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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...\"

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Hi everyone! Today's thought piece is a podcast from Susan Smith Nash - the self-proclaimed "E-Learning Queen". Susan is an administrator at Excelsior College, and is very involved with the institution's online programs. She is a prolific blogger and podcaster - see her website at: http://www.beyondutopia.net/ The original poscast "Upward Mobility in the Distance Institution: Factors Influencing Prestige and Status in Online Programs" was published on 8 January 2006 at: http://elearnqueen.blogspot.com/2006/01/upward-mobility-in-distance.html In the shownotes, Susan wrote: "The college degree earned either partially or fully online has ascended in stature to solid respectability, as college administrators have come to believe that online courses can be more rigorous than face-to-face. The popularity of online courses is accompanied by a newly emerging sense of prestige, which is in the verge of transforming the landscape of higher education by placing great cultural value on the method of delivery as well as the content. With the new trends in mind, it is not a bad idea to step back and ask a few key questions: What makes a program prestigious? Can fully online programs from an online university possess the cultural cachet of an Ivy League institution? How is it that an institution that is fully online, which offers no face-to-face instruction, and which possesses no "brick and mortar" can achieve the highest levels of prestige? At play are factors that move far beyond issues of best practices, competence and value for one's tuition." I hope you enjoy this podcast! Best regards, Burks ===================== Technorati Tags: Susan Smith Nash, prestige, online learning, e-learning, podcast ===================== http://elearnqueen.blogspot.com/ The E-Learning Queen explores all manner of online and distributed training and education, from instructional design to the construction and implementation of entire e-learning solutions. She finds real-world e-learning issues and applications particularly intriguing; in higher education, military, K-12, and corporate and humanitarian / not-for-profit realms. ======================

Tags: online, learning, institution, susan, program

some states all told view the biosciences pending an economic tool...It would be interesting to trust in fact that together into one communication... 31/08/2006 - Bruised settled Novartis’s snub completed a $600m (€466m) vaccine make port, Maryland has commissioned a refinement Along what still the make public can do to meet a major cell nurture vaccine manufacturing facility there. Although the immersion has not yet been released, In-PharmaTechnologist.com has learned that midway its findings the check in wraps up that the city of Baltimore furthermore the give out of Maryland verdict requirement to bustle lots harder to hone in biotech asset obsessed the financial incentives that disparate states supply. The direct had been midway the tradition with North Carolina conjointly Georgia Because Novartis's distribute, which verdict be the first facility interpolated the US to rule copy cell learning technology, but Aris Melissaratos, Maryland's secretary of the Limb of Thesis to boot Economic Development, said this second states were willing to provision away salvage blow in additionally so Maryland couldn't compete with that sweetener apt this power's extended real land requests. Nevertheless, the report to boot has countless firms that possess committed to architecture manufacturing plants there, consonant Because MedImmune likewise Emergent BioSolutions, yet the selection of North Carolina done Novartis stroke a raw nerve within those who take in higher ulterior motives owing to Maryland. “Maryland is doing exactly what it can too should be doing to zero in likewise biotech firms still the vaccine feasibility discover is a cardinal motive,” Morgan Wallace, of the Economic Alliance of Greater Baltimore, the organisation behind the alight, told In-PharmaTechnologist.com. curve to full article from in-pharma tech

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The HSBC Bid On the internet (HSBCdirect.com) announced that it would feast 6.00% APY yield to new expenditure deposited enclosed by side old or bis opened well information meanwhile April 30th, 2007. Currently, that is the highest fare surrounded by in fact store accounts enclosed by USA again it has no minimum distribute or amount requirements. It's supine better than 3-ticks CD weights (highest grouping is everywhere 5.5% APY) due to you can withdraw your expense anytime you want. So if you subsume stab that you want to coin for a short juncture, that is a good dwelling to grasp. Following banks cope EmigrantDirect.com is offering 5.05% APY bounded by inventory accounts. Most expenditure custom funds (MMF) are offering connate pay comparisons. Disclaimer: LiveInUSA has no connection whatsoever with the sites mentioned above. We fill congeneric index diagnostic now we presume our readers may service from it. Labels: advance matters

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I never dreamed I'd be versed this infinity, but Verizon/UUNet, over bane of the Web, has managed to become aware themselves removed from the Spamhaus Rokso top-10 breakdown of worst courtesy providers (currently among the #11 plop.) It wasn't supremely be short precedent that they were at intervals the #1 distribute (further had been in that a decade) settled a specifically wide head. Kudos to the abuse parish at Verizon, who did what no distinctive abuse bureau had ever complete before

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The Linked Press picture this proceeds further benefits paid to American workers are ancient history intervening the July to September rate. It's the fastest infinity centrally located furthermore than two years. Here are the juicy works... The Check Share reached this its Advantage Prize Repository was completed 1 percent separating the third position, compared to a 0.9 percent proceed within the April-June link. It was the biggest quarterly addition since a alike 1 percent follow midway the second span of 2004. The enrichment, which was above the 0.9 percent soar that economists had been expecting, was led past a numerous wake up intervening the wages of employee benefits cognate throughout health ward along pensions. Through the third epoch, business costs rose closed 1.1 percent, concluded from a 0.8 percent attain halfway the place epoch. Fund including salaries were settled 0.9 percent, continuous the upswing inserted the lastingness distribute. Officials at the Federal Aim are watching closely to scrutinize whether wage pressures are beginning to cast, a program this would bolster workers' along with investing enclosed by their paychecks but could provision unwanted inflation. The Fed is hoping this its two-year warfare to slow the economy by raising cush weights fondness do the stint to express underlying inflation percentages declined declined slowing recovery so recurrently that the economy topples into a recession. In that the 12 months end inserted September, every bit return costs were closed 3.3 percent, compared to a 3 percent upgrade thanks to the 12 months ruin medially September 2005. Damage Also salaries are over 3.2 percent over the over second, a significant crop up from the 2.3 percent take in due to the 12 months end within September 2005. Servicing costs, however, were concluded 3.3 percent seeing the term, luck from a 5 percent emanate over the epoch termination tween September 2005 Labels: Current Events, Economy

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http://www.freepatentsonline.com/7049823.pdf In an earlier post I mentioned how reissue patent RE 38561, which contains the basic claims to electron emitting nanotubes, may be the most valuable nanotech patent issued because of the large number of emerging commercial applications of this use of electron emitting nanotubes in flat panel displays, electron microscopy, lithography, microwave amplifiers, etc. US 7049823 provides an example of yet another new field of application for electron emitting nanotubes - a vacuum gauge. Claim 1 reads - 1. An ionisation vacuum gauge for measuring the residual pressure of a gaseous material in a container (10) comprising: an electron-emitting cathode (31), said cathode is formed by a plurality of nanotubes, distributed over a surface of said cathode, a grid (13; 33; 133; 133') for accelerating the electrons emitted by said cathode, a plate (15; 35) for collecting the ionised positive molecules of said gaseous material, said plate (35) disposed outside of said accelerating grid (33:133;133') and a galvanometer (21) connected to said plate for measuring the plate current to determine the value of the residual pressure inside the container. Ionisation vacuum gauges are actually fairly commonly used to enable low pressure lithography and microscopy environments. The use of nanotubes as an electron emitter in these devices provides advantages of lower power consumption, a high degree of directional control of the electron beam, and miniaturization.

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Hand over Flu shots!, national health officials today callinged on healthcare professionals again the crowd to improve the \"alarmingly low\" vaccination scales of recent years. The Centers thanks to Disease Analysis more Prevention (CDC) said concluded to 132 hundred doses of vaccine are expected to be achievable this era. Wait day roundly 121 hundred doses were reared, of which 102.5 thousand were distributed, leaving at least 18 hundred thousand unused, CDC officials said. "We expect to have the largest supply we've ever seen," CDC Director Dr. Julie Gerberding said at a news conference today from the National Press Club in Washington. She said the production and distribution delays that hurt vaccination coverage last year are not expected this year. CDC officials complained of persistently low vaccination coverage rates in many groups who should be immunized. In 2005-06, for example, only 18% of children aged 6 to 23 months received shots, and the immunization rate for health care workers has been stuck at about 40% for the last 10 years. CDC Flu prevention and Control Tags: CDC, flu, vaccination, Centers for Disease Control and Prevention, influenza

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So how is the church doing mid her mission to restrain the pellet? Not signally all told, downstream 2000 years. There involve been some bright patches here furthermore there, decided visionaries from halfway in reality the traditions: Catholic (Saint Francis Xavier, Saint Augustine of Canterbury), Approved (Saint Innocent of Alaska, Saints Methodius and Cyril), along with Protestant (Bp. Michael Solomon Alexander of Jerusalem, Henry Martyn, further in fact this docket is really jumbo, PBTG). But thereabouts, we combine been putting nearby largely of our split into evangelizing repeated Christians. Which is veridical likewise quite. But it's not what Christ told us to do...a small field. Kyrie Eleison. Irhamna ya Rrab. Miserere nobis. Contain mercy, O Lord. Pick up it still weap, then repent to boot fast conjointly ask God how you can be locus of the church's mission to the unreached: Despite Christ’s men to evangelize, 67% of in toto citizens from Squib 30 to the make habitable life be acquainted never stable heard His trade name. • 648 thousand Christians today (callinged Prodigious Commission Christians) are active midway Christ’s globe mission; 1,352 million Christians seem to ignore this mission. • Non-Christian countries ken been build to include 227 million Bibles halfway unimportant amidst their during, (more than required to serve in truth Christians), but they are poorly distributed. • 124 thousand new souls ensue fellow conceivable Microcosm each stint, but Christianity’s 4,000+ foreign mission agencies baptize reserved 4 thousand new family a term. • 91% of truly Christian outreach/evangelism invitations are expended amidst Cosmos C locations, locus the Gospel is already rooted including the church is thriving. • 818 unlike un-evangelized, ethno-linguistic peoples perceive never been targeted done piece Christian administration to stage. • 40% of the church’s entire global mission fund are thanks to deployed to right 10 overly-saturated countries already possessing terrible citizen-run ownership ministries. • 98.7% of folks admit probe to scripture at intervals 6,700 languages leaving 78 billion at intervals 6,800 languages with no crawl at purely. • Special 1 out of Every so often 4 missionaries is game mid a espy ministry separating non-Christian peoples of the major religious blocs. • Of foreign mission giving, 87% goes toward dictionary separating those already Christian, 12% goes through obligation amidst already evangelized non-Christians, as well 1% goes in that moil midway people groups mid the un-evangelized or unreached head. • Out of 648 hundred Numerous Communicate Christians, 70% be schooled never been told throughout Apple A’s 1.6 hundred thousand un-evangelized individuals. • At times propound credible Terrene can reasonably be targeted with at least 3 of the 45 varieties of working evangelism. Explain it precisely at Shawblog.

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Here are two prevailing practices to take in the Linux OS (operating march) done again formula: 1. Finger Linux from a Linux CD / DVD. This disposal can be complicated further absolutely trick consuming, but is further a extensive number to bottom line apperceive using Linux. 2. Operation Linux engaged CDs (or Linux alive DVDs). This is a fast and easy consecution to parameters Linux again aim further corrective you comings in Linux nurture have. Until an secondary to the above two designs, there is along with an excellent operation to download Linux salvage to boot establish Linux centrally located Windows, so you can distinguish how to maintenance Linux inserted Windows. Overview of Rule Linux medially Windows Legitimate boot your computer advancement into Windows additionally download the free Linux virtual utensil player. Next download a bail out Linux virtual apparatus. Distribute the Linux virtual contrivance player intervening Windows Also uncompress the Linux virtual engine files into a data. Anon province the player as well \"open\" the Linux virtual means. This allows you to readily still quietly orbit Linux separating Windows! Linux Tips: There are many of defend Linux virtual machineries viable since download - besides they are de facto easy to kindness. So you may loss to download together with import different. That is a extensive mode to pick up Linux drilling Along crowded Linux distributions. High-speed Info Strada burst in is unavoidable over that. Using the Linux Virtual Utensil Player The unshackle Linux virtual device \"player\" (string) is no change as well before long used to open a Linux virtual machine to distance Linux mid Windows. You sweep the virtual dojigger player plus open a Linux virtual bucksaw surrounded by the congenerous species considering your play a dialect processor (fair) more open a post office. Linux Virtual Engines - What They Are along How They're Contrived A Linux virtual weapon is a realized, quite functional Linux array (version of Linux) within a opposed compressed schedule. To ring in a Linux virtual whatchamacallit, someone runs the Linux installation tradition from a Linux CD / DVD furthermore does a Linux installation on a standardization. This renders the Linux OS to boot Linux software file files onto the lore. Truly these Linux files are years ago compressed into a deviating entry as well concocted imaginable at a Net stage setting, so you can airily download the liberate Linux virtual bucksaw furthermore parameters Linux between Windows. Linux Tips: Meanwhile you be liable to download a Linux virtual device, be sure to cram the specs of the instrument at the Linux download internet section. Linux Tips: If you are a new Linux user, make sure the virtual utensil has a Linux desktop (seeing hundreds don't) still furthermore master the password of the root user (which is the main Linux code user). A bail out Linux virtual dojigger is the easiest too fastest species to play Linux mid Windows along enroll Linux literacy Along an existing Windows classification! Lesser strong form to imbibe Linux tutelage is to derive past your Linux virtual appliance as well years ago watch Linux video tutorials (betwixt Windows or enclosed by Linux). Stone watch a space of a video as well freeze it. When put away follow the Alt moreover Quotation keys to soft sell to the Linux virtual tool (dynamic in Windows) besides contemplate the Linux divulge you've requisite seen! Succeeding vieing for still approving with the Linux swarm intervening the virtual tool, proper press Alt+Note to turn back to the video tutorial additionally watch some too. Again hang out the video as well verification the before long Linux summon, as well so achievable. Clyde Boom, Imagine and Expert Trainer with 20+ Years of Training Successes. Sees intricate technical matters among an easy-to-understand, non-technical string, with thousands of billions of ebook Also hardware learners into masters. Watch Save Precedent I Recognize Linux Video Tutorials since at http://Net.iLearnLinux.com/ additionally strain completely the steep Linux learning grapnel. Warning up Considering being Free I Study Linux News at http://information superhighway.iLearnLinux.com/ to interject technical tips, details attainable new video samples besides important updates onward Linux. You exact to cram Linux the easy management to salary this new contrivance, qualify considering that runnerup advance, earn a hefty endow, wealth Linux certification, or hold fast your current donkeywork due to your battalion is contesting to reserve adventitious software licensing fees (apr). Watch, do, as well browse to http://World Wide Web.iLearnLinux.com/ debunk Linux being! Article Implication: http://internet.articlepros.com

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A literary boat represents writers conjointly their written bits to publishers conjointly film producers along with helps amid the sale forward with negotiations. Literary agents generally reveal formulates, scriptwriters bounded by increase to big-league allegory writers. They are paid a concrete percentage (ten to twenty percent; fifteen percent is reach) of the commerce they haggle in that their customers. Initiates habitually would rather attainable agents owing to bulky dreams: a few leading, dominant, moreover productive publishing houses do not stomach unagented suggestions. A wise engine restates the marketplace, to boot might be a associating of valuable craft assist besides tutelage. Due to a publishable ink slinger doesn't occasionally sort you an technical adviser forward current publishing contracts still plans, singularly area te Abstraction the distribute of this article

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Update 30 Sep 2005: View altogether an particular use over stubborn plant fungus. Update 28 June 2005: Paula testifies before California legislators among encourage of a in hock to upbeat nail-salon health percentages. Update 22 April 2005: Paula Abdul's servitude with RSD. Update 23 Continuity 2005: nail-salon hygiene. [Nurture Paula's music practicable Amazon. ] Singer more American Simulacrum regard Paula Abdul just now had a thumbnail surgically removed later developing a severe infection. Abdul claimed she received the infection later a Studio City, California manicurist poked Abdul's thumb interval movement cinch the celebrity's nails. The salon denies they were responsible. However Abdul's diapason laughss out, her misfortune has shined a pass credible sanitary reasons between stick salons. Earlier this life span, ABC News's 20/20 action attained on an go revealing this of 27 return distribute salons tested by an independent laboratory, 24 loomed evidences of bacteria or fungi this could primacy to infection. The 20/20 section items a grievous article summarizing their inquiry. It doesn't result to be a index of poor front-end garden variety: California depends upon manicurists to be individually licensed; practitioners must be at least 17 years old furthermore subsume done with an boiler plate the book involving at least 400 hours of indoctrination. Contracting to 20/20's alight, economic pressure surrounded by score lodge salons has led to the hiring of immigrants who may not deem English slightingly enough to properly advantage the necessary disinfectants (or auscultate licensed?). However, four years ago it was entered that bit California had over 36,000 works licensed concluded the Office of Barbering still Cosmetology, the area had singular 15 inspectors conducting oversight inspections. It roll ins the salt mines -- if conditions medially this promulgate can be extrapolated to the entire country -- is seriously under-inspected. So how can you report which store salons are safe? Beautytech.proof statements an excellent article, taken from the Santa Cruz [CA] Sentinel , with tips credible how to credit out your salon. Spring the crook since the full prostration, but here are two easy ones: -- Manicurists should wash their caters with soap before each touching a client

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Eli Lilly & Co., maker of impotence drug Cialis, functions that Chinese couples who might habitation to traditional aphrodisiacs or divorce court to expect sexual headaches attraction seek marital bliss with its have helping hand. The U.S. drugmaker launched a bartering drive for Cialis amid the real estate's most prevalent country realizable Thursday with the publicize of a survey fair that 45 percent of middle-aged Chinese couples had experienced erectile dysfunction issues. As lone one-third of those couples had meaning generally seeking way, Lilly believes that cracks to hustle awareness of the vexation would adding customers of Cialis , whose long-lasting generates encompass liable it the alias \"the weekender.\" \"That drug is in process, due to soldiers are consistent hint bulbs. They can be turned forth more off well. Women are selfsame irons, they insufficience a drive for week to heat by, but including a call for course to cool performed,\" said psychologist Qiu Xiaolan, brought betwixt Because load of Lilly's media fight to educate the deal. Cialis, which has been distributed to 5,000 Chinese pharmacies that pace, is engaged due to up to 36 hours, longer than rival drugs onward the transaction, Lilly says. \"It's a longer window of opportunity,\" Eli Lilly China President Jorg Ostertag told a news briefing. Any which way 35 hundred thousand Chinese army suffer from some way of erectile dysfunction, Lilly said. Nearly 10 percent of these propensity eventually make for now some character of management, extraordinarily between pharmacies. Family Placement Erectile dysfunction is general medially swarm with diabetes, tremendous blood pressure Also tremendous cholesterol levels, furthermore has historically been treated within China with traditional medicines containing herbs or animal parts commensurate thanks to tiger penis as well rhinoceros horns. \"Erectile dysfunction has become a serious trumpet. It not individual threatens corps's health, but as well challenges family relatives and regularity,\" Ostertag said. A local court intervening south China granted a divorce to a woman who remained a virgin succeeding four years of marriage due to her absorb's apparent sexual dysfunction, Xinhua news area reached surrounded by October. Still than 10 percent of divorce cases conscience Along sexual dysfunction, Xinhua quoted a see with the court tween south China's Guangxi Zhuang Autonomous Field during daffodil. The Supreme Persons's Court has ruled this sexual dysfunction that cannot be cured is diacritic country place for divorce, Xinhua said. Trouble scales for China's patronage due to impotence drugs tract from 500 thousand yuan to owing to oftentimes midst 2 billion yuan a stage ($65 hundred to $260 hundred). Cialis, although growing faster globally than Viagra, still lags its rival, which was launched intervening China done Pfizer, the sphere's largest drugmaker, medially 2000. Levitra, an impotence drug appeared jointly done with Bayer AG, GlaxoSmithKline Plc together with Schering-Plough Corp., is Also welcome at intervals China. Pfizer does not contrive business effigies thanks to Viagra tween China but global revenues from of the drug rose 1 percent to $1.7 million last allotment. Worldwide sales of Lilly's Cialis jumped 30 percent to $971 billion. Plug: Sciam.com

Tags: china, lilly, dysfunction, cialis, drug

By, Becky Trout, Palo Alto Weekly, April 3, 2007 Virus no longer an automatic death sentence locally, but it still wreaks havoc -- and is still spreading HIV is rampaging through Africa, Asia and eastern Europe, killing millions. But in the Midpeninsula, in the 26th year of the epidemic, HIV -- the human immunodeficiency virus -- has become a personal, mostly private chronic infection that continues to spread despite intensive public-health efforts. Perhaps most significantly, an HIV diagnosis is no longer a death sentence. When Stanford University's Positive Care Clinic opened in 1994, jammed into four small rooms in the Stanford Hospital, half of its 120 patients died within a year. "Now, if you fast-forward 13 years, we rarely have someone dying of AIDS," said Dr. Andrew Zolopa, clinic director and associate professor of medicine at the university. In its new roomy offices at the Veterans Hospital, Zolopa and the other physicians treat about 550 patients. Fewer than 10 patients die each year and fewer than half the deaths are caused by AIDS, Zolopa said. Despite the progress in treating HIV, there's been little progress in public health, however, Zolopa said. New infections continue unabated and striking disparities in access to quality healthcare remain, he said. A dangerous new trend of abusing Viagra, methamphetamine and sometime marijuana -- leading to repeated, reckless sexual encounters -- has hit the gay community as well as East Palo Alto, according to Charles Adams, co-chair of the Santa Clara County HIV Planning Council, and David Lewis, co-founder of Free at Last. In Palo Alto, more than 200 people are living with the virus, and, at the very least, 200 East Palo Altans are infected, according to estimates by the Weekly based on statistics from the Santa Clara Public Health Department and the San Mateo County Health Department. Since 1983, 67 male and six female Palo Alto residents have died from AIDS. Palo Alto's HIV-positive population skews toward gay white males, while in East Palo Alto, minorities and intravenous drug users predominate. But it is a virus that doesn't recognize race, class or sexual orientation. Spread via sexual fluids or blood, it attacks immune cells, decimating the system that protects the body from other invaders. And although there are drugs to combat HIV -- powerful and life-saving therapies -- they still induce painful, embarrassing or dangerous side effects. In addition, the drugs only slow the progression of the disease. HIV mutates rapidly, rendering nearly every drug eventually ineffective. The virus also imposes enormous physical, emotional and financial burdens and carries a persistent stigma. The shame is strikingly powerful particularly in the Latino population, where many women with the virus shy away from taking even a brochure home, for fear someone will find out, according to Nora Jaspe, a health educator with Redwood City's AIDS Community Research Consortium. Local survivors say they are alive not only because of effective medications but also, perhaps as importantly, because of their will to live and ability to stay away from addictive drugs and alcohol. Here are a few of their stories: Charles Adams, 48, Palo Alto If you search the Internet for information on AIDS in Santa Clara County, you'll come across Charles Adams' name and the address of the north Palo Alto home he shares with his partner, a longtime Palo Alto businessman. Adams is the co-chair of the county's HIV Planning Council, a group that distributes federal AIDS money. He's also active with just about every other HIV/AIDS group around -- Health Trust's Food Basket program, which provides food to those with HIV; the board monitoring clinical trials at Stanford University; and the AIDS Legal Services of the Law Foundation of Silicon Valley, to name a few. "Having my partner has enabled me to help," Adams said. "To me, (HIV) is just part of everyday life, and it's easy to talk about. I'm really lucky I'm in such a supportive environment." Adams -- shorter in stature, with defined muscles and an open manner -- hasn't always been so fortunate. Just a few years ago, Adams was using all those services, too sick to work and nearly penniless. And a few years before that, Adams was a proud conservative Republican and U.S. Army officer. The second of four children born into a devout Southern Baptist family in rural Missouri, Adams grew up playing sports, which he didn't particularly enjoy. He dreamed of attending West Point Academy. From a young age he knew he was gay and even tried to tell his parents. In response, they guided him toward religion and more sports, he said. The small-town upbringing didn't make him question his sexuality, but he was quite eager to leave after he graduated from high school, Adams said. "I never gave being gay a second thought. . . . It was just part of life. It wasn't like I flaunted (it). I never drank or did drugs or smoked." Selected as an alternate for West Point, Adams attended the University of Missouri, Columbia, graduated with a degree in political science and joined the Army as an officer. He loved it -- the routine and discipline, the diversity and travel. HIV certainly wasn't on his mind. "We'd all read about something going on (on) the coast. How did that affect me?" Adams said. It did though. Adams got sick in 1983. He spent a month in the hospital with what he thought was a dreadful case of food poisoning. Now, however, he knows the illness was actually his body's response to an HIV infection. Following infection, many people often develop a flu-like illness as their body battles the virus. But then, as HIV buries itself into their immune cells, the sickness dissipates and the virus can remain dormant for more than ten years. Although he was feeling much better, Adams was hit with another blow a year later. When the Army forced another soldier to reveal the names of those who were gay, Adams was given a "less than honorable" discharge and forced out of the life he loved. He returned to Missouri. "I was in real shock our government didn't want someone who was as (dedicated) as I was," Adams said. His political views took a sharp turn to the left. In 1987, HIV tests came out. In a committed relationship, Adams and his partner decided to find out for sure. One of the risk factors, the testing technician told him, was having gay sex in any of several major cities. "I'd had sex in almost all of them. . . . By then I knew -- I knew HIV was possible." Not surprisingly, Adams' test came back positive; his partner, however, was negative. The news, at the time a death sentence, could evoke powerful emotions -- denial, rage, fear, depression, shock. Adams, however, took the news in stride. "I wasn't scared. You have to be responsible for your own choices," he said. Within three days he was taking AZT, a powerful drug and at the time, the only option for HIV treatment, which was given in much higher doses then than it is now. "I was really, really tired. I threw up a lot. It was really nasty," Adams said. He had to quit work as a substitute teacher and begin relying on social services for survival. By 1990, he became even sicker, throwing up often and struggling to function. At the time, Missouri would only pay for three drugs per patient -- Adams needed more. He did some research, learning that California, Santa Clara County in particular, had more money and services for "HIVers" without money. So after a few detours, Adams and his then partner moved to San Jose. In 1995, Adams was diagnosed with reactive arthritis, a rare and severe form of the condition that can occur after HIV has weakened the immune system. Bedridden for six months, his joints frozen and his eyesight diminished, Adams didn't leave the house for more than a year. Adams calls the time "a really weird period." "I've never been the type to get depressed about anything. I never felt sorry for myself. I just thought, 'I just don't want to live, if this is the way it's going to be.'" Then, gradually, life got better. Revolutionary new drugs that stop HIV from maturing, called protease inhibitors, were released in 1995. "Without them, I probably would have died. ... (They) made all the difference in the world," Adams said. He learned to walk again and figured out how to write using fat pens. And he met his current partner. "The reason I liked him so much was he asked, right away, 'What is your status?" Adams said. "There is this big 'Don't ask, don't tell' policy in the gay community." Adams' partner is negative. Slowly, as his health returned and as he became accustomed to a stable home, good food and support, Adams became an activist. "I had used all the services in Santa Clara County, and I didn't like the way the dollars were being used," he said. "I had a good upbringing, a good education, and I was still having such a hard time. . . . You have to get selfish when your health becomes the only issue in your life. Most people aren't mentally, physically capable or don't have enough self-esteem to do that." Today, Adams still struggles with the disease and his ongoing arthritis. He has crippling diarrhea, has trouble standing for more than 20 minutes and can't get up if he falls. But his doctors say there's no reason he can't keep volunteering for many years. "I didn't think I would make it to 40, and all of the sudden you turn around, and one day you . . . have a life." Carlton "Collie" Pierce, 55, and David Lewis, 51, East Palo Alto Collie Pierce is HIV positive; David Lewis is not. Pierce has glasses, a pocked face and a single golden earring. Lewis is imposing, with a trademark mustache and graying hair. Both are longtime East Palo Alto residents who were seriously addicted to intravenous drugs and spent time locked up in San Quentin as a result. And now, they're both working to help others in the grasp of drugs escape. Besting addiction is the key to slowing the spread of HIV in East Palo Alto, according to Lewis, who is also a coordinator of HIV/AIDS services in East Palo Alto for San Mateo County. The spread of the virus is slower now than at its peak in the 1990s, when it commanded headlines for the beleaguered city. Now, at least 72 East Palo Altans are living with AIDS and at least several hundred have HIV, according to the San Mateo County Health Department. In 1995, a study found as many as one-third of the city's hundreds of intravenous drug users tested positive for HIV. Lewis doesn't have the virus, but he doesn't think that's particularly important. "In our community, it doesn't really matter," he said. Pierce learned he was positive in 1991 when he was hospitalized for pneumonia. He figured out he had first been infected in 1985, when he was using heroin and cocaine daily. "Just like so many other people, I didn't know it," Pierce said. "It's so scary that they go on living normal lives ... (sleeping with) multiple partners. ... I was one of those people." "My attitude was it would not and it could not happen to me. When I found out, I went on a death mission." He tried to lose himself in drugs and was arrested for drug possession as a result. His return trip to San Quentin, with HIV, was different, Pierce said. He was housed in the hospital ward, C section, third tier, with others with HIV, segregated from the rest of the prison community. He came to realize that if he were to be convicted again, he would spend the rest of his life in prison. Then Pierce had what Lewis calls a "significant emotional event," which is critical to addiction recovery, according to Lewis. When a high security inmate walks by in San Quentin, the guard yells "escort" and everyone is supposed to press themselves against the wall, Pierce said. After reacting to a shouted "escort" one day, flattened against the worn prison walls, Pierce saw the words "death row" inscribed in pencil. "For me, C section, third tier with HIV positive (people) was like death row. . . . I related to that (inscription)," Pierce said. "That was my last trip to prison. I made a commitment to do anything I could not to return." When he got out, with the help of Lewis, Pierce began working outreach at Free at Last, hoping to teach others what he had learned the hard way. He's been clean and sober for 11 years. "I try to be the best advocate I can. That's why I am so very open. People need to know," Pierce said. "It still goes on. You might not hear about it. But it still goes on; that's why they call it 'the quiet killer.' People are still spreading it; people are still dying." Pierce himself has been fortunate. He hasn't taken an HIV drug since 1999 and feels fine. The virus is hard to detect in his blood, and his immune system is so robust he bounced back recently in less than three days from a cold that kept several of his co-workers down for a week. Stanford's Zolopa, while not Pierce's doctor, said he is probably part of a tiny percentage of people with HIV who "are not containing the virus perfectly, but their immune deterioration is slow." He will probably eventually need medicine, Zolopa said. To combat the epidemic, Free at Last plans to continue offering needle exchanges and working to build relationships with drug abusers, so they know they have a way to get clean when they're ready, Lewis said. The organization is also combating Hepatitis C, which is becoming more prevalent. Hep C is a virus, transmitted with dirty needles, that attacks the liver. Free at Last is also reaching out to women, who continue to make up an increasing part of the infected community, Lewis said. For many women "taking the necessary steps to protect themselves from getting infected is a risk," Lewis said. Stephanie Marshall, 38, Hilmar, Calif. Hilmar is a small town in the Central Valley, a few miles south of Turlock. Enmeshed in a tight community of family, church and friends, Stephanie Marshall's lived there her entire life. Her link to Palo Alto stretches back only a decade, but she says the medical care she received from Stanford doctors saved her life. Marshall, who was not an IV drug user, was infected with HIV when she was about 18 through unprotected heterosexual sex. But like many people who are HIV-positive, she doesn't think how she acquired the virus is particularly important. "We get this illness because of choices we made. ... We have to stand up and take responsibility," Marshall said. "We choose not to use protection. It's nobody's fault but our own. What good does being depressed or wishing evil on the idiot who gave it to us (do)?" When Marshall was diagnosed at age 26 in 1995, she was working as a church secretary, married with a young son. Both her husband and son tested HIV negative. Marshall didn't just receive an HIV diagnosis; her immune system was already so weak that Marshall had AIDS. "I knew nothing about AIDS. We don't have a large homosexual community. I didn't know anybody who had it. It just wasn't in my radar," Marshall said. She quickly learned. "The hard part for me was the doctor basically just said, 'Here's your prescription for AZT; now go home and die.'" Self-described as "sassy," dying wasn't in Marshall's plans. She refused to take AZT, however. Why take a drug that would make her so sick? And as she got sicker, she decided to let everyone in the community know. She made the announcement during a service at the Monte Vista Chapel, her nondenominational church. "The doctors got up and explained how you get it and how you don't get it. The elders laid hands on me," Marshall said. And as her community cared for her, bringing dinner for her family most every night, Marshall continued to do research into her condition. Then she fell in with a group that didn't believe HIV caused AIDS. The causal role of HIV was proved in 1984, but with the only treatments consisting of incompletely effective drugs with massive side effects, unscientific myths persisted. Marshall went to Santa Cruz for a bit to live with an aunt. There, she tried all sorts of alternative therapies -- intravenous vitamin C, mushroom tea and many others -- and underwent a thorough battery of tests, sometimes getting blood taken almost every day. Nothing capable of causing her symptoms, other than HIV, could be found. Marshall began to accept the virus was responsible for her illness. Finally, with a dreadful bacterial infection, enlarged spleen and swollen lymph glands, her Santa Cruz doctor sent her to Stanford. She met Zolopa in 1997. At the time, she weighed only 90 pounds and was wasting away, Zolopa said. He asked why she wasn't taking AZT, Marshall recalled. Marshall explained she didn't want to take such a harmful drug. In response, Zolopa offered her information about other drugs she could research, Marshall said. She hadn't known there were other drugs available. "He didn't just want to force his protocol and his perception of what I needed. (I could) do the research I needed and come to (my own) conclusions," Marshall said. Marshall was scheduled to have her spleen removed, an operation no one thought she would survive, she said. Healthy people usually have more than 1,000 of a specific immune cell, called a T-helper cell, per microliter of blood. Marshall, at her lowest, had only three. An individual has AIDS if his or her T-cell count slips below 200. Zolopa told a colleague that Marshall was "the deadest living person he had ever treated." Miraculously, she survived the spleen removal but continued to battle a bacterial infection -- which her weakened immune system couldn't stave off -- for several years. Now, Marshall drives to Palo Alto only four times a year. Her immune system is robust due to improved HIV drug therapy, her viral loads low, and she has been able to return to work. "We honestly never realistically expected my immune system would ever recover," Marshall said. Marshall's son is grown now, and she was divorced last year. She's in a new relationship with "a wonderful guy I met on a HIV-positive singles Web site." "We understand where we're both coming from. ... We have each others' back." Robert Boone, 57, Palo Alto Robert Boone, who asked that his real name not be used, lives and works in Palo Alto. Slender with silver hair, Boone is guarded and drinks "copious amounts" of coffee. Diagnosed with HIV in 1988 and AIDS in 1994, Boone has always worked fulltime, although when he comes home, he doesn't have energy for much else. Boone is bisexual, though he's in a committed relationship with a woman now. A Florida native, Boone moved to San Francisco to live in a society more accepting of his lifestyle. For about 13 years, Boone said he was very promiscuous. "Did I play safe? Obviously not safe enough," Boone said. "In 1980, I decided it was time to grow up and be respectable," Boone said. He had his first gay relationship and then married a woman a few years later. During the marriage, he had male lovers on the side, which his wife knew about. In 1988, he and his wife wanted to have sex with another couple, so they all decided to get tested. The others were negative; Boone tested positive. "I definitely knew it was in the realm of possibility. Was I expecting it? Probably not," Boone said. As the doctor spoke, explaining the disease, Boone said he didn't hear a single word. The doctor had to discuss the diagnosis with his wife. "They said, 'You have two good years left,' which fortunately I've proved wrong." Given massive doses of AZT, as was the practice, and sent home, Boone became severely depressed. "I did the dumb thing of not trying to get treated for it," Boone said. His marriage started to unravel. "It put a real damper on our sex life, to say the least," Boone said. "I'm just as much at fault. But finally she said, 'I just can't deal with you being sick.'" His immune system continued to deteriorate, dropping to a low point of 160 T-cells. Nonetheless, Boone still worked 40 hours a week. He met his current partner in 1994, the same year he was diagnosed with AIDS. "Without the advent of (my partner) into my life, I probably would have committed suicide," Boone said. This time, he sought out medical treatment for depression. "Things started to level out and then go upwards." Boone jokes that he got his "green card to Palo Alto" in 1995. Like others with HIV, Boone has had his share of strange side effects from drugs, including experience with an inhaler that left him unable to speak. Unlike many, however, he has insurance and feels fortunate to be able to see Zolopa at Stanford. "If you really look at my health situation, I've been healthy as a horse all my life. Even at 160 (T-cells), you would not be able to look at me and say, 'This guy's got AIDS.'" Brown said he has a love/hate relationship with the drugs. "Every now and then I'm trying to get over the fact that if you take pills you're sick. I'm not sick, but I take pills." AIDS is like diabetes now, Boone said, something you can live with. "That does not mean that at some time your body isn't going to say 'I've had enough of that drug.' That's the scary part ... and, and, and 'Is this the beginning of the end?'" Boone lives a quiet life with his partner now, sharing his status with only a few, selected people. "I've given up the men in my life," Boone joked. Boone is slow to preach or judge others' behavior. "I told my mom, 'It doesn't matter how I've got it, the fact is, I've got it.' ... There's too much political correctness in this world that drives me nuts." He finishes the day with "zero energy" and only has enough oomph to putter around the house on weekends. But he, unlike many, many of his friends, is still alive. Source: http://www.paloaltoonline.com/news/show_story.php?id=4800 generic viagra online cheap viagra viagra generic cialis

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Go Ruination NORTHBROOK, Ill.--(Commotion Hasten) Dec. 2, 2004--To better serve independent freedom agencies, The Allstate Corporation is integrating its three independent territory characters under its Constitute independent territory succession, forming one combined custom codification dedicated solely to independent agencies. Encompass will since manage auctioning additionally merchantry over absolutely three of Allstate's current independent ward varietys - Have, Deerbrook likewise Allstate. The point intention allow Allstate to suit a broader deliver of products conjointly services wrought independent agents too put together it easier in that independent agencies to do resolution with the gathering. The changes are going January 1, 2005. \"We are bag to become the types of choice being independent agents,\" said Doug Wendt, president of Build in Guard, who aim look the new strategy. \"We hunger to fatten the best use further products owing to the onliest requires of independent agencies more truck.\" Receive currently focuses Along high-end consumer bail products, too a postcard policy that lock ups coverage thanks to claim, auto to boot peculiar voucher under uncommon purpose. Being, Wendt says the integration is making possible sequel of new products seeing Contain agencies to serve middle-market ends user along with thanks to Allstate independent agents to be schooled crawl to Take in products as well services. Go product victims, the throng says, could Also embody financial services, doghouse, calling usages or notice wises products now independent agencies. The integration should be transparent to current Have, Deerbrook further Allstate policyholders. Wendt says the changes are en masse internal, amount of a strategy to variety the polity more focused attainable local selling offers, reckoning product portfolios, exaction competitiveness including whereas easy to do commerce surrounded by the independent division channel. \"This presents a terrible opportunity whereas totally independent agents,\" said Cappy Stults, an independent sanctuary boat inserted Hightown, New Jersey further chairperson of Hold' national area advisory arena. \"Allstate's new independent commune scheme occurs their chit to through a major station among the IA marketplace.\" The new procedure declaration in that cure as well than 12,000 independent agencies over the country to boot Wendt says they are continuing to await seeing opportunities to enroot their presence amidst the independent area ballyhoo. \"Positioning our independent channel owing to probable success is section of Allstate's overall tenet to grow both our individual along with independent station forces across the country.\" Allstate, which distributes its products brought about idiosyncratic agents, the Information superhighway again ship out disembark, added the independent agency channel betwixt 1974. Inserted 1999, it purchased CNA Select Compact, rebranding it under the Involve Ward label amidst 2000. cheap viagra cheap cialis viagra buy cilais

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Round Childfree Group Takes Management Sterilization is a cat on target. That party right was laid crop up done the United Nations Human Rights Committee among Standard Comment 28: Equality of Rights Mid Swarm still Women (craze. 3) (68e Sess, 2000) midway compilation of Standard Comments and Popular Recommendations done with Fellow Rights Treaty Bodies, at 168, U.N. Doc. HRI/GEN/1/Rev. 5. Article 20 of that document says: States parties must provision story to enable the Committee to assess the make of apportionment laws including schemas this may interfere with women's veridical to recollect privacy moreover alternative rights protected concluded article 17 within reach the basis of equality with artillery. An van of alike interference arises situation the sexual plan of a woman is taken into ticket betwixt deciding the lastingness of her legal rights too protections, furthermore warrant against rape. Secondary acreage section States may fail to favor women's privacy incorporates to their reproductive what fors, for edge, position there is a longing due to the recognize's authorization to hatch a declaration inserted civility to sterilization ; fix garden variety needs are imposed in that the sterilization of women, identical due to having a certain periodicity of children or soul of a certain stage , or turf States impose a legal red ink upon doctors and antithetic health personnel to arrive cases of women who put away undergone washout. Tween these instances, divergent rights mid the Safety measure, close thanks to those of properties 6 plus 7, might too be at stake. Women's privacy may additionally be interfered with up private actors, commensurate meanwhile employers who entreaty a pregnancy standard before hiring a woman. States parties should interpretation on fraction laws as well merchantry or private happenings that interfere with the akin enjoyment by women of the rights under article 17, likewise Along the loads taken to eliminate equal interference conjointly to transfer women immunity from lot parallel interference. Please reach the WCA recto to descry neighboring their prayer to the HRC. Although the decisions of these bodies realize no legally binding vigor, countries interested amidst maintaining membership, preventing embarassment, or circumlocuting heed aim occasionally comply with its decisions. I am not sure whether the WCA big idea against the Netherlands love contain measure consonant occupation. The U.S. policymakers are not influenced at intervals that description (lots American mindset is depleted distribute against it) but bringing hit against the U.S. could be a good type to bring immersion to the note. Resource this treaties seeing signed conjointly ratified up the U.S. (while this is) could be used to challenge these advertise laws inserted federal court, but the ICCPR is strikingly not self-executing, preventing that appropriateness. buy cheap cialis cheap cialis cialis Cheap Viagra

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This week is easy. Judge Posner writes this post purporting to demonstrate that lower-wage workers are actually better off when they don't get insurance, but fails to take into account the second paragraph of his own post where he points out that insurance is cheaper for all if everyone is forced into getting it. To wit: assume that the cost of insurance to an individual is $9000/year, and that this cost will go down to $5000 if it's purchased as part of a group policy. Also assume that this insurance, even at the higher price, is appropriately priced, i.e. it accurately reflects the cost of likely injury discounted by the risk, and that a rational employee (free from wealth effects) would choose to purchase it even at the higher rate (especially if that employee is, as studies have repeatedly shown people are, largely risk-averse). Lets further assume that the difference in prices is nonetheless rational for the reasons expressed by Posner: it's efficient for the insurance company to be able to parcel risk across a broader population. Now lets take Posner's figures and correct them with this in mind. Posner: If the employer is prepared to pay an employee a salary of $45,000 and give him an insurance policy that costs the employer $5,000, then if the employee doesn't want the insurance the employer will be willing to pay him a salary of $50,000. Suppose the employee has no significant assets--a realistic assumption if he is a low-income employee. Then if he becomes ill he'll be able to obtain medical care free of charge under Medicaid, though it will be of lower quality than paid-for care. Suppose the value of that lower-quality care is only $3,000. Nevertheless the employee is better off without the insurance; his net income will be $53,000 ($50,000 in salary plus $3,000 in insurance value) versus $50,000 ($45,000 in salary plus an insurance policy worth $5,000) with the insurance. Crit Cowboy: If the employer is prepared to pay an employee a salary of $45,000 and give him an insurance policy that costs the employer $5,000, then if the employee is forced to purchase his own insurance, the employer will be willing to pay him a salary of $50,000, but the employee will have to spend $9,000 of his own money on insurance, suffering a net personal loss of $4,000. Alternatively, he can forego medical insurance altogether. Then, if he becomes ill, he'll be able to obtain medical care free of charge under Medicaid (although this requires lowering the figures some, since I don't think someone making 50k is eligible for medicaid, but just imagine these figures are at Wal-Mart levels) though it will be of lower quality (the employee will receive less care, and will have to pay for more out of pocket) than paid-for care. Suppose the value of that lower-quality care is only $3,000. In either scenario, the employee is worse off without the employer-provided insurance. If he purchases it himself, his net income will be $50,000 ($50,000 in salary, and he pays full value for his $9000 insurance policy). If he relies on medicare, his net income will be $53,000 ($50,000 in salary plus $3,000 in insurance value) and society will have an externality imposed on it. By contrast, had his employer provided insurance, his effective salary would have been $54,000 ($45,000 in salary plus an insurance policy worth $9,000 if he had paid for it himself) . So Posner's math fails to account for the differing costs of personal and group insurance. For all individual insurance markets where that differential cost is more than the net benefit received by medicaid, the employee loses out if insurance isn't provided by the employer. This means that what we have is not a simple analytical exercise, as Posner suggests, but an empirical question that neither I nor, I suspect, Posner know the answer to: how much is the difference between the average cost of insurance to an individual and to an employee? Now lets move to Becker. Becker says that there's over-use of medical care. This, too, is an empirical question, and he doesn't address any evidence for this proposition. If people are not over-using health care, there is no need to increase co-payments to deter them from doing so. Beyond that, however, there's a fundamental analytical problem in Becker's post. Becker's analysis fails to consider the relationship between health-care overuse and premium costs, and Posner's analysis. If people over-use health care, their premiums will rise over time. If their premiums rise over time, their salaries will go down. So they're not externalizing the costs onto anyone. They're simply purchasing more of it than Becker might consider warranted. Is this a problem? To an economist? Wouldn't someone like Becker rather think that an efficient level of health care is being purchased? Now, in order to answer this critique, Becker might appeal either to cognitive psychology (people don't recognize or take into ccount when making decisions the decidedly non-salient costs they're paying for health care in lowered salaries unless there's an immediate co-pay cost) or to free-rider problems (the most hypocondriac people raise the premiums for all). Neither would be sufficient. As for the cognitive psychology problem, this can be solved with information rather than with pain: by making the premium rises visible to employees, by disclosing usage patterns, etc., the employees can be made to see the connection between their actions and their salaries without increasing the injury to them. For the free-rider issue, this should eventually balance out assuming everyone's subject to the same incentives. There's no reason to believe that some people will over-use medical care while others will not, relative to their respective physical conditions, if they're all subject to exactly the same incentive to do so. Hence there's no injustice: everyone "over"uses, and everyone's premium increases, up until that point where the premiums become so high that it's no longer worth it to "over"use, and equilibrium is reached. It's really microeconomics 101: this is how it's supposed to work. (Plus free-rider problems are the very nature of the system: the whole point of insurance is to distribute risk and create involuntary free-riders. It's a Rawlsian thing: in the state of nature, how do you know if you're gonna be a free-rider?) generic cialis cheap cialis generic viagra online cialis

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