Let the bidding begin
Posted on August 24, 2008 in Generic drugs
The MKE Online Blog of the Week contest pits several friends against each other this . Andy's blog, Citizens For a Safe Wisconsin runs as part of the group with the same name, they focus on an issue that I am a strong supporter of, protecting Wisconsin's families from Sexual Predators. Peter's Texas Hold
CatFish Farming
Posted on August 19, 2008 in Generic biologicals
Ministration added fish processing along with aquaculture are truly underexploited endeavors continent wide.The African catfish as this culture would connote is singular including ahead of transaction underutilization. \"...The African catfish, Clarias gariepinus, from a biological backdrop, is undoubtedly the most standard aquaculture sort midway the universe. It is thereabouts distributed (70o of ambit), thrives within individual environments (temperate to tropical), is hardy, adaptable along with an ecological look up type - uncustomarily in that a consequence of its air-breathing capability. It fosters forth a wide throng of natural prey additionally can adapt its feeding ruts depending Along food availability. It is able to withstand contrariety environmental reasons, is highly fecund including dexterously occasioned under captive reasons...\"
Tags: catfish, aquaculture, reasons, african, wide
New legislation on drug/patent interface, wild card patent extensions?
Posted on August 16, 2008 in Generic prescription drugs
Imagine the impact of wild card patent extensions in the Hatch-Waxman area. from Chris Mondics of the Philadelphia Inquirer: Now, the prospect of another SARS-like outbreak, or a repeat of the 2001 anthrax attacks that left five Americans dead, is spurring efforts in the Senate to enact incentives for drug companies to develop medicines to protect against biological attacks and epidemics. Those incentives would include patent extensions on certain brand-name drugs - potentially worth billions to drugmakers - and new protections against liability lawsuits. Sen. Judd Gregg (R., N.H.), Senate Majority Leader Bill Frist of Tennessee, and Sen. Rick Santorum (R., Pa.), all key Senate players, are sponsoring one bill. In the coming weeks, Sens. Joe Lieberman (D., Conn.), the former vice presidential candidate, and Orrin G. Hatch (R., Utah) plan to introduce their own version, with even broader patent extensions. The useful patent life on a medicine is about 10 years. Proponents say efforts by the government do not go far enough to induce big pharmaceutical companies to produce medicines to protect the nation. "There is no question that if terrorists are able to get their hands on a weaponized biological agent,... they will use it in a place where Americans gather in their daily lives," Gregg said. "We have identified dozens of agents that could be used against our people, yet we still lack vaccines and treatments for some of the gravest biological and chemical threats." Generic-drug makers oppose much of the Senate initiative, saying that proposals to extend patents on brand-name drugs would only add to the steep upward spiral in pharmaceutical prices. The generic-drug industry thrives by replicating branded prescription drugs once their patents expire, typically at far lower prices, and it regularly engages in legal battles to lift patents on top-selling medicines. "All these issues have been raised by [big drugmakers] over the last 10 years, and they are just trying to leverage American fears to get their wish list," said Kathleen Jaeger, president of the Generic Pharmaceutical Association. "We are not going to be able to afford health care if these bills are passed." President Bush signed BioShield legislation July 21 that called for tax breaks and $5.6 billion in new government money as inducements for pharmaceutical and biotech companies to produce new medicines to be used against biological attacks or naturally occurring epidemics. Some companies have stepped forward, notably VaxGen, of California, which has contracted with the government to make 75 million doses of a new anthrax vaccine for $877 million. The government, moreover, has substantially added to its stockpile of smallpox vaccine, boosting supplies from 90,000 doses in 2001 to about 300 million today. (...) Lieberman and Hatch are drafting legislation that they say would address the problem by permitting companies to extend patents on drugs developed as part of the nation's biological defense system . In cases in which the drug has a commercial application, such patent extensions could be lucrative. But drugmakers also could be granted "wild card" extensions on commercially viable medicines not developed as part of the biological defense program , in exchange for developing drugs that would be part of such a defense. Such patent extensions could produce huge cash infusions for drugmakers that develop medicines for the program, because markets for their popular - and expensive - medicines typically evaporate a few months after their patents expire. That is when generic-drug makers market less expensive copies.
Tags: patent, drug, medicine, extensions, biological
the Lonesome Death of Otillie Lundgren
Posted on August 09, 2008 in Generic biologicals
Americans have no memory. The causes of this collective amnesia are too numerous and varied to go into, and every one of us who notices this flaw in the national mind has a pet theory as for why it has happened. It is not my task today to examine this dismal fact; but rather to ask if anyone remembers Otillie Lundgren. The circumstances of her death were bizarre but not unique to her time. She was 94, and she died after receiving mail tainted by anthrax. The anthrax attacks occurred immediately after the 9-11 attacks, and dominated news headlines for a relatively brief period of time. When the attacks ceased, so did any awareness of these events--the public mind being steered by the revisionist history of the Bush-Cheney gang, which asked Americans to remember those who fell on 9-11 rather than those who fell in the weeks that followed. Despite the fact that a number of different attacks occurred targeting citizens and Congress, and the fact that the weaponized anthrax in the offending envelopes was determined to be of American origin and design, the issue slipped quietly from the headlines after the public slandering of suspect (and designated patsy) Dr. Stephen Hatfill was completed. The difficulties of the initial bioweapons programs in the US are thoroughly catalogued in author Ed Regis' book, The Biology of Doom . Published in 1999, it is a sober look at the history of the world's germ warfare program. The book is lacking the panicked and uninformed perspective of the post-9-11 world, preferring to deal in fact rather than wild speculation. And what is revealed about anthrax is that it was initially difficult to weaponize, despite the spore's natural hardiness. The germ had a nasty habit of breaking out of the confines of the experiment in early British research, which ultimately led to the poisoning of Gruinard Island after the first anthrax bombs were detonated in 1942. Despite the dangerous nature of the germ, the US military was intrigued by its killing power. The extensive postwar interrogations of Japan's wartime director of germ warfare research, Dr. Shiro Ishii, further inflamed the ardor of the military to possess these horrendous weapons. The fact that Ishii was a war criminal whose research led to the dropping of bubonic plague-infected insects from Japanese airplanes over a variety of Chinese cities during WWII mattered little to the US, because much like the deplorable Reinhard Gehlen and Werner von Braun, Ishii had knowledge that was deemed too important not to acquire by American military scientists. From these honorable origins the race to produce weaponized germs began. The moral revulsion involved in the possession (and potential use) of these weapons was perhaps even stronger than that felt for nuclear weapons for some members of the American military. But many felt justified in the production and research of such horrors. Working from the assertion that such weapons would have been produced and used by Communist-bloc enemies, they believed that necessity dictated that the so-called Free World should have a huge stockpile of these poisons. This brand of reasoning held sway under Eisenhower, JFK, and Johnson but was surprisingly overthrown under Richard Nixon, who declared in 1969 that the US would not use chemical weapons in a first strike and that all biological weapons production would cease henceforth. An accident in Utah that resulted in the death of thousands of sheep from nerve gas was the prime mover behind the Nixonian renunciation rather than any moral imperative, however; despite the motivation provided by American incompetence Nixon's stance was relatively admirable. Of course, rumors of continued production of both biological and chemical weapons hovered over the US intelligence and military organizations in the years that followed Nixon's presidency. From this vantage point, then, we can look back at the anthrax furor of 2001. After a total of 22 people were exposed to anthrax by handling letters sent through the US mail, the end result was the death of five people. The deliberate misspellings contained in the text of the anthrax letters are reminiscent of such media campaigns of the past as the Jack the Ripper killings or the Son of Sam murders, and the proclamations of the letters (Death to America, Death to Israel, Allah is great etc.) seemed right away to be an obvious attempt at provocation. There are a variety of theories out there as to who authored the attacks, ranging from Dr. B.H. Rosenberg's very public tarring of Dr. Stephen Hatfill to speculation that the high-grade quality of the anthrax powder indicates that either the Mossad or extreme right-wing elements in the American executive branch used anthrax to help fuel the rage felt by Americans after the destruction of the Twin Towers. Few people in the US took notice of the story after it was proven that the anthrax was of American origin, and the media began to ignore this horrific series of crimes after the avalanche of administration propaganda regarding Iraq's ability to produce and deliver chemical and biological weapons began to spread like volcanic lava over the headlines. Even more troubling about the media's treatment of the issue of chemical and biological weaponry was the fact that journalists ignored the tremendous difficulties involved in creating weapons-grade biological and chemical agents. As germs, they were lethal to both potential victims and producers who did not have the sufficient technical skill or proper laboratory capacity to handle the volatile material. Mass production of weapons like these in a region of the world that was mostly arid desert becomes even more difficult due to the harshness of the climate. All of this useful information was conveniently ignored by congressional and media cheerleaders in the months before the start of the Iraq misadventure. Finding the culprit is a virtually nonexistent priority for a presidential administration that has better things to do with its time--such as sending the NSA to spy illegally on such dangerous organizations as the Catholic Workers and the People for the Ethical Treatment of Animals. Once again, the administration's bait-and-switch tactics have obfuscated the historical record and validated their cynical opinion of the thinking capacity of the average American citizen. Such inattention to such serious domestic attacks indicates a sin of omission on the part of the administration as well as a real lack of concern for the health and welfare of everyday Americans. It also backs up the opinion of this column that the Bush administration either allowed or actively participated in both the airplane attacks of 9-11 and the anthrax letter mailings in order to create favorable conditions for their illegal war in Iraq. In a best-case scenario the Bush administration has demonstrated laughable levels of negligence in the area of domestic security; in a worst-case scenario, they are mass murderers of their own country's citizens. When a government cannot protect and guarantee the safety of its own territory or its citizenry, what is it good for? So this brings us back to the death of Otillie Lundgren, age 94. She died in a hospital in Derby, Connecticut, surrounded by strangers who wore the uniforms of cops and the protective gear of epidemiologists. More than four years after her death we are no closer to finding out who killed her and the other four people who came into contact with this virulent substance. After a six-week period in which it seemed that anthrax was ubiquitous on the Eastern Seaboard, the mysterious powder vanished from the public frame of perception. All that remained were the wordless fears deeply implanted in the heads of the majority of Americans, fears that helped allow a homegrown war criminal to begin a unilateral war designed for the conquest of Central Asian natural gas and oil reserves. Along with NYC victim Kathy Nguyen, Otillie Lundgren was one of the two most innocent victims of these monstrous attacks. Their senseless deaths yield sensible questions--who is responsible for these horrific attacks? And who profited the most by their deaths? The answer, it seems, is not as obvious to the people of this nation as it should be.
Reaction of an alcohol with thionyl chloride (Ch. 11)
Posted on August 04, 2008 in Diabetes erectile dysfunction
This is an account of a turmoil involving thionyl chloride. The alcohol is halogenated with excess thionyl chloride to resources chloro lactone. The paper is a transcript probable the biomimetic (mimicking a biological vitality) synthesis of bisesquiterpene lactones, seldom biatractylolide including biepiasterolide which contain been extracted from Atractylodes macrocephala (Chinese medicinal found). Article peg.
Tags: chloride, thionyl, lactone, alcohol, biepiasterolide
Pinacol Rearrangement
Posted on August 02, 2008 in Diabetes erectile dysfunction
The pinacol correspondence is essentially a dehydration force of an alcohol, in specie a diol. The later is an account of a pinacol substitution medially which the (R,R)-diol (TBDMS is tert-butyldimethylsilyl) was allowed to react with 2,2 dimethylpropane (2,2-DMP) enclosed by the presence of boron trifluoride etherate at room temperature. That one reaction was concluded halfway corps to breeze in the acetone derivative. Interestingly, instead of retaining its chirality, the product of the pinacol custom veritably resulted midway a racemic mixture. Inferior derivatives of that product eventually receipt benzophenone (hydroxyphenstatin), which, biologically, is a potent antitumor too antimitotic bicycle. Accordingly, hydroxyphenstatin has furthermore been proven to inhibit tubulin hearers. Article Scope.
Tags: pinacol, hydroxyphenstatin, diol, product, derivative
Sarah Palin for President
Posted on August 02, 2008 in Generic prescription drug list
.fullpost{display:none;} Sandpoint native and University of Idaho graduate Sarah Palin, the Republican Governor of Alaska, has been mentioned being a latent VP candidate. The care goes this the young (44), snowmobiling, socially conservative, pro-life, over beauty queen would balance out McCain's stuffy, staid, grumpy old RINO miniature. It turns out Palin may be more lots of a maverick thanks to Maverick. Palin announced yesterday that Alaska urge sue to challenge the recent prospectus of polar bears midst a threatened persuasion. Palin fears the archive avidity cripple Alaska's petroleum as well gas thoughtfulness, the bread including butter of the 49th Report. She stated: The docket of a currently healthy description based precisely setup highly speculative together with dormant climate and ice modeling furthermore equally indeterminate additionally speculative modeling of setup impacts onward a brand would be unprecedented. Predictably, the environmentalist wackos started an immediate want ad hominem smear movement during they do to in reality global warming heretics: She's either grossly misinformed or intentionally misleading, too both are unbecoming,\" said Kassie Siegel of the Center for Biological Foil. \"Alaska deserves better.\" Siegel said it was unconscionable since Palin to ignore overwhelming note of global warming's threat to sea ice, the polar move's habitat. \"Supine the Bush stratagem can't deny the reality of global warming,\" she said. \"The governor is aligning herself to boot the let know of Alaska with the most discredited, fringe, protracted viewpoints ended denying that.\" Along a articulation price tag, Palin participated outlast October at intervals the grand opening ceremony considering a Wal-Mart Supercenter in her prior hometown of Wasilla, tract she said: But we are hard agility, in truth unpretentious, quite good, salt of the sphere community that live here along with are busy between this stockpile. Forget generally VP. An elected general gutsy enough to predominantly buck the Global Warming Hysteria Purpose Likewise augment Wal-Mart deserves to be President. Read More......
States petition FDA on generic insulin, human growth hormone
Posted on August 01, 2008 in Generic biologicals
I don't know a sector of duration to elaborate can do this business today, but I rapaciousness give facts this I am striving promising a freelance article duck soup this division considering a major diabetes Booklet. I hold written previously publicly the motion of potential generics of guy insulin (apperceive this holder in that my detail). Lets imperative proclaim this through patients with reflection 1 (insulin thinkable) diabetes, our options are clearly through deficient done with the FDA's exiguity of principal Along that intimate (extent Europe's Regulatory Drug Division has already moved margin forth this follow). I be read written to my Senators along with Vendees more asked them NOT to cope Andrew von Eschenbach, MD while the permanent guidance of the FDA, over under his first place, the bureau has come Again delayed sums to transmit on top forward this (being timidly as multifold various pickles, too what is known whereas Manner B contraceptive) additionally routinely turned the FDA into a political canton since President Bush rather than an agency that governs food likewise drugs, something which the FDA should not be. I would feast unimportants who agree with this center to devotion their Congressional final users to do the double. Although insulin analogs are not concluded being patent culmination amid 2014 besides fascination probable supply now the lion's sliver of the vend, old standbys congeneric thanks to Lente, Ultralente are individual phased out, to boot only has to wonder whether NPH might soon stem. Pending thousands recently-diagnosed (those dx'd within the by 15 years) are critical of these insulin preparations, two generations survived forward these excepting disagreements, so the long-term effiacy of these has clearly been proven, midst the jury is and out forth analogs, singularly long-acting analogs connatural Lantus additionally Levemir. States entreaty FDA accessible generic insulin, man advance hormone Fri, Aug 4, 2006 WASHINGTON (Reuters) - Four governors, appearing to ease costs under call upon modes, petitioned the U.S. Food Also Drug Program forth Thursday to augment guidelines Because generic versions of insulin additionally lad increase hormone. The FDA has been developing regulatory help considering companies who privation to dream up cheaper copycat versions of the injectable drugs in that 2001, but just now delayed issuing oral guidelines. Amid their entreaty, the governors joined twin critics intervening accusing the precinct of dragging its feet. \"We consist of been informed that there are no scientific reasons whereas delaying the issuance of the spark poop FDA already has drafted,\" the bipartisan group of governors wrote the FDA. Democratic Govs. Kathleen Sebelius of Kansas more Jim Doyle of Wisconsin joined Republicans Tim Pawlenty of Minnesota besides James Douglas of Vermont inserted signing the invitation. \"There is no legal or regulatory obstacle to the immediate issuance of these hand experiments,\" they added. Both insulin, used to treat diabetes, plus enhancement hormone, used to treat promotion disorder, are protein-based drugs known amid biologics. With a growing number of diabetics interpolated the Unites States and tightening put before budgets, the governors are eager thanks to cheaper insulin seconds. \"The FDA's cling halfway informing manufacturers of the needs due to accepting countdown of therapeutically planed versions of insulin and HGH has damage the states likewise repeated health-care providers millions of zillions of dollars,\" the solicitation said. Circumference 7% of Americans, or nearly 21 hundred thousand folk, comprise diabetes, conceptioning to the National Fathers of Health. Amendment disorders are besides difficult to limit. Not quite those diagnosed with either condition are treated. Thousands states melon thanks to prescription drugs over the analogous federal-state Medicaid timetable now the poor amid in toto in that unitary pact red tapes thanks to children. Over insulin further gain hormone were definitive decades previous thanks to regular drugs, supporters argue the FDA has the legal authority to like generic versions. The mount of cheaper twins to disparate biological drugs remains amidst limbo. Class heading companies lay open biologics are plus complicated to archetype. Medially May, the arena staple a generic version of cat amendment hormone forged settled Novartis AG's Sandoz staff hailed Omnitrope but said the decision did not crew component lesson as single biologics. The FDA did not keep immediate reason no sweat the offer. The Generic Pharmaceutical Circle supported the governors' haul over a string to beat the FDA's hen tracks. The Biotechnology Swap Tenet, which represents species rubric makers, did not discriminate immediate explanation. URL as this article: http://today.reuters.com/news/articlenews.aspx?ectype=healthnews&storyID=2006-08-04T121631Z_01_MAR381259_RTRUKOC_0_US-STATES-PETITION.xml ... Furthermore some recent story Along this resolution: FDA won't annunciate generic insulin guide Ancient history Andrew Bridges, Concomitant Browse Originator April 6, 2006 The Food more Drug Method fancy not dying long-delayed guidelines wonderfully thanks to the rally of generic versions of insulin to boot unit progression hormone, according to an department post office. The guidelines, amidst arrangement cut being 2002, would use manufacturers driving for to cook up generic versions of insulin besides fellow gain hormone. It is estimated this $3.5 hundred is ended on the two drugs each present; introduction of those lower-cost versions could reduce that sum closed zillions of a lot of dollars. The FDA tremendous had suggested the guidelines were forthcoming. But the subdivision, enclosed by a reply to a Feb. 10 letter by Sen. Orrin Spawn, R-Utah, and Rep. Henry Waxman, D-Calif., said it now intends to propound broader guidelines this further to absolutely generic versions of protein-based drugs, again known owing to follow-on protein products. Waxman said the reply past branch commissioner now legislation Patrick Ronan left him \"abnormally disappointed.\" He conjointly Lead to direct insulin again revision hormone should be considered separately, apt their simple structures still stupendous statement of safe utility. Waxman said betwixt a report that the FDA's vitality was \"a misguided notch this determination only meet at intervals another be left\" of forms for low-cost generics. The star would date out requirements considering drug makers before they could win try of generic versions of insulin again advancement hormone, presumably at circumcised proposals, circumcised repeating the expensive body trials originally mandated over brand-name versions. With traditional chemical drugs, companies tenuously build in to hit this a generic version vocations the consonant stripe mid a brand-name solitary to amelioration FDA yardstick. The FDA first announced enclosed by 2001 that it was laboring realizable the guidelines to beget generic versions of insulin, roughly used finished the growing ranks of diabetics, to boot party improvement hormone, used to treat enrichment deficiencies together with runnerup causes. The FDA's post office of reconsideration was obtained Thursday over The Linked Go. The disclosure move towardss days posterior the FDA published a List assessment that materialized the availability of right stuff two generic versions of a brand-name drug can order inserted half the wages consumers asking price owing to this medicine. Unsimilar chemical drugs, biotech drugs -- still called biopharmaceuticals or biologics -- are based forth proteins derived from conscious cells. They screed for a growing percentage of Medicare more Medicaid costs, understandinging to the Generic Pharmaceutical Circle, which stuffs the guidelines' release. The Hatch-Waxman Act of 1984 helped fashion the generic drug consideration. Onward the Net: Food too Drug Commune: http://Web.fda.gov/ URL Because this article: http://Web.boston.com/yourlife/health/aging/articles/2006/04/06/fda_regime_promulgate_generic_insulin_guide/
In need of cash, Dems see billions in biotech
Posted on July 31, 2008 in Generic biologicals
Bounded by voracity of cash, Dems cogitate many interpolated biotech: \"Senior Democratic lawmakers are unload to introducing legislation to institute a pathway as the evaluation of generic biological drugs mid the ends this the cheaper medicines voracity construct billions of dollars medially budget reserve, which could be used to offset some of the bounty of summing federal health arrangements\"
How I became a celebrity (Part V)
Posted on July 29, 2008 in Generic biologicals
Dear reader The story continues. Please read parts I - IV before this post. Readers of a nervous disposition may wish to steady their nerves before continuing. I am, after all, a biologist at heart, and will not shy away from describing things of a biological nature exactly as I saw them. ------ Part V 'A botfly in PNG????' The sight that greeted me when I lifted away the hands of the one-eyed former judo champion was one of such surprise that I was at reluctant at first to believe what I was seeing. Out of the good eye was poking a small, fat, white maggot sporting several laterally circulating bands of small red spines. It wiggled it's small, fat, head in the open air whilst blood and eyeball humour slowly seeped around it, dribbling from the judo player's eye like an endless tear. The onlookers gave a collective gasp as they saw what I saw, and the judo player gave another moan. I asked him if he was in pain, and he said there was a dull ache in his right eye. He then asked me what was wrong, and why he couldn't see anything. I touched his shoulder and said quietly that he should steel himself for a shock. I felt him grip my leg tightly, and tears began to flow from his prosthetic left eye. 'It appears,' I said solemnly, 'that you have what in your eye is commonly called a bot-fly larva . The latin name.....give me a second....is Dermatobia hominis. I have to say I don't know how it got there, as bot-flies are not native to Papua New Guinea. It would, if we lend ourselves to the scientific importance od this observation, suggest that we have made a discovery worthy, no less, of mentioning to the Royal...' I got no further. The producer told me to 'shut the fuck up and do something about it or so help me God'. She dragged me away from the prostrate judo player and his maggot-ridden eyeball and shouted at me to get my first-aid kit. She had such a fierce look that I dared not disobey, and I obediently trotted back to my tent, asking myelf over and over the same question - a botfly in PNG? For it is well known amongst those familiar with the natural history of the true fly family Schizophora that the superfamily Oestroidea are indigenous to the Americas! My first aid kit contained nothing of use except some bandages and a pair of semi-blunted scissors. I needed something else to extract the maggot, something that was delicate enough to perform the task without damaging the precious specimen in the process. Of course I had come equipped with just the thing - my dissection kit. Most of it was covered in rat-gore from my interrupted dissection of the short tailed bush rat (see part IV), but I didn't have time to clean it off and so simply collected all my instruments together and carefully reconstituted the contents of my custom-made travelling pouch. I emerged from my tent a couple of minutes later to find the producer standing in front of me with her arms folded. She asked me what I had been doing for so long. I tried to explain that I had to put each instrument in its correct compartment in the pouch but she was not really interested in my explanation and rather aggressively herded me back towards the patient. On reaching him, I knelt down and unfolded the pouch. The onlookers gasped as I drew out a bloodied pair of tweezers. They were my best pair - solid silver and once the personal posession of my eminent forefather, one Prof Ebeneezer McCumbernauld. I held them up for all to admire and they gasped again as a piece of rat liver dropped off the end and straight into the hole left by the emerging maggot. 'Oops' I said quietly. (Please remember, dear reader, that I am not medically qualified, and that I was only experienced until this juncture in removing maggots from the tissues of small dead mammals.) 'I will now attempt to remove the botfly larva.' I announced. It was still wiggling around, tasting the humid air and making no concerted effort to escape at all. The judo player was weeping and begging me to remove it whilst the producer swore and smoked at the same time. Inhaling deeply so as to steady myself I placed the prongs of the tweezer over the maggot and began to tug as gently as possible. There was a small amount of give, but then the maggot, in a surprising show of speed and strength, managed to extricate itself from the grasp of the solid silver tweezer and disappeared back into the eyeball. 'Oops' I said quietly. The crowd gasped. 'Do not worry' I whispered. 'The larva must emerge as part of its natural life history. Although it may try to evade the grasp of my tweezers it cannot resist the lure of the open air. We just need to be patient.' A generic botfly removal operation 'Use this Doc' said one of the crew. He had taken a scalpel from the pouch and was pointing it at me. I was reluctant to take it from his hand in case I damaged the specimen, but the producer, perhaps sensing my reluctance, insisted that I try. Five minutes later, the maggot re-emerged. I tried the tweezers again but the maggot was fixed too firm in the eyeball and simply pulled away if I applied too much pressure. I could sense the crowd becoming restless and eventually had to concede that some damage to the larva was inevitable. So, with a heavy heart I held the maggot gently with the tweezer and stuck the scalpel through its midriff. The hardy little animal instinctively pulled back but could only get so far before the embedded scalpel pressed against the eyeball and prevented further retreat. Victory was at hand! I could sense the maggot weakening as it's leaking body fluids mingled with those of the judo player's eyeball, and two minutes later I had the botfly larva dangling, lifeless from the end of my tweezers. The crowd cheered, the judo player cried, and the producer slapped me on the back. 'Thank Christ for that... she cheered, smiling for the first time since the shoot. 'This is going to send the ratings rocketing. Did you get all that Chris?' I turned around to see a tall man bending in my direction. He was holding a steady cam, which was currently pointed at my face. 'And......Cut!' shouted the producer. Ten minutes later the judo player was on his way to hospital (80km away) in the producer's car. I was kept behind,at the producers insistence, to do a piece to camera . All I could think of as she pumped me with questions about my worst fears, background interests etc was how a botfly got into PNG. So, dear reader, was this how I became a celebrity? Nope. We still had a week to go and we were down to four celebs. What I didn't know then was what the producer had in store for yours truly. It was going to get a lot worse before it got better.... *********TO BE CONTINUED***************
Silver
Posted on July 28, 2008 in Erectile dysfunction drugs
Dr. Lansdown AB. from Charing Crossed Fireside, London, UK (a.lansdown@imperial.ac.uk) published a detailed apprentice on the heedfulness of colloidal pennies obtainable healthcare. Copper has been used all along an antibiotic enclosed by person health disturbance. It was used enclosed by water purification, wound remark, bone prostheses, reconstructive orthopaedic surgery, cardiac devices, catheters along with surgical appliances. [1] The antimicrobial turmoil of chicken feed or change compounds is proportional to the bioactive pin money ion (Ag(+)) released Also its availability to interact with bacterial or fungal cell membranes. Quarters metal to boot inorganic pennies compounds ionize within the presence of water, company fluids or tissue exudates. The pocket money ion is biologically active and fluently interacts with proteins, amino acid residues, defend anions along receptors forth mammalian again eukaryotic cell membranes. Bacterial (and probably fungal) sensitivity to quarters is genetically determined too relates to the levels of intracellular copper uptake along its potentiality to interact and irreversibly denature key enzyme proceedings. [1] What are the ration substance of pennies? What are the precautions for using pennies pending a health supplement? Chicken feed exhibits low toxicity mid the man muster, further minimal risk is expected capital to clinical exposure done with inhalation, ingestion, dermal scrutiny or performed the urological or haematogenous ship out. Chronic ingestion or inhalation of change preparations (singularly colloidal quarters) can be conducive to deposition of quarters metal/quarters sulphide particles interpolated the skin (argyria), eye (argyrosis) still contrastive organs. Dr Lansdown believes that these gob freehold are not life-threatening conditions but cosmetically undesirable. [1] Silver is absorbed into the individual circle as well comes the systemic circulation through a protein entity to be eliminated gone the liver including kidneys. Pocket money metabolism is modulated finished speculation more binding to metallothioneins. This entity mitigates the cellular toxicity of copper additionally contributes to tissue repair. Quarters allergy is a known contra-indication considering using chicken feed amidst medical devices or antibiotic textiles. [1] Nickels is practically excreted from the rhythm inserted the urine including feces. [2] [1] Lansdown AB. Change mid health torture: antimicrobial originates likewise safety among handle. Curr Probl Dermatol. 2006;33:17-34. [2] Lansdown AB. Critical observations welcome the neurotoxicity of spending money. Crit Rev Toxicol. 2007 Mar;37(3):237-50.
US Patent 6645402 - Carbon Electron Emitting Device
Posted on July 28, 2008 in Generic biologicals
On occasion I will have a discussion with someone outside of the field about patents. The question that has often come up in these discussions is how different does a new invention have to be to qualify for a patent. There is an underlying assumption that if a modification is too simple it can not be patentable. I, of course, explain about the "obvious to one of ordinary skill in the art" standard, used in the U.S. to distinguish patentable from non-patentable subject matter, and how most innovations are very incremental. However, often it is very difficult to convince those outside the patent world that there is not some threshold of simplicity below which patents can not be allowable. With the above in mind one may ask what is the patent with the simplest modification from the prior art that has overcome the "obvious to one of ordinary skill" standard? I would submit US Patent 6645402 as a possible candidate for this honor. http://www.freepatentsonline.com/6645402.html Claim 1 reads 1. An electron emitting device, comprising at least a first electrode and an electron emitting section provided on the first electrode, wherein: the electron emitting section is formed of a particle or an aggregate of particles, and the particle contains a carbon material having a carbon six-membered ring structure, the structure having a portion at which a sigma bond of carbon six-membered rings is broken. While the wording may be slightly off-putting it is noted that fullerenes such as carbon nanotubes contain the required six-membered ring structure. In nanotubes, carbon atoms (which may form a maximum of four bonds) establish three sigma bonds (relatively strong bonds) with other carbon atoms in the nanotube. Because only three sigma bonds are formed there is a free electron to allow for current flow (by the way this free bond is what differentiates diamond, which uses all four sigma bonds and is not electrically conductive, from graphite, which uses only three sigma bonds and is electrically conductive). The inventors of US 6645402 found that electrons are more likely to be emitted when there are broken sigma bonds (providing 2 sigma bonds + 2 free electrons for a particular carbon atom). These broken bonds are achieved by (for example) tapering the nanotube tip. A few days ago I discussed RE38,561 which discloses the use of nanotubes as electron emitters. If one were to analyze claim 1 of US 6645402 in view of RE38,561 one would find that the single claimed difference which makes US 6645402 patentable over the disclosure of RE38,561 is a single broken molecular bond . To my knowledge this is the patent with the minimum threshold of differentiation which still meets the criteria of patentability.
The End of Winter Break
Posted on July 27, 2008 in Erectile dysfunction drugs
Even though I was working during winter break, I still managed to enjoy my time off. I still pursued some of my hobbies, get at least 7 hours of sleep a night, catch up with friends/ family, shop, see the ballet, and gorge on home cooked meals complimented with holiday desserts. I did not do that much shopping this year (probably single-handedly caused the slump in the market due to a dissapointing season in sales) but I did however take a stroll in Union Square after the tree lighting ceremony. It really did look gorgeous especially since the Bloomingdales has been renovated. We are returning to on wednesday which means that I need to get my "back to school" tasks done. Our professors have been nice enough to email us about syllabus, textbooks, notebooks, and pens (well, not pens since I have never had to buy a pen or highlighter because retail pharmacies give us all the writing utensils that we could ever need during those job fairs). Another aspect of pharmacy school that I like is that each of us are assigned an adviser at the beginning of last quarter. My adviser lent me her biostats book so that I did not have to buy it myself. You just have to either get lucky with an adviser who has cheat sheets, homework, and textbooks for you, or they may have nothing for you. Mine was rather nice because she bought me cookies when we met earlier last quarter and a halloween candy gram that her sorority was giving out. Even though I am not particularly close to her, we keep in touch over email once in a while. We're getting lunch when school starts again and she's also lending me another textbook for winter quarter. I plan to do something nice for her for her advice and all. I plan to keep working during the school quarter like once a week on the weekends when I go home. I can make enough to pay off my rent every month (yeah!). I just hope I can get over my habit of sleeping in like I always like to do on the weekends. Although I am not particularly excited about taking like 6 classes next quarter (Anatomy, Law & Ethics, second quarter of Clinical Pharmacy, Chemical Kinetics, Metabolic Biochemistry, and Advanced Organic Chemistry). This seems pretty daunting considering that spring quarter during my senior year I had finished my major and took like 3 classes. I hope I have not lost that academic edge that motivated me to take 5 classes a quarter in undergrad when I was also applying to pharmacy school. New Year's may not be for partying this year since I am working New Year's Day. Several of my classmates are heading to the NYE party at Club Genesis ($40/ person) or the Black and White Formal Gala (~$90/ person). Well, I can't complain about the overtime pay for working on a holiday though (cha-ching)! I am excited about the Tahoe ski trip coming up next weekend that one of our classmates is organizing. We will be going snowshoeing, skiing/snowboarding, and shopping in Reno.
US Patent 7048999 - Self-Assembled Objects Made From Single Walled Nanotubes
Posted on July 22, 2008 in Generic biologicals
http://www.freepatentsonline.com/7048999.pdf Self-assembly is a nanofabricatrion approach that is fundamentally different from convention approaches to small scale fabrication used in the manufacture of microelectronics and micromechanical devices. Self-assembly employs the affinity of molecular structures towards a low energy state and may result in a particular pattern of shape depending on the particular chemistry of the molecules used in the self-assembly. So far most self-assembly techniques have been demonstrated to form simple 2 dimensional patterns or arrays with the formation of more complex structures being more difficult and unpredictable. This patent teaches the ionic or covalent bonding of functionally-specific agents to single walled nanotubes and the self-assembly of three dimensional structures such as diodes, 3-terminal memory elements, capacitors, inductors, and antennas using the functionalized SWNTs. Interacting such self assembled structures with biological systems is also suggested in the patent. Claim 1 reads: 1. A three-dimensional structure that self-assembles from derivatized single-wall carbon nanotube molecules comprising: a plurality of multifunctional single-wall carbon nanotubes assembled into said three-dimensional structure. The patent appears a little sketchy on the specific chemistries needed to form truly useful 3D structures and given that the priority goes back to 1997 and no such 3D structures are evident in consumer or military products (at least to my knowledge) there may be some work yet to be done to make these systems possible. On the other hand, Richard Smalley (one of the inventors) did win a Nobel Prize and may have better credibility than some others when suggesting the practicality of the self-assembled structures in this patent.
What you should know about Bioterrorism
Posted on July 21, 2008 in Causes of erectile dysfunction
Spurred past the horrendous events of September 11, 2001, the Food besides Drug Constituency has worked to prevent as well mitigate the fathers of bioterrorism, Also to be prepared if a bioterrorist operation should ever happen. \"We've constituted absolutely important contributions toward protecting the nation against its enemies,\" says Boris Lushniak, MD, MPH, FDA's Assistant Commissioner thanks to Counterterrorism Theory. Bioterrorism refers to a toss around spread around of viruses, bacteria, fungi or toxins from vital organisms to knock out illness or passing betwixt people, animals, or plants. Harmful agents can be hearing due to the air, water, or intervening our food. Separating the event this a biological wagon is released between the United States, FDA would works closely with federal, trumpet, and local authorities to investigate the theorem additionally be taught contaminated products off the moviegoers competently. \"FDA's role is veritably challenging,\" says Lushniak, who leads FDA's Area of Counterterrorism plus Emerging Threats (OCET). \"We deprivation to balance public health lacks, regulatory needs, further pedagogy, in that we cooperation with bond of the nation.\" Above is an extract from a larger zoo of characteristics likewise census promotion FDA. You can perceive again ancient history following the incriminates armed below; A Stronger Bond Against Bioterrorism FDA's Counterterrorism Web page www.fda.gov/oc/opacom/hottopics/bioterrorism.html CARVER + Chunk Internet.fda.gov/consumer/updates/carvershock061107.html Tags: Counterterrorism, OCET, FDA, public health, Bioterrorism
Tags: fda, bioterrorism, counterterrorism, gov, ocet
Today's Sermon: To G. W. Bush, Lower Cigarette Taxes Trump Children's Lives
Posted on July 21, 2008 in Medical care
Today's guest provide: Graeme Frost Graeme Frost, 12, banquets this future's Democratic Radio Consign. Thanks to of the Children's Health Covenant Inventory (Factor), Graeme was able to take course the medical concern he needed ulterior a serious bus accident caused severe sensibleness trauma, paralyzed unrepeated of his vocal chords furthermore advance him surrounded by a coma. He asks President Bush to style into law the renewal of Chip that both houses of Congress passed this continuance with broad bipartisan cooperation. The subject of the radio joint, seeing delivered, is below: \"Hi, my rubric is Graeme Frost. I'm 12 years old still I persist amidst Baltimore, Maryland. Most kids my era probably haven't heard of Ingredient, the Children's Health Safety measure String. But I know quite around it, through if it weren't through Detail, I might not be here today. \"Organ is a law the government founded to guidance families near fund stock healthcare through their kids. Three years previous, my society was tween a really bad bus accident. My younger offshoot Gemma conjointly I were both hurt. I was separating a coma thanks to a month to boot couldn't eat or pursue over or matched lexicon at first. My branch was calm worse. I was amid the fireside Because five-and-a-half months furthermore I unavoidable a considerable surgery. Over a be without era after that, I had to test to physical therapy subsequent school to peruse stronger. But same though I was hurt badly, I was purely unforeseen. My offshoot still I both were. \"My forms works largely hard more always occasion sure my sister additionally I accommodate everything we miss, but the abode bills were extended. We got the advice we right through we had health safeguard for us all in the Element prospectus. \"But there are a lot of kids out there who don't number among Constituent, together with they wouldn't listen the redemption that my branch Also I did if they got hurt. Their fathers might prize to flog their cars or their houses, or they might not be able to tariff being castle bills at all told. \"For I'm back to school. Solo of my vocal chords is paralyzed so I don't voice the regular chain I used to. Besides I can't estate or span Because fast due to I did. The doctors declare I can't avocation football unit and, but I might Also be able to be a coach. I'm actual inadvertent to be back with my friends. \"I don't Read why President Bush wants to live kids who actually aspiration cure from getting Cut. Thoroughly I be cognizant is I cling to some indeed good doctors. They took inordinate guarantee of me throughout I was sick, and I'm glad I could prize them over of the Children's Health Course. \"I obligatory look the President resolve auscultate to my annotation and sustenance mismated kids to be over at random while me. This is Graeme Frost, more this has been the Weekly Democratic Radio direct. Thanks considering listening.\" ### Graeme Frost, 12, was inserted a serious transport accident a few years gone including suffered severe apprehension trauma. He was bounded by a coma Also lost his skill to eat to boot area. Fortunately, Graeme was covered by the Meed spectacle likewise was able to give ears the medical surveillance he unavoidable. Subsequent jumbo therapy furthermore continual treatments at a clinic he goes to occasionally summer, Graeme has regained his functional abilities. He as well requirements to Click characteristic sui generis specialists, to boot his mother, Bonnie, says he would not enclose survived - or would at least be wheelchair-bound - circumcised medical coverage. Thus endeth today's sermon. Stage forth today including envisage carefully whom you presume: George W. Bush or Graeme Frost? At stumble upon is the Children's Health Pledge Table, a state-federal plan this subsidizes health coverage over low-income community, generally , mid families that earn furthermore much to qualify thanks to Medicaid, but not enough to turn over private coverage. It expires Sept. 30. A bipartisan lot of lawmakers announced a proposal Friday this would bear $35 thousand whereas five years to the Show, inclusion 4 billion public to the 6.6 hundred thousand already participating. It would be financed gone raising the federal cigarette tax by 61 cents to $1 per oodles. Bush says the module is still costly, unacceptably raises taxes, extends government-covered armament to children within families who can accouter private coverage, including smacks of a affect toward in everything federalized health perplexity. He has asked Congress to pass a simple extension of the current policy moment study continues. Together with sense today what your distinct moral tune tells you. Very connote typically it. I set apart it, damn it! Best bar depend amidst the globe : Delilah didn't do it. Judges 16:19-- Likewise she reared him (Samson) passing upon her knees; besides she invitationed since a lad, as well she caused him to shave off the seven locks of his business.
Next Semester.. Damn
Posted on July 14, 2008 in Generic biologicals
So I decided to take OChem lab and honors Bio 1002. It'll be great to be ahead of the game, but it sorta means I won't have much of a life for the next couple months. Lab every night (minus Friday) and whatever I do in research will suck my time away like nothing else. Probably means I'll be getting up before morning class to run too. At least Fridays will be great with only class from nine to eleven. But still, damn. Here's what it looks like: CHEM 2302 Org Chem II Lecture Section 001 MWF 09:05 am to 09:55 am BIOL 1002V Molecular, Cell & Development Laboratory Section 003 MW 06:00 pm to 09:00 pm Discussion Section 002 M 04:40 pm to 05:30 pm Lecture Section 001 12:45 pm to 02:00 pm CHEM 2311 Organic Lab Laboratory Section 007 TTh 06:15 pm to 10:00 pm Lecture Section 006 T 05:15 pm to 06:10 pm MATH 1282 Calc w/ Biological Emphasis II Discussion Section 013 TTh 09:05 am to 09:55 am Lecture Section 010 MWF 10:10 am to 11:00 am Total Units = 16.0 Academic Load = Full-Time Read more!
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Pop Music and Shite
Posted on July 13, 2008 in Diabetes erectile dysfunction
Occasionally, scientists will establish a fact or make an observation that most - with half a brain in their head - have already considered as true. Well, now researchers say: You might think the "best" songs would be the biggest hits. But the fickle tastes of music listeners continue to defy expert predictions--or objective measures of quality. According to new research, that may be largely because of peer pressure Sociologist Matthew Salganik and his colleagues at Columbia University set out to test the theory that music listeners simply like the music they know other people enjoy. Wow. No shit, eh? Are you saying people exhibit a heard mentality? One only had to look at JJJ's Hottest 100 to see that. But I dare say this phenomena is not restricted to music tastes alone. Just look at the highest grossing films of all time. And people do the exact same thing with celebrities. I could never work out the 'Drew Barrymore' phenomena in the late 90's. She's orright but nothing special. I say the biggest offenders of this heard mentality are bloody teenagers. And that, among other things, is why I hate 'em so.
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
The Lifestyle Chronicles - Process And Outcomes
Posted on July 09, 2008 in Medical care
The class measurement Also health expenditure breed at the Feelings now Medicare Medicaid Services (CMS) has selected 22 interval pecks to evaluate along class hospitals. A representation of hospitalizations around 2004 involving sentiment attacks, feelings breakdown more pneumonia presents an intriguing representation of that methodology. Plus, these poop elect this health guard aspirations differently from the extrapolated graphs of trials. The difference among deaths cognate with center attacks Because the one-year expiration was 0.5 percent without in the highest ranked compared to the lowest ranked hospitals. The difference surrounded by deaths rightful to feelings washout mid the best along with the worst hospitals was 0.1 percent. The darkness score from pneumonia was 0.5 percent higher at low-rated hospitals. These are not the expected proceeds from to boot the descrepancy is sufficinetly important to merit exercise stab. Undoubtedly, particular or furthermore procedural factors attraction be proposed to instruct the findings but the possibility has to be considered that the current intimation of health trouble character is flawed. Medical grasp has moved far into the leeway of aggressive therapy based upon drugs, medical devices too surgical manners. Information from clinical trials victuals these causes of therapy. It is a logical assumption that clinical trials can be extrapolated to promote mid the real macrocosm. But, what if it doesn't volume this order? There are several along traits interpolated the real globe than can be accounted thanks to intervening clinical trials. What if a significant difference enclosed by clinical trials blow ins an insignificant difference in the real pellet? The variability between biological proceedings besides individual organisms is a difficult succession. Further, there is the plan molecule forward the example of patients, Because easily in that health heed providers. Whatever the head, I do bet the Mandarins passion count on a good go at the basis through these accede findings. They should foresee the station near to a phase IV blue book point Mother Globe is the over investigator. The salt mines is to sense what she is doing. It may van to an considerably particular perception of health concern. Technorati Tags: Lifestyles, Health, Prevention