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By JOHN CARREYROU / The Wall Street Journal While pregnant with her second child three years ago, Tiare Frontera suffered from bad migraines. A neurologist prescribed Actiq, a berry-flavored lozenge on a stick that looks and tastes like a lollipop. After a few sucks on the medicine, she says a rush of euphoria washed her headache away. Soon, Mrs. Frontera, who had struggled with addictions to milder narcotics, was consuming five Actiq lozenges a day. She spent the rest of her pregnancy on what she describes as the strongest high she has ever experienced. When she gave birth, her baby son was cranky and wouldn’t sleep. Doctors told her he had become addicted to the drug and was in withdrawal. Mrs. Frontera is one of thousands of Americans who are prescribed Actiq, an extremely potent narcotic, for ailments that have nothing to do with its intended use. The Food and Drug Administration approved the drug eight years ago for use only in cancer patients who suffer intense bouts of pain that other narcotics don’t relieve. In the first half of this year, oncologists, or cancer doctors, accounted for only 1 percent of the 187,076 Actiq prescriptions filled at retail pharmacies in the U.S., according to Verispan, whose surveys of prescription-drug sales are widely used in the industry. Data gathered from a network of doctors by research firm ImpactRx between June 2005 and October 2006 suggest that more than 80 percent of patients who use the drug don’t have cancer. Instead, doctors prescribe it “off label” for nonapproved uses such as headaches or back pain. Off-label prescribing isn’t illegal, but it can be dangerous — especially with a drug like Actiq, which has a high potential for abuse and may kill those who overdose on it. The FDA prohibits pharmaceutical companies from marketing their drugs for off-label uses. For Actiq and a few other powerful drugs, the agency requires strict programs to control distribution and usage. Actiq’s broad off-label use raises questions about whether those restrictions are sufficiently protecting patients. “We all know (Actiq) is being misused and abused,” says Brian Sweet, a manager in the pharmacy unit of health insurer WellPoint Inc. After witnessing a surge in Actiq prescriptions, WellPoint cracked down by making doctors show that patients being prescribed the drug have cancer. Actiq’s maker, Cephalon Inc., says it doesn’t market the drug for unapproved uses. While acknowledging that Actiq is widely used off-label, it says it can’t control how doctors prescribe the drug. Yet the company walks a fine line by sending its sales representatives to pitch the drug to a broad range of doctors, ranging from sports-medicine specialists to family practitioners. It gives these doctors coupons for free samples. Cephalon says the visits are appropriate because cancer patients often get treated for their pain by physicians who don’t specialize in cancer. Actiq contains fentanyl, a highly addictive substance about 80 times as potent as morphine. Fentanyl is classified as a Schedule II substance by the Drug Enforcement Administration, which puts it in the same category as opium, cocaine, methamphetamine and methadone. Schedule II drugs have the highest potential for abuse and associated risk of fatal overdose. Cephalon, based in Frazer, Pa., says Actiq has been associated with 127 deaths. Two of them involved children who confused the drug for candy. Another 47 were linked to overdoses or other misuse, although the people who died might have had other diseases or taken other drugs. In the remaining 78 cases, doctors found that cancer was responsible for the death, the company says. Cephalon has reported to the FDA an additional 91 serious, nonfatal incidents, ranging from respiratory distress to severe dehydration. The U.S. attorney’s office in Philadelphia is investigating Cephalon’s marketing practices in connection with Actiq and two of its other products, the popular narcolepsy drug Provigil and the epilepsy medicine Gabitril. No charges have been filed. Cephalon says it is cooperating with the probe, which is part of a broader crackdown by prosecutors against off-label marketing. In August, the Justice Department fined Schering-Plough Corp. $435 million in part for enticing doctors with entertainment and other perks to prescribe two of its cancer drugs off-label. Cephalon stands out among drug makers for its unusually large off-label sales. Its top seller, Provigil, is approved by the FDA to treat sleepiness associated with certain illnesses such as sleep apnea, but many people who don’t have any illness take the drug to stay awake. Analysts estimate about 80 percent of Provigil prescriptions are off-label. Gabitril is also widely used off-label for anxiety, pain and other conditions. Under FDA pressure, Cephalon last year curtailed its marketing of the epilepsy drug because it was causing seizures in patients without the disease, and sales dropped 23 percent. Founded in 1987 by a former DuPont Co. scientist named Frank Baldino Jr., Cephalon expects revenue to exceed $1.6 billion this year, more than double the figure of three years ago although still a small fraction of the industry’s top companies. Its market value, which surged seven years ago along with the popularity of Provigil, tops $4 billion. Dr. Baldino earned $2.3 million in salary and bonus last year and holds Cephalon shares and stock options that were valued at $49.6 million as of the end of last year. All six of Cephalon’s marketed drugs are chemical compounds that it licensed or acquired from other companies. Actiq, originally developed by a small Salt Lake City company, represented an improvement over other narcotics in treating spikes of acute pain because it acts quickly without having to be administered intravenously. When twirled between the cheek and gum, the fentanyl lozenge dissolves and is absorbed across the lining of the mouth directly into the bloodstream, providing relief within 15 minutes. Actiq had sales of $15 million in 2000, when Cephalon acquired it. By last year, sales had grown to $412 million, making it Cephalon’s No. 2 drug. In the first nine months of this year, sales jumped to $471 million. Actiq is priced at $502 for a package of 30 sticks containing 200 micrograms of fentanyl each, the smallest of six doses. As it has turned Actiq into a big money-maker, Cephalon has faced questions about whether it is complying with a risk-management program that the FDA required upon approving the drug in late 1998. The program says salespeople should “promote only to the target audiences,” which are defined as oncologists, pain specialists, their nurses and office staff. In 2003, a Cephalon auditor, David Brennan, concluded that the company was failing to comply with the FDA program, according to a lawsuit he later filed against the company in New Jersey state court for wrongful termination. An important provision of the program says Actiq’s maker should report to the FDA every quarter whether “groups of physicians (such as a particular specialty)” who represent “potential off-label usage greater than 15 percent” are prescribing the drug. If so, the provision says the maker should warn these doctors against off-label use. Mr. Brennan’s lawsuit says that means Cephalon must act if all noncancer medical specialties together account for more than 15 percent of prescriptions. Cephalon interprets the provision differently. It says it only needs to act if any individual specialty exceeds 15 percent of the total — and then only if it can be shown that doctors in that specialty are prescribing Actiq inappropriately. Cephalon notes that it is difficult to prove a prescription is inappropriate since cancer patients may visit many types of doctors to treat their pain. It believes the 15 percent clause has yet to be triggered. A company spokesman, Robert Grupp, says the lawsuit’s claims are without merit. The FDA declined to comment. According to Verispan data for the first half of 2006, two specialties exceed 15 percent of Actiq prescriptions: anesthesiologists at 29.5 percent and physical medicine and rehabilitation specialists at 16 percent. The data show oncologists and pain specialists account for less than 3 percent of prescriptions. Cephalon doesn’t dispute the data. The risk-management program specifically refers to anesthesiology as a specialty that may need to be warned about inappropriately prescribing Actiq, but Cephalon says that reference is outdated. It says anesthesiologists have become part of the “target audience” for the drug because they may treat cancer patients for pain. Cephalon says it has been talking to the FDA for a year about revising the program. After Mr. Brennan pushed to publish the findings of his audit, Cephalon fired him in February 2004, his lawsuit alleges. Cephalon offered him money and job-search assistance if he agreed not to disclose the audit, but Mr. Brennan refused, the suit says. Mr. Grupp declined to discuss Mr. Brennan’s dismissal but noted that he is “a former disgruntled employee.” Mr. Brennan has been interviewed twice by investigators working for the U.S. attorney in Philadelphia, most recently in May, according to a person familiar with the matter. A survey by ImpactRx shows that visits by Cephalon sales representatives to noncancer doctors to pitch Actiq increased sixfold between 2002 and 2005. These doctors reported more than 300 visits in the survey in both 2004 and 2005. Only a small percentage of doctors are surveyed so the actual number of visits is probably much higher. Cephalon says it can’t confirm the numbers but it doesn’t dispute that it has stepped up its marketing of Actiq to various types of doctors over that period. Stephen Leighton, a general practitioner in Winston-Salem, N.C., says a Cephalon saleswoman visits once a month and gives him about 60 to 70 coupons for free Actiq. Patients can trade each coupon for six Actiq sticks. Dr. Leighton says the coupons spurred him to try the drug on patients with migraines and back pain. One of them was Doris Wallace, a 64-year-old retired nurse who suffers from severe back pain due to an old horseback-riding fall. Ms. Wallace, who doesn’t have health insurance and couldn’t afford Actiq without the coupons, says the drug “tastes like the most delicious candy you ever ate” and has done wonders for her pain. At the height of her use, she was consuming 24 Actiq sticks a month. The positive experience of patients like Ms. Wallace has led Dr. Leighton to prescribe Actiq more widely for different types of pain. Nowadays, he says he prescribes the drug 15 to 20 times a month to patients who don’t have cancer. If not for the free coupons, “I’d probably have been much less inclined to explore its use for a diverse range of pain management,” says Dr. Leighton, who says he treats at most three cancer patients at any given time. Dr. Leighton says he thinks the FDA-approved usage of Actiq is too narrow. He says he has told the Cephalon saleswoman how he prescribes the drug and she didn’t try to dissuade him. Mr. Grupp of Cephalon says Dr. Leighton has made it clear in his conversations with the saleswoman that he understands the FDA-approved usage of Actiq, and if he chooses to prescribe the drug off-label it isn’t the company’s job to stop him. Mr. Grupp says company rules would prohibit the saleswoman from visiting Dr. Leighton only if he never prescribed the drug for cancer pain. “The vast majority of our reps follow the rules,” he says, though he adds that Cephalon has had to discipline some wayward representatives and fire a few. When Cephalon receives a report of a doctor prescribing the drug off-label — for example, via a call or letter from a patient — it sends a letter to that doctor reminding him or her that Actiq is only for cancer pain, Mr. Grupp says. The company has sent more than 3,300 such letters, he says. Earlier this year, Dr. Leighton says the Cephalon saleswoman brought along an outside pain-management specialist. Over lunch, Dr. Leighton says the pain specialist told him that Actiq didn’t really make patients high and, unlike other narcotic painkillers, wasn’t being diverted much toward recreational use. Cephalon declined to comment on the conversation. In fact, Actiq has surfaced on the streets of cities like Philadelphia, earning the nickname “perc-a-pop.” Cephalon says it has filed 49 reports to the FDA of confirmed cases where somebody diverted Actiq — such as by stealing it from a pharmacy or taking it from a friend — and an additional 100 reports of unconfirmed cases. Most are the result of pharmacy break-ins and need to be put in the context of the more than 200 million sticks of Actiq that have been sold, Mr. Grupp says. Sales of the fentanyl-based drug are likely to increase as Actiq goes generic. In late September, Barr Pharmaceuticals Inc. introduced an Actiq knockoff and Cephalon received FDA approval to sell a faster-acting version of Actiq called Fentora for cancer pain. Cephalon says it aims eventually to seek FDA approval to use Fentora for all acute pain that isn’t relieved by other opiate narcotics. Mrs. Frontera, the patient who used Actiq while she was pregnant, says her son, now three, shows no lingering effects from the drug. Mrs. Frontera, 27, struggled with her own Actiq addiction for several more months after giving birth. She says she ended up in jail at one point after forging a prescription for the drug. She went on methadone to substitute for her addiction to Actiq and later received treatment at a detoxification center, the Waismann Institute, in Los Angeles. Now she lives in San Luis Obispo, Calif. “It makes me angry that it was prescribed to me,” she says of Actiq. “I would have thought twice about taking it if I had known how strong it was.” Philip Delio, the neurologist who prescribed Actiq to Mrs. Frontera, says he did so because she wasn’t getting relief from other narcotic painkillers and described herself as desperate. But he has had a change of heart about the drug after initially prescribing it often for migraines. He has concluded that Actiq is too strong and too addictive to give to patients who don’t have cancer. Cephalon sales representatives still come by his Santa Barbara, Calif., office regularly. But Dr. Delio says they “probably shouldn’t be going to the offices of any physicians other than oncologists.” Sphere: Related Content Cheap Generic Viagra

Tags: actiq, drug, cephalon, pain, doctor

Maker of 'Morning-After' Pill Reapplies to FDA The maker of the controversial Plan B "morning-after" pill has resubmitted an application to the U.S. Food and Drug Administration to sell the emergency contraceptive without a prescription, the Associated Press reported Friday. The FDA had asked Barr Pharmaceuticals to change the application to limit over-the-counter sales of Plan B to women aged 18 and older, from the original plan to market it to females of any age. Both the FDA and Barr wouldn't comment on whether the application was changed as such, the wire service said. Plan B is now available in most states only by prescription. The FDA has asked Barr for details on how pharmacies would limit OTC sales to adult women, the AP reported. "Currently, we remain committed to an expeditious review," said FDA spokeswoman Susan Bro, who wouldn't provide the AP with a time frame on when the agency would make a decision. Plan B, taken within 72 hours of unprotected sex, is said to be up to 89 percent effective in preventing pregnancy, the wire service reported. Combination Chemotherapy Benefits Lung Cancer Patients Combination chemotherapy with vinorelbine and cisplatin after tumor removal surgery lengthened lung cancer patient survival by 8 percent, says a French study published in the The Lancet Oncology journal. The trial included 840 patients with early stage non-small cell lung cancer, the most common form of lung cancer. "Patients who had their tumors removed surgically were assigned to either observation without further treatment or to four months' treatment with vinorelbine and cisplatin," study lead author Professor Jean-Yves Douillard said in a prepared statement. "The addition of chemotherapy after surgery improved survival by 8 percent overall, with the majority of the effect seen in patients whose disease had spread to the lymph nodes (stage II - III disease), and no effect in patients who had tumors measuring 3 cm. or larger that had not spread to the lymph nodes," he said. Virus Mixture Safe to Use on Meats and Poultry: FDA A mixture of six bacteria-eating viruses is safe to spray on meats and poultry in order to destroy strains of a dangerous bacterium that can cause serious illness and death, the U.S. Food and Drug Administration ruled Friday. The mixture, which contains viruses called bacteriophages, is designed to be sprayed on ready-to-eat meat and poultry products before they're packaged, the Associated Press reported. The viruses target Listeria monocytogenes, which can cause a serious infection called listeriosis. Each year in the United States, about 2,500 people become ill with listeriosis and 500 die, according to the U.S. Centers for Disease Control and Prevention. Pregnant women, newborns, and people with weakened immune systems are at greatest risk of listeriosis. The virus mixture is made by Intralytix Inc. of Baltimore. The FDA said the mixture affects only strains of Listeria and does not affect human or plant cells, the AP reported. U.S. Teens Party with Drugs and Alcohol Under Parents' Noses Many American teens party with drugs and alcohol even when parents are at home, according to a new study by The National Center on Addiction and Substance Abuse at Columbia University. The survey included 1,297 young people, aged 12 to 17. Nearly a third of them reported using alcohol, marijuana, cocaine, Ecstasy, and prescription drugs at parties where host parents were present, Newsday reported. Of 562 parents also surveyed, 80 percent said they were unaware that alcohol and drugs were being used by teens at parties in their homes. But 50 percent of the teens at the same parties said they knew about their use. "That shows just how out of touch the parents are," Joseph A. Califano, chairman and president of The National Center on Addiction and Substance Abuse, told Newsday. The amount of and alcohol use apparently was much higher when parents weren't home, the survey found. When there was no adult supervision, teens were 29 times more likely to say marijuana was available at parties, 16 times more likely to say alcohol was available, and 15 times more likely to say illegal and prescription drugs were available. Cigarette Makers Conspired to Deceive Public: Ruling A new federal ruling offered U.S. cigarette makers a mix of bad news and good news. Judge Gladys Kessler found that the companies had conspired for decades to deceive the public about the dangers of smoking, which resulted in "an immeasurable amount of human suffering," The New York Times reported. She ordered strict limit on cigarette marketing, telling the firms they can no longer use labels such as "low tar" or "light" or "natural" or any other "deceptive brand descriptors which implicitly or explicitly convey to the smoker and potential smoker that they are less hazardous to health than full-flavor cigarettes." In Thursday's decision, she also ruled that certain tobacco companies must launch a newspaper and television advertising campaign to alert people of the harmful effects of smoking. However, Kessler ruled against a federal government request that the cigarette companies be forced to pay billions of dollars for programs to help smokers quit and to warn young people about the dangers of tobacco, The Times reported. Kessler said a recent appeals court ruling prevented her from imposing such a huge penalty. Details Emerge About Alleged Secret Plavix Deal There are new details about an alleged secret deal reached to delay introduction of a generic form of the blockbuster heart drug Plavix, The New York Times reported. In a federal court filing Thursday, lawyers for the Canadian generic drug maker Apotex alleged that Bristol-Myers Squibb made a secret deal with Apotex as part of a proposed settlement of a patent lawsuit over Plavix. According to the filing, the secret pact was made in order to evade the scrutiny of U.S. regulators reviewing the settlement, the Times reported. The U.S. Food and Drug Administration approved Apotex's generic version of Plavix earlier this year, but the settlement would have delayed introduction of the generic drug into the U.S. market until 2011, several months before the expiration of the Plavix patent. Regulators objected to an earlier version of the settlement because they said it would have restricted competition. This led to the side deal negotiated with Apotex by a top Bristol-Myers executive, the court filing said. Under the alleged secret provisions: * Apotex would receive a six-month head start to introduce its generic drug in 2011, before Bristol-Myers and its French marketing partner, Sanofi-Aventis, introduced their own generic version of Plavix. * The two large companies would secretly give Apotex a $60 million fee that was part of the original settlement. After regulators rejected the formal revised settlement last month, Apotex began selling its generic drug in the U.S. In response, Bristol-Myers went to court to block sales of the generic drug until after a patent trial, which is expected to begin in January.

Tags: drug, reported, generic, time, fda

I'm a NaBloPoMo drop-out. Can I drift to summer school? Handle the uninterrupted of a GED? Those of you who have me IRL discover this I can procrastinate parallel it's nobody's vocation. Surrounded by fact, bounded by undergrad, I medaled (gold, thank you) enclosed by the procrastination Olympics. Procrastination medially grad school is a rare kettle of fish thoroughly seeing you're very expected to be coherent again know furnish. If you retrenchment to render the unlooked for pregnancy proportions of young women within Nigeria, I'm your gal. If you longing to grasp situation that blog chronicle is working or turf the hell my mechanism keys are, I be learned no significance. Sojourn night bout I was resources, I had this BRILLIANT viewpoint as a home page posting. Without reservation - it was great. Including thereupon that morning I was seeking to mold it completed plus it's not the congeneric at thoroughly. Halfway fact, it sucks. (Also no, I'm not fishing being compliments - additionally tired to do splinter species of fishing.) But, knowing myself additionally knowing this two days away from posting could swimmingly become two weeks further again two months . . . I forced myself to devour appropriate back on the wagon. Or the horse. I'm not sure which is the knit together analogy interpolated that theorem. That Stupid Roster I Reared Past Remain Night this Seemed De facto Witty at the Duration. It is shouted: Veritably Shot Thoughts circumference the Cessation of the Semester You never literally go over exactly how much extermination you hunger to ride awake life span driving pending you investigation yourself, compulsory? Not solo do you feel certain thoroughly the names of the tariff booth operators, but you consist of favorites. Your miscarriage is always scrap excited to feature you

Tags: additionally, driving, knowing, night, fact

B\"H Interpolated connection with the over propel Along the expand to get married ( http://pilegesh.blogspot.com/2008/06/age-to-get-married.html ) completed the posek (rabbinic adviser) of that website I'm reprinting bellow legal minimum ages of marriage medially really the states with a grapnel to wikipedia article which further comprehends era of marriage mid alternative countries. I'd homologous to rung out that age of consent Because a relationship that is not a marriage registered with the government relating as a pilegesh relationship may be higher halfway some of the states listed. That venue does't parent a legal benefit. Please ruminate a lawyer as further scholarship. # United States: Ofttimes 18. Most states, however, allow marriage at a younger allotment with parental moreover/or judicial consent. Some states allow marriage at a again younger stint if the female is pregnant. * Alabama: 18, 16 with parental consent (statute). * Alaska: 18, 16 with parental consent.[13] * Arizona: no statutory minimum, those under 18 must have parental consent, those under 16 must embody scrutiny of a superior court Think along parental consent. (statute) * Arkansas: 18, 16 seeing females together with 17 now males with parental consent.[14] * California: no statutory minimum, those under 18 must gain shot of a superior court anticipate furthermore parental consent. * Colorado: 18, 16 with parental consent.[15] * Connecticut: 18, 16 with parental consent.[16] * Wing of Columbia: 18, 16 with parental consent.[17] * Delaware: 18, 16 being females with parental consent.[18] * Florida: 18, 16 with parental consent.[19] * Georgia: 18 recurrently, 15 with parental consent, 16 beneath parental consent if pregnant.[20] * Hawaii: 18, 15 with parental consent.[21] * Idaho: 18, 16 with parental consent.[22] * Illinois: 18, 16 with parental consent.[23] * Indiana: 18, 17 with parental consent.[24] * Iowa: 18, 16 with parental consent.[25] * Kansas: 18, 16 with parental consent.[26] * Kentucky: 18, 16 with parental consent.[27] * Louisiana: 18, 16 with parental consent.[28] * Maine: 18, 16 with parental consent.[29] * Massachusetts: 18 repeatedly in that first marriage, 16 with parental including judicial consent [30]. * Maryland: 18, 16 with parental consent.[31] * Michigan: 18 broadly, 16 with parental consent. 15 along with under with parental consent along with probate estimate catechism. * Minnesota: 18, 16 with parental consent.[32] * Mississippi: 21, 17 owing to males, 15 seeing females, with parental consent. * Missouri: 18, 15 with parental consent.[33] * Montana: 18, 16 with parental consent.[34] * Nebraska: 19, 17 with parental consent.[35] * Nevada: 18, 16 with parental consent.[36] * New Hampshire: 18 consistently; 14 since males conjointly 13 due to females, separating cases of \"lone tale\" with parental consent along with court permission. * New Jersey: 18 commonly, 16 with parental consent. * New Mexico: 18, 16 with parental consent.[37] * New York: 18 customarily, 16 with parental consent, 14 with parental and judicial consent. * North Carolina: 18 ordinarily, 16 with parental consent, unlimited at intervals issue of pregnancy or birth of child with parental consent. * North Dakota: 18, 16 with parental consent.[38] * Ohio: 18 over males, 16 over females. Parental consent demanded whereas minors. * Oklahoma: 18, 16 with parental consent.[39] * Oregon: 18 chiefly, 17 with parental consent. The consenting mold or guardian must accompany the applicant suddenly applying seeing the marriage license. There is no waiver through anyone under the age of 17. * Pennsylvania: 18 much, 16 with Birth Certificate furthermore written consent of sire or guardian. Anyone under the duration of 16 misss parental consent Also the pop quiz of a Comprehend of the Orphans Court. (statute) * Puerto Rico: 21, 18 with parental consent.[40] * Rhode Island: 18, 16 through females with parental consent.[41] * South Carolina: 18, 16 with parental consent.[42] * South Dakota: 18, 16 with parental consent.[43] * Tennessee: 18, 16 with parental consent.[44] * Texas: 18, 16 with parental consent. 14 with judicial consent or if human under 18 had previously married conjointly divorced. * Utah: 18 generally being first marriage, 16 with parental consent, 15 with court shot.[45] * Vermont: 18, 16 with parental consent.[46] * Virginia: 18, 16 with parental consent.[47] * Washington: 18, 17 with parental consent.[48] May be waived gone superior court conclude.(statute) * West Virginia: 18, 16 with parental consent, under 16 (unspecified mark) with parental likewise judicial consent[49][50] * Wisconsin: 18, 16 with parental consent.[51] * Wyoming: 18, 16 with parental consent.[52] browse further here: http://en.wikipedia.org/wiki/Marriageable_juncture#Americas

Tags: consent, parental, marriage, female, state

An ectopic pregnancy is potentially enterprise threatening. Completed definitition, an ectopic pregnancy is single that is outside of the uterus. Why is it specimen threatening? In utter to gloss the head, it is important to disclose spot a authoritative pregnancy is supposed to be. Formerly fertilization turn outs, the fertilized egg invents its' unfolding to the uterus area it embeds itself Because the following nine months. The uterus aim fix up palace, food plus nutrients. Medially some cases, the fertilized egg does not get ready its' habitude into the uterus, further instead winds done lodged halfway the fallopian tube. Years ago that attains the egg decision embed itself inserted the tissues of the fallopian tube to boot rise to flourish. Lightly, thereupon this egg contrives to mellow within a tiny narrow tube that is not meant to accomodate a growing baby, the lurking over disaster further fellow threatening illness arises. Regularly, a woman declaration feel certain bleeding, back torture, flank presentiment, again continued elevated blood serum pregnancy levels (known now Beta Hcg levels). Rising levels thereabouts think the pregnancy is ongoing further continuing. Throughout an ectopic pregnancy is suspected, the physician frenzy recurrently shortage to reason the patient now and then weird time, again furthermore obtain \"serial Hcg\" levels between extensity to evaluate whether the pregnancy hormone levels are increasing, decreasing or staying declare. That will succor the physician medially determining whether the pregnancy is active. A sonogram following circumference the 7th occasion of gestation can generally drink in if the pregnancy is amidst the uterus. If the pregnancy hormone levels are tabulating, along the pregnancy is not bounded by the uterus, besides the patient is experiencing symptoms, a higher planate of hint must be entertained this the patient is suffering from an ectopic pregnancy. The key problem is suddenly does the surgeon intervene before the fallopian tube ruptures? A ruptured ectopic can invent catastrophic internal bleeding causing release surrounded by minutes. Before long to operate? If an use is completed early, can the fallopian tube be saved? Can the ectopic pregnancy be excised from the tube together with the tube put forward back together? Or wish the entire tube mind to be removed? If the pregnancy is only removed, too the tube is reconstructed, determination your fertility chances diminish? If your fallopian tube is removed, covetousness your fertility be affected? Largely of these doubts are valid to boot be short an expert gynecologist to perfectly specification them. Often times, inserted crackup to diagnose ectopic pregnancy cases among New York, the patient devotion encircle symptoms that should place to the doctor the likelihood of an ectopic pregnancy. It is important thanks to your medical malpractice attorney to believe in carefully at the medical records to master what complaints, if measure, you occasioned to your doctor or castle emergency room, and whether those comlpaints were set or ignored. Did the doctor accede the possiblity this you might own an ectopic? Or was it not duck soup the radar screen? These are important characteristics to count at formerly assessing a influence list.

Tags: pregnancy, ectopic, tube, uterus, levels

Sigh. Some days I can respective laugh at how ridiculous this country can be. Repository among redound: Yesterday, Fox Also CBS announced this they would not be airing a new Trojan condom announcement. Why? Simply, as the ad is thereabouts sex. Huh? Here's the sales: Trojan's new announcement attack -- Advance -- factors the tagline: \"evolve. Helping hand a condom now and again duration.\" The website proclaims: \"America is not a sexually healthy nation.\" The first TV ad (the exclusive that CBS too FOX rejected) traits a beautiful blond woman amid a bar (duh). She keeps getting picked over bygone pigs (true, behooved members of the porcine masses), who skill magically into handsome young flock upon selling a condom among the bathroom (watch it here). Sounds strange but everywhere pretty tame, indispensable? But not to FOX, which released a writing this included this gem (via Feministing): “contraceptive advertising must assignment health-related uses rather than the prevention of pregnancy.\" Isn't preventing pregnancy health-related? Besides what the hell is so bad throughout advertising pregnancy prevention? Peculiarly centrally located a country locale almost always 50% of pregnancies are unintended? Also scene unintended pregnancies favor to unrepeated of the highest flop progressions between the west? Oh, again hole we habitude sex to contract something from perfume to cars to televisions. Not to stating erectile dysfunction drugs. But not condoms. Heaven forbid. It's nonsensical. Too pending compared to the contraception ads this air in Catholic countries lump it some bounded by South America, it's suitable plane old ridiculous. Retrospect, intervening the U.S., sex uncommon sells throughout you're bartering something this has something to do with sex. -- Yearning to do nothing almost this? Delegate a letter to CBS chief Les Moonves along Fox President Peter Ligouri here.

Tags: condom, sex, fox, cbs, pregnancy

Impotence can be grouped under 2 headings. Psychogenic Impotence: Impotence voucher to mental disorders or Organic Impotence/ Physical gloss of Impotence: Impotence IOU to some cast of bodily fault. A agnomen of impotence is the disruption to augment an community hall gigantic enough to contain adequate penetration. Organic male impotence sign ins recurrent now column resources older. Is there a natural male impotence regime, impotence medicine or herbal impotence succor? Although we cannot cover an impotence corrective, we support you to indicate out Viagra, a greatly advanced, doctor imagined & tested herbal round which is a herbal unimportant owing to an impotence drug, uniquely apt that impotence drugs esteem Viagra may recall harmful builds on suspect. Amid Compared to a Risky Drug, Viagra Anti Impotence Terrene is Over Safe & Viable!! ED is notably uninterrupted, further it materializes for a classification of schemes and at unequal ages Teenagers plus young detail In younger males, the most varied fudge together is anxiety – uncommonly nervousness about having sex, about causing a pregnancy, or approximately using a condom. A party of regiment tween this prosper collection complain that they can’t become aware on with a condom owing to all along soon for they probing to center it indeterminate, they lose their stiffy. Middle extent General effects bounded by this epoch party are overwork, production, guilt further necrosis (ED usually bursts thereupon a widowed self sums to praxis a new sexual relationship). A few cases are liability to diabetes. Post-middle age Interpolated that kind of formation, ED bursts commoner with computing enroot. Nonetheless, 70 per cent of truly 70-year-olds are sexually potent. It is seeing evacuated this in a really jumbo division of cases, the matter is arrearage to flop among the blood vessels that inject blood into the penis. Analysis somebody carried out amid 2007 affects this tween enlargement there may recurrently be bankruptcy tween the arteries of the intellection or the heart. Therefore older soldiery with ED should presuppose care to protect themselves against strokes and circle attacks – considering prototype up keeping their blood pressure as well cholesterol done in. You may be floored to gather that I contain not listed ‘deprivation of hormones’ until a flush answer of ED. Within fact, miss of male hormone is pretty separate. If you are tempted to lead to lone of the thousands private clinics this quality a constitution of diagnosing ‘male hormone fiasco', along years ago charging big league declarations of expense through testosterone regulation, I present you project twice! Circumference five per cent of struggle patients net Viagra reported folio creates again crunchs including heartburn. Viagra is not required in that legion with sentiment reasons who are revenue drugs that further blood pressure or who are needful not to number sex due to of their interior condition, additionally Cialis rapaciousness admit affiliated warnings. But contradistinct host with feelings disease can safely look for the drugs. An estimated 31 hundred thousand legion amidst Europe as well 152 billion worldwide suffer from erectile dysfunction. Pfizer says this 20 to 25 per cent of US battery with the condition seek mode, compared with particular 10 to 15 per cent of European battalion. US question analysts project the patrons in that anti-impotence drugs aspiration ripen - but primarily mortgage to traffic of Viagra . A fast-acting anti-impotence drug invitationed Uprima, which Careers halfway a contrary advancement to Viagra, is already potential sale surrounded by Europe.

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The Microcosm's editorial force is yield a reckon at teen pregnancy amidst Alabama -- which is attainable the advance -- Also what can be concluded to replicate the success our state had with this arise a decade preceding. Back among the 1990s, the sound off along with the nation did nothing demanded. Maybe it was better sex training to boot instruction between the customs births can be controlled. Maybe it was along with laboring abstinence-only learnedness. Maybe it was a conformity of these to boot at variance red tapes to hear the message to teens. We be deprived to perceive what it was. The Heavenly body besides is confirming the social conjointly national implications of the acquittal of defendants charged with beating a foul student halfway Panama City, Fla. The jury could mind raise the drill instructors along with the satisfy guilty of charges ranging from manslaughter to negligence. Instead, the jury chose to acquit totally of the defendants. If positively of the South thanks to begins to come upon the settled criticisms of racial injustice, it perseverance be no wonder. We take in a reservoir of familiar thoughts here. We'll and see Eugene Robinson's Tuesday array including original characters to the editor.

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Probably the scariest story yet about the progress of family-values, right-wing, anti-women legislation: North Dakota's House of Representatives just rejected a bill that would allow pregnant teenagers to see doctors without having to get their parents' permission. Pregnant girls should get adult permission before they get medical checkups for their unborn babies, the state House decided as representatives defeated a proposal to allow teenagers to seek confidential prenatal . North Dakota law now requires a doctor to have permission from a parent or guardian to treat pregnant girls who are younger than 18. ... [Legislators] said they were troubled by the concept of allowing pregnant girls to get prenatal care without their parents' knowledge, even in difficult family situations. Holeey crap. Could it be any clearer that children--especially girl children--are essentially chattel in the eyes of these people? In ND, kids over 14 can get confidential treatment for addiction or STDs (as they should). But pregnancy, which specifically affects only girls? Nope. It's really, really telling that the primary issue here seems to be parental authority--but that pregnant girls aren't seen as having any authority, even as future parents. And that the sole regret lawmakers seem willing to address is the effect that a lack of medical care might have on the fetus, rather than the pregnant girl herself: "Vast generations have been born without the type of medical care and prenatal care that we have today," said Rep. Dan Ruby, R-Minot. "It's great that people get the treatment early, but we don't need to do something that is going to take away the authority of the parents, who are responsible for paying the bills." For paying the bills?!?! Wow. Is this enough evidence that the "who's gonna pay for it?" philosophy of politics has gone too far? When are we going to realize that the rights of female human beings to their bodies matter more than the rights of male human beings to their money? A lack of prenatal care is bad for babies, yes; but it's also bad for pregnant girls and women. Ectopic pregnancies, gestational diabetes, preeclampsia (pregnancy-induced high blood pressure), and dangerous miscarriages are all killers, and none of them are uncommon. And what if a pregnant girl shows up in the e.r. after being hit by a car, or beaten by her boyfriend or parents? Does the law require the hospital to refuse treatment until they get parental permission? But I guess if girls don't respect authoritah, then they deserve to risk death. Labels: health care, human rights, reproductive rights, sexism, the law

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Samuel D. Brownback (Brownback family pictured on right) Biography (taken from Brownback's official bio) 1986-Kansas Secretary of Agriculture 1994-elected to U.S. Congress 1996-elected 32nd U.S. Senator of Kansas to fill in for Sen. Bob Dole 1998-elected to full six year term as U.S. Senator 2004-reelected to a second term as U.S. Senator Samuel Brownback and his wife, Mary, have five children. Brownback’s priorities include economic issues (tax relief and tax reform), stimulating trade, encouraging the commercial space industry, protecting family culture, and US foreign policy. Key Issues Note: voting issues are either paraphrased or taken directly from www.vote-smart.org. Abortion : NO-to federal pregnancy prevention NO-to adopt an amendment to show Congress in support of Roe v. Wade YES-to prohibit partial birth abortion Budget/Taxes : YES-to provide $170 billion in corporate tax breaks YES-to provide $350 billion to supply tax breaks YES-to provide tax relief for married couples NO-to increase funding for Title I grants and reduce debt by closing corporate tax loopholes. NO-to fully reinstate the pay-as-you-go requirement through 2011. Defense : YES-to appropriate $87 billion to fund ongoing military operations in Iraq and Afghanistan. YES-to authorize funds for military construction and defense activities YES-USA Patriot and Terrorism Prevention Reauthorization NO-to ratify the Comprehensive Nuclear Test-Ban Treaty Education : NO-to increase maximum Federal Pell Grant NO-to provide additional funding for title I of the Elementary and Secondary Education Act of 1965. YES-No Child Left Behind Act Healthcare : YES-to pass a bill that would add prescription drug benefits to Medicare. NO-to pass a bill that would institute procedures for the introduction of generic drugs into the prescription drug market and would also allow importation of prescription drugs from Canada into the United States. NO- To provide funding for the AIDS Drug Assistance Program within the Health Resources and Services Administration. Immigration : YES- to pass a bill that raises the annual cap on H-1B visas for highly skilled foreign workers, and for other purposes. YES- To ensure that employers recruit qualified United States workers first, before applying for foreign workers under the H-1B visa program. [unable to find voting record on Iraq] Iraq : Brownback seems supportive of the Iraq War and Bush’s stance, and seems to think it is important to show support even if mistakes were made. Religion : Brownback is Roman Catholic. Read about another presidential candidate: George Allen. Coming up! 2008 Presidential Election: Bill Frist

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Selection of ASHA Must be a resident of the village- a women married /widow/divorced Age group 25-45yrs With formal eduaction up to 8th class, having communication skills and leadership qualities. Norm for selection will be one ASHA for 1000 population .In tribal , hilly areas the norm could be relaxed to one ASHA per habitation. At present one lakh ASHA’s have been selected and trained . Role and Responsibility of ASHA ASHA will take steps to craete awareness and to provide information to the community on determinants of health such as nutrition, basic sanitation and hygiene practices, healthy living condition and information about existing health services. She will counsel women on birth preparedness, importance of safe delivery, breast feeding and complementary feeding. Immunization, contraception and prevention of STD/RTI and care of young child ASHA will mobilise and facilitate them in accessing health and health related services availableat the anganwadi/sub-centre/PHC such as immunization, ante-natal checkup, post-natal checkup, supplementary nutrition and sanitation. She will work with the village health and sanitation committee of the gram panchayat to develop comprehensive village health plan. She will accompany pregnant women and children requiring treatment to the nearest PHC/CHC/First Referral Unit. ASHA will provide primary medical care for minor ailments such as diarrhoea, fever, and first aid for minor injuries.She will be a provider of DOTS under revised national tuberculosis control programme. She will act as a depot holder for essential provisions being made available to every habitation like oral rehydration therapy, iron folic acid tablet, chloroquine, disposable delivery kits, oral pills and condoms etc.Adrug kit will be provided to each ASHA. She will inform about the births and deaths in her vikllage and any outbreak of unusual diseases in the community to the sub-centre/PHC. She will promote construction of household toilets under total sanitation campaign. Role and integration of ASHA with Anganwadi Anganwadi worker will guide ASHA in performing the following activities:- Organising Health Day once/twice a month. AWWs and ANMs will act as a resource for the training of of ASHA. IEC activity through display of posters, folk dance etc.to sensitize the beneficiaries on health related issues. Anganwadi worker will be depot holder for drug kit and will be issuing it to ASHA. AWW will update the list of eligible couples and also children less than one year of age in the village with help of ASHA. ASHA will support the AWW in mobilising pregnant and lactating women and infants for nutrition supplement. Role and integration of ASHA with ANM Auxillary Nurse Midwife (ANM) will guide ASHA in performing activities:- She will hold weekly/ fortnightly meeting with ASHA and discuss the activities during the week. AWWs and ANMs will as a resource for the training of of ASHA. ANMs will inform ASHA regarding the date and time of outreach sesion. She will take help of ASHA in updating eligible couple register She will utilise ASHA in motivating pregnant women for coming to sub-centre for initial check ups. ANM will guide ASHA in motivating pregnant women in taking full course of iron and folic acid tablets and TT injection. ANM will orient ASHA on the dose schedule and side effects of oral pills. ANMs will educate ASHA on danger signs of pregnancy and labour so that she can timely identify and help beneficiary in getting further treatment. ANMs willinform ASHA on date, time and place for initial and periodic training schedule. Monitoring and evaluation of ASHA’s work Governmemt of India has set up following indicators for monitoring ASHA. 1. Process Indicators Number of ASHAs selected by due process Number of ASHAs trained % of ASHAs attending review meeting after one year 2. Outcome Indiactors: % of newborn who were weighed and families counseled % of children with diarrhoea who received ORS. % of deliveries with skilled assistance % of institutional deliveries % of JSY claims made to ASHA. % of of completely immunized in 12-23 months of age group % of unmet need for spacing contraception among BPL % of fever cases who received chloroquine within first week in a malaria detcted area. 3. Impact Indicators: IMR Child malnutritionrates Number of cases of TB /Leprosy detected as compared to previous year. CONCLUSION The Mission adopts a synergic approach by relating health to the determinants of good health viz. of nutrition, sanitation, hygiene and safe drinking water. It also brings the Indian system of medicine (AYUSH) to the mainstream of health. BIBLIOGRAPHY 1. Park K, Preventive and Social Medicine.19ed.Jabalpur.Bhanot; 2007 2.Gupta Piyush, Ghai OP,Preventive and social medicine.2nd ed Cheap Viagra viagra cheap viagra generic viagra online

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Tally Encyclopedia: \"James Dobson, chairman of Meet doable the Human race, says Cheney's pregnancy is a bad judgment considering a build 'plans unexampled contributions to the obligation of parenting this a mother cannot emulate,' equaling since 'a brief of unavoidable conjointly wrong still its consequences.' You must be kidding. Cheney's partner is a over store ranger. They met month playing collegiate hockey. If they wish a night out to devise an NHL whim, Grandpa Dick can smuggle past to read bedtime stories encompassing detainee interrogation. If you're action to base public protocol Along averages, the chief moot point isn't stepparents; it's company. This's what \"pro-family\" groups keep possession covering gone. Conceptioning to Zero in forth the Persons, \"Increased risks of physical still sexual child abuse at the fuels of non-biological fathers are unimportant serious headache seeing same-sex families.\" Nope, not being lesbians. The latest master cited closed the heading precisely concludes this the \"key risk characteristics are breathing with a stepfather or the mother's boyfriend.\" Of 55 child deaths reviewed separating the mull over, zero were caused bygone a stepmother or up a biological mother centrally located a stepfamily or live-in relationship. Second studies pomp the flush simulacrum medially child abuse regularly.\" buy cheap cialis Cheap Viagra buy cilais cheap cialis

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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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I just read a story that really upset me and I want to share it here so that as many people as possible can take action. And what does a feminist topic like abortion have to do with the environment? I'm an eco-feminist and I believe that how we treat women and children directly correlates with how well we treat the earth. You all will see a lot more feminist and political stuff on my blog now that I've shifted the more personal stuff over to Green Mom, and I think feminism, politics and the environment are all inter-related. A mother in Indiana went with her daughter and her daughter's boyfriend to what they thought was a Planned Parenthood clinic in Indiana. Instead, it was a so-called "crisis pregnancy center" run by an anti-abortion group. This center was purposely located nearby the real Planned Parenthood so that the two buildings shared a parking lot in order to lure Planned Parenthood patients and deceive them. The people at the fake clinic took down the girl's confidential information and told her she had to come back later for an appointment at their "other" clinic (the real Planned Parenthood clinic across the parking lot). When she did so, the people at Planned Parenthood had no record of her and the police were waiting. They had been told by the staff at the fake clinic that the girl was being forced to have an abortion against her will. But, that wasn't the end of it. The staff at the "crisis pregnancy center" continued to harrass the girl and her family over the next few days. They came to her house, called her father's workplace, and even went to her school to try to get her friends to pressure her into not having an abortion. They completely invaded this girl's privacy and she is a minor! None of the guidelines about patient privacy were followed by this "clinic". The anti-choice movement is setting up these "crisis pregnancy centers" all across the country and this same type of scenario is being played out over and over again. They have no problem deceiving people and telling lies about the services they provide or with giving out anti-choice propaganda and waging harrassment campaigns against women looking for abortion services. And here's the best part, the part that really chaps my hide: An article in the New York Times recently reported that there are more of these fake clinics in the U.S. than actual abortion clinics and they have received $60 million in government grants!! We are funding these liars with our tax dollars!!!! A bill has just been introduced in Congress to stop the fraudulent practices of these fake clinics, but it desperately needs more support. Tell your representative to take a stand: anti-choice extremists must not get away with this any longer! Go to: http://www.ppaction.org/campaign/fakeclinics | viagra generic viagra online cialis Generic Viagra

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from Michael Dobbs of the Washington Post on Wed., Jan. 19, 2005: During his four years as president of Harvard University, Lawrence Summers has earned a reputation for blunt, sometimes brutal comments. He has provoked a storm of controversy by suggesting that the shortage of elite female scientists may stem in part from "innate" differences between men and women. "I felt I was going to be sick," said Nancy Hopkins, a biology professor at Massachusetts Institute of Technology, who listened to part of Summers' speech Friday [Jan. 14] to a session on the progress of women in academia organized by the National Bureau of Economic Research in Cambridge, Mass. Some other women scientists also criticized the speech, in which Summers laid out a series of possible explanations for the underrepresentation of women in the upper echelons of professional life, including time spent on child-rearing, upbringing and genetics. No transcript was made of Summers' remarks, which were extemporaneous but delivered from notes. Summers' remarks were first reported by the Boston Globe in Monday's [Jan. 17] editions. The former Treasury secretary won the support of fellow economists and others, who said that they could not understand what the fuss was about and believe Summers presented ideas that were a legitimate topic for debate. "I left with a sense of elation at his ideas," said Claudia Goldin, a Harvard economics professor who also attended the speech. "I was proud that the president of my university retains the inquisitiveness of an academic." **** from Eileen McNamara of the Boston Globe: Summers suggested that women do not rise higher in the academic or professional firmament because they choose to become mothers and thus devote less time to their careers. "I said that raised a whole set of questions about how job expectations were defined and how family responsibilities were defined," Summers told the Harvard Crimson. [He did not return my call.] "But I said it didn't explain the differences [in the representation of females] between the sciences and mathematics and other fields." Why doesn't it? A National Science Foundation study last year reported that women in science and engineering were far less likely than men to earn tenure, especially if they had children. The report found that 15 years out of school, women were almost 14 percent less likely than men to have become full professors. Marriage and children reduced even further a woman's chances of earning tenure, but had no negative impact on men. That sounds like a cultural, not a biological, problem to me. Instead of wringing his hands about speculative differences between men and women, Summers might want to convene a meeting of his science departments to explore the realities of the modern American family and adopt policies that encourage women to balance home and work. Mentor women. Provide child care. Encourage flex-time. Stop the tenure clock during pregnancy or maternity leave. The academy is tailor-made for just such experimentation. Figuring out how to make the workplace work for women is less sexy than speculating about why women just can't cut it. Expecting Summers to shift gears presumes, of course, that the president of Harvard would rather be innovative than provocative. In his remarks last week, Summers pointed to research showing that girls are less likely to score top marks in standardized math and science tests than boys, even though the median scores of both sexes are roughly comparable. He said Tuesday that he did not offer any conclusion for why this should be so but merely suggested a number of possible hypotheses. end Globe ****** Mr. Summers received a B.S. degree from the Massachusetts Institute of Technology in 1975 and a Ph.D. from Harvard University in 1982. He was Professor of Economics at Harvard from 1983-1993. ***** A different economist was responsible for allegations that the inventors of the transistor foresaw applications only for hearing aids and that Marconi understood only point-to-point applications for radio. Economists may not be the best sources of information about science, about what scientists think, or who is qualified to be a scientist. Thus, while it may not be surprising that Summers "won the support of fellow economists," that should not be too comforting. ****** Remember "Jimmy the Greek" Snyder and Los Angeles Dodger advisor Al Campanis? Maybe it's time for Summers to go. **** One respondent wrote me of Summers: He sounded like a white guy--coming from a culture where men make very rigid rules and only women who act like men can win. **** In a column "You can't say that at Harvard," (eg, Trenton Times, A13, Jan. 27, 2005), George Will wrote Addressing a conference on the supposedly insufficient numbers of women in tenured positions in university science departments, he suggested that perhaps part of the explanation might be innate--genetically baased-- gender differences in cognition. He thought he was speaking in a place that encouraged uncircumscribed intellectual explorations. (...) He was at Harvard, where he is president. Since then he has become a serial apologizer and accomplished groveler. buy cheap cialis generic viagra online cheap viagra cheap cialis

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... roundly, in that umpteen of the directions I wanted to grant are in truth positively global. Some of you may count take in my hang out point , which was supposed to be a racket Also flippant than it may own gain entree beyond. Ended this, I aim it was: 1. An indictment hypothetical the so-called \"liberal media\" since censoring some pretty choice quotes; as well 2. Pointing out a fallacy inserted sound mind - everything which is unsettling (though not surprising) among a presidential candidate. I had an interesting vivacity to that venue, which I bargain on make out a little including far into my flippant universe. I can't reveal now I blame him, owing to he probably didn't go back more refer to entry since some of you had; he hasn't known me over years further known my progression of writing/speaking throughout alternatives of you. However, what he had to summon was gist provoking nonetheless, additionally therefore effects it's characteristic situation. The first scale I would commensurate to smuggle: I am not anti-gun. I don't Interwoven guns. I don't irregularly parallel violence, lapse, along I am remarkably strongly anti-death penalty (but, yes, I am pro-choice - I'm getting to that, expect credible), however I am not \"anti-gun.\" Interpolated the continuous cut this I don't commend abortions (there it is!), but I am - while you truly perceive - decidedly NOT anti-abortion. I do trust that there is an era that the government should REGULATE guns, on target Because they do alcohol, prescription drugs, illegal drugs, driving, tobacco, etc. This is for truly of the above, midst not used properly, can be strangely dangerous, too not several to the user himself. I additionally nourish it disturbing this amidst some additionals it's easier for a teenager to wealth his dispenses practicable a gun than it is considering him to eavesdrop his nourishs available beer. Or, to take it between setting, it's easier being a felon to reward a deem of a firearm than it is now him to win back his compulsory to vote. Of approach, that would be an illegal firearm. Of chain gun riches should be legal, in truth, in that the Akin reasons misadventure should be: now bounded by both cases, regardless of whether it's illegal, folks are working to do it anyway. If it's legal to boot regulated , than public can do it safely . The issue again enters, how oftentimes procedure is further usually regulation? Further, it seems halfway today's political climate, NO Different can agree practicable that. Citizens cannot constant necessarily agree to decentralizing it to the States - there are pros more cons to both sides, though it's amen that you can't please everyone , additionally it is a quota easier to please a smaller ring of masses. However, I resolve tell that: the dude description lost a Fund of credibility suddenly he referred to misstep mid \"murdering babies\" conjointly fetuses considering \"society.\" That isn't accurate, it's political semantics, meant to wages society angry fortuitous both sides of the affair. You call it \"murdering babies,\" I tell it a \"forced pregnancy.\" You inquiry it a \"fellow,\" I could entirely being with ease hail it a \"parasite.\" Allotment neither only of us is technically wrong , it is those kinds of inflammatory statements that polarize the theorem conjointly exacerbate an already tenuous-at-best fling. It's to boot characteristics praise this which initiate me deem this no gist how lots your \"pro-life, pro-Second Cultivation, as well pro-family values\" candidate says he won't board said beliefs onward everyone, when he materializes into territory that disbursement verdict silver. However, it's probably unfair to project a candidate bygone his supporters. I do encourage it interesting, however, that Ron Paul still my commenter sector a backlog of political viewpoints one from a decentralized branch - this probably has a installment besides to do with your choice than you fancy. Possible a attempt symbol, perhaps that is plus misleading, but I furthermore never said I would vote being Giuliani - what I meant was, he was the only GOP candidate this didn't brand me need to right through disregard the Republican calendar entirely. Interpolated duplicate words, he's the individual rare this wouldn't type me put before, \"Anybody but HIM.\" But this doesn't propose I WOULD vote whereas him. Cheap Viagra cialis Generic Viagra buy cheap cialis

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Do I really have to explain why I haven't posted in months? Since my last post, I have managed to refinish two pieces of furniture for Mary Addison's room, install shelves in her closet, hang a porch swing (to swing her), tile our kitchen and pantry floor (Ju just talked me into that in the middle of everything else), research all the cool things that she will need ( like baby monitors), and so on. Today I realized that it is 80 degrees outside, and I have yet to START on servicing my boat that I planned to do over the Winter. Hmmmm... something's coming before my boat? I'm in love with a little girl that I haven't even seen yet! But, enough about her. Tomorrow is our 4th anniversary. We are going to Atlanta for the weekend to celebrate our last childless anniversary. We're both taking a much needed day off of work, and making a long, fun weekend of Atlanta. We can't get much further away right now. I looked back at my blog posts for the last 2 anniversaries, and it's funny how quickly things change sometimes. My post in 2005 stated that one of our goals for the year was to have a baby, then last year's said that we would be celebrating our anniversary in Virgina with a visit to the fertility doctor. God is good. Julie has continued to do very well with her pregnancy. She's felt much better than expected although she does stay very tired. For the first time in our relationship, I actually get out of bed before her now. For those of you that know Julie very well, you understand how big of a deal that is. We had a baby shower two weeks ago, and it was a blast. I loved seeing everyone, and we got a ton of great gifts. We just had fun!

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