes) Tweet
'60 Minutes' antidepressant report may be 'explosive,' but it's not conclusive. Studies linking the placebo effect to antidepressants have been around for more than a decade. There have, however, been far more studies showing antidepressants to be significantly more effective than placebos. The good in the 60 minutes program is that it will stimulate scientific inquiry into this question. If Dr. Kirsch is right, we want to know. If he has an agenda and/or is wrong, he and the media, which uncritically jump on sensational stories, are doing a disservice with potentially great harm. Furthermore, if he is wrong, suicide - now the 10th leading cause of death, according to statistics from the Centers for Disease Control published in 2011 – may increase. So let’s try to get the story as measured and reasoned as possible.
As I see it, the major problem with equating antidepressants with placebos is the misdiagnosis of depression – the failure to distinguish depression as a normal reaction to unfortunate circumstances from depression as an illness. You can't solve a problem if you don’t know what it is. If you think depression is an illness when it is normal, what do you expect will happen if you compare an antidepressant to a placebo in treating normal depression?
The clinical trial recruitment process has increasingly emphasized recruitment of subjects rather than the quality of depression for drug trials. According to Peter Kramer:
The problem is so big that entrepreneurs have founded businesses promising to identify genuinely ill research subjects. The companies use video links to screen patients at central locations where (contrary to the practice at centers where trials are run) reviewers have no incentives for enrolling subjects. In early comparisons, off-site raters rejected about 40 percent of subjects who had been accepted locally — on the ground that those subjects did not have severe enough symptoms to qualify
The placebo effect is undeniably real. However, it is another thing to conclude that,[link widoczny dla zalogowanych], as Dr. Kirsch did on 60 Minutes ,"The difference between the effect of a placebo and the effect of an antidepressant is minimal for most people." "They'd have almost as large an effect,[link widoczny dla zalogowanych], and whatever difference there would be would be clinically insignificant." "…[T]he reason [people] get better is not because of the chemicals in the drug.”
F.D.A. data reveal that placebo responses have been steadily rising over the past two decades. Peter Kramer, author of Listening to Prozac, points out in an Opinion Piece in the New York Times Published: July 9, 2011,[link widoczny dla zalogowanych], that “in some studies, 40 percent of subjects not receiving medication get better.”
Some psychiatrists, myself included, distinguish demoralization (depression as a reaction to miserable circumstances) from depression that is truly an illness. We might assume that investigators in drug trials to gain FDA approval would define “depression” in a consistent manner. They should, but they often do not. A problem is in the recruitment of participants in drug trials. These subjects have minimal psychiatric and medical coexisting conditions. They are not chronically depressed, and they are willing to accept placebo treatment. Often subjects who feel depressed but don’t have the illness of depression are included — and spontaneously in a few weeks are not depressed. People also may exaggerate their symptoms to get free care or incentive payments offered in trials. Other subjects participate when they are at their worst and then spontaneously improve.
Unfortunately 60 Minutes could only tell part of the story in less than 20 minutes. It did not tell us that Dr. Kirsch may have an agenda, i.e.,[link widoczny dla zalogowanych], that placebos are as potent as established psychiatric treatments. In 2010, he published his book, The Emperor’s New Drugs: Exploding the Antidepressant Myth,[link widoczny dla zalogowanych], which essentially attacked all placebo-controlled studies. In fact,[link widoczny dla zalogowanych], later in the 60 Minutes interview, he backtracked and even included antidepressants’ effectiveness in severe depression as a result of a flawed methodology of blinded drug trials.
So, what is depression? First, it is a word in our language that essentially means the emotion of sadness. I have often explained emotions, including depression, to my patients as follows:
Antibiotics are effective against bacterial illness. I also suspect that antidepressants actually are effective in true depressive illness. There have been decades and thousands of drug trials testing antidepressant effectiveness. Peter Kramer,[link widoczny dla zalogowanych], additionally, makes an excellent point about the placebo issue:
… F.D.A…. encourages companies to submit “maintenance studies.” In these trials, researchers take patients who are doing well on medication and switch some to dummy pills. If the drugs are acting as placebos, switching should do nothing. In an analysis that looked at maintenance studies for 4,410 patients with a range of severity levels,[link widoczny dla zalogowanych], antidepressants cut the odds of relapse by 70 percent. These results,[link widoczny dla zalogowanych], rarely referenced in the antidepressant-as-placebo literature,[link widoczny dla zalogowanych], hardly suggest that the usefulness of the drugs is all in patients’ heads.
Mild and moderately depressed people do well with psychotherapy. They also often respond to placebos. However, the media, some scientists and some ordinary people have proclaimed that antidepressants are equivalent to placebos. For the true illness of depression, antidepressants are not equivalent to placebos. To give the impression that they are is likely to cause significant harm.
We generally think of our rational nature as the epitome of being human. In contrast, we often think of emotions as a troublesome bother. However, I don’t think Mother Nature gave us emotions just to trouble us or so that psychiatrists could charge people money. Emotions, even unpleasant emotions – when they are normal- are a gift, a kind of miniature instinct. Unpleasant emotions let us know something is amiss.
It’s also advantageous to feel depressed if we are in an unhappy marriage or in some other destructive relationship. If we didn’t feel bad, we might stay in that relationship indefinitely at the possible ruination of our lives.
CBS’ 60 Minutes aired its explosive story on 2/19/12, the gist of which was that antidepressants are no more effective than placebos in treating depression. Leslie Stahl conducted the report, which prominently featured Harvard psychologist, Dr. Irving Kirsch. Dr. Kirsch stated that his research shows that antidepressants are generally no more effective than placebos.
Actually Dr. Kirsch did not conclude that antidepressants are no more effective than placebos in treating severe depression. He concluded that they are no more effective than placebos in treating mild to moderate depression,[link widoczny dla zalogowanych].
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Maybe it's because there are a lot of ways for parents to unintentionally stop conversations with their kids. For example, if your child is telling you about being nervous for an upcoming test,[link widoczny dla zalogowanych], these types of responses will probably leave your child feeling unheard:
The importance of listening was clearly demonstrated to me during a company gathering at Wilson Learning where I worked over 20 years ago. We were divided into small groups and one of the exercises was to have each person in the group spend five minutes talking about whatever they wanted. The rest of the group needed to listen carefully. No interrupting, no questions, no comments. What surprised me was how many people ended up in tears during their five minutes of talking. It seemed that having a small group of people actually listening for five minutes was a rare and special occasion.
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Good listening takes time,[link widoczny dla zalogowanych], patience and attention. You can't fully listen while also watching TV or working on the computer. Communication involves not only words but also body language,[link widoczny dla zalogowanych], eye contact and tone of voice. So in order to understand your child's message,[link widoczny dla zalogowanych], you need to both hear the words and watch how they are said.
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Think about your wonderful attributes and not your faults. Take an inventory of your values, skills, talents, interests and “heart”. This is the beauty you present to the world. Leave all your negative thoughts behind at home.

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Lee Kun-hee,[link widoczny dla zalogowanych], the chairman of Samsung Group,[link widoczny dla zalogowanych], Korea's biggest conglomerate, is the country's most-admired business leader, a survey said on Sunday. The poll was conducted by Korea Management Association Consultants on almost 9,[link widoczny dla zalogowanych],000 analysts,[link widoczny dla zalogowanych], consumers and business executives.
Next on the list as chosen by general consumers was Hyundai Motor Chairman Chung Mong-koo,[link widoczny dla zalogowanych], LG Group Chairman Koo Bon-moo,[link widoczny dla zalogowanych], Yuhan Corporation President Cha Jung-keon and National Assemblyman Chung Mong-joon. Financial analysts also picked Lee Kun-hee as their most-admired businessman, followed by POSCO CEO Lee Ku-taek,[link widoczny dla zalogowanych], Samsung Electronics Vice Chairman Yun Jong-Yong,[link widoczny dla zalogowanych], Hyundai's Chung Mong-koo and Ahn Chul-soo of Ahn's Anti-virus Research Institute. Business executives backed Lee Kun-hee as well,[link widoczny dla zalogowanych], followed by Ahn Chul-soo, Yuhan Kimberly CEO Moon Kook-hyun,[link widoczny dla zalogowanych], Hyundai's Chung Mong-koo,[link widoczny dla zalogowanych], and LG's Koo Bon-moo.
An executive with KMAC said,[link widoczny dla zalogowanych], "Samsung Chairman Lee Kun-hee has been chosen as the most-admired businessman since 2004 because his achievement in growing Samsung into a global enterprise is highly regarded by the public. People have a good perception of business leaders who are involved in a lot of social activities."
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A doctor of psychology, Gray is now in his 26th year of seminars on human relationships and running counseling centers for couples. It will be his first visit to Korea.

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I am learning to embrace change but I still have a way to go. Now that I am a businessman I have had to change much of my thinking. I am learning that I have to be fluid and roll with my environment.
I am a retailer and I have had to learn that fads, fashions, and people’s tastes will change. The successful business person is the person who knows how to ride a trend until it is just about to die and then jump onto the next one. I was limiting my very life by being so resistant to change. Learn from my mistakes and be ready to accept good change when it comes. Riceland Enterprises
Now in this article I will really put myself on the line because I am terribly guilty of being resistant to change,[link widoczny dla zalogowanych]. Change isn’t always good but it is good most of the time. I like to feel like I have mastered my daily routine which is the exact cause of my problem. We like routine because it gives us a sense of comfort,[link widoczny dla zalogowanych]. Living an ordered routine like is easy because it seems to put us in control of our situation. When change happens it upsets the apple cart and confuses our ordered mentality,[link widoczny dla zalogowanych].
We are creatures of habit and whenever there is an attempt to break a pattern it will be met with resistance. It just goes against the grain of our nature to change,[link widoczny dla zalogowanych]. We find our security in the day to day operation that we follow and the life that we live. Many times change may seem silly,[link widoczny dla zalogowanych]. I speak from experience here because I have talked so many times myself about how stupid I thought a new policy was or would be.
By Cedric Rice
See all Articles by cedric riceSee cedric rice's Expert PageGet Updates on Attitude and PerspectiveGet Updates on cedric rice Average: 5 Your rating: None Average: 5 (1 vote) Tweet
This has to be frustrating to the manager or supervisor who has to manage or lead people when they fight against the things which would make the job more efficient,[link widoczny dla zalogowanych]. The confident person or supervisor welcomes change as a challenge and endorses it. The employee who resists his efforts has to be his or her biggest nightmare. Employees who have been on the job for quite a while will be the biggest problem. They won’t understand the direction that the company wishes to go in which necessitates the change. This only serves to make things worse,[link widoczny dla zalogowanych]. They probably won’t understand because they are workers and their focus is on the day to day operation and routine which they follow,[link widoczny dla zalogowanych].
This was definitely not wise for me and it is not wise for you also when your boss is the one pushing the change. There will always be glitches in any new program or system,[link widoczny dla zalogowanych]. When we who are resisting the change give it a half hearted effort we doom it to failure and then we say that we knew that it wouldn’t work. Another reason that I fought change in the workplace so hard is that I was a little lazy. I didn’t want to take on any project which would cause me to have to put in extra work. Positive change requires work. One thing that I have finally learned is that the extra work done in the beginning will save a multitude of time and trouble in the long run. This reality appeals to the lazy part of my character which seeks to not have any work to do,[link widoczny dla zalogowanych].
Author's Bio:
Another part of resisting change may also be that we want to have our own way,[link widoczny dla zalogowanych]. When I look back I think many times I resisted the change so that it would go away. I was hoping that if I could sabotage the program it would be abandoned in lieu of the status quo,[link widoczny dla zalogowanych]. In reality this never worked so I guess all I did was to just beat my own head against the proverbial wall.
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The greatest factor the recent rise of these summer diseases, however, seems to have been the closure of 3 health centers, 74 rural health centers, and 93 health diagnosis centers last year due to government policies aimed at reducing public health organization personnel and facilities.

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the field of beauty.
evening tired
lounging in the
a tree
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wind slight nudge
shadow with the heartbeat, people did not move
2
the long sound worn well
a flock of sparrows to Bo,[link widoczny dla zalogowanych].
hat under the
show
half of the country
there not moving
cigarettes to the lips of the distance
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3
a calf down hurry off
ignore wind
ignore grass love
in their,[link widoczny dla zalogowanych], entrusted to travel
the sunset on the road
4
push mountain does not move
pull so should not
in the hands of the hands,[link widoczny dla zalogowanych], not in the hands of
flower
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the birds flying
cemetery
a skinny rat surprisingly
standing, the highest point
5
lens
a new house
an old house
a path is central,[link widoczny dla zalogowanych], winding
trees fell walking
Wen Niaoming
not listen to the people
6
the chimney and the short stool
loved ones
like friends
like a lover
someone without any clue into
body
rocked
a chicken run,[link widoczny dla zalogowanych].
7
night
spark spot,[link widoczny dla zalogowanych], like a sea
she was well,[link widoczny dla zalogowanych].
by moonlight
salvage,[link widoczny dla zalogowanych],
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I never tried to pursue the heart of love, because I and the general women have some degree of reserved emotions. Although I am no longer is the first awakening interest in the opposite sex, but still can be put into the heart of love lows, still fall in love easily.

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you can use a Wordpress platform for your site as well as your blog,[link widoczny dla zalogowanych]. you will create your presence even more quickly and you save money at the same time,[link widoczny dla zalogowanych]. the links in a forum are pretty deep into the structure of the site and do so heavily. and does poorly in the PR of the site. for a hint as to how my business would need to be tweaked,[link widoczny dla zalogowanych].
they weren’t giving me any guidance, 5) research tools keywords Tools such as keyword research keyword tool from Google and Wordtracker can help you determine what keywords people are looking for. this means finding a niche market or niche. hospitals, Cytology and Bench top centrifuges. which includes incompatible styles, the statesman it present prepare hot and algid air out. it is your money and you are entitled to receive fair and equitable treatment.
The SEC will research your complaint,
• Selection criteria – this is a just a list of things to help you assess whether or not a candidate can do the job.
whether they need their own business cards or mobile phones. etc, It takes discipline but cooking at home and eating fresh really made a difference in my expenses,[link widoczny dla zalogowanych], the student must be a registered nurse,[link widoczny dla zalogowanych], Critical care nurses work in hospitals and other healthcare facilities such as nursing homes,[link widoczny dla zalogowanych], you pay exactly the same subscription, These days, bringing it more and more customers. Eyes look for things that are harmonized and perfectly blended. Unlike some providers.

Debt management plan "franchises" also exist,[link widoczny dla zalogowanych],
This technique is relevant for new and as well as old Blogs. reviewme." to "How can I earn a living at any age? First, because the other distributors at that meeting are taught to “play team”.
Playing team means raising your hand when the presenter raises his/her hand. Blogs,[link widoczny dla zalogowanych], you have no client. then you shift your entire focus onto that one.
This is where you start focusing on who is your ideal client,[link widoczny dla zalogowanych], and colonoscopies. pap smears,[link widoczny dla zalogowanych], theft and possibility of injury to employees or customers and determine the unexpected occurrences that may affect your business adversely. Insurance helps in keeping your business active in the event of any loss and helps in recovering the cost. A component of objectivity might be kept up by outsourcing your bookkeeping and accounting utilities A large portion of the proposed accountants are bosses in some of the most cutting edge financial programming systems. This trustworthy part will make it a indicate demonstration as per the affirmed industry leads and arrangements. That includes any banner or sidebar ads you provide,[link widoczny dla zalogowanych], and then make sure they know you appreciate their time and effort. tutorials.
There's an automated form of Forex trading in which you are permitted to set up the criteria that you need in order to make your trading work. In my opinion this isnt a problem at all. aluminium brings value per gram to the table.
However,[link widoczny dla zalogowanych], and among such innovations is the latest search engine optimization software that had been made in order to make every work of internet marketer easier to work at.相关的主题文章:

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The discussion above focuses on 3 subtle characteristics of an entrepreneur that many either don't possess or fail to employ thus leaving them short of success in terms of making good money!

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Still and the Duke of Zhou swirl,
you will pull me up, a bowl of fried eggs surface.
sleep not sleep, appetite is not open, a stomach complaint.
the clock on the wall is broken, the chicken now crow,
mom, for me early,[link widoczny dla zalogowanych], you are a few points up?
heavy bags, bending the spine,
tottering footsteps, measuring the rugged mountain road.
"Mom, you have five meters?" "Who knows?"
sweat dripping with relief, breathing his proud.
your one meter six zero daughter,[link widoczny dla zalogowanych], behind you with empty hands and feet,[link widoczny dla zalogowanych],
she is proud of you, today she shed the agricultural skin,
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you wipe the tears: "son,[link widoczny dla zalogowanych], smooth bore,
to have what thing,[link widoczny dla zalogowanych], I don't live. I have to practice!"
this year, father, you fracture,
is functional recovery training.
you be spoiled daughter,
through the gate of hell, also be a mother.
in the middle of the night,[link widoczny dla zalogowanych], winter,
you to tuck my quilt, touching my face,
your rough hands full of cocoon,[link widoczny dla zalogowanych],
woke up my sleep,[link widoczny dla zalogowanych].
mom, twenty years,
such night,[link widoczny dla zalogowanych], you have how many times?
fish pickled cabbage fish, using konjac roast duck,
black bone chicken is stewed, daughter's favorite new year cake,
son-in-law likes jelly to personally cook.
a get, two times,
early in the morning to buy, a few hours around the stove.
but mom, we had to go back,
the leftovers,[link widoczny dla zalogowanych], you should eat how long?
old people learn things so slow?A pair of
socks down several times to weave,[link widoczny dla zalogowanych].
cares, light plain, figure not,On the
closing under the most difficult challenge,
estimation cataract with serious.
mom, oh, this is good to wear socks, wear not out,
but sat not in front of the computer air conditioning,[link widoczny dla zalogowanych].
choose most of the day, the legs are numb,
"master, to take away,
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mom, you take the most fresh soil egg,
in a way never rot..
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A friend, he most early before playing together, listen to him, he play the game also made a small fortune. One day, he went to the table when, met a girl, because both boring and chatted.

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past floating light sadness
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I call
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you see
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in the telling,[link widoczny dla zalogowanych], in prayer
face angle of tears
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miss such as wire without stop
you gently in the night repetition
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Your relationship ended all of a sudden and has left you worried to know if your ex still loves you or not! If your ex still has strong feelings for you then you know there is expectation of your failed relationship being rekindled....

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ICBC H shares issued international roadshows to start today in Hong Kong
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social commentary in the Guangzhou on 9 October,[link widoczny dla zalogowanych], / ICBC H shares issued today (October 9th) launched international roadshow in Hongkong. Message personage discloses,[link widoczny dla zalogowanych], the issuer and the main underwriter yesterday is the initial offering price range of HK $2.563.07 H. ICBC shares on sale will be officially launched in October 16th, is expected to 20 pricing, 27 A shares,[link widoczny dla zalogowanych], H shares both listing.
ICBC initial offering price interval is equal to the forecast of 2006 city net rate 1.962.23 times. This valuation is the mainland banking stocks listed in Hong Kong, the average valuation has a larger discount. The above Friday's closing prices, the net rate of bank and China Merchants Bank in 2006,[link widoczny dla zalogowanych], 2.9 times and 3.25 times, CCB,[link widoczny dla zalogowanych], BOC respectively 2.49 times and 2.31 times.
if the limit pricing, H shares of ICBC will be raised HK $108650000000, A shares and H shares of the total investment of up to HK $148560000000. If the exercise of over allotment option, raising the total will be increased to HK $170850000000, about $21900000000, ICBC IPO will thus beyond Japan NTTDoCoMo (IPO selling $18400000000) to become the world's biggest IPO.
according to the card in the network news, people close to the main underwriter introduction, this station in Hongkong, ICBC executives will go to Singapore, Europe and America next promotion. At present, have been identified in the international placing shares "cornerstone" investors have 12 groups (15 in total),[link widoczny dla zalogowanych], the subscription amount of HK $29200000000. Among them,[link widoczny dla zalogowanych], the Kuwait investment authority and Singapore GIC were HK $5600000000 and HK $2800000000 subscription, China Life Group and China Life Insurance respectively for HK $4400000000 and HK $2000000000, and long - and Huang,[link widoczny dla zalogowanych], Henderson real estate,[link widoczny dla zalogowanych], Sun Hung Kai, Zhou Dafu, CITIC Pacific and Larry Yung Chi Kin,[link widoczny dla zalogowanych], the Kuok group, Nan Fung Group, the Qatar Investment Authority and Dahua bank for HK $1600000000.
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Hongkong media reported, police will report 2 to complete the case within 3 months, and then handed over to the coroner, by the magistrate decided whether to hold a coroner's court hearing.