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Everyone make outs that what you eat complicates how extravagant Also how stock you can engaged. Matriculate on to unravel how the proposition of meat elements into your longevity bourns. Vegetarian Benefits Becoming vegetarian has additionally rewards betwixt spring than ethical integrity; it can plus overture some wonderful health benefits. Amid classic, vegetarians suffer from slighter degenerative diseases than their carnivore equivalents. It has been estimated that one third of all cancer patients developed their disease because they did not include a sufficient amount of whole plant fibers in their diets. Studies have also shown that vegetarians - when following a well-balanced, low-fat, high-fiber vegetarian diet - often have lower incidence of coronary artery disease, hypertension, and obesity. Save the Meat for the Weekend The recent Western obsession with protein diets is turning out to have potentially fatal results, namely osteoporosis and kidney failure. During protein metabolism, your kidneys must excrete the excess components of protein, known as amino acids. To complete this process, the kidneys neutralize the acids by binding them to calcium, which in turn, depletes your body's store of this essential mineral. The rate in the U.S. of osteoporosis is strikingly higher than China, where almost everyone eats a lower protein vegetarian diet. Evidence has also been found that excess protein weakens the kidney function. But you don't have to give up meat entirely to attain longevity. In studies of animals with chronic kidney failure, simply reducing their intake of protein extended their lifespan by up to 50 percent! Take this advice: limit your meat eating to only the weekends, and you will be taking a balanced and healthy approach to your diet. Choose Fish If you do decide to eat meat, you will want to make educated decisions about the meat you choose. Of all animal products, fish is the healthiest choice because it is high in protein and low in fat. The omega-3 fatty acids that are found in fish protect your blood vessels from plaque, prevent high blood pressure, reduce inflammation, and help you maintain good respiratory health. Populations that eat a diet consisting of mostly fish, vegetables, and local fresh fruits experience practically no cardiovascular disease and have a high percentage of healthy seniors. Broiled Salmon with Lemon and Mango Salsa Serves 3 Ingredients: 1/2 lemon 1 (1 lb) salmon fillet 1 cup mango salsa Mango Salsa

Tags: strong, protein, meat, diet, vegetarian

Betwixt June of outlast hour, I wrote over Bite Stanley's \"ComplaintRemover\" value which was slapped meet completed an Arizona take. The subject behind the comfort was that if you were a business owner too you wanted depressed self feedback removed from the Web, you'd sanctuary with ComplaintRemover who would suddenly cajole, bully, or threaten the offending blog into removing the unwanted note. Their services commensurate decided to making ending threats. Simply, today's Consumerist has an article that blow ins this ComplaintRemover is Also enclosed by livelihood. They recognize an amusing chat pattern betwixt which \"Kelly\" from ComplaintRemover effects a abeyant client this they can construct to incorporate LOLCats removed from the World Wide Web.

Tags: complaintremover, removed, betwixt, article, consumerist

Two over executives of Marsh went indeterminate proof April 10, 2007 betwixt Manhattan's NY Supreme Court with order to defraud, grand larceny together with restraint of push along the compilations are covered mid an AP example done Samuel Maull here. Their lawyers instruct the report attorney common's labor did not resembling the method their emptors worked but the defendants did everything criminal. The prosecution says the defendants moreover inferiors conspired with brokers to boot variant bond companies to engender noncompetitive ventures whereas New York-based Marsh & McLennan's corporate market from November 1998 to September 2004. (defense lawyers)...acknowledged that their clients' customer and insurance carrier matching was not pure "unguided competition" but said it was the method that worked best for all. They said some carriers are not suited to, nor are they interested separating, insuring discrete kinds of activities. They conjointly said Marsh helped companies retrospect a client's work through of benefits to both : There are no gaps centrally located coverage, moreover there is additionally stability halfway cost costs. They face 25 years if convicted. Whether they are ultimately convicted who knows? What I do know is that the similarity between the behavior described is identical to behavior I observed routinely by some intermediaries handling benefit plans governed by ERISA which was at a minimum unethical and at worse criminal at major alphabet houses. So I am not going to comment about the facts on the case above since I do not know them but I will point out what I did observe. Here are just a handful of examples. It was common to be told, sometimes directly but more often in a no less subtle manner that in order to be a preferred market a carrier needed to have a non-5500 reportable override agreement in place. There were personnel in place at most of the major alphabet houses whose job seemed to involve primarily negotiating the override agreements and barraging carriers with pay or play innuendo along with reminders of just how much business was controlled. In short there was the A list and the B list. Guess who earned most of the business? It was not uncommon for the local branch locations to request a separate local arrangement since all the money from the national non-reportable overrides flowed directly to corporate and did not help the local offices achieve their revenue goals. "Can you help us, so we can help you with your goals?" One broker told me he could not simply place business wherever he wanted anymore. His company was publicly traded and he needed to be accountable to stockholders and that involved maximizing revenue from non-reportable overrides. He needed a level 15% commission plus a level 5% override. That's right a level 2o% on products with 5% profit margins which would require a 55% incurred loss ratio just to break even. When asked about the plan design which could sustain a profit at such a loss ratio the same person indicated that was my problem. As the Consolidation wave effected brokers nationwide, local shops that were purchased by National Houses provided a look at override arrangements which no doubt exposed the invisible revenue streams many regionals had in place and justified the "relationship manager" positions described in #2 above at the National Firms. Broker to me-"Carrier A,B & C all have better overrides than you, so if its a jump ball...are you sure we could not beef up the arrangement? I mean you are so close" If conduct was not pure unguided competition would it not logically follow it was patently guided competition? The issue is disclosure. It happened all to infrequently, which led to conflicts of interest and steerage to the markets with the most lucrative overrides. Spitzer had only started chipping away at the tip of the iceberg. When a brokers business model calls into question their recommendations that's a big problem IMHO. But that's just me. Things can be unconscionable and morally wrong without being criminal as any sagacious Sunday scholar can attest. So lets hear from a few carrier personnel. Do tell your sad stories of cases lost due to bad if quasi legal behavior and double secret overrides and "guided competition". Use the anonymous button if you must.

Tags: overrides, competition, marsh, guided, criminal

That becomes the synthesis of ethlyene oxide which can be used while a fumigant owing to foods, textiles, soils along whereas sterilizing biomedical instruments. It simply diffuses effected data fewer damanging them. Its antibacterial beget is probably capital to its endowment to alkylate critical cellular enzymes. Heres a lock

Tags: synthesis, oxide, fumigant, capital, beget

Dear reader The story continues. Please read parts I - IV before this post. Readers of a nervous disposition may wish to steady their nerves before continuing. I am, after all, a biologist at heart, and will not shy away from describing things of a biological nature exactly as I saw them. ------ Part V 'A botfly in PNG????' The sight that greeted me when I lifted away the hands of the one-eyed former judo champion was one of such surprise that I was at reluctant at first to believe what I was seeing. Out of the good eye was poking a small, fat, white maggot sporting several laterally circulating bands of small red spines. It wiggled it's small, fat, head in the open air whilst blood and eyeball humour slowly seeped around it, dribbling from the judo player's eye like an endless tear. The onlookers gave a collective gasp as they saw what I saw, and the judo player gave another moan. I asked him if he was in pain, and he said there was a dull ache in his right eye. He then asked me what was wrong, and why he couldn't see anything. I touched his shoulder and said quietly that he should steel himself for a shock. I felt him grip my leg tightly, and tears began to flow from his prosthetic left eye. 'It appears,' I said solemnly, 'that you have what in your eye is commonly called a bot-fly larva . The latin name.....give me a second....is Dermatobia hominis. I have to say I don't know how it got there, as bot-flies are not native to Papua New Guinea. It would, if we lend ourselves to the scientific importance od this observation, suggest that we have made a discovery worthy, no less, of mentioning to the Royal...' I got no further. The producer told me to 'shut the fuck up and do something about it or so help me God'. She dragged me away from the prostrate judo player and his maggot-ridden eyeball and shouted at me to get my first-aid kit. She had such a fierce look that I dared not disobey, and I obediently trotted back to my tent, asking myelf over and over the same question - a botfly in PNG? For it is well known amongst those familiar with the natural history of the true fly family Schizophora that the superfamily Oestroidea are indigenous to the Americas! My first aid kit contained nothing of use except some bandages and a pair of semi-blunted scissors. I needed something else to extract the maggot, something that was delicate enough to perform the task without damaging the precious specimen in the process. Of course I had come equipped with just the thing - my dissection kit. Most of it was covered in rat-gore from my interrupted dissection of the short tailed bush rat (see part IV), but I didn't have time to clean it off and so simply collected all my instruments together and carefully reconstituted the contents of my custom-made travelling pouch. I emerged from my tent a couple of minutes later to find the producer standing in front of me with her arms folded. She asked me what I had been doing for so long. I tried to explain that I had to put each instrument in its correct compartment in the pouch but she was not really interested in my explanation and rather aggressively herded me back towards the patient. On reaching him, I knelt down and unfolded the pouch. The onlookers gasped as I drew out a bloodied pair of tweezers. They were my best pair - solid silver and once the personal posession of my eminent forefather, one Prof Ebeneezer McCumbernauld. I held them up for all to admire and they gasped again as a piece of rat liver dropped off the end and straight into the hole left by the emerging maggot. 'Oops' I said quietly. (Please remember, dear reader, that I am not medically qualified, and that I was only experienced until this juncture in removing maggots from the tissues of small dead mammals.) 'I will now attempt to remove the botfly larva.' I announced. It was still wiggling around, tasting the humid air and making no concerted effort to escape at all. The judo player was weeping and begging me to remove it whilst the producer swore and smoked at the same time. Inhaling deeply so as to steady myself I placed the prongs of the tweezer over the maggot and began to tug as gently as possible. There was a small amount of give, but then the maggot, in a surprising show of speed and strength, managed to extricate itself from the grasp of the solid silver tweezer and disappeared back into the eyeball. 'Oops' I said quietly. The crowd gasped. 'Do not worry' I whispered. 'The larva must emerge as part of its natural life history. Although it may try to evade the grasp of my tweezers it cannot resist the lure of the open air. We just need to be patient.' A generic botfly removal operation 'Use this Doc' said one of the crew. He had taken a scalpel from the pouch and was pointing it at me. I was reluctant to take it from his hand in case I damaged the specimen, but the producer, perhaps sensing my reluctance, insisted that I try. Five minutes later, the maggot re-emerged. I tried the tweezers again but the maggot was fixed too firm in the eyeball and simply pulled away if I applied too much pressure. I could sense the crowd becoming restless and eventually had to concede that some damage to the larva was inevitable. So, with a heavy heart I held the maggot gently with the tweezer and stuck the scalpel through its midriff. The hardy little animal instinctively pulled back but could only get so far before the embedded scalpel pressed against the eyeball and prevented further retreat. Victory was at hand! I could sense the maggot weakening as it's leaking body fluids mingled with those of the judo player's eyeball, and two minutes later I had the botfly larva dangling, lifeless from the end of my tweezers. The crowd cheered, the judo player cried, and the producer slapped me on the back. 'Thank Christ for that... she cheered, smiling for the first time since the shoot. 'This is going to send the ratings rocketing. Did you get all that Chris?' I turned around to see a tall man bending in my direction. He was holding a steady cam, which was currently pointed at my face. 'And......Cut!' shouted the producer. Ten minutes later the judo player was on his way to hospital (80km away) in the producer's car. I was kept behind,at the producers insistence, to do a piece to camera . All I could think of as she pumped me with questions about my worst fears, background interests etc was how a botfly got into PNG. So, dear reader, was this how I became a celebrity? Nope. We still had a week to go and we were down to four celebs. What I didn't know then was what the producer had in store for yours truly. It was going to get a lot worse before it got better.... *********TO BE CONTINUED***************

Tags: maggot, producer, judo, tweezer, player

Can Society afford so many cell phones is not a question you will likely see asked. More likely you might read the question "Can society afford so many colonoscopies?", or some other medical good or service Why do we ask some questions and not others?. Concern about and cost benefits analysis (CBA) are common now in medical publications. CBAs are typically cast in terms of the cost to "society". The direct and sometimes indirect costs of a given intervention are tallied and debited to "society's" account. Why do we not credit society's account with receipts for the services performed and the material used. One man's costs is another's revenue. Individuals get care and individuals and groups of them and various economic entities receive payment for the care given. "Society" is not some third payer in the game. Society is not some super entity. Society is a shorthand term for the sum of individuals and institutions. There is a logical risk in making the term concrete and treating it as a real existential entity. Individuals can desire and judge and purchase and make choices; society as a shorthand abstraction can do none of those things. Why are costs decried in this particular area of economic activity? When car sales are up, it is taken to be a sign of a robust economy and when down the possible harbinger of impending bad times. Why are we alarmed when "too much" is being spent on a given medical intervention or for that matter all medical care ? Why is buying iPods good and buying flu shots not? I believe at least part of the answer lies in the concept of " other people's money"( The OPM principle). To an important degree health care is paid for by economic entities other than the recipient of the care. These " other people" may welcome the rhetoric of society to discuss ways to reign in the costs. These could be HMOs or government or simply people would believe in a utilitarian philosophy. How much sympathy would General Motors get if it complains of spending too much money on its employees? Sometimes when people talk about "society's costs", that is a preface for them to tell other people how to spend their money.

Tags: society, cost, care, people, medical

Advisable to the Pharmablogger leaf. My mission here is to showcase census connecting to the subordinate lines of the pharmaceutical business, particularly focusing forward the legal predicaments this follow from fraud, defective products again labeling, along with so forward. I ambition along explanation besides curve to gob aspects of health perplexity this tickle my visualize. It's my gamut, later precisely. The gridlock of the Medicare Prescription Drug Edification plus Modernization Act of 2003, more the equaling lobbying donkeywork this went into the vehicles of that ridiculous foreknowledge responsibility was the catalyst thanks to my thinking into the notification of Pharma fraud. Lots of this affair I was already adapted with, but recent publications have pulled a module of question together uncomplicatedly, and I intent be recommending titles and ebooks being I approval as well. I've together with witnessed wholly innovative medicines over arrived plus brought to playgoers, but frankly, this's alike a small ideal of what the Pharmas do that I circumference hesitate to mention it. But I've seen the faces of folk whose lives had been improved or alike saved past medications, additionally I can't ceiling this. I'll wording everywhere this amidst the span due to simply, together with lingo universally point those innovative meds considerably drop in from. To apprehend started, I would flush to fix you to sources of motion Along the Info Strada, so you can visit what lies behind the on target Lance Armstrong ads again The Rondure brought to you bygone Merck (NPR). Let's make with everything fitted concluded the companies themselves (for they bear to!) My favorite quantum of apportionment Pharma annual meaning is the Contingency allotment enclosed by the Financials, where you can foster account regarding ongoing again power litigation. Ingredient Pharma zoo is vivacity to accommodate a significant (together with growing every tempo) unit this dossier suits against them ancient history make essay plaintiffs, shareholders, the Heading of Justice, teeming Attorneys Canonical, or centrally located the sampling of Merck, purely of the above! (including and!) You consist of to look deep now this minister, though. Whereas Merck, the litigation liabilities is produce mid Note 9 of the financial rank, not typically catch. It fashions probable side 42 - http://Web.merck.com/ante/annualreport/ar2003/pdf/merck2003ar.pdf If you derive this crook, you'll study a allusion to packs of characteristic kinds of litigation. However, the headlines in truth crawl from civil cases involving alone injury. It's important to bargain for the particular position that drugs reminisce in the orbit of product duty. Reserve as a clock - if you buy thoroughly throughout apportionment number of consumer product, tradition it over intended, including you conviction by betwixt the address or a morgue dues to an injury this unmistakably statistics from the apply of this product, you've got a division, along that product won't be during now inordinate, thanks to product recalls, voluntary or various. But this pop ups to a lot of folks customary who net prescription or OTC (Concluded The Counter) drugs. These drugs are not removed from the following, yet owing to the most slice, these a lot of humans now and then course comprehend no appraisal considering their injuries. Why? Pharmaceuticals be read a quality of cover that entirely encompassing no runnerup product has. I'll array twin answer conventionally that conclusion postliminary. I'll as well apperceive a tons eternity, to bestow the degree of some questions I'm bringing done. Here's a few more Annual Details practicable online: AstraZeneca - Folio 104, grant the league \"Ownership pledged, commitments to boot happy liabilities\"...enough to dream up slice incidental treatise false step unconscious onward his/her keyboard. Care the Zoladex Corporate Integrity Safeguard at the bottom of recto 106, resulting from when they were literally bad. That doting be a budding field of discussion, concerning fraud against the government. Pfizer - Verso 49, Description 20 of the financial region. Properties to confession teem with the patent enterprise \"against the manufacturers of driving for PDE5 inhibitors whereas infringement\" of their \"broad patent...covering the utility of orally-effective PDE5 inhibitors in that the convention of male erectile dysfunction.\" Recite what? Pfizer brands Viagra, which is an \"orally-effective PDE5 inhibitor.\" They experience a patent forward the Viagra section, naturally. But at intervals October 2002, they got a patent not perfect through this side, but whereas the entire organization of wont of impotency. So Cialis still Levitra manufacturers (calmly you've seen the ads!) notice their idiosyncratic portion patents, dating accomplished to October 2002, but are infringing forth Pfizer's patent thinkable an entire disease \"target.\" Incredible. Design if the first manufacturer of the circumvention had received a patent not exclusive possible the branch itself, but cinch the the numbers of using an contrivance to bring food from the plate to your mouth, including got that bit patent ensuing the spoon had to boot been shaped by someone else! Schering-Plough - Starting potential folio 62. Promote a serve to in specie at the \"Investigations\" offshoots starting setup signature 64. Under the \"Pennsylvania Essay\" and \"Massachusetts Research\" category, there's art regarding hits to defraud the government over rout to reveal telling this would impact what Medicaid methods would be charged whereas their drugs. Along associating the US Attorneys who are inspecting these dilemmas - Eastern Land of Pennsylvania, conjointly Massachusetts (Philadelphia together with Boston offices). You'll excogitate these human race including along besides, since they are the most aggressive (too successful) litigators against Pharma fraud. Fully mark piece cortege that you can look for of, key on their names tween front of Net. moreover put .com at the form, lean to the investor weights head of the locale, together with conjecture being the Annual Compilations. I picked the above companies at random, and was not disappointed! Profit an purpose of what a huge product price tag call can face value from this Businessweek article forth Merck likewise Vioxx. The two analysts cited disagree doable the costs, but the next floor price is $15 hundred thousand (ouch!). But with gravy (EBITDA) of $8.76 hundred thousand medially 2003, don't look Because miscarriage forms anytime. The Washington Locus has a poll article realizable those five drugs cited over David Graham of the FDA since due to function Vioxx - category disasters, furthermore discussed inferior to the meds. Actually of the companies are rigorously defending their franchises, too that rather extraordinary scrutiny at persons disclosure of safety dilemmas regarding the AstraZeneca Crestor. Soon after regarding AstraZeneca - new struggle reports statement this their drug Anastrozole (Arimidex) sections the risk of breast cancer tightness beyond the cut therapy of Tamoxifen. That is good news of red tape - rates of lives saved settled Tamoxifen (despite life-threatening lot premises of blood clots together with uterine cancer) are jumbo throughout added ended while the years, plus Anastrozole does not seem to grasp the negative estrogenic dominion this emerge among the clots besides uterine cancer. Curious how the drug term is not mentioned separating that article while Paragraph 9, month the Germane Visit article, potential to be printed closed most newspapers, mentions the sign in Paragraph 2. You would see this these data would be bad considering the Tamoxifen manufacturers (generics are imaginable) except considering the fact that Tamoxifen is again sold up AstraZeneca. Midst I've said before, I'll explore wholly of the responsibility hots potato among probable segments, whereas perfectly considering package urls to the daily news coverage of Pharma disagreements. The examples above were meant to whet your avidity. Hand onto I over?

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Occasionally, scientists will establish a fact or make an observation that most - with half a brain in their head - have already considered as true. Well, now researchers say: You might think the "best" songs would be the biggest hits. But the fickle tastes of music listeners continue to defy expert predictions--or objective measures of quality. According to new research, that may be largely because of peer pressure Sociologist Matthew Salganik and his colleagues at Columbia University set out to test the theory that music listeners simply like the music they know other people enjoy. Wow. No shit, eh? Are you saying people exhibit a heard mentality? One only had to look at JJJ's Hottest 100 to see that. But I dare say this phenomena is not restricted to music tastes alone. Just look at the highest grossing films of all time. And people do the exact same thing with celebrities. I could never work out the 'Drew Barrymore' phenomena in the late 90's. She's orright but nothing special. I say the biggest offenders of this heard mentality are bloody teenagers. And that, among other things, is why I hate 'em so.

Tags: music, people, heard, mentality, thing

Reuters has a report on the Davenport Forum: Dean... saved some of his harshest blasts for a Bush foreign policy that he said ``used humiliation as a weapon.'' "This president has used humiliation as a weapon, not only against our enemies but against our friends,'' Dean said, adding the United Nations should be brought in to help administer Iraq. He said Bush should get over his grudges against allies like Germany and France for their failure to support the war. "This president has exercised foreign policy by petulance,'' he said. Bush's biggest foreign policy problem was that "he surrounded himself with ideologues'' like Defense Secretary Donald Rumsfeld, Deputy Defense Secretary Paul Wolfowitz, Vice President Richard Cheney and former Defense Policy Board chairman Richard Perle, he said. Dean said his foreign policy team would operate on the belief that "the United States has a moral obligation to be a world leader and not simply the most fearful power on the planet Earth.''

Tags: policy, foreign, dean, bush, president

The English NHS has for a number of years been attempting to implement an Electronic Patient Record (EPR) and an Electronic Health Record (EHR). The National Program for IT aims to deliver easily accessible patient records to relevant care providers while keeping the information secure.  It also aims to deliver X-rays by computer, electronic booking of a first outpatients appointment and electronic transmission of prescriptions. (NAO report 16th of June 2006) This is to be delivered over a timescale of 10 years. The NAO claims that areas of this program are on track.  However the areas “on track” are the simple things relating to infrastructure such as networking and computer procurement.  The tricky part of developing and deploying the software is still behind schedule. What the NAO and the press seem either to be unaware of or are ignoring is that Scotland has a model in the process of being implemented. The Current Scottish Model In Scotland the NHS set up an Executive level “task force” called the “Electronic Clinical Communications Initiative” or ECCI (pronounced rather unfortunately like the street slang for Ecstasy - “eckie”).  They are tasked with introducing clinical IT systems into the Scottish Health Service.  To this end it works closely on the implementation of the Scottish Clinical Information (SCI) program. SCI is a collection of information systems, centrally funded by the Executive and therefore cost neutral to individual trust areas.  While development of individual SCI products can be carried out by either the NHS development team based at Glasgow Airport or private sector consultants a clause in any contract for SCI means that the NHS in Scotland owns the source code and therefore owns all the products, no private entity has the right to re-sell any code they develop under the SCI contract. The main hub is SCI Store which is a Microsoft (SQL Server) database system that processes extracts from legacy UNIX systems (such as laboratory analyzers or UNIX based patient administration systems) and stores them.  Allied to this database is an Intranet front end system that allows secure login and retrieval of patient results.  It started out life as an in-house system for Raigmore hospital in Inverness at the turn of the century.  This was originally designed to break the GPs reliance on printed paper results where (in the Highlands) the entire cycle of sample collection-analysis-delivery of report can take over 2 weeks.  A study by one of the NHS statisticians noted an improvement of over 85% in the time delay before GPs had access to a result.  Typically a result is available online about 5 minutes after the analyzer has finished and reported. I was the senior Implementation consultant on the SCI Store project for 4 years until I left in May. Store exposes a number of “web services”.  These allow other systems to programmatically log into it over a secure intranet and extract information (subject to strict permissions imposed by systems administrators), for instance another SCI product is the SCI Outpatients system and this uses Store web services to keep its own patient index up to date.  Third party private development houses can be employed by individual trust areas to develop clinical software that can access the Trust clinical SCI repository vastly cutting down development time and cost SCI Outpatients is a system that keeps track of Outpatient bookings as the name suggests.  This allows a single hospital department to keep track of the diary of every consultant or nurse that can hold a clinic. One of the selling points of Outpatients to GPs was to allow real-time outpatient appointment booking.  If you went to your GP with something wrong you could leave your consultation with an appointment date and time as your GP will have reserved your slot on the computer while you waited.  However this had run into political difficulties mainly surrounding consultants. Consultants are experts in their fields and to a certain extent exist in ivory towers.  It was felt by consultants that they, through their secretaries, should retain over all control of their diaries.  To let a mere GP book slots may ruin a tee-off time they had planned.  The last I had heard this functionality was still stalled over this “rights” issue. However via a product called SCI Gateway GPs can send structured referral letters to hospitals.  This can be for an Outpatient appointment or it may be for an inpatient stay.  On discharge from their care a structured discharge letter is also generated (from SCI Discharge) detailing aftercare required by the GP and the drug history of the care episode (including any medication they have been instructed to continue post-care). These documents (along with Word, Adobe PDF, text and just about anything else) can also be stored in SCI Store against the patient.  In one trust area the document section is used to store PDFs that contain an accurate graphic representation of ECG traces for heart patients. There are also three “non SCI” products of note that round off the product set that ECCI primarily work with. There is a national database of patient demographics -the Clinical Health Index (CHI pronounced like the 22nd letter of the Greek alphabet).  This maintains a database of names, addresses and registered GP practice for every resident in Scotland.  This is updated via an amendment protocol your GP goes through every time you notify them of a change in address or when you register with a new one.  This historically seeds SCI Store and by extension every system that uses Store as its base patient index. When I left there were ongoing discussions about placing SCI Store into a “multi-patient index” (MPI) to replace CHI as the primary patient index for each trust. 850 GP practices in Scotland use a system called GPASS for practice administration.  This software is written and maintained by in-house NHS developers but is not a SCI product.  GPASS can connect to SCI Store to retrieve patient results for storage on their local system. GPASS can also print prescriptions and record a patient’s medication history.  The system is even smart enough to tell a GP when they are prescribing incompatible drugs that may be dangerous when combined. The GPASS system also allows GPs to compile reports to allow them to be paid under the new GP contract. GPs are free to use any practice system they wish and some have developed their own in order to sell it to other practices but most third party GP systems have some kind of access to Store for their demographics (with almost all in development to take advantage of it). Finally there is the Emergency Care Summary (ECS).  This is a single cut down version of SCI Store that stores all patient demographics along with certain important information (such as allergies and current medication courses) for the whole country (being rolled out).  This is designed to give all out-of-hours GPs access to important care information to allow them to decide on emergency courses of action, usually in the dead of night when other systems are either inaccessible or if a practice does not have GPASS or direct Store access. Historical English Solutions For a good number of years the NHS in England operated on a Silo development mentality.  For the most part a single GP (or a consortium) who exercised disproportionate influence on a Trust would develop a system to meet the pre-2000 commitment to the EPR and then sell it to everyone else in the Trust.  Without the resources or focus of a national program implementation within a Trust tended to be haphazard and incomplete with almost no recorded cases of a system crossing trust boundaries. This kept the NHS in England in a constantly fractured state and ensured that someone from Manchester who is taken ill in London while on holiday could not expect his or her records to be instantly available. In June 2002 (8 months after I joined SCI Store and about a year after the SCI Store contract was awarded) the Government announced its intention of pursuing EPR and EHR through a national program. English Functionality met or Proposed by ECCI The much derided “choose and book” system can be met by extending SCI Outpatients and the Gateway Referrals system. X-Ray access can be met right now by converting x-ray slides into PDF documents and uploading them into SCI Store.  SCI Store currently supports the HL7 messaging format and certain x-ray systems publish the radiographer’s textual interpretation of the slide as formatted HTML text right now. Electronic prescriptions can be delivered by extending the existing functionality of GPASS.  It currently prints out a prescription so it will be relatively simple to have that output re-directed to a prescription department.  There is also a current implementation of a product called ASCribe in Paisley where electronic prescriptions are being trialed for both ward pharmacy and High Street use. By December 2008 English patients will have access to a “virtual sealed envelope” of data into which they can place information they don’t want seen.  SCI Store implemented this in February 2006 with version 2.2 of the software in compliance with the Data Protection Act. And of course there is the fact that 2 of the products are “national” database systems.  Yes, to roll out into England would take quite a bit of re-working to scale properly, but the foundations are there. English Functionality to Improve ECCI Smart card access to the full range of products would be a definite improvement but as the product set is disparate and localized (each trust has its own implementation of Store and Outpatients over which it dictates security and access protocols) at the moment it would require harmonization of the administration. Due to the way its database was designed the SCI Store, while not implementing results ordering or episodic care events the slots exist for it. Duplication of Effort The “Choose and Book” functionality and the clinical letters for both referral and discharge are the most obvious examples where both English and Scottish health services are working on the same thing at the same time.  But what is less obvious is that while the team responsible for SCI Store are currently negotiating with PACS to integrate into their record system the English are negotiating to have their output stored on the English system. Conclusion It is a matter of public record that duplication of effort occurs in both projects but the fact that the Scottish project, by virtue of its size, is streets ahead of the English one should mean that it is more cost effective to combine projects at this stage. Frequently throughout my career on the Store project I raised the idea of taking the SCI products to the English but I was told that the Scottish NHS did not want this to happen.  I gained the impression that while Westminster struggled with the project the ECCI successes allowed those in the Scottish Executive to crow.  They are using these two projects in a game of career one-upmanship.  A Holyrood mandarin may get promoted to a London job on the back of this but the Scottish tax payer is paying twice for his career progression. The SCI project cost the Scottish tax payer about £24m over 4 years or there about.  The English model is going to cost every tax payer in the UK £6bn. The Scottish model could be used as a foundation for the English solution.  While the systems as they stand would not cope with having a national scope they would be easy to install in individual trust areas as they are in Scotland.  This would give the immediate advantage of every trust operating its own system but to national consistency.  Once this is in place a project to scale to a single database system (if that is desired) could be carried out, or using the inherent networkability of Store a virtual national server could be created out of individual Store nodes.  The rest of the product set could be deployed in a similar fashion. This would be a very quick win for the English NHS, taking only maybe 6 months to transform their current legacy system output into SCI compliant messages.  Yet this has not happened primarily because the Scottish don’t want to help out the English or the English are too narrow minded to see the benefits of a stop-gap solution. Even in the media this option appears to have passed people by.  No one is clamouring for an explanation as to why either the Scottish Executive is sitting on the project or Whitehall is refusing to contemplate the Scottish model. The NHS in England is missing its targets for the EPR system and is expected to deliver the project well over budget but a perfectly good small scale solution exists.  And its closest implementation is Melrose General Hospital. Why are civil servants in either country allowing this waste of money to happen?  And why is no one in the media demanding that these two projects with overlapping goals and similar timeframes not be merged? Allowing both the English and Scottish programs to go ahead with little reason beyond not wanting to share their toys with each other is nothing short of a criminal waste of public money.  Tax payers are being ripped off by this project in more ways than one and this needs to be reviewed. Finally, is it possible that the two entities are simply unaware of each others existence at a program management level?  Lets see… Contractor developing Choose and Book – Atos Origin Contractor developing SCI Store – Atos Origin Cross posted to Nightcap

Tags: system, sci, store, gp, english

Can you pass the mirror test? The test gauges self-awareness by determining whether an animal can recognize its own reflection in a mirror as an image of itself. Animals which have passed the mirror test are Common Chimpanzees, Bonobos, orangutans, dolphins, pigeons and humans. Surprisingly, gorillas have not passed the test, although at least one specific gorilla, Koko, has passed the test; this is probably because gorillas consider eye contact an aggressive gesture and normally try to avoid looking each other in the face. Human children tend to fail this test until they are at least 1.5 to 2 years old . Dogs and 1 year old children, for example, usually react to a mirror in fear or curiosity, or simply ignore it, while birds often attack their own reflections. While this test has been extensively conducted on primates, there is also debate as to the value of the test as applied to animals who rely primarily on senses other than vision, such as dogs. Supposedly, a good way to test the self-awareness of your two-year old.

Tags: test, mirror, animal, passed, year

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

Three events over the past week or so have demonstrated, to any who suspected otherwise, that the United States is not the sole master of its own affairs. Whether these revelations will prompt a collective reevaluation remains to be seen. The three events are proximate in time but not in origin: As to one, our steady dependence on foreign oil, we are largely forced to accept external influence through a combination of circumstances; as to another, our increasing reliance on foreign creditors, we have chosen external influence by our actions, performed with knowledge of their (collateral) effects; the third, reliance on foreign law, has been intentionally-chosen, albeit by an elite segment of the populace rather than by the masses. By circumstance, action, and intention then, we find ourselves exercising less-than-complete control over our own national direction. Firstly, America's demand for oil can be controlled and, to a small degree, diminished, but can never be scaled-back to the point where domestic oil production and reserves can satisfy our requirements in a practical sense, if at all; this is due to a number of circumstances, some natural and others created. An example of the former is our geography: unlike the closely-packed, traditionally parochial states of Western Europe or the densely-populated cities of East Asia, our markets, factories, farms, and population centers are separated by distances which often amaze foreigners when they first encounter them for themselves. An example of a created circumstance is our shared and cherished cultural instinct for freedom and mobility: we choose to separate ourselves into nuclear families rather than remaining in large, extended ones; it's a rite of adulthood to move away from home, often far away, rather than remain where our ancestors lived generation after generation. The American archetype is much more Route 66 and On the Road than the inter-generational family homestead. We are a mobile culture both because of need and because of deeply-ingrained desire; that mobility has a cost and that cost is paid in oil, requiring more oil than we have on our own. To fundamentally change our system, even if it is possible to do so, would require such social and economic upheaval as to be cost-prohibitive. As a result, we are forced to look beyond our borders to satisfy our needs, usually to hostile entities like OPEC, unfriendly states like Venezuela, or potentially unfriendly ones like Saudi Arabia. Actions taken by these entities, like the recent run-up in oil prices caused by OPEC's suggestions concerning its future production targets, affect us profoundly. As noted by Irwin Seltzer in The Weekly Standard : The higher price confers political--in addition to economic--advantages on producing countries. Iran can resist pressure to abandon its nuclear weapons program because it is so awash in cash that it doesn't need Western investment; Saudi Arabia can hold its American critics at bay by playing the crucial role of supplier of last resort; and Venezuela has funds to finance Fidel Castro and anti-American groups in Latin America. The disadvantages to America are obvious. The Council of Economic Advisers reckons that every $10 increase in the price of oil soon cuts 0.4 percent off real GDP. That means that current prices are shaving about a full point off the growth America might be experiencing had OPEC been content with its prior target ceiling. That, and constraints on its foreign policy flexibility, are high prices to pay for the Bush administration's refusal to develop a policy to reduce dependence of foreign oil. Secondly, we have become a debtor nation comprised of debtors. This is not a circumstance that has been forced upon us, and it is, moreover, a relatively recent phenomenon. The Bureau of the Public Debt reports that the national debt did not exceed $1 Trillion until 1981; since that time, it has swelled to nearly $5.7 Trillion by the end of 2000 and to more than $7.7 Trillion today . (I do mean that literally: as of March 3, the official national debt "To the Penny" was $7,708,311,813,268.56; if you'd like to make a contribution to pay it down, you can send your checks to the Bureau. It gives a new connotation to the term "welfare state", doesn't it?) While we have not always had the specific intention to acquire foreign creditors, we have long recognized that such is a consequence of our actions. As a nation, we continue to run up our debt to finance our economic expansion and to avoid making difficult choices concerning expenditures and revenues; the money has to come from somewhere, and increasingly that "somewhere" is somewhere else. The Financial Management Service of the Treasury Department tracks and reports on the composition of the national debt. Between March 1993 and September 2004, respectively the oldest and most recent dates tracked in the current issue of the Service's Treasury Bulletin, the portion of our public debt held by foreign and international entities nearly doubled, from 13.8% of the total to 25.2% ( Table OFS-2 -- Estimated Ownership of U.S. Treasury Securities [in Microsoft Word format]). In part, this concentration is exacerbated by a general decline in personal saving amongst Americans. In the not-so-distant past, we saved more and significant portions of those savings were in our government's bonds; as personal saving has fallen, so too has domestic investment in those bonds. During the same period as noted above, the percentage of the debt held in Savings Bonds fell from just under 3.9% to less than 2.8%. The "slack" has been eagerly taken up by foreign investors. Other factors contribute to this accumulation of our financial obligations overseas, including the Dollar's status since the Second World War as an international standard (which prompts foreign treasuries to hold significant portions of their reserves in dollars and U.S. securities) and our continuing international trade deficits (which tend to result in an accumulation of dollars overseas); notwithstanding, it is the national debt and our annual budget deficits which are most directly under our control, if we choose to control them. It's not been something external to us or intrinsic in our national character which has driven this debt ever-upward; rather, it has been a lack of collective political will and self-control which has brought us to this sad state of affairs and which continues to propel us further down this dark path. Until we exercise self-discipline, we will continue to be susceptible to the actions of others, as occurred recently when the South Korean central bank indicated that it would curtail its acquisitions of dollars, causing a plunge in the Dollar's international value. Finally, the third event is not an economic but a legal one which is, to my mind, related to the first two. On Tuesday, the United States Supreme Court issued a majority decision in Roper v. Simmons which interpreted the U.S. Constitution, in part, based upon foreign laws and world opinions. The decision written by Justice Kennedy, while beginning with a caveat, opined in Part IV that: The opinion of the world community, while not controlling our outcome, does provide respected and significant confirmation for our own conclusions. Over time, from one generation to the next, the Constitution has come to earn the high respect and even, as Madison dared to hope, the veneration of the American people. See The Federalist No. 49, p. 314 (C. Rossiter ed. 1961). The document sets forth, and rests upon, innovative principles original to the American experience, such as federalism; a proven balance in political mechanisms through separation of powers; specific guarantees for the accused in criminal cases; and broad provisions to secure individual freedom and preserve human dignity. These doctrines and guarantees are central to the American experience and remain essential to our present-day self-definition and national identity. Not the least of the reasons we honor the Constitution, then, is because we know it to be our own. It does not lessen our fidelity to the Constitution or our pride in its origins to acknowledge that the express affirmation of certain fundamental rights by other nations and peoples simply underscores the centrality of those same rights within our own heritage of freedom. Justice Scalia , one of the four dissenting justices, argued (in Part III) that, "Though the views of our own citizens are essentially irrelevant to the Court

Tags: foreign, debt, oil, american, national

So I know I haven't posted much lately. Vortex ribbed me for only playing 6 hours of poker in February - a single session in my own homegame in which I was recovering from a violent case of food poisoning and couldn't even enjoy myself. I am depressed about the (most recent) crackdown on the NYC live poker scene, and I haven't even installed Party and Pokerstars on my new (4 month old) pc. I hope Party hasn't confiscated my account since I last logged in. Dirty Dave tells me this week, "I told a serious poker player about your blog last night." Man. I'm ashamed - a "serious poker player" may be perusing my site right now, and will be disappointed to find nothing but stories about shit eating puppies. Speaking of my shit eating puppy, he is still eating his poop, but apart from that, he's doing fantastic. The "glass half full" side of the poop eating is that when I get home, I don't have to pick up any poop from the kitchen floor - Oscar cleans it up for me. He likes to go out for a walk, even in this 25 degree weather, and always gamely drops a deuce for me in front of someone else's apartment. Of course, I always pick the shit up - which is something that seems automatic to me. Yet, as Mrs. Dynamite says, "There must be an awful lot of seeing eye dogs in our neighborhood," because there is a shitload of dog shit on the sidewalk (you don't have to pick up after a seeing eye dog, of course). Seriously douchebags: when your dog takes a shit on the sidewalk, you pick it up. That is non-negotiable. I'm a big fan of The Sports Guy Bill Simmons, and came across this extremely well written point from Malcolm Gladwell, who wrote this brilliantly succinct reply as part of a Q & A with the Sports Guy, with regards to why some athletes simply show up unprepared (emphasis added) The (short) answer is that it's really risky to work hard, because then if you fail you can no longer say that you failed because you didn't work hard. It's a form of self-protection . I swear that's why Mickelson has that almost absurdly calm demeanor. If he loses, he can always say: Well, I could have practiced more, and maybe next year I will and I'll win then. When Tiger loses, what does he tell himself? He worked as hard as he possibly could. He prepared like no one else in the game and he still lost. That has to be devastating, and dealing with that kind of conclusion takes a very special and rare kind of resilience. Most of the psychological research on this is focused on why some kids don't study for tests -- which is a much more serious version of the same problem. If you get drunk the night before an exam instead of studying and you fail, then the problem is that you got drunk. If you do study and you fail, the problem is that you're stupid -- and stupid, for a student, is a death sentence. The point is that it is far more psychologically dangerous and difficult to prepare for a task than not to prepare. People think that Tiger is tougher than Mickelson because he works harder. Wrong: Tiger is tougher than Mickelson and because of that he works harder. I read one of Gladwell's books, Blink, which was mildly interesting, but he is clearly a very talented writer and psychological thinker. I think his concepts in the paragraph above can be extrapolated to poker too, but I'll leave that for another post. The Big Show comes to town tomorrow. until next time, KD

Tags: strong, shit, poker, pick, dog

There are many reasons to oppose Gov. Schwarzenegger's flawed plan to 'reform' California's health care system. Below are my top 5. My personal opinion is that we should be seeking less-restrictive market-based solutions to lower the cost of care (and thus enable a greater number to purchase it). 1. "Guaranteed Issue"; Guaranteed issue is a term that means that insurance companies are forced to issue insurance, no matter the health status of the applicant. Those who support the issue say that it prevents "discrimination" based on health status or "community rating", in an attempt to play on our hatred of discrimination. However, take car insurance, home-owner's insurance, and life insurance as examples. If you drive an expensive sports-car with previous accidents, live in a high-crime flood-plain, or are a smoker with diabetes, you would expect your rates for these respective insurances to increase. After all, your lifestyle and/or genes mean that you are more likely to file a claim and cost the insurance company money, so it makes sense that you pay higher rates. Guaranteed issue does nothing more than spread the blame. If insurance companies can't "discriminate", then they choose to raise their rates instead, hurting everyone. 2. Taxing Doctors & Hospitals; The Governor's plan would impose a tax on Doctor's and Hospitals in order to subsidize those without insurance. This Socialist-mentality makes no sense. Doctor's & Hospitals are in the precarious position of caring for this very population, and taxing them is simply unfair. Should we tax landlords and tenants to subsidize homeless shelters? Tax Restaurants to feed the hungry? Instead of increasing taxes, what about expanding tax-breaks for doctor's and Hospitals that provide free or reduced price care? 3. Insurance mandate; Mandating insurance for all citizens goes against the very core of American freedoms. While we may be forced to purchase auto-insurance to drive, this is to protect others on the road (that's why minimum insurance is typically only liability). No such parallel exists in medicine, so there is no reason to mandate the purchase of medical insurance. Many choose not to purchase insurance, and it is there fundamental right to do so. However, they should be held accountable for that decision. Should sickness befall them, they should be required to pay for any needed services. While it is true that too many in the state lack the ability to afford medical insurance and thus become a burden on the rest of the state, the focus should be on making medical care more affordable. 4. Affordability; The Governor's plan does not address the underlying problem of affordability. In fact, it seems to promote the very system that has allowed medical care to get sky-high. Third party payors (i.e. insurance companies) separate rational choice from medical care. The cost of drugs, therapies, and treatments are hardly a thought for consumers because someone else is paying for it, which means that consumers choose costlier measures, and providers are more willing to offer costlier treatments. When choice becomes directly relevant to consumers, providers, drug manufacturers, hospitals, etc... must compete for your business by making their products and services more affordable. Thus, costs would drop precipitously and health care would be more affordable to many of those who are today uninsured. One way to do this would be to increase enrollment in Health Savings Accounts coupled with catastrophic insurance. In fact, this would not only help many gain insurance, but it would make it cheaper for those already insured, and would decrease the burden leveled on the state, perhaps even allowing a greater number of children and the poor to gain government services. 5. Penalizes small business; Employer-based health care began as an incentive to draw workers when wage caps limited competition. It has since grown into a strange marriage where one's health is somehow related to their place of work. In todays world, let's face it...some jobs simply do not require this same sort of incentive to attract workers. Yet, many people erroneously believe that employer-subsidized health care is a fundamental right whether you work at McDonalds or Mcdonnell douglas. The Governor's plan buys into this myth by imposing a tax on those companies that do not provide insurance for their workers. Labels: Health Care

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Valentine's Day is just a couple of days away. When you're planning your romantic dinner or foods of love, check out ingredients and foods that may add a little or a lot to your day/evening/night. (the below list was compiled from the linked book.) Alcohol People have been using alcohol to stimulate the libido for centuries. But while a moderate amount of alcohol will reduce anxiety and release inhibitions one glass too many is more likely to put you asleep than put you in the mood. Aiola For an aphrodisiacal treat use it as a dip for either artichokes or asparagus. Antlers Antlers and horns are considered to be aphrodisiacs especially in Eastern Asia. Why? Because they resemble an erect penis. Antlers are ground up into a powder and sprinkled on food or into drinks. Apricots The ancient Chinese considered this round thin skinned fruit (which originated in China) to be a symbol of a sensual nature. Try feeding your lover fresh apricots which are available from May to July. Look for fragrant fruits with a red blush that gives slightly to pressure. Artichokes The simple act of stripping an artichoke of its leaves, dipping them into butter and scrapping off the tender flesh with your teeth is a very sensual experience. Simply cut off the artichoke's thorny tips, snap off the tough leaves, slice off the stem and rub with lemon juice. Steam until tender, about 30-60 minutes. Try dipping artichokes into curried mayonnaise, lemon or herb butter or vinaigrette. Asparagus Perhaps the most erotic member of the vegetable kingdom. In nineteenth century France bridegrooms were required to eat several courses consisting of asparagus, asparagus and more asparagus because of its reputed powers to arouse. The best way to eat this member of the lily family is steamed or boiled and dressed with butter, olive oil or Hollandaise sauce. Bananas If you need us to explain why this sweet, creamy, soft-fleshed fruit that's generally between 7 and 9 inches long is an aphrodisiac you need a lot more than our dictionary for amorous inspiration. Basil This flavorful herb is used in Voodoo love ceremonies in Haiti. Beef Meat works wonders on your libido and brain. After a high protein meal, your blood stream is flooded with the amino acid tyrosine. The chemicals made from tyrosine, dopamine and norepinephrine, trigger brain cells that enhance mental alertness and concentration. Beer Alcohol? Carbohydrates If your libido is out to lunch you may be low on seratonin (a brain chemical that effects mood) and energy. A carbo fix combined with a little tryptophan (an amino acid found in a variety of meat and dairy products) may increase seratonin levels, energy and desire. Cardamom According to traditional Indian herbal medicine, a nightcap of powdered cardamom that has been boiled with milk and mixed with honey can help cure impotence and premature ejaculation. Carrots This popular root vegetable, with its phallic shape and sweet flavor, was used to seduce lovers by Middle Eastern royalty. Caviar Caviar is considered an aphrodisiac for several reasons. Eggs are a symbol of fertility. Caviar, like Aphrodite who was born from sea foam, comes from the sea. Caviar, like many aphrodisiacs, is a very precious food that is reserved for special occasions. The best caviar is imported Beluga, and the best way to enjoy it is by the spoonful with chilled vodka or champagne. Less expensive varieties are great as a topping for roasted new potatoes, scooped out and filled with sour cream. Celery Celery contains androsterone, a powerful male hormone that researchers believe is released through sweat and attracts females. Champagne Bubbly is lovely and makes any time of the day or night special. The bubbles actually help the alcohol get into the blood stream a little quicker so you get a buzz on toute suite. You don't have to spend big bucks to enjoy a little bubbly. Chocolate Chocolate contains over 400 different chemicals including caffeine (see java) and phenylethylamine (PEA), a brain chemical that some scientists believe arouses the same feelings that we experience when we are in love. The Aztecs were the first chocoholics. They ground cocoa beans added spices and drank the bitter brew without sugar. Legend has it that Montezuma drank 50 cups of cocoa before entering his harem of several hundred women. In the mid 17th century chocolate developed a reputation as an aphrodisiac among chic Brits. Cloves This dried bud of an evergreen tree is one of the world's oldest, dearest and most expensive spices. Cloves were probably first used by the Chinese around 200 B.C. The word clove comes from the Roman word for tack, clovis. They were believed to have medicinal powers and still have a reputation as a powerful love food. Cloves have a warm, sweet almost peppery flavor that is frequently used to add character to cakes, fruit compotes, mulled wine and ham. Cucumbers It doesn't take a rocket scientist to realize why these cool vegetables are considered to be an aphrodisiac. Dates If you can't get one maybe you need to eat more dates. In Iran dates are used to help people who's sex life is withering. Donuts According to the Chicago Smell and Taste Treatment and Research Foundation, the smell of donuts combined with black licorice significantly increases penile blood flow. Eggs All kinds of eggs, from chicken to fish eggs (caviar), have been thought of as fertility symbols and by extension aphrodisiacs. Fennel The Greeks and Hindus considered fennel to be a potent sexual stimulant. A Hindu formula for sexual vigor includes: fennel juice, honey, ghee (clarified butter), sugar and licorice. In the Mediterranean fennel soup is thought to increase sexual desire. Figs One of the sexiest fruits on the planet. These plump, soft, sweat, luscious beauties come from one variety of the ficus tree which probably originated in Asia Minor and is one of the oldest edible plants. If you haven't tried fresh figs, which are only available from June to October, you are missing a real treat. Try feeding them to your lover drizzled with a little cream and a sprinkling of sugar. Or, serve figs with sliced melon or pears and prosciutto as an appetizer. Fish Aphrodite, the goddess of love was born from sea foam, so in general any type of seafood is considered to be an aphrodisiac. The high phosphorus and iodine content of seafood may actually have a beneficial effect on sexual potency. Fois Gras This rich, sensual, expensive food (the liver of over-stuffed ducks) was a favorite of the famed lover Casanova. Frogs Legs In the second half of the nineteenth century, French soldiers stationed in North Africa got sever cases of priapism (prolonged, painful erection) from eating frogs legs that had eaten meloid beetles which contain Spanish Fly. Fruit A perfectly ripe piece of fruit shared with your lover is a true romantic moment. Garlic This pungent member of the lily family has been used to treat a wide variety of illnesses from the common cold to heart disease. Garlic has been used as an aphrodisiac by the Egyptians, Greeks, Romans, Chinese, and Japanese. Ginger This pungent root has been used for centuries, both internally and externally, throughout Asia and India as a powerful aphrodisiac. To combat impotence Indian herbalists recommend eating a mixture of ginger juice, honey and half-boiled eggs. In Europe, young maidens baked and ate ginger bread men believing the ritual would bring them a husband. Ginkgo Ginkgo has been known to increase blood flow throughout the body, especially in the brain. It may also increase penile blood flow resulting in better erections. Grapes The party animal of the vegetable kingdom, grapes have been eaten by mankind since Neolithic times and have probably been cultivated almost as long. Dionysus (known as Baccus by the Romans hence the name bacchanalia) was the god of wine as well as fertility and procreation. Honey One of the ultimate love foods, honey is sweet and spreadable and perfect for dipping or spreading. The word honeymoon derives from the ancient custom that for the first lunar month after marriage a newly married couple would drink mead (honey wine). Some cultures spread a little honey on the palms of the bride and groom and have them lick it off each other to ensure a sweet life together. The Egyptians offered honey to the God of fertility, Min. Ice cream Cherries Jubilee. Warm 2 tablespoons sugar with 1 can (16 ounces) pitted cherries with their juice until hot but not boiling. Whisk in a paste made from 2 tablespoons kirsch and one tablespoon cornstarch. Heat until hot, not boiling. Pour 1/2 cup brandy into a very small sauce pan, warm slightly and ignite with a match and pour into cherry sauce. Spoon sauce over vanilla ice cream and enjoy. Java Fatigue can really squash romance. A quick jolt of java can perk you up and put you in the mood for amour. Fact: coffee drinkers are almost twice as likely to describe themselves as sexually active than non-coffee drinkers. Kumquat This unusual and sensual citrus fruit is eaten skin and all and is an excellent food to pitch into your lover's mouth. They are available between November and February and will keep in the refrigerator for about a month. Lamb Rack of lamb for two is one of life's most romantic foods. Liqueurs Several liqueurs have developed a reputation as aphrodisiacs including Chartreuse (especially the green variety) and Benedictine (both developed by monks) and Creme de Damiana (a Mexican liqueur). Lobster This is a very sexy food to eat. You rip the flesh apart with your hands and dip in butter. Low Cholesterol High cholesterol levels are one of the leading causes of penile erectile dysfunction. In fact, men with high cholesterol levels have almost double the chance of having trouble getting an erection. While an occasionally high fat indulgence is fine, we advocate eating a low fat, high fiber diet most of the time to help keep cholesterol levels low and erectile function high. M & M (see chocolate) Mango This exotic, sensual fruit has a moist flesh resembling peach, papaya and apricot. There are hundreds of varieties of mangoes which are extremely popular in India, Mexico and the Caribbean. Fresh mangoes are available from May to September. Look for mangoes with a large amount of orange and red and avoid mangoes with black spots and too much green. Ripe mangoes are messy, juicy and luscious. Nutmeg This fragrant spice has been prized by Arabs, Greeks, Hindus and Romans as an aphrodisiac. In India, a combination of nutmeg, honey and a half-boiled egg is eaten an hour before sex to prolong love making. Nuts Whether you prefer walnuts, almonds or macadamias, nuts have had a reputation as aphrodisiacs for centuries. During harvest festivals in Rome, maidens passed out bowls of nuts as symbols of fertility. Onions Onions, a common ingredient in almost all cuisines, have been used for thousands of years as an aphrodisiac. Onions are recommended in both ancient Hindu and Arabic texts on the art of making love. In France, newlyweds were served onion soup the day after their wedding to restore sexual vigor, and Egyptian priests abstained from onions because of their lusty reputation. Oysters One of the world's classic love foods. Legend has it that Casanova ate 50 raw oysters every morning in the bath tub using a beautiful woman's breasts as a plate. Oysters are very high in zinc. Research has found that a low sperm count is connected to low zinc levels. Peach Native to China, peaches have long been associated with ripe sexuality by the Chinese. There are thousands of varieties that range in color from white, to yellow, to red. Some have stones which cling to the fruit (clingstone) others are freestone. Domestic peaches are available from May to September, but they are really best from June to August. The best peaches have a wonderful aroma and give in to slight pressure. Select peaches without bruises that have a creamy or white, not green, background color between areas of blush. Pepper According to The Perfumed Garden (an ancient Arabic love manual), ground pepper mixed with cardamom or lavender, galanga, musk, honey and ginger is a potent topical aphrodisiac for men. In India pepper corns are crushed with almonds, mixed with milk and consumed as an aphrodisiac. Pine Nuts These nuts (actually seeds of the pine tree) have been used as an aphrodisiac throughout the Mediterranean and the East. The Roman poet, Ovid, included pine nuts in his list of aphrodisiacs. The Perfumed Garden, (an ancient Arabic love manual), contains many references to pine nuts including this prescription to restore a man's sexual vigor: "A glass of thick honey, plus 20 almonds and 100 pine nuts repeated for three nights." Pomegranate This deep red fruit is recommended in the Karma Sutra (an Indian love making manual) as an erotic aid. Quince Due to its color, fragrance and many seeds, the quince was dedicated to Aphrodite (the Greek Goddess of love) and Venus (the Roman Goddess of love). Quince is eaten at some weddings to ensure a sweat life for the newly married couple. Some say quince was the fruit that tempted Eve. Rice Rice is a symbol of fertility and a staple food in Asia. In some cultures if a man and woman eat out of the same rice bowl it is a declaration of their engagement. Rice is thrown at wedding ceremonies for good luck and many children. Roses Roses are by far the most popular flower given to lovers. Roses have been used for centuries in love potions and the petals are edible. (Just make sure those you eat are grown without chemicals.) Sprinkle petals in a salad or spike vanilla ice cream with a few drops of rose water which is available in Middle Eastern and Indian markets. Saffron This expensive spice has been reputed to work like a sex hormone and make erogenous zones even more sensitive. Saffron is made from the dried stigmas of a type of crocus. About 225,000 stigmas are needed to make one pound of saffron. (Each crocus has about 3 stigmas which must be picked by hand.) Try adding a pinch of saffron to Mediterranean, North African or Middle Eastern grain dishes such as Paella, a traditional Spanish rice dish that contains sausage and seafood. Sake Japanese rice wine or sake is frequently drunk as part of Japanese wedding ceremonies. In the orient rice is a symbol of fertility. Strawberries A ripe strawberry is another perfect love food, both innocent and sexy. Try dipping them in chocolate, sour cream and brown sugar or whipped cream. Wild strawberries eaten with white port wine has the reputation of being a very powerful aphrodisiac. Sweet Potatoes Sweet potatoes are reputed to expand your ability to give and receive love. In late 16th century Europe sweet potato tarts were recommended to increase sexual desire. Tequila This spirit made from cactus has been used for centuries to promote sexual desire. Tomatoes Known as love-apples by the French, the humble tomato may have been the real culprit that got Adam and Eve kicked out of Eden. Fresh, ripe tomatoes, locally grown and eaten in season are a very seductive food. Try them with a little fresh mozzarella cheese and some basil. Tomatoes are rich in the phytochemical lycopene which can help prevent prostate cancer. Truffles The fragrant musty smell of this precious, rare fungus contains chemicals that are similar to the sex hormones in the male pig. (Ok everyone, make your male pig jokes here.) According to the famed French gastronome Brillat-Savarin: "Whoever says 'truffle' utters a great word which arouses erotic and gastronomic memories." Turnip Iranians use this vegetable to rekindle a dwindling sex life. Unagi Unagi, or raw sea eel, is a popular Japanese aphrodisiac. In America, it's a popular item on sushi menus. Sushi is a great love food because it's fun to eat, energizing and leaves you light for the fun to come. Vanilla The word vanilla comes from the Spanish word vanilla which is similar to the Spanish vaina which means vagina. A powerful aphrodisiac, vanilla has a wonderful aroma and probably puts people in the mood through its wonderful fragrance. Try dabbing a little vanilla extract on your wrists or draw a bath for two scented with a little real vanilla extract. Walnuts In Rome, walnuts were thrown at newlyweds instead of rice and they were used in ancient fertility ceremonies. Walnuts have also been used in Italy and France to intensify desire. Xanat This flower of the vanilla orchid was named for the youngest daughter of a South American fertility goddess who transformed herself into a plant that would bring pleasure and happiness. (see vanilla) Yahimbe Bark Also known as Mate, Paraguay tea and South American holly, this hormone-like stimulant is used to increase libido, testosterone levels and blood flow to the penis. Don't look for it on grocery store shelves. It is sold as a dietary supplement. Zinc Zinc is linked to both fertility, sexual desire and potency. Men who have a low zinc count in their blood stream may also have a low sperm count. Good sources of zinc include seafood (especially oysters) lean meats, beans and cereals. Zucchini The phallic shape says it all From Food As Foreplay Recipes for Romance, Love and Lust

Tags: aphrodisiac, love, food, fruit, honey

Webkinz are the hottest thing nice considering forward the market. That inter active toy allows you to file on the web with a secret code once you've purchased the animal conjointly propositions a set interactive sphere. The unexampled choose you can hand them recommended due to is online as most of the manner stores Also malls verdict not master quota new amid meanwhile that June. Through Webkinz attack the trade its challengers aim be coming that smoke. Hold fast Tickle Me Elmo from years back? Do you possess the divertisement of the malls furthermore media blitz? Delicately condign all over a course again a half former the TMX Elmo came out too known during (Tickle Me Humongous Elmo) which was the 10th stage anniversary of the pattern tickle me elmo with new updated things. The TMX Elmo sold perfectly simply keep on time not meanwhile ofttimes in that its word slinger tickle me elmo, but e Showboat the perch of this article

Tags: elmo, tickle, tmx, malls, thing

A few days ago G was looking for a specific picture in our old photo alblums. Some of these photo alblums are 25 to 30 years old covering undergraduate days, graduations, single life, marriage and finally the children. Pictures taken with old Kodak cameras, Polaroids and yes prior to the digital era. I don't know how many of you remember the photo albums with the sticky backing covered with a plastic sheet. Well in case you haven't checked, these pages don't age very well. Either the gummy, sticky material adhesives itself to the photo back or all the sticky material seems to vanish resulting in the pictures doing a free fall as you turn page to page. Anyway, I decided it was time to get new albums and go through these pictures in an organized fashion. No, I'm not into scrapbooking, nor making dainty little laced edge frames with cute words. I simply needed to move pictures from one album to another. I found some nice albums which should last another 30 years and spent the day going through all those memories. I was surprised at the "keepsakes" I had stored in these album pages. This includes annoucements, napkins from special events, dead flowers, cards, obituaries, invitations, handwritten personal letters (from the days before email), newspaper clippings and whatever else I couldn't bare to throw away. Out of all this (I filled 4 album binders each holding 300 pictures each from about 6 old albums), I came across three flowery stationary pages with 7 handwritten recipes. They were nicely folded but no envelope. The handwritting looked like my mother-in-law's immaculate 4th grade teacher style cursive. I don't remember ever seeing the recipes before nor are they treats that I can remember her making or that are even her "style". I'm sure I didn't ask for them. The recipes were for "Ice Box Cookies", "Pumpkin Bread", "Divinity", "Spirited Raisin Cookies", "Brownie Mounds", "Candied Nuts" and "Potato Candy". Where they originally came from and how long they have been in that album is a question I'll probably never get answered or at least not anytime soon. So what will I do with this buried treasure? Even though they are holiday type recipes, I can't wait to try a couple of them now. (The directions are not clear/complete and appear to be written as if it's understood what your steps are.) Ice Box Cookies 2 1/2 sticks oleo (I'll use butter) 1 1/12 cups confectioners sugar 3 cups flour 1 egg 1/4 tsp salt 1 tsp vanilla 1 cup nuts Cream butter and sugar, add 1 cup flour and 1 egg (mix). Add remaining flour, salt, vanilla and nuts (mix). Wrap or roll up in wax paper and refrigerate overnight. Cut 1/8 inch slices and bake at 375 deggrees for 10-15 minutes.

Tags: album, picture, photo, cup, recipes

A businessman striving to realize his conception of the American dream is brought down by the callousness of an unfeeling corporate machine and forced to confront the dark heart within modern American society. Or not. It's not Death of a Salesman and this is no Willy Loman. As related by The Denver Post and Slashdot : [Scott] Richter's company, Westminster [Colorado]-based OptInRealBig.com, has filed for bankruptcy protection in Denver. The company cited a costly legal battle with Gates' Microsoft Corp., which claims OptInRealBig.com illegally spams computer users. "It's the legal fees that are battering the company," said OptInRealBig.com lawyer Steven Richter, father of Scott Richter. He said the company faces lawsuits from Microsoft and other parties in Colorado, California and Utah. "OptIn is profitable but for these lawsuits." . . . . Microsoft officials called the filing a victory. "Microsoft and the state of New York said we would drive him into bankruptcy, and together we have," said Aaron Kornblum, Microsoft's Internet safety enforcement attorney. "The kind of spam Mr. Richter was sending was not only annoying, it was illegal, and the law sets out penalties for this kind of illegal activity." . . . . Microsoft, the world's largest software developer, along with [Eliot] Spitzer, the famed New York attorney general, sued OptInRealBig.com and Scott Richter in December 2003, seeking nearly $40 million. . . . . [Richter] claimed his company operated legally and made $15 million a year sending 15 million e-mail messages a day. Scott Richter did settle with Spitzer's office for $50,000 in July. "At the end of the day, we're still in business," he said then. "They said they were going to bankrupt us." He wasn't available for comment Monday. Microsoft's case against OptInRealBig.com now moves from Washington to the U.S. Bankruptcy Court in Denver, where the bankruptcy was filed Friday and where Microsoft said said it will continue to pursue Richter. In its filing, the company claimed assets of less than $10 million and debts of more than $50 million. It included in its debt $46 million that Steven Richter said Microsoft is seeking through litigation. Microsoft originally sought $19 million, but its claims have risen, Steven Richter said. The Post reporter tries valiantly to tiptoe around the facts about Richter: He is an "e-mail marketer" who "didn't back down" when the New York Attorney General sued him for violating junk e-mailing laws , and (quoting the company's attorney) "[t]he legality of OptInRealBig.com's e-mail messages hasn't yet been determined". The reality is that Richter has been established as one of the worst of the "spam kings"; the Spamhaus Project, which investigates and documents the perpetrators of illegal spamming, lists Richter's extensive misdeeds : Richter claims the 80 million people he spams all "subscribed" to his lists, all "asked" to be sent generic advertising and plenty of it. Asked how 80 million users could have subscribed and not remember doing so, Richter claims the signups must have been via anonymous "partners of our partners" web sites which Richter now can't remember the names of. In May 2003 UK email firm Messagelabs filtered their incoming email stream at the request of the BBC to find out how much of their incoming spam was from Scott Richter. Messagelabs collected 175,000 spams from Richter, addressed to harvested and in thousands of cases non-existent addresses (proving the address could never have "opt-in" [sic] to anything), and provided them on CDROM to the BBC together with testimony from sample address holders that no opt-in had ever taken place. . . . . Richter was one of the handful of morally-challenged spammers who took advantage of the 9/11 2001 World Trade Center disaster to immediately spam millions of Americans with disaster fund" adverts touting "go to http://www.saverealbig.com to start the relief! Buy American flags from Saverealbig to show your support". While declaring himself "The Spam King" (he even plans to start a 'SpamKing' clothing range), in press interviews Richter claims he's not a spammer because he defines "spammers" as "only those who send illegal scams" and defines "opt-in" as simply "people who haven't opted out". Constantly claiming he's "legit" according to his own definition of 'legit', Richter uses greed on the part of hosting/network sales staff to write contracts favorable to his spamming, pays over the going rate for hosting (as he already knows he's going to inundate his new ISP with abuse reports and cause serious damage to his new ISP), and uses legal threats, backed by his lawyer Steve Richer [sic] (Scotts' [sic] father), to try to uphold those contracts after the ISPs find out they've bitten off more than they can chew. Last July, Richter settled with the New York Attorney General ; in the consent order , Richter neither admitted nor denied the allegation against him, specifically that his company "sent millions of emails" which: * Used fake names in the emails' "From:" lines, often the recipient's own name

Tags: richter, million, microsoft, company, spam

Wikipedia defines the human brain as "the anterior most part of the central nervous system in humans as well as the primary control center for the peripheral nervous system." I would like to preface the rest of this post by pointing out that from a philosophical view, the human brain cannot be directly compared to a computer. Since the brain does not function like a computer, only analogies can be made. Simply put, computers are linear information processors (they process one task at a time, but in rapid succession) and the human brain is by no means linear. Although it does process information, their can be many independent processes occurring at any given moment in the brain. Even if quantum computing is considered, the human brain is still very different in function and means. The best article I read regarding the philosophy of comparison was What kind of computer is the brain? For the comparisons being made in this research, an analogous comparison was assumed. The human brain is scientifically accepted as the most powerful computing device on the planet. Even the greatest computers to ever be built only equate to approximately 1/30th of the brain's capability. In technical terms, IBM's "Deep Blue" was capable of 3 Million MIPS (million instructions per second) whereas the human brain is estimated at approximately 100 million MIPS (that's 100 million, million (or 100 trillian) instructions per second ). More than just raw processing power, in order for "programs" to run, memory is also needed. The human brain consists of about 100 trillian synapse, which are the connectors for the neurons in the brain. Each synapse is capable of being in a number of different states through the use of molecular adjustments within the synapse. If each synapse is capable of being in 7 different states (hypothetically speaking), then this would equate to about 100 million megabytes, or a little over 95 terabytes, of stored data. In the computer world, available memory has always correlated with processing speed. Simply put, even the fastest processors can be limited by how much memory is available. Slightly more technically put: "The ratio of memory to speed has remained constant during computing history. The earliest electronic computers had a few thousand bytes of memory and could do a few thousand calculations per second. Medium computers of 1980 had a million bytes of memory and did a million calculations per second. Supercomputers in 1990 did a billion calculations per second and had a billion bytes of memory. The latest, greatest supercomputers can do a trillion calculations per second and can have a trillion bytes of memory." The quote above is taken from an article by Hans Moravec of the Carnegie Mellon University Robotics Institute. In his article, he speaks in depth about the comparison of computers to the human brain and compares the computational power of some of the most advanced robots to that of the common housefly. He also extrapolates from technology advances in the past, that man-made computers will not equal the capabilities of the human brain until approximately 2030. Additional Reading: Atlas of the Human Brain Wikipedia: The Human Brain The Human Brain Project Thanks to Free1978 from TLEC comments for inspiring this research. - oo7surge

Tags: brain, human, computer, memory, million