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This blog has been quiet lately, as a number of other things have taken place. I was in Adelaide from last Saturday to last Tuesday, at the 70th anniversary celebrations and award presentation at the State Library of South Australia, and at the ALIA Board on Sunday, and at the public libraries conference, Sunday and Monday. And I attended a meeting of the NetAlert Advisory Council in Sydney last Wednesday. You may have noticed the announcements by the Prime Minister and by the Minister for Communications, Information Technology and the Arts of a $189 million funding program intended to make the Internet safe for children. So we needed to send out some information about that. You can read ALIA's press release, issued yesterday, here. You can also listen to the Prime Minister's podcast, and some coverage relating to libraries about Senator Coonan's announcement. As you can imagine, all of this ALIA activity has led to a need for a little balance, so I am listening to Garrison Keillor while I write this. It is possible that balance is not quite the right term for this activity. And I am aware that Keillor's idiosyncratic combination of the sentimental and the wacky is not necessarily to everyone's taste - like melted cheese on noodles (apparently a Minnesota favourite) but the show is sponsored by Bertha's Kitty Boutique - "for persons who care about cats. And now here is Dr Phil with Cat Call-in Corner ..." - so bound to be a favourite with many librarians. Take this as a short personal halt in the serious business of being a libraries blogger. Tomorrow I will share some thoughts about titles in libraries, and later next week I will send some thoughts on the Commonwealth Government's new program to provide us all with free filters. buy software cheap oem software

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Titles are very important, especially in universities, where they are often used instead of money as a means of rewarding people. They can often make people feel good about themselves. Although this leads to a steady title creep or title inflation, little harm may be done. The staff receive something which they value, and the university is able to stretch its budget a little further. The language is subtly and gradually changed, which is not necessarily a bad thing. Thank you to those who have comments on the term title creep. Kim suggested that we should have simple and generic titles, and Andrew pointed out the interesting Information Consultant, Information Awareness and Literacy Services at the University of Melbourne. But he asked "Why not call a spade a spade?" My point in this post is that we can use titles to achieve benefits for our workforce, rather than aiming to use simple words to represent straightforward concepts - always a difficult process. The reason we do not always call a spade a spade is because we don't have to - language is rich and varied, always changing, and always accessible for a wide variety of purposes. We want our staff to feel good about their jobs. For our immediate environments (in my case, a university) titles carry meaning in ways other than the literal. I suspect that our customers rarely notice or care, but we do, and our peers in our working environment do. So, we need nice titles. In the library world, including the university library world, we have experienced less title creep, and less exuberant proliferation of titles than in other areas. There is certainly title creep in the academic sphere - as Cullen Murphy suggests, most commonly as "the extension of restricted honorifics to an ever widening circle of claimants." Murphy suggests that the new discipline of managing the development of titles might be called exaltametrics. In our own world we have benefited little from title creep. While in the field of information technology there is a wide range of new and more elevated titles, this is not the case in libraries. IT directors become Chief Technology Officers, the title creeping across new territory, too. Multiple titles proliferate. New terms define whole new sub-professions (business analysts) or new metaphors are taken from other professions (architects, for example). Perhaps libraries have tried to be too narrowly descriptive in the way they invent titles. Perhaps they have been too tied to the term "librarian". Perhaps they have been too afraid to cannibalise terms used by other sectors, such as "dean", although this has begun to happen in the United States. The new positions now being created throughout Australia as a result of the RQF (the Research Quality Framework) are a case in point. The generic term for the library end of this potential cornucopia of Australian library titles has now become pretty universally "repository manager". Not a great invention; the term "repository" is pretty much incomprehensible outside libraries, and the term manager is generic in the extreme. At Swinburne we use the term "Content Management Librarian". And what about Content Architect? What kinds of terms might we use in this new sphere? I am thinking my way through this one, with my colleagues, and here are some thoughts about titles for repository staff. Online content is the sphere of activity, so Online Content Officer or Online Content Librarian is good, and makes a wider claim. Or perhaps Online Content Supervisor, good because it is not clear that it is the content that is supervised, and leaves open the thought that there may be a small army of online content workers beavering away. Online content can also be used with the nouns delegate and broker, both synonyms for agent. Looking at specialised roles, online content quality controller and similar terms could be used. I really like the word marshal, but in English-language usage it is mainly (but not always) a grand person, since the military took it over from people who organised things. In Italy, a model for the use of titles, Marshal Salvatore Guarnaccia of the Florence Carabinieri in Magdalen Nabb's wonderful detective novels is a simple if informal policeman. Someone should have a go at Online Content Marshal to see how it plays out. In special libraries, there is also development in the area of titles. The Wall Street Journal suggests that titles like information specialist, knowledge manager and taxonomist are becoming more common. I am looking for imagination in contributions on this one. Don't let anyone say that librarians lacked the soaring imagination to invent the most wonderful titles in academia and beyond.

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It's November, to boot it surprises me. I haven't been printed matter oftentimes since I've been \"doing\" - at intervals fact, due to the approximately 5 weeks I was 'doing' it medially Shanghai, China. September was a blur of getting ready Because (moreover thinking about) China, October was a blur of fellow centrally located China. It's November. Again I enter so lots to fill in circumference what I've encountered. Except this I don't appetite to vernacular commonly my experiences. No, it's not this I fancy to be silent - that I don't loss anyone to expound what adventures I had; utterly the crosswise. Everyone should become aware what 4 weeks enclosed by China was jibing, undertaking including exploring. The main look remains that I've exhausted what feels commend lifetimes of community 'precisely excuse'. Not always communicating to boot not always solving. Exact note. Sometimes medially ego, customarily medially miscarriage, generally within boredom. Society amidst days, weeks, months of gloss around themselves. When different is breathing deal -- genuinely aware -- one's speaking changes . Accent buzzs away from small-talk more ego. Instead of begging \"How are you?\" the proposition bob ups \"How are you?\" Masses who are 'live' ofttimes may brogue minor further take in and . Or they may earnings the book instead of discussing pending to desire order. They've encountered adventures besides notes which aspiration little embellishment; they breathe the deals as well don't wish to exhale amidst idle chatter almost themselves. Instead, they watch, barely speaking, still inhabit --for what?-- kinship, maybe. A total that someone else has breathed adventures as well . Photo taken ended Lauren Muney, Moment Station, Pudong, Shanghai, China, Oct 2007. What an interesting trio...Also how fortunate they were to be photographed.

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I don't talk much about Crohn's and diet around here. Mostly because it is just so boring. I reliably can't eat: spinach, cole slaw (really more about the cabbage), pizza (see tomato sauce), lettuce, pretty much any leafy green, nuts, sesame seeds, popcorn, cream cheese, deep-fried foods, (yeah, so pretty much all those fatty foods folks are supposed to avoid definitely are out for me) tomato sauce, more than a slice of tomato. Depending on how brave I am and how I am doing some high fiber/whole grain stuff is ok. Lots of anything at all is bad. Sometimes a combo is bad. Sometimes a combo with a light amount of off listed food can be ok. I don't flip out if they throw a few crushed peanuts on my pad thai but sesame seeds on bread can set me off big time, but limited tahini and sesame oil are fine. Add to all this the fact that I am primarily vegetarian. But then, there are the times when all raw veggies are painful, whole grains hurt, protein makes me puke, fruit is frightening, beans bite. White bread, pasta and cheese, with maybe a side of banana, cooked pumpkin/squash (skinless), green beans, maybe melon. Yum. Low residue. Low fiber. Then again I can make lists all day and eat things all on the ok list and still find myself in the bathroom all day. So, I avoid breakfast. I rarely eat lunch at work. Right now, since I am on Prednisone, I have to have a breakfast and lunch, so the fabulous Boost is my "meal" for those two, unless I am home. Otherwise, the flare and food means I can't work. And, everyone with Crohn's and Colitis has a different list. Depending on your Crohn's high fiber might be the way to go every day...or it can kill you. Depending on where your Crohn's or Colitis is...you can eat different foods. Then there are the "miracle cure" and just give it a shot diets. Biblical. Raw Foods. SCD. Ayurvedic. Aloe. Green. Lactose-free, yeast-free, sugar-free, gluten-free. They help some people. They hurt other folk. None has been so hot for me...but I will probably give each another shot. When in the middle of a mess you grab whatever rope you can. In any case, I got to talking about diet because I read Gluten-Free(k)'s post the other day about needing some ideas for summer. She has gotten her Crohn's under control, her celiac's is getting better...and she is looking for food to eat and enjoy this summer. Go take a look at what she can and can't have...and give her some ideas. I am looking forward to some lettuce free summer dishes myself. cheap oem software buy software

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[updated July 19, 2008] Parts centrally located the Way ED After Prostatectomy - Part 1. Introduction (previous) ED After Prostatectomy - Part 2. Rehabilitation (current) The reader should be sure to have read Part 1 of this series as it gives useful background needed for reading this Part. Fibrosis and oxygenation As discussed in Part 1, the damage that is done can occur not only during the surgery but in the period of time after the surgery due to a build up of fibrosis in the penis blocking nitric oxide (NO) and so erections. Such fibrosis can represent irreversable damage. By achieving erections as soon as possible after catheter removal (within 6-8 weeks), oxygenation will occur and fibrosis may be prevented. In [Endotext] this is referred to as "avoidance of penile hypoxia through regular tissue oxygenation via erections". Wont Although it does not appear to have been specifically studied, the various treatments are not mutually exclusive so simultaneous modalities may be considered, e.g. exercise + drugs + VED This article by Sidney Radomski is only one page and summarizes what works and what does not work: [link]. Readers are encouraged to read it before reading on. Other sources of information include the Phoenix5 site [link] and a 25 page article outlining various treatments by Drs. Stephen Auerbach and Aubrey Pilgrim [here]. Exercise Exercise consists of attempting to achieve erections possibly with the aid of any of the following treatments. "The use of at least one aid was an independent predictor of more favorable sexual HRQOL" (higher quality of life). [PMID: 16844457]. Frank Sommer, a German urologist, has a set of exercises which he claims are just as effective as Viagra (though they do not appear to have been specifically tested post prostatectomy): See [men-and-health] and [urotoday] for information on the study. The first link in the last sentence also provides a description of Sommers' exercises. Note that Sommers' exercises are different than the incontinence exercises discussed in [this post]. There may be a benefit of exercise prior to surgery as well although we have not found a source where it was clearly established. PDE-5 Inhibitors Viagra (sildenafil), Levitra (vardenafil) and Cialis (taladafil) are drugs which inhibit PDE-5 which breaks down the key promoter of erections, cGMP. This indirectly enhances and prolongs erections provided one can achieve at least partial erections already. Daily Administration . It can work in conjunction with appropriate exercise to achieve more effective erections which may enhance the rehabilitation process. For rehabilitation purposes these drugs are taken at a low dosage every other day or other frequency although some good results have been reported by taking them every day. This [PMID: 16766116] discusses a successful trial of daily administration of Cialis and the review article in the following link discusses various good results in using PDE-5 inhibitors on a daily basis rather than on demand for ED, cariovascular problems and other problems: [PMID:1746047]. Table 1 of this last paper summarized the Benefits and Limitations of daily administration for ED as follows. Benefits: salvage of on-demand responders, improved treatment response in difficult-to-treat groups, disease modification, may approximate more natural sexual function, randomized placebo-controlled trials demonstrate efficacy and safety for ED of various etiologies. Limitations: extended term follow-up limited -- safety and efficacy profiles require further elucidation, mechanisms of treatment effects incompletely understood, disease modification -- attractive concept but evidence-based data limited, patient cost, no evidence of tachyphylaxis to date but longer follow-up needed. (Tachyphylaxis refers to decreased response after initial administration requiring drug-free periods.) A 2008 paper in the Journal of Urology found that patients who had better pretreatment sexual function responded better to PDE-5 inhibitors. [PMID: 18206926]. Mulhall's Approach . In a Medscape article [Penile Rehabilitation Following Radical Prostatectomy] (see section entitled Structure of Rehabilitation) and 2006 Urology Times interview John Mulhall (papers) indicates that there is animal evidence for daily administration (every other day for Cialis) preoperatively as well as post operatively and so uses the following protocol for his patients (quote is from Medscape link): I encourage presurgical patients to use low-dose PDE-5 inhibitors on a nightly basis for 2 weeks before their operation. This strategy is based on the animal data supporting pretreatment. These patients are then told that with the catheter in place they should continue to use low-dose PDE-5 inhibitors on a regular basis (sildenafil and vardenafil nightly, tadalafil 3 times a week). When they are given the go-ahead to resume attempts at obtaining erections, they are switched to a low-dose PDE-5 inhibitor 6 nights a week and a maximum dose 1 night a week. The maximum-dose pill needs to be used in an appropriate fashion with sexual stimulation. The patients are encouraged to return to the office 6 weeks after surgery, which will allow them approximately 4 weeks to try maximum-dose medication. After 6 weeks the protocol is as follows. In the exceptional case that this is successful in restoring sexual function within 6 weeks, they can continue with PDE-5 inhibitors. In the more likely case that they are not successful within 6 weeks then therapy is switched to intracavenosal penile injections twice a week (with appropriate training) and low dose PDE-5 inhibitors on non-injection nights. Because of its longer half life Cialis is not appropriate for this phase of the therapy. After a year they try maximum PDE-5 dosage once a month and if successful on that can stop injections. He normally expects some improvement within 10-14 months and optimal functionality in 18 to 24 months and notes that failure to respond to PDE-5 inhibitors in the first year does not necessarily preclude an excellent response after two years. The link cited above also gives a variation of this protocol in the case that it is started post-operatively. Comparison . A key difference among the drugs is that the half lives of Viagra, Levitra and Cialis are such that they last 2-8 hours, 4-8 hours and 24-36 hours respectively. The longer lasting Cialis would appear to be superior from the viewpoint of rehabilitation and also can be used at the lowest concentration which may make side effects less likely. However, there have been claims that Viagra is more effective at achieving intracellular drug concentration and cGMP accumulation as well as one study that claims that Levitra results in higher concentration [PMID: 15213306]. Others have indicated that there is individual variation and if one of the three drugs does not work to try the others. Detailed comparisons of the three are in the table at the bottom of page 2 in this link Greenspan, 2004 and Table 1 of Mehrotra, 2007. A February 2008 study concluded that patients who were given a chance to try all three and choose for themselves had better compliance with taking this medication [PMID: 18086159]. For side effects, contraindications and more information see: www.viagra.com, www.levitra.com and www.cialis.com . A new PDE-5 inhibitor is udenafil. See [PMID: 18221288]. A November 2007 review of PDE-5 inhibitors by Carson can be found here: [PMID: 17983891] [Full Text] also mentions that coffee is a PDE-5 inhibitor; however, coffee may have an adverse affect on incontinence and its pro-inflammatory properties might also promote recurrence. (As an aside we mention that PDE-5 inhibitors may have benefits against hypertension and other vascular diseases and are also believed to enhance one's ability to work in a low oxygen atmosphere such as would be experienced on mountain tops or by pilots.) Injections Although these drugs are desirable from the viewpoint of not being invasive, because they do not generate erections but simply block inhibitors they may not be as effective in the earlier stages of recovery as injections into the penis which directly generate the nitric oxide (NO) needed to begin the chemical process that leads to erections. According to [PMID: 16158022] 55% of prostate cancer patients treated with prostaglandin E1 injections felt that their sex life improved. More information on injections can be found at the Phoenix5 site [link] Vacuum Erection Devices Vacuum erection devices (VED) are mechanical devices that use suction to draw blood into the penis resulting in an erection. They are effective although one gets a cold erection and can be a nuisance. A ring is used to prevent the blood from escaping; however, simply for the purpose of achieving erection it would be good enough to pump up without the ring on a regular basis. There is some debate on whether or not VEDs provide oxygenation or not. An instructional video showing how these vacuum devices work can be found [here] and comments by users are found [here]. VEDs can also be used for rehabilition. In [PMID: 17822466] investigators perform a randomized control trial which concludes that daily use of a VED starting one month after prostatectomy signficantly "improves early sexual function and helps to preserve penile length". The following earlier work also supported the fact that early VED use can preserve penile length [PMID: 17657210]. If one can achieve erections it may be possible to prolong them simply by using a silicon ring. This is inexpensive and easier to use than a VED plus a ring. 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