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EX0-104 TMap Next Foundation

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EX0-104 exam Dumps Source : TMap Next Foundation

Test Code : EX0-104
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exam questions : 60 true Questions

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Exin Exin TMap Next Foundation

New Coalition to carry twenty first-Century talents for Employability to 20 Million americans across Europe by means of 2010 | killexams.com true Questions and Pass4sure dumps

LISBON, Portugal — Jan. 31, 2006 — today as section of its persisted dedication to assisting promote digital literacy and aiding courses that give IT abilities working towards and the merits of know-how, Microsoft Corp. announced current choices for underserved communities in Europe as a section of it twenty first Century abilities for Employability initiative. The bulletins were made during the keynote exploit through Jean-Philippe Courtois, president of Microsoft international, at the Microsoft government Leaders discussion board (GLF) Europe 2006 in Lisbon, Portugal. The GLF is a two-day adventure that brings collectively more than 300 high-level executive officers and enterprise leaders from throughout Europe with the purpose of riding discussion concerning the alternatives and challenges that leaders puss in the current world economy.

“essentially the most requisite section of the ecu Union’s growth and jobs strategy is underway, and the highlight is firmly on supplying outcomes. Partnerships between the Member States and the private sector can additionally build a gargantuan contribution to Europe’s competitiveness as a Place and for its residents,” famed Vladimir Spidla, european Commissioner for Employment, social Affairs and Equal alternatives. “I welcome the advent of the ecu Alliance on skills for Employability. The alliance is a leading illustration of how imaginative business-to-business collaborations, working with several stakeholders, can provide opportunities to the european unemployed. access to abilities practicing, content provision and certification can help older workers, people with disabilities and the younger to puss the challenges of unemployment and the altering Place of work, and so build a contribution to Europe’s prosperity. I commend this initiative because it represents probably the most most efficacious practices in this field.”

suggestions and communication expertise (ICT) capabilities working towards is a key automobile for employability and job introduction in a competitive and inclusive Europe. it's on the heart of the dreams of the ecu commission (EC) record “Working collectively for multiply and Jobs” and of the targets currently discussed at the World climax on the counsel Society (WSIS) in Tunisia. In guide of those desires, Microsoft, along with different participants of the eu e-potential Certification Consortium (eSCC) including Cisco programs Inc., the eu computer using Licence groundwork Ltd. (ECDL-F) and the Examination Institute for suggestions Science (EXIN), and with the uphold of condition street Corp. and Randstad keeping nv, announced the formation of the ecu Alliance on capabilities for Employability. The alliance is being created to help more desirable coordinate traffic and group efforts to improve the employability potentialities of adolescent unemployed americans, americans with disabilities and older worker's. The alliance will labor to deliver expertise entry and ICT practising to 20 million people in the next five years.

“elevating employment is essentially the most beneficial approach to generate growth and promote social inclusion. The challenges posed via an getting former inhabitants build the modernization of social coverage systems and the advertising of a life-cycle fashion to labor every the more vital,” stated Günter Verheugen, vice chairman of the european fee in can permeate of commercial enterprise and business. “To raise access to employment for individuals of every ages and to hoist productiveness, the european wants greater and more-positive funding in human capital and lifelong getting to know. particularly professional people are the strongest currency of the twenty first century. Partnership between agencies and stakeholders for the ordinary goal of raising employability abilities is key to success. I welcome the advent of the ecu Alliance on potential for Employability as a automobile to drive employability, competitiveness and multiply for the individuals of Europe.”

In guide of its twenty first Century lore for Employability initiative, Microsoft these days launched a current digital literacy curriculum that will supplement the latest Microsoft® unlimited potential curriculum utilized in neighborhood centers throughout Europe. The digital literacy curriculum will be made accessible free to governments, academia and different nongovernmental organizations, and may be attainable online. The curriculum includes e-getting to know and on-line very own assessments of five modules, and offers a basis-level training program that will stimulate hobby in greater-level skilled qualifications.

moreover, Microsoft announced that it's going to raise the number of Microsoft IT Academies from 1,900 to greater than eight,000 via 2010, with the direct of offering local access to technology competencies working towards for more than 6 million adults. greater than 2 million residents might be in a position to exhaust the IT Academies to cozy certifications which are identified via employers during Europe.

“the eu Alliance on talents for Employability could be crucial in enabling European residents to gain access to practicing to enhance 21st-century capabilities. they are disdainful to be working with such a leading group of trade partners to achieve this goal,” Courtois said before his keynote tackle nowadays. “The growth of the IT Academies software and nowadays’s launch of the digital literacy curriculum flaunt Microsoft’s dedication to assisting people acquire foundational ICT abilities that will permit them to comfortably participate in the twenty first-century expertise economy.”

The alliance contributors are committed to investing greater than €60 million ($seventy three.5 million U.S.) over the next 5 years to obtain these formidable goals, and to present concrete help for the pursuits of the EC’s “Working collectively for boom and Jobs” motion plan. With every ally contributing its core knowledge, classes and supplies toward a typical purpose, the alliance has the capabilities to proffer current opportunities to thousands and thousands of people birthright through Europe.

About Microsoft Digital Inclusion

through a number imaginitive technologies and partnerships, Microsoft is working to deliver the merits of technology and expertise lore to 250 million individuals by passage of 2010, with the most usurp purpose of using know-how to aid enrich education and discovering, create possibility, and hoist residing requisites for individuals every over the world. Microsoft’s flagship digital inclusion initiatives are companions in researching and limitless expertise.

About Microsoft

based in 1975, Microsoft (Nasdaq “MSFT”) is the worldwide chief in application, services and solutions that help americans and agencies realize their replete abilities.

Microsoft is a registered trademark of Microsoft Corp. within the united states and/or different nations.

The names of actual companies and products mentioned herein could be the logos of their respective owners.

word to editors: if you own an interest in viewing more information on Microsoft, gladden consult with the Microsoft internet web page at http://www.microsoft.com/presspass on Microsoft’s corporate suggestions pages. internet hyperlinks, cellphone numbers and titles had been rectify at time of publication, but may additionally due to the fact own changed. For additional suggestions, journalists and analysts can furthermore contact Microsoft’s snappily Response team or different usurp contacts listed at http://www.microsoft.com/presspass/contactpr.mspx.


An Introduction to OpenStack and OpenStack Certification | killexams.com true Questions and Pass4sure dumps

Written by passage of Tim Warner published: 29 August 2016

web page 2 of two

Woman working in cloud server environmentSo finish you remark what's occurring birthright here? Let me give you a more concrete illustration. You may deploy OpenStack on a brace of commodity Intel-primarily based servers operating one in every the following Linux distributions:

● CentOS 7● openSUSE● pink Hat enterprise Linux 7● SUSE Linux commercial enterprise Server● Ubuntu 14.04 (LTS)

The host hardware, which customarily uses MySQL as its database back-end, offers you the underlying compute (CPU and RAM) vigor. For storage you may own several platforms obtainable from one or greater of the following authorized vendors:

● Ceph● CloudByte● Coraid● EMC● Hitachi statistics methods● HP● IBM Storage

Your OpenStack hosts can exploit virtualization hosts running any of here hypervisors:

● VMware ESXi● Citrix Xen● Microsoft Hyper-V

then you exhaust the Horizon consumer interface to exploit your hosts and hypervisors, installation digital machines, and so on. here's a simple illustration, but it surely at least gives you a tough thought as to how OpenStack works in follow.

OpenStack Certification alternate options

if you are pondering to your self, "Wow! It takes a huge skill set to exploit OpenStack!," then you definately're absolutely suitable. this is why licensed OpenStack administrators command such towering salaries in the IT marketplace.

To that aspect, there are two OpenStack certifications that you simply should learn about. One is from the OpenStack basis itself: the licensed OpenStack Administration (COA) credential.

To merit your COA, you must circulate a single, $300, performance-based mostly exam that may furthermore be taken via on-line proctored delivery from most any Place on this planet. This 2.5-hour exam has a seventy six/100 hotfoot tag and includes one free retake if you don't pass for your first effort. As of this writing, the COA exam is obtainable only in English. build inescapable to try the COA exam pursuits and down load the Candidate instruction manual.

red Hat, the builders of the trade-leading crimson Hat commercial enterprise Linux distribution, offers two ranges of OpenStack certification titled as follows:

● purple Hat licensed system Administrator (RHCSA) in crimson Hat OpenStack● crimson Hat licensed Engineer (RHCE) in red Hat OpenStack

In brief, red Hat, which is a number one contributor to the free OpenStack community code base, offers a commercial OpenStack product, crimson Hat OpenStack Platform, which it sells by passage of subscription.

To achieve RHCSA/RHOS certification, you exigency to hotfoot a single, 4-hour performance-primarily based exam, EX210 RHCSA in red Hat OpenStack. RCHE/RHOS certification is obtainable to any individual who earns RHCSA/RHOS certification, and requires passing an extra three-hour efficiency-based examination, EX310 RHCE in purple Hat OpenStack.

EX210 RHCSA in pink Hat OpenStack examination is available in English, French, Italian, jap and Portuguese. EX310 RHCE in purple Hat OpenStack examination is accessible in English. There are a handful of options for taking each checks. each can be found:

● In open-enrollment public classes (sometimes offered in conjunction with non-compulsory connected working towards)● At your enterprise web site● As someone exam at crimson Hat-approved checking out websites

which you could try the EX210 examination targets birthright here. however, accept as virtuous with joining RDO, the international group of pink Hat OpenStack adoptees.

As is the case with any massive, open-supply challenge, different organizations and corporations present a variety of and varied lesser-common OpenStack certifications. here are a number of to assemble you started:

● EXIN basis certificates in OpenStack utility● Linux basis OpenStack Administration Fundamentals● Mirantis OpenStack Certification● Rackspace certified Technician for OpenStack● SUSE certified Administrator - OpenStack Cloud

Tim Warnerin regards to the author

Timothy L. Warner is an IT knowledgeable and technical coach primarily based in Nashville, Tenn. a laptop fanatic who authored his first basic software in 1981 on the Radio Shack TRS-eighty model III, Tim has worked in practically every facet of IT, from techniques administration and utility structure to technical writing and working towards. He may furthermore be reached by passage of LinkedIn.


what is an ISEB certificates? | killexams.com true Questions and Pass4sure dumps

what is an ISEB supervisor's certificate in IT service management? and might you narrate me what ITIL is? These each own been requested in a fresh job description.For assistance concerning the ISEB manager's certificate in IT provider management, gladden remark this net web page. you're going to furthermore are looking to examine the instructions at this web page.

as far as i can inform, here is an expert construction pains that mixes practicing and exams to boost already-licensed managers -- who ought to first gain an ISEB/EXIN groundwork certificate in IT service administration (or the ISEB community service administration certificates, which gives exemption) -- into greater senior certifications in the particular areas of provider help or carrier delivery.

so far as ITIL goes, that refers back to the IT Infrastructure Library, a generally European fashion to managing IT features, supported through British typical 15000 (BS15000). remark this net site for greater information.

It sounds fancy you're given that employment somewhere in the European Union, if not in the UK. decent success and hope that helps!


EX0-104 TMap Next Foundation

Study guide Prepared by Killexams.com Exin Dumps Experts


Killexams.com EX0-104 Dumps and true Questions

100% true Questions - Exam Pass Guarantee with towering Marks - Just Memorize the Answers



EX0-104 exam Dumps Source : TMap Next Foundation

Test Code : EX0-104
Test name : TMap Next Foundation
Vendor name : Exin
exam questions : 60 true Questions

What are core targets ultra-modern EX0-104 exam?
Inside the wake of trying a few aids, I at very last halted at Dumps and it contained precise answers delivered in a primarymanner that become precisely what I required. I used to be struggling with with subjects, whilst my exam EX0-104 changed into only 10 day away. I used to be apprehensive that i would no longer own the potential to garner passing score the basebypass imprints. I at final surpassed with 78% marks with out a gross lot inconvenience.


No consume brand current time on internet! located actual supply ultra-modern EX0-104 questions.
Hearty passage to killexams.Com team for the question & respond of EX0-104 exam. It furnished tremendous fashion to my queries on EX0-104 I felt assured to stand the test. Discovered many questions inside the examination paper just fancy the guide. I strongly Enjoy that the manual continues to be valid. Admire the pains with the aid of your team members, killexams.Com. The fashion of dealing topics in a completely unique and uncommon manner is superb. Want you people create extra such consume a examine at courses in near destiny for their comfort.


I sense very assured with the aid of making ready EX0-104 true exam questions.
killexams.com questions and answers helped me to recognise what precisely is predicted in the exam EX0-104. I prepared properly within 10 days of preparation and completed every the questions of exam in 80 minutes. It comprise the topics just fancy exam factor of view and makes you memorize every the subjects effortlessly and correctly. It furthermore helped me to understand a passage to control the time to finish the exam before time. it is fine technique.


EX0-104 exam is no more difficult with these QAs.
Wow..OMG, I just exceeded my EX0-104 cert with ninety seven percentage score I become uncertain on how usurp the examine fabric became. I practiced with your on-line check simulator, and studied the cloth and after taking the test I became fortunate I located you guys at the web, YAHOO!! Thank You Very Much! Philippines


Dont forget to try those true examination questions for EX0-104 exam.
I got this p.C. And exceeded the EX0-104 exam with 97% marks after 10 days. Im extraordinarily fulfilled by using the proximate result. There can be brilliant stuff for companion flush confirmations, yet concerning the expert level, I cerebrate that is the principle tough course of action for first-class stuff, mainly with the examination simulator that gives you a danger to exercise with the appearance and experience of a true examination. This is a completely substantial intellect dump, true examine guide. This is elusive for reducing side assessments.


What are requirements to pass EX0-104 examination in slight attempt?
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I were given wonderful Questions and answers for my EX0-104 examination.
Killexams! gargantuan thanks to you. last month once I was too much worried about my EX0-104 examination this site assist me plenty for scoring high. As anyone is aware of that EX0-104 certification is too much difficult however for me it become not an unreasonable amount of tough, as I had EX0-104 material in my hand. After experiencing such dependable material I counseled to every of the college students to bias towards the pleasant instructional offerings of this site for your instruction. My usurp desires are with you focused on your EX0-104 certificates.


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Testing in the Application Lifecycle with Visual Studio 2010 Test Edition | killexams.com true questions and Pass4sure dumps

a translated version of an article Rob and I wrote for the Dutch .NET Magazine.

Visual Studio Test Edition will be significantly extended in the upcoming version [2010]. Next to uphold for developers and testers this version will furthermore uphold user / acceptance testers. With these features the upcoming version of Visual Studio will cover the testing spectrum completely.

Introduction

Everyone knows that testing is an requisite section in the evolution of software and it is quite unusual for the testing department to be completely separated from the departments that develop software. This separation of worlds is not only physical, but furthermore present in the zone of tooling. Cooperation is hard to find even though cooperation of developers and testers using a structured approach offers many advantages. It increases the efficiency of the entire application life cycle and improves the trait of the resulting product, which combined results in reduction of cost.In this article you will be able to remark how Visual 2010 improves upon the cooperation between the software evolution team and testers quite a bit.

An case from reality

Cooperation does not happen automatically. Developers and testers own a natural inclination to not (want to) understand one another. From that perspective it is hard to realize that you exigency each other to deliver software of wonderful quality.

... watch to not understand each other

The consequence of this virtual (and sometimes real) wall is disastrous for quality. Many bugs are caused especially by suppositions and interpretations of, generally, unclear specifications. Meetings about these bugs cost a lot of time, especially if they cannot be reproduced.

After a evolution cycle of 5 man-years a test is done by a testing team. The testing team vigorously starts running test cases that they prepared during the implementation phase. After 3 months their judgment is: Negative recommendation on release. Because of (8) mortal and (22) gargantuan errors they recommend not hotfoot the system to production.

Understandably, this was quite a disappointment for the project team as well as the stakeholders. So a task constrain is formed to contain the retard and thus damage that has occurred. After heedful analysis it turned out not to be as horrible as it looked: After filtering testing errors (20%), nice-to-haves (20%), and changes (which the testers had not been made aware of; 30%) repair costs were estimated at 200 hours (the remaining 30%).

All in every the implementation team own done a wonderful job. Still, better communication from both sides, before and during the testing phase, would probably own resulted in a positive judgment and thus CELEBRATION. Quite a bit different from a glacial shower!

Cooperation in the Application Lifecycle

The typical case in the above paragraph clearly shows that cooperation between test departments and evolution departments is often far from obvious. If no pains is establish into creating a cooperative relationship between developers and testers the proverbial ”wall” will loom every by itself. In general, this wall causes confusion, irritation, and forced limits of tasks and thus loss of quality. The so-called ‘ping pong’ consequence with (non-reproducible) errors is the most lucid and most often occurring case of this.

Software evolution and every roles involved are supposed to strive for one common goal: providing added value to the customer. It does not matter what kind of application needs to be implemented. every tasks and roles exigency to reach for this one unique goal. The synergy between roles, processes, and tools is furthermore commonly known as Application Lifecycle Management [ALM]. Notions fancy accountability, governance, and compliance are regularly used when talking about ALM. But every these notions advert to the simple notion of cooperation.

Application Lifecycle Management.

There would be a better mutual understanding if developers and testers would own more insight in each other’s labor and challenges. Annoyances disappear and people labor together on a common cause. Visual Studio Team System 2010 will better uphold this cooperation. By giving the tester aids for performing his/her tasks and making him/her a first-class-citizen within the Team Foundation Server, he/she has and gives more insight in tasks to be done, progress on these tasks and what steps still exigency to be performed.

Aside from this insight, which often means quite a change of culture, the tester has better insight in and access to the ALM-Artifacts from other roles. For example, use-case and activity diagrams from traffic and information analysts and other diagrams from designers and architects are easily accessible through Visual Studio Team Architect Edition. Cooperation not only occurs by giving insight in labor activities, but furthermore by working on common products.

To assemble a lucid picture of how Visual Studio Team System 2010 will uphold testers and ensures a better cooperation, first must be looked at goals and tasks which testers try to achieve and perform.

Test goals

In the age of the monoliths it was practicable to retard testing until the acceptance test. Because the monolith had every of its functionality in a compact manner in one gargantuan component, it was simple to ascertain errors quickly and they could be repaired even quicker. That era has passed. If you depend too much on the proximate test, in current architectures, it is quite practicable that you will not achieve the desired on-time, on-budget delivery.

High trait requirements and short time-to-market for information systems demands a 180 degree turn in regards to how one thinks about tests. Instead of delaying the mindset has to be “Finding Bugs as early as possible”.

Each facet of the evolution process has its own test goals and depth of test coverage. The depth particularly depends upon the risks: higher probability of damage requires better test coverage.These test goals are especially aimed at discovering errors that can be found in that facet (“as early as possible”).

  • during unit testing the internal logic of the unit is tested,
  • the unit integration test needs to flaunt that units ”understand” each other.
  • the system test (which is called readiness scan in the Acceptance Test Guidance of Patterns of the Practices Group, remark helpful links) needs to prove/demonstrate that the system complies with the functional requirements that own been agreed to,
  • finally, the acceptance test considers how the system fits into the environment in which it will operate.
  • Test goals and (depth of) test coverage per facet are made compatible with each other using a Master Test project (see TMap® www.tmap.net).

    Types of tests in the Application lifecycle.

    Every test must be able to confidence on previous tests, only then will the complexity of errors be contained to errors that were introduced during the last step. Setting up a learning cycle makes it practicable to rectify shortcomings, if any, in the testing process chain (see further in this article). Also, the exhaust of tooling plays a crucial part. Running test cases by hand, as done in the nowadays widely used Agile process, is not attainable. So automated uphold is a must.

    However, experience shows that foolhardy exhaust of tools results in more chaos rather than gains. birthright from the start tests exigency to be set up in a structured manner to contain maintenance efforts within workable limits.

    Each facet of the evolution process and its corresponding test goal introduces a specific role with specific abilities and tasks. These roles are supported by specific components of VSTS 2010. In short, the following kinds of testers exist:

  • The evolution tester. This tester knows the inner workings of the system and makes exhaust of test-frameworks to automate the tests that he wants to perform. This testing role, which is often if not always performed by developers, has been supported for a while now by technical aids as Unit test frameworks and the current version of Visual Studio. This functionality of VSTS is not only available in the Test Edition, but furthermore fully present in the Developer Edition, which confirms that these tasks are primarily done by developers. VSTS 2010 eases the life of the evolution tester by smart uphold of Test Driven Development.
  • The system tester. The system tester tests the system for completeness, whether requirements own been met. These are not only functional requirements, but furthermore trait requirements fancy performance and security.System testers exhaust a lot of scripts to automate their activities, he/she would fancy to accomplish the same tests using various infrastructures and configurations. VSTS has had Load- and Web testing for quite a while in the Test Edition and with the introduction of VSTS 2010 the creation of test scripts is simplified by introduction of the so called ‘CodedUI’ framework.
  • The acceptance tester. The acceptance tester, furthermore called user tester or black box tester, truly is a tester who performs a test of the application and knows nothing about the internal workings of the application. He/she constructs test cases using functional requirements, using various testing techniques.Acceptance testers, who often still exhaust excel sheets to accomplish their tasks, are abundantly well supported in Visual Studio 2010. Test cases are registered in TFS and he/she has access to a specific implement based on optimal uphold of, usually, manual testing activities.
  • Enough about testing and cooperating. What does it examine fancy and where exactly is cooperation supported. In the following paragraphs the abilities of Visual Studio Team System 2010 are explained more precisely using the test goals and test tasks as mentioned above.

    Democratizing Application lifecycle management.

    With their vision “Democratizing Application lifecycle management” Microsoft has further extended the uphold of Visual Studio Team System 2010 for ALM. As can be read in this publication of .NET Magazine, additional supporting aids are available to improve cooperation and various roles are better supported.

    Several techniques and components in the testing zone own been added to Visual Studio. The most remarkable added feature is the standalone [acceptance]test implement Camano. Camano is a test management environment where test cases can be introduced, which are labor items of a current labor particular kind ‘test case’ in Team Foundation Server. Test cases can be performed using TestRunner, which has the skill to record actions done by the tester and forward these along with a findings report. The TestRunner does not only capture the screen of the tester, but furthermore gathers information about the system that is being tested on and creates a file that can be used within Visual Studio to step through the tester’s actions in debug mode. This file is actually a complete stack track that mimics a real-time debug experience. Microsoft calls this “Historical debugging”.

    test overviewTest project overview in Camano from which Test cases can be executed.

    Apart from supporting the execution of acceptance tests Visual Studio Test Edition furthermore has the option to automate it. Using CodedUI technology, which generates C# code from actions that own been executed in the window, UI tests can be included in the daily or continuous build process.

    A lot of current things, but how finish you exhaust them? In the following paragraphs some examples are shown.

    Test impact View for the evolution tester.

    As mentioned in the previous paragraph, the evolution tester has been provided with ample tools to accomplish his/her tasks in the current as well as previous version of Visual Studio. For instance, the test framework and the test coverage reports are there to prove quality.

    Microsoft has still found current ways to uphold the labor of evolution testers and those who finish Test Driven Development. The Test impact Analysis is the most eye-catching.

    impacted testsImpact Analysis screen

    The Test impact View provides developers [test developers] an overview of every unit tests that own been affected after a code change, and thus exigency to be rerun. Aside from the tests that exigency to be run, the Test impact View furthermore provides an overview of code that has been modified. This overview furthermore enables efficient testing of code changes.

    Camano, TestRunner and CodedUI for system and acceptance testers

    Acceptance tests verify the system regarding compatibility with the environment and functionality, as mentioned in previous paragraphs. Those that play the role of acceptance tester can finish this totally ‘disconnected’ from the evolution team. every that is required is a list of tests that needs to be run. If the application does not comply with what is described in the test, this is sent to the developer to fix.

    There are three challenges in this simple scenario:

    First: test cases are based upon traffic requirements. Nine out of ten times these requirements own been established by the traffic at the start of the project and during evolution of the application these own been updated due to current insights. This causes a problem for the tester. How does he know that the test case he is executing is up-to-date and can be traced back to a user requirement.

    In Visual Studio 2010 this challenge can be met by linking test cases to User Stories [in the Agile Template] or Requirements [in the CMM process template]. This passage reports can be generated about these User Stories. Camano, an aid to the acceptance tester divorce from Visual Studio, can narrate if User Stories finish not own a test case yet and vice versa. It can furthermore flaunt test cases that are not linked to User Stories, which can hint that this test is not needed.

    testimpact camanoTest impact Camano, User Stories without tests.

    liniingLinking a test case to a User Story

    Just fancy the test ‘Impact Analyze’ in Visual Studio, Camano has an impact view that shows which tests exigency to be rerun not only because of code modifications, but furthermore because of modifications in User Stories. This helps the tester understand the labor of the traffic analysis [and developer] better, by indicating something has changed, what has changed, and that he needs to modify something, i.e. rerun a test.

    The second problem is the issues. The tester notices something that is not rectify in the application and sends this issue in an email or some other more advanced bug reporting system with towering priority to the evolution department. Email back to the tester with modification status: ‘bug solved’ or ‘not reproducible’. The tester verifies, notices that the bug is still there and sends back an email, alittle irritated. The start of the so-called ‘bug ping pong’ (?! Is there an acceptable idiom in English for this?).

    Since the first release of Team Foundation Server in 2005 this ‘bug’ has been recognized as a labor item. This made it easier and clearer for developers and testers to register bugs, to manage, and to build reports. However, there is no true integration with acceptance testers. They can interpolate issues by using the WebAccess implement of TFS, but one does not really solve the previous challenges with that.

    In Visual Studio and the standalone testing implement Camano this integration with acceptance testers comes true. With Camano’s TestRunner it is practicable to redeem a lot of necessary information within the issue registration system that can be useful to the developer to reproduce the issue and solve it.

    testrunnerTestRunner

    Microsoft TestRunner makes a snapshot of the environment, operating system version, service pack and every other practicable system information. Aside from this system data, the testers can build screenshots during testing and embed these in the bug report. Not only screen prints can be embedded, but furthermore a video of the actions that the tester has taken can be establish into the findings report, which is indexed by test steps in the test case. every this additional information helps the developer to find a solution quicker and easier and makes confident that the wall, the irritation, between developers and testers becomes smaller or disappears entirely.

    bug reportIssues labor particular with testing steps in the details-tab.

    The third challenge is the workload of the tester. For example, when a bug is solved he needs to rerun his test case. This in itself is not a gargantuan challenge, because he has recorded everything in excel or some other tool. But what if the bug, for example, is a section of something that is used in hundreds of pages or screens? Then every these pages exigency to be tested again, which is not very efficacious for the tester indeed.

    Camano makes it practicable to record Test Cases and to rush these later on in TestRunner, so that the tester does not to disappear through every the steps manually again. A gargantuan improvement to reduce repetitive activities. Another addition to Visual Studio that makes life easier for the acceptance and system testers is the CodedUi, with which it has been made practicable to build scripts for the user interface that is hard to test automatically.

    CodedUITestVarious options to add UI tests to test projects. The ‘automation strip’ option can reuse Camano’s strips.

    The code that is necessary to build these tests practicable can be extracted from tests that own been executed in Camano. Only little adjustments exigency to be done to let them indeed rush automatically [for case using variable data]. Using this load tests, regression tests, and user tests can be automated, through which the case where hundreds of test pages exigency to be retested can be prevented.

    Structured testing

    Test tools finish not structure the test process, they only build the labor of the tester easier. On the contrary, automation of unstructured testing increases CHAOS. In Camano it is still practicable to create many test cases that finish not build any sense. What does a structured test approach examine like? One can cerebrate of many ways to finish this.

    Generally it can be said that a structured test approach is characterized by:

  • Providing structure, so that it is lucid what needs to be done by whom, when, and in what order.
  • Containing the entire scope and descriptions of the complete purview of material aspects.
  • Providing concrete aids, so that the wheel exigency not be reinvented every the time.
  • Managing test activities taking time, money, and trait into consideration.
  • CaptureAn organization needs to select with which flush of ambition this structured test process is implemented in projects.

    In Visual Studio Team System 2010 it is practicable to record a process template for structured testing in TFS. Sogeti is currently working on two versions of the “TMap® process template”:

  • The standalone version, suitable for acceptance testers.
  • The merge version that is attached “behind” the process template used by the evolution team.
  • Process TemplatesTMAP process template for structured testing in VSTS 2010

    Still, only (structured) testing is not sufficient. If a developer does not know what trait needs to be delivered, he does not know when he is done, that is a tester does not know if an error should or should not own been found by the developer himself.

    So it is requisite to conform on what flush of trait needs to be delivered. In TMap® Next (the structured test approach of Sogeti) the notion basic trait has been introduced. This basic trait describes not only the needed test coverage, but furthermore provides aids for the passage in which tests exigency to be done, and furthermore describes the necessary proof process and conformance.

    Using this ”definition of finished” it is practicable to setup a learning cycle: not only rectify errors, but furthermore learn how to preclude them!

    Structured testing, making the entire test process more efficient, so testers can finish their labor based on risk, (basic) quality, and learning cycle is something that can be realized using Visual Studio Team System 2010. Agreements about procedures, basic quality, and other things exigency to find their ways into the process templates of Team Foundation Server.

    Conclusion

    In Visual Studio Team System 2010 every test roles are provided with lucid and better uphold within the Application Lifecycle. Testers finish not exhaust their own divorce technical tools anymore, but exhaust integrated tools that are used by architects and developers. Effectively tearing down the wall between developers and testers.

    But wonderful tools are not enough. Also, a lucid separation of roles, tasks, and authorizations are necessary. Finally and most importantly, a structured approach determines how successful you are with your test strategy.

    Useful links

    E. Pringle: TeenScreen Sets Up Shop In Illinois | killexams.com true questions and Pass4sure dumps

    Monday, 20 June 2005, 11:29 amOpinion: Evelyn Pringle

    A controversial project to screen every Illinois school children for mental health disorders is set to become a reality on June 30th, if the Governor accepts the final proposal from the Illinois Children's Mental Health Partnership (ICMHP).

    Illinois became the first condition to hop on the bandwagon for President Bush's current license Commission's (NFC) project to theme every American school children to mental health screening. In 2003, Illinois Lawmakers passed the $10 million Illinois Children's Mental Health Act (ICMHP), creating a Children's Mental Health Partnership, which many await to become a model for other states.

    The Final Report by the Illinois Children’s Mental Health task constrain was released in April 2003 and it is filled with intrusive and expensive recommendations. The ICMHP held hearings in various locations across the condition in 2004 to assemble public feedback on the plan.

    While its proposals look harmless enough at first glance, comments from parents during the hearings raised many sound concerns. The State, critics said, no longer assumes that Illinois children are mentally healthy, it presumes every children exigency mental health screening.

    The task constrain Report calls for a comprehensive, coordinated children’s mental health system comprised of prevention, early intervention, and treatment for children ages 0-18 years and for a statewide data-reporting system to track information on each person, and social-emotional evolution screens with every mandated school exams (K, 4th, and 9th),

    The task constrain wants to: Start early, genesis prenatally and at birth, and continue throughout adolescence, including efforts to uphold adolescents in making the transition to adolescent adulthood.

    Karen Hayes, associate director of Concerned Women for America-Illinois published an feeling Piece in the Illinois Leader on July 23, 2004 and had a distinguished idea. She said maybe the legislators should be mentally evaluated.

    Concerned parent, Joseph Volpendesta, feels the same way. "Mental Health screening might be much more usefully employed on these people who near up with these brainstorms; it is obvious that they own far too much time on their hands and too slight regard for those of us who are paying the bills. What is needed, and at the earliest opportunity, is a bill to rescind this piece of legislative claptrap. ... There is no doubt in my intellect where the mental health screening is most needed and it ain't the kids," he said in a letter to the editor of the Illinois Leader June 13, 2005.

    TeenScreen Customer Recruitment Scheme

    At the headquarters of the controversy is program called TeenScreen designed by pharma backed officials at Columbia University. TeenScreen is supposedly a suicide-prevention program and is recommended by the NFC, even though a recent US Preventive Services task constrain study found "no evidence that screening for suicide risk reduces suicide attempts or mortality."

    Columbia claims the TeenScreen survey can assess the symptoms of 8 disorders associated with the risk of suicide or mental illness. On March 2, 2004, the program's Executive Director, Laurie Flynn, testified at a congressional hearing and said that in screening process, "youth complete a 10-minute self-administered questionnaire that screens for social phobia, panic disorder, generalized anxiety disorder, major depression, alcohol and drug abuse, and suicidality."

    In May 2004, Illinois lawmakers passed a resolution approving the implementation of TeenScreen in public schools, which said in part: (1) "Columbia TeenScreen Program", has been proven successful, offers technical assistance for implementation of a screening program, and provides every the components for such a program at no permeate at this time; (2) that they recognize that mental illness and suicide among adolescent people are public health head in this condition and that every residents of Illinois should build the identification of mental disorders and the prevention of suicide among the adolescent people a public health priority; (3) that every adolescent person should be screened ... to identify mental illness and preclude suicide; and (4) That such a screening and identification process should employ sound, evidence-based tools.

    The problem is that TeenScreen is not an evidence-based tool. The program had already been in Place for 6 years in Tulsa, Oklahoma when the suicide rate rose drastically, causing Michael Brose, the leader of a mental health partnership organization there, to say, ''To the best of my knowledge, this is the highest number of youth suicides we've ever had during the school year -- a number they find very frightening."

    TeenScreen is an invention of the pharmaceutical industry and is nothing more than a customer recruitment scheme to help generate towering volume sales of costly psychiatric drugs. By infiltrating the nation's public school system, it will generate millions of current prescription drug customers.

    "More screened kids means more money for psychiatrists and the pharmaceutical industry," said Vera Hassner Sharav, president of the Alliance for Human Research Protection, a patient advocacy group, to the Chicago Tribune on June 5, 2005.

    "It is requisite to understand that powerful interests, namely federal bureaucrats and pharmaceutical lobbies, are behind the shove for mental health screening in schools...the pharmaceutical industry is fervent to sell psychotropic drugs to millions of current customers in American schools," said Rep Ron Paul, R-Texas, who happens to be a physician.

    TeenScreen made its Illinois debut last descend at the Brimfield towering School in the Peoria zone and reports testify that several more Illinois schools will be implementing the program next year, according to investigative reporter, Rhonda Robinson.

    TMAP & IMAP

    Do the gargantuan drug companies own so much power? Why else would this be happening? It looks fancy a passage to build more adolescent people relative on prescription drugs earlier in life when every they really exigency is to deal with growing up, just fancy they every did before there was a drug for every ailment and current ailment to justify even more current drugs," parent, Dennis McLouth, of Roseville, Ill, wrote in a letter to the Editor of the Illinois Leader on June 13, 2005.

    My respond to Dennis is yes the drug companies are that powerful, and it gets worse. The NFC recommends a drug treatment program called the Texas Medical Algorithm Project (TMAP) that specifically requires doctors to prescribe the newer generation of psychiatric drugs to children, including the antidepressants known as the Selective Serotonin Reuptake Inhibitors [SSRIs] that can lead children to consign suicide or other violent acts.

    According to the American Hospital Formulary Service Drug Information 2005, the “FDA now states that it has determined that antidepressants multiply the risk of suicidal thinking and behavior in children and adolescents with major depressive and other psychiatric disorders."

    Dr Ann Blake Tracy, is the executive director of the International Coalition for Drug Awareness and the author of "Prozac, Panacea or Pandora: Their Seratonin Nightmare."

    She testified at a February 2004, FDA hearing on the adverse effects of SSRIs, and said, "Research on serotonin has been lucid from the very genesis that the most damaging thing that could be done to the serotonin system would be to impair one's skill to metabolize serotonin. Yet that is exactly how SSRI antidepressants exert their effects."

    Tracy said that for decades research has shown that impairing serotonin metabolism will bear numerous health problems including "pains around the heart, rigor breathing, tension and anxiety which loom from out of nowhere, depression, suicide -- especially very violent suicide, hostility, violent crime, arson, core abuse, psychosis, mania," and the list goes on and on.

    "How anyone ever thought it would be 'therapeutic' to chemically induce these reactions is beyond me," she said.

    In one study reviewed by the FDA panel, in a pool of 931 dejected patients taking SSRIs listed on the TMAP, versus 811 dejected patients taking a placebo, there were 52 suicidal acts by people on the SSRIs versus 18 on placebo.

    The drug companies withheld the studies that showed the drugs were basically ineffective on kids and that they were in fact dangerous. Most of the studies that own surfaced over the past brace years were unearthed during the discovery process of recent law suits against drug companies.

    Pediatrician, Dr Karen Effren, questions whether the TMAP list should be used at all. "If data is withheld about the dangers or lack of effectiveness of the current psychiatric drugs, why should physicians believe and carry out the recommendations of the current license Commission for treatment, such as the Texas Medication Algorithm Project (TMAP) that uses those drugs as paid for the condition incentive grants?"

    These same sentiments had already been expressed in January 1999, by Peter Weiden MD, who was one of the participants on the original panel that approved drugs to be on the TMAP list, when he openly criticized the process in the Journal of rehearse in Psychiatry and Behavioural Health.

    Weiden pointed out the fact that drug company money was involved in the approval of the list. "Another problem is potential prejudice from funding sources. The 1996 Guidelines were funded by Janssen (makers of Risperidone [Risperdal]) and most of the guidelines' authors own received uphold from the pharmaceutical industry. This potential contest of interest may create credibility problems, especially concerning any recommendations supporting the exhaust of atypical antipsychotics."

    Other drug companies besides Janssen were involved in the creation of the list. And drug company money was furthermore used to grease the palms of politician who would ultimately own to endorse the TMAP scheme.

    For instance, Eli Lilly helped fund the guidelines and furthermore has well-known ties to both Bush administrations. After Bush Sr left the CIA in 1977, he became a member of Lilly's board of directors. When he left the company to become Reagan's VP in 1980, he forgot to mention that he still owned stock in the company at the same time that he was lobbying for tax breaks for Lilly, even though it manufactured drugs in Puerto Rico.

    Bush Junior made Eli Lilly CEO, Sidney Taurel, a member of the Homeland Security and his former director of the Office of Management and Budget, Mitch Daniels, was furthermore a former senior vice president of Lilly.

    In the 2000 election the company contributed over $1.5 million to political candidates, with over 80% going to Bush and the Republican Party.

    According to the headquarters for Responsive Politics, in his 2 bids for the presidency, Bush has been the number one recipient of either party for drive donations from the pharmaceutical industry. The same Robert Wood Johnson IV, who has ties to the foundation that funded the TMAP, is furthermore heir to the Johnson & Johnson fortune, and raised over $100,000 for Bush's 2000 campaign, and over $200,000 for drive 2004.

    The Robert Wood Johnson Foundation furthermore helped fund the Illinois Children’s Mental Health task Force, which produced the report that the Illinois’ Children’s Mental Health Act of 2003 is based on, according to investigative reporter Rhonda Robinson.

    The Illinois version of the TMAP list, is IMAP and it is already in Place in 23 Illinois counties, Robinson reports.

    Tax Dollar Funded Drug Pushers

    Let there be no mistake about it, kids sent to shrinks will proximate up on drugs. In 2002, a survey of recently trained child psychiatrists found that only one in 10 children in their practices did not receive a medication. remark Stubbe DE, Thomas WJ: A survey of early-career child and adolescent psychiatrists, J Am Acad Child Adolesc Psychiatry 2002.

    A recent review of prescription data for 300,000 children ages 19 and younger, by Medco Health Solutions in 2004, concluded that for the first time in history, spending for medications for childhood behavior problems eclipsed expenditure for any other drug category, including antibiotics.

    The final draft of the Illinois project issued this month wants to: Promote efficacious exhaust of Medicaid’s Early sporadic Screening, Diagnosis and Treatment benefit in Illinois to uphold deliberate screening of children ages birth to eighteen years, and wants to "Clarify for providers the diagnoses that create eligibility for children to obtain Medicaid services."

    I miracle how many people are inquisitive as to what might be in store for the kids they want to screen at age 0. To respond that question, an investigation of the drugs being prescribed to Illinois kids on Medicaid might be helpful.

    On April 25, 2005, the headlines of the Ohio Columbus Dispatch read: DRUGGED INTO SUBMISSION, EVEN BABIES GETTING TREATED AS MENTALLY ILL, Doctors prescribed sedatives and powerful, mood-altering medications for nearly 700 Ohio babies and toddlers on Medicaid last summer, according to a Dispatch review of records.

    An investigation by the Dispatch revealed that at least 696 Ohio children who were newborn to 3 years former received mental-health drugs paid for by Medicaid in July 2004. Hydroxyzine was prescribed most often, with about three-quarters of the kids on it. The drug, a long-acting antihistamine, relieves itching caused by allergies, controls vomiting and reduces anxiety, but is given to adolescent children most often for its sedative effects.

    In addition, more than 90 kids were on another antihistamine, 48 were taking anti-anxiety medication and 28 were prescribed antidepressants, including the SSRIs Paxil, Prozac and Zoloft. Twenty-seven received Valium, and 18 were on antipsychotics.

    This revelation set off alarms in Ohio. "It's troubling," said John Saros, executive director of Franklin County Children Services. "How finish doctors even determine that a 2-year-old is anxious? There's a judgement they muster it the terrible twos."

    All total, nearly 40,000 Ohio children on Medicaid were taking drugs for anxiety, depression, delusions, hyperactivity and violent behavior when the investigation was conducted July 2004, according to the Dispatch.

    Illinois' current program keeps stressing that treatment should be funded by Medicaid. That means drugs folks. Over-drugging kids on Medicaid in Ohio is not an isolated practice. Its happening every over the country.

    On January 15, 2005, the Miami Herald reported that nearly 1,900 children under the permeate of Florida's child welfare system are taking antidepressant drugs, despite a tough federal warning that such medications are linked to an increased risk of suicidal thinking.

    Similar findings held virtuous in Tennessee for kids covered by the condition insurance program. A study conducted in 2004 by Dr William Cooper, an associate professor of pediatrics at Vanderbilt University in Nashville, determined that the exhaust of antipsychotic drugs among low-income children in Tennessee had nearly doubled between 1996 and 2001.

    Cooper's report, published in the August 3, 2004 issue of the Archives of Pediatric Adolescent Medicine, found that adolescent people who are not psychotic are being prescribed antipsychotic drugs for which there was no data on safety or effectiveness.

    The study revealed that the proportion of TennCare children who were prescribed antipsychotics nearly doubled in six years. The most histrionic increases were among those aged 13 to 18 (116%) and those 6 to 12 (93%). Cooper furthermore found exhaust among preschool children had increased by 61%.

    If the Illinois Governor signs the current law on June 30th, in addition to children, every pregnant women will be screened for depression during pregnancy and for up to 1 year following a baby's birth. The treatment for depression mandated by the IMAP drug list will be the SSRI antidepressants even though current studies testify that SSRIs taken by pregnant women can own solemn adverse affects on the unborn fetus.

    "Newborn babies could be at risk of suffering withdrawal symptoms if their mothers are prescribed antidepressants during pregnancy," according to Reuters on February 4, 2005.

    Professor Emilio Sanz of the University of La Laguna in Tenerife, Spain, conducted a study that showed that SSRIs can judgement convulsions, irritability, abnormal crying and tremors in newborn babies.

    For the study, Professor Sanz and his team of researchers searched the World Health Organization database from 72 countries for the adverse drug reactions associated with the exhaust of SSRIs, Reuters reported.

    Karen Hayes thinks the gross project stinks. "Proposing that condition government set mental health competency standards for every Illinois pregnant women and children to age 18 stuns human sensibilities," Karen Hayes wrote, "this proposal calls for collection of mental health data of women and children, together with bureaucratic linkage of this information."

    She's got that birthright because according to the plan, the condition of Illinois will: improve accountability, data tracking and reporting for children’s mental health in material programs and services and will (1) Institute condense and monitoring changes to multiply the accountability of current children’s mental health providers; (2) Develop a statewide data tracking and reporting system to collect information on key indicators of children’s social and emotional development, and mental health status; (3) Develop policies and protocols for the sharing of databases among material condition and local agencies; (4) Explore the evolution of uniform reporting forms and test in select programs for the tracking, reporting and planning of services.

    Follow The Tax Dollars

    The task constrain says it wants to maximize the exhaust of Medicaid/KidCare by streamlining enrollment, capitalizing on federal reimbursement and implementing key cost-saving strategies, with savings deposited into a Children’s Mental Health Fund.

    It wants to (1) improve Medicaid reimbursement for prevention, early intervention and treatment services; (2) Recognize diagnoses for adolescent children described in DC:0-3 and pay for mental health services for children with any of these diagnoses; (3) Clarify for providers the diagnoses that create eligibility for children to obtain Medicaid services.

    Translation: That means to build confident "treatment" (aka pills) will be paid for, people will be trained to only diagnose kids with disorders that are covered Medicaid.

    The task constrain project leaves no funding stone unturned. It even wants to "Change the Illinois KidCare and Medicaid eligibility procedures to allow for self-attestation of a family’s monetary circumstances in lieu of current monetary documentation requirements," which means every I own to finish is swear I'm impecunious to qualify for Medicaid in Illinois.

    Drug companies odor the tax dollars and they want these Illinois kids. Over 2 million children were enrolled in Illinois public schools, pre-K through 12th grade, during the 2001-02 school year. Over 960,000 children were enrolled in Medicaid and KidCare in 2002, and a recent study in Chicago claimed that nearly 50% of inner-city adolescents demonstrated signs and symptoms of depression.

    So lets finish the math and remark how much the psychiatric-industrial intricate stands to gain. The plans says to: Ensure that every children enrolled in Medicaid receive sporadic developmental screens ... as mandated under the Early and sporadic Screening Diagnostic Treatment program.

    Lets whisper the initial diagnostic visit to the shrink costs $150, what's 150 times 960,000?

    The report said 50% of Chicago inner city kids were dejected so we'll exhaust that percentage for the kids on Medicaid. Half of 960,000 means 480,000 kids are set to be prescribed anti-psychotic drugs birthright from the assemble go.

    Off hand I don't know how much every the different drugs cost, but I own personal lore that the cost of Risperdal in 2001, was proximate to $500 for a 30 day supply.

    In 2001, The Miami Herald published a train of stories about the common exhaust of Risperdal among children in condition care. Child-welfare advocates said the drug routinely was being used by foster permeate providers as a ''chemical restraint'' on children whose recalcitrant behavior was a frustration to caretakers.

    Risperdal is on the IMAP list as the leading drug used to combat schizophrenia and other types of psychotic disorders, and earns Janssen about $2.1 billion in annual sales. The drug is prescribed to more than 10 million people worldwide, according to the Herald.

    I suspect a heavy-duty calculator will be needed to compute dollar amounts for the potential cost of Risperdal prescriptions to the tax payers of Illinois.

    Tax Payers May Foot Entire Bill

    No doubt about it, the promoters of this scheme are looking to grab tax dollars from every public trough known to man. The project lists a host of public funding sources to be examined and includes: Medicaid and SCHIP, the social Services obstruct Grant, Temporary Assistance for Needy Families, the Child permeate and evolution Fund, the Title V Maternal and Child Health Services obstruct Grant, Parts B (Special Education) and C (Early Intervention) of the Individuals with Disabilities Education Act (IDEA), Juvenile Justice, and condition funding sources.

    In her feeling piece, Karen Hayes questioned the feasibility of such a big public funded program, "Our government bureaucracies continue to struggle with the job of tending to the social needs of needy Illinois families, and ... trying to educate their children in basic academics. How is it that these same bureaucracies can now be asked to consume on the additional role of being the mental health evaluator and caretaker of every pregnant women and children in Illinois?"

    "At a time when budget concerns are on the front pages of most Illinois newspapers," Karen wrote, "we are being asked to give input to one of the costliest expansions of government and bureaucracy they own seen in recent years."

    "In summary," Hayes said, "it is neither beneficial to children, nor to taxpayers, to query government bureaucracies to set competency standards for mental health. With some amount of lightheartedness, may I propose that the mental health of the perpetrators of this concept be evaluated?"

    Another parent agrees with her. "The Illinois Legislature ought to own their own heads subjected to adolescent mental health screening for even considering passing such legislation," said Jack Kime, in a June 13, 2005 letter to the Illinois Leader, "If there is anything more uncertain than having the government establish such a program in place, I don't know what it might be," he said.

    *************

    Evelyn Pringle epringle05@yahoo.com

    (Evelyn Pringle is a columnist for Independent Media TV and an investigative journalist focused on exposing government corruption)

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    Tracking the American Epidemic of Mental Illness: section II | killexams.com true questions and Pass4sure dumps

    Tax dollars are being used to fuel the American epidemic of mental illness by promoting the preemptive drugging of persons supposedly at risk of developing mental disorders, to the distinguished benefit of the pharmaceutical industry.

    In March 2010, the US Department of Health & Human Services core maltreat & Mental Health Service Administration headquarters for Mental Health Services announced $16.5 million in funding for “Mental Health Transformation Grants,” one of SAMHSA’s services award programs.

    “In order to complement but not duplicate the efforts of other CMHS programs, FY 2010 funding for MHTG will focus on services for adults with or at-risk for solemn mental illnesses,” the agency noted.

    Applications were required to implement evidence-based or best practices that would create or expand capacity to address one or more of five Strategic Initiatives, including: “Prevent mental illness through outreach, screening, and early interventions for adults with early signs of mental illness or who are at risk, and promote wellness through holistic treatment approaches.”

    An evidence-based practice, or EBP, refers to approaches to prevention or treatment that are validated by some contour of documented research evidence. As an case of a rehearse that could be implemented, SAMHSA listed under “Prevention and Wellness: Early Intervention,” the “Early Detection and Intervention for the Prevention of Psychosis Program (EDIPPP),” along with a link to its website.

    EDIPPP is a national program replicating the “Portland Identification and Early Referral,” or “PIER,” a treatment research program at the Main Medical Center, in Portland, Maine.

    On a webpage for PIER on the Center’s Website, under “Project Overview,” it states: “The goals are to improve outcomes and preclude the onset of the psychotic facet of illnesses fancy Bipolar Disorder, Major Depression, and Schizophrenia.”

    “This is the first program in the United States to identify the entire population of at risk adolescent persons and proffer them treatment,” PIER said in a September 26, 2005 press release.

    EDIPPP was funded through a $14.4 million million award for the “National Demonstration of Early Detection, Intervention and Prevention of Psychosis in Adolescents and adolescent Adults,” from the Robert Wood Johnson Foundation, and is “designed to preclude psychosis in teens and adolescent adults,” according to an April 10, 2007, announcement on RWJF’s launch of the program.

    “The national program is expanding PIER’s success during the past seven years in identifying and treating adolescent people experiencing subtle and early symptoms that herald the onset of solemn mental illness,” a November 2007 report in Behavioral Healthcare, by Dr James Maier, a research psychiatrist with PIER, notes.

    EDIPPP works with people between the ages of 12 and 25, with an tolerable age of persons entering the program between 15 and 16.

    “Widespread dissemination of this early intervention model throughout the United States offers tremendous hope and optimism for combating some of the most devastating and costly illnesses that can afflict adolescent people and their families,” Maier claims.

    The RWJF award set up additional EDIPPP sites in Sacramento, California; Salem, Oregon; Ypsilanti, Michigan; and Glen Oaks, current York. A site in Albuquerque, current Mexico was added in 2008.

    RWJF furthermore funds a booklet for professionals, on how to preclude mental illness with early detection titled, “Recognizing and Helping adolescent People at Risk for Psychosis: A Professional’s Guide,” which can be downloaded free off the internet.

    From the start, PIER has always been primarily funded by RWJF, according to its website. However, on October 13, 2003, Mental Health Weekly reported that the program had received a $3.9 million award from the National Institute of Mental Health, and a parallel $2 million award from the headquarters for Mental Health Services intended for a related program in early identification of non-psychotic disabilities.

    In Portland, adolescent people typically are referred to PIER by towering school guidance counselors, pediatricians, or other clinicians who attended presentations about PIER’s work, visited the PIER Website, and are close with the early warning symptoms that hint the onset of a psychotic illness, according to the report in Behavioral Healthcare.

    Mental Illness According to PIER

    In a fact sheet posted to “Dispel the Myths,” the PIER website claims that, “Mental disorders are as simple to diagnose as asthma, diabetes, and cancer.”

    “Treatments are efficacious 60%-80% of the time, success rates that meet or exceed success rates for cutting edge treatment for heart disease,” the sheet states.

    “In many cases, PIER does exhaust medications,” the Websites says. “We believe that some of the newer medications effectively improve thinking and combat early symptoms.”

    “Research suggests these medications may own a protective consequence against changes in the brain that judgement mental illness,” it reports.

    Under costs, it reads: “For now, services provided by PIER staff are supported by grants. However, if inescapable medications, medical tests, or neurological assessments are ordered, there will be a charge.”

    The PIER program was founded in 2000, by Dr William McFarlane, and after 10 years in operation, on May 28, 2010, the ChangeMyMind website listed only two “case studies and impact stories that illustrate the effectiveness of the Early Detection and Intervention for the Prevention of Psychosis Program.”

    Medicated for Life

    Virtually every person entering the PIER program is prescribed antipsychotics, such as Risperdal or Invega, marketed by Johnson & Johnson, the parent company of the Robert Wood Johnson Foundation. These prescriptions are off-label because antipsychotics are not FDA approved to “prevent” mental illness in any age group.

    An August 2008 article, by Charles Schmidt in ascertain magazine, highlighted the PIER program with a byline that stated: “A current blend of therapy and medication may stave off psychosis among teens at risk.”

    Schmidt discussed the case of Camila (not her true name), who entered the program in September 2001, when she was 14. “Camila and her family stuck with PIER for the four-year treatment program, which ended formally in 2005, and still sustain in paw with counselors there,” he reports.

    However, “Camila’s health still hinges on antipsychotic medication,” Schmidt says. “In the summer of 2007 she went off the drugs for a spell and her offbeat feelings returned.”

    He notes that her reliance on antipsychotics raises issues. “On the one hand, it shows that the threat of psychosis hasn’t really been removed, it’s just been held in check.”

    “What they hope is that the benefits of treatment will be lifelong,” McFarlane says in the article. “We don’t own any empirical evidence to uphold that yet, but what we’ve seen is that adolescent people who still haven’t converted to psychosis after about three years of their treatment don’t look to be at much risk.”

    While he suggests that over time, some patients may be able to disappear off medications, McFarlane acknowledges that PIER hasn’t developed a project for managing that process, Schmidt reports.

    “As to when or if they can disappear off medication, that’s hard to say,” he told Schmidt. “I cerebrate many of their patients don’t feel a exigency to stop; they certainly don’t feel oppressed by it. At a inescapable point it becomes a personal choice.”

    A fortune can be made from these life-long antipsychotic customers. In April 2010, the expense for one box of Invega, at a middle dose, was $1,373 at DrugStore.com. Risperdal went for $788 per 90 pills. The cost was $1,395 for 100 tablets of Abilify. Seroquel cost $997 per 100. One-hundred capsules of Geodon sold for $918 and Zyprexa cost $1,523 for a hundred 10mg pills.

    In 2003, McFarlane told Mental Health Weekly that with about 3% of the population at risk for a solemn mental illness, Greater Portland could await about 75 adolescent people to develop a disorder each year.

    RWJF Front Group

    The founder of RWJF, Robert Wood Johnson, was chairman of Johnson & Johnson for over 30 years, from 1932 to 1963, as a member of the drug maker’s founding family. Throughout the years, the majority of the Foundation’s money has near from investments in J&J stock. RWJF’s board of trustees has always been stacked with the drug company’s executives. For instance, current and past trustees own held positions at J&J such as President, CEO, Vice President, Chairman of the Board, and Treasurer, and own served along side another family heir on the board, Robert Wood Johnson IV.

    RWJF is listed in a Medicaid fraud lawsuit, filed against J&J by whistleblower, Allen Jones, a former federal fraud investigator, and joined by the Texas attorney general, as providing funding for illegal marketing schemes to multiply the off-label sales of Risperdal, including funding the evolution of the “Texas Medication Algorithm Project (TMAP),” which required doctors to prescribe the newest, most expensive antipsychotics, antidepressants, anticonvulsants, and ADHD drugs to patients covered by public programs, fancy Medicaid and Medicare, who were diagnosed with mental disorders, and a nearly identical set of child drugging guidelines known as the “Texas Children’s Medication Algorithm Project (CMAP).”

    In addition to Risperdal and Invega, J&J furthermore markets the ADHD drug Concerta, and Topamax, an anticonvulsant.

    A May 11, 2005, report by RWJF on the results of the funding of TMAP grants totaling $2,389,581 to the University of Texas Southwestern Medical headquarters at Dallas and a award of $353,747 to the Texas Department of Mental Health and Mental Retardation, describes the supposed “Problem,” that led to the creation of the TMAP drugging guidelines as:

    In the 1980’s and 1990’s, as pharmaceutical companies began producing current and more efficacious medications to treat people with solemn mental disorders such as depression, bipolar disorder, and schizophrenia, the question arose of how to select the most usurp treatment options. Concerns about wide variation in prescribing practices by physicians and complaints from consumer advocates about the negative consequences of this variation spurred the creation of evidence-based guidelines and medication treatment algorithms.

    The “Contacts” for the grants listed in the report were Dr A John Rush, for the University, and Dr Steven Shon for the condition of Texas. Shon was fired in October 2006, after the Texas attorney generic determined that J&J had improperly influenced him to build Risperdal a preferred drug on TMAP. In 2008, Rush was added to a list of psychiatric academics who failed to disclose every the payments they received from drug companies, by Senator Charles Grassley, as section of an investigation conducted on behalf of the US Senate Finance Committee, which oversees Medicaid and Medicare spending.

    As a main component of the off-label marketing schemes, the lawsuits against the antipsychotic makers allege that the drug companies “seeded” the medical literature with reports and papers purporting to be written by “experts” when they were actually ghostwritten with the names of experts attached after the fact.

    In its report on the TMAP award results, RWJF boasts that: “More than 50 articles on the Texas Medication Algorithm Project own appeared in the Journal of Clinical Psychiatry, Psychiatry Research, Managed Care, Health Services Research, Journal of the American Academy of Child and Adolescent Psychiatry and other peer-reviewed journals.”

    “Over the next two years, Project Directors Rush and Shon and their colleagues project to publish additional articles on other areas of interest,” the report said.

    On August 18, 2008, a Dallas Morning word headline read: “Conflict of interest fears halt children’s mental health project,” in reference to the Children’s Medication Algorithm Project. “A condition mental health project naming the preferred psychiatric drugs for children has been quietly establish on hold over fears drug companies may own given researchers consulting contracts, speakers fees or other perks to help assemble their products on the list,” the word wrote.

    To date, four of the five atypical makers own settled fraud charges involving the illegal off-label marketing of antipsychotics, including for exhaust with children. Eli Lilly paid $1.4 billion for Zyprexa, Bristol-Myers Squibb’s fine was $515 million for Abilify, Pfizer paid $301 for Geodon, and AstraZeneca just forked out $520 million for Seroquel.

    But the fines are merely chocked up to the cost of doing business. For instance, although AstraZeneca paid a whopping $520 million fine, Seroquel had sales of $4.9 billion in 2009, with more than half coming from the US. Overall, antipsychotics were the top-earning class of drugs in the US, in both 2008 and 2009, with sales of $14.6 billion in 2009, according to IMS Health.

    J&J is the only atypical maker that has not settled the off-label marketing charges against it — yet. However, two units of J&J “will pay more than $81 million to resolve criminal and civil claims over illegal promotion of the epilepsy drug Topamax,” according to Bloomberg word on April 29, 2010.

    Also, over the past 2 months, J&J’s McNeil division has recalled over 40 varieties of child and baby medications after the FDA found massive safety and manufacturing violations at a plant in Fort Washington, Pennsylvania, including formulations of Tylenol, Motrin, Zyrtec and Benadryl. The FDA furthermore found problems with “strength, trait and purity.”

    The FDA’s inspection report notes that J&J received about 46 consumer complaints “regarding exotic materials, black or dismal specks [in their drugs] from June 2009 to April 2010.” J&J had lore of problems since May 2009, which means it was allowing children and infants to ingest potentially toxic drugs for a year before the product recall took place.

    Time Magazine as Promoter

    On June 22, 2009, the RWJF website posted a link to download the replete text of an article in Time magazine, by John Cloud titled, “Staying Sane May be Easier Than You Think,” who reported: “The most exciting research in mental health today involves not how to treat mental illness but how to preclude it in the first place.”

    “In fact,” Cloud said, “many mental illnesses — even those fancy schizophrenia that own demonstrable genetic origins — can be stopped or at least contained before they start.”

    “This isn’t wishful thinking but hard science,” he claimed.

    The article discussed a report by the National Academics, “an organization of experts who investigate science for the Federal Government,” nearly two years in the making, “on how to preclude mental, emotional and behavioral disorders.” A quick check found one of the sponsors of the National Academies to be RWJF.

    “The report concludes that pre-empting such disorders requires two kinds of interventions,” Cloud said, “first, because genes play so requisite a role in mental illness, they exigency to ensure that proximate relatives (particularly children) of those with mental disorders own access to rigorous screening programs.”

    “Second,” he noted, “we must proffer treatment to people who own already shown symptoms of illness (say, a inclination to mope and remark the world without optimism) but don’t meet the diagnostic criteria for a full-scale mental illness (in this case, depression).”

    “Some prevention programs even prescribe psychiatric medications, including antipsychotics and antidepressants, to people who aren’t technically psychotic or depressed,” Time reported.

    “This is a gargantuan concern,” Joseph Rogers, founder of the Philadelphia-based National Mental Health Consumers’ Self-Help Clearinghouse told Cloud. “Because, gee, if you miss, you can really finish more harm with some of these drugs than good.”

    “But those who contributed to the National Academies report whisper preventing the suffering of people with mental illness is worth the risk of some deceptive positives, partly because of the gargantuan cost of treating mental illness after it’s struck,” Cloud reported.

    The article profiled PIER and McFarlane, who was described as “one of the world’s top authorities on preventing mental illness.”

    According to Time, the “National Institute of Mental Health is funding a tribulation of McFarlane’s work, and while he is still writing up his data for publication, his anecdotal results are promising: most of the kids are so far avoiding a first psychotic episode.”

    Preemptive Drugging Unsupported

    In a 2008 paper titled, “Atypical Antipsychotic Agents For the Schizophrenia Prodrome: Not a lucid First Choice,” published in the International Journal of Risk & Safety in Medicine, Dr Stefan Kruszewski, a psychiatrist, and Dr Richard Paczynski, a neurologist, both from Harrisburg, Pennsylvania, explain, “Pharmacologic intervention at the earliest stages of suspected psychotic illness is an intuitively appealing concept and a rational extension of the current approach to many other diseases of the central nervous system.”

    “However,” they report, “a critical analysis of the results of structured clinical investigations which own explored the exhaust of ATAPs for new-onset psychotic symptoms raises safety concerns and does not uphold pre-medication in this setting as a preventive strategy.”

    “Over the past several years,” the paper states, “a voice has emerged in the international psychiatric community recommending early prescription of the atypical antipsychotic agents (ATAPs) for adolescents and adolescent adults who loom to flaunt signs consistent with a schizophrenia prodrome. Early exhaust is predicated on the possibility that ATAPs may preclude progression to full-blown psychotic illness in this high-risk population. ”

    “This trend has been encouraged despite a paucity of data which clearly uphold the effectiveness of these agents for this indication, and despite evidence of adverse side effects including,” the authors note.

    These circumstances prompted their literature review, “focusing on the five published studies that own explicitly addressed the preventative efficacy of the most widely prescribed ATAPs in structured (i.e., non-anecdotal) clinical settings.”

    In the summary and conclusion section of the paper, the authors report that the results from the available controlled trials reviewed are in line with several of the conclusions of the naturalistic study by Cornblatt et al. “That is, early prescription of ATAPs to adolescents and adolescent adults seeking medical attention for prodromal psychotic symptoms is associated with towering rates of medication non-adherence.”

    “Additionally,” they say, “the introduction of ATAPs was not associated with reduction in the rate of conversion to formal psychosis beyond that explainable by haphazard and/or the introduction of prejudice secondary to baseline imbalances, inadequate blinding or even differential psychosocial supports.”

    “We hint caution in making any assumptions that justify changes in prescription-writing behavior when it involves patients who are at towering risk for developing long-term psychotic illnesses but own never demonstrated sustained psychosis (psychotic illness by DSM-IV criteria),” Kruszewski and Paczynski advise.

    “This would involve but is not limited to persons with suspected schizophrenia prodrome,” they add.

    “Even in the hands of experienced investigators using detailed screening protocols in controlled settings, only one-quarter to one-third of high-risk patients converted to full-blown psychosis,” they report.

    “Consequently,” they warn, “if early exhaust of ATAPs continues as a quasi-standard of permeate for new-onset psychotic symptoms, a big majority of these often adolescent individuals will be exposed unnecessarily to poorly defined but likely substantial risks, including but not limited to obesity, hyperlipidemia, metabolic syndrome, increased rates of kind II diabetes mellitus and extrapyramidal syndromes, both acute and chronic.”

    “Considerations of safety must near first when the preventative efficacy of these agents remains so poorly defined,” they conclude.

    • Read section I.

    • section III of this train will highlight the Psychiatric Industrial intricate as the driving constrain behind the American Epidemic of Mental Illness.

    • This train is sponsored by the International headquarters for the Study of Psychiatry and Psychology.

    Evelyn Pringle is an investigative journalist focused on exposing corruption in government and corporate America. She can be reached at: evelyn-pringle@sbcglobal.net. Read other articles by Evelyn, or visit Evelyn's website.


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    References :


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    Dropmark-Text : http://killexams.dropmark.com/367904/12948572
    Blogspot : http://killexamsbraindump.blogspot.com/2018/01/look-at-these-ex0-104-real-question-and.html
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