ROCKVILLE, Md.
For anyone who finds themselves getting carried away with the excitement
of the games, and also finds that they are becoming hoarse, simple steps can
be taken to protect their voice:

* Avoid shouting or screaming.

* Avoid constant throat-clearing, coughing , and loud talking, especially
if your voice is already irritated. Our strong results were driven by the positive
response from our clients," said MDI CEO, Ella Koscik."

ASHA is the national professional, scientific, and credentialing
association for more than 120,000 audiologists, speech -language pathologists,
and speech, language, and hearing scientists.

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* Watch what you eat.

Business Editors

ATLANTA----Management Decisions Inc. Founded in
1988, MDI has recorded 17 consecutive years of profitable growth, and
achieved revenues of $45 million in 2004 .

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For these and other professional voice users, protecting
the voice is essential.

Information for and about Speech Therapists and Speech-Language Pathologists.

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Speech-language pathologists identify ,
assess, and treat speech and language problems including swallowing disorders.
Candace Berk, President of MDI Medical noted, "By maintaining our
focus on providing travelers for Physical Therapy , Occupational
Therapy and Speech Language Pathology, we maximized our opportunities
in 2004., a number that
exceeds expectations -- and total sales topping 42 million since the product's
inception -- the American Speech-Language-Hearing Association (ASHA) is
offering tips to consumers to help them avoid hearing damage from improperly
using personal stereo systems like iPods.
"We certainly want the public to enjoy their music, but playing their
personal stereo systems at too high a level will cause hearing loss," ASHA
President Alex Johnson says.
"However, in this case it is preventable by keeping the volume lowered.

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* Rest your voice (don't whisper). Seek medical attention for
sinus infections and allergies.

MDI Announces 17th Consecutive Year of Growth; Revenues in 2004 Topped the $45 Million Mark

"Noise-induced hearing loss is cumulative and permanent ," Mason says.

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Also, an estimated 6%-23% of school-age children
experience voice problems, most frequently hoarseness, which can stem from
misuse of the voice such as imitating car sounds and sirens or screaming while
playing outside with friends."

ABOUT MDI

MDI is a professional consulting and staffing firm with two
divisions, IT Consulting and Medical Staffing.

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If you feel strain or tension in your
throat, neck, or shoulders, you're too loud.

* If you need to project your voice in a noisy situation, be sure that you
have good breath support and use abdominal breathing ."
MDI's successful 2004 was recognized by the business community
when it received the "Built to Last Award" from Catalyst Magazine for
its long term financial and operational performance. "And , in 2005, we expect even
greater results as we continue our emphasis on making MDI a premier
employer of choice.

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* Go easy on your voice when you have a cold. These factors can irritate the voice .

ASHA is the national professional, scientific, and credentialing
association for more than 120,000 audiologists, speech-language pathologists,
and speech, language, and hearing scientists . They are also now funding the IT projects that have been on
hold for the past couple of years," said MDI IT Division President,
Amy Vasquez.

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* Keep your throat moist. If a voice problem does not go away in a day or
two, don't delay. MDI showed a 38
percent increase in the number of consultants and a corresponding 15
percent increase in revenue.

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Audiologists specialize in
preventing and assessing hearing disorders as well as providing audiologic
treatment including hearing aids .asha. This isn't case with users of personal stereo systems.

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* Take slow, deep breaths when speaking.
For more information about voice disorders and good vocal cord habits, go to
http:/ /www. "It is clear that companies are hiring
again."
Meantime, Pam Mason, ASHA's Director of Audiology, notes that while
hearing loss is irreversible, it is also avoidable.org or 1-800-638-Talk .

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Frequent heartburn and a sour taste in your mouth
may mean stomach acids are spilling over into your larynx.

It is estimated that 28 million Americans experience daily voice problems .
For more information about noise and hearing loss and ways you can protect
your hearing, go to http://www.

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When one experiences laryngitis or becomes hoarse, the vocal cords are so
swollen and thick, they cannot produce sound.

With
revenues exceeding $45 million, 2004 represented MDI's 17th
consecutive year of profitable growth.

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Seek advice from your physician and get rehabilitative
treatment from a certified and licensed speech-language pathologist.
All aspects of MDI's business grew in 2004. MDI was also
ranked by the Atlanta Business Chronicle, Women's Enterprise and
DiversityBusiness on lists of top performing businesses. American Speech-Language Hearing Association Offers Consumer Tips
As Final Holiday Sales Figures Document Popularity Of Personal Stereo Systems

ROCKVILLE , Md.

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S.

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MDI Medical also demonstrated substantial growth and is now
delivering its traveler staffing services nationally in 47 states.

The tips include:

* keep the volume down
* avoid prolonged, continuous listening to the systems by taking frequent
breaks
* wear headphones that isolate the wanted music from background noise;
headphones that fit over the ears are better than the ear buds
(headphones that come with the players) that fit in one's ears because
they block background noise

Nearly 10 million Americans have hearing loss as a result of excess noise
exposure, according to ASHA, numbers which could increase with the popularity
of personal stereo systems. Audiologists specialize in
preventing and assessing hearing disorders as well as providing audiologic
treatment including hearing aids.

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(MDI) reported yet another year of solid financial results. The IT Consulting
Division provides Project Governance consulting and Technical Staffing
services through individual consultants, project teams, or fully
outsourced solutions.

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"The recognition received by MDI last year was a tribute to the
quality of our employees," said Koscik.

ASHA To Consumers: Save Your Hearing By Lowering Personal Stereo System Volume

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Continued vocal strain can lead
to more serious disorders, such as persistent hoarseness , breathiness,
inappropriate pitch (too high or too low), or inappropriate volume (too loud
or too soft). Speech-language pathologists identify,
assess, and treat speech and language problems including swallowing disorders.

audiologist stuttering

Drink plenty of water every day. work force is considered to be heavy
occupational voice users, such as teachers, professional speakers, government
officials, or actors .

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MDI now employs 450
consultants nationally out of offices in Atlanta (HQ), Birmingham,
Greenville and Phoenix.

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, As fan interest in the NFL
playoffs and Super Bowl intensifies, experts are cautioning the public to be
wary of abusing their voice as they support their favorite teams.
Prolonged cheering and yelling, whether for a sports team or for other
reasons, can result in hoarseness, irritation of the vocal cords or other
voice disorders, according to the American Speech-Language-Hearing Association
(ASHA).
"While cheering for the big game can be a great way to express enthusiasm
for your favorite team, you could be paying for this for days or weeks after
the big event," said Alex Johnson , ASHA President and Professor and Chair at
Wayne State University in Detroit, the city where the Super Bowl will take
place.org or 1-800-638-Talk.
"Our 2004 strategy was two-fold: Diversify into medical staffing
and further develop our IT Division's Project Governance and Technical
Staffing services.

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ASHA Advises: If You 'Take One For The Team' For This Year's Super Bowl Don't Have it be Your Voice

Five to ten percent of the U. The Medical Staffing Division is focused on the
national travel therapy market and specializes in Occupational
Therapists, Physical Therapists and Speech Therapists. "We know first-hand that there are people who are
listening at 110 to 120 decibels -- a level equal, in terms of potential
damage, to plugging the sound of a chain saw into one's ears. Yet, it isn't
uncommon for operators of chain saws to wear protective headphones to save
their hearing.

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