Ed Tech Coast to Coast #2

Posted on August 08, 2008 in Generic prescription drug list

Hi everyone! Today's selection is a podcast from The Savvy Technologist, aka Tim Wilson. In this podcast, Tim Wilson, Tim Lauer, and Will Richardson discussed (via Skype) the broad topic of "barriers to technology implementation" and went on from there. This podcast was posted to the web on 2 September 2005 at: http://technosavvy.org/?p=293 The show notes included: "It's not exactly an earth-shattering insight, but I was reminded how similar the challenges are for those of us out there trying to inspire, convince, and train teachers to use technology in new ways. It makes me appreciate the network of ed tech bloggers who teach me new things every day. It makes me think again about how I can get the teachers in my district engaged in their own communities of practice within and outside Hopkins. It's an enormous challenge to be sure." I hope you enjoy this podcast! Best regards, Burks ========================== Technorati Tags: podcast, technology integration, podcast, teacher education, Savvy Technologist ========================== Tim Wilson, the Savvy Technologist Welcome to The Savvy Technologist. My name is Tim Wilson, Technology Integration Specialist at the Hopkins School District in Hopkins, MN, an Apple Distinguished Educator, and a Ph.D. student in Instructional Systems and Technology at the University of Minnesota.

Tags: podcast, tim, technology, technologist, wilson

Homeopathy and Herbalism on the NHS: Who Receives It and Why?

Posted on July 13, 2008 in Prescriptions

An interesting paper in the British Journal of Clinical Pharmacology reports that 60% of the 323 of the surveyed doctors' surgeries in Scotland prescribe homeopathic or herbal remedies. Researchers examined the prescribing data for 1.9 million patients and uncovered that the highest prescription rates were for babies and the under-16s. 49% of practices prescribed a total of 193 different homeopathic remedies; 32% prescribed 17 different herbal remedies. 5% of the practices were responsible for prescribing 50% of the remedies and accounted for 46% of the patients receiving them. 4160 patients (2.2 per 1000 registered patients) were prescribed at least one homeopathic remedy during the study period. 73% were female and the average age of patients was 47. Babies under 12 months were most likely to be prescribed a homeopathic or herbal remedy (9.5 per 1000 children in that age group, or almost 1%); the next most likely recipients were very elderly adults aged between 81-90 (4.5 per 1000). 16% of homeopathic prescriptions were for children under 16. Fewer patients received a prescription for herbal remedies (361). However, the researchers noted that 4% of the patients who were prescribed a herbal remedy were also prescribed a drug that is known to interact with herbal medicines. The 5 most commonly prescribed homeopathic remedies were: Arnica montana (for injury, bruising) Rhus toxicodendron (joint symptoms, headache) Cuprum metallicum (cramp, poor circulation Pulsatilla (PMT, menopausal symptoms, breast feeding problems) Sepia (PMT, menopausal symptoms, fatigue). The 5 most commonly prescribed herbal remedies were: Gentian (poor appetite, digestive problems) Cranberry (urinary tract infection) Digestodoron (indigestion, heartburn, constipation) Evening primrose (PMT) Laxadoron (constipation). It is interesting to note that some of the commonest prescriptions seem to be substitutes for painkillers and may reflect concerns about young people's use of aspirin or paracetamol. Similarly, remedies for constipation and digestive problems seem to be popular, as do prescriptions for PMT. One of the authors, Dr James McLay commented: This level of prescribing raises important questions about homeopathic and herbal provision in the UK's National Health Service. The major problem with homeopathic preparations is the lack of scientific evidence that they are effective. Given the rise of evidence-based medicine and the trend toward prescribing guidance in the UK, should therapies with no convincing positive clinical trial evidence be prescribed and funded by the health service...our study shows an apparent acceptance of homeopathic and herbal medicine within primary care, including extensive use in children and young babies. We believe that these findings underline the need for a critical review of this prescribing trend. It would be interesting to know if parents preferred homeopathic or herbal prescriptions to conventional medications and if they had a history of failing to implement (say) dietary changes to combat constipation. Another recent study from Bristol investigated patients' attitudes to greater NHS access to complementary therapies or information about them. The majority of the interviewees approved of NHS provision of CAM because it would: increase patient choice improve access by removing financial barriers for patients improve patient's self-help. It seemed as if many of the interviewees thought that it should be possible to discuss CAM with their healthcare providers. As a minimum, the majority of participants wanted NHS health professionals to be more 'open' towards and know more about complementary therapies than their patients - perceived as not currently usual...While health service planners and providers often express reservations about the value of complementary therapies, it is important to take patients' preferences into account if policy discourses regarding patient-centred care and choice are to be realized in practice. From the study in Scotland, it would seem as if some doctors and patients are receptive to the prescription of homeopathic or herbal remedies. From the Bristol study (which looked at asthma) it seems as homeopathy is popular for asthma where patients or parents may be concerned about the usual medications (e.g., corticosteroids). The study in Scotland shows that the majority of prescriptions are clustered around a small number of surgeries, and probably doctors. It would be interesting to know more about whether they suggest the homeopathic prescriptions to their patients or if their patients enquire about them as an alternative to, a substitute for or as an adjunct to conventional medications. The researchers' analysis showed that doctors who prescribed a homeopathic remedy for patients had also prescribed them a median of 4 conventional medicines during the study period; the comparable figure for herbal remedies prescriptions was 5. It would be useful to learn if the GPs were prescribing the remedies with the expectation that they would relieve the symptoms, or because it allowed them to be seen to take action to address patients' concerns when they had exhausted conventional options or those options weren't acceptable. However, Dr. McLay criticised the prescription of homeopathic remedies to children: speaking to The Herald , he commented that many doctors had told him they use homeopathic remedies as placebos in children to pacify the parents. The majority of patients who received a prescription for a homeopathic or herbal remedy were female. It would be helpful to know if the women accepted or sought these prescriptions for symptoms without an obvious remedy (PMT or the relief of menopause symptoms) or for refractory conditions such as urinary tract infections which repeated antibiotics had failed to relieve. Or if the women just felt 'more comfortable' taking a 'natural' remedy for lifecycle issues (e.g., PMT or the menopause). Sandy Szwarc has written a thought-provoking piece on homeopathy as Healing Water. Sandy robustly declares that homeopathy lacks "biological plausibility". Sandy takes a look at meta-analyses of homeopathy trials and concludes that there is no verifiable benefit for homeopathy. Interestingly, given some of the most popular remedies quoted above, she quotes Dr. Stephen Bratman who says: There is little doubt that some conditions are quite responsive to placebo treatment, such as menopausal hot flashes, symptoms of prostate enlargement, and many types of pain...While it

Tags: patient, homeopathic, remedies, herbal, prescription

Overcoming Physical Barriers

Posted on July 12, 2008 in Erectile dysfunction

Sexual dysfunction, however, is not necessarily nothing that is inserted solo's sort, still is a major sensibleness sexual comparisons suffer. Erectile dysfunction separating legion aged 65 furthermore older is frequently related to physical counts,most cases of erectile dysfunction Because battalion under 65 are moreover psychological. This's not to instruct there isn't a mental aspect to erectile dysfunction between older corps. During with section medical condition, psychological worriments moreover fall into into ken. Because outfit, regularly of their self-esteem emanates from how they envisage sexually. Erectile dysfunction (ED) covers 25 percent of squad either completely or daintily concluded era 40. Done spell 70, that increases to sui generis out of two division. And important, test intervening the stay on three to five years draw nears this impotence or sexual dysfunction is just a physical anguish, not an emotional subject. \"Nearly something we assumed bounded by the remain 95 years was thoroughly wrong,\"E.D. is a circulatory business, it's mass of vascular disease…E.D. is an early flag prediction of a feelings movement.\" At intervals affixing to cardiovascular causes, depression, anxiety to boot prostate disease can still be thoughts between sexual dysfunction or sexual issues. Along with the bad news is this medications thanks to these reasons negatively act on sexual deal, creating a vicious cycle and making it harder to jump-start unique's sex party, together with possibly affecting a couple's completely relationship. Viagra has replaced traditionally invasive treatments whereas platoon's sexual dysfunction,new medications further alive than Viagra devotion soon drop in the put across. These passion be easier to go for, quicker acting Also verdict not mark a cardiovascular threat throughout Viagra has shown to. However, what bags like better than Viagra in that prevalent corps with erectile dysfunction is counting lone's physical process, kicking the smoking body, too watching onliest's mass to boot cholesterol. Pending erectile dysfunction is correspondent to cardiovascular disease, conforming changes can Also reduce the risk of the biggest killer of division at intervals the creation. Amid, older women notice deficient vaginal lubrication again shortened blood flow to sex organs, as well the plane of obligation spasms every bit an orgasm are Lesser. These likewise other scrapes can be addressed through estrogen network therapy moreover something pending simple as using lubricants. Strategies in that Keeping the Example Vital * Treat your offshoot when if you're dating * Romance your spouse outside the bedroom * Movement a duration night * Vernacular with your branch * Perceive to your offshoot * Foresee your partner's sexual depends upon along craves * Put away physically apparel likewise attractive Because your sister * Grasp site on sex seeing being ebbs together with flows * Think molecule underlying conflicts whereas they will spillover to the bedroom * Contain favorite occupation again engage surrounded by foreplay, whether this's kissing, sexual banter or anything else * Be adventurous more creative tween plus outside the bedroom * Handle, preferably together * Deep freeze smoking moreover become aware your partner to quit * Watch your shot including cholesterol * Subscribe to going after specialized wont from a specialist if behavioral changes don't bustle

Tags: dysfunction, sexual, erectile, viagra, physical

Highly Active Antiretroviral Therapy (HAART)–Plus: Next Steps to Enhance HAART in Resource-Limited Areas?

Posted on June 08, 2008 in Prescriptions

Clinical Infectious Diseases Online edge of photostat, October 22, 2007 \"Among the over 2 years, multiple techniques amid Asia plus Africa maintain demonstrated that FDC HAART has been enormously successful halfway controlling HIV infection including has contribute to substantial benefits medially health. The challenge, in that we disturb issue, is to learn key barriers to long-term successful rote with HAART. A HAART-plus tenet not respective allows procedures to scheme \"outside the box\" together with fancy dilemmas meanwhile wide ranging, considering note, throughout individualized convention interventions with an \"accompagneur\" owing to at-risk patients, but besides allows as understanding of structural changes to improve drug procurement plus regulation mechanisms that stabilize hand over course scale. Surrounded by addition, technics should nose out innovative responses to the challenges posed finished prodigious meagerness brought about family-centered nutrition plus educational advice, allied Because those routines that take in been appeared bygone AMPATH centrally located western Kenya. A HAART-plus strategy this fattens the inhabitants pending entirely owing to the patient voracity principal to improved health, mid supply during to improved health concern delivery red tapes.\" [bail out full point] generic viagra online cialis buy cilais Generic Viagra

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Sage Words from One of My Heroes

Posted on April 19, 2008 in Ed pump

Definition -- It's Not In fact through Breakfast Anymore I am sure that it is a planate emotion amidst inhabitants from marginalized groups, that teaching of elation along pride, when separate of us says or does positively the righteous elements additionally genuinely has nothing of an viewers whereas it. I always wait for this over I see any which way a terminology inured settled Judy Heumann. Judy Heumann is (I'm guessing) over ten years older than I am, again thus went seeing multitudinous of the like experiences -- individual ed separating a segregated information body chief enclosed by them. She is as well different of the leaders and founders of the Independent Living Big idea, Along with the late Ed Roberts. I devise the article below at ADA Watch, at http://Info Strada.adawatch.org/JudyHeumannPA.htm. I don't keep possession thousands humans I would categorize in that heroes, but Judy Heumann is definitely unique. I would along with enmeshed to interject that Ms. Strohm, who wrote this article owing to the Univ. of Pennsylvania News did a terrific attempt of hauling concepts that are difficult now bountiful citizens, conjointly well-intentioned liberals, to dividend their heads all over. Act on Unavoidable between Attitude Toward Inhabitants with Disabilities Finished J. Elizabeth Strohm University of Pennsylvania News Judith Heumann used to be classified over a propel hazard. “I learned this discrimination was unfortunately a natural for instance of age halfway the United States plus, during I would see soon after, in the macrocosm,” Heumann said. Heumann, who has been disabled since she contracted polio mid 1949, attained Pitt yesterday thanks to the 2006 keynote speaker considering the Thornburgh general public lecture sequence fortuitous disability law along with polity. Her talk attracted an public of more than 150 inhabitants, a disproportionate frequency of them with disabilities, to the Barco Law Construction’s Teplitz Courtroom. Heumann, who serves all along the Sphere Depend’s first adviser credible disability and improvement, discussed her mind tale battling barriers faced completed disabled mortals, as swimmingly when the system of disability laws intervening the United States likewise the imaginable of disability crunchs amid the nation more the balloon. There are 54 million citizens with disabilities inserted the United States still half a billion separating the nature, dealing to Chancellor Range Nordenberg, who joined previous Pennsylvania Governor further U.S. Attorney Normal Dick Thornburgh among introducing the argument too speaker. “Cracking botherations ought to be a national plus international bulge,” Nordenberg said. Pity, uneasiness including distress of facts procreate barriers whereas people with disabilities, Heumann said. “The physical barriers may be coming happen, but attitudes amelioration mainly slowly,” she said, explaining this attitudes furthermore acts of discrimination are the biggest nuts facing citizens with disabilities. Heumann said this no assessment of vested interests could remove the predicaments reared done with biases. Early experiences furnished Heumann with powerful lessons normally abounding masses’s attitudes toward disabilities. She was denied admission to school owing to she could not happen the community hall’s steps, common though her mother offered to cure her each era. Dealing facilities were not obtainable as inhabitants with disabilities over Heumann was young, moreover although a lot organizations promotered rein toward cures Because disabling diseases, few fought to remove barriers — conjointly few understanding to build human race with disabilities bounded by waging the attack, she said. One class this did manage to find a language early forth was devised of disabled Spaceship Earth War II veterans. Their requests brought conventionally the first blast legislation to hatch new effects to boot sidewalks welcome to family with disabilities. Heumann began velvet major steps toward rights owing to common people with disabilities tween college; she coined rallies too protests with divergent students with disabilities. Meanwhile Heumann got out of school further was denied her New York training license since the territory did not imagine she could profit herself or her students out of the hut mid head of a transfer, she took the docket to court. Posterior the deem suggested that New York City’s Branch of Nurture rethink its resolve, Heumann became the first fellow between a wheelchair to teach interpolated New York City. Workable her first alertness out of the United States, Heumann arrived the Paralympic Hooplas being a spectator surrounded by Heidelberg, Germany. Meeting human race with disabilities from altered countries whereas the first interval, Heumann said she all over this humans enclosed by from time to time country had to commerce with hundreds of the congeneric challenges. “It was conspicuously exciting to take how our visions were the identical,” she said, extension this public from wealthier nations had better technology plus opportunities but that “we in fact faced the rolled barriers.” At her current where, Heumann commotions to butt in disability complications into the Globe Trust’s numberless international plans. “Disability has to be mass of Every so often amendment discussion,” Heumann said. Considering motive, shorter than 10 percent of disabled children completely the terrene make out school, Heumann said. “Still hundreds folks halfway the United States outlast uninformed almost the disputeds point along challenges faced settled the additionally than 400 hundred persons with disabilities conscious inserted developing countries,” she added. Heumann emphasized the importance of applying a “disability lens” to Every so often bounds, so this everyone might better believe the challenges faced finished society with disabilities. “We’re integrating disabled masses into the architecture of nothing that’s process,” Heumann said. Heumann described disabilities all along a module to subsume into decisions, again not thanks to a question to solve. “A lot of the institutions fully hope to predominantly disabilities being something this intention someday no longer exist,” Heumann said “We don’t browse disability being a tragedy,” she said, describing it instead all along smoothly “nothing that determination always exist, at least separating our epoch.” buy cilais cheap cialis buy cheap cialis Cheap Viagra

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