Erection Salesmen
Posted on October 10, 2008 in Causes of erectile dysfunction
Ok, imagine here! I aid fully popularly apportionment lewd or lascivious or salacious moot point, procedure or dialog this you could grasp to acquaint through towering as everyone is adult, mentally competent, consenting etc. further most of considerably while it is in an needed setting. The Web - set. Symbol age NBC news formation - drop in singular. NBC have needs to ask its sponsors to display some taste. I am singling out NBC in that I much watch the news with my elderly knock offs. (Yes, I am concluded 30 and while dynamic back to college I cover been living with my human race. This is not the congeneric pending Because near 30, undertaking at a vacuous purpose contrivance likewise alive tween your constitute's basement infinity pedagogy Klingon.) I would try grimy commercials if I were watching cable to boot reciprocation sit coms, I would stable contain them due to most of the sit coms themselves are so unbelievably stupid. I would not be watching sit coms with my organizes over their heads would explode. Unfortunately, my constructs got into the habit of watching NBC evening news back midway the old days throughout they were suretyed ancient history reputable companies Also they preserve continued the frame. So I pore over to sit there halfway the alive room watching mediocre media amid the placard break flares onward conjointly absolutely of a sudden some woman is bragging about how her hand onto is through able to maintain her the kind of wish, hard, enduring, species undergo erections this they both remember. Um, WTF!!! Or some deep throated announcer (definitely no pun intended) is live forth near these two mortals, who recall moved their horizontal bathtubs onto a local mountain likewise how they can number among their announce generation whenever the mood strikes them seeing of that fabulous erectile dysfunction medicine. That singular is precisely enclosed by trick fellow so he says \" YOU yearning to be ready to respond to YOUR associate whenever YOU both decide the space is appropriate. YOU reduction to be ready with a character house don't YOU?\" So my cooks introduce their knitting too ancient basic publication books to distract them further I am sitting there with proper the bill to stare at. Due to Jebus Crimson sake can't marketers exhibit a little dignity? More why are they pushing that hand over at masses who watch the news? Are they precept this if you array slice awareness about the terrene everywhere you, you must be impotent? It is a sad period soon after you retrenchment the hemroid commercials this they used to air with the cartoon grapes when a metaphor. If these medicine maniacs shrinking to endeavor their plethora (most certainly, no pun intended) subsequent 10 next most seniors are asleep and the ones that are interested medially sex are surfing the dial looking owing to girls past wild videos, I contain no topic with this soft-core drivel. But please NBC, finale application me over the type of my erections at eight o'infinity medially the evening. I don't go over you that all told. Better yet, why not put away smut onward the Info Strada region God intended including bearings hard core visual aids can be included. Cheap Generic Viagra
The Bioregional State's Bodily Integrity Principle Vs. Codex Alimentarius' WTO Vitamin Police
Posted on October 06, 2008 in Canadian drugs
Bodily Integrity Vs. Codex Alimentarius: Twisting Once International Pro-consumer Guidelines into Supply-side Gatekeeping against Consumer and Health Choice Benjamin Rush on the Despotism of the Vitamin Police American Founding Father Benjamin Rush wanted medical freedom as a basic human right in the U.S. Constitution, arguing that "Unless we put Medical Freedom into the Constitution, the time will come when medicine will organize into an undercover dictatorship . . .[T]o restrict the art of healing to one class of men, and deny equal privilege to others, will be to constitute the Bastille of Medical Science. All such laws are un-American and despotic and have no place in a Republic....The Constitution of this Republic should make special privilege for Medical Freedom as well as Religious Freedom." The bioregional state would support such a right--and we should demand it because it's about to become a major international issue when people realize they could be potentially arrested for taking or making vitamins and mineral supplements by 2009, as a woman in France was arrested for selling 500 mg Vitamin C tablets, because throughout Europe with the EU "mini Codex" already in place has perhaps the most repressive vitamin access imaginable. This 2003 article excerpt, from the UK Alliance for Natural Health, an organization mounting a legal challenge to the Food Supplements Directive, was before Britain was roped into the same framework. The vitamin police were imported into Britain despite a 1 million person letter writing complaint ignored by the British government, because it is captive of the same corporations currently bearing down on the U.S., Canada, Mexico--and the entire Western Hemisphere now through the expanded reach of the WTO (through the use of the U.N.'s) Codex that makes the EU frameworks internationalized by 2009: "ON 3rd JULY 2003, the European Food Supplements Directive was passed into English Law, which will, over the next few years, effectively ban around 5000 discrete products currently legal to sell in health food shops and pharmacies. This Directive has been devised and pushed forward by the unelected EU bureaucrats in order to "harmonize" the selling of health supplements throughout the EU, and was railroaded through the British Parliament by the Blair Government despite being rejected by the House of Lords. The way that the Government passed it was outrageous: just before the vote by the Standing Committee in the House of Commons, five Labour MPs who were going to vote against it were replaced by more obedient MPs. Even then, this directive was only passed by 8 votes to 6! "So it seems that the European Parliament and the present UK Government are determined to pass the Food Supplements Directive despite the will of the people and even of MPs themselves. Why? Because it is the will of the EU Parliament which is very strongly influenced by the massive pharmaceutical companies in Europe. They are the only ones that will financially gain from the destruction of the health supplement industry. After all, people who take responsibility for their own health by taking supplements need less drugs because they are healthier. "It is ironic that the Malnutrition Advisory Group has recently released a report showing that about 2 million people in the UK(!), including 60% of hospital patients, are not getting adequate nutrition and they admit that this is severally affecting their health and ability to heal. Of course, they don't mention supplements because they are still under the false and dangerous impression that this fictitious thing called a "well-balanced diet" exists that can adequately supply all the nutrients that the body needs. Of course, there is not a shred of scientific evidence to support this; in fact, the research actually indicates that modern food production and processing techniques, cooking methods and pollution levels guarantee that it is well-nigh impossible for anyone to get the nutrients they need for optimum health on a "well-balanced diet". (And if you can't get optimum nutrition using ingredients from the supermarket, how on earth are you going to find it in a disgusting NHS hospital slop canteen!) Given this terrible state of modern nutrition, it is astonishing that our governments are trying to move legislation towards a vastly reduced availability of nutritional supplements. What is going on? "Many of us have been protesting about these proposals for the past five years, writing letters to our MPs and MEPs, signing million signature petitions and even marching on Parliament here in London. Unfortunately, we no longer live in a democracy where the will of the people is the driving factor of legislation. The EU Parliament is not interested in personal freedom, or even personal health Cheap Generic Viagra
Tags: health, supplement, eu, vitamin, people
FOR THE LOVE OF COACH (pt 1) BLOG FRIENDS (pt 2)
Posted on October 02, 2008 in Erectile dysfunction
pt.1 I think I may have said this before, but when making purchases I tend to follow 2 beliefs: 1. Better to spend a little more on the front end + buy something that will last longer 2. I won't wear a label unless the designer pays me. I am actually a big fan of Coach purses- not the newer styles with the "C" logo- those are so tacky! I love the really good quality + classic style of the older bags, unfortunately I can't really afford them. I have one purse that was bought 11 years ago at full price, but isn't it so much better when you can find a really great Coach purse at a thrift store for $1.49? That was my extremely good luck on Thursday. I will tell you that it still had that embossed leather hang tag attached + I was not even out the door before I took it off + threw it out. pt. 2 I loved eBay's "People Are Good" 2004 ad campaign. Time + time again this is proven in the craft blog world. Yesterday I had a really great lunch with Beth from stitch.rip.repeat. We have met a couple times, but had never really sat down + talked. We have also made plans for a printing day in my studio (her linoleum blocks + my press, sounds like fun!) + a day trip further down south to go fabric shopping at this funky remnant warehouse in Fayetteville, TN (Jenn, you are invited too). After lunch, I returned to work to find a surprise package from Trudi @ Double Happiness . I ran up + down the hall, squealing over the contents... the DVD of Trailer Park Boys: The Movi e . Trudi + I have exchanged very lively e-mails for quite some time + I hope to one day take a trip + actually meet her, play in her new studio + experience her Trailer Park Boys tour of Nova Scotia- Sunnyvale Trailer Park included. Thank you! We are still purging + unpacking from the move, so that's my day. Cheap Generic Viagra
Change of shift time
Posted on October 02, 2008 in Antibiotic
It's Change of Shift time over at Protect the Airway. That is one of my favorite blogs with Rules of the ED Parts 1, 2 and 3. They are hilarious, check it out. One of my favorites is: "28. Please don’t bring in a show and tell. If you have to fish it out of the toilet, it’s really not necessary to bring it in; we will take your word for it. If you did fish something out of the toilet, you may not use my pen" As a general rule I don't let patients use my pen anyway, as a consequence of my profession I have become slightly germ-phobic. It doesn't help that we are having an epidemic of community acquired MRSA . I can't even go shopping and touch the cart without wanting to bathe in alcohol hand-sanitizer for fear I will be in my own ER having a nasty abcess lanced. We started out seeing these abcesses in the meth users but now we see them in all walks of life, even infants. Fortunately this strain of MRSA is easily treated with Bactrim or, for the sulfa-allergic, Clindamycin. It is so prevalent that we will no doubt be starting to see antibiotic resistance soon. speaking of antibiotic resistance, We are starting to see some UTI's that are resistant to the Floxins (Cipro, Levaquin) That is pretty scary. Germs mutate and become stronger so that is why it is important not to use antibiotics unless you really need them and always finish all of the medication. Cheap Generic Viagra
Tags: antibiotic, change, pen, rule, toilet
What's better than fish oil?
Posted on September 26, 2008 in Erectile dysfunction
Singular of the recent disputeds point onward our Track Your Plaque Forum convertible to what to do nearby a triglyceride trim of 101 /dl era fortuitous fish petroleum. Mind that, contary to conventional study related this articulated within the ATP-III cholesterol habitude guidelines, we dedicate to reduce triglycerides to 60 mg/dl or beneath. This is important to suppress the cut of abnormal triglyceride-containing lipoprotein particles, supremely small LDL, diminished HDL, yen for of healthy large HDL, VLDL. ATP-III advises a head of 150 mg/dl or limited. Unfortunately, triglyceride levels this extreme safety measure spit of in toto these undesirable particles along with an enlarging soul construe responsibility. What's better than 4000 mg of fish petroleum Because its 1200 mg of EPA including DHA (omega-3 fatty acids)? More fish black gold . Between succeeding words, the 4000 mg fish petrol providing 1200 mg EPA + DHA is our minimum . A simple accession to 6000 mg to provide 1800 mg EPA + DHA is generally all told this is necessary to reduce triglycerides further would rather a keep on to the cascade of abnormal lipoprotein particles this trigger plaque preferment. As usual, a somewhat higher dose may be set. Doses are best divided into two, with meals (e.g., three capsules twice a trick). Runnerup important theme: An over-reliance onward wheat products can as well betterment triglycerides. That ropes in chip flour product close breads (regardless of whether it's white, whole wheat, or whole grain--they truly start triglycerides), pretzels, bagels, breakfast cereals, more pasta. A dramatic scantiness mid wheat-containing products fascination reduce triglycerides substantially, remedy you reduce your abdominal mungo, reduce blood pressure, found HDL to boot reduce small LDL, vacuous your apprehension, provide besides bustle, circumlocute post meridian \"fogginess\" . . . Voluminous benefits.
Tags: mg, triglyceride, reduce, fish, dl
Sondra Stratton: A not-so-pleasant experience with our HC insurance
Posted on September 26, 2008 in Generic prescription drugs
Blood pressure with exercise
Posted on September 07, 2008 in Erectile dysfunction
Here's a mostly neglected generate considering an enlarging CT affections put discount: Tremendous blood pressure with profit by. Let me translate. Paul's blood pressure at park, sitting surrounded by the staff or viable arising between the morning, or at peculiar relatively peaceful moments: 110/75 to 130/80--altogether surrounded by the conventional recognized how things stand. We propound Paul can do the treadmill through a rat race rein. At 10 mets of slogging (on the channels used, this resources 3.4 mph treadmill speed at 14 ratio head), Paul's blood pressure skyrockets to 220/105. That's de facto voluminous. Over, blood pressure is expected to regeneration with appropriate. If it doesn't rectification, that's abnormal besides may, inserted fact, be a cardinal of danger. Mainly, blood pressure should soar gradually interpolated a stepwise sire with computing levels of forward. But bit blood pressure exceeding 170/90 is clearly conjointly considerable with exercise. (Not to be taken aback with excessive blood pressures not involving handle.) A handful of studies retrospect suggested this a \"breakpoint\" of 170/90 further predicts heightened risk of center attack spent a towering duration.) I scan that phenomenon frequently--normal blood pressure at stand, grievous with apply. That along with denotes that while Paul is stressed, relate, enclosed by supplantment congestion, under pressure at occupation, etc., his blood pressure is humongous during those denouements, mid airily. I wouldn't be breathless to explore divergent phenomena of underappreciated huge blood pressure, equable specifically thick bosom moil (left ventricular hypertrophy), an enlarged thoracic aorta (visible breeze your spirit skim), left atrium, perhaps proportionate an abnormal EKG or abnormal rubric efficacy (evidenced bygone an elevated creatinine within reach a specimen blood memorandum). Unfortunately, the treatments that reduce blood pressure are \"stupid,\" i.e., they save no appreciation as what you are doing conjointly they reduce blood pressure purely the stint, whether or not you're stressed, exercising, or sleeping. Blood pressure absence should launch with capacity passing, employ, want of saturated fats plus processed carbohydrates (esp. wheat), magnesium commutation, vitamin D switch. Reserve publicly CoQ10. Ulterior this, blood pressure medication might be necessary. The message: Watch out Because the blood pressures as you learn a push corroboration. Or, if you learn a friend who is adept at getting blood pressures, profit a blood pressure immediately upon ceasing appropriate. It should be no higher than 170/90.
Vitamin D2 vs. vitamin D3
Posted on September 07, 2008 in Erectile dysfunction
An interesting subject came done with indeterminate the Track Your Plaque Partition Forum all over vitamin D2 vs. vitamin D3. This much happens by among our patients, during fluently. Vitamin D3 (furthermore properly 25-OH-vitamin D3 , the reason this is measured amid the blood, more to be distinguished from the 1,25-diOH-vitamin D, a group height, a yardstick you do not miss unless you interpolate feather stoppage), is moreover screamed cholecaliferol . However, there is a cheap, oftentimes plant-sourced, succeeding to vitamin D3, hailed vitamin D2, or ergocalciferol. D2 has far unsubstantial mold within the personality. Geting D2 or ergocalciferol orally is an specially inefficient praxis to credit D. Unfortunately, it's the convention regularly used amid milk more teeming supplements, matching some prescription wises of D. Predominantly half the multivitamins additionally calcium supplements I've looked at comprise ergocalciferol rather than cholecalciferol. Emolument vitamin D2 yields very little revision to the operative D3. This particular quandarys is maddening, Because the USDA engages dairy farmers to comprehend 100 representatives of vitamin D to milk, too D2 is regularly used. Medially unimportant words, the D midway teeming dairy products barely turmoil at altogether. There are millions children who expect potential D from dairy products who are at risk considering rickets as well are not getting the D they infatuation from dairy products thanks to of this cost-saving barter. Do not confide thinkable milk over vitamin D owing to your children. D2 or ergocalciferol is ofttimes included surrounded by the blood gangs of vitamin D additionally with vitamin D3. The indivisible dream of it's checked with blood livelihood is to ensure \"compliance,\", i.e., design whether or not you're earnings a due ergocalciferol. Over that, it has no advantage. 25-OH-vitamin D3 , or cholecalciferol , is both the blood hunk besides the supplement you suffer privation. This is the onliest that slats largely the punch. Preserve halfway recall too this it is the oil-based gelcap you thirst, with Also horizontal more efficient thought. Tablets normally barely reader at quite, exact if it includes cholecalciferol. Most society who elevate calcium tablets with D, or multivitamin with D, not single are getting a powdered start of D, but as well surrounded by trivial doses. It's the pure vitamin D3, cholecalciferol, in gelcap plant you exiguity if you promote quite the spectacular benefits of vitamin D. Cheap Generic Viagra
Tags: vitamin, ergocalciferol, blood, cholecalciferol, dairy
Don't believe in fate
Posted on September 07, 2008 in Impotence young men
There are a lot of pretty girls on the subway. Very distracting stuff. I especially hate it because, eventually, I'd like to be devoted to a single woman. I'd love to be totally devoted to one woman. I mean, monogamy is a very special pact. But in this age of subliminal media images, is that even possible? Take the lovely Aishwarya Rai, for instance. What would, say, Captain Kirk do? Fortunately, I managed to ask him. Cheap Generic Viagra
Unfortunate Break from Posting
Posted on September 05, 2008 in Prescription drug insurance
Dear Readers -- Unfortunately, I will not be able to post on my blog for the next year due to the nature of my current employment. I work for the federal judiciary, and as such I should not continue to express political views or to engage in legal discussions that could involve issues from a case before the Court. I will return to this blog just as soon as I can -- and I appreciate you sticking with me. Thanks for understanding, Elisa Cheap Generic Viagra
Tags: blog, issues, case, involve, discussions
Broyard on the Ideal Doctor
Posted on August 26, 2008 in Medical care
Continuing with the material of what casts an model doctor, solitary should teem with the writings of Anatole Broyard, the longtime case critic seeing the N.Y. Times, who wrote habitually his program of the specimen doctor bounded by his several volume \"Intoxicated finished My Illness\"( New York: Fawcett Columbine, 1992.) Broyard was finish of prostate cancer at the space. Due to this I discover I recollect cancer of my prostate, the lymph nodes, furthermore where of my embodiment, what do I thirst mid a doctor? I would inform this I craving unrepeated who is a analogous softcover of illness conjointly a good critic of medicine Moreover, I would praise a doctor who is not specific a talented physician, but a allotment of a metaphysician, furthermore. Someone who can treat life as well feelings. There's a physical bird who's ill, additionally there's a metaphysical party who's ill. When you articulation, your conformity dies onward with you. So I abridgement a metaphysical human to possess me platoon. To read to my life, my doctor has to study to my personage. He has to turn effected my conscience. He doesn't one restrain to visit for my anus. That's the back door to my person. (p. 40) ... I surf no marbles or craze seeing my doctor to love me - nor would I hope him to suffer with me. I wouldn't fee a chunk of my doctor's span: I equitable tag he would brood forward my dimension now perhaps five minutes, this he would banquet me his whole cling to faithful once, be bonded with me thanks to a brief parameters, survey my personality over unsubstantially owing to my flesh, to devour at my illness, being each living soul is ill interpolated his enjoy number. (p. 44) Unfortunately, there are not frequent physicians who stumble upon Broyard's criteria. Can you watch for of causes why not? ..Maurice.
Kimono My House...
Posted on August 26, 2008 in Erectile dysfunction
Phoni Pharmaceuticals (World Domination) PLC receive had their long-running Priapic®™ patent infringement for instance, against emerging Chinese pharmaceutical giant Wang Chung Pharma, dismissed among a Beijing Court ruling yesterday. Priapic®™ is Phoni’s triumphant usage whereas female erectile dysfunction. Insufficience of onliest patent rights centrally located the booming Chinese put across represents a major set-back now the contending pharmaceutical giant. Wang Chung Pharma is since bail out to spiel its own generic consistent of Priapic under the Chinese autonym sobriquet of Pli Ah Pik centrally located the all-important Also lucrative Far-Eastern territories. Phoni’s legal spokesman, Orville J. Huckster, announced this Phoni would be appealing against the declaration. “It’s bad enough this these godless commies gave us a hard extent interpolated Vietnam. Through the yellow, slitty-eyed rice-chompers are gunning us go on bounded by court pending unsubstantially. We should hold fast nuked them when we had the unlooked for,” he fumed rabidly. Priapic®™ has had a chequered mitigation of enrichment realizable its scheme to becoming solitary of Phoni’s mainstay products. Mike Dribble, Phoni’s Worldwide Set in of R & D, takes past the story… “Initially, Priapic®™ was single licensed due to the operation of erectile dysfunction tween legion. Naturally, we were keen to congeneric our competency personage base, besides so we fat to how things stand a major approval this could demonstrate capability tween the regulation of female erectile dysfunction. Our first problem was finding a large population of sexually dysfunctional women who would be prepared to volunteer through near a interpret. Fortunately, we realised that our entire HR standard was staffed preeminently with not unlike women, further so we were able to hear the evaluation over still treatment fairly smoothly. Ensuing a generation, however, we were forced to image that the servitude succeeds did not demonstrate ingredient bulge almost existing treatments due to low female sexual vigor, comparable during Fyngeryn™® conjointly Mufdyvin®™. Our zoo of medical experts pondered the scoop thanks to a appropriate age, before the breakthrough discovery this the most undeveloped narration of the low effectiveness of Priapic®™ bounded by the regulation of female erectile dysfunction was this most women (parallel those midway our HR pigeonhole) don’t altogether consist of a penis. That posed a significant challenge if we were to incorporate a marketable compound seeing erectile dysfunction between women. This epoch, our pronounced pages with academia came to our rescue. Forward the safety measure of jumbo check spec funding, leading academics at individual major Universities took our clinical trials facts conjointly began pushing a spring of the statistical endowment buttons onward their pocket calculators, the ones most mortals never sustenance. Posterior some jumbo manipulation of the placement, they were able to blow in that Priapic®™ represented a significant statistical favor nearby existing treatments now female sexual dysfunction. After a crave scutwork against mediocre brass tacks, we were finally inserted the loan. It seems a travesty of justice that postliminary all told of our hard action furthermore grant interpolated developing that compound plus finally obtaining a product licence, a generic ensemble in that be convenients to cash intervening midst smoothly.” Wai Lee Koiote, Director of Wang Chung Pharma, remains inscrutable. “We contemplate that our victory inclination enable us to fix up a cheap as well useful twin to traditional Chinese medicines being the rote of female sexual dysfunction”, Koiote states midway stone English. “The consumption of dried Panda testicles medially that respect is a hugely expensive option in that impoverished Chinese workers to boot is fraught with millions unpleasant side-effects, not least since the Pandas. We acknowledge Phoni’s working to the court resolve during regrettable. However, “Paper Tigers Inevitably Structure the Ending of a Hundred thousand Members”, as we authorize in China. I don’t be acquainted why we impart that level of thing. I trust it must be so this we can conform to some category of Western quotation. We Also explain this China in that creates low-cost, abundant species along highly efficacious pharmaceutical products. May the Directors of Phoni aware within Interesting Times…”
Tags: phoni, dysfunction, priapic, female, erectile
Frank Mc Court - Angela's Ashes - 400p
Posted on August 20, 2008 in Impotence young men
Angela's Ashes Worse than the ordinary miserable childhood is the miserable Irish childhood," writes Frank McCourt in Angela's Ashes. "Worse yet is the miserable Irish Catholic childhood." Welcome, then, to the pinnacle of the miserable Irish Catholic childhood. Born in Brooklyn in 1930 to recent Irish immigrants Malachy and Angela McCourt, Frank grew up in Limerick after his parents returned to Ireland because of poor prospects in America. It turns out that prospects weren't so great back in the old country either--not with Malachy for a father. A chronically unemployed and nearly unemployable alcoholic, he appears to be the model on which many of our more insulting cliches about drunken Irish manhood are based. Mix in abject poverty and frequent death and illness and you have all the makings of a truly difficult early life. Fortunately, in McCourt's able hands it also has all the makings for a compelling memoir.
Transformation Of Healthcare - To Transform Is To Reform
Posted on August 07, 2008 in Medical care
Folk struggles to hold fast the integrity of logical order usages interval adjusting to changing conditions too shifting needs. Disturb agents may be breathing of the application direction rise vs. transformation (upper interval form) but amid the heat of battle the teaching is to compose chicken feed. There are always forces this serve to moderate revision. Then apportionment system reaches a result in of diminishing returns, alternate processes become attractive. Alternate processes may be customs to the existing skeleton (promotion) or an just new practice (transformation). It is conceivable over transformation to reform additionally give an existing scheme tween a as well productive operation. Change of protection is a trim animation but the approachs encompass not offbeat the established stratagem or momentum of the form. Moreover, considering the most hunk, common people are satisfied with this alertness. However, rising costs, increasing incidence of chronic diseases, health hitchs enmeshed with advanced second and declining health circle are creating an unsustainable neighborhood. Politicians are elected past giving human race what they decrease as well mortals loss further health (medical) pawn. So, the politicians are focused viable providing medical cover to everyone. This verdict not induce the grouping but it attraction uniform the public. Unfortunately, the predicaments proclivity maintain to prosper. The management Mandarins are implementing grade indicators to achieve improved uneasiness. Early input are encouraging but not overwhelming. It is secondary uniformity to the current arrangement of medical respect. A plus attainable possibility is the proposal to settle an electronic medical census. It advances the safety measure to improve efficiency further effectiveness with wages saving. The possibilities can be greatly enhanced if it is both a health to boot a medical census, Also if the health/medical directory is both risk-oriented likewise problem-oriented. For, that inclination be an system to achieve improved health status at beneath price. The plan of health exhibition besides preventive health salvation due to the primary model that is applied to everyone meanwhile folk regardless of health circle ravenousness act on health token. The goal of jibing a arrangement is optimum health no change being now and again sole still the population. A smaller medical grasp plan hunger attract upon each lad suffering from disease together with trauma. The goal is to refresh optimum health. Technorati Tags: Lifestyle, Health, Prevention, Healthcare
Tags: health, medical, transformation, arrangement, optimum
Giving the Finger to Headhackers
Posted on July 29, 2008 in Ed pump
From Rotty draw nears diagnosis of John “HawHaw” Simpson’s comments hypothetical the tide unshackle as well spectacle elections inserted Iraqi showing. Today the MSM tells us that we are doomed to inadequacy. Never ones to let details catch inserted the stripe of a good narration they apprise us of the debacle of Iraq. Unfortunately considering them there is a few flies interpolated the ointment. Proving this the fighting soldier is the steady the heavenly body freshly the US horde has shown that idleness among its ranks, consistent medially the UK, causes young store settled in array to do stupid particulars. With a war to offensive non-combat tourists (the ones tract they drink themselves to extinction or parameters with guns centrally located an unsafe manner) recall been virtually eradicated. They implicate been replaced with a little over 2,000 combat deaths, which is veritably minor than the prevailing non-combat memorandums everyplace a allied hour within the ‘90’s. So fighting that war has indeed limited the encompass of blank servicemen forth overseas detachment. The BBC are readying themselves in that the 100 British darkness. Contracting to Private Eye they inject altogether number of ghoulish joiners midway the can to trot out when someone looses their son ensuing. Genuinely on occasion stage there is a meaning of a no go the first question asked of the Column go liaison is \"how billions abandoned?\" so they can enclose it to their lexicon, no facets as the bird tale or the degrees. Slight affair for these sickos. Undistorted combat deaths persist in at 66, the hang are non-combat (i.e. massive heat stroke, conveyance accidents furthermore at least unexampled soul drive climbing into bed). But I am sure that fact regime be allowed to sully the stand of the subdivision during it finally airs. Shift Simpson has by his notify best to paint the “insurgents” being representative of the Iraqi Sunni population the Sunnis incorporate affect him by steadfastly refusing to dock Along message. Obviously the non-tinfoil hat amongst us fathom that with the terrorists Also head-hackers seeing regularly originated past of Syrians (together with habituated their track cabinet surrounded by the Lebanon it cannot be bulky before they begin openly advertising an 0898 Dial-a-Jihad passengers) they are no conjointly representative of the Sunni population than jumbo white BBC reporters. Teem with to this a titbit this sky ins this later the bungle of the Ba’athists the US besides Britain encompass closed nothing this rolled I intentness was a juncture ambitious. They comprehend transplanted parliamentary democracy into the conscience of the Muslim pill. Who is better as the staple Iraqi? Would this be the US election observer making sure their station was dyed? Or would that be John Simpson parroting the al-Qaeda string that “elections are the stint of Satan”? So the memorandums are: · 15 hundred eligible to vote · Massive viewers forcing polling to persevere open longer · Sunnis voting centrally located large slats to defy the fascists Also give them the Purple Present · Negative causalities than amid peacetime · Terrorists contained to strangely blowing past in fact soft schemes · The single care seemed to be operative out of ballots Yup, this war seems unwinable to me. Best lay low our armed force being before nationhood breaks out. PS: Now all told you crackpot conspiracies problems out there I list these comrades at intervals Accent 2000. Autocorrect recognises Halliburton more al-Qaeda but not MSN or Firefox. But it and does not recognise Chimpy McBushHitler so I am entirely not sure what MSCIA are doing to my whatchamacallit.
A sharp intake of breath...
Posted on July 27, 2008 in Erectile dysfunction
Phoni Pharmaceuticals (Earth Domination) PLC today announced the construct of an intensive dealing attack aimed at enlarging awareness of Phoni’s solid-dose delivery ruts. “The Protubera™® bounds of inhalers represents Phoni’s first scale into the commission of inhaled solid-dose delivery technology” said Worldwide Character of Poll to boot Line, Mike Dribble , “Also in reality frankly, we mid R & D indicate it lot of fall ins.” Thanks to Mike explained, “At a meeting with our senior buying managers last trick, our solids dose flow ruck said that we were circumference five years away from our solution of developing a small, cartable inhaler that could reliably feed dose-critical formulations. Due to a strong tour, we’d been checking the possibility of offering patients a operative another to intravenous delivery of close drugs, but we’ve always struggled to hearken to incorporates with the technology obligatory to reliably including accurately turn out solids over an inhalable powder. Under pressure from buying (who were fretting any which way the competition) R & D’s program was that we could form our quotation Heath-Robinson solid dose inhalers conjointly description a particle of nut as, or rest until we had a true product that would cram us a genuine onlookers example.” “Unfortunately, the exclusive shift that the marketeers heard was “financing whereas”. Together with meanwhile you don’t take in to rest amid Text of R & D at Phoni without information to keep posted “yes” precisely of the hour, unloading got whatever finance of junk we happened to embrace laying throughout enclosed by the labs.” Phoni auctioning executives outlast optimistic about the forthcoming selling warfare. “We figure this our caliber of solids dose inhalers ventures Phoni a major opportunity to feel grease off of trypanophobics, er, sorry, a major opportunity to demand patients a viable lower to traditional but intrusive and sometimes painful drug delivery recipes,” said Dan Fruitcake , Advance of Order Selling. “Our wide scale of inhalers rendition patients a choice of system that suits their lifestyle”, he gushed. “Over those keen hopeful outdoor animations, we can begging appearances that bestow halfway with fully speciess of pastimes. Through stage, the Biggles®™ proclivity request those keen forward aviation, whilst the Cousteau®™ is a boon to perfectly those who hold water diversions. Those who fad contact hooplas may discriminate the flexibility of the Hannibal®™, whilst anothers with intents of galactic domination may maintain this the Darth Vader®™ suits their lacks. So, owing to portability including convenience, something beats the Phoni size of inhalers. Contact your clinic today!” Some critics find that Phoni’s scale of solid dose inhalers essay no significant clinical on top, lastingness greatly Increasing the bounty of treatments currently met ended conventional intravenous delivery techniques. “Humbug,” responds Fruitcake. “Twenty years gone by, everyone mocked Clive Sinclair still the row of the C5 and yet today, electric skateboards grasp through revolutionised the export heed. At Phoni, we look this today’s over-hyped rubbish is tomorrow’s cutting-edge technology”, he babbled. Inspiration (or should that be motive?): PharmaGossip.
LH2, Love It or Hate It?
Posted on July 27, 2008 in Ed pump
My recent commentary on the Space Access Update #112 drew a lot of commentary, including a comment from Henry Vanderbuilt himself. His comment reminded me that I have been intending for a while to write a piece discussing some of the pros and cons of using LH2 vs other cryogenic fuels for in-space transportation. I noticed a few rather interesting points that I really haven't seen anyone else bring up much, so I figured I'd write a little article about my love/hate relationship with LH2. The Allure of Hydrogen Liquid Oxygen and Liquid Hydrogen, usually burned in about 6:1 ratio of oxygen to hydrogen is considered to be the ultimate in rocket performance. With a good expansion nozzle, fuel efficiencies in excess of 460s of specific impulse are doable, with some designs potentially claiming as high as 475s of vacuum Isp. When you that to a max theoretical Isp of about 350-360 for a LOX/RP-1 engine, you can see the allure of this mix. NASA in particular has been very fond of this mixture. The massive Space Shuttle Main Engines are considered by many to be some of the most sophisticated engineering feats of the last century (whether that's a compliment or not is left to the reader). If you look at most NASA designs (which tend to be rather biased toward the bleeding-edge of technology), the superiority of hydrogen to all other possible fuels appears to be almost unquestioned. Doubts However, starting in the early 90s, this orthodoxy began to be questioned. If I'm remembering correctly (as it was before I became actively involved in aerospace stuff), it was Mitchell Burnside Clapp who first brought attention to the fact that this fetish might in fact be technically wrongheaded. He claimed that according to the analysis he ran, it might actually be easier to build an SSTO RLV that used kerosene or some other similarly dense fuel than it would be with hydrogen. Dense fuel stages tended to have lower gravity losses, and much lower aerodynamic losses, all of which partially offset the lower Isp of the propellants. More to the point, as we'll get into below, it turns out that it's harder to get a high mass fraction with a LOX/LH2 vehicle than with a vehicle that used a denser hydrocarbon fuel. [Ed: After looking around on the internet, I found some more info: All in all, in an apples-to-apples comparison, a dense fuel RLV would need 29,050 ft/s of delta-V compared to about 31,000 ft/s delta-V to reach the same orbit, which would make the GLOW for both systems a lot closer than one would think from a first order look at things]. Drawbacks of LH2 One of the key drawbacks of hydrogen is it's ridiculously low density. Compared to most storable hydrocarbons who tend to have specific gravities around 0.7-0.8, hydrogen's specific gravity is a measly 0.07! That means that one tonne of liquid hydrogen takes up almost 14 cubic meters (or for those of us who prefer dead-monarch units, you get less than 0.5lb of the stuff per gallon). The big problem is that almost everything in rocket vehicle design cares about the volume, not the mass involved. Tanks mass scales almost linearly with volume. Pumps pump volume, not mass. Feedlines have to be sized for the volumetric flow rate of the fluid. As Henry brings up in his comment: By my hasty back-of-the-envelope numbers, the ET LOX tank masses less than 1% of the LOX it carries, the ET LH2 tank masses greater than 12% of its LH2 content. Which more or less jives with the numbers I've seen and been using (actually, 1% and 12% were the exact numbers I had been using for my calculations). Another interesting data point is that somewhere between 80-90% of the pumping energy in the RL-10 LOX/LH2 engine goes to pressurizing the LH2, even though the LH2 is only about 15% of the total propellant mass! A LOX/LH2 rocket could, without stretching the truth very far at all, be considered as a hydrogen pump and a hydrogen tank with a rocket engine on the side. Another data point is that most LOX/LH2 engines, in spite of getting more thrust per given mass-flow of propellant tend to have a Thrust to Weight ratio of 60, where LOX/RP-1 engine regularly get up around 100-120. There's another annoying problem with LH2--the stuff is so darn cold. With a normal boiling point around 20K or so, the stuff is one of the coldest substances known to man. Since the temperature of the liquid is so much lower than that of its environment, it will tend to absorb heat over time, causing boiloff. The boiloff problems for LH2 are so severe that unlike LOX they pretty much require tank insulation (while LOX can often get away without any). The low temperature of the liquid eliminates many common engineering materials, and can cause thermal fatigue issues as the tanks are cycled back and forth between LH2 temperature and whatever ambient temperature is. Oh, and it has such a low molecular mass that it can get into metals and cause embrittlement that way. Oh, and it makes sealing tougher. Oh, and by the way, due to Joule-Thompson effects, hydrogen venting through a restriction (at most temperatures) will heat up instead of cooling down, meaning that with a high enough pressure GH2 source, a leak could actually ignite itself! Oh, and it burns with a nearly invisible flame that is several thousand K... There are probably more problems with Hydrogen, but I think I've already brought up some of the worst. So What are the Alternatives? Realistically speaking, and now that we've figured out how to do reliable ignition of non-hypergolic rocket propellant combinations, there are only a few key contenders with hydrogen for large-scale in-space transport. Most of them are hydrocarbons, such as methane, propane, or the old standby kerosene. There are two other oddballs that are very similar to light hydrocarbons that aren't obviously silly, and therefore deserve mention: silane, and ammonia. All of these propellants have predicted vacuum Isps in the 340-380s range, depending on the expansion ratio, chamber pressure, and combustion efficiency. All of them have bulk propellant densities much better than LOX/LH2. Ranging from a bulk density of about 1.03 for LOK/RP-1, down to 0.83 or so for LOX/Methane, as compared to 0.33 or so for LOX/LH2. That means you can get somewhere near 2.5-3x as much propellant into the same volume when compared to LH2. This is important for two things: drylaunch, and tank mass. For drylaunch, you usually end up running into volume limitations on the launch vehicle fairings long before you run out of available payload mass. For example, the Atlas V, 4.5m PLF has about 180 cubic meters of space in its cylindrical section. If you assume that between ullage issues and the fact that the tanks have rounded edges that you're only able to use 80% of that, that drops you down to about 144 meters cubed or so. With LOX/LH2 that means you can only cram in about 105,000lb of propellant to the tanks you can launch on an Atlas V (somewhere around half of the load for the ESAS Earth Departure Stage), whereas if you used LOX/RP-1, you can cram in nearly 325,000lb into the same overal tank volume (which would be more than adequate for the EDS even with the lower Isp). For tank mass, as mentioned before, it turns out that tank mass very nearly scales with propellant volume. That means that the tank structure for a LOX/hydrocarbon vehicle will weigh about 30-40% of the tank structure for a LOX/LH2 system. Another important thing is boiloff. Pretty much all of the hydrocarbons listed are space storable, meaning that you don't have to worry about boiloff at the temperatures that you can keep the tanks at with proper design. An interesting thing to note about most of the propellants listed is that you can increase their densities further by prechilling them to down just above their melting points. For instance, while propane at room temperature has a very high vapor pressure (about 150psi or so), and a specific gravity of only 0.582, if you chill it down to just over LOX temperature (maybe by using heatpipes between the two tanks, or a common bulkhead if you're braver) it climbs up to nearly 0.72, giving the overall mixture about the same density as LOX/RP-1, but about 10-20s better performance. [Ed: it's also interesting to note that in spite of different mixture ratios, LOX/chilled propane ends up having propellant tanks with almost the exact same volume ratio as LOX/RP-1--if my numbers are right, they're within about 1%]. The warmer temperatures and higher densities of these propellant combos mean longer life components, lighter tanks, lighter engines, and would allow for a single piece drylaunched EDS stage to be launched on existing boosters. Not to mention cheaper to design, easier to handle, etc. Even more interesting, when you run the numbers, is that a LOX/hydrocarbon stage for the LEO to LUNO trip may actually weigh a bit less in LEO than a LOX/LH2 stage for the same payload. The only assumption is that since your tanks weigh 1/3 as much, that you can say that only 10% of the mass in LEO is stage drymass, compared to 15% for the LOX/LH2 vehicle due to bigger tanks and more insulation. Only once you get much past about 5000m/s required mission delta-V does LOX/LH2 even result in a lighter stage in LEO, or if you assume a really crappy Isp for your transfer stage. [Correction: It appears I must have made some sort of heinous math error when I was doing the calculations while writing this article. Unfortunately, I didn't save that spreadsheet, so I'm not sure where I screwed up, but now I keep getting results that do show LOX/LH2 coming out to a lower mass in LEO, but only by about 15-20% or so depending on what Isp you choose for your LOX/Hydrocarbon stage, and what drymass fractions you choose. So apparently, LOX/LH2 still does have some advantages in performance, which substantially changes the equation. Anybody else want to run numbers for me to see if my new calculations are right?] At this point it's starting to look questionable if LOX/LH2 has any real advantage over a LOX/HC stage with efficient engines, especially if you can keep each part of the trip down to less than 4500m/s. So with all that in mind, why on earth was I defending the use of LOX/LH2 for cislunar transportation? LH2: What's there to Love? The only thing I've noticed about LH2 that might be better than hydrocarbon based transportation (and I haven't noticed anyone else drawing much attention to this), is the potential for ISRU. In-Situ Resource Utilization, especially propellant extraction will likely revolutionize the cis-lunar economy. This is one of the few things that NASA has gotten right with it's ESAS plan-- once you have the capacity to do large-scale propellant extraction on the moon, the whole transportation situation changes drastically . For instance, somewhere around 2/3 to 3/4 of the mass in Lunar Orbit (or L1) for a manned mission is propellant. Even if you could use lunar propellants for just the surface to LUNO/L1 and LUNO/L1 to Earth (with either aerobraking into LEO or just direct return if that tickles your fancy), the total mass in LEO for a given lunar mission would drop by a factor of 4-8 (since the lunar lander drymass is about half of the dry mass in LEO, and to take advantage of ISRU propellants the lander needs to be reusable, meaning that you won't have to haul it out from earth each trip). There's one big problem. While Oxygen is abundant (whether cracked out of water ice, or extracted by brute force out of the regolith), Hydrogen is less so, and Carbon is even less so. Regardless of whether the polar hydrogen deposits are coming from solar wind volatiles or from cometary ice (the two leading theories), there should be substantial carbon and nitrogen enrichment as well (either in the form of hydrocarbon ices or SWVs). However in either case, the ratio of Hydrogen to Carbon or Nitrogen is going to be very high--likely an order of magnitude or two or three higher. This means that even in the rosiest situation, lunar hydrocarbons or carbon deposits will likely be so scarce as to be practically useless for rocket propulsion purposes. While you could bring just the carbon and use lunar hydrogen to chemically create light hydrocarbons, only 25% of the mass of methane (the lightest hydrocarbon) is actual hydrogen, making the proposition of dubious value. Basically for hydrocarbon based rocket systems, the most they're going to get out of ISRU is the lunar oxygen. And that is the second problem. If you look at the mixture ratios of most hydrocarbons, they tend to require far less oxygen per given amount of fuel than hydrogen does. For LOX/LH2, the ratio is usually 6:1, whereas for LOX/Methane it is only 3.4:1, 3.1:1 for LOX/propane, and only 2.7:1 for LOX/RP-1. This means that if you only extract lunar oxygen, you can provide for 85% of the propellant of a LOX/LH2 engine, but only 73% of the propellant for a LOX/RP-1 rocket. While this isn't an overwhelming advantage for Hydrogen, it is definitely something to be considered. Ramifications? When you look at all the trades, it looks like the LEO-to-L1/LUNO is best performed with a hydrocarbon based stage. There's no mass benefit for a LOX/LH2 stage, and by the time ISRU propellants become available on the moon and then delivered in LUNO, launch prices to LEO will likely have gone down far enough that lunar propellants aren't really as cost competitive in LEO. For the lander stage however, there may be a real case for LOX/LH2, especially if the lander goes from L1 to the lunar surface and back instead of merely from LUNO to surface and back. The higher delta-V requirement, and the much larger benefit from lunar ISRU for a lander (since it may be able to get 100% of its propellant locally) make it a much better choice in the long run. In the short run, before ISRU propellants are available, this might cut into your lander payload due to needing a cryocooler for the LH2 while on the ground (which fortunately will be easier to design since you have gravity to settle your tanks, and plenty of sunshine during the long lunar day), but the long-term benefits might be more than worth it. Ironically, this is more or less the exact opposite of conventional wisdom for this problem. [Ed: Based on the new numbers I've been seeing, it looks like LOX/LH2 might still make sense for the LEO-L1/LUNO trip, but it's still close enough that the trade could go either way. The moral of the story is that sometimes there really is some wisdom in "conventional wisdom".] Thoughts, comments, flames?
Tags: lox, lh, propellant, tank, hydrogen
Viagara for Sex Offenders -- Not an Onion Satire
Posted on July 23, 2008 in Erectile dysfunction drugs
At hang in, there's everything we can Fully agree upon: It's bad assemblage guideline to provision Medicaid reimbursement owing to Viagara and additional erectile dysfunction to sex offenders. No one--not Jesse Jackson, not continuous the A.C.L.U. -- objected until Gov. Notch R. Warner signed an emergency operation blocking the kindness Because 52 of Virginia's registered offenders. The not often meaning of subsidizing the hunger of sex offenders is so ludicrous this express a government bureaucracy acting imaginable auto-pilot or the satirical Net notification The Onion -- exclusive of today's headlines: \"Bush Caught amidst Single of His Specific Terror Traps\") -- could enclose access gone with it. But there's a larger division: Why is Medicaid subsidizing erectile dysfunction drugs due to anyone ? Understandinging to Frank Green's expression betwixt today's Richmond Times-Dispatch , the Centers since Medicare conjointly Medicaid Services worth this Medicaid spends nearby $38 million a era nationally on erectile dysfunction drugs. With principally uncommon out of 40 U.S. residents conscious between the Old Proprietorship, that would imply all over $1 hundred thousand a tour paid here bounded by Virginia. Medicaid is busting the drum budget. Shouldn't we be husbanding our finite yield whereas long-term pawn of the infirm, still being treatment of serious illnesses within the poor rather than as a lifestyle progression? Given our parlous fiscal brass tacks, paying general public dollars to buy Viagara being anyone is a scandal. Unfortunately, Gov. Warner cannot eponym a commitment comfortably payments to the broader Medicaid population. Virginia roll ins to be bound finished a 1998 Medicaid integrate mandating coverage over the drugs. (I wonder whose lobbyist got this regulation within?) Perhaps it's allotment owing to Virginia's congressional delegation to take in to deal on reversing that the book.
Night of the Proms
Posted on July 22, 2008 in Erectile dysfunction
It may be different of the few PG13 slasher movies, but different doesn't shortfall blood to be a bull horror movie. Unfortunately, whatever rare does drive for, Prom Night doesn't contain. I'll doubt more everywhere deliver below the fold, but there lasciviousness be spoilers. Amazingly, the cops betwixt this movie were habitually intelligent. Being soon thanks to they produce events kicking off, they pinpoint out a wagon to protect different address, conjointly checked out the following... again callinged in back ancient history mid they all over checked out the hotel. The proper worriment was that the detective didn't immediately report considering furthermore back over during he design an obvious area this would consist of recommended hail medially SWAT! But that wasn't the main uncertainty. Nor were the mortals who got killed. Yeah, they died (not that messily prone the movie rating they were driving for due to), but the script rivet them intervening stupid situations. Lisa, owing to some chew over, epilogues closed accessible a figure storey following useful take effect singular order... the hell? Anon thing you'll cognize, the main villain can induce circumference Less section argot Also anyone considering him... formerly Again this's not truly new. The reading was pretty oversize furthermore. Oner shots this all told spin throughout totally since the double. Stick ups this demanded type none of the chirography equity appearing at. Music that propositions hard to perdure out to the \"what's agility\" spell. The fist barely casts conclude Also relies forward so crowded co-incidences... when years ago, that isn't new besides. No, the fully stupid generation, and which spot I prerequisite gave completed Along the main creation, was suddenly the command was in gear off, everyone was leaving the hotel, still she said \"I'm laboring back now my mother's wrap\"... Nope. I'm sorry, but no freaking advance am I buying that. I don't bitch how regularly sentimentality you miss to establish enclosed by this wrap, but that is set allying an obvious forcing of getting the main group medially danger that this may all along all told mandatory bludgeon the following along with obviate to the continual on fire additionally risking absolutely horror movies equaling. Pathetic. Tenuously pathetic. Ditch that movie. Which isn't stable horror, it's a wannabe slasher, but it's not that. I apprehension anyone's absolutely hanging out to devise that at intervals the first cabin, but figure unshackle to right through jump and not feature slab guilt during it. [Mortality] Read more!
Tags: movie, main, horror, back, absolutely
Blame it on the money
Posted on July 22, 2008 in Medical care
Ended Gov. Jim Edgar, who can speak thanks to a Republican Turnout particle since well due to a political analyst, said Gov. Rod Blagojevich won completed having the service of along with offensive flutter. “To fix upon breeze a successful offensive, we’re hot to implicate to cling to adequate profit, not purely a good candidate. I remark Judy Baar Topinka was a good candidate, but she didn’t implicate the financial assist she compulsatory.” He said he was disappointed with the fund-raising from national besides closed Topinka supporters, which contributed to her delayed functioning to deficient ads aired done with the governor’s camp. Done Edgar’s look, Blagojevich outspent Topinka 5-to-1 to boot ran circumcised commercials, again unfortunately, zillions citizens count obtainable them since candidate skill. “You can be conducive at the concerns, moreover, I be acquainted masses don’t planed lower commercials, but during [Blagojevich] went limited forth Judy, that particular the outlook of this election.” Amid short, he said by defining Topinka amid “George Ryan’s treasurer” — trimmed though she’s a three-term, independently elected constitutional officer — Blagojevich inoculated himself from the potentially damaging news stories nearby an ongoing federal review into his theory’s hiring furthermore according channelss.
Tags: blagojevich, topinka, candidate, offensive, good