Suffer the little children

Posted on September 05, 2008 in Medical care

I went with the medics to one of the local villages the other day. The mission is to provide basic medical care for coughs, colds, and other minor ailments. Again, this is something we take for granted in the U.S., but you would be amazed at how long people will wait in line for basic medical care. Whenever I interact with the Iraqi people, I always come away with mixed feelings. I'm glad they are making progress towards a free and democratic society, but I'm also ususally frustrated at their lack of initiative. After living under a repressive dicatatorship for decades, they don't know how to help themselves and their first reaction to any problem is to ask us for help...usually in the form of a handout. But then there are the kids. Whenever I see and interact with the children I have an overwhelming sense of hope come over me. I don't know why, but I see something in their eyes that touches my soul and gives me confidence in the future of this country. During the few hours we were there, they were all I focused on. I interacted with a few and took dozens of pictures of many. They are all overwhelmingly...kids. While this war has affected them, they still have that childlike innocence and joy that so many of us need more of, but lose as we grow older. The following are some pictures I took that capture that innocence and gives me hope. Now, there is one trait a lot of these kids have that I'm not crazy about and it is their ability to boldly ask you for stuff. They ask for candy, food, water, pens, or anything else they see you have. This little guy pictured below is Hasim. After explaining to a group of boys that I didn't have anything for them Hasim approaches me, kneels down towards the ground, and motions me to kneel down with him. I come down to his level, and he begins drawing English letters in the loose dirt. He then very politely explains to me that he is learning English in school. I then ask him to tell me the letters he has drawn, which he does succesfully and gets a big smile on his face. I immediately took a liking to this smart little whip. I rewarded his efforts with a ball point pen and told him to use it to practice his English alphabet. You would think I gave him $100 as excited as he was. It's amazing how little these kids have. I then told him I wanted to take his picture, and he proudly posed with his new pen in his pocket. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } He then motioned for me to give him the camera, and he took a picture of me. Like I said...he is a smart little whip. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } The rest of these are just photos of kids I took throughout the day. I'm posting the ones that impressed me the most. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } You can't go wrong with Elmo. Every kid loves Elmo. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } I love this one. Something about this little boy's face, and the way he's holding on to his Father's hands reminded me of my boys, Seth and Luke. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } This kid was all smiles all the time. Hopefully he'll grow into his ears someday. :-) .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } I call this one Rebel. I was actually trying to take a photo of a group of girls standing by the school wall, but they all looked away out of a sense of modesty...except for her. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } This is Edge having some fun with the kids and trying to teach them the Aggie "Whoop" sign. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Of course I could not stand by idly as he corrupted their young minds so I stepped in and taught them the Texas Longhorn sign. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } This was a good day. In fact, I think this was my best day in Iraq yet. Until next time. John Cheap Generic Viagra

Tags: flickr, px, photo, text, frame

Upward Mobility in the Distance Institution

Posted on August 16, 2008 in Generic prescription drug list

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

Tags: online, learning, institution, susan, program

Fun With Error Messages

Posted on August 15, 2008 in Medical care

[via Nancy Nall] The possibilities aren't limitless, but they're close.... Think of the fun you could have as a teacher commenting on online drafts of student papers!

Tags: fun, commenting, online, drafts, papers

Raiders @ Patriots Preview from Fester's Place

Posted on August 05, 2008 in Impotence young men

I am ready for some meaningful football. (My fiancee is now rolling her eyes over the last two words in that sentence... but still). Tonight sees the Oakland Raiders visit the New England Patriots at Foxboro for the kick-off game of the Pats' quest for three straight. I see this as a reasonable objective for the Patriots, but it will, as always be a difficult journey. I see the Patriots as a well managed team that attempts to use its versatility as its core competence. As I have written before, the Patriots seek to take away the opposition's first choice option. The fundamental gamble here is that the Patriots are betting that their second, third or fourth preferred style of play is vastly superior to whatever the opponent's second preferred style of play. This was seen most notably in the 2002 Super Bowl against the Rams where the Patriots were able to disrupt Marshall Faulk for the entire game, and thus putting the offense solely on Kurt Warner's shoulders. The Greatest Show on Turf managed 17 points. This year, I think that the Patriots are significantly deeper and more versatile on offense. With the return of Ben Watson, I will be shocked if the Patriots do not line up with two tight ends for at least forty percent of their first downs. Dan Graham and Ben Watson present some intriguing passing game match-up problems for any team that does not have multiple rover linebackers/strong safeties (6-2+, 225lbs+, 4.5 or better speed) and if a team has a light fast defense in, the tight ends can stay in and assist the power running game. This is one of the many less than pleasent choices the Patriots force teams to make. This is a key illustration of what Bill Bellicheck has been attempting to build over the past five years --- situations where the best solution is still an unsatisfactory solution for the opposition. I am slightly worried about the wide receivers over the course of the season as Deion Branch, he of the amazing quicks, and fragile body, has yet to play a 16 game season. Troy Brown is old, as is Tim Dwight, while Andre Davis is new right now. Bethel Johnson has amazing speed, but is still inconsistent and injury prone. The only receiver I am not worried about is David Givens. However within this set of receivers, there is a wide diversity of skills and attributes that would allow the Patriots to quickly shift their offensive focus from short crossing routes in a West Coast Flavor to a vertical game. I would think tonight that the Patriots would want to take advantage of the comparative slowness of Oakland's big linebacker corps and run plenty of crossing routes and seam patterns with receivers and tight ends isolated against a linebacker who is bigger than some defensive ends. Now onto defense, this has been the forte of the Patriots' ability to mirror and deny an opponent's strength over the past four years. I am liking the defensive line quite a bit. I was surprised that the Patriots cut Rodney Bailey in favor of keeping undrafted rookie Mike Wright, but even still, the Pats in their base 3-4 have significant talent in their starters and impressive depth. Richardy Seymour and Vince Wilfork each demand two blockers on running plays, and Ty Warren will dominate against most right tackles when he is one on one. Oakland will be forced to keep their running backs or tight ends in to help block more often than they would prefer. The strength of the defensive line is the strength of the unit as a whole. If the three linemen and the typical pass rushing linebacker can force Oakland to keep seven blockers in, the task for the secondary just got a whole lot easier. I am not sure who the starting cornerbacks will be tonight, as the Patriots currently have four corners who have started for Super Bowl winners on the roster. I would imagine that the Patriots will attempt to play some aggressive man with zone support against Randy Moss and keep Chad Scott in as the physical bump and run corner for at least third down plays. I also anticipate the Patriots keeping Eugene Wilson in deep centerfield for most of the game, as I think that the Patriots would be willing to see Moss have a T-O type game if they can shut down everyone else on the field. They just need to avoid the multiple big plays that are Moss's bread and butter, even if that means giving up more 10-15 yard gains. I am not sure what the Patriot linebackers will be doing this year. The outside linebackers are experienced, fast, smart and solid. Roosevelt Colvin should finally be completely healed from his hip injury suffered two years ago while Willie McGuinest just gets craftier and better as his health is still with him. I doubt that Willie McGuinest will be healthy for the entire season, but Tully Banta Cain, in limited playing time, has shown some significant pass rush ability over the past year. Mike Vrabel is just a playmaker who is never out of position. The loss of the top three playing time inside linebackers from last year is a large loss which creates a significant question mark. I am glad that Vrabel is shifting to the inside, as he is smart, and it will keep the Pats' three best linebackers on the field more often. The question mark is who plays next to him --- Monty Biesel or Chad Brown. I think this will be a platoon position with Brown in on run downs and Biesel in on pass downs. I have a difficult time seeing how the Raider's defense can keep the Patriots from scoring, and so far, the Patriots have taken down better quarterbacks who play vertical passing games with comparative ease (Hi there Kurt, hi there Peyton.) I forsee a lot of pressure, and a lot of sacks against Collins unless the Raiders invent an effective screen game. Therefore, I am calling it 27-17 Patriots winning.

Tags: patriot, game, play, linebacker, year

Pay No Attention To That Man Behind The Curtain

Posted on July 30, 2008 in Generic prescription drug list

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

How I became a celebrity (Part V)

Posted on July 29, 2008 in Generic biologicals

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

A sharp intake of breath...

Posted on July 27, 2008 in Erectile dysfunction

Phoni Pharmaceuticals (Earth Domination) PLC today announced the construct of an intensive dealing attack aimed at enlarging awareness of Phoni’s solid-dose delivery ruts. “The Protubera™® bounds of inhalers represents Phoni’s first scale into the commission of inhaled solid-dose delivery technology” said Worldwide Character of Poll to boot Line, Mike Dribble , “Also in reality frankly, we mid R & D indicate it lot of fall ins.” Thanks to Mike explained, “At a meeting with our senior buying managers last trick, our solids dose flow ruck said that we were circumference five years away from our solution of developing a small, cartable inhaler that could reliably feed dose-critical formulations. Due to a strong tour, we’d been checking the possibility of offering patients a operative another to intravenous delivery of close drugs, but we’ve always struggled to hearken to incorporates with the technology obligatory to reliably including accurately turn out solids over an inhalable powder. Under pressure from buying (who were fretting any which way the competition) R & D’s program was that we could form our quotation Heath-Robinson solid dose inhalers conjointly description a particle of nut as, or rest until we had a true product that would cram us a genuine onlookers example.” “Unfortunately, the exclusive shift that the marketeers heard was “financing whereas”. Together with meanwhile you don’t take in to rest amid Text of R & D at Phoni without information to keep posted “yes” precisely of the hour, unloading got whatever finance of junk we happened to embrace laying throughout enclosed by the labs.” Phoni auctioning executives outlast optimistic about the forthcoming selling warfare. “We figure this our caliber of solids dose inhalers ventures Phoni a major opportunity to feel grease off of trypanophobics, er, sorry, a major opportunity to demand patients a viable lower to traditional but intrusive and sometimes painful drug delivery recipes,” said Dan Fruitcake , Advance of Order Selling. “Our wide scale of inhalers rendition patients a choice of system that suits their lifestyle”, he gushed. “Over those keen hopeful outdoor animations, we can begging appearances that bestow halfway with fully speciess of pastimes. Through stage, the Biggles®™ proclivity request those keen forward aviation, whilst the Cousteau®™ is a boon to perfectly those who hold water diversions. Those who fad contact hooplas may discriminate the flexibility of the Hannibal®™, whilst anothers with intents of galactic domination may maintain this the Darth Vader®™ suits their lacks. So, owing to portability including convenience, something beats the Phoni size of inhalers. Contact your clinic today!” Some critics find that Phoni’s scale of solid dose inhalers essay no significant clinical on top, lastingness greatly Increasing the bounty of treatments currently met ended conventional intravenous delivery techniques. “Humbug,” responds Fruitcake. “Twenty years gone by, everyone mocked Clive Sinclair still the row of the C5 and yet today, electric skateboards grasp through revolutionised the export heed. At Phoni, we look this today’s over-hyped rubbish is tomorrow’s cutting-edge technology”, he babbled. Inspiration (or should that be motive?): PharmaGossip.

Tags: phoni, solid, inhaler, dose, delivery

Natural Cures for Influenza (FLU)

Posted on July 25, 2008 in Impotence young men

.fullpost{display:none;} Natural Cures owing to INFLUENZA (a.k.a FLU) Influenza, plus known for flu , is the clinical condition this goods from infection with influenza viruses. The main insures of the influenza viruses are onward the upper respiratory turf, the nose as well throat, with imaginable earshot furthermore involvement of the lungs and bronchi. Influenza strikes later . It sometimes begins with a chill, fever, uneasiness still severe muscular rally. The patient feels miserable including weak. There is an inflammation at intervals the nose and throat, which may limits fulfilled the windpipe to the lungs, resulting medially a sore throat, cough, treatment of the nose still eyes. Influenza is what is known owing to germ disease . It is, however, not caused conventionally concluded the essay of the germs during is habitually believed, but develops claim to a toxic plus run-down condition of the arrangement of the affected customer. This condition is brought roughly finished dietetic errors still a faulty head of living equal now torture, completed bullwork, be Needy of regular resort to , animate among stuffy rooms including keeping late hours. Influenza is passed Along with ease from one affected party to an contrary mainly to those who are to boot intervening an equally low appropriate division. That is how an epidemic institutes. Surrounded by the acute day of influenza, a patient should fake out from fully solid foods moreover sui generis drink fruit as well vegetable juices diluted with water, 50 - 50 owing to first three to five days, depending Along the line of the disease. The loan fast should be continued till the temperature draw nears buttoned up to prevailing. Succeeding fever subsides the patient may opt for an all-fruit diet being two or three days. Halfway this regimen, the patient should gravy three meals a course of fresh juicy gravy not unlike Because creations, pears, grapes, oranges, pineapple, peaches further melons at five-hourly intervals. Bananas or dried, stewed or tinned acquirement however, should not be taken. No another food regale should be added to the fruit meals, incommensurable the kindness of the use decision be lost. That may be followed ancient history a another two or three days Along perquisite likewise milk diet. Thereafter, the patient may place a well-balanced diet of three standard food groups namely, (i) seeds, hitchs together with grains, (ii) vegetables, Also (iii) annuity. Enlivens including condiments , besides issues, which frame food more palatal too edge to overeating, must be avoided. Loss advance may be used mid salad dressing. Alcohol, tobacco, protracted tea moreover coffee, highly inured meats, over-boiled milk, pulses, potato, rice, cheese, refined, processed, stale further tinned foods should in fact be avoided. Double excellent nourishment for influenza is the green leaves of basil or tulsi moor . Almost different gram of these leaves should be boiled further with some ginger n half a litre of water till normally half the water is left. This decoction should be taken until tea. It fosters immediate guidance. Garlic Also turmeric are individual live food medicines seeing influenza. Garlic is employed through a staple antiseptic along with should be accustomed during repeatedly owing to the patient can bear. Garlic allowance may still be sucked finished the nose. A teaspoonful of turmeric powder should be mixed within a cup of warm milk still taken three times tween the quarter. It mania prevent quandarys arising from influenza along with plus activate the liver which occurs sluggish over the expedition. Click Here to Read More >>

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Shiffrin tribute: philosophy

Posted on July 17, 2008 in Generic biologicals

Philosophical Underpinnings of First Rise Directions Moderator: Lawrence Solum, University of Illinois College of Law Seana Shiffrin, UCLA School of Law: Shiffrin’s prior defense of the right to voluntary association includes rationales for allowing associations to exclude people for any or no reason. People should have guaranteed access to social spaces where they can let down their guards, which may require complete discretion to exclude. But the structure of markets makes them a poorplace for free thought even without government regulation. Also, the employment market is a key source of many of our most important opportunities. Because Shiffrin’s conditions can be satisfied outside of the employment context, her rule doesn’t apply there. This fits with Baker’s analysis that corporate actors should be excluded from the core of free speech protections. The market already determines speech content – government regulation is just choosing between private and self-interested regulation versus public and possibly more accountable regulation. Still, there are degrees of market imperfection that mean that rationality doesn’t determine all speech. Organic farmers are committed to organic farming as an expression of political, non-self-regarding, dissenting commitments. Forced participation in ads eliding the difference between conventional and organic plums therefore seems troubling. Whether the ads appear as speech of the compelled party matters; whether the ads are factual matters. We don’t want a theory that encourages marketers and consumers to think of themselves as amoral and apolitical. We should recognize attempts to moralize the market from within. Some on the left are trying to do this, as are various religious groups. Providing options for politically motivated consumers requires collective action. Organic farmers are not best understood as amoral profit maximizers. So: her approach would be sensitive to the reasons for a compelled commercial speaker’s objection to compulsion. Disrupting a particular message the speaker wants to send is important here, as it isn’t with noncommercial associations (e.g., Hurley ). C. Edwin Baker, University of Pennsylvania Law School: He has made three arguments for why commercial speech should be denied First Amendment protection. For him, free speech is libertarian. Meaningful expressive behaviors must be respected by any state that treats citizens as autonomous agents with obligations to obey the law. (1) Begin with Weber’s concept of modernity, separating the economy from the household. The market dictates to all that they must act efficiently or fail. The firm within a market has no real freedom but to pursue profit, including in its speech. Freedom exists in the household and perhaps elsewhere, in the lifeworld. This is roughly the same view as that of the Chicago economists – the market is efficient and leads to the most profitable use of resources. It is also the same view as Marx had. Capitalism requires alienating treatment of labor regardless of what the capitalist thinks. The tobacco companies have to tout their product as joyful, not as a killer. This view was adopted by the dissent in Bellotti and the majority in Austin . Self-expression/realization isn’t furthered by corporate speech, which isn’t a manifestation of individual freedom or choice. (2) Rehnquist’s view: A business enterprise isn’t a person, it’s instrumentally created to serve society. Society should be able to limit it to serve social interests. Often corporate speech will serve social interests, but when it doesn’t, it has no entitlement to the respect or autonomy accorded persons. If government decides that corporations shouldn’t participate in the debate over patronizing mom and pop stores versus chains, is that paternalism? Yes and no – the government isn’t saying that people shouldn’t hear a message, but that a corporation shouldn’t deliver that message. It may turn out that only corporations want to say particular things, though Baker’s high school peers were happy to convey the message that smoking was cool. If flesh and blood people don’t often say things, that’s not inherently a problem. Not many people want to deny the Holocaust either. Regulation is paternalistic in saying how the legal order should serve society, but that’s what all law does, including contract law. (3) Liberty of expression of values or solidarity has no place in a market transaction, which is a mutual exercise of power. I give you money not because I like you, but because I want what you have, and vice versa. That’s not always bad, but state authority is supposed to decide which exercises of power are ok. Lochner was wrongly decided. Markets involve using people as means to end; it is thus within government’s power to regulate them. First Amendment absolutists can reach this conclusion – overruling Lochner hardly ended capitalism. Charles Fried, Harvard Law School: He couldn’t disagree with Baker more. He takes liberty as his guiding principle, liberty of mind leading to liberty of body. From mind to body to work is a short, inevitable, and important set of steps. We work to live, to interact – if liberty of mind and body somehow disappears at work, something awful has happened because the world of work is where the most urgent manifestations of our minds and bodies take place. (In my experience, we usually call that the boss, not the government.) Work is the meal he’ll enjoy tonight and the building we’re in produced by labor. Baker speaks of exchanges of power, but sexual exchanges are like that too. Are we all dominated by power in our professional lives? Compelled to make the most money? Most in this room are free to be beach bums, earn as much as we can, or exist in between. (Yes, we’re quite the representative bunch.) Thus, Fried doesn’t see the market as a radical discontinuity from life. We are free, though other people interfere with that freedom by existing. Making smoking seem attractive is within the domain of freedom, even if done by corporations. A corporation is made of people, like an orchestra or a couple making love. He would not reify it as anything else. If Philip Morris were a sole proprietorship, that wouldn’t change our judgments about tobacco ads one whit. (And, as they say, if my grandmother had wheels she’d be a wagon. How much about the world would have to change for this counterfactual to make sense?)

Tags: market, speech, people, law, government

Fwd: W Post: Medicare Drug Aid No Longer Automoatic For Seniors, 'Duals'

Posted on July 15, 2008 in Generic prescription drug list

enews@nyaprs.org wrote: Date: Wed, 25 Oct 2006 14:01:07 -0400 From: enews@nyaprs.org Subject: W Post: Medicare Drug Aid No Longer Automoatic For Seniors, 'Duals' To: list@nyaprs.org Click here to read eNews online. Medicare Drug Aid No Longer Automatic

Tags: longer, medicare, aid, drug, nyaprs

Senate Puts Oil Companies First in Fight Over Arctic Refuge

Posted on July 11, 2008 in Generic medical release

FOR IMMEDIATE RELEASE MARCH 16, 20053:17 PM CONTACT: Natural Resources Defense Council Karen Wayland, 202-289-2402 Rob Perks, 202-289-2420 Senate Puts Oil Companies First in Fight Over Arctic Refuge Statement by NRDC Legislative Director Karen Wayland WASHINGTON -- March 16 -- Today the U.S. Senate, by a vote of 49-51, defeated an amendment by Sen. Maria Cantwell (D-Wash.) that would have removed a provision of the Senate budget bill that authorizes energy development in the Arctic National Wildlife Refuge. The following is a statement by Karen Wayland, legislative director at NRDC (Natural Resources Defense Council). "Drilling the Arctic National Wildlife Refuge won't make a dent in gas prices at the pump or break our dependence on Middle East oil. "This was really a vote for Big Oil, not for the solid majority of Americans who oppose turning America's last great wilderness into a vast, polluted oil field. "President Bush and his Senate allies resorted to a sneaky budget maneuver to get their way. Now, Congress is one step closer to trading away an irreplaceable national treasure for a few drops of oil that we wouldn't see for a decade or more. "If the oil industry can drill in the Arctic Refuge, then no place, no matter how pristine, will be safe. "But there is still a lot of political tundra to cross before this fight is over. We'll keep battling every step of the way. "Increasing America's energy security doesn't require selling off our natural heritage and letting oil companies despoil our last best places. Using better technology in our cars and trucks -- so they go farther on a gallon of gas -- would save more than 10 times the amount of oil in the refuge, and save consumers billions of dollars at the pump." The Natural Resources Defense Council is a national, nonprofit organization of scientists, lawyers and environmental specialists dedicated to protecting public health and the environment. Founded in 1970, NRDC has more than 1 million members and online activists nationwide, served from offices in New York, Washington, Los Angeles and San Francisco.

Tags: oil, refuge, arctic, senate, natural

The Hunt for Intelligent Life

Posted on July 10, 2008 in Diabetes erectile dysfunction

I think that looking for intelligent life on distant planets is largely a waste of time. Why? Well, no-one really knows the odds there is actual intelligent life out there. Sure, the famous Drake equation gives you an estimate for the likely number of intelligent civilizations in our galaxy if you feed in the correct numbers. The thing is nobody knows what the correct values for these numbers are. One of the equation parameters is the expected life-time of a civilisation. Um, how do you guess that one? Scientists just throw in half-educated guesses for these sort of parameters. Not really an exact science. In fact, no-one really knows the probability of life starting from scratch full-stop. I can tell you though it's something extremely small since life is truly a miracle. But we're lucky it did happen. Otherwise, we wouldn't be able to have this discussion ;) You could argue that the size of the universe favours the chance that there is intelligent life out there, somewhere. True. The univerise is , to put it very mildly, exceedingly large. So large in fact most people, like me, cannot comprehend how large it truly is. If there is an intelligent civilisation out there speaking or listening to us, it will be an incredibly long wait until we've heard from them (or they've heard from us) and we've decoded their messages (or they've decoded ours). We'll probably be space dust by the time one of us hits the reply button. Hence, I think it's all bit of a lost cause. I'd be interested to see a counter argument though. I might be persuaded to join the other side. For now we're better off looking for intelligent life here on Earth.

Tags: life, intelligent, large, number, time

Pharma's Backdoor Marketing -- Cephalon under criminal investigation

Posted on July 09, 2008 in Prescriptions

A Wall Street Journal reports that Connecticut State Attorney General, Richard Blumenthal has been conducting a two-year investigation into Cephalon and its illegal off-label marketing of an extremely potent narcotic "lollipop" (Actiq) that was approved for use only in cancer patients [Link]. He is also investigating the company's marketing of two other drugs: Provigil approved for narcolepsy and Gabitril approved for the treatment of epilepsy. "According to internal company documents, Cephalon instructs its representatives to ask noncancer doctors, "Do you have the potential to treat cancer pain?" Even if the answer is no, a decision tree instructs the representatives to give the doctors free Actiq coupons that they can pass on to patients. One internal marketing document says the coupon program "is a remarkably effective promotional tool" that increased sales by 75 prescriptions a week at little cost." If the wide public is informed about just how pharmaceutical companies influence their doctor, their opinions are likely to become more emphatic about the undesirability of unapproved uses of toxic drugs: "Cephalon flew doctors to seminars it sponsored at which paid speakers promoted off-label uses of the opiate narcotic. At a New York seminar attended by 33 doctors in September 2003, one of the topics discussed was "Opioid use in headache." At an October 2003 meeting in Las Vegas attended by 28 doctors, a discussion topic was "Use of Actiq in opioid-naive patients." Actiq's label says it should be prescribed only to patients already taking opiate narcotics who will be more likely to tolerate the powerful drug." "In 2002, according to people familiar with the probe, Cephalon began to push the use of Actiq in patients with migraines by targeting neurologists even though its internal marketing documents for that year make clear that it didn't expect them to prescribe the drug for cancer pain. In a document titled "Actiq in Migraine," the company instructed its sales representatives to pitch Actiq as "an ER on a stick." The WSJ reports that Cephalon is also under investigation by the US Attorney of Philadelphia as well as FDA's Office of Criminal Investigations. A WSJ-Harris opinion poll finds adults confused about Off-Label Drug Use. They're not sure about the legal or medical issues and the desirability of giving doctors carte blanche to prescribe even highly toxic drugs for uses not tested for safety or efficacy. The poll compares the results with an earlier poll conducted in 2004. The tables do not transcribe well in e-mail format. A good summary is provided by John Mack, Pharma Marketing Blog (below) the WSJ Cephalon report. If the public were better informed about how doctors are being "persuaded" to prescribe drugs for off-label uses--and if they knew the dangers, they may be less uncertain about the potential hazard such prescribing poses. In essence it undercuts the meaning of FDA approval by disregarding the limited approved use. [Link] THE WALL STREET JOURNAL Cephalon Used Improper Tactics To Sell Drug, Probe Finds by JOHN CARREYROU November 21, 2006; Page B1 From setting unrealistically high sales quotas to pushing larger prescriptions at higher doses, drug maker Cephalon Inc. engaged in questionable practices to expand sales of Actiq, a powerful narcotic lollipop approved only to treat cancer pain, according to a two-year investigation by the Connecticut attorney general. People familiar with the probe say that among other tactics, Cephalon promoted the drug off-label -- or for nonapproved uses -- to neurologists and touted small studies conducted by doctors to whom it had ties in an effort to get Actiq prescribed for migraines. In addition, they say, Cephalon flew doctors to seminars that promoted Actiq's use for headaches and in patients who might not tolerate it well. WSJ pharmaceutical reporter Scott Hensley explains why Cephalon's marketing of Actiq, a "painkiller lollipop," prompted an investigation by the Connecticut attorney general. Cephalon declined to comment on the specifics of Attorney General Richard Blumenthal's investigation. Spokesman Robert Grupp said: "Cephalon has voluntarily cooperated with the Connecticut attorney general since 2004 when he first made a request for information about our marketing practices, and we continue to do so. Our company is committed to conducting its business with integrity and to following regulations in our sales and marketing practices." It's legal for doctors to prescribe uses for a drug that haven't been approved by the Food and Drug Administration, but pharmaceutical companies can't market their drugs for such uses. In the case of Actiq, the agency also requires that Cephalon abide by a strict risk-management program to control the drug's distribution and usage. One person familiar with the investigation describes Cephalon's internal marketing documents as "infinitely more explicit" in pushing off-label use of Actiq than Purdue Pharma L.P. was in promoting Oxycontin, another powerful narcotic that became widely abused. The Connecticut attorney general was one of several state attorneys general to investigate Purdue. Mr. Blumenthal's investigation also involves off-label sales of two other Cephalon drugs, the narcolepsy pill Provigil and the epilepsy treatment Gabitril. Cephalon is also being investigated by the U.S. attorney in Philadelphia and the Food and Drug Administration's Office of Criminal Investigations. Like Mr. Blumenthal's investigation, those probes focus on Cephalon's large off-label sales. The U.S. attorney and the FDA declined to comment. Mr. Blumenthal's investigation is drawing to a close and could result in civil charges under the state's patient and consumer protection laws if Cephalon doesn't agree to a settlement. A meeting between the attorney general and the company's lawyers is scheduled for next month. If Cephalon opts to settle the case out of court, Mr. Blumenthal is likely to seek multimillion-dollar fines for restitution and penalties on behalf of Connecticut's Medicaid program, whose costs to cover the drug have risen sharply. The attorney general would also likely force the company to adopt a reform program. "We want them to change the way they do business," Mr. Blumenthal says. Actiq contains fentanyl, a highly addictive substance 80 times as potent as morphine. Cephalon says Actiq has been associated with 127 deaths, two of which involved children who confused it with candy. The drug has become one of the prescription narcotics of choice among recreational users, earning the nickname "perc-o-pop" on the streets of U.S. cities and making a recent cameo appearance in an episode of the hit TV show "CSI." In the first nine months of this year, Actiq sales reached $471 million. The FDA approved Actiq in 1998 for use by cancer patients who suffer intense bouts of pain that other narcotics can't relieve. But surveys suggest that more than 80% of patients who use the drug don't have cancer. The trigger for Mr. Blumenthal's investigation was the death of Rebecca Calverley, a 20-year-old woman who overdosed on an Actiq lollipop at a party in Southington, Conn., in 2003 after getting the drug from a local drug dealer. Mr. Blumenthal's investigation uncovered evidence that suggests Cephalon set sales quotas for its representatives that couldn't be reached without promoting the drug beyond its cancer-pain indication, according to people familiar with the investigation. Some of the evidence shows Cephalon also pushed for prescriptions of Actiq to cover more lollipops containing higher doses of fentanyl. Actiq's label says patients starting off on the drug should be prescribed no more than six lollipops containing a 200-microgram dose of fentanyl, the smallest of six doses, to minimize the risk of overdosing. Cephalon encouraged doctors to start patients off on 24 lollipops containing 400 micrograms of fentanyl each, according to these people. The higher dose costs more and brings in more revenue. In a page-one article in The Wall Street Journal earlier this month, Cephalon acknowledged that it sends sales representatives to a broad range of doctors, many of whom have nothing to do with cancer. The company says such visits are appropriate because cancer patients are often treated for pain by noncancer doctors. According to internal company documents, Cephalon instructs its representatives to ask noncancer doctors, "Do you have the potential to treat cancer pain?" Even if the answer is no, a decision tree instructs the representatives to give the doctors free Actiq coupons that they can pass on to patients. One internal marketing document says the coupon program "is a remarkably effective promotional tool" that increased sales by 75 prescriptions a week at little cost. Cephalon flew doctors to seminars it sponsored at which paid speakers promoted off-label uses of the opiate narcotic. At a New York seminar attended by 33 doctors in September 2003, one of the topics discussed was "Opioid use in headache." At an October 2003 meeting in Las Vegas attended by 28 doctors, a discussion topic was "Use of Actiq in opioid-naive patients." Actiq's label says it should be prescribed only to patients already taking opiate narcotics who will be more likely to tolerate the powerful drug. Mr. Grupp declined to comment on the seminars. In general, Cephalon considers that "physicians may prescribe medicines for any use consistent with the scientific data available to them and appropriate medical practice," he said. "The decision to prescribe 'off label' is theirs and theirs alone." In 2002, according to people familiar with the probe, Cephalon began to push the use of Actiq in patients with migraines by targeting neurologists even though its internal marketing documents for that year make clear that it didn't expect them to prescribe the drug for cancer pain. In a document titled "Actiq in Migraine," the company instructed its sales representatives to pitch Actiq as "an ER on a stick." Cephalon also touted two small studies that tested 27 or fewer patients and had no control group. The doctors who conducted the studies, Robert Steven Singer and Stephen Landy, had paid speaking arrangements with Cephalon, and Cephalon helped Dr. Landy with the study he conducted, according to the people close to Mr. Blumenthal's probe. Dr. Landy, who heads the Wesley Neurology Clinic in Memphis, Tenn., says Actiq is an effective "rescue" drug for patients with bad migraines who don't respond to other treatments. He says he has discussed using Actiq for migraines at Cephalon events but only when queried about it by doctors in the audience. Dr. Landy won't say how much Cephalon paid him for speaking. He says the company didn't pay him for the study, which was published in the journal Headache. Dr. Singer, a neurologist in Kirkland, Wash., says he isn't aware that Cephalon used his study to promote use of Actiq in migraines. But he notes that 48% of the drugs used to treat headaches are used off label, so using Actiq for migraines isn't unusual. He declines to say how much Cephalon paid him to speak. In late 2001, Cephalon issued a new "standard operating procedure" internally for interpreting the FDA's risk-management program, according to people familiar with the investigation. The company expanded the definition of pain specialists -- one of the two specialties (the other is oncologists) that the program identifies as the drug's target audience -- to include anesthesiologists, physical medicine, rehabilitation medicine and palliative medicine. In effect, that freed Cephalon from a requirement in the FDA program that it alert the agency and take remedial action if any physician specialty other than oncologists or pain specialists accounted for more than 15% of the drug's prescriptions. Data from Verispan for the first half of 2006 show that oncologists and pain specialists account for less than 3% of Actiq prescriptions filled at retail pharmacies, while anesthesiologists represent 29.5% of prescriptions. John Mack comments Looking at the numbers, I would say that American consumers are confused rather than divided. Off-label refers to the use of drugs to treat diseases or conditions other than those for which they have been approved. Off-label prescribing is legal in the U.S. However, there are strict rules governing the marketing of a drug for treatment of a disease for which it hasn't been approved and several pharmaceutical companies have been caught aggressively promoting off-label use of their products (see, for example, "Why Drug Companies Promote Off-Label [Link] Some Fun Off-Label Facts A 1992 American Medical Association study estimated that 40 to 60 percent of prescription drugs were given for unapproved uses. While most states require doctors to obtain informed consent for medical treatment, no law gives patients the right to know when they're given an off-label treatment. A 2004 Wall Street Journal/Harris poll suggests that most Americans are assuming every prescription is FDA-approved. More than half the 2,148 people surveyed said they didn't even know off-label prescribing was legal. Another 17 percent weren't sure. Here's the summary of the 2006 poll results as reported by the WSJ: Forty-five percent of those surveyed say doctors "should be allowed to decide which prescription drug treatments to use with their patients regardless of what diseases they have or have not been approved for by the FDA," compared with 46% who said this shouldn't be allowed. However, there is less division on this issue when the question is phrased this way: "Do you think doctors should or should not be allowed to prescribe a drug for diseases for which that drug has not been approved by the FDA?" In this case, only 27% answered "Should be allowed" vs. 48% who answered "Should not be allowed." I'm confused. Is it 45% or 27% who agree that off-label prescribing is OK? Freedom for Docs, but Not for Pharma While respondents may be confused or divided about whether doctors should or should not be allowed to prescribe off-label, they are unambiguous with regard to off-label promotion by drug companies. First amendment or no, they are agin' it! Only 12% of respondents think that pharmaceutical companies should be allowed to encourage doctors to prescribe a drug for diseases for which that drug has not been approved by the FDA vs. 69% who say no way! Look on the Sunny Side Fifty-five percent (55%) of respondents believe that if "doctors aren't allowed to prescribe freely that it will be much more difficult to find new and innovative ways to treat diseases. Thirty-five percent (35%) disagree." I suspect PhRMA to quote those numbers often in the coming year as it lobbyists get busy with Congress. (I don't think they'll talk much about the 12% or 27% numbers, though.) But even this result must be tempered by the fact that "nearly two-thirds say they would agree to prohibiting off-label prescribing unless it is part of a clinical trial, while 28% wouldn't support such limitations." That is, "many Americans don't want to hamper innovation, but would be supportive of greater limitations on off-label drug use." Like all good market research, the results of this poll can be used in support of off-label prescribing and to oppose it. Just cherry pick the results you wish to quote and Bob's your uncle! Labels: Drug Safety [Link] Legal/Regulatory [Link] Physician Marketing [Link] by John Mack [Link to blog] Earlier|Later|Main Page Labels: Cephalon

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Yes, It's Freedom, But What's In It for Us?

Posted on July 04, 2008 in Generic biologicals

Let's start with a quiz. Who wrote the following this morning? One . . . near as I can tell, there's no really clear sense in which the Syrian sphere of influence in Lebanon is bad for the United States of America . Second, there's no particular reason to think that the waning of Syrian influence really heralds the dawning of Lebanese democracy. Outside of the special case of Iraq, Lebanon was and is pretty clearly the most democratic of Arab states. . . . . It's not what you would call a real democracy for a variety of reasons . . . . Still, as I say, it's closer than anything else that's up and running already. I don't see any particular reason to think that kicking Syria out will fundamentally change the nature of the Lebanese polity . . . . Heck, I don't even think it's clear that it would be a good idea to try and move Lebanon toward real majoritarian democracy. Henry Kissinger? Pat Buchanan? Ann Coulter? Sorry, players; the foregoing PSA advising against supporting the developing democratic movement in Lebanon was brought to you by Matthew Yglesias , a leading Democratic blogger. Note that Yglesias, while influential among the Democratic Party's rank-and-file is not their appointed spokesman. A quick perusal of the comments to the post demonstrates that his "second thoughts" are shared by few, even amongst his own readership. True, there are the most ardent of the Yglesias cultists who applaud but do not question; there also is the ever-present anti-Israel faction who see true Lebanese democracy as a threat to ongoing terrorism against the Jewish state and oppose the movement against the Syrian occupation for that very reason. Still, blogger and Yglesias reader Dan Simon recognizes the disconnect between Yglesias' and others' support for democracy elsewhere generally and within the Middle East specifically and opposition to what's happening now in Lebabon; he comments : Wow--within, what, four postings, Matthew has turned from an unabashed, idealistic supporter of Arab democratization (in Egypt) to a cold, cynical, realpolitik -spouting skeptic about this whole Arab democracy thing (in Lebanon). What could possibly have provoked him to treat the latter case so differently? A less bad despotism? Mubarak's no saint, but Assad's surely worse. A worse prognosis? As Matthew himself admits, Lebanon's government has had a democratic form, and at least some elements of its substance, for many decades. Egypt has never been democratic--ever. More danger of a fundamentalist takeover? Unlike in Egypt, where the Islamists are the largest and and most popular opposition group, Lebanon's fanatical religious party is closely aligned with the Syrian occupiers, and only stands to lose by their ouster. Worse outcome for America? Egypt's dictator, for all his faults, is a bought-and-paid-for US ally. Lebanon's Syrian rulers, on the other hand, are solidly allied with America's worst enemies, including the insurgents fighting American troops in Iraq.... Nah, couldn't be. Say it isn't so, Matthew.... Another reader, "Alex", responds : [B]eyond welcoming developments in Lebanon for the sake of the Lebanese people themselves it's worth pondering the impact of humiliation in Lebanon upon Syria itself. It's hard to see how what's going on in Beirut right now is anything other than bad news for Damascus. From that point of view, it's good news for the United States. Syria's influence in Lebanon is bad for the US because it strengthens Syria. (It's even worse for Lebanon of course). Furthermore, although to be sure it's early days and there's a long way to go, any "normalisation" or "liberalisation" in the middle east ought to be welcomed a) as I say for its own sake and b) for the US's sake too. Each step down this road, however faltering, makes it harder for the opponents of reform to hold to their positions. And that's something worth celebrating. Momentum does matter. As does the inspiration of example. "Ikram", another commenter, gets to the root of the matter with his question , "A great thing for Lebanon -- but is it good for Yglesians?" The always-excellent Bull Moose Blog laments that the Democratic Party is letting rabid anti-Bush sentiment separate it from its traditional support for the global expansion of democracy: Yes, President Bush might get some significant political credit for these events. So what. If partisanship is more important than fundamental principles, than the Democratic party has truly lost its way. Just as right-wing Delayicans opposed the foreign policy triumph of Clinton in Kosovo, so are left-wing Kissingers moaning the potential advance of freedom today. Remember, you're the Democratic Party. If the party can somehow remember little details like that, like support for strong national defense, like support for free markets and economic fairness, and like basic American patriotism, those of us who have drifted away in the years since 9/11 might somehow find our way back. Labels: Current Events

Tags: lebanon, democratic, democracy, party, yglesias

Moldova Speaks: It's All Over for Putin!

Posted on July 02, 2008 in Generic biologicals

Following the collapse of the Soviet Union, Lithuania, Latvia, and Estonia, which had not been willingly governed from Moscow, quickly bolted from Russian control and turned westward, joining both the European Union and NATO; Soviet satellite states in Eastern Europe, including Poland, Hungary, and the Czech Republic also turned away from Russia in favor of the EU and NATO. Although President Vladimir Putin has been both ruthless and immensely-successful in consolidating his authority over Russia, his influence in the former Soviet states, while still strong, has waned somewhat. Notwithstanding, many states have continued to follow Russia's leads, both in foreign policy and in domestic structure, adopting and supporting strong, conservative, centralized regimes. Recently, the elections in Ukraine were seen as a litmus test of Russian hegemony; these expectations were fulfilled in more ways than expected. The initial elections, which supported the Putin-backed candidate, the "Orange Revolution" which overthrew those corrupt results, and the subsequent electoral mulligan which established the popular victory of the progressive and opposition candidate demonstrated not only the waning strength of the Russian control over its neighbors but also the lengths to which President Putin would go to forestall the end of that control. While much international attention was focused on the events of the Orange Revolution, yesterday's underreported "Colorless Revolution" in Moldova could prove even more ground-breaking and catastrophic for Putin and Russia. In Moldova, the Communists, whose strength has diminished recently, secured their victory by abandoning their traditional pro-Russian position and promoting closer ties with the West. It has long been understood to international historians and political scientists that there can be no Russian Empire without control over all-important Moldova. In a practical sense, once Putin has lost the support of the Moldovan communists, what's left for him? You heard it here first: Putin is finished and should resign now. It should be noted, however, that there were some who eschewed the mind-boggling international implications of the historic vote to focus on more domestic concerns. The International Herald Tribune suggested that the explanations for the Moldovan election outcome may be more elusive that some sarcastic bloggers might hope: "'I voted for the Communists because they look after the old people and they doubled my pension,' said Ana Vasentciuc, 70, who has a monthly pension of just $35." Truly, the popular will in Moldova defies tidy explanations. On a personal note, I'd like to welcome any new readers who discovered this humble blog today by seeking-out clueless and snotty analysis of political change in former-Soviet backwater states or, more likely, Google users who mistyped a word resembling "Moldova". Thanks for reading! Labels: Current Events

Tags: putin, moldova, russian, states, control

Student Loans Consolidation

Posted on June 26, 2008 in Diabetes erectile dysfunction

What You Should Unravel Student Loans can be a advance burden. Student property necessity relationships forge ahead to be tremendous along are a growing uncertainty. A loss forth a student purchase can lead balloon havoc with a young joker albatross credit, while they are legitimate starting out. What is Student Accommodation Consolidation? Student allowance Consolidation can advice, not only within escaping inadequacy but among making monthly payments still manageable. Pledging to the Higher Reading Act, absolutely nearby Every so often species of Federal Citizens Education Financing (FFEL) or Blow open Expense is eligible considering consolidation. Both undergraduate and graduate school student loans qualify. There are a few original exceptions and these can be forge listed at Net.loanconsolidation.ed.gov. These federal schemes class student nut repayment easier ended combining sever Exposition the lodge of that article

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Township family

Posted on June 20, 2008 in Impotence young men

Township family Originally uploaded by CharlesFred. Today we visited a township here in Lusaka, as well as Parliament House with anm interesting young man named Benson. More later. Tomorrow we go to Livingstone. Labels: Trip to Middle East and Africa, Zambia

Tags: township, family, livingstone, tomorrow, labels

Leaving South Luangwa in a hurry

Posted on June 20, 2008 in Impotence young men

Fred watching the wildlife Originally uploaded by CharlesFred. We were due to leave South Luangwa today, after two game drives yesterday, but after we returned from our morning drive, we were told that the flight we thought we had been booked to go back to Lusaka on today, was full and thet we had NOT been booked on this flight. So decision time.... and so we decided to leave that afternoon, on a flight which was empty, and therefore miss our planned evening drive. A pity as two leopards had been seen mating the previous evening. It was a very bumpy flight back through the rain to Lusaka, furst to Chipata and time to catch up on the local Zambian news. Again, where Fred and Charles go, trouble follows and Zambia finds itself in the international news this week because of riots outside a church here in Lusaka, because of Satanic practices which have taken place there. The church has been closed down by the government. There was an editorial in the newspaper accusing many churches here in this 'Christian' country of being misued by people to get rich, turning their congregations into zombies and playing loud recorded music in the churches which is no better than the 'jive' music heard in the bars and clubs. What's new? The other major discussion point is the rise and rise and rise of the kwacha which ahs gone up 40% this year, about half of which ibn the week we have been here. The cancellation of debt and the high price of copper as well as high interest rates have all coyntributed to this. Having been told for many years that prices have to go UP because the kwacha has fallen, many people are asking why now the kwacha has risen so specatcularly that prices are not falling.... interesting!!! Labels: Trip to Middle East and Africa, Zambia

Tags: flight, drive, price, kwacha, lusaka

Moving on, from Zambia, Namibia, Botswana and back to Namibia

Posted on June 18, 2008 in Impotence young men

Iguazu Falls - Argentinian side Originally uploaded by CharlesFred. This is a picture of the Iguazu Falls in Argentina - hoping to add one in a miunute of Victoria Falls on a rainy day. We went to the Victoria Falls on Saturday where it rained more than there was water coming over the Falls. We have had quite a few adventures since including joining a convoy of three pink buses, full of Swedes, listening to Dancing Queen and getting stuck in the wet sand of the Caprivi Strip, joining up with Stefan and Sissie from Germany who rescued us from the mud, meeting up with Nigel and Tuomo at the Shakawe (non-)Fishing Lodge, seeing bushmen paintings at Tsodilo Hills and making it over to Tsumeb, a very strange place where provincial Germany meets Africa. No internet and now no possibility of uploading phtos, we are negotiating with Janny, a local Namibian to take us to Kaokoland in northwest Namibia for the next few days. Still alive and kicking... and wishing everyone, belatedly, een gezellige Sinterklaas. Labels: Botswana, Trip to Middle East and Africa, Zambia

Tags: falls, namibia, victoria, day, joining

Non-stop ecstatic gospel music

Posted on June 18, 2008 in Impotence young men

Burchells' Zebra with foal Originally uploaded by CharlesFred. We have come down to Livingstone, named after Dr David Livingstone, the fearless anti-slavery campaigner and explorer. Just down the road there are the wonderful Victori Falls whichw e go to visit tomorrow. It was a quick five hour bus ride down here in the rain this morning, accompanies by non-stop ecstatic gospel music.... great!!!! The Road of the Lord is Holy, Praise the feet of the Lord! Further, we have heard from my friend Nigel, from Cape Town and he is going to be near the Okavango Delta in a day or two and we hope to join him for a few days, in his landie landrover. Labels: Trip to Middle East and Africa, Zambia

Tags: road, stop, lord, livingstone, day

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