Thursday, March 6, 2008

collide

They're bullish on testosterone here at the 6th Annual World Congress on the Aging Male. http://louis-j-sheehan.org/
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Physicians and researchers from around the world gathered to review the latest findings on what low levels of the male hormone means for men, how replacing it might help and why it hasn't caught on broadly.

"If we had a drug that could restore sexual function in men, make them stronger, build their bones, reduce fat and get rid of the blues, you'd say, 'Oh my God, why doesn't everybody know about it?' " says Abraham Morgentaler, a urologist at Harvard Medical School and director of the Men's Health Boston clinic. http://louis1j1sheehan1esquire.us/
"There is a drug like that -- but the public associates testosterone with cheating and illicit behavior and the fact that 40 years ago, it was thought to give people prostate cancer."

Whether it does or not is still an open question. But many studies have shown that low testosterone is associated with reduced muscle mass, bone density, sexual function and vitality, and increased fatigue, depression, Type II diabetes and obesity -- particularly belly fat. Evidence is accumulating that restoring testosterone to normal can alleviate many of those problems.

"Men with low testosterone are miserable to live with -- they fall asleep after dinner and snap at everyone," says David Greenberg, a general practitioner in Toronto. "You restore it and they say, 'Wow, I feel like myself again.' "

But there's debate over which of the three forms of testosterone to measure, what level constitutes "low" and, most importantly, at what age. http://louis-j-sheehan.com/
Testosterone declines naturally after age 40. So is a 70-year-old man deficient or just aging?

"The moment you add the element of aging, you add the element of ageism. It's giving things for sex to old men," says John E. Morley, director of geriatric medicine at Saint Louis University, who, like other experts quoted here has worked with makers of testosterone products.

"Everybody agrees that testosterone deficiency should be treated in younger men. http://louis-j-sheehan.org/page1.aspx
Why not treat it in older age groups?" says Ronald S. Swerdloff, chief of the endocrinology at Harbor-UCLA Medical Center.

Women lose estrogen much more abruptly in menopause, and replacing it to alleviate symptoms and maintain bone health has been standard practice for decades, though questions remain about the risk of breast cancer.

There are even more unknowns about the risks and benefits of testosterone replacement. http://louis-j-sheehan.com/page1.aspx
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For one thing, many of the symptoms of low testosterone are very common in older men and could be related to other conditions. Some, like obesity, may lead to low testosterone rather than vice versa.

And there is lingering concern that testosterone could fuel prostate cancer -- largely because drugs that reduce testosterone seem to shrink enlarged prostates and lower the risk of developing prostate cancer by 25%, according to the National Cancer Institute's Prostate Cancer Prevention Trial.

On the other hand, an analysis of 18 studies in the Journal of the National Cancer Institute last month concluded that there is no correlation between testosterone levels and prostate-cancer risk. Another study in the Journal of Clinical Endocrinology and Metabolism found that men with low testosterone had higher mortality rates in general than those with higher levels, regardless of other risk factors.

Some drug makers are testing oral variations of testosterone that would deliver the benefits without the potential prostate hazards. For now, testosterone is available mainly in injections, topical gels and patches. http://louis-j-sheehan.com/
Nearly three million prescriptions were written in the U.S. in 2007, according to IMS Health, a health-information company.

Everyone here agrees that large-scale clinical trials are needed to evaluate the safety and effectiveness of testosterone therapy. One such trial has been proposed to the National Institutes of Health; and the New England Research Institutes is starting a registry of 1,000 patients, half in the U.S. and half in Europe, to follow for two years.

In the meantime, some doctors are wary of treating older men until more is known. http://louis-j-sheehan.com/page1.aspx
"If your patient is an old man who's grumpy and not the stud he used to be, you could give him testosterone for a few months and see what happens," says Elizabeth Barrett-Connor, chief of epidemiology at University of California, San Diego. "But no epidemiological results justify giving it to older men in general."



The Jerusalem Post is an Israeli daily English language broadsheet newspaper, founded on December 1, 1932, by Gershon Agron as The Palestine Post. While the daily readership numbers (tens of thousands) do not approach those of the major Hebrew newspapers, the Jerusalem Post has a much broader reach than these other newspapers in that their readership is composed of Israeli politicians, foreign journalists, tourists, and also distributed worldwide. Whilst it was once regarded as left-wing, the paper underwent a noticeable shift to the right in the late 1980s. Under new ownership and editorial leadership of editor-in-chief David Horovitz since 2004, the paper's political identity has moved again to a more complex centrist position. http://louis-j-sheehan.biz/page1.aspx
Examples of this shift include support for the August 2005 disengagement from the Gaza Strip and the paper's advocacy for privatization of Israeli religious institutions.

The Palestine Post was founded on December 1, 1932 by American journalist-turned-newspaper-editor, Gershon Agron in the British Mandate of Palestine. During its time as The Palestine Post, the publication supported the struggle for a Jewish homeland in Palestine and openly opposed British policy restricting Jewish immigration during the Mandate period.

On the evening of February 1, 1948, a car exploded outside the Jerusalem building housing the Palestine Post. The building also contained other newspaper offices, the British press censor, the Jewish settlement police, and a Hagana post with a cache of weapons. http://louis-j-sheehan.biz
The bomb destroyed the Hagana post, a large part of the Palestine Post offices, and badly damaged several nearby buildings. One typesetter died and about 20 people were injured. The morning edition of the Palestine Post appeared in reduced format. http://louis-j-sheehan.biz/
The bombing was the work of Fawzi el-Kuttub, under the command of Arab leader Abd al-Qadir al-Husayni. Al-Husayni claimed responsibility for the bombing, but Hagana leaders did not believe that the Arab forces were capable of such operations and suspected various other parties, including Etzel, British forces, and "German saboteurs".

The newspaper's name was changed in 1950, two years after the state of Israel was declared and the Mandate of Palestine ended.

Until 1989 the Jerusalem Post supported the forerunners of the Labour Party and had a liberal or left of center political orientation. In 1989 it was purchased by Hollinger Inc. Under the control of Canadian conservative newspaper magnate Conrad Black the paper became supportive of the Likud. http://louis-j-sheehan.us/Blog/blog.aspx
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A number of journalists resigned from the Post after Black's takeover and founded the left-wing weekly Jerusalem Report, which eventually was sold to the Post. On November 16, 2004, Hollinger sold the paper to Mirkaei Tikshoret Ltd., a Tel Aviv-based publisher of Israeli newspapers. CanWest Global Communications, Canada's biggest media concern, had announced an agreement to take a 50 percent stake in the Jerusalem Post after Mirkaei bought the property, but the Mirkaei pulled out of the deal. CanWest sued in court, but lost.


Currently the newspaper is viewed as having a moderate conservative slant on news coverage, although left-wing columns are often featured on the editorial pages. http://louis-j-sheehan.biz
It espouses economic positions close to those of neoliberalism: tight fiscal control on public spending, curbing of welfare, cutting taxes, and anti-union monopoly legislation, among others. The paper competes with the liberal Haaretz newspaper, which began publishing an English language edition in the 1990s as an insert to the International Herald Tribune.

As with other Israeli newspapers, the Jerusalem Post is published from Sunday to Friday, with no edition appearing on Saturday (the Jewish Sabbath) and Jewish religious holidays. http://louis-j-sheehan.de/

The current head editor is David Horovitz (formerly editor of the Jerusalem Report) who took over for current Wall Street Journal editorial board member Bret Stephens in 2004.

In print, the Jerusalem Post also publishes other editions geared for the local and foreign markets: a Christian Edition, French, 'International', as well as several kids and youth magazines. There is also a section titled "Iranian Threat". In 2007, it also started publishing a Hebrew-only business daily called The Business Post. The newspaper also maintains an online edition named jpost.com.


I wish I could draw. Instead of writing 1,000 words I would sketch a cartoon of Ehud Olmert and Mahmoud Abbas all dressed up for a wedding with nowhere to go. Not a pretty picture, I admit. But this was the image that sprang to mind as the two very odd friends argued about Jerusalem - not about its status, but about when to discuss it.

They reminded me of a couple so in love with the idea of getting married that they refuse to talk about any of the serious issues - like where to live or how to raise their children - for fear that their different ideas would trip them up on the way to the wedding canopy.

Such a marriage, if it takes place at all, is clearly doomed. Olmert and Abbas also know their chances of a happy union are slim. http://louis-j-sheehan.biz/
They might march off to "Here comes the Bride," arguably Richard Wagner's best-known piece, but Wagner's Tristan and Isolde, with its convoluted plot full of fateful decisions and deceit, might be more suitable. In fact, Olmert and Abbas might not so much march off into the sunset ceremony as waddle, in the view of some. Speaking at last week's Jerusalem Conference, Opposition leader Binyamin Netanyahu warned: "The prime minister said that we are not talking about Jerusalem, and that we are leaving it until last. But I say, if it looks like a duck, and it walks like a duck, then they plan to divide Jerusalem." Perhaps I should alter my mental cartoon to include the image of lame ducks. http://louis2j2sheehan.us/Blog/Blogger.aspx
http://louis2j2sheehan.us/page.aspx
http://louis2j2sheehan.us/page1.aspx Or sitting ducks. At least I should add some ruffled feathers.

Jerusalem is definitely what is now being called a "core issue." Obviously it must be resolved if a peace agreement is to be born of a union between Olmert and Abbas or any other unlikely couple. Like other core issues, such as the "right of return for refugees" and the eventual borders, it lies at the heart of the matter. Even the question of who has the right to decide Jerusalem's fate - the politicians, the voting public, or the Diaspora - has not been solved.

The press has obsessed over whether the question of Jerusalem is currently "on the table," "under the table," or tabled for a different round of discussions some time in the future when the smaller issues are out of the way.

Our bride, it seems, has a dress, a venue, a caterer and music in mind. She just doesn't have a date.

A groom under the huppa pledges: "If I forget thee, O Jerusalem, may my right hand forget its cunning. If I do not raise thee over my own joy, let my tongue cleave to the roof of my mouth." He then stamps on a glass in an act usually attributed to commemorating the destruction of the Temple.

Olmert might do well to put his foot down now and remember not just the destruction of the ancient sanctuary but also what his strange communion will mean for the future. Love might be blind but it is wise to go into marriage with your eyes wide open. Marriage requires compromise and sacrifice, it is true. In a happy marriage, however, they have to be made by both sides and be worth it.

The international community, including the US and the European states, are eager to attend this wedding. You can almost imagine George W. Bush and Tony Blair practicing their best-man speeches in the mirror. The presents will undoubtedly be lavish. Like wedding guests everywhere, the celebrants here, too, would be happy to eat, drink, dance and then go home to discuss the chances of the bride and groom living happily ever after.

Unfortunately, shlom bayit, domestic peace, is not likely to come out of these nuptials if the bride and groom can't even admit there is a problem to begin with. The guests want Israel and the PA to divide Jerusalem. http://louis-j-sheehan.us/Blog/blog.aspx
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But Jerusalem is far more than a city. It cannot be cut up for convenience as if it were simply some triple-tiered wedding cake with a plastic bride and groom perched on top.

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