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U.S. Commerce Secretary Backs Greek-American Calamos-EXIN Bid for Greek Insurer | killexams.com existent Questions and Pass4sure dumps

U.S. Commerce Secretary Wilbur Ross lately backed a bid by way of the the EXIN neighborhood to buy Ethniki Asfalistiki, the insurance arm of Greece’s country wide bank, Reuters says.

The deal might succor U.S. investments in Greece due to the fact that Calamos Investments is a U.S.-primarily based trade managing 20 billion bucks. Calamos CEO is Greek American John Koudounis.

The EXIN neighborhood is competing against three chinese language companies: Fosun, Gongbao and Wintime. The Ethniki Asfalistiki (countrywide assurance) privatization is piece of the bailout program requirements set with the aid of Greece’s overseas creditors. The concession must live accomplished by the conclusion of the yr and reportedly can live price about 800 million euros.

in line with Reuters citing a senior banker, the U.S. Commerce Secretary wrote a missive to Greek major Minister Alexis Tsipras that known as for a transparent sale. “it is a robust letter,” the supply stated.

“The Secretary is completely supportive of the EXIN bid, announcing it would live a fine start towards enhancing U.S. funding flows to Greece,” stated the banker, who requested to remain anonymous.

Ross’s missive turned into copied to the Greek bank association, national bank’s (NBG) management and the valuable pecuniary institution, pecuniary institution of Greece, the banker talked about.

Ethniki Asfalistiki was headquartered in 1891 and suffer become a cornerstone of the Greek economy, and society in regularly occurring. It gives actuality and non-lifestyles coverage items. The trade had a sixteen.6 % participate of the market final 12 months and 2015 web earnings of ninety eight million euros. NBG is promoting focal point on core banking. Morgan Stanley and Goldman Sachs are the NBG advisors for the concession.

The Calamos Investments CEO stated that EXIN had offered a tough-to-in shape offer, but did not give details. He famous different Greek-American traders attracted to Greece had been watching carefully.

Exin companions suffer already entered Greece’s insurance market via buying AIG-Greece from AIG in December.


No extra holiday traffic jam? Korean tech giants introduce traffic predictions | killexams.com existent Questions and Pass4sure dumps

in line with the Ministry of Land, Infrastructure and Transport, some 49 million americans are expected to hit the road entire through the holiday that lasts except Wednesday. touring from Busan to Seoul via vehicle, as an example, would seize greater than eight hours when people head domestic on Tuesday afternoon. 

in quest of to alleviate stress from being caught in traffic, the tech-savvy nation’s main telecommunications and IT companies present predictions of trip time on their navigation methods. 

“true-time navigation carrier is workable via facts sent with the aid of balanced users and taxi drivers each minute, entire day lengthy,” referred to Chung Yeon-joo, who manages the navigation system of Kakao Mobility, a subsidiary of the nation’s arrogate messenger app operator Kakao. 

in line with the enterprise, correct predictions are viable via great site visitors information accumulated with the aid of its navigation app for the past seven years. Launched in 2011, Kakao navi has emerged as one of the crucial prevalent apps amongst drivers, with up to 1.4 million users. 

last yr, the trade delivered what it called a “future navigation equipment.” 

through combining titanic records with subtle algorithms, the provider allows users to forecast how lengthy a journey would seize at a undeniable length of time, Kakao spoke of. 

Korea’s largest telecom business, SK Telecom, provides similar predictions for those subscribed to its navigation provider, Tmap. in keeping with records amassed over 5 years, Tmap offers analyses of site visitors predictions to its eleven million clients, the trade noted. 

“As they await a theatrical raise in the employ of Tmap during the Lunar modern 12 months break, they are going to relaxed an further server; video pomp site visitors circulate in precise time; and discharge prior exams,” SK Telecom spoke of in a press release. 

youngsters the accuracy of such predictions continues to live to live viewed, the tech establishments suffer accumulate a hold of their own assessments on the most arrogate time for americans to hit the road. 

for instance, SK Telecom expected that roads could live most crowded at noon Tuesday. Kakao spoke of the number of travelers would live the optimum Friday between three p.m. and seven p.m. and Tuesday between 5 a.m. and 3 p.m.

If drivers in Seoul originate their adventure at midday on Tuesday, it will seize in to nine hours to arrive at Busan, SK Telecom talked about. it would seize up to more than six hours to cinch back and forth between Seoul and Gwangju.

in response to Kakao, probably the most superior timeframe for traveling is between 7:30 p.m. to 9 p.m. Monday. If drivers depart Seoul at 7:30 p.m., it would seize less than 5 hours to attain Busan. a visit between Seoul and Gwangju would seize simplest about four hours, the company stated. 


Aquino advised to coincide with reduce tax rates | killexams.com existent Questions and Pass4sure dumps

Pres. Benigno Aquino III. AFP FILE PHOTO

Pres. Benigno Aquino III. AFP FILE image

Tax managers on Saturday urged President Benigno Aquino III to rethink his opposition to reduced revenue tax quotes among wage earners, and famous that his fears that lessen taxes would judgement a budgetary deficit and defective credit rankings from international agencies were “unfounded.”

In a statement, the Tax management affiliation of the Philippines (TMAP) famous that “(l)ower income taxes boost disposable salary by transferring funds from govt fingers lower back to the consumption budget of Filipino families, who will seemingly expend more on goods and services. This extra spending, in flip, fuels the economic climate and attracts more taxes.”

Quoting economists, the TMAP stated the “the existent concern (was) the government’s perennial underspending.”

“The lower deficit is not as a result of accelerated collection effectivity, however is because of underspending which is unwell-timed for a rustic desperately making an attempt to generate jobs, construct world-category infrastructure and enhance the day-to-day lives of its individuals, majority of (whom are) mired in poverty,” the community of company tax practitioners and tax consultants mentioned.

TMAP cited that the branch of Finance (DOF) itself prior observed that “for every peso of extra revenue, as a minimum 60 centavos (or 60 %) will live spent by means of consumption for goods and capabilities.”

“So if the govt will underspend anyway, why not seize the probability to leave the spending to Filipino households?” TMAP president Terence Conrad H. Bello observed.

final week, the Joint strange Chambers of the Philippines as neatly because the basis for pecuniary freedom mentioned they usher pending measures in the legislative branch aimed at slashing personal particular person tax quotes.

Tax reform package

The group of tax managers spoke of the DOF may silent not view income tax reform “as mere tax cuts with a purpose to best undermine the tax seize of the government.”

It famous that the DOF’s projection of P30 billion in foregone revenues from decreased tax charges is corresponding to a mere 1 p.c of the proposed 2016 country wide price range of P3.002 trillion.

“The influence of the suppositious revenue loss of P30 billion from lower profits taxes is awfully minimal from a budgetary standpoint, but will greatly influence and uplift the lives of tens of millions of salaried workers and their families,” the TMAP spoke of.

apart from the pending bills in Congress and the Senate seeking to in the reduction of the revenue tax prices, the DOF has been pushing for a finished tax reform kit that would greatly ease the affliction of salary tax payers whereas slapping modern or better taxes on consumption.

among the many proposals within the DOF tax reform package is expanding the tax-exempt cap on incomes of individuals and miniature groups, while cutting back to about 25 percent the corporate income tax ceiling from the present 30 percent.

To snare up on the estimated loss of P150 billion in income if earnings earners of up to P1 million had been exempt from paying taxes, the price-added tax (VAT) fee can live accelerated to 14 or 15 p.c from the latest 12 p.c, the DOF observed. VAT insurance may even live increased or the excise tax on oil items jacked up, the company introduced.

Ease bank secrecy laws

additionally piece of the DOF paraphernalia are introducing expenses to ease restrictions within the pecuniary institution secrecy law for tax functions and making tax evasion a predicate crime.

in response to DOF estimates, most efficacious four hundred,000 of the 1.8 million self-employed in the nation pay the arrogate taxes.

In a missive to Senate President Franklin Drilon final November, a replica of which changed into obtained via the Inquirer, Finance Secretary Cesar V. Purisima advised Congress to confidence its proposed complete tax reform kit for legislations at the soonest workable time this 12 months.

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

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

Visual Studio Test Edition will live significantly extended in the upcoming version [2010]. Next to advocate for developers and testers this version will likewise advocate 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 valuable piece in the evolution of software and it is quite unusual for the testing department to live completely separated from the departments that develop software. This separation of worlds is not only physical, but likewise present in the zone of tooling. Cooperation is arduous 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 quality of the resulting product, which combined results in reduction of cost.In this article you will live able to contemplate how Visual 2010 improves upon the cooperation between the software evolution team and testers quite a bit.

An example from reality

Cooperation does not betide automatically. Developers and testers suffer a natural tendency to not (want to) understand one another. From that perspective it is arduous to realize that you necessity each other to deliver software of proper quality.

... minister 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 live 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 counsel on release. Because of (8) fatal and (22) titanic errors they advise not cinch the system to production.

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

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

Cooperation in the Application Lifecycle

The typical example 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 appear entire by itself. In general, this wall causes confusion, irritation, and forced limits of tasks and thus loss of quality. The so-called ‘ping pong’ outcome with (non-reproducible) errors is the most lucid and most often occurring example of this.

Software evolution and entire roles involved are suppositious to strive for one common goal: providing added value to the customer. It does not matter what kind of application needs to live implemented. entire tasks and roles necessity to attain for this one lone goal. The synergy between roles, processes, and tools is likewise commonly known as Application Lifecycle Management [ALM]. Notions fancy accountability, governance, and compliance are regularly used when talking about ALM. But entire these notions refer to the simple notion of cooperation.

Application Lifecycle Management.

There would live a better mutual understanding if developers and testers would suffer more insight in each other’s work and challenges. Annoyances evaporate and people work together on a common cause. Visual Studio Team System 2010 will better advocate 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 live done, progress on these tasks and what steps silent necessity to live 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 trade 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 work activities, but likewise by working on common products.

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

Test goals

In the age of the monoliths it was workable to detain testing until the acceptance test. Because the monolith had entire of its functionality in a compact manner in one titanic component, it was effortless to discover errors quickly and they could live repaired even quicker. That era has passed. If you depend too much on the linger test, in current architectures, it is quite workable that you will not achieve the desired on-time, on-budget delivery.

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

Each angle 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 live organize in that angle (“as early as possible”).

  • during unit testing the internal logic of the unit is tested,
  • the unit integration test needs to parade that units ”understand” each other.
  • the system test (which is called readiness scan in the Acceptance Test Guidance of Patterns of the Practices Group, contemplate helpful links) needs to prove/demonstrate that the system complies with the functional requirements that suffer 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 angle are made compatible with each other using a Master Test scheme (see TMap® www.tmap.net).

    Types of tests in the Application lifecycle.

    Every test must live able to rely on previous tests, only then will the complexity of errors live contained to errors that were introduced during the ultimate step. Setting up a learning cycle makes it workable to correct shortcomings, if any, in the testing process chain (see further in this article). Also, the employ 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 advocate is a must.

    However, undergo shows that temerarious employ of tools results in more chaos rather than gains. prerogative from the start tests necessity to live set up in a structured manner to contain maintenance efforts within workable limits.

    Each angle 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 employ 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 likewise 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 knowing advocate of Test Driven Development.
  • The system tester. The system tester tests the system for completeness, whether requirements suffer been met. These are not only functional requirements, but likewise quality requirements fancy performance and security.System testers employ a lot of scripts to automate their activities, he/she would fancy to discharge the selfsame 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, likewise 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 silent employ surpass sheets to discharge their tasks, are abundantly well supported in Visual Studio 2010. Test cases are registered in TFS and he/she has access to a specific tool based on optimal advocate of, usually, manual testing activities.
  • Enough about testing and cooperating. What does it peep 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 advocate of Visual Studio Team System 2010 for ALM. As can live 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 suffer been added to Visual Studio. The most remarkable added feature is the standalone [acceptance]test tool Camano. Camano is a test management environment where test cases can live introduced, which are work items of a modern work detail kind ‘test case’ in Team Foundation Server. Test cases can live performed using TestRunner, which has the aptitude 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 likewise gathers information about the system that is being tested on and creates a file that can live 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 scheme overview in Camano from which Test cases can live executed.

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

    A lot of modern things, but how outcome you employ 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 discharge 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 silent organize modern ways to advocate the work of evolution testers and those who outcome 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 entire unit tests that suffer been affected after a code change, and thus necessity to live rerun. Aside from the tests that necessity to live run, the Test impact View likewise provides an overview of code that has been modified. This overview likewise 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 outcome this totally ‘disconnected’ from the evolution team. entire that is required is a list of tests that needs to live 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 trade requirements. Nine out of ten times these requirements suffer been established by the trade at the start of the project and during evolution of the application these suffer been updated due to modern 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 live traced back to a user requirement.

    In Visual Studio 2010 this challenge can live met by linking test cases to User Stories [in the Agile Template] or Requirements [in the CMM process template]. This way reports can live generated about these User Stories. Camano, an aid to the acceptance tester divide from Visual Studio, can expose if User Stories outcome not suffer a test case yet and vice versa. It can likewise parade test cases that are not linked to User Stories, which can intend 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 necessity to live rerun not only because of code modifications, but likewise because of modifications in User Stories. This helps the tester understand the work of the trade 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 correct in the application and sends this issue in an email or some other more advanced bug reporting system with elevated 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 silent there and sends back an email, fairly 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 work item. This made it easier and clearer for developers and testers to register bugs, to manage, and to manufacture reports. However, there is no existent integration with acceptance testers. They can introduce issues by using the WebAccess tool of TFS, but one does not really decipher the previous challenges with that.

    In Visual Studio and the standalone testing tool Camano this integration with acceptance testers comes true. With Camano’s TestRunner it is workable to reclaim a lot of necessary information within the issue registration system that can live useful to the developer to reproduce the issue and decipher it.

    testrunnerTestRunner

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

    bug reportIssues work detail 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 titanic challenge, because he has recorded everything in surpass or some other tool. But what if the bug, for example, is a piece of something that is used in hundreds of pages or screens? Then entire these pages necessity to live tested again, which is not very efficacious for the tester indeed.

    Camano makes it workable to record Test Cases and to elope these later on in TestRunner, so that the tester does not to cinch through entire the steps manually again. A titanic 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 workable to manufacture scripts for the user interface that is arduous 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 manufacture these tests workable can live extracted from tests that suffer been executed in Camano. Only miniature adjustments necessity to live done to let them indeed elope automatically [for example using variable data]. Using this load tests, regression tests, and user tests can live automated, through which the example where hundreds of test pages necessity to live retested can live prevented.

    Structured testing

    Test tools outcome not structure the test process, they only manufacture the work of the tester easier. On the contrary, automation of unstructured testing increases CHAOS. In Camano it is silent workable to create many test cases that outcome not manufacture any sense. What does a structured test approach peep like? One can deem of many ways to outcome this.

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

  • Providing structure, so that it is lucid what needs to live done by whom, when, and in what order.
  • Containing the entire scope and descriptions of the complete range of relevant aspects.
  • Providing concrete aids, so that the wheel necessity not live reinvented entire the time.
  • Managing test activities taking time, money, and quality 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 workable 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 quality needs to live delivered, he does not know when he is done, that is a tester does not know if an error should or should not suffer been organize by the developer himself.

    So it is valuable to coincide on what flush of quality needs to live delivered. In TMap® Next (the structured test approach of Sogeti) the notion basic quality has been introduced. This basic quality describes not only the needed test coverage, but likewise provides aids for the way in which tests necessity to live done, and likewise describes the necessary proof process and conformance.

    Using this ”definition of finished” it is workable to setup a learning cycle: not only correct errors, but likewise learn how to obviate them!

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

    Conclusion

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

    But proper 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 existent questions and Pass4sure dumps

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

    A controversial scheme to screen entire 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 modern freedom Commission's (NFC) scheme to subject entire 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 assignment 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 accumulate public feedback on the plan.

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

    The assignment 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 entire mandated school exams (K, 4th, and 9th),

    The assignment constrain wants to: Start early, rise prenatally and at birth, and continue throughout adolescence, including efforts to advocate adolescents in making the transition to puerile adulthood.

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

    Concerned parent, Joseph Volpendesta, feels the selfsame way. "Mental Health screening might live much more usefully employed on these people who reach up with these brainstorms; it is obvious that they suffer 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 mind where the mental health screening is most needed and it ain't the kids," he said in a missive 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 assignment constrain study organize "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 convivial phobia, panic disorder, generalized care 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 entire the components for such a program at no freight at this time; (2) that they recognize that mental illness and suicide among puerile people are public health crisis in this condition and that entire residents of Illinois should manufacture the identification of mental disorders and the prevention of suicide among the puerile people a public health priority; (3) that every puerile person should live screened ... to identify mental illness and obviate 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 site 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 succor generate elevated volume sales of costly psychiatric drugs. By infiltrating the nation's public school system, it will generate millions of modern 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 valuable to understand that powerful interests, namely federal bureaucrats and pharmaceutical lobbies, are behind the propel for mental health screening in schools...the pharmaceutical industry is enthusiastic to sell psychotropic drugs to millions of modern customers in American schools," said Rep Ron Paul, R-Texas, who happens to live a physician.

    TeenScreen made its Illinois debut ultimate tumble at the Brimfield elevated School in the Peoria zone and reports argue that several more Illinois schools will live implementing the program next year, according to investigative reporter, Rhonda Robinson.

    TMAP & IMAP

    Do the titanic drug companies suffer so much power? Why else would this live happening? It looks fancy a way to manufacture more puerile people dependent on prescription drugs earlier in life when entire they really necessity is to deal with growing up, just fancy they entire did before there was a drug for every ailment and modern ailment to warrant even more modern drugs," parent, Dennis McLouth, of Roseville, Ill, wrote in a missive to the Editor of the Illinois Leader on June 13, 2005.

    My retort 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 relegate 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 enlarge 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 rise that the most damaging thing that could live done to the serotonin system would live to impair one's aptitude 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, vicissitude breathing, tension and care which appear from out of nowhere, depression, suicide -- especially very violent suicide, hostility, violent crime, arson, purport abuse, psychosis, mania," and the list goes on and on.

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

    In one study reviewed by the FDA panel, in a pool of 931 depressed patients taking SSRIs listed on the TMAP, versus 811 depressed 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 suffer surfaced over the past couple years were unearthed during the discovery process of recent law suits against drug companies.

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

    These selfsame 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 live on the TMAP list, when he openly criticized the process in the Journal of exercise 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 color from funding sources. The 1996 Guidelines were funded by Janssen (makers of Risperidone [Risperdal]) and most of the guidelines' authors suffer received advocate from the pharmaceutical industry. This potential affray of interest may create credibility problems, especially concerning any recommendations supporting the employ of atypical antipsychotics."

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

    For instance, Eli Lilly helped fund the guidelines and likewise 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 silent owned stock in the company at the selfsame 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 likewise 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 push donations from the pharmaceutical industry. The selfsame Robert Wood Johnson IV, who has ties to the foundation that funded the TMAP, is likewise heir to the Johnson & Johnson fortune, and raised over $100,000 for Bush's 2000 campaign, and over $200,000 for push 2004.

    The Robert Wood Johnson Foundation likewise helped fund the Illinois Children’s Mental Health assignment 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 site in 23 Illinois counties, Robinson reports.

    Tax Dollar Funded Drug Pushers

    Let there live no mistake about it, kids sent to shrinks will linger up on drugs. In 2002, a survey of recently trained child psychiatrists organize that only one in 10 children in their practices did not receive a medication. contemplate 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 scheme issued this month wants to: Promote efficacious employ of Medicaid’s Early periodic Screening, Diagnosis and Treatment capitalize in Illinois to advocate voluntary 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 phenomenon how many people are curious as to what might live in store for the kids they want to screen at age 0. To retort that question, an investigation of the drugs being prescribed to Illinois kids on Medicaid might live 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 ultimate 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 feeble 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 puerile 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 outcome doctors even determine that a 2-year-old is anxious? There's a judgement they convene 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' modern program keeps stressing that treatment should live funded by Medicaid. That means drugs folks. Over-drugging kids on Medicaid in Ohio is not an isolated practice. Its happening entire over the country.

    On January 15, 2005, the Miami Herald reported that nearly 1,900 children under the care 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 exact 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 employ 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, organize that puerile 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 symmetry of TennCare children who were prescribed antipsychotics nearly doubled in six years. The most theatrical increases were among those aged 13 to 18 (116%) and those 6 to 12 (93%). Cooper likewise organize employ among preschool children had increased by 61%.

    If the Illinois Governor signs the modern law on June 30th, in addition to children, entire pregnant women will live 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 live the SSRI antidepressants even though modern studies argue that SSRIs taken by pregnant women can suffer serious adverse affects on the unborn fetus.

    "Newborn babies could live 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 employ of SSRIs, Reuters reported.

    Karen Hayes thinks the whole scheme stinks. "Proposing that condition government set mental health competency standards for entire 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 prerogative because according to the plan, the condition of Illinois will: improve accountability, data tracking and reporting for children’s mental health in relevant programs and services and will (1) Institute shrink and monitoring changes to enlarge 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 convivial and emotional development, and mental health status; (3) Develop policies and protocols for the sharing of databases among relevant 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 assignment constrain says it wants to maximize the employ 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 puerile 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 manufacture positive "treatment" (aka pills) will live paid for, people will live trained to only diagnose kids with disorders that are covered Medicaid.

    The assignment constrain scheme 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 pecuniary circumstances in lieu of current pecuniary documentation requirements," which means entire I suffer to outcome is swear I'm indigent to qualify for Medicaid in Illinois.

    Drug companies smell 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 outcome the math and contemplate how much the psychiatric-industrial complex stands to gain. The plans says to: Ensure that entire children enrolled in Medicaid receive periodic developmental screens ... as mandated under the Early and periodic Screening Diagnostic Treatment program.

    Lets hiss 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 depressed so we'll employ that percentage for the kids on Medicaid. Half of 960,000 means 480,000 kids are set to live prescribed anti-psychotic drugs prerogative from the accumulate go.

    Off hand I don't know how much entire the different drugs cost, but I suffer personal learning that the cost of Risperdal in 2001, was immediate to $500 for a 30 day supply.

    In 2001, The Miami Herald published a string of stories about the common employ of Risperdal among children in condition care. Child-welfare advocates said the drug routinely was being used by foster care providers as a ''chemical restraint'' on children whose headstrong 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 live needed to reckon 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 scheme lists a host of public funding sources to live examined and includes: Medicaid and SCHIP, the convivial Services obstruct Grant, Temporary Assistance for Needy Families, the Child care 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 sentiment piece, Karen Hayes questioned the feasibility of such a great public funded program, "Our government bureaucracies continue to struggle with the job of tending to the convivial needs of needy Illinois families, and ... trying to educate their children in basic academics. How is it that these selfsame bureaucracies can now live asked to seize on the additional role of being the mental health evaluator and caretaker of entire 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 suffer seen in recent years."

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

    Another parent agrees with her. "The Illinois Legislature ought to suffer their own heads subjected to adolescent mental health screening for even considering passing such legislation," said Jack Kime, in a June 13, 2005 missive to the Illinois Leader, "If there is anything more perilous 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: piece II | killexams.com existent 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 considerable capitalize of the pharmaceutical industry.

    In March 2010, the US Department of Health & Human Services purport mistreat & 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 serious 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 figure of documented research evidence. As an example of a exercise that could live 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 obviate the onset of the psychotic angle 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 puerile persons and tender 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 puerile Adults,” from the Robert Wood Johnson Foundation, and is “designed to obviate psychosis in teens and puerile 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 puerile people experiencing subtle and early symptoms that herald the onset of serious 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 mediocre 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 torment puerile people and their families,” Maier claims.

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

    RWJF likewise funds a booklet for professionals, on how to obviate mental illness with early detection titled, “Recognizing and Helping puerile People at Risk for Psychosis: A Professional’s Guide,” which can live 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, puerile people typically are referred to PIER by elevated school guidance counselors, pediatricians, or other clinicians who attended presentations about PIER’s work, visited the PIER Website, and are confidential with the early warning symptoms that imply 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 effortless 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 employ medications,” the Websites says. “We believe that some of the newer medications effectively improve thinking and combat early symptoms.”

    “Research suggests these medications may suffer a protective outcome 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 live 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 discover magazine, highlighted the PIER program with a byline that stated: “A modern coalesce of therapy and medication may stave off psychosis among teens at risk.”

    Schmidt discussed the case of Camila (not her existent 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 silent retain in handle with counselors there,” he reports.

    However, “Camila’s health silent hinges on antipsychotic medication,” Schmidt says. “In the summer of 2007 she went off the drugs for a spell and her eccentric 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 live lifelong,” McFarlane says in the article. “We don’t suffer any empirical evidence to advocate that yet, but what we’ve seen is that puerile people who silent haven’t converted to psychosis after about three years of their treatment don’t look to live at much risk.”

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

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

    A fortune can live made from these life-long antipsychotic customers. In April 2010, the price 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 serious mental illness, Greater Portland could await about 75 puerile 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 reach 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 suffer held positions at J&J such as President, CEO, Vice President, Chairman of the Board, and Treasurer, and suffer 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 enlarge 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 likewise 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 suppositious “Problem,” that led to the creation of the TMAP drugging guidelines as:

    In the 1980’s and 1990’s, as pharmaceutical companies began producing modern and more efficacious medications to treat people with serious mental disorders such as depression, bipolar disorder, and schizophrenia, the question arose of how to select the most arrogate 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 manufacture Risperdal a preferred drug on TMAP. In 2008, Rush was added to a list of psychiatric academics who failed to disclose entire the payments they received from drug companies, by Senator Charles Grassley, as piece 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 live 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 suffer 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 scheme 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 scheme naming the preferred psychiatric drugs for children has been quietly establish on hold over fears drug companies may suffer given researchers consulting contracts, speakers fees or other perks to succor accumulate their products on the list,” the word wrote.

    To date, four of the five atypical makers suffer settled fraud charges involving the illegal off-label marketing of antipsychotics, including for employ 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 organize massive safety and manufacturing violations at a plant in Fort Washington, Pennsylvania, including formulations of Tylenol, Motrin, Zyrtec and Benadryl. The FDA likewise organize problems with “strength, quality and purity.”

    The FDA’s inspection report notes that J&J received about 46 consumer complaints “regarding strange materials, black or dusky specks [in their drugs] from June 2009 to April 2010.” J&J had learning of problems since May 2009, which means it was allowing children and infants to ingest potentially pestilential 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 complete text of an article in Time magazine, by John Cloud titled, “Staying Sane May live Easier Than You Think,” who reported: “The most exciting research in mental health today involves not how to treat mental illness but how to obviate it in the first place.”

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

    “This isn’t wishful thinking but arduous 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 obviate mental, emotional and behavioral disorders.” A quick check organize one of the sponsors of the National Academies to live RWJF.

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

    “Second,” he noted, “we must tender treatment to people who suffer already shown symptoms of illness (say, a tendency to worry and contemplate 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 titanic 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 outcome more harm with some of these drugs than good.”

    “But those who contributed to the National Academies report hiss preventing the suffering of people with mental illness is worth the risk of some False positives, partly because of the immense 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 silent 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 logical extension of the current approach to many other diseases of the central nervous system.”

    “However,” they report, “a captious analysis of the results of structured clinical investigations which suffer explored the employ of ATAPs for new-onset psychotic symptoms raises safety concerns and does not advocate 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 puerile adults who appear to parade signs consistent with a schizophrenia prodrome. Early employ is predicated on the possibility that ATAPs may obviate progression to full-blown psychotic illness in this high-risk population. ”

    “This trend has been encouraged despite a paucity of data which clearly advocate 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 suffer 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 puerile adults seeking medical attention for prodromal psychotic symptoms is associated with elevated 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 color secondary to baseline imbalances, inadequate blinding or even differential psychosocial supports.”

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

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

    “Even in the hands of experienced investigators using circumstantial 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 employ of ATAPs continues as a quasi-standard of care for new-onset psychotic symptoms, a great majority of these often puerile individuals will live 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 reach first when the preventative efficacy of these agents remains so poorly defined,” they conclude.

    • Read piece I.

    • piece III of this string will highlight the Psychiatric Industrial complex as the driving constrain behind the American Epidemic of Mental Illness.

    • This string 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 live reached at: evelyn-pringle@sbcglobal.net. Read other articles by Evelyn, or visit Evelyn's website.


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