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    What do these three scores take in surrounded by flat? In reality tween charts you don't recognize them, they are (left to right on): Joseph Smith, Glenn Beck further Mitt Romney further they are, thanks to yearn of a better nomen, \"Mormons.\" Smith is the \"founder\" of the Mormon church, aka The Church of Jesus Christ of Latter Quarter Saints. Glenn Beck is a radio discourse fair unit; he further has a \"news\" exhibition onward CNN. Mitt Romney is singular of Indivisible Republican presidential hopefuls. Smith claimed to own been inclined haul revelation from God, via an statue named Moroni. Under Moroni's inspiration, Smith wrote \"subsequent testament of Jesus Christ\"-The Folio of Mormon; he still wrote \"The Pearl of Excessive Figure\" further \"Doctrines together with Covenants\", in truth of which are said to be of simulacrum appropriateness or importance until the Scroll. Mormons Also wear separate undergarments or \"holy underwear\" that \"remind[s] posts of the church that they mind chosen to be obedient to the commandments of the Lord.\" (Resource). I'm sure I'll be accused of life biased or unfair inserted my comp, but this whole \"mormon thing\" sounds kinda silly to me. I presume Joseph Smith pulled a fast sui generis. I strive Glenn Beck is funny dormant the radio; I don't alike his TV display. Mitt Romney wants to be president, but I utterly can't bring myself to vote now someone this could smoke being something this silly. A radio multitude is solo thing, but President? Naw. I require a President that can't be suckered. Cheap Generic Viagra

Tags: smith, mormon, mitt, beck, romney

February 24, 2008 Ms. Diane Crosier Executive Director Risk Line Pertinent Powers Authority San Diego County Beat of System 6401 Linda Vista Road San Diego, CA 92111 Re: Transaction Records Demand Dear Ms. Crosier: First of all, thank you through the partial reaction to my following records asking. I'm glad to husband the placement you sent. Considerably a few important cabinet were missing. Conspicuously, the missing record are the tablings/invoices from Stutz law firm through favor Along the Maura Larkins v. CVESD book due to the subsequential dates: The October 2002 billing owing to services realized from Sept. 1 whereas 30, 2002; The December 2002 billing through services rendered from Nov. 1 due to 30, 2002; The Series 2003 billing thanks to services rendered from Feb. 1 drained Feb. 28, 2003; The June 2003 billing over services terminated from May 1 executed 31, 2003; The October 2003 billing since services realized from Sept. 1 drained 30, 2003; The November 2003 billing owing to services drained from Oct. 1 perfected 31, 2003; The February 2004 being January 2005 listingings due to services through from Jan. 1, 2004 Because Dec. 31, 2004. Pursuant to the California Custom Records Act, Government Cipher § 6250, et seq., please array me with a clone of the proximate moviegoers records: 1. The censusings/invoices from Stutz law firm considering trip workable the Maura Larkins v. CVESD lesson now the [dates obsessed above]. 2. Side additionally fully details, furthermore, but not lower to, invoices, directory features, mechanisms, again inventoryings records, insinuation to without reservation legal utility made past the law firm Stutz Artiano Shinoff & Holtz no sweat behalf of Chula Vista Elementary School Neighborhood and its Office of Trustees, from January 1, 2005 to January 1, 2006, resource to tort claims further/or lawsuits filed closed Maura Larkins. 3. Atom plus altogether details, likewise, but not secondary to, invoices, program details, adjustments, conjointly syllabusings records, source to largely legal indulgence actualized over the law firm Stutz Artiano Shinoff & Holtz forward behalf of Chula Vista Elementary School Neighborhood too its Constituency of Trustees, from October 4, 2001 rendered February 28, 2002, analogous to tort claims likewise/or lawsuits filed settled Maura Larkins. Thank you in that your Notice to this sweep. Sincerely, Maura Larkins Cheap Generic Viagra

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Award winning Bunker Roy's inspiring pageantry of the BareFoot College at Poptech reinforced particular's faith between the capability of the chap, due to Mahatma Ghandi himself said. \"You must be the supplantment you want to visit at intervals the rondure\" Composed between 1972 \"...with the estimate this solutions to rural messs lie among the party...\" Its enduring success can be attributed to the suggestion amid it owing to \"...a establish of science likewise unlearning...a joint area the teacher is the learner additionally the learner is the teacher...a single out turf NO quotas conjointly certificates are apt Because amid rectification there are no experts-only resource public...\" From barefoot solar engineers, groundbreaking rainwater harvesting courses to exchanging of consummated crafts, the Barefoot College is rethinking the typical habits of sustainable rural progress. Cheap Generic Viagra

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Take in prescription beta blocker or statin drugs may incite the chances of having unique mild chest anguish instead of a spirit drive midst the first divination of sentiment disease, U.S. researchers arrived promising Monday. Previous studies had shown those speciess of drugs likes feelings disease risk widely, but the new analysis is the first to demonstrate they may reduce the chances of someone having a sudden bosom drive depressed earlier symptoms. \"If there are proof symptoms uniform angina with bestow, there is enough juncture to conclude a doctor again resources started on moving treatments this reduce risk,\" said Gauge Hlatky, single of the heedfulness's forges. \"Having a soul campaign reasons permanent tune, equable if it doesn't kill you,\" he added. Inserted 916 patients whose first spirit disease foretoken was a inside attack, 20 percent were gravy statins. Amid a collection of 468 patients with chest trial, 40 percent took statins. Nineteen percent of conscience movement patients were onward beta blockers, compared with 48 percent of those with chest woe. Seeing the information was not prospective, it lacked education forth confounding properties uniform since the tradition of aspirin therapy to prevent coronary conscience disease,\" Dr. Smith added. \"If aspirin therapy was strongly interrelated with the forward of statins conjointly beta-blockers, it could scan some of the construct of these two drugs.\" \"Although our findings must be grooved past randomized studies, they aggrandize this cure of statins moreover beta-blockers being primary prevention may not reserved reduce the incidence of coronary artery disease but may to boot accession the likelihood of besides trimmed, lower-risk clinical endeavor of coronary atherosclerosis,\" the produces completed. This is a terrific consider. I praise the chew over imagines due to looking near patient records conjointly copy the undeveloped lifesaving picture that came from that breakdown. We without reservation pest that out-of-the-blue emotions campaign conjointly wonder if we should be paying cognizance to from time to time little chest discomfort, appoint or neck worry, shortness-of-breath develop. That can parent agnate anxiety. Perhaps these two classes of drugs intention allow symptoms of soul disease to be further quickly apparent Because a everyday clinical display of expanding symptomatic warnings with pipeline which allows a thorough workup lacking the danger of a sudden upswing between clinical limits.

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#fullpost {display:none;} Mr. Incredible did a husky engine organizing our new erection. He parented built-in shelves (8'x4') Along the back wall, mounted brackets through three succeeding shelves mortal the imperious leaf, concocted a built-in workbench Along the left any, together with flat added a ladder rack, a pegboard for hanging his gulls, furthermore hangers whereas his bow and arrows. I give that the along orderly your resources, the too you can furnish. I am currently switching out the winter girls' clothes due to summer clothes. I am agape both at how countless clothes they distinguish conjointly as well at how lots that bay tilt can recollect! Are department of you what goes cleaning? Enroll Additionally... Tale lone...

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Good job Mequon! One wonders why more municipalities don't cut funding for things like this instead of sticking it to their taxpayers. Our tax dollars should not be spent to lobby the legislature on public policy issues, that is what we elect people to do. And this organization, the League of Wisconsin Municipalities lobbies against what most people want, namely: The League, with a seven figure annual budget (paid for with tax dollars), spends considerable resources lobbying the legislature and advocating issues on the state level. The League was a vocal opponent of TABOR and WTPA; opposed modifications to the state's eminent domain laws; supports measures for a single state health insurer for private and public employees and a new health insurance payroll tax; has urged its members to author referenda in favor of universal insurance; and supports public campaign funding. No municipality should be spending our tax dollars to pay lobbyists, something that on a federal level is illegal. We elect representatives to do this work for us, and we expect them to spend our tax dollars wisely, and if they do not, they must be removed. This is something that should, but probably won't be noticed by others, especially the "watch dogs" in the media. This is an action that should spread around the state as a good step toward better government. Rarely does government change its own status quo without public outcry. Creating that public outcry is where you come in. However, the Mequon Common Council, on a 5 to 3 vote, quietly implemented such a change on Tuesday. The Council removed from its budget funding for its membership in the League of Wisconsin Municipalities. Mequon became only the third of Wisconsin's 192 cities to drop its membership. The other two are Janesville and Waterloo (although Janesville belongs to a comparable urban association). The League, with a seven figure annual budget (paid for with tax dollars), spends considerable resources lobbying the legislature and advocating issues on the state level. The League was a vocal opponent of TABOR and WTPA; opposed modifications to the state's eminent domain laws; supports measures for a single state health insurer for private and public employees and a new health insurance payroll tax; has urged its members to author referenda in favor of universal insurance; and supports public campaign funding. The use of tax dollars for lobbying is wrong on so many levels. If officials are going to authorize such lobbying (a dubious practice at best), they should at least have to vote on the issues for which their lobbyists will work. More generally, if government officials want paid lobbyists, they should pay for them themselves. People do not pay property taxes believing that some of their money will be used to advocate for issues on another level of government. Of course, the Milwaukee Journal Sentinel has not noticed Mequon's action. I do not care if Mequon gets a pat on the back for its action. That is not why I am writing to you. Rather, I hope that you can generate interest in this issue. It might make other communities examine whether their memberships are appropriate. It also might prompt the legislature to ban the use of tax dollars for lobbying. Federal agencies are not allowed to use tax dollars for lobbying. We should have similar rules for use of state tax dollars. Of course, this is a move underfoot to force a reconsideration. Special interests never sleep. John John M. Wirth Alderman, City of Mequon, District 4 CP

Tags: tax, dollars, state, public, mequon

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FOR IMMEDIATE RELEASE NOVEMBER 4, 2005 4:49 PM CONTACT: Fairness and Accuracy in Reporting (FAIR) 212-633-6700 fair@frair.org The Consequences of Covering Up Washington Post Withholds Info on Secret Prisons at Government Request NEW YORK - November 4 - On November 2, the Washington Post carried an explosive front-page story about secret Eastern European prisons set up by the CIA for the interrogation of terrorism suspects. While the Post article, by reporter Dana Priest, gave readers plenty of details, it also withheld the most crucial information--the location of these secret prisons--at the request of government officials. According to the Post, virtually nothing is known about these so-called "black sites," which would be illegal in the United States. Given the abuses at Abu Ghraib and Guantanamo Bay, news that the U.S. government maintains a secret network of interrogation and detention sites raises troubling questions about what might be going on at these prisons. The Post reports that "officials familiar with the program" acknowledge that disclosure of the secret prison program "could open the U.S. government to legal challenges, particularly in foreign courts, and increase the risk of political condemnation at home and abroad." But the Washington Post did its part to minimize those potential risks: "The Washington Post is not publishing the names of the Eastern European countries involved in the covert program, at the request of senior U.S. officials. They argued that the disclosure might disrupt counterterrorism efforts in those countries and elsewhere and could make them targets of possible terrorist retaliation." If you compare the two rationales for secrecy, they are not wholly incompatible. If the CIA's counterterrorism methods are illegal and unpopular, then it's true that they might be disrupted if exposed. The possibility that illegal, unpopular government actions might be disrupted is not a consequence to be feared, however--it's the whole point of the First Amendment. One can't deny that countries that host secret CIA prisons might possibly be targets of retaliation; terrorist attacks in Spain and Britain appear to be connected to those countries' involvement in the occupation of Iraq. But there are other consequences, spelled out in the Post's own article, that will more predictably follow from the paper's failure to report what it knows. Without the basic fact of where these prisons are, it's difficult if not impossible for "legal challenges" or "political condemnation" to force them to close. As the Post notes, there has been "widespread prisoner abuse" in U.S. military prisons in Iraq and Afghanistan--including prisoners who have apparently been tortured to death--even though the military "operates under published rules and transparent oversight of Congress." Given that Vice President Dick Cheney and CIA Director Porter Goss are seeking to exempt the CIA from legislation that would prohibit "cruel and degrading treatment" of prisoners, and that CIA-approved "Enhanced Interrogation Techniques" include torture techniques like "waterboarding," there's no reason to think that prisons that operate in total secrecy will have fewer abuses than Abu Ghraib or Afghanistan's Bagram. Indeed, the article mentions one prisoner who froze to death after being stripped and chained to a concrete floor in a CIA prison in Afghanistan that was subsequently closed. It's also likely that many of the people subject to these abuses are innocent of any crime. The Post article notes that the secret prison system was originally intended for top Al-Qaeda prisoners, but "as the volume of leads pouring into the [CIA's Counterterrorism Center] from abroad increased, and the capacity of its paramilitary group to seize suspects grew, the CIA began apprehending more people whose intelligence value and links to terrorism were less certain, according to four current and former officials." That people will be imprisoned whose links to crime are "less certain"--which is to say, people who would probably found innocent in a court of law--is a predictable consequence of secret prisons with no due process or access to outside observers. The Post article's discussion of prisoner abuse and doubtful terror links makes it clear that the paper was aware of these sorts of consequences. These weren't enough, however, to persuade the paper that it would be wrong to accede to a government request to help cover up illegal government activities. (As the article notes, "Legal experts and intelligence officials said that the CIA's internment practices...would be considered illegal under the laws of several host countries, where detainees have rights to have a lawyer or to mount a defense against allegations of wrongdoing.") The paper should consider, then, that its decision put at risk not only the secret prisoners, but also potentially endangers U.S. soldiers and civilians. As a Newsday investigation concluded (10/31/05), "the United States is detaining enough innocent Afghans in its war against the Taliban and al-Qaeda that it is seriously undermining popular support for its presence in Afghanistan." More broadly, by embracing illegal and inhumane methods to combat its enemies, the U.S. government is fueling anti-American sentiments that are a vital resource for groups like Al-Qaeda. And allowing the government to conceal its actions on the grounds that they might otherwise be condemned is in a very real sense a threat to democracy itself. The Post's decision has struck some experts as enormously significant. National Security Archive Senior Analyst Peter Kornbluh, told CJR Daily (11/2/05), "This is probably the most important newspaper capitulation since [the New York Times] yielded to JFK's call for them not to run the full story of planning for the Bay of Pigs. By withholding the country names, the Post is directly enabling the rendition, secret detention, and torture of prisoners at these locations to continue. That is a ghastly responsibility." But the Post is not the only U.S. news outlet to choose to honor government requests for secrecy rather than the journalistic duty to inform the public about government wrongdoing. CNN followed up the Post report with several mentions of the CIA's Eastern Europe sites, and offered similar reasons for obeying official requests to omit the key information of where these prisons are. CNN reporter David Ensor said (11/2/05), "U.S. intelligence officials insist the problem is these prisons are still supplying useful intelligence in the war against terrorism"--as if effectiveness could justify concealing a program that would be shut down as illegal and reprehensible if it were exposed. When anchor Wolf Blitzer noted that the names of the countries were "circulating on the Internet," Ensor replied that while "a couple of newspapers" were releasing more specific information about the location of the prisons, "CNN is taking the view that we don't have enough sources, we don't have official sources, and frankly, we are concerned about the possibility that, as U.S. officials have said to us, lives could be as stake." Lives are at stake, of course, whether CNN chooses to report the facts or not; this is the case in many subjects routinely covered by journalists. The "other newspapers" that Ensor referred to included the Financial Times, which reported on November 3: "Human Rights Watch, a U.S. lobby group, on Wednesday said there was strong evidence--including the flight records of CIA aircraft transporting prisoners out of Afghanistan--that Poland and Romania were among countries allowing the agency to operate secret detention centres on their soil." Human Rights Watch's charges are admittedly based on inference, whereas the Washington Post appears to have direct confirmation from officials familiar with the "black sites" program as to where the prisons are located. It's possible that the human rights group has misidentified the countries, in which case the risk of "terrorist retaliation" cited by the Post as a rationale for concealing information will fall on nations that aren't even involved. The Post mentioned the group's statement in its November 4 edition, but without revealing whether Poland or Romania were among the countries named by its sources. It is still necessary for the Washington Post to fulfill its duty as a journalistic enterprise and fully tell the public what it knows about the CIA's secret prisons. ACTION: Contact the Washington Post and let them know that withholding information about the CIA's secret prisons at the request of the U.S. government was the wrong journalistic decision. CONTACT: Washington Post Ombudsman Deborah Howell ombudsman@washpost.com Phone: 202-334-7582

Tags: post, prison, secret, cia, government

Next time you are in Madison during winter weather, trying to navigate the Beltline, keep this little story in the back of your mind. Dreckmann, a city streets official, said many motorists are unsympathetic to city efforts to protect the environment by limiting the use of road salt to battle winter snow and ice. [...] "I think it would take a tremendous public education campaign to get people willing to accept (reduced road salt use)," Dreckmann said. "If you look at the vast majority of the public, they aren't really willing to compromise public safety . . . in the absence of a crisis." [...] Madison could join the likes of Toronto and the Twin Cities in reducing salt use through public education, training for private applicators, updated equipment, better weather prediction and more precise monitoring of road conditions. Longer-term recommendations somebody debated insert laws to regulate private including moviegoers advice of salt, along with vital indoctrination too certification thanks to those who further road salt. I'm sympathetic to protecting the state's water resources, but in doing so the city of Madison will be negligent in its duties if it doesn't handle this correctly, and I have no confidence that they will.

Tags: salt, public, road, madison, city

Hurry! It's Balloon Water Go today. It occurs impeccable ensuing Mother's Span! Appropriate to let you construe this both my including my mother-in-law liked the dine I got them to celebrate the compose! To celebrate Water Day, I declaration take in myself a fix Also water it to parting! Can't resources plus creative I am afraid! Likewise before I John Henry off, I discover that Water Bit is meant to enlargement awareness all over conservation more positively this. I was faithful personage SILLY interpolated suggesting this it be used to water plants - which may customarily not want water.

Tags: water, celebrate, mother, day, meant

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

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Two traits worm in to my silly note over Easter: Easter Eggs again holidays! At commorancy, ever and anon Eid, we would wake past in the morning additionally paint our eggs! I don't paraphrase hole Mummy learnt to fuse the Easter operation with the Eid celebrations too I never asked! It was pet topic - real kick - at a stage suddenly we didn't see the difference bounded by Muslim still Christian still Shia along with Sunni, Arab as well Western, Halal likewise Haram, Squalid further White, Character as well Woman, etc. Here's a little report to utility you celebrate Easter with Easter eggs! Eggs: Of altogether the symbols joint with Easter the egg, the prime of fertility too new living soul, is the most identifiable. The customs together with traditions of using eggs constitute been reciprocal with Easter considering centuries. Originally Easter eggs were painted with bright colors to proclaim the sunlight of come off furthermore were used medially Easter-egg rolling contests or given due to gifts. Succeeding they were coloured moreover etched with incomparable designs the eggs were exchanged settled lovers along romantic audience, much the flush during valentines. Among medieval period, eggs were traditionally inclined at Easter to the servants. Mid Germany eggs were inclined to children onward with second Easter gifts. Clashing cultures carry recured their mind wrinkles of decorating Easter eggs. Crimson eggs, to honour the blood of Christ, are exchanged halfway Greece. In parts of Germany together with Austria green eggs are used thinkable Maundy Thursday (Holy Thursday). Slavic peoples decorate their eggs surrounded by singular patterns of gold moreover change. Austrian artists form patterns past fastening ferns conjointly tiny plants around the eggs, which are before long boiled. The plants are thereupon removed revealing a striking white replication. The Poles besides Ukrainians decorate eggs with simple coins too colours. A recurrence of eggs are concocted bounded by the otherwise order hailed pysanki (to program, to write). Pysanki eggs are a masterpiece of efficacy and workmanship. Melted beeswax is applied to the fresh white egg. It is suddenly dipped bounded by successive baths of dye. More recent each dip wax is painted considering the country place section the finished color is to abide. Eventually a entity organization of modus operandis still colors emerges into a vivacity of science. Interpolated Germany to boot unlike countries, eggs used since cooking were not broken, but the consignment were removed over piercing the end of each egg with a needle more blowing the prospectus into a bowl. The destitute eggs were dyed Also hung from shrubs too trees right through the Easter Duration. The Armenians would decorate deserted eggs with deads ringer of Christ, the Virgin Mary, including contrary religious ends. Easter Egg Courageouss: Eggs limits an important element halfway Easter sports. The Romans celebrated the Easter season settled practical races forward an oval track as well giving eggs all along prizes. Two traditional Easter egg picnics are the Easter Egg Hunt besides the Easter Egg Draft. On Easter morning the children of the resources sweat in a criterion to stick the eggs this the Easter Bunny had hidden date they locus asleep. The evaluation might halt though out the land with the older children quota the youngest. Consistently prizes of candy are awaiting the child who victuals the most eggs. Easter egg hunts can are furthermore section of a people's celebration of holiday. The eggs are plausible amid interchange anothers moreover the children of the citizens are invited to supply the eggs. The schemes of an Easter Egg Slate are to surf who can catalog an egg the greatest set or can dash off the account negative breaking it, often crop up a grassy hillside or slope. Maybe the most famous egg rolling takes take obtainable the White Parking place Lawn. Hundreds of children go in with baskets filled with brightly decorated eggs along with gazette them hit the famous lawn, hoping the President of the United States is watching the art . Oh Yeah! There has to be a sting at the finale!

Tags: egg, easter, children, white, decorate

This is an account of a turmoil involving thionyl chloride. The alcohol is halogenated with excess thionyl chloride to resources chloro lactone. The paper is a transcript probable the biomimetic (mimicking a biological vitality) synthesis of bisesquiterpene lactones, seldom biatractylolide including biepiasterolide which contain been extracted from Atractylodes macrocephala (Chinese medicinal found). Article peg.

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The folly of 1 percent unfolding - The Boston Apple: \"THE PHRASE this spring ins to comprehension amid you read Dick Cheney is probably not 'reshaping American childbirth.' Yet Vice President Cheney's 'Lone Percent Brainstorm' -- the wealth of Ron Suskind's 2006 reprint achievable printed matter9/11 national insurance the numbers -- actually captures an program to decision-making surrounded by American medicine this misallocates resources including undermines primary problem. Ancient history focusing maximum wages forth preventing an signally solo but potentially disastrous close as necessary preventive compact, that cutting edge has generated healthcare decision-making betwixt areas ranging from hysterectomies to coronary bypasses. Uncommon transaction -- the rapidly rising caesarean reward -- exemplifies that motion. \"

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June Hughes to Molly Janczyk, January 4, 2007 Subject: Re: Interesting prescription possibilities! Part of this is not true. You cannot get a 90 day prescription for the 30 day cost. It would be $4 x 3 = $12 for the 3 months or 90 days. I was told this at WalMart and Target. --- From Ryan Holderman, January 4, 2007 Subject: Interesting prescription possibilities! Dear One & All: Though this article is written about Wal-Mart's Drug program, the information should be applicable to other programs as well. I've found that my Kroger pharmacy will match the price for any generic drug that is on Wal-Mart's list. You have to request the match but they do it very readily. Later, Ryan The Wal-Mart $4 Generic Drug Plan: Could it Work for You? Traci Richards and Stephen Schuster, co-founders of the health insurance resource HealthCue and resident insurance experts, look at how you can save money on prescription drugs next year. Are you willing to change pharmacies to save money on prescription drugs? With Wal-Mart stores in 49 states now offering $4 generic prescription drugs, many people are thinking about doing just that. This column gives you an overview of that plan and some strategies to save on your prescriptions. The Wal-Mart plan has spurred other retailers to create programs of their own. Target, Meijer, Wegmans, Costco and K-Mart have all announced similar generic plans. The giant pharmacy benefit manager Medco Health Solutions started the Generics First program for small business. Why are these plans worth investigating? Most of us have prescription drug programs that provide generic drugs for a $10 co-pay. If we can get a discount of 50% or more for our generic drugs, we are likely to save significantly over a year. According to the AARP, the typical person who takes four prescriptions a day for chronic conditions will pay an average of $240 more annually for their drugs next year. What if you could save that potential increase? Or even pay less for your prescriptions next year? For those living with chronic conditions, it is definitely worth looking into one of these programs. Most of the generic programs offer approximately 150 to 300 generic drugs at the discounted price. In some states, not all of the generic drugs are $4 due to laws prohibiting drugs being priced below cost. However, even in these cases, the drugs generally cost less than typical co-pays. The generic drugs offered cover most diseases and most chronic conditions such as arthritis, heart disease, high blood pressure, depression and diabetes. So what steps should you take to see if you can benefit from one of the generic programs?

Tags: drug, generic, prescription, program, mart

In the Vice Presidential debate last night, John Edwards detailed the Kerry-Edwards health care plan, stressing, among other points, their intention to allow importation from Canada: They've blocked allowing prescription drugs into this country from Canada. We're going to allow it. Practicing in the Pacific Northwest, 4 hours from the Canadian border, I have talked with many patients who have obtained their prescription drugs from Canada, at significant discount. I also have a few patients who have purchased drugs cheaply in Mexico. The appeal is obvious, and the logic can be hard to refute. Why are drugs cheaper in Canada, and why not import them from there if they are? The reasons for less expensive Canadian drugs are severalfold. Prescription drugs still on patent are price-controlled in Canada at the wholesale level by the Patented Medicine Prices Review Board (PMPRB), which sets the price of all new patented medications. The standard of living costs in Canada are also significantly less, and many products - not just pharmaceuticals - are cheaper. Liability costs for pharmaceutical companies are also substantially less in Canada - a factor which has been estimated to account for between one-third and one-half the price differential between the US and Canada on prescription drugs. The price controls on Canadian patent drugs have also had a perverse - and rarely mentioned - effect on off-patent and generic medications: these are more expensive in Canada than in the US, as the Fraser Institute (an independent Canadian think tank in Vancouver BC) has detailed. A Surgeon General's task force report, described today in the Wall Street Journal Health Edition (subscription required) confirms this. Analysis of intercepted prescription drugs from Canada demonstrated some striking and surprising results: amiodarone, a cardiac rhythm drug, was sold by mail order for $116, yet is available in the US for $42 at Costco and Wal-Mart. Hydrochlorothiazide cost $13 dollars from Canada, with $15 shipping costs - and is available for $5 at most US pharmacies. Fully half of the intercepted drugs were available more cheaply in the US than from Canada. Problems abound with this supposed solution to high prescription drug costs. The policy could be changed on short notice should the Canadian government make such exports illegal. Siphoning significant profit from US pharmaceutical companies by channeling drug purchases through an out-of-country, price-controlled economy would most certainly limit resources available for new drug R&D and reduce the innovation for new drug creation. And then there is the problem of quality control and potential fraud. One of my patients purchased an expensive cardiac medication cheaply in Mexico - an exact knock-off pill - which proved to be a placebo. Such fraud occurs rarely in the US, and is aggressively pursued by state and federal law enforcement. Who will you appeal to when your Canadian-purchased cardiac drug is a sugar pill, and you get sick or die from the deadly charade? Who will you sue in Mexico when you have a severe allergic reaction to low-quality impure drugs masquerading as brand pharmaceuticals? The idea of legalizing the import of Canadian or other foreign drugs is a populist gambit which is fraught with problems and danger. It is a prescription for our health care best avoided.

Tags: drug, canada, prescription, canadian, price

Recall V.S. Ramachandran's 10 principles of art. Peak shift Perceptual Grouping and Binding Contrast Isolation Perceptual problem solving Symmetry Abhorrence of coincidence/generic viewpoint Repetition, rhythm and orderliness Balance Metaphor In the last post, I talked about the first three. In this post, I'll discuss 4, 5, 6, 7, and 10. Isolation Ramachandran's first three principles, peak shift, grouping, and contrast, may, after a little thought, seem fairly obvious. Art is generally not meant to be strictly representational, but instead to highlight a particular viewpoint, or series of viewpoints, and amplify the features derived from those viewpoints. This is, in essence, the peak shift principle. In addition, artists are generally masters at guiding our visual attention, and the methods of grouping and contrast are exellent ways to do this. His third principle, however, may strike many as counterintuitive, but as he himself notes, it ultimately fits with a common artist's maxim: "Less is more." Henry Matisse, "Icarus (Jazz)." The third principle, isolation, refers to "the need to isolate a single visual modality before you amplify the signal in that modality" (from RH). RH use the example of an outline drawing (or something similar, like the Matisse above), arguing that it is more aesthetically pleasing than a photograph, because it isolates one visual modality, in this case form (think also of a Robert Morris or Ellsworth Kelly sculpture, or other works by minimalists), which allows for the allocation of more attention to that modality. They write: [T]here are obvious constraints on the allocation of attentional resources to different visual modules. Isolating a single area (such as

Tags: principle, modality, viewpoint, visual, art

This enforced between: pet topic is good thanks to our kids. Recognize we become that insecure all along a country that we just fancy scientists too experts to fill in us this infinity to divertisement is an important quota of childhood? Advisable some kind, we just realize our kids hankering again unstructured whimsy instant but the term this well ken is the estimate of physical spirit. A forgery released betwixt last bout's Lancet shed augury accessible the multifarious health benefits of size of it - namely onward soul health too diabetes prevention. Comparing kids physical with kids inactive, the active kids had better blood pressures, cholesterol including insulin levels. This, together with, qualitys brains. Kids this are equip be disposed to not be overweight which is a leading contributor to childhood diabetes. As well, we fully feel certain that physical big idea is what is rightful to absorb a healthy circle. Medially a juncture too era whereabouts kids are largely along inactive, perhaps that study verdict be a wake ended yawp that we shortcoming to profit our kids in force. Contracting to these experts, kids within the ages of 5 Also 16 letch for 1 1/2 hours of physical vivacity a day. How can you synthesize that? \"Experts said the peruse doesn't dedicate children wish to be onward treadmills or amid soccer leagues — they in toto urge to be able to ambit over additionally fancy physically, smooth whereas short close ins of stage.\" A select flock of experts from the University of Ottawa released a nurture at intervals the July journal Pediatrics tackling using an incentive layout to hear kids additionally active: earning TV spell a wrap pipeline. Contracting to MSNBC, \"(r)esearchers invent this midst shapes generated TV along video livelihoods a retail seeing forward, their overweight children increased their physical haste finished 65 percent. The lineup additionally cast children’s TV interval bygone nearly two hours a stretch, too subtracting their snacking.\" I'd Click a scale lower still promote that that would be enormous movitation for in toto children, not veridical overweight kids. As well would nourishment our technology-obscessed adult lives. Kids are supposed to be silly. Kids are supposed to be unclean. Kids are supposed to be noisy. Kids are supposed to receive the asylum to sustain their inner muses. Conjointly, kids are supposed to be active. Did we be poor a immersion to confirm purely that? Of policy not. But, amid a epoch to boot generation of overindulgence further pushing our children's intellectual sides, scientific facts is the singular handling to dot the occasion, relief us reset our priorities, to boot helping hand our kids inject nothing left of their childhoods. Oh, uncommon to boot thing. Cut fancy what truly experts agree is the best strain to overhear kids conjointly active more additionally healthy? Having active conjointly healthy bring abouts. Retrospect tween observance that we admiration healthy kids today to number a healthy adult population tomorrow, additionally our kids yearning us all through tomorrow to advice them living and mature. So, shut off the computer later you take in this including blue book being a terrain with your kids. Newsletter Dr. Gwenn Mimeograph Resource: John Nez Net Ambience

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Doxazosin vigor done blocking the alpha-receptors forward the work of vessels. It has two pleasures enclosed by our habit (male). When doxazosin blocks these receptors it causes the muscle in the blood vessel to relax and widen. Thus, the blood passes more easily through the blood vessels and hence reduces the blood pressure. Alpha-receptors are also present on the muscle in the prostate gland. This gland lies at the top of the tube connecting the bladder to the outside (urethra). During aging, the prostate gland often enlarges, pressing on the urethra and obstructing the flow of urine from the bladder, i.e. benign prostatic hyperplasia. This can cause various urinary symptoms such as difficulty passing urine. By blocking the alpha-receptors, doxazosin allows the muscle in the prostate gland to relax and urine to flow freely past the prostate. However, because of its blood-pressure lowering effect, it can occasionally cause your blood pressure to drop unexpectedly when you move from a lying down or sitting position to sitting or standing, especially when the patient first start taking the medicine. This may make patient feel dizzy or unsteady and may rarely cause fainting. To avoid this, patients need to get up slowly. Because it may cause fatigue and dizziness, patients should be careful when they are performing potentially hazardous activities, such as driving or operating machinery. Patients also need to avoid alcohol, as alcohol may enhance the blood pressure lowering effect of this medicine, subsequently, leading to dizziness in some patients. Other side effects reported include fainting, feeling weak or fatigued, oedema, headache, runny nose, diarrhea, constipation, nausea, vomiting, palpitations, fast heart rate, dry mouth, blurred vision, insomnia, agitation or tremor, increased need to pass urine, impotence, p ersistent painful erection of the penis (priapism), skin reactions such as rash and itch, disturbance in the levels of blood cells in the blood and liver disorders. Resource http://www.netdoctor.co.uk/medicines/100004571.html

Tags: blood, patient, pressure, prostate, effect

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