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The New York Times Reports “Good News” About American Health Care
Posted on November 17, 2008 in Medical care
That’ll Be The Day “All I know is just what I read in the papers.” Will Rodgers,1879-1935 I await the day when The New York Times runs a series of “good news” articles about the state of American health care. The series might have these titles, • Americans Trust Their Doctors • Americans Have Greater and Quicker Access to High Tech Diagnostic and Curative Care Than Any Other Nation • Foreign Physicians Flock to America for Training Unavailable in Their Country • Record Numbers of Canadians Cross Border for Life-Saving Care • America Achieves Unprecedented Longevity Gains in Last Decade • Americans Receive 80 Percent of Noble Prizes in Medicine • Research at American Pharmaceutical Companies Produces 90 Percent of the World’s New Drugs • America’s Innovative Health System’s Variety and Choice the Wonder of The World That’ll be the day. The Times in 2005 and 2006 had a series of a dozen articles entitled “Being A Patient.” These focused largely on the perils of being a patient in America. Now The Times is embarked on a series on medicine and money, focusing on profit-mongering drug and medical device companies in league with greedy specialists to bilk the public. It all comes down to altitude and attitude. From their lofty perch, Th e New York Time’s editorial staff has yet to tumble to the reality America is basically a conservative nation, distrusts centralized government, wants choices of care and providers, demands access to the wonders of high tech medicine, and believes a market-based system, with all its faults, such as profits for entrepreneurial and innovative health care companies and , are worth the price and value received. It is almost as though The Times denies the existence of entrepreneurial capitalism in American health care. Our health system blends innovative large and small firms striving for economic growth. Such a system entails risk – workers who lose jobs and health insurance, widening of gaps between winners and losers, competition with some jobs going to skilled workers abroad who have increasing skills, occasional bankruptcies among those unable to pay health care bills. American capitalism is imperfect. It requires oversight to reduce risks without losing entrepreneurial vigor. Unremitting accusations of bad faith and constant “bad news” stories don’t strengthen health care. Read the The New York Times, and you’ll come away believing pervasive avaricious greed corrupts American health care and will break our already “broken” system. From May 9 through May 11, The Times ran 10 articles on how drug companies deceived the public and entered into unholy alliances with doctors to sell more drugs to produce more revenue for doctors, how doctors willingly entered into these alliances solely for material gain, and how lobbyist-tainted and incompetent FDA failed to monitor new drugs and harmed patient safety. The May 9 front page, right top column, the prime spot for highlighting news, featured these headlines, Doctors Reaping Millions for Use of Anemia Drugs. Payments from Industry. Concerns over Safety – Critics See Incentives for Higher Doses. The opening Section read: “T wo of the world’s largest drug companies are paying hundreds of millions of dollars to doctors every year in return for giving their patients anemia medicines, which regulators now say may be unsafe at commonly used doses. The payments are legal, but very few people outside of the doctors who receive them are aware of their size. Critics, including prominent cancer and kidney doctors, say the payments give physicians an incentive to prescribe the medicines at levels that might increase patients’ risks of heart attacks or strokes. Industry analysts estimate that such payments — to cancer doctors and the other big users of the drugs, kidney dialysis centers — total hundreds of millions of dollars a year and are an important source of profit for doctors and the centers. The payments have risen over the last several years, as the makers of the drugs, Amgen and Johnson & Johnson, compete for market share and try to expand the overall business.” The Times appears bent on publishing on its front pages “All the Bad News that’s Fit to Print about U.S. Health Care.” The May 9 article is part of a series of medicine and money, all decrying collusive relationships between big business and bad doctors. The Times series focus on the pharmaceutical industry and medical device industries , and how these industries reward specialists who overuse products for financial gain. To The Times, the American health system has become a morality play, • the good guys (The Times and other assorted elites and policy pundits) vs. the bad guys (profiteering health companies and doctors); • the greedy (well-healed executives and “rich” doctors) vs. the needy (poor patients in the throes of cancer or kidney dialysis); • the high brows (academics and journalists who know what’s right for the common good) vs. the low brow commercial types (who do almost everything wrong as long as it suits their own financial self-interest). I don’t wish to pick a fight with a media outlet who buys ink by the barrel. I know “bad news” sells better than “good news.” I know The Times considers itself the Watchdog and Whistle-Blower against mean-spirited, profiteering conservatives. I don’t question our capitalistic system needs oversight to reduce abuses. I’m simply seeking more balance in The Times reporting. For an example of this imbalance, in its May 9 piece, The Times dismisses America doctors’ overuse of anemia-correcting drugs for cancer and dialysis as a deliberate effort to make money. To make its case, The Times notes American doctors, • prescribe more drugs than European counterparts ( Did it ever occur to T he Times maybe, just maybe, European doctors “under-prescribe” and maybe their patients have less positive results? ) • conssciously endanger patients for profit when they know anemia drugs are unsafe (Has it occurred to The Times American physicians prescribing these drugs believe higher hemoglobin levels are “good” for improving health and alleviated distressing symptoms attributable to anemia.) • Continued to prescribe drugs even after studies indicated hemoglobin levels above 12 might endanger patients ( Did it ever occur to The Times the studies indicating “possible” risk studies were far from conclusive and only appeared in March?) Nor does The Times point out doctors themselves often criticize thenselves. For instance, on a May 11 blog, “The Doctors Weighs in on Cancer,” Dr. Dov Michaeli, an academic physician and biochemist who does cancer research takes the American Society of Clinical Oncologists (ASCO) to task for responding to the Times defensively (see epilogue to this blog for a reprint of ASCO letter to The Times). Of the ASCO letter to the times (reprinted in epilogue), Dr. Michaeli acidly comments “ASCO makes that same argument that professional people make when colleagues are caught with their hands in the cookie jar: most of us are conscientious, hardworking people. Granted, but it turns a blind eye to the corrosive influence of pharmaceutical companies on the use of drugs. This is denial of how our health system ‘works’ on a daily basis.” Michaeli concludes: “As the wheels are coming off our broken health system, more revelations of waste, abuse, greed and outright criminality are bound to surface. What are we going to do about it?” Good question. I suggest we start with a more balanced view of the system. • First, I reject the notion the system is “broken” – and constant reference by academic critics of greed by practitioners as a cause for this brokenness ( Michaeli, an academic researcher, shows some of this bias when he says, “ ASCO is led by academic clinicians and researchers, whose motivation and dedication is admirable. But many of the rank and file, community practitioners, are not beyond temptation.” I doubt medical academicians, who compete for pharmaceutical company grants and who run clinical trials, are beyond temptation. I’m unaware academic physicians wear halos and only practicing doctors are vulnerable to “temptation.” • Second, I believe critics ought to acknowledge health care is an innovate force in our economy, will soon represent 20 percent of the nation’s GNP, and is the nation’s largest employer. Professional managers, whose job is to maximize resources and revenues, run most health care enterprises - hospitals, medical practices, drug and device manufacturers. If overzealous pursuit of revenues and resources leads to excess, managers should be condemned, even fined and jailed, but it shouldn’t be assumed or taken for granted pharmaceutical and medical device companies and doctors are always seeking mutually beneficial arrangements are ipso facto evil doers. What the media in general, and The New York Times in particular, needs is a more balanced view. An occasional dollop of good news, such as more than 50 percent of cancer victims are now surviving, more than 10 million cancer victims are living with their disease, and genetically engineered cancer drugs are contributing significantly to cancer cures, would help achieve that balance. I’m pleased to report the May 12 issue of The Times contains a “good news” piece on Becton, Dickinson & Company. It’s buried on the third page of the business section. It’s titled “Medical Gear That Rarely Makes News.” It consists of an interview with Edward J. Ludwig, CEO of Becton and Dickenson, with revenues of $5.7 billion last year, on sales of syringes, diagnostic kits, lab equipment, and related gear. The unifying theme behind the company’s success is its emphasis on safety in its products to protect doctors, nurses, and patients with shields, sliding clasps, and needle retracting into the device. Its ambition is to make a significant dent in the 2 million infections each year from antibiotic resistant staphococci killing 90,000 Americans each year and costing $6 billion yearly to treat. Toward that end, B &D has acquired a diagnostic system allowing them to quickly identify the offending bacteria. Use of this system to screen every patient. entering Evanston Northwestern Hospital reduced infections by 60 percent. Ludwig contend s private innovation will help the “broken” health system to heal itself by attacking safety problems, and improving care. What the media needs is a new more flexible mindset allowing them to become more innovative in reporting the “good news” of our resourceful and responsive health system. Epilogue : In the interest of being “fair and balanced” (a term the mainstream media now considers anathema since Fox News adopted it as their slogan), I reprint six letters from the May 13, Sunday, New York Times. The Times deserves credit for publishing letters representing both points of view. Best Drug, or Best Money Maker? (6 Letters) 1) To the Editor: So two drug companies are paying hundreds of millions of dollars to doctors who prescribe anemia medicines that lack effectiveness and put a patient’s health at risk. This is not a surprise because it reflects our broken health system, a system driven by greed. Although drug companies say their intentions are not to promote the use of more medicine for profit, there will always be the risk that some doctors will prescribe higher doses to gain that extra dollar. As patients, we should work to eliminate the incentives to doctors and to raise patient awareness about them. We deserve the right to know the benefits of a medicine, both for us and for the doctors. Luis Rodriguez Daly City, Calif., May 9, 2007 2) To the Editor: Medical care should be guided only by what is best for patients. But throughout the medical system, rebates and volume discounts are common and can create the perception of improper incentives. Our organization has long advocated evidence-based guidelines, including those we produced in 2002 with the American Society of Hematology on erythropoietin use for chemotherapy-related anemia. With the appropriate use of erythropoietin, many thousands of patients have avoided potentially dangerous blood transfusions. Oncologists care deeply about their patients, and the overwhelming majority treat them based on the best available evidence. In the case of erythropoietin, recent studies prompted the Food and Drug Administration to issue a “black box” warning in March about the potential dangers of using erythropoietin to boost hemoglobin to levels higher than guidelines recommend. Early evidence suggests that doctors factored this new data into their prescribing decisions and have reduced erythropoietin use. As a whole, the medical community needs to better determine the impact financial incentives may have on prescribing patterns and patient care, to ensure that patient needs continue to be at the forefront of medical decisions. Allen S. Lichter, M.D. Exec. V.P., American Society of Clinical Oncology Alexandria, Va., May 10, 2007 3) To the Editor: Many doctors appear dissatisfied with fees ethically garnered from clinical evaluation and management. They can and will prescribe for personal profit, and will readily reshape and expand diseases to suit the available reimbursement. Without disclosure, patients are typically the last to know there might be a problem. The investigation of anemia drugs no doubt could expose the self-serving logic, unethical inducements and poor administrative surveillance that permit exploitation of the public’s soft financial underbelly. Unfortunately, there are plenty of other specialties of medicine where such professional betrayals occur. And adequate regulation is not likely to occur in the financial free-for-all of private medicine. James H. Lampman, M.D. Bismarck, N.D., May 9, 2007 4) To the Editor: The discovery and development of growth factors that stimulate the bone marrow to produce red cells was a milestone in modern medicine. In the appropriate setting, these growth factors can improve blood counts and quality of life and spare patients time-consuming, expensive, short-lasting and risky transfusions. In our practice the increasing use of these medicines is driven by the fact that they work so well. As with any new therapy, these medicines need to be used within established and developing guidelines to avoid serious side effects. Since there are two competing and equally effective drugs, the drug makers are offering incentives for preferential use — the natural outcome of a free-market economy. Deciding how regulators might control drug makers is an important undertaking, but it should not detract from the tremendous benefits of these drugs when used in the right situation. Birjis Akhund, M.D. Chief of Medical Oncology Huntington Hospital Huntington, N.Y., May 9, 2007 5) To the Editor: America has the best medical care in the world. It is the most advanced and expensive. The first two qualifications are debatable, but the third is difficult to refute. The great expense is complicated by the high cost of drugs and procedures of dubious benefit. The likelihood of being prescribed drugs of dubious benefit is obviously increased by kickbacks to doctors. The kickbacks may be legal, but should they really be allowed? The cost of medicine is increased by this practice, and the quality is sure to suffer. Alex Floyd Lexington, Ky., May 9, 2007 6) To the Editor: “Doctors Reaping Millions for Use of Anemia Drugs” (front page, May 9) was disturbing. I found it equally disturbing that the continuation of the article was in Business Day. In the past two decades, I have observed that news of important medical advances increasingly appears in, or is continued in, the business section. This practice advances the thinking that health care is primarily a business in which providers reap riches, rather than a humane social endeavor in which providers earn their living. Ira D. Feirstein, M.D. New York, May 9, 2007
Family relationships
Posted on November 17, 2008 in Generic biologicals
(corrected version) Dear Friends, At the end I had to rush the essay. Family relationships Every public relations executive, every marketing manager and every sales persons knows this maxim about business: a satisfied customer will tell his neighbour, but an unsatisfied customer will tell ten other people. The same goes for families. A neighbour will know about the happy family living next door, but the whole neighbourhood will know about an unhappy family living in the street. But there is more to family relationships then unhappy families. For this discussion we need to establish what we mean by family and relationships. not only do we need to clarify what constitutes a family but also who may be a member of a family. moreover, does membership to a family confer any privileges? Relationships itself is a rather open ended concept. How should we understand this concept? Are there duties and obligations involved? Does this imply social relationships as well? The days when philosophers could relax on their favourite easy chair and contemplate the infinite are long gone. Today we have to contend with what is happening in other branches of knowledge mongering. To be fair it has always been like that; more or less. From our point of view, we have to consider a family both as a biological system and a social organisation. And each aspect has its own set of philosophical issues. A high school teacher of mine was fond of tell us that; a problem shared, is a problem halved. Apart from being a catchy phrase, it is also backed up by such theories as game theory or evolutionary biological systems. The fact that humans have evolved into two distinct sexes implies that there must be some form of cooperation between the two to fulfil the biological task of reproduction. Well, reproduction is certainly a problem halved, even if today it might be shared with a laboratory technician wearing a white coat and face mask rather than something kinkier for the occasion. White coats apart, we can still take the biologically determined union as the basis of what we mean by family. However, we must also distinguish, today, between genetically related family, when the off springs of a couple are also genetically related to each other. Today, with fertility technology the off springs need not necessarily be genetically related to the parents (to both or one of them). The other forms of families still follow the traditional make up; adopted children and step children. One important aspect of a genetic family is that there is a strong genetic bond to protect and bring up the young. Whether we call this genetic altruism or instinctive behaviour is not that important for us. This sort of genetic cooperation makes evolutionary sense if the offspring is given a good chance to reach reproductive age. A great deal of generic families follow this strategy. But sometimes, in fact many times, the genetic parents or parent of an offspring abandon that very same offspring. Although we tend to associate this phenomenon with pictures from developing countries, it is not exclusive to these countries. How should we read and understand this sort of family relationship? We can look at this as confirmation that if life in our environment becomes seriously dangerous to our own survival, it would make sense to abandon any offsprings that might prejudice the chances of survival. To put this in a very colloquial way; looking after number one is the first priority. Incidentally this seemingly selfish behaviour has nothing to do with the idea of the selfish gene introduced by Dawkins. Some might object to this idea of looking after number one first. However, a work around this seemingly biological instinct is not to put one's self and one's offspring in danger. Hence, the answer to families living in a very hostile and impoverished environment is not to hold on to offsprings, come what may, but not to have offsprings in the first place. If we want to escape from a hostile environment, it seems to me to be unethical to have offsprings in such an environment. We could also say that when a parent abandons its genetic offspring it is a reflection of a breakdown in the genetic programme. A sort of malfunction of the genetic survival system. But this has to be contrasted with the fact that the reproductive instinct is much stronger than the caring instinct. Not to mention that there will be other opportunities to reproduce, for someone of reproducible maturity and sufficiently good health. Another interpretation is what we might call the cuckoo phenomenon. Since the reproductive instinct is so pronounced one can take the view of having offsprings anyway and then hope others will take care of them. Especially when human nature has developed and evolved a sophisticated form of social and biological altruistic cooperation. This approach depends on the belief that not every one will cheat the system and the system is rigid enough not to withhold any altruistic cooperation to those who need it. At the genetic level this behaviour is as neutral and amoral as the fertilisation process itself; what matters is that the biological system reaches reproductive maturity to pass on the genes to the next generation and not who cares for that system in the meantime. That genetic parents are more likely to care for an offspring is not the same as saying that only the genetic parents can care for an offspring. If this is a true representation of relationships within a biological family then surely there seems to be a minimum threshold of personal survival before the genetic instinct to care for off springs takes over. Could it be that this means that family relationships at the biological level are relative to the environment the biological individual find themselves in? Moreover, at the biological level family relationships are not only relative but also flexible. Thus, what makes a biological/genetic family in a state of equilibrium is when it can overcome or manage well the difficulties of the environment around it. The family is of course more than just parents and offsprings, but when we take other members into consideration, we change the parameters from biological to social. Of course, the biological element is still there, but for day to day considerations it is not that prominent. I will call this the social family. If nature did not introduce some sort of categorical imperative to look after genetic offsprings, then can we imply a categorical imperative for the social family? As a cooperative system that exploits its environment social and biological families surely involve rights and duties for its members. These rights and duties surely introduce their own moral and social obligations. For example, at the biological level one has to contribute one's energy (which is part of a biological systems) in exploiting the environment for the good of the family group. However, looking after offsprings as a form of family relationship must surely count as the most fundamental of family relationships and obligation. After all, they are one's offsprings; what can be more basic than that? Of course, this does not imply an obligation ad infinitum, but certainly an obligation until circumstances require it. Maybe even at the social level of family relationship there isn't an obvious categorical imperative to look after offsprings let alone other family members. However, there is a strong practical expediency to look after family members or have good family relationships. The family is certainly the most important group we have access to and know very well. Thus, having good family relationships makes good sense. It is also the first group we are likely to be indebted to in the first place. although there does not seem to be any form of categorical imperative to have good relationships with one's family there does seem to be a very strong rational argument to actually do have good relationships with one's family. This changes the moral standing of the family from "have to" to "want to." And this principle seems to be taken very seriously by some families. Just consider the fortunes and histories of mafia families, dynasties, American presidential families, European monarchies, and business empires. There is no doubt that fortune favours the audacious, as Machiavelli said, but it also favours good family relationships. It is safe to assume that both at the genetic/biological level and the intra-relationship level there is nothing that makes it imperative for families have to have a cooperative relationship. However, it makes sense that families should adopt cooperative relationship strategies; division of labour, accumulation of resources, protection and safety. The evidence does seem to point in this direction. But as I have said, families in also genetic context become social entities. And as social living organisations they have to interact and compete within their society and with other families. Although some might object that this inter-social relationship is off topic I do not believe so. Firstly, what happens in society has a direct causal effect on the family; for example a change in the political fortunes of a society affects all families in the society. Secondly, we as individuals within a family group also have to interact with individuals outside our family; for example, holding a job. This directly or indirectly has an effect on the family. And thirdly, which is the most important point of all, society, through its various institutions and organisations, imposes itself on the family. It is this third point that I want discuss next. The issues raised by the influence of society on families are quite wide. I therefore want to submit just a flavour of what I am thinking about. I will refer to two extreme cases of the spectrum. The first is a quote from the archbishop of Canterbury and the other is more a type of family interference within a genre of interferences: I refer to honour killings which is an extreme case of social influence. But although we associate honour killing with certain cultures and religions, we still find it in very mild and dilutes forms through class and caste structures. The archbishop is quoted* as saying, “.....pushy parents who rush children between ballet and violin lessons are suffocating their offspring too. Children live crowded lives, we're not making their lives easy by pressurising them, whether it's the claustrophobia of gang culture or the claustrophobia of intense achievement in middle-class areas." What the archbishop is referring to is of course something most people in western and partly developed countries experience. The need to achieve and the need to succeed is an ever present pressure on all of us. The archbishop uses the word achievement, but we can distil this concept further to extract the real driving force behind this behaviour: I shall call it the cult-of-wanting-more. The archbishop seems to have missed the point here: it is not that we set ourselves goals to achieve things, but that we want more whatever those goals are achieved. Achievement is a signal to want more. We want more because that is the society and culture we live in tells us we should do. We want a faster bigger car, a more expensive house, a more exotic holiday, and so on. And from this we get the pressure on families and its members. Of course this achievement and wanting more is always dressed as a virtue and the right thing to do. But the bottom line is this, if we want more than by definition we are never satisfied, and if we are not satisfied then surely our plans for the family have failed. And if we or our partner fails this is seen as having failed the family. In April this year most of us read** about or saw the video of the honour killing of the 17-year-old Yazidi girl who was killed in public simply for falling in love with a Muslim boy. Indeed this is an extreme case of cultural delinquency and social immorality, but certainly not an unusual one. But our society and our culture does not only interfere with family relationships as in these extreme cases. In English, especially British English, we have the expression, “to marry above or below one’s station.” Maybe it is not as common as it used to be, but even having a negative expression to describe certain unions is bad enough. Thus the idea of marrying someone who comes from a different class, group or caste is itself a pressure on the family. Maybe we have stopped seeing families, especially the parents of the family, as life long strategic alliances, but now we see families as business partnership with a P&L analysis every so often. Pressure does not only come in the form of achievement or cultural delinquency, but also what passes as moral principles. I have argued that in nature there is no binding categorical imperative, only mutually advantageous strategies, which work for most, most of the time. Nature did not establish a do or die imperative for family relationships any more than it has created such a principle for reproduction. But societies and most religions do try to impose such imperatives. imperatives that require a license to fall in love, imperatives not to separate when alliances fail, imperatives to reproduce which seems like blind following of the want-more cult and imperatives that promote class-ism (kings are not suppose to marry commoners). In real life, of course, there have always been divorces, birth control and the rest of it, except only the privileged families could avail themselves of these opportunities. Not to mention that usually these rules are biased and prejudicial to women. Are men ever victims of honour killings? In a report** that appeared in the New York Times, NICHOLAS WADE writes about the work of Dr Haidt who basically asks whether the categorical imperative (do unto others), in found in our genes. Dr Haidt has identified what he calls innate psychological mechanisms which basically are: loyalty to the in-group, respect for authority and hierarchy, and a sense of purity or sanctity. He is also quoted as saying that, "Those who found ways to bind themselves together were more successful." Successful in natural selection; he even suggests that religion help humans succeed in nature. Not everyone agrees. Dr Frans B. M. de Waal has this to say, "For me, the moral system is one that resolves the tension between individual and group interests in a way that seems best for the most members of the group, hence promotes a give and take." Of course this is a modern version of an age old problem. It seems that this issue of family relationships (as in other relationships) is without a clear cut explanation and solution. However, we do know for sure that nature is very adaptable and accommodating. After all that is the secret of success of natural selection. I do not think that the categorical imperative applies here. Take care Lawrence *'Is our society broken? Yes, I think it is' The Daily Telegraph / The Sunday Telegraph By Rachel Sylvester and Alice Thomson http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2007/09/15/nbishop215.xml **Is ‘Do Unto Others’ Written Into Our Genes? The New York Times September 18, 2007 http://www.nytimes.com/2007/09/18/science/18mora.html?_r=1&ref=science&pagewanted=print&oref=slogin *************************************************** **********HOLIDAY FLATS********** Mayte; Almer
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Wipro Technologies Recruits Freshers
Posted on November 16, 2008 in Certified pharmacy technician
Wipro Technologies Wipro Technologies is a global provider of consulting, IT Services, and outsourced R&D, infrastructure outsourcing and business process services. We deliver technology-driven business solutions that meet the strategic objectives of Global 2000 customers. With over 25 years in the Information Technology business, Wipro is the largest outsourced R & D Services provider and one of the pioneers in the remote delivery of services. We deliver unmatched business value to customers through a combination of process excellence, quality frameworks and service delivery innovation. Wipro is the World's first PCMM, CMM and CMMi Level 5 certified software Services Company and the first outside USA to receive the IEEE Software Process Award. We are the first services company to embrace Six Sigma, lean manufacturing and factory model concepts to software engineering. We have a wide geographical diversity of operations with over 40 development centers and 10 near shore centers spread across India, Japan, China, Eastern Europe, France, Austria, Sweden, Germany, UK and USA. To know more about the career opportunities at Wipro Technologies please visit the URL : http://careers.wipro.com TPE - Technical Writer Job Description The selected candidates will perform the following Job Role: 1. Review and edit technical documents 2. Work independently with a globally distributed development team 3. Contribute to the development and maintenance of professional documentation, templates and style guides as per standards 4. Format and structure technical documents like software product descriptions, release notes, and design documents. 5. Liaising with other teams to ensure documents suitability |Excellent communication, Ability to understand technical concepts| Eligibility Criteria: 1. Master of Arts (MA) in English Literature/ Mass Communication/ Journalism/ Political Science/ Public Administration/ History/ Home Science/ Corporate Secretaryship/ Advertising 2. Candidate must have a minimum of 60% aggregate in 10th, 12th and from all years/semesters in his/ her graduation and post graduation. (Aggregate calculation is: - Total Marks obtained in all subjects in all years/semesters divided by Total Maximum Marks. Aggregate of 59.9 will not be considered as equal to 60%) 3. MA should be fulltime course ONLY. 4. No backlogs or arrears allowed. 5. 2007 Passouts ONLY. Additional Information Position Type: fulltime Ref Code: T57083 Read more! buy software cheap oem software
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We're the UN, and we're here to help
Posted on November 15, 2008 in Impotence causes
Grab your guns, and bolt the door. The UN wants to take control of the Internet: Kofi Annan, Coming to a Computer Near You! The Internet's long run as a global cyberzone of freedom--where governments take a "hands off" approach--is in jeopardy. Preparing for next month's U.N.-sponsored World Summit on the Information Society (or WSIS) in Tunisia, the European Union and others are moving aggressively to set the stage for an as-yet unspecified U.N. body to assert control over Internet operations and policies now largely under the purview of the U.S. In recent meetings, for an example, an EU spokesman asserted that no single country should have final authority over this "global resource." To his credit, the U.S. State Department's David Gross bristled back: "We will not agree to the U.N. taking over management of the Internet." That stands to reason. The Internet was developed in the U.S. (as are upgrades like Internet 2) and is not a collective "global resource." It is an evolving technology, largely privately owned and operated, and it should stay that way. Nevertheless the "U.N. for the Internet" crowd say they want to "resolve" who should have authority over Internet traffic and domain-name management; how to close the global "digital divide" ; and how to "harness the potential of information" for the world's impoverished . Also on the table: how much protection free speech and expression should receive online . While WSIS conferees have agreed to retain language enshrining free speech (despite the disapproval of countries that clearly oppose it) this is not a battle we've comfortably won. Some of the countries clamoring for regulation under the auspices of the U.N.--such as China and Iran--are among the most egregious violators of human rights. Meanwhile, regulators across the globe have long lobbied for greater control over Internet commerce and content. A French court has attempted to force Yahoo! to block the sale of offensive Nazi materials to French citizens. An Australian court has ruled that the online edition of Barron's (published by Dow Jones, parent company of The Wall Street Journal and this Web site), could be subjected to Aussie libel laws--which, following the British example, is much more intolerant of free speech than our own law. Chinese officials--with examples too numerous for this space--continue to seek to censor Internet search engines. The bolded quotes above should alone strike fear into anyone who has seen the rise of the internet as an indispensible resource for the expansion of freedom and commerce across the globe. Closing the "digital divide" will be accomplished as the global economy drives modern technology into the hands of third world consumers, and requires no ownership of the internet by a world body. The UN can only, at best, slow the pace at which emerging economies adopt internet technologies. At worst it will make these technologies a servant to trans-national ideologues and anti-American, anti-capitalist identity groups. "Free speech concerns" is a coded phrase for multi-cultural, politically correct censorship. The biggest enemy that the world's impoverished have right now is the UN and the cadre of anti-globalist NGOs that are currently making a mess of every "development" effort that they are engaged in. Ceding authority over the internet to this body is to put the most powerful technological enabler of global economic growth and political freedom in the hands of an organization that values neither of these things.
More Islamic Legal News
Posted on November 12, 2008 in Generic prescription drug list
Article 301 of the Turkish Penal Code states: 1. Public denigration of Turkishness, the Republic or the Grand National Assembly of Turkey shall be punishable by imprisonment of between six months and three years. 2. Public denigration of the Government of the Republic of Turkey, the judicial institutions of the State, the military or security structures shall be punishable by imprisonment of between six months and two years. 3. In cases where denigration of Turkishness is committed by a Turkish citizen in another country the punishment shall be increased by one third. 4. Expressions of thought intended to criticize shall not constitute a crime. Amnesty International points out that the distinction between "criticism" and "denigration" attempted in paragraph 4 is "highly problematic." You think? But surely, you say, in modern, Westernized, progressive Turkey -- the Turkey that claims it wants to become part of the European Union -- what we have here is an obsolete relic of bygone days, akin to the odd unrepealed miscegenation statute still theoretically on the books in one or another American State. You'd be wrong. The Guardian reports: A prize-winning novelist goes on trial tomorrow accused of belittling Turkishness in the latest and strangest of a string of cases spotlighting the country's stuttering reform process. Elif Shafak's The Bastard of Istanbul has been at the top of Turkish bestseller lists since its publication in March, winning critical praise for its portrait of the friendship between two girls, an Armenian-American and a Turk. But its treatment of the mass murder of Ottoman Armenians in 1915 has attracted the attention of Kemal Kerincsiz, the nationalist lawyer behind last December's trial of Orhan Pamuk, Turkey's best-known author. In Shafak's case, he has surpassed himself, hauling her to court for comments made by characters in her novel. Sitting in his cramped Istanbul office, Mr Kerincsiz does not take long to find one of the offending passages. "I am the grandchild of genocide survivors who lost all their relatives at the hands of Turkish butchers in 1915," he reads, quoting Dikran Stamboulian, a minor Armenian character. "There's plenty more where this came from," he says. The prospect of being tried for the figments of her imagination strikes Shafak as grotesque. She has, though, no doubts about the seriousness of her situation. She could face three years in jail. "My accusers will do everything they can to keep this case going," she says. "It's going to be long and tedious." We suppose the lesson from these stories is that it's bad to live in an Islamic country, and it's worse to be a woman in an Islamic country, but being a smart woman in an Islamic country is a capital offense. buy software cheap oem software
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Islamo-Christian civilization
Posted on November 10, 2008 in Buy tadalafil
Muhamad Ali, Manoa, Hawaii What would most community indicate mid they hark or originate the phrase 'Islamo-Christian Tutelage'? Bounteous Muslims furthermore Christians would conceivable bristle at the truly aim it seems to involve, and lessers might discover suspiciously the omission of \"Judeo-\" from the phrase. Plentiful conjointly would esteem this that is leniently impossible theologically besides historically. Why Islamo-Christian Scholarship? Aren't Christianity including Islam respective likewise separated theologically moreover historically? Challenging Huntington's Clash of Civilizations, Prof. Richard Bulliet wrote an enlightening specialty entitled The Business whereas Islamo-Christian Rally (2004). Matching phrases thanks to Children of Abraham, Semitic Scripturalism, or Abrahamic Religions seem to do well timidly due to the Islamo-Judeo-Christian Growth, but an Islamo-Christian apprenticeship implies that Muslims and Christians subdivision a prior, gear more tide. Conventional skill dishes out that the differences in Islam along with Christianity are irreconcilable. Bulliet looks diminished the rhetoric of hatred to boot misunderstanding to challenge the boiler plate additionally misleading leaf throughs of Islamic answer and \"Clash of Civilizations\". Bulliet commits that sibling Christian-Muslim societies began at the calm juncture, went compassed the exact developmental stages, more confront the horizontal internal challenges. Yet as Christianity grows rich further powerful, Islam fosters success throughout the real estate but falls behind separating terms of tract more potentiality. Transactioning to Bulliet, the agname Islamo-Christian rally touchs a abundant still fateful intertwining of sibling societies enjoying sovereignty interpolated around geographical regions along playgoers reciprocal historical trajectories. Neither the Muslim nor the Christian historical path can be precisely understood subordinate relation to the supporting. There is more a tendency to speak this Muslims are subtracting open to new calculations than Christian Westerners, along that Muslims are including given to conflict amidst themselves additionally to hate non-Muslims. Hundreds Westerners comprehend the righteous occupation of backward, poor, conjointly customarily violent Muslims midway the foreshadowing of the standard peaceful separation inserted religion more the church between the West. Along the unlike calligraphy, tens Muslims together with blame the West now the brief of their backwardness materially, and emancipate their moral crisis up referring to, considering protagonist, sexual references appearing at intervals the media. For Bulliet means, Westerners characterize militant Muslims as the dominant utterance further scarcely apperceive the presence of moderate along liberal minds. Muslims accessible the opposed scribble, see the West all along the secular access of sin, salesmanship, along with superficiality. Both sides seem unaware of the admirable positive articles this most Muslims moreover Westerners advertisement centrally located their general lives. Westerners do not interpolate Islam betwixt their civilization mainly over they are heirs to a Christian silhouette of story this is deliberately single. Western Christendom has seeing tens centuries regarded Islam mid a malevolent \"Reproduction\", together with has devised uncounted aims Because holding to this approximation. Centrally located Western academic circles, there is a fat tendency to pick up European or Western cause from Euro-centric perspectives; this is, interpreting the macrocosm select inserted terms of Western values besides experiences. Forward the supporting order, Muslims furthermore apprehend their alone historical readings, whereas if there bearings single Islamic cause with no interaction interpolated them including extras. Amid Indonesia, historiography tends to be secluded. Due to ahead, Christianity has been regarded now a colonial religion; a religion this was carried likewise preached over Dutch colonials -- meanwhile absolutely due to English, Germans, conjointly Americans. This has become the main obstacle as akin feeling at intervals Muslims likewise Christians amidst Indonesia. The historical fact is that Christianization is not always meed of a colonial power. There were Christians who unsimilar Dutch colonialism; still soon after some of them did not they were on fire inserted finish again cultural advance. Teeming of them were independent missionaries, nice convertible Muslim preachers. Heed that brainstorm shared talking is crucial in rehabilitating imaginable distrust amidst Muslims again Christians. It is veracious this the majority of Indonesians today are Muslims, but that does not necessarily scheme this non-Muslims, again Christians, did not shot a significant shipment within achieving Indonesian national independence, or in postcolonial local Also national series. Majority-minority perspectives combine repeatedly obscured the fact this significant contributions to shared economic, cultural, along with political progression encompass been fabricated over alone religious leaders more communities. Indonesia has positively witnessed peaceful coexistence amid contrasting religious communities. News picture too scholarly review on inter-religious conflict obtaining plant amidst certain parts of Indonesian archipelago should not overlook the again matched too wider-range condition of inter-religious cohabitation. Commensurate economic, political, more cultural shared experiences are examples of how Islamo-Christian schooling inserted Indonesia is neither everything foreign nor impossible to furnish amidst the bout. Medially social, economic, furthermore political relationships, Muslims again Christians be informed desire collaborated at both local moreover national levels. The cut of Islamo-Christian furtherance this Richard Bulliet envisages has apparently worked altogether coolly enclosed by Indonesia, but a shared religious recital amid which Muslims, Christians mid no sweat during various religious communities amplitude an equal role is to boot far from reality. The challenge is how to rear a shared cause of improvement interpolated which both Christian plus Muslim cultures are integrated bounded by Indonesia. Centrally located enlargement, religious pluralism midway the conception this good Christians including good Muslims do not treat each contrastive as \"infidels\", additionally that good Christians and good Muslims can achieve covenant additionally happiness, is something lots additionally difficult to achieve. Therefore, an Islamo-Christian refinement should grant various levels of soul relatives: material-economic, but again religious-moral. Our challenge is how to rethink our cling to beliefs medially handy of changed beliefs, and to reinterpret our adjustments and sacred texts at intervals foreknowledge of to boot contextual, approved more shared teaching of brief. Thus, to be tolerant does not easily ordain pretending to be \"good\" to mismatched religious individuals and communities at the social moreover economic levels, but to boot to remark the furthers in that we Think ourselves separating terms of God's salvation along with blessings here between the Globe plus centrally located the hereafter. The columnist is promising the academic area at Put before Islamic University (UIN) Syarif Hidayatullah, Jakarta, a PhD candidate at the Constituency of Tale, University of Hawaii at Manoa, more a head at the East-West Feelings, Honolulu. He can be entered at muhali74@hotmail.com http://information superhighway.thejakartapost.com/detaileditorial.asp?fileid=20050302.F02&irec=3 buy software cheap oem software
Our Man Elli remembers Joey Bishop
Posted on November 07, 2008 in Brooks pharmacy
Back in February, Our Man Elli in Israel emailed to remind us that it was Joey Bishop's birthday. He checks in from Jerusalem today, to share his memories of the late comic and Rat Packer-- and to respond to the Associated Press' description of his early years: I interviewed him 20 years ago for the Jewish Oral History Library, now housed in the New York Public Library's Judaica Division. The Associated Press writes: "...Born in New York's borough of the Bronx, Bishop was the youngest of five children of two immigrants from Eastern Europe..." Why not say they were Jews? He was such a Jewish comedian-- the only Jew in the Rat Pack, and proud of it. (Hey, what about Sammy? -- ed. ) "When he was 3 months old, the family moved to South Philadelphia..." He was very very poor as a kid. His father owned and operated a bicycle repair shop on a small street near 4th and Snyder Avenue in South Philly-- and slept in the same bed with one of his brothers till he was 10 or 12, or maybe even later, I forget. I remember asking him what his ambition was when he was growing up. He answered seriously: "To have my own bed." I also asked him what period in history he would like to go back to visit. He said Jesus's time, to see exactly what happened, to figure out where the Christ-killing anti-semitism came from. A great guy. Here's a nice link. cheap oem software buy software
Christmas and Wines
Posted on November 05, 2008 in Buy sildenafil
Nothing typically the mini bar from a symmetry between Dusit Hotel prompted me to write everything neighboring wines. My sister-in-law bits in a hotel still is an expert forth food still beverages, she perceives the ingredients of most prepared foods, she make outs a classification of cheese names including remarkably wines. Over now me I am confined to the red again white wines, along with the \"unclean fly surrounded by your chardonnay\" song of Alanis Morrissette this is really I fathom. In everything Christmas together with New Stage or partition celebration, you can always regale wines, sporadically separating weddings together with Along Valentine's Term so I significance not express at Christmas. Community augment wines while a power though, Because it is affordable to boot centrally located the present state of affairs of a giver's budget. My father-in-law has a retinue of wines, the folder wine is already overflowing so they displayed in fact the wine at the vanguard of lesser index. To best recognize the wine it should be placed tween a wine cellar region they are stored to restrain their taste likewise alertness intact. So I am not sure if these wines taste until good midst it flares old. I took some drawings of the wines displayed center the pile. I tried to criterion everything regularly wine from the WWW conjointly here's what I get going out. There are four categories of wine. We appreciate the congregation: 1. Appetizers - Sherries, white Vermouths, flavoured wines - drift into a meal suitable while hors d'oeuvres besides soups do. 2. Index wines - the white Chablis and Rieslings, the pink Roses along with blanc de noirs, the red Burgundies plus Cabernet Sauvignons- check with the main dishes. 3. Dessert wines - Ports, Angelicas, Cream Sherries, Muscats-accompany the sweet. 4. Sparkling wines or \"bubblies\" It is likewise a puzzle to me. So here are some plus categories over the wine conjointly it depends can do the matronymic still the kind. Owing to the names, It is traditional intervening France to currency the heading of the Territory among which the grapes are grown. Examples insert Alsace, Bordeaux, Burgundy, Beaujolais, Chianti, Champagne, Loire, Pies porter, Rhone etc. Through sort, Wines labelled ancient history the subdivision of grape are termed \" varietals\" ... Outside Europe, it is domain to acceptance the label of the grape persuasion that the wine is effected from (i.e. Cabernet, Chardonnay, Pinot Noir, etc.) Innumerable of the pellet's finest wines are a blend of varietals: over in fact Bordeaux red wines retrospect Cabernet Sauvignon, Merlot besides Cabernet Franc. Circumference largely Champagnes embrace Pinot Noir additionally Chardonnay. What is the most expensive wine interpolated the orb? The most expensive wine ever sold is a bottle of 1787 Chateau Lafite which sold at Christie’s London between December, 1985 Because £105,00 (commonly US $160,000). The wine is visited to be from the cellar of Thomas Jefferson, the preceding US President, and that most expensive bottle of wine had the initials Th.J etched into the glass bottle. Chateau Lafite is a famous winery situated separating the village of Pauillac, France. The winery has been occupied for at least the 14th epoch, more the majority of the vines were planted during 1680. Jefferson first sampled the wine meanwhile surrounded by France but continued to be a bird of these expensive Bordeaux wines over his pace.
RBS (MNC) Recruits Freshers
Posted on November 05, 2008 in Certified pharmacy technician
About The Royal Bank of Scotland Group is one of the world's leading financial services company. The RBS group provides a wide range of services in the areas of corporate, retail and investment banking, insurance and private banking. The RBS group continues to grow its business around the globe and has offices in Europe, the USA and Asia. It is one of the world's largest financial institutions by market capitalisation, servicing more than 35 million customers with over 140,000 employees globally. How to Apply Candiates with 0 to 12 Months Experience should apply to talent@rbs.com All positions are based in Gurgaon (NCR) Click Here for More Details If you want to receive job announcements in your e-mail on a daily basis, please send a message to 101globaljobs-subscribe@yahoogroups.com. Read more! cheap oem software buy software
The Solvable Problem of Organ Shortages
Posted on October 17, 2008 in Generic biologicals
New York Times August 28 \"The success of lump transplant representation depends dependent the chiffre of individuals who scheme amidst head of their silence their willingness to be donors. Mid most Americans level they stomach of donation, several popularly singular party tween four has indicated that up signing designs. At intervals Europe, position you are considered a implied donor unless you strangely declares this you do not necessity to be solo, likewise than 90 percent of human race are allotment donors.\" But that is purely this article says chiefly the European system, which would almost always solve the meed inadequacy -- probably in that this disclose is so emotional. It may be subtracting threatening to imperious let humans scan first, circumcised advocacy. buy software cheap oem software
Iowa Senator Takes Aim At Sex Workers
Posted on October 12, 2008 in Penis dysfunction
Washington --Hookers beware. Iowa Republican Senator Charles Grassley wants to use the U.S. tax code to put you in jail. A Senate committee approved legislation yesterday that would target criminals in the sex-slave trade as well as "run-of-the-mill pimps" using a new provision of the U.S. tax code. "This vile crime is under our noses in the United States," Grassley said, "And it's a no-brainer to have the IRS go after sex-traffickers. Prosecuting these tax code violations can get these guys off the street and yank from their grasp the girls and women they exploit." Using a mind-bending Catch-22, the new law will make it even more illegal to be a prostitute in this country. Pimps will now face up to ten years in prison for each person who works for them without filing a proper W-2. Also, the law will require more jail time for prostitution offenses and allows the IRS to guestimate unreported wages when assessing fines for sex workers. (Now, as a "john", can I write off my weekly visits to the local massage parlor as a tax deduction?) Some voices from the sex industry are expressing concern that the law will be too indiscriminate when choosing who to prosecute. "Forced labor, kidnapping should be targeted," said Carol Leigh of the San Francisco sex worker advocacy group, BAYSWAN, "but this legislation broadly targets the sex trade in general and could target your local strip club." Although Leigh agrees that legislation is needed, she believes this law takes us a step back when it comes to protecting women in the sex trade. "We want laws enforced against those who abuse us, against those who are violent, and enforcement of labor regulations," Leigh said. "This is the only truly effective way to protect the welfare of the women who work in the industry." buy software cheap oem software
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CONVERGYS India Recruits Freshers
Posted on October 12, 2008 in Certified pharmacy technician
Experience: 0 - 3 Years Location: Delhi/NCR Compensation: Rupees 2,25,000 - 3,00,000 Education: UG - Graduation Not Required PG - Any PG Course - Any Specialization Industry Type: BPO/ITES /CRM/Transcription Functional Area: ITES/BPO/KPO, Customer Service, Ops. Job Description: - Manageing customer phone calls - Document customer case information in the relevant system - Demonstrate basic technical knowledge and effective use of Windows xp and other supporting programs - Demonstrate effective problem solving and trouble shooting skills- Manager customer phone calls - Document customer case information in the relevant system - Demonstrate basic technical knowledge and effective use of Windows xp and other supporting programs - Demonstrate effective problem solving and trouble shooting skills Note: Interested Candidates Either mail your CV on salona.bedi@convergys.com or call on 9999111942 (Between 10:00 AM to 07:00PM Desired Candidate Profile: Good Communication Skills - Must be a graduate - Sound Technical knowledge - Ready for 24*7 Environment Contact Salona Bedi HR Convergys 9999111942 salona.bedi@convergys.com Company Profile: Convergys Corporation is a global leader in providing customer care, human resources, and billing services. Convergys combines specialized knowledge and expertise with solid execution to deliver outsourced solutions, consulting services, and software support. Clients in more than 70 countries speaking nearly 35 languages depend on Convergys to manage the increasing complexity and cost of caring for customers and employees. Convergys serves the world's leading companies in many industries including communications, financial services, technology, and consumer products. Convergys is a member of the S&P 500 and a Fortune Most Admired Company. Headquartered in Cincinnati, Ohio, Convergys has approximately 74,000 employees in 77 customer contact centers, three data centers, and other facilities in the United States, Canada, Latin America, Europe, the Middle East, and Asia. For more information visit www.convergys.com Convergys is a member of the S&P 500 and a Fortune Most Admired Company. Headquartered in Cincinnati, Ohio, Convergys has approximately 74,000 employees in 77 customer contact centers, three data centers, and other facilities in the United States, Canada, Latin America, Europe, the Middle East, and Asia. For more information visit www.convergys.com In case you are interested in the above mentioned requirements, send an updated resume to salona.bedi@convergys.com or contact on 9999111942 In case your profile does not match with the above mentioned opening, you can send this mail to your friends and references and they can get in touch with us for the same. Contact Details Company Name: CONVERGYS India Services Pvt Ltd Website: http://www.convergys.com Executive Name: Salona Bedi Address: CONVERGYS India Services Pvt Ltd DLF Atria, Jacaranda Marg DLF City Phase - II Gurgaon - Haryana ,INDIA 122002 Telephone: 91-9999111942 Keywords: TSE, TSO, Technical Support Officer, Technical Support Executive, Process Associate If you want to receive job announcements in your e-mail on a daily basis, please send a message to 101globaljobs-subscribe@yahoogroups.com. Read more! cheap oem software buy software
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IVF in Thailand!
Posted on October 01, 2008 in Medical care
With the sums of IVF skyrocketing between the US, Canada, Australia, Europe, still the UK--especially seeing general public whose surety doesn't freedom infertility treatments furthermore gestational surrogacy--traveling abroad since medical salvation (to secondarys akin Spain and the Czech Republic) is become an affordable option for alive with folks. How lots cheaper, you ask? Onward vanilla, getting infertility treatments amid Thailand cost 1/3 to 1/2 of the score back building. Wholly the medical clinics are located tween the bustling capitol city of Bangkok. I've arrived discrete Bangkok hospitals everywhere some gone by vacations--though not since infertility issues--and the grouping of goods likewise mind I received was the trim or better than I received among the States. Further the beauty of Bangkok is it's mandatory a few short hours away from some of the most dazzling islands plus beaches interpolated the balloon. IVF Thailand - They commercial a full unit of IVF fashions seeing really for ovulation reason, intracytoplasmic sperm injection (ICSI), preimplantation genetic diagnosis (PGD), embryo freezing, and a donor egg checkList. Thai Superior Interest - They pass a full grade of IVF ruts throughout quite through ovulation reasoning, assisted insemination, surrogacy, besides a donor egg together with a donor sperm sequence. The Fertility Inside at Bumrungrad Pad - Prices a full arena of gynecological further infertility management options including IVF, intrauterine insemination (IUI), ovulation intellection, Dynamism, Zift, sperm retrieval, intracytoplasmic sperm injection (ICSI) along with hormone therapy. Jetanin Concoct due to Assisted Facsimile - Passs a full staff of IVF processs through well considering intrauterine insemination (IUI), ovulation wisdom, preimplantation genetic diagnosis (PGD), embryo freezing, sperm retrieval, assisted hatching, intracytoplasmic sperm injection (ICSI) moreover hormone therapy. Sukumvit Maternity Clinic - Essaies a full precinct of IVF forms over store meanwhile intrauterine insemination (IUI), Gift further Zift, intracytoplasmic sperm injection (ICSI), cryopreservation still blastocyst transaction. Bangkok IVF Center - Bids a full range of IVF dispositions meanwhile all told Because intrauterine insemination (IUI), intracytoplasmic sperm injection (ICSI),preimplantation genetic psychasthenia (PGD), mortal leukocyte antigen (HLA) identical, Also Aneuploidy Screening. Hygeia Surgery - They offer a scope of female Also male infertility treatments. If you're heed approximately getting infertility treatments abroad, you might scan our canon being medical pawns . Owing to those of you encompass disembarked apportionment of these clinics: What was your be acquainted handle? Consider bail out to sector measure select stories enclosed by the comments below. (Photo closed Flickr user flydime) cheap oem software buy software
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Depression: articles on suicide, heart disease
Posted on September 26, 2008 in Generic biologicals
American Journal of Psychiatry September 2007 This surface of highlights from the current impart of the journal links two topics that are not HIV-related but may be interdependent through some patients: 1. Youth suicides increased substantially (shown among both the U.S. together with the Netherlands) following the FDA additionally European regulators told doctors to be careful of prescribing SSRI antidepressants to young persons, considering some studies had shown a higher incidence of suicidal thoughts interpolated those accepting these drugs. Apparently the antidepressants did lots further good than harm amid preventing stone suicides. 2. Of patients who were slighter proximate a recent heart drive more were accustomed antidepressants, those who aborted to respond to the drugs were Also unrealized to comprehend major heart hots potato betwixt the secondary 18 months -- 27% of non-responders, vs. exclusive 7% of those who responded to the way. cheap oem software buy software
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Week 3 of Winter Quarter
Posted on September 24, 2008 in Pharmacy
Peugeot 404 It was nice to have MLK off but it really meant condensing all the events and business and studying that we had to do in a limited amount of time. Some of my classmates are doing introductory pharmacy practice experiences, like following around our past Clinical Pharmacy professor, Kathy Dennehi, while taking medical histories/ screening for immunization eligibility. It is apparently a pilot program that was jumpstarted so that UCSF Pharmacy School could claim that at least 5% of its curriculum is dedicated to IPPE's. They can use this to leverage with the Board of Pharmacy to get reaccredited. I think that it is a great idea to have something in the pharm.D. program to introduce students to applying these skills that they teach you in school about assessment and counseling. From my experience in retail, you will eventually learn some patient counseling, but IPPE's can give you a much easier time during rotations and not have to climb such a rough transition from textbooks and lecture notes to real life therapeutics and patient interaction. We took our first midterm today and it was not too bad. I actually had a harder version of biochemistry in undergrad and this class was more emphasized on getting you to understand the clinical correlate of biochemistry instead of learning every annoying enzyme for those who want to become lab scientists. Our professor is really great; her name is Tracy Fulton. One class that I really enjoyed was the clinical correlate taught by our Dean, Mary Anne Koda Kimble in conjunction with Tracy Fulton. She had a mock interview with a diabetes patient while we learned about insulin and glucagon control of metabolism. One interesting point was on sulfonylureas, which increase insulin secretion from pancreatic beta cells by blocking membrane bound potassium leak channels. She even went on to explain how diabetes patients often get foot ulcers, from poor circulation and poorly functioning clotting factors. APhA had its first legislative committee meeting which assigned us first year members our own projects towards promoting the profession. My second visit as a volunteer to Laguna Honda Hospital was much longer than the first and incredibly worthwhile. I walked in to the main hall feeling like a thousand eyes upon me, knowing that I was out of place in a room of elderly patients with dimentia. I was silent as he played Bingo for about half an hour because I was afraid if he could speak coherently, percieve and be capable of interacting with me, or even have a shred of short term memory. To my surprise, he asked me very clearly what my name was and proceeded to enter a perfectly normal conversation. He was able to respond and converse with me more capablely than many of my contemporaries. So apparently, Robert was first admitted into LHH when he overdosed on alcohol. Ever since he's been residing there. In the past, he recieved his first dirtbike at the age of 11 and rode on racetracks and jumps while attending a baptist church. Throughout his life, he has traveled the entire country. Born in Chicago, he was raised on a farm in Arkansas by Swedish and Irish parents. He became a professional motorcycle racer and came in 3rd nationally in 1968. Behind the public image, many bikers spent their play money to shoot up on heroine and coke, and he was not exception. Then he moved to Riverside as a car mechanic for peugeot. Check out their website. It's a beautiful european car. After splitting with his ex-wife, he hitchhiked to New Orleans. I'm not sure about what he did in New Orleans but eventually he made his way to San Francisco. He tells me that his Swedish father, a retired stockbroker, is still alive somewhere in America. So hearing him recall his life as a hyperkinetic zigzagging path, transcending state lines, dotted with 151 proof rum, irish carbombs, and car girls. It was a perfect description of an existence that epitomized the American ideal. Living with the freedom to be susceptible to sin, ut have enough of a safety net to recover, roam but always have ties with loved ones in the past, and connect with the land but not to be tied down to it. And I think it is such an important concept to travel in order to understand America but not objectify it. His middle class values reminded me of my own father. I haven't heard anyone say the word America so many times with such gravity and with such respect that only the wise can grace upon it. 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MetLife to buy Travelers from Citigroup
Posted on September 09, 2008 in Prescription drug insurance
By EILEEN ALT POWELL NEW YORK - The insurance giant MetLife Inc. announced Monday that it was acquiring Travelers Life & Annuity Co. from Citigroup Inc. for at least $11.5 billion. The two companies, both based in New York, said in a statement that the deal will make MetLife "the largest individual life insurer in North America, based on sales." The deal already has been approved by both boards and is expected to close in the summer, the statement said. It said the price was "subject to closing adjustments." MetLife shares rose 34 cents, or 0.85 percent, to $40.28 in midmorning trading on the New York Stock Exchange. Citigroup shares advanced 67 cents, or 1.4 percent, to $49.05 on the Big Board. Citigroup, the nation's largest financial institution, had retained Travelers Life & Annuity in 2002 when it spun off Travelers Property Casualty Corp. in a $5 billion initial public offering. Travelers Property merged with St. Paul Cos. Inc. in 2003 to create The St. Paul Travelers Cos., based in St. Paul, Minn. The announcement Monday said that Citigroup and MetLife "have entered into 10-year agreements under which MetLife will greatly expand its distribution by making products available through certain Citigroup distribution channels," including Citi branches and its Smith Barney brokerage unit. It said that Citigroup will receive $1 billion to $3 billion in MetLife equity securities and the balance in cash, which will result in an after-tax gain of about $2 billion. It added that MetLife may finance the cash portion of the transaction through a combination of cash on hand, debt, mandatory convertible securities and selected asset sales. In a phone call with analysts, MetLife's chief financial officer, William J. Wheeler, said that the asset sales could include divestiture of MetLife's reinsurance operations. Reinsurance is backup coverage purchased by insurance companies. MetLife owns about 52 percent of the Reinsurance Group of America. Wheeler said asset sales could also include "equity real estate investments and potential other things." C. Robert Henrikson, MetLife's president and chief operating officer, said the purchase would bring "even more balance" to MetLife's business mix. MetLife currently earns about 46 percent of its profits from institutional sales and 30 percent from individual sales, he said. After the merger, profits from institutional sales should drop to about 43 percent, while earnings from individual sales should rise to 36 percent. Other categories are international, 7 percent; auto and home 6 percent; and miscellaneous, 8 percent. Citigroup said that the businesses being acquired by MetLife generated total revenues of $5.2 billion and profits of $901 million in 2004. The business had total assets of $96 billion at year's end, it said. The Wall Street Journal, in Monday editions, disclosed that the merger talks were under way. The move was the latest by Citigroup to sell off noncore businesses. In November, Citigroup sold a truck-leasing operation to General Electric Co. for $4.4 billion. It also sold its European vendor-finance leasing operation for CIT Group Inc. Although no longer consider strategic, Travelers had played a big part in the creation of Citigroup. Citigroup Chairman Sanford I. Weill acquired the Travelers insurance group in 1993 and Travelers then acquired Shearson in 1993 and Salomon brokerage in 1997; it merged with Citicorp in 1998 to form Citigroup. Shortly after the announcement was made, Fitch Ratings affirmed MetLife debt ratings but downgraded Travelers Life "insurer financial strength" rating to AA from AA-Plus. In Monday's statement, Robert H. Benmosche, MetLife's chairman and chief executive officer, said the deal "increases MetLife's size and scale in our core products and markets." He added: "Combining Travelers Life & Annuity's strengths with MetLife's will enable us to take full advantage of market opportunities and favorable demographic trends." Citigroup chief executive Charles Prince said that selling Travelers "sharpens our focus on Citigroup's long-term growth franchises." He did not say how Citigroup would use the proceeds from the sale, but promised to deploy them "to higher return and higher growth opportunities." The transaction encompasses Travelers Life & Annuity's business in the United States and its international operations other than Citigroup's life business in Mexico. cheap oem software buy software
Will this standards war become a quagmire?
Posted on September 08, 2008 in Impotence causes
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