text:
by Mike Masnick
Wed, Feb 6th 2013 11:57pm
Filed Under:
drugs, generics, liability, pharmaceuticals, reglan, tardive dyskinesia
actavis, pfizer, teva
An interesting case in the Alabama Supreme Court has ruled that a man who developed a movement disorder (tardive dyskinesia) after taking a generic version of the drug Reglan can sue Pfizer, the maker of Reglan, even though it did not make the actual generic he had taken (he took generics from both Actavis and Teva, both of whom he's sued as well). This one is a tricky one on the question of secondary liability, thanks to the oddities of the pharmaceutical world. While, naturally, it sounds absurd that Pfizer can be sued for a drug it didn't make, the regulatory world makes it slightly more complicated -- in part because current law says that generic drug companies could not be sued over failures in labeling of risks, because they're basically copying the labels from the brand name manufacturer. Other courts have ruled that the brand name manufacturers can't be sued -- so in theory that could leave the takers of generics with no legal recourse if there were failures to accurately label the drugs they took. Given that, it seems slightly more reasonable to think the brand manufacturer may be more responsible for what's on the label -- but since they can't monitor quality control of the generic, the whole thing seems like quite the legal muddle all around.
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Anonymous Coward, 7 Feb 2013 @ 12:08amI just infringed the facepalm on the internet patent
Anonymous Coward, 7 Feb 2013 @ 12:29amIf Pfizer did not report dangerous side effects of a drug that they got FDA approval for, then the buck stops with them. If studies indicate a high likelihood of heart palpitations for patients using a drug and the pharma company buries those studies, it's not the generic manufacturer's fault that they couldn't warn patients of the danger.
That said, if there's not a strong reason to believe that the drug itself was the cause of the side effects, then Pfizer can - and will - argue that it's the generic manufacturer's process or quality control that was at fault.
Viln (profile), 7 Feb 2013 @ 12:56am
Re:If Pfizer didn't report a known side effect, that's definitely incriminating. I didn't see mention in the article as to whether users of the name-brand version were also reporting these symptoms.
As much as I'm not a fan of big pharma, I wonder.... would the company that patented a particular cell phone technology be held responsible once that patent had expired if other companies duplicating that technology exactly to specification created products that caused brain cancer?
It's probably unreasonable to demand that generic drug companies perform their own testing, especially after the drug has been FDA-approved and in use for 20 years.... but on the other hand it is their product.
Ninja (profile), 7 Feb 2013 @ 1:55am
Re: Re:I'd say it's rather simple. Pfizer will just have to show their OWN medicine does not cause said effects shifting the blame to the generic companies. But this should be tested BEFORE reaching Pfizer in a lawsuit against the generic drugs.
And really, if it's registered for over 20 years then shouldn't any sane and reasonable person think it's not Pfizer's fault?
Anonymous Coward, 7 Feb 2013 @ 2:13am
Re: Re:The only way to know is to conduct an open clinical trial and ask everybody who is taking those drugs to participate to see what they have or not.
It could be a number of things.
- Contamination, on the production, store or user.
- Modification of the original formula for any number of reasons like trying to reduce costs.
- Adverse reaction due to unforeseen combination with other substances(i.e. Food, other drugs, life style and so on).
- Crazy person trying to get money from a company.
- Crazy person focusing his anger issues where it shouldn't.
- Crazy person with valid claims about what is happening but that only happen to him or in a local area which would imply local factors in play.
Without that, you just can't trust the secret clinical trials that Pfizer did and will never disclose to anybody in the near future, because they could have know about it but without access to that data nobody will ever know if what they say is true or not, they could just change the reports to look like they never knew about it and we would have to accept that, on the other hand with a public trial in hand and with many cases of the same effect happening to others everywhere it would be very hard to come out and say they didn't know, when that is the first thing that jumps the eye on the open public clinical trial.
What really surprises me, is how judges are making those type of decision based solely on their gut feeling apparently because we have no data that can be trusted only the word of the manufacturer to go on.
Barbossa: So you expect to leave me standing on some court(beach) with nothing but a list(name) and your word it's the one I need and watch you sail away on my ship?
Jack Sparrow: No. I expect to leave you standing on some court(beach) with absolutely no list(name) at all, watching me sail away on *my* ship, and then I'll shout the list(name) back to you. Savvy?
Barbossa: But that still leaves us with the problem of me standing on some court(beach) with naught but a list(name) and your word it's the one I need.
That can't end well.
I understand why in the past things should be done this way, but in the internet age, where you have hyper connectivity and you can gather tremendous amounts of data, it seems a bit old to let somebody use only their instincts to make judgments.
When did anybody see a person make a good decision based on instinct most of the time?
Aside from soap operas, in real life I never saw anybody be happy with most of the decisions they made upon snap judgements without knowing anything about what they were dealing with, not once, and so it seems to me that this old way of doing things goes against not only common sense but the interest of true justice.
On the part of conducting trials, well, I agree they should not conduct their own trials, what should happen is doctors and hospitals should track that and report it somewhere, so when this crap happens they at least know if it is something universal or it just happens to one brand which would suggest tampering or contamination.
Anonymous Coward, 7 Feb 2013 @ 6:51am
Re: Re: Re:tl;dr
Tom NJ, 7 Feb 2013 @ 2:56am
Re:Where does it saying anything about them not reporting dangerous side effects. What if the side effect only occurs in 0.0001% of patients? At some point some responsibility has to land on the patient. When you take a medication there is a chance something will effect you in ways never imagined. Who knows why?
If we demand that every medication ever developed must be 100% safe for 100% of the population we will never have any new medications.
If there is a 100% chance that something is going kill me but there is a drug that has a 50% chance of saving me and a 50% chance of killing me I'm taking the drug.
People, in life sometimes you get f**ked. Sorry, deal with it.
Anonymous Coward, 7 Feb 2013 @ 3:11am
Re: Re:your right there is no such thing as a drug that has no side effects on the entire population.
some side effects may be very severs, including death, that does not mean that drug is useless, or that it does not save far more people than it kills.
Also, there is simply no such thing as a clinical trial no matter how honest or well run that will show all possible side effect to all possible people.
It is not a matter of fudging the figures or cheating or breaking the rules to get approval.
It is just a fact of life, and masnick cannot seem to understand..
changes are if you have 100% chance of dying, it would be a 0.00000000000001 chance of the drug killing you .
Anonymous Coward, 7 Feb 2013 @ 3:53am
Re: Re: Re:Quote:
It is not a matter of fudging the figures or cheating or breaking the rules to get approval.
Obviously you can prove that.
Because I can show without a doubt that there are such things and they occur more often than they should.
Researcher Sentenced To Probation For Falsifying Clinical Drug Trial (2012)
Missouri CRO fined for falsifying clinical trial work for Boehringer (2011)
People downright just lie about having collected data or fudge the numbers.
Although there is no such thing as adverse-effect-free-drug, there is such a thing as hiding-adverse-sales-effects-from-consumers.
velox (profile), 7 Feb 2013 @ 7:46am
Re: Re: Re:
"changes are if you have 100% chance of dying, it would be a 0.00000000000001 chance of the drug killing you "Tom NJ makes some valid points above, but you're not helping him when to resort to math challenged hyperbole in order to appear to strengthen his argument.
Here are the facts: According to an Institute of Medicine estimate 7,000 people die in the US every year due to medications. Do the math: 7,000/315,000,000 people = 0.00002
That means the annual risk is about 2 Billion times more likely than your lifetime "estimate" -
Anonymous Coward, 7 Feb 2013 @ 8:36am
Re: Re: Re: Re:Well, darryl, because that is who left that comment (the lack of proper grammar/punctuation usage and the hyperbole is evidence of it being him), isn't known for fact checking or not using hyperbole.
Nor is he known for replying back when someone uses facts/evidence to put him in his place. But for those of us who weren't aware, thanks for the information you provided.
Anonymous Coward, 7 Feb 2013 @ 12:30amEven though I read this with a grin in my face seeing Pfizer in trouble, I just can't believe that the law is so fraked-up.
Hope the man wins, this would put some pressure on pharma companies to lobby aggressively to reduce secondary liability, which in turn may help others.
PaulT (profile), 7 Feb 2013 @ 1:04amQuite simple to my mind. If the generic drug was identical to Pfizer's version, and manufactured to the same standards without additional impurities, less stable ingredients, etc. being involved, I don't see why they shouldn't have some liability equivalent to if he had taken Pfizer's version. They would have been the ones to carry out the clinical trials, government approval and labelling of risks associated with the drug and so carry some blame if this process was incomplete or incorrect.
If, however, it can be shown that the generic recipe, manufacturing process or other factors altered the composition of the drug away from their original version, they may not be liable because they had no oversight or control over that process.
Anonymous Coward, 7 Feb 2013 @ 6:56am
Re:I would ask: What is the FDA culpability in this? Why was the drug approved in the first place?
It is a hard question here: Does FDA have a responsibility to monitor the drugs? To what extend do they have the possibility to pull a product completely?
The law has to account for FDAs possibilities all the way and if their responsibility or possibility to remove a product is limited, their approval process has to be that much more rigorous...
In this case it is so long ago that the product was approved, that it is amazing it took so long to pull it! While the former patent holder vs. generic company is a patent-angle, it is not as much of a question in this case as the political angle.
When a sideeffect has been kept secret or only just been found 20 years after the drug was approved, it is a question of the authority regulating the market and if their procedures are good enough rather than a problem of what company is at fault...
nasch (profile), 7 Feb 2013 @ 11:06am
Re:If, however, it can be shown that the generic recipe, manufacturing process or other factors altered the composition of the drug away from their original version, they may not be liable because they had no oversight or control over that process.
I think the burden should be on the generic manufacturer to prove that they manufactured it correctly.
Zakida Paul (profile), 7 Feb 2013 @ 1:43amIt's pretty simple to me. The law should read "if you make it, you take responsibility for anything that goes wrong in the use of it."
btrussell (profile), 7 Feb 2013 @ 2:33am
Re:I think responsibility should be struck from the language. It has no meaning anymore.
Anonymous Coward, 7 Feb 2013 @ 3:06amdon't you understand anything, this is a huge HELP for the big companies AND a strong support for not having generics.
and an amazingly great excuse (valid or not.. probably very valid). That the large expense in the development and testing of the drugs NEEDS a method of earning money and being big for the very reason that sometimes drug side effects do not become apparent in trials but only after general release.
It happens a lot, and it is not the fault of the drug companies or their testing methods, it's just a fact of life.
But the generic companies cannot afford to cover cost of these expected (statistically) problems. So someone has to have responsibility, that is the big pharma companies.
Who also need the money to fund research and testing on new drugs, drugs that may pass clinical trials but once in general use display side effects.
Anonymous Coward, 7 Feb 2013 @ 3:23am
Re:I think you might have gone off on a tangent: the case is stone grey at best, because of the way the law is worded. It's very interesting, to say the least, but not always because of the generics, but as a complicated legal case.
Anonymous Coward, 7 Feb 2013 @ 3:15amside effects have to occur with more than one person, a side effect is an effect that a small but SIGNIFICANT number of people are effected.
In this case it appears to be more an allergic reaction than a side effect. This guy will not win this case if his argument is that it is a side effect of the drug, and not a reaction to the active compound.
Anonymous Coward, 7 Feb 2013 @ 3:56am
Re:Assuming the guy is honest and normal, you are full of shite.
An adverse allergic reaction is also an adverse effect moron.
Anonymous Coward, 7 Feb 2013 @ 10:30am
Re: Re:His point is that every side effect is an adverse effect, but not all adverse effects are side effects.
You can have an allergic reaction to pretty much any chemical. There is still a relatively short list of allergens, though, as those are the ones that actually effect a significant portion of the population.
Anonymous Coward, 7 Feb 2013 @ 10:40am
Re: Re: Re:Wait, nevermind, you meant that allergies are warned against alongside side effects.
Anonymous Coward, 7 Feb 2013 @ 3:41amsounds like a conspiracy case to justify blocking generic drugs from the market.
Mr. Applegate, 7 Feb 2013 @ 4:12am
Just a quick search ... and harsh opinion.Looking up the drug, the very first thing is the following:
Treatment with metoclopramide can cause tardive dyskinesia, a serious movement disorder that is often irreversible. The risk of developing tardive dyskinesia increases with duration of treatment and total cumulative dose.
Metoclopramide therapy should be discontinued in patients who develop signs or symptoms of tardive dyskinesia. There is no known treatment for tardive dyskinesia. In some patients, symptoms may lessen or resolve after metoclopramide treatment is stopped.
Treatment with metoclopramide for longer than 12 weeks should be avoided in all but rare cases where therapeutic benefit is thought to outweigh the risk of developing tardive dyskinesia.
Followed by:
What are the possible side effects of metoclopramide (Metozolv ODT, Reglan)?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
tremors, or restless muscle movements in your eyes, tongue, jaw, neck, arms, or legs;
mask-like appearance of the face;
very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out;
depressed mood, thoughts of suicide or hurting yourself;
hallucinations, anxiety, agitation, jittery feeling, trouble...
That warning, or similar ones, were very prominent on a number of sites about the drug.
Another source says: "Metoclopramide may be the most common cause of drug-induced movement disorders"
I think as a patient you have a duty to know what you are taking, and what the possible side effects are. Certainly even the most cursory look into possible side effects would have alerted you that this could be a problem.
The doctor who prescribed the drug should have been aware of the possible side effect and had a duty to inform and monitor his/her patient. Similarly, the pharmacy who filled the prescription should have warned the patient, either with labeling or a handout.
While I am not fan of the pharmaceutical companies and their practices, my quick research, with no real direct knowledge in this case, tells me the patient should have been aware of the risk. Any liability likely lies with the doctor or pharmacy as they should have been aware and had a duty to inform, the doctor had a duty to monitor as well.
I just posted about this the other day, many drugs have side effects that are potentially worse than what you are treating. As a consumer in the modern age of the internet as it is so easy to get information about almost anything I think you have to assume some responsibility for researching the drugs you are prescribed.
Josh in CharlotteNC (profile), 7 Feb 2013 @ 5:38am
Re: Just a quick search ... and harsh opinion.That warning, or similar ones, were very prominent on a number of sites about the drug.
These warnings are available now, very possible as a result of this guy's condition/lawsuit.
The questions are:
Were the warnings there when he started taking the drug?
Did Phizer know about the side effects when they created the drug initially and not report them?
nsaamiller (profile), 7 Feb 2013 @ 6:12am
Re: Re: Just a quick search ... and harsh opinion.Sorry, this is well known in the medical field already, or should be. I hate reglan and never prescribe it because I have seen more acute and life threatening reactions to it.
This looks like a fishing expedition similar to many of these type of cases. Find a court that will allow an action, try a successful case, then put your ad on tv, a la 1-800-BadDrug.
It's like me suing Bayer because I got an ulcer from taking aspirin. Utter load of flapdoodle.
Mr. Applegate, 7 Feb 2013 @ 6:29am
Re: Re: Just a quick search ... and harsh opinion.Further research shows that 'Stronger Warnings' were required by the FDA in 2009. However, courtesy "The Way back Machine" here is one of the sources I used as shown in April 2004.
� If you experience any of the following serious side effects, stop taking Reglan and seek emergency medical attention or contact your doctor immediately:
� an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
� uncontrollable movements or spasms of your arms, legs, lips, jaw, tongue, face, or other body part;
� anxiety, agitation, jitteriness, difficulty breathing, or insomnia;
� depression;
� yellowing of the skin or eyes;
� changes in vision;
� an irregular heartbeat; or
� seizures or hallucinations.
� Other, less serious side effects may be more likely to occur. Continue to take Reglan and talk to your doctor if you experience
� nausea or diarrhea;
� dizziness, drowsiness, or headache;
� confusion;
� fluid retention (swelling of hands or legs, bloating);
� breast tenderness or swelling;
� changes in your menstrual cycle; or
� increased frequency of urination.
Take Reglan exactly as prescribed by your doctor. Reglan is usually taken for only 4 to 12 weeks. Follow the directions on your prescription label.
High doses or long-term use of Reglan can cause a serious movement disorder that may not be reversible. Symptoms of this disorder include uncontrollable muscle movements of your lips, tongue, eyes, face, arms, or legs. The longer you take Reglan, the more likely you are to develop a serious movement disorder. The risk of this side effect is higher in women, diabetics, and older adults.
Take Reglan 30 minutes before eating. Reglan is usually taken before meals and at bedtime. Your doctor may want you to take the medication as needed only with meals that usually cause heartburn. Follow your doctor's instructions.
Measure the liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Do not take two different forms of Reglan (such as tablets and oral syrup) at the same time.
Store Reglan at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. After you stop taking Reglan, you may have unpleasant withdrawal symptoms such as headache, dizziness, or nervousness. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.
So it was listed even in 2004 (though slightly less prominently). I don't know when he took the drug, but if it was 2004 forward the warning was there for certain.
There are a lot of questions such as:
Was he taking any other drugs (legal or illegal) that may have interacted with Reglan?
Did he modify dosage administered at all or did he strictly follow the prescribed dosage and schedule?
Did his doctor make him aware of the possible side effects?
Did the doctor follow up or prescribe for more than 12 weeks?
Did his doctor prescribe a high dosage?
Did the pharmacy properly label the drug?
There are a lot of questions. But if I had been prescribed that drug, I would have been questioning my doctor, even as far back as 2004.
The point I was making is there should be a certain level of personal responsibility. Obviously, we don't have all the details in this case.
A long time ago, I worked in a pharmacy and was always amazed that people did not listen to what they were told about the drugs they were taking and many, frankly, didn't seem to care at all. They were too trusting of their doctors in my opinion.
Josh in CharlotteNC (profile), 7 Feb 2013 @ 6:51am
Re: Re: Re: Just a quick search ... and harsh opinion.They were too trusting of their doctors in my opinion.
When I find a doctor that I trust and is knowledgeable, I follow their advice. They're the ones that have been to medical school and trained to do their jobs. So while I'll ask some questions, I trust the professionals over what I can find on a quick Google search.
While I don't do computer repair and general tech support any more, nothing would annoy me more than someone who had no idea what they were doing to ask me for help *and then not follow my advice or let me fix the problem*. When someone was paying me for my skills and advice, I don't expect them to go and do something else just because the internet told them to - so I treat the professionals I pay as I expect to be treated.
Mr. Applegate, 7 Feb 2013 @ 7:20am
Re: Re: Re: Re: Just a quick search ... and harsh opinion.That is fine when you have one doctor. Many times people have numerous doctors and one doctor is not aware of what the others are prescribing.
They may be your doctor, but it is your body. Ultimately you know how you feel, what your problems are... better than any doctor ever will. How well you are able to communicate that can have a huge bearing on the success of treatment.
Educating yourself, about the treatment the doctor prescribes and asking questions helps with the communications process. Why should the doctor care if you don't?
I do a lot of IT consulting these days. I am never upset by those who have no clue when they ask questions, or even choose not to follow my advice. I get paid either way. I may bluntly say; "You asked my advice, whether you follow that advice is up to you.", but I am never offended. If it causes me too much trouble over time I may fire my client (I have only had to do that twice). I actually prefer clients who are engaged in the process. I am not saying clients should be abusive, or obstinate to what I tell them, but honest discussion always leads to a better outcome.
Anonymous Coward, 7 Feb 2013 @ 10:46am
Re: Re: Re: Re: Re: Just a quick search ... and harsh opinion.
That is fine when you have one doctor. Many times people have numerous doctors and one doctor is not aware of what the others are prescribing.
Which is just stupid. At least one of the Docs should have your entire medical history available. In this day and age, there is no excuse to not have every Doc able to access the list of meds you are currently on, even if you have to physically carry the document to them.
Anyone in this situation voluntarily is likely doing so because they have been told not to take a certain medication and want it anyways.
Mr. Applegate, 7 Feb 2013 @ 10:56am
Re: Re: Re: Re: Re: Re: Just a quick search ... and harsh opinion.It happens every day. What happens when you are in an accident out of state, unconscious and in an emergency room.
Then there are certain things some people are too embarrassed about and don't want anyone to know about. Mental Health and sexual issues are two that come to mind right away.
And of course you have those who are doing as you suggest as well and are trying to get what some doctor won't give them.
JEDIDIAH, 7 Feb 2013 @ 8:27am
Re: Just a quick search ... and harsh opinion.> When I find a doctor that I trust and is knowledgeable, I follow their advice. They're the ones that have been to medical school and trained to do their jobs.
You would think. You would certainly hope so. However, when it comes to DRUGS this is not something you can assume. You cannot simply treat a doctor like some sort of scientific equivalent of a Bishop or cult leader.
Quite often, your local pharmacist will be far more competent about this stuff because that's what they actually study and that's what they do day in and day out.
That's not even getting into the problem that there is a wide range of competence and dedication among doctors.
If you are just a blind follower, you are really taking your life into your hands.
You don't need to be a sheep. You can buy yourself a copy of the PDR or just use Google.
Anonymous Coward, 7 Feb 2013 @ 8:36am
Re: Re: Re: Re: Just a quick search ... and harsh opinion.I fully expect people to not take my advice paid or otherwise on my word alone, I hope they try other things fail and see the value of what I offered them.
Those people are intelligent enough to try out other things and once in a while somebody may surprise you finding a new way of doing something that works better than what you thought would be better, of course not always, it is rare but it does happen even if by accident.
I have no problems with people experimenting is how we learn, is how we improve, if I am paid to offer advice and they chose not to follow it, that doesn't bother me.
Why should it?
I get paid either way.
BD Cooper, 7 Feb 2013 @ 5:03am
Side affectsThe article doesnt address the fact that generic medication is not the same as the name brand. The active ingredient is the same but not all of the other compounds mixed with it. Also the quality of the generic pills varies widely not to meantion the accuracy of the dosage level as marked.
Lastly due to natural genetic variations between people, with the hundreds of millions of people in this country there is bound to be at least one individual that will have a never seen before negitive reaction to a drug. This lawsuit is stupid and only meant to bankrupt pharmacutical companies.
Michael, 7 Feb 2013 @ 5:21am
FDAIs anyone else wondering what the FDA does for us these days? They just take the clinical trials run by the drug companies look at the labels the drug companies create, ask them 'is this thing you want to make billions of dollars selling safe?' and pat everyone on the back for a job well done?
nsaamiller (profile), 7 Feb 2013 @ 6:19am
Re: FDANo, actually they hold up plenty of good drugs for the stupidest of reasons. One example, the FDA pulled the one product that prevented post-op nerve scarring after back surgery. This is the number one cause of failure after surgery. Why did they pull approval? Because the safety manuals were written in Dutch. And the product was being produced in...? Yes, dear, the Netherlands. Company could not comply fast enough, the product was never allowed back in the states.
So quite the opposite. As is characteristic of many TD stories there is much more to this one than meets the eye. And honestly, it takes a fairly comprehensive understanding of medicine and medical practice to be able to sort through the fog and shape-shifting...
PaulT (profile), 7 Feb 2013 @ 6:38am
Re: Re: FDAErm, forgive my ignorance but what does the safety manual consist of? Is it something that would need to be understood by anyone in the US - be it be FDA staff to know what the safety procedures were (do those procedures have to be compliant, for example), or by anyone else working on US soil? Does it contain important information they would need before making their decisions?
I'd agree that having such a strict deadline for translation is rather dumb, especially if said drug was being used in the Netherlands without issue. However, if important documentation is supplied in a format that neither the FDA nor some people who might require that information can understand, I don't see why demanding a translation is stupid.
"As is characteristic of many TD stories there is much more to this one than meets the eye."
...and I'm sure you'll be here furnishing us with links and/or details of what that is rather than criticising without bothering to back up your own claims? Right?
nsaamiller (profile), 7 Feb 2013 @ 8:54am
Re: Re: Re: FDAI thought that Mr. Applegate had done a pretty good job of tying up the warning issue.
The opinion is here: http://alabamaappellatewatch.com/wp-content/uploads/2013/01/Wyeth-v.-Weeks.pdf
And see here for the consequences from an injury lawyer perspective: http://injurylawyer-news.com/category/reglan-lawsuits/
And also: http://www.druginjuryattorneyblog.com/2013/01/brand_name_drug_makers_may_be.html
Still looking for the link to FDA document talking about the example. I stand by my criticism of the statement made. There are good drugs and devices with years of experience that fail or are very slow to get to market because the bar is set inordinately high. The delay in getting the Bryan disk is typical (see: http://www.medscape.com/viewarticle/489858_4 ). This was in clinical use in 2002 in Australia and Europe, submitted to the FDA soon after, clinical trials in 2002, reviewed in 2007 (http://www.fda.gov/ohrms/dockets/ac/07/briefing/2007-4305b1-09.pdf) and approved in 2009. If that seems to be expeditious, then we simply disagree in perspective.
Anonymous Coward, 7 Feb 2013 @ 5:31am"so in theory that could leave the takers of generics with no legal recourse"
And this is exactly what the industry is hoping for.
I find the drug ads to be very misleading, they show people having a great time taking drugs and point out that you should too. Then, at the end of the ad is the fast talk about possible side effects. This seems to be targeting the hypochondriacs in the audience.
trish, 7 Feb 2013 @ 8:25am
hurh?why the heck isn;t the generic manufacturer responsible for its own products? They copy from the other guy so they're not responsible? What the hell logic is that?
Oh yeah, logic... never mind.
JEDIDIAH, 7 Feb 2013 @ 8:33am
Re: hurh?Yes, they copy from the big guys.
If the drug is a good copy, then they should not have any liability.
It should all be on the relevant doctor and the FDA approval process which also includes the original big pharma company that made mad money on this stuff.
The generic manufacturer is in the same boat as us when it comes to product safety. They too are depending on the fact that this stuff is safe and it passed through a research and vetting process.
Michael, 7 Feb 2013 @ 8:38am
Re: hurh?It makes sense because of the stupidity of the clinical trial process. The original manufacturer tested the product and determined (supposedly) what the side-effects were. The generic maker does not have to do this because they are allowed to assume that the original manufacturer did their trials right and is not lying.
You really do have to blame the company that did a poor job of testing.
I think that is a systematic problem more than anything. Who has a better incentive to mislead the clinical trials for a product than the company that will make billions of dollars selling the thing if it passes? I wouldn't want to pass this on to the government - because they slow down everything and typically do a crappy job protecting citizens anyway, but telling the big pharma companies "hey, make sure this stuff is safe before you overcharge millions of people for it" doesn't seem like a reasonable solution.
Gene Cavanaugh (profile), 7 Feb 2013 @ 10:18am
Suing Pfizer for generic drugsI believe the real issue is quality control with the generic. If the generic manufacturer can establish they simply followed the Pfizer specs and forwarded any Pfizer warnings or advisories, there is no reason to hold them responsible, and every reason to go after Pfizer.
Look up "respondeat superior", it will explain this.
Of course, Pfizer may be able to show the generic does not meet their quality standards, or the proper warnings, etc., were not on the generic, and that all changes.
Mike Daley, 8 Jul 2013 @ 12:14pm
Wyeth and ReglanWhat did Pfizer know?
When did Pfizer know it?
What did Pfizer do about it?
Why did Pfizer sell Reglan?
For how much?
Did they provide the buyer (Schwartz) full disclosure?
Did they sell any other generic drugs at the same time
they sold off Reglan?
Why or why not?
Have they acquired any generics since then?
There's plenty of questions that need answering. Hopefully
The Alabama Supreme Court will ask them. We know the U.S.
Supreme Court couldn't care less!


text: June 30, 2009 by Dave Weller Tuesday Treasure | June 30, 2009 My son made this time capsule in the year 2000. He was 6 years old then and in kindergarten. He doesn't remember what he put inside. It says to not open until 2010, but I hope he waits longer! Advertisements Share this:TwitterFacebookLike this:Like Loading... Related

subset: commoncrawl


text:
We have been serving top class coffee and complete vending solutions since the early 1970s. Over the last 40 years we have developed and grown to become Europe's most renowned provider. Click the link below to see our full range of Coffee MachinesOUR MACHINE RANGE
Pelican Rouge is a complete coffee solution that puts top quality, taste and enjoyment first, resulting in the ultimate coffee experience. Due to the unique combination of the blend and roasting techniques, each Pelican Rouge blend represents the rich history of the brand and is the result of creativity, craftsmanship and attention to detail.OUR COFFEE RANGE
Over recent years there has been a considerable boom in the Frappé and iced drinks market. These instantly recognisable drinks, have taken the UK by storm and are now quickly becoming the drink of choice during the summer months and increasingly, all year round.FIND OUT MORE
Since Joseph van Leckwijck began to roast coffee in Antwerp back in 1863, our entire ''raison d'être'' has been to deliver great taste to all. As being one of the first to ship roasted coffee all around the world, it is our 150 years of craftsmanship that enables us to make that perfect cup of coffee. We believe that the simple pleasures of life - such as a refined cup of coffee - are the foundation for the Belgian way of enjoying the good life.More info
From bean to cup, the roasting process is one of the most crucial to delivering great taste. With strong roots in a Belgium culture known for its refined taste, our professionally trained people at Pelican Rouge Coffee Roasters are passionate ambassadors, dedicated to creating the finest cup of coffee for you every day. From fresh coffee beans to instant drinks such as hot chocolate, cappuccino topping and instant tea, we offer a wide range of products for vending, retail, catering and foodservice. In addition, we specialise in developing private label solutions.More info
Pelican Rouge provides the complete coffee solution, putting customer satisfaction and quality at the heart of everything we do. Each Pelican Rouge blend is the result of creativity, craftsmanship and care. We use our unique expertise in roasting and blending, meaning that every single cup of Pelican Rouge coffee contains the rich history of our brand. From our ambitious beginnings in 1863, we are now part of the Pelican Rouge Group and have grown to become Europe's largest refreshment supplier.More info
From fresh coffee beans to instant drinks, we offer a wide range of products for horeca, retail, vending, catering, and food service. Whether you choose Pelican Rouge, NOIR or ICS, or your own brand, you can be assured of top quality products. Interested in our products? Contact us and we will be in touch shortly.More info
Shop online today. From surf to serve, it's quick and easy to find and enjoy your favourite coffee, tea, and other products in your local web shop. Ethically sourced and roasted to perfection, we've dedicated 150 years to the way your coffee tastes. Shop now, and start enjoying our rich history in every cup.Shop
If you want to enquire about our products or need any support please do not hesitate to contact us.
Sales enquiries: 0203 725 4345
Existing Customers: 0203 697 0620
Email: firstname.lastname@example.com
If you want to enquiry about our products or need any support please don't hesitate to contact us.
Sales enqueries: 0203 725 4345
Existing Customers: 0203 697 0620
Email: firstname.lastname@example.com


text:
See Justice served for the Murder of my Mother, Roslyn Reay
Her case still remains unsolved & no reward has been offered!
Her case still remains unsolved & no reward has been offered!
Polynesia's 3000 year old tradition will be banned in Australia if Nigel Scullion has it his way. PROTECT OUR CULTURE.
Dear Facebook, You wouldn't let people make pages that are hurtful and hateful toward people based on nationality,
We are a movement of likeminded students who work tirelessly to change homophobic language and attitude.
After Ole Miss students shouted anti-gay slurs during a performance of "The Laramie Project," concrete change is needed!
Each day, LGBTQ people across the country are treated unequally under the law. It's time to take a stand.
The mission of First Peoples Worldwide is to build upon a foundation of Indigenous values to achieve a sustainable
Unilever has destroyed billions of people's Self Esteem, with their vulgarly RACIST media ads for Skin Whitening pdts.,
There's no place for racism in our education system! Sensitize our kids, implement policies & make schools accountable!
Paganism is a very misunderstood but peaceful and very spiritual belief and is commonly viewed as a negative practice,


text:
BREAKING: Bingham County Courthouse on lockdown
BLACKFOOT - The Bingham County Courthouse is on lockdown after an envelope containing white powder was discovered in the Treasurer's Office.
Update 3:45 p.m.: The courthouse remains on lockdown. The regional hazmat team from Pocatello has suited up and is running a battery of test on the substance outside the courthouse.
The lockdown went into effect at noon. The envelope was discovered approximately 45 minutes earlier in the Treasurer's Office on the first floor of the courthouse. A regional hazmat team from Pocatello arrived at the courthouse around 1:30 p.m. and law enforcement has established a perimeter around the building.
Bingham County Commissioner Whitney Manwaring said the lockdown is a precaution for the safety of the public and the employees in the courthouse. Bingham County Sheriff Dave Johnson estimates they could be as many as 300 people in the building including the jail population. Current jail bookings list 73 people inside the jail.
Maggie Mann, director of the Southeastern District Health Department, said the regional hazmat team will enter the building and run preliminary tests on the substance to try to determine if it is hazardous. The substance will need to be sent to Boise for additional testing.
A sign on the courthouse door reads "The Courthouse is closed until further notice."
Twice in November a white powdery substance was discovered at the Idaho State Capitol. Both times the substance was found to be harmless.
In June of 2010 several federal government buildings throughout the Northwest received similar envelopes. That substance was tested and found to be not hazardous.
We will update this story when additional information becomes available.


text:
2014 Acura TSX Values
Select a 2014 Acura TSX trim level
2014 model year changes
The Acura TSX is unchanged for 2014.
Competitive comparison
Superior handling and acceleration; aggressive styling; practical and fun sport wagon model
Special features for 2014
While the TSX is considered Acura's entry-level sedan, it lacks in neither performance nor luxury. The TSX's base MSRP belies its well-equipped nature, as it offers a host of luxury and convenience items on all trims. The 2014 TSX holds its own against more expensive competition such as the BMW 3-Series and Mercedes-Benz C-Class. The Sport Wagon model takes all of the luxury and performance of the TSX sedan and adds cargo-carrying practicality.
Carried over for 2014, the Acura TSX is an entry-level luxury sedan available with two different engines; a standard 2.4-liter 4-cylinder engine that produces 201 hp/172 lb-ft of torque and an optional 3.5-liter V6 engine that yields 280 hp/254 lb-ft of torque. Both engines are paired with FWD to enable the TSX to achieve fuel mileage within an EPA estimated range of 19 mpg city to 31 mpg highway, depending on engine selection. Transmission options consist of a 5-speed automatic, available with both engines, and a 6-speed manual, solely available on the base 4-cylinder engine. Features include HID headlights, rearview camera, automatic climate control, hands-free phone capabilities, leather seats, and traffic/weather-linked navigation. Safety is comprised of advanced front airbags, side impact airbags, side curtain airbags, anti-lock braking (ABS), electronic brake distribution (EBD), vehicle stability assist (VSA), and tire pressure monitoring (TPMS). The TSX is backed by a 4-year/50,000-mile warranty.


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Several gay bars have been closing around Ireland in the past few months due to the economic recession and more liberal attitudes about homosexuality in the general population.
Sean Mullen, the owner of the gay bar Dignity in Waterford, which also markets itself to straight couples and hosts bachelorette parties, believes the era of gay only bars is coming to a close.
"I think the days of actual gay bars are dying out," Mullen told the Sunday Times. "Things are not the way they were 10 or 20 years ago, when gay people didn't feel they could be affectionate with each other in regular bars. Now I think you can do that."
With the recession sees mainstream venues hosting more gay nights to fill seats and dancefloors, and the growth of location-based social networking apps aimed at gay daters, such as Grindr, the need for gay bars is becoming obsolete.
Mullen opened a franchise gay nightclub called Dignity West on Galway's Shop Street but it shut down last May after two years. He opened Dignity 2, Kilkenny's first gay bar, in 2009 but that bar closed in 2010.
Mullen went from employing 40 people in his franchise to now just nine people in the Dignity Waterford location.
"The gay community does come in but I couldn't survive in business with just them so we're marketing towards the straight community an awful lot," he said.
"We still fly the rainbow flag and run gay events but we have to keep our heads above water. You can't say the gay community hasn't been affected by the recession — they've had to take pay cuts too."
In Dublin, The Wilde Venue on Wicklow Street opened in August but is already "rebranding" itself as a "straight" bar and will change its name next month.
Brian Finnegan, the editor of Gay Community News, told the Sunday Times that he believes the newer clubs in the Dublin market are struggling to compete with industry stalwarts such as the George, which opened its doors nearly a decade before homosexuality was decriminalized.
"Go to the George on a Wednesday night and it is jammed, where other bars in the city would be empty," Finnegan said. "That's because they lived through good times and bad times and found their place before the recession hit."


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Ethernet is speedy and spreading
You may have heard about the DDN K-12 Broadband Upgrade project. Its a joint effort of the South Dakota Department of Education and Bureau of Information and Telecommunications. The scope of the project is to increase all schools present Internet bandwidth from their current speeds to 10 Mbps. (To non-techies, that just means it will be fast!)
Todays learning environment increasingly relies on emerging web-based applications and content, which results in a growing need for bandwidth. Many districts in South Dakota currently use T1 lines for their connection to the DDN and Internet. The upgrades will convert those districts to 10 Mbps Ethernet connections as those services become available in those areas.
Naturally, this leads to the question: When will my district be upgraded? There are several contingencies that determine when Ethernet services will become available to a particular area or more specifically, a particular school district. Construction plans for digging in the lines, weather, cost and manpower at the local-provider level are all factors that affect the timeline of when these services can be available in a particular area. Below is an illustration representing the present state of Ethernet service availability in our K-12 school districts.
With the above illustration, you can see that the scope of this project covers a lot of ground. Thirty-two districts have been completed, 25 districts are in the conversion process and 95 will be done in the future. Currently in the state, there are several parties like DOE, BIT, Broadband.sd.gov, and more than 30 telecommunications providers working together with one important objective: to make this entire map blue!


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The CPD program organizes panel discussions to shine light on career relevant topics in academia and business/industry from different angles. In the past discussion topics included:
How to Find a Good Postdoc Position (Drs. K. Gosh, U. Kadolsky, C. Lemetre, K. Stiles, J. Schlatterer, 2012)
Tips & Tricks for Successful, Academic Job Applications (Drs. L. Santambrogio, B. Birshtein, L. Fricker, M. Feldmesser, 2012)
Finding the Right Postdoctoral Position (Drs. D. Israel, K. Rasaputra, C. Wilczek, B. Hirsch, J. Schlatterer, 2011)
How a faculty search committee works (Drs. B. Birshtein, A. Bresnik, J. Schlatterer, 2011)
How I pick my Postdocs (Drs. S. ALmo, T. DiLorenzo, J. Greally, J.Schlatterer, 2011)
Choosing the right postdoctoral position(s) (Drs. N Mullapudi, M. James, D. Larson, L. Tremblay, J. Schlatterer, 2010)
Faculty Panel on Academic Careers: Tips from recently hired Faculty (Drs. J. Secombe, U. Steidl, D. Shechter, A. Gennerich, 2010)
SCIENCE & BUSINESS: Commercial Catalysts in the Early-Stage Life Sciences Ecosystem (R. Kosman, 2011)
Career Opportunities at Regeneron - An Open Forum (Dr. R. Torres, Dr. T. Daly, C. Barney, Dr. E. Smith, 2010)
CV & Resume clinic
Career Fair Preparation
Public Speaking Club (Einstein Toastmasters)
Einstein PhD Alumni Career Video Archive
Read Testimonials
Opportunities Archive


text:
Robotic Surfing (www.roboticsurfing.com)
Facebook Automatic Wall Poster Posting - Multiple Accounts
Webpage: http://www.roboticsurfing.com/facebook_wall_poster_multiple_account.htm
Facebook personal wall posting is fun at first, but it becomes a chore as time goes on. To effectively use Facebook, you need to be posting different messages, videos and links every few hours. Who has the time to log in and post every few hours, 24 hours a day, 7 days a week? That's where our Robotic Surfer comes in. You can pre-write all your posts ahead of time and put our robotic surfing software to work. Our Robotic Surfer will log in and post every few hours or every 10 minutes if you like. Works with multiple Facebook accounts.


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News Archives
RedHawk Athletics
Art Gallery Galleries
Theatre Northwest
Library News
Student Newspaper
Maps and Directions
Closing Information
Office of Marketing and Communications
IUAA Northwest Chapter Hosts IU Golf Outing postponed until 10/2
The of Northwest Chapter of the Indiana University Alumni Association's first annual IU Golf Outing has been postponed until Mon., Oct. 2 due to the inclement weather. The outing will still take place at Innsbrook Country Club in Merrillville. Registration begins at 10 a.m., followed by lunch at 11 a.m., with a shotgun-start tee time of 12:00 p.m. This annual event will help raise money to fund student scholarships.
The $175 individual cost of attendance includes lunch, an awards buffet, 18 holes of golf, a golf umbrella, golf cart, tournament prizes, refreshments on course, and a team photo. Foursomes can be purchased for a discounted price of $600. For those wishing to only attend the dinner tickets are available for $40.
Area business and individuals are welcome to participate by either signing up to play or sponsor holes on the course. Sponsorship includes a golf hole sponsorship sign displaying the company logo and publicity in local media. For more information on the Golf Outing, please call Larry Alt at 219-757-3532 or email firstname.lastname@example.com


text:
Moving files from website to website...
Presupuesto $10-30 USD
Hi, i wanted to move the files of a website for e.g. [login to view URL] , i want to move it's files and database to [login to view URL] (subdomain of another website...) Can this be done? I tried some weeks ago with PHP script but it didn't work because of different websites...
Note : The website has wordpress , so the files are wordpress files...
43 freelancers están ofertando el promedio de $29 para este trabajo
i will do that right now .I am professional designer and developers i have a 5 year experience in that field. my recent work [login to view URL] [login to view URL] http://motost Más
I am skilled in wordpress, i can move your wordpress site from a domain to another subdomain. let discuss more via private messages, thanks.
Hi there - My name is Jhalak. I've read your [login to view URL] team has 4 years experience designing and developing mobile apps and Websites.I would approach your project by starting with wireframes and getting the site complet Más
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Hi, I can move files from one domain to another subdomain or however you want within 2-3 max hours. I have moved 400+ sites successfully. Thanks, Harwinder Kumar
Greetings, How are you doing ? Share me ftp details along with cpanel. I am ready to migrate right away. Once task done you can award me the project. Thanks
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text:
Mario Tennis: Power Tour
|Mario Tennis: Power Tour
|Gameboy Advance
|Release Date(s)
| North America: December 5, 05
Japan: September 13, 05
|ESRB: E (Everyone)
[edit] Storyline
Choose the Boy or the Girl. The only difference really is the boy starts out a power type hitter, and the girl starts out a technique type hitter. You have just been accepted to the Royal Tennis Academy. Your first day, you have to complete the traditional, welcome workout....which you don't do so well in. You faint in the middle of the court and make quite a scene. Some of the coaches like that you had persistence, others didn't. You are awoken the next day by your partner and ready to go. You get up, while your partner is showing you the dorm. You first go to the restaurant, only to find it is empty. A chef and a few other emplyees there tell you that a few masked players had challenged the Royal Academy's top players, Mark, Kevin, and Alex,.....all coaches, what a suprise. By the time you get there, they had already beaten out Mark and Kevin, and are on there way to Alex. You don't end up seeing any part of the match, but your partner does. Alex actually lost. Only the Principal, and a few other coaches know who the masked players really are,.....its up to you to find out. You go along rising up through the ranks, unlocking amazing new power shots, finding strange suprises along the way, and learning new techniques. Do you have what it takes?
[edit] Background/Gameplay
Players can test their backhand in this unique role-playing tennis adventure. Train hard at the Royal Tennis Academy to be a champion. Gain experience and improve your skills through lessons and tournaments, and rise to the top of the ranks. Play as Mario, Peach, Waluigi, or Donkey Kong in a slew of wild modes. Advance through the story and unlock even more characters, all with their own power moves. Beat Mario at his own game, then link up with a friend or three for even more frantic fun!
[edit] Controls
In gameplay:
A- Top Spin
B- Slice Spin
R- Activate Power Shot
L- Lunge
Start- Open Pause Menu
Select- Nothing
D-Pad- Move around
In Power Tour mode:
A- Investigate and talk
B- Hold to run
R- Nothing
L- Nothing
Start- Open Pause Menu
Select- Nothing
D-Pad- Move around
[edit] Game Modes
At the start screen, when you start out you have 6 choices to choose from. Power Tour, the main RPG mode of the game, Exhibition, an exhibiton match just for fun to help you get used to different courts and players, Multi-player, using a link-cable you can play against one of you friends, Stats, check to see the stats of each file from the Power Tour mode, Options, change sound and viewing settings, and Glossary, the tennis terminology. Later you will unlock the Minigames mode(no space or a '-' between mini and games).
[edit] Exhibition
In the exhibition mode of the game, you can play a tennis match just for fun. You gain exp (experience points) no matter what so there isn't any pressure about your ranking. You pick a player, and then pick a player to play agaisnt, and choose the difficulty setting for that player.
[edit] Glossary
Select this, and choose between various tennis terms to find the definitions of each of them.
[edit] Multi-Player
In multi-player mode, you connect to another Gameboy Advance (regular, SP, or Micro), and play agaisnt a friend. Each player requires his/her own game pak. You can have a singles match, or a doubles match if you link with four players.
[edit] Options
You can change the Music, Controls, and Data options here. The Music:You can turn it on or off. The Controls:Switch from Simple, Normal, and Technical controls. And the Data:Erase individual Power Tour Files, or erase all game data.
[edit] Power Tour
In the Power Tour mode of the game, you start out the RPG of the game which is the main part of the game. You can go around, move up in the ranks of the Royal Tennis Academy, get tips from the tennis coaches, and even go to far off tournaments.
[edit] Stats
If you go to the stats option, you either select a file from the Power Tour mode, or the Exhibition Stats. The Power Tour modes stats show your exp, ranking, training stats, power training stats, and what level you are at. The Exhibition stats, has a graph of what matches you have won in exhibition mode. If you beat the opponent on a certain skill level, than a different icon will appear. It goes like this: Novice-Blue Triange, Intermediate-Green Circle, Expert-Yellow Circle with a smaller yellow circle inside, Pro-A Red Circle that has a shape cut out to give the appearence of a Red Moon, and Ace(unlock by beating everyone on the Pro Difficulty with one character)-A Star with all of the other colors combined into it.
[edit] Pages
Related ThreadsQuestion about Mario Tennis: Power Tour. - last post by @ Aug 25, 2013
Mario Tennis Power Tour: Who Wants to Be a Millionare! - last post by @ Feb 10, 2009
Your First Impressions on Mario Power Tennis - last post by @ Feb 22, 2005
Mario Tennis for n64 is superior to Mario Power Tennis - last post by @ Nov 11, 2011
Mario Power Tennis GCI Save file? - last post @ Jul 7, 2015


text:
Part of Center Avenue was shut down this afternoon when a box truck hit a utility pole.
Richard McKinney, 52, of Pittsburgh said he was attempting to park his truck in a metered space in the 300-block of the street at 12:15 p.m. when the front passenger side of his truck hit the pole. The impact caused the pole to lean, lowering its wires across the street.
Seconds later a tractor-trailer driven by William Knepp, 60, of Tiona, Pa., hit the lowered wires, pulling the sheared utility pole down on the box truck.
The accident resulted in numerous wires falling down on the street.
The street has been closed between the Fairview Avenue and South Monroe Street intersections for more than an hour while crews attempted to clean up the wires.
Knepp was stuck inside his rig for nearly an hour as the possible live wires were draped across his vehicle.
Fire Chief Nick Ban said there were no injuries.


text:
DES MOINES, Iowa — Desperate for a late lift in Iowa, Republican Michele Bachmann is increasingly stressing a distinction in the presidential field: She's the only woman competing for the nomination.
The Minnesota congresswoman has made the gender card central to her closing argument. She's urging voters to embrace the idea of a "strong woman in the White House" and is molding herself as "America's Iron Lady" in the vein of former British Prime Minister Margaret Thatcher.
It's a play that carries as much risk as potential reward because some of the ardent religious conservatives she's aggressively courting have traditional views about gender roles.
History is not on Bachmann's side, either. Iowa has never elected a woman as governor or to its congressional delegation, a footnote shared only with Mississippi.
It was only a few years ago when GOP presidential nominee John McCain energized his campaign by putting Sarah Palin on the ticket, inspiring a hot pink-shirted army of voters the folksy former Alaska governor affectionately coined "mamma grizzlies." Palin opted out of the 2012 race and so far isn't pushing her followers in any direction.
Bachmann seldom underscored gender early in her campaign. She would sprinkle in mentions of motherhood and even shared an emotional story about how a miscarriage fortified her anti-abortion views. But she was mostly content letting voters notice the obvious difference on their own as she stood on debate stages surrounded by a bunch of men.
But as Bachmann darted around Iowa in the hectic days before Tuesday's caucuses, she hit the woman theme hard.
"I'm an Iowa girl. And one thing I remember about Iowa is we are a state of strong women," Bachmann told the lunch crowd at a 50s-themed burger joint in Mount Ayr. "We need a strong woman to turn this country around, right?"
Longtime residents Margaret Bickers and Mary Davenport, sitting in a booth near Bachmann, nodded in agreement.
"Women are just more passionate than the men," Bickers told a reporter. "We need a woman who is not afraid to vocalize that passion and effect change."
"It takes a woman to get things done," Davenport chimed in. Both said they were inclined to caucus for Bachmann.
Bachmann dispenses warm hugs as readily as simple handshakes. She'll sometimes run her hand along another woman's back during conversations, extended contact her male challengers tend to avoid.
When a 90-year-old woman shared that she was a mother of 12, Bachmann crouched by her side to hear more. "What a blessing," the candidate said.
It gave Bachmann an opening to share a favorite biographical detail, that she's a mother of five and foster parent to 23 more. While conveying her philosophy of government cost-cutting, she often tries to connect with fellow women by describing herself as the family coupon clipper who frequents consignment shops for clothes.
Tamara Scott, who runs the Iowa chapter of Concerned Women for America, tagged along on Bachmann's recent 99-county tour and served as the warm-up act during several stops. Scott highlighted Bachmann's role as a mother to many as evidence of compassion but also stressed the congresswoman's give-no-ground debate performances as proof of her toughness.
"Gutsy has never been so gorgeous," Scott told one audience.
Still, Union County GOP chairwoman Yvonne Kinkade suspects Bachmann could have trouble breaking through in farm country because she's a woman.
"I've noticed that when her name is mentioned sometimes that there's a lot of men that wouldn't vote for a woman," said Kinkade, who counted herself among the undecided after visits by a few candidates this past week. "A lot of them are the head of the households in these farming communities."
Bachmann advisers say her recent reliance on the Thatcher comparison is meant in part to remind voters of a prominent woman on the world stage, particularly a staunch ally of Ronald Reagan. Plus, Bachmann just finished reading a Thatcher biography.
Bachmann's approach to the gender issue stands in contrast to Democrat Hillary Rodham Clinton four years ago. Clinton largely played it down, favoring pantsuits over skirts and stressing instead her experience and resolve.
"I'm not running as a woman. I'm running because I think I'm the best qualified and experienced person for president," she often told campaign audiences.
When Clinton dropped out of the 2008 race, only then did she acknowledge the historic nature of her candidacy.
"Although we weren't able to shatter that highest, hardest glass ceiling this time, thanks to you, it has about 18 million cracks in it and the light is shining through like never before," she said in her concession speech, referring to the 18 million votes she received during the primaries.
Bachmann looked primed to shatter Iowa's glass ceiling in August when she won the Iowa GOP's straw poll. But her standing tumbled soon after and she has struggled to recover that summer magic.
On CNN Sunday night, she was asked if Iowans had a problem voting for a woman.
"There's only been one statewide race in this presidential election so far, and it's the Iowa straw poll," Bachmann replied. "And I'm the candidate that won the Iowa straw poll. So, clearly, they were willing to get behind a woman, and I think they will again."
Associated Press writer Beth Fouhy contributed to this report.


text:
Your invitation to volunteer!Coulee Region RSVP invites adults age 55 and better to share their life experience and skills to make a positive impact on meeting the needs of the community.
You have something your community needs!You've spent a lifetime developing your talents, skills, knowledge and abilities. Now here is an opportunity to share that experience. Volunteer your time and skills through Coulee Region RSVP. Make your community a better place to live.
Get involved!Coulee Region RSVP offers flexibility and choice to volunteers as it matches the personal interests and skills of volunteers with opportunities to serve in their community. You choose how and where you want to serve. Volunteers serve at a variety of sites throughout La Crosse and Monroe Counties. Contact us today for a current listing of volunteer opportunities near you!
|Coulee Region RSVP | Toll Free: 1.888.822.1295 | Phone: 608.785.0500 | Email: infoATrsvplax.org
Website Development by Webteam, Inc.


text:
Skip to Content
Home > Improve Your Health > Health Library > Cranial Ultrasound
ultrasound uses reflected sound waves to make
pictures of the brain and its inner fluid chambers (ventricles). Cerebrospinal fluid flows through these chambers.
This test is most
commonly done on babies. It checks for problems from premature birth. It may be used to check problems in the brain and
ventricles in babies up to about 18 months old.
Ultrasound waves can't pass through bones. So an
ultrasound to check the brain can't be done after the bones of the skull
(cranium) have grown together. Cranial ultrasound can be done on babies before
the bones of the skull have grown together. Or it can be done on adults after the skull has
been opened with surgery. In
adults, the test may be done to see brain masses during brain
The test looks for possible problems of
premature birth, such as:
IVH and PVL increase a baby's risk of having disabilities. These may range from mild learning or motor skill delays to
cerebral palsy or
an intellectual disability.
IVH is more common in premature babies than in full-term babies. When it
occurs, it most often happens in the first 3 to 4 days after birth. Most
cases of IVH can be found with cranial ultrasound by the first week after
birth. But PVL can take several weeks to detect. If PVL
is suspected,
cranial ultrasound may be repeated 4 to 8 weeks after the birth. Several of these tests may be done to check areas in
the brain.
Cranial ultrasound may also be done to
check a baby's large or increasing head size. The test can also check for infection in or around
the brain (such as from
encephalitis or
meningitis). Or it may check for brain problems that are
present from birth (such as
congenital hydrocephalus).
Cranial ultrasound
may be done on an adult to help find a brain mass. Because the test can't be done after the skull bones have fused, it is only done after the
skull has been opened during brain surgery.
In babies, cranial ultrasound usually is done:
In adults, the test may be done during brain
surgery to help find a brain mass.
You don't need to do anything special to prepare for this test.
If an older baby is having the test, it
may help if the baby is a little hungry. You can feed your baby during the
test. This may help calm your baby so he or she will hold still during the
This test is done by a doctor who is an expert in imaging tests (radiologist). Or it may be done
by an ultrasound technologist (sonographer) who works along with a radiologist.
For a baby, the test may be done at the baby's bedside in the
neonatal intensive care unit (NICU).
Your baby will lie on his or her back.
The transducer is moved across the soft spot on top of the head.
This spot is called the fontanelle. You may be asked to hold your baby during the test. Pictures of the brain and
inner fluid chambers (ventricles) can be seen on a video screen.
For an adult, the test is done during brain surgery to help
find a brain mass.
The test usually takes 15 to 30
The test usually doesn't cause discomfort. The gel used for the test may feel cold on the skin unless it is warmed first.
There are no known risks for this test.
ultrasound uses reflected sound waves to make
pictures of the brain and its inner fluid chambers (ventricles).
Cerebrospinal fluid flows through these chambers.
The size and shape of the brain look
The size of the brain's inner fluid
chambers (ventricles) is normal.
Brain tissue looks normal. There are no signs of bleeding,
suspicious areas (lesions), abnormal growths, or infection.
Bleeding in the brain may be present. This
may be a sign of intraventricular hemorrhage (IVH). The test may be repeated to keep track of the bleeding or to look for problems caused by the
Suspicious areas or lesions around the
brain's ventricles may be seen. This may be a sign of periventricular
leukomalacia (PVL).
The brain and ventricles may be enlarged
from the buildup of too much cerebrospinal fluid (CSF). This may
be a sign of
Abnormal growths may be present. This may
be a sign of a tumor or
Suspicious findings may be present. This
may be a sign of
encephalitis or
You or your baby may not be able to have the test, or the results may not be helpful, if:
Other Works Consulted
Chernecky CC, Berger BJ (2008). Laboratory Tests and Diagnostic Procedures, 5th ed. St. Louis: Saunders.
Sloan MA, et al. (2004). Assessment: Transcranial Doppler ultrasonography. Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology, 62(9): 1468-1481. Also available online: http://neurology.org/content/62/9/1468.full.
ByHealthwise StaffPrimary Medical ReviewerKathleen Romito, MD - Family MedicineAdam Husney, MD - Family MedicineSpecialist Medical ReviewerHoward Schaff, MD - Diagnostic Radiology
Current as ofOctober 9, 2017
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Healthwise Staff
Medical Review:
Kathleen Romito, MD - Family Medicine & Adam Husney, MD - Family Medicine & Howard Schaff, MD - Diagnostic Radiology
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Parks tax will fund needed amenities
To the editor: In the past, Blue Springs was noted for our outstanding parks, but unfortunately they have deteriorated in recent years due to lack of funding for preventive maintenance. In addition, we are the only major city in the metro area without any form of a community center.
Today when businesses are looking to invest in a community they are looking at much more than just hard financial numbers. They want a community that has the needed trained/educated workforce and the amenities that will help them attract employees. These include excellent schools, safe neighborhoods, transportation access, reasonable priced quality housing, and quality of life amenities such as parks and community recreation facilities.
One advantage of locating the proposed Community Center in the Missouri Innovation Park was recently substantiated by a national business consultant from Mohr and Partners saying that the Center would benefit attracting new businesses to the Park.
Many studies have shown that home values are higher in communities with good quality of life amenities. Thus, investing in our parks gives a return of increased property value in addition to the more obvious use benefits to residents.
I would encourage all residents to join me in voting 'yes' on Nov. 5 for Blue Springs Parks.
Lyle Shaver Blue Springs
Keep generations coming to city parks
To the editor: I am a lifelong resident of Blue Springs. Many times as a child, activities took place in our parks - school field trips, vacation Bible school picnic, baseball games.
While growing up, my son enjoyed the playground equipment and football practice in our parks.
Now, as a Granny, I take my grandchildren to the parks to play on the playground equipment, walk the trails and occasionally hit a tennis ball around on the courts.
Many times we have visited Rotary Park, Pink Hill Park, Lake Remembrance trail and walked the trail along Adams Dairy Parkway. I have concern about the safety due to the disrepair, rust and breakdown of equipment, restrooms, walkways, courts and curbing.
Three generations have enjoyed our parks and we want others in our community to have use of and share family memories in our parks.
I feel as a community we must come together to find financial resources to maintain our parks. Our city owns land that is designated toward future development of parks and building a community center. Families are choosing to live in surrounding cities vs. Blue Springs due to the quality of amenities offered.
This is our time to help present and future families enjoy our parks. Keeping them in good order brings safety and good health benefits. Visit www.yesbluespringsparks.com to learn more about the plans for our parks.
These plans can only be completed with needed financial resources. Remember on Nov. 5, vote 'yes' - "Our kids, our community, our parks."
Carolyn Pittsenbarger Blue Springs
Good Samaritan gave reader a Halloween treat
To the editor:
To a good Samaritan, thank you so much for helping me at the Halloween Parade. I was trying to walk about 2 blocks and carry a folding lawn chair and a big purse that had to have weighed 50 pounds. I am 74 years old and in bad health. I made it about 1/2 of a block going up the street.
This nice man was behind me and asked if he could help carry my lawn chair. I took him up on his offer. His wife and three children were there waiting for him. I sat in my chair beside them. When it was over, he asked if he could help me again. Of course not wanting to bother him, I said no I can make it after sitting here for an hour resting. This time I don't think I even got 1/2 of a block, when I couldn't walk anymore.
They were behind me and he rushed up and said, hand me that chair and your purse, I'm taking you to your car. His wife and children were getting in their car. He was an angel. I offered to pay him, he said no, this is my good deed. He got me and my things in the car and told me to get a smaller purse, ha!
I was so worn out, I didn't even get his name. Whoever you were, I hope you see this. I thank you so very, very much.
Reta Harper Independence


text:
Past Editions
Go to the current edition.
International Justice in the News
The International Center for Ethics, Justice and Public Life brings you a monthly selection of news about the people involved in the work of international courts and tribunals, significant developments in international justice, and articles and publications of interest. We hope that this brief selection will help you keep abreast of the field and lead you to sites where you can inform yourself further.
March 2012
People in the News
The International Criminal Tribunal for Rwanda (ICTR) also has new leadership. Judge Vagn Joensen of Denmark has been elected as President and Judge Florence Rita Arrey of Cameroon as Vice-President. This is the first time that ad litem judges have been eligible to stand for, and vote in, elections for the Tribunal's presidency and vice presidency. Both Judges Joensen and Arrey joined the tribunal on an ad litem basis. Read more in an ICTR press release.
Haitian Investigative Judge Carvès Jean has ruled that former dictator Jean-Claude "Baby Doc" Duvalier should not stand trial for murder, assassination, and torture, or for extreme corruption under his rule. Jean ruled, however, that Duvalier could stand trial for misappropriation of public funds. Human rights advocates have condemned the ruling as a violation of Haiti's international obligations.
An op-ed in the Jamaica Observer exhorts the Caribbean Community to follow the case closely and to "let the citizens of Caricom know that they do not subscribe to such a judicial position as surfaced in Haiti which makes a mockery of institutionalised commitment to observance of international conventions governing crimes against humanity." Read the full text here.
Princess Caroline of Monaco has been back at the European Court of Human Rights (ECHR) in her quest for the right to privacy. In 2004, she won a landmark ruling by the European Court that protected her, and by extension other celebrities without official functions, from the publication of photographs taken of their private activities by relentless paparazzi. The ruling raised many questions about how and where to balance the need for the protection of celebrities' private lives against the freedom of expression, which is also guaranteed under the European Convention of Human Rights.
A second case was filed by Princess Caroline in 2008 in regard to the publication of photos taken of her with her ailing father, Prince Rainier of Monaco. A recent ECHR Grand Chamber judgment found, in this situation, that there was a legitimate public interest given the subject of the photos and that the media was justified in its use of the images. This ruling is being watched particularly closely in Britain, where a parliamentary committee on privacy is looking into such media issues. Read more from The New York Times.
For background on the case and details of the judgment, read the ECHR press release.
Spanish Judge Baltasar Garzón has been acquitted of the charge of overstepping his authority by ordering an investigation of crimes committed in his country during the Franco era. Although Garzón claimed that any crimes against humanity were not subject to a 1977 amnesty law, the panel of judges deciding his case based their decision on another technicality of the law. They voted 6 to 1 that Garzón had committed an error when he opened the investigation but that it did not constitute a crime. Read more from Expatica.
Developments in International Justice
The International Center for Ethics, Justice, and Public Life recently concluded the eighth session of the Brandeis Institute for International Judges in Carmona, Spain. Organized around the theme of "Coordination and Collaboration in Global Justice," the Institute hosted 17 judges from 12 international courts and tribunals. Read a summary of the event here. A full report of the proceedings will be available in Spring 2012.
The International Court of Justice (ICJ) has issued a judgment in the case of "Jurisdictional Immunities of the State" (Germany v. Italy, Greece Intervening). A central issue in the case was whether Italy had failed to respect the jurisdictional immunity enjoyed by Germany under international law by allowing civil claims to be brought against it in the Italian courts, seeking reparation for injuries caused by violations of international humanitarian law committed by the German Reich during the Second World War. Read the ICJ press release. Learn more about the issues involved and the court's findings in an issue of the American Society of International Law's Insights.
The Superior Council of the Judiciary in Rwanda has established a Special Chamber at the High Court to try individuals accused of genocide, war crimes and crimes against humanity. Persons appearing before the court will be transferred from foreign countries and from the International Criminal Tribunal for Rwanda (ICTR), which is nearing the end of its mandate. The first person expected to appear before the new chamber is Léon Mugesera, wanted for inciting genocide and recently extradited from Canada. Read more from the Hirondelle News Agency.
The European Court of Justice has been asked to rule on the legality of the Anti-Counterfeiting Trade Agreement (ACTA), a controversial anti-piracy agreement that some fear will impede freedom of expression on the internet. So far, 22 countries in Europe have signed ACTA, as well as Canada, Japan, and the US. Its backers say that it will promote the creative economy and protect intellectual property rights. There have been protests across Europe over ACTA, which is considered by many to be incompatible with Europe's fundamental rights and freedoms. Read more from the BBC.
The Caribbean Court of Justice (CCJ) has handed down its judgment in the matter of Hummingbird Rice Mills Ltd v. Suriname and the Caribbean Community. This original jurisdiction matter was the first of its kind involving The Republic of Suriname. The Court found that Suriname breached its obligations under Article 82 of the Revised Treaty of Chaguaramas to establish and maintain the Common External Tariff between 2006 and 2010. Access the judgment here.
The United States Supreme Court recently ruled, in United States v. Jones, that the use of global positioning technology (a GPS) is illegal without a court order. In the United Kingdom and Ireland, on the other hand, GPS surveillance is not considered unduly intrusive, a view that is backed up by a 2010 judgment of the European Court of Human Rights. Read a comparative analysis of how these jurisdictions deal with the issue of GPS surveillance by Liz Campbell (University of Aberdeen Law School).
Human Rights Watch (HRW) has called on the International Olympic Committee to make the end of discrimination against women in athletics a condition for Saudi Arabia's participation in the 2012 London Games. Saudi Arabia has never sent a female athlete to the Olympic Games. Click here to read more and access the HRW report, "Steps of the Devil: Denial of Women's and Girls' Right to Sport in Saudi Arabia."
Articles and Publications of Interest
A new book by Mary Dudziak (University of Southern California Law School) explores the nature of contemporary war. InWar Time: an Idea, Its History, Its Consequences (Oxford University Press 2012), Dudziak suggests that wartime is not as discrete a time period as we like to think, and that it is no longer easy to distinguish between wartime and peacetime. Learn more about the book, and read comments by the author. Access a review of the book in The New Republic by Eric Posner.
Two recent articles explore the impact of judgments delivered by the European Court of Human Rights (ECHR).
In "Do European Court of Human Rights Judgments Promote Legal and Policy Change?," Laurence R. Helfer (Duke University School of Law) and Erik Voeten (Georgetown University) ask the following questions in the context of ECHR judgments on lesbian, gay, bisexual and transgender issues: Do the rulings of international courts set precedents that influence actors other than the parties to the dispute? Are international courts agents of change or do their judgments merely reflect ongoing social and political trends? Read an abstract of the article and access the full text here.
Nikolaos Sitaropoulos (Office of the Council of Europe Commissioner for Human Rights), similarly questions the impact of ECHR judgments on issues concerning national minorities. "Implementation of the European Court of Human Rights' judgments concerning national minorities or why declaratory adjudication does not help," looks at cases involving Bulgaria, Greece, and Turkey. The author suggests that even though the ECHR has attached an undeniable importance to the protection of national minorities through its case law, its judgments have fallen short of shaping member states' law, policy and practice. Access the abstract and full text of the article here.
International Justice in the News is edited by Leigh Swigart, Director of Programs in International Justice and Society, with the assistance of Katherine Alexander '12.
To comment, or to receive our monthly "International Justice in the News" e-letter, send a message here.


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Adjunct Professor
Office: LB 223
p. 216-687-5553
A.B., Harvard University, 1975
M.A., Oxford University, 1977
J.D., Harvard Law School, 1979
Peter A. Carfagna is Chairman/CEO of Magis, LLC, a privately owned sports marketing, management and investment company, including family ownership of the Lake County Captains, Cleveland Indians Class A Affiliate. He has also been the Managing Member of LLC's affiliated with many Major League Baseball teams, including the Boston Red Sox; Seattle Mariners; Houston Astros; and the Arizona Diamondbacks.
From 1994-2005, Peter served as Chief Legal Officer & General Counsel of International Management Group (IMG), and was Senior Partner at Jones Day LLP before that,
during which time he worked as outside counsel to the Cleveland Browns and Cleveland Cavaliers' ownership groups.
Peter graduated summa cum laude and Phi Beta Kappa from Harvard College, having also played Varsity Football. Peter was then a Rhodes Scholar at Oxford, graduating M.A. with Honours in Jurisprudence/Law. He then graduated from Harvard Law School magna cum laude, where he studied under Professor Paul J. Weiler, the "father of Sports and the Law" at Harvard.
Since being appointed by then-Dean Elena Kagan as the Covington Burling Distinguished Visitor in 2006, Peter has alternated teaching 3 Sports Law Courses at Harvard Law School, each of which has been published as a casebook: 1. Representing the Professional Athlete (2nd Ed. West 2014), which is the subject of a Coursera MOOC that was first offered in Fall 2014; 2. Examining The Legal Evolution of America's 3 'Major Leagues' (2nd Ed. West 2011); and 3) Negotiating and Drafting Sports Venue Agreements (West 2010).
At Harvard Law School, he is Faculty Advisor to the Harvard Law School's Committee on Sports and Entertainment Law and its Journal on Sports and Entertainment Law. He is also Faculty Supervisor of Harvard Law School's Sports Law Clinical Program, responsible for 20+ sports law clinicals each school year with the NFL, MLB, Boston Celtics, Boston Red Sox, New England Patriots, Brooklyn Nets, CAA, Excel Sports Agency, Special Olympics and the Carolina Panthers, among others.
Peter has served as Distinguished Visiting Practitioner at Case Western Reserve University School of Law and as Executive in Residence at Cleveland Marshall College of Law from 2011 to the present. In that dual role, he is Co-Director of the Great Lakes Summer Sports and Entertainment Law Academy, a Joint Program sponsored by Case Western Reserve and Cleveland State University Law Schools. Peter also serves as a Visiting Lecturer in Sports Law at the University of Miami and Ave Maria School of Law where he serves on the Board of Governors.
Peter currently serves on the Midwest Region/Chicago-based Selection Committee for the Rhodes Scholarship, as well as on the Board of the Sports Legacy Institute and the Ladies Professional Golf Association. Peter is also a former Elected Director of the Harvard Alumni Association and the Association of American Rhodes Scholars. He has served the HAA as a Member of the Nominating Committee for the Harvard University Board of Overseers.
Peter and his wife Rita, and their 4 adult children, reside in the Cleveland, Ohio area.
Teaching Areas:
Negotiation Strategies in Sports Management, Representing the Professional Athlete
Research Areas:
Sports Law


text:
If you have broadband or similar speed internet connection and Windows XP why not enjoy teaching from home for us wherever you live.
Experience and qualifications not necessary. Full training given.
We are a small and growing internet English school paying good rates.
Applicants (who must be native English speakers) please send a brief CV to [email protected]
Best wishes
Mark McCormack
I know this is an old reply but are such vacancies open now?
[email protected]


text:
Planting a Tree? Consider a Conifer!
Washington is known as the "Evergreen State" thanks to our vast conifer forests. However, large conifers often get overlooked when selecting trees for urban areas. Conifers such as pine, spruce or fir provide many year round benefits to the urban home or garden.
The evergreen canopy offers cover for birds and other wildlife. When planted strategically, conifers can reduce energy costs by shading homes in the summer and blocking wind in the winter. The expansive root systems of conifers can help to stabilize slopes and reduce erosion. The canopy of evergreen needles can filter air pollutants and reduce stormwater runoff. Also, because of their unique form, large conifers will store more carbon and create more oxygen over a smaller area than trees with broad canopies. Because conifers maximize these benefits all year, these large trees can be an excellent and sustainable choice if your site has the appropriate space. In addition to these ecosystem services, conifers often become beloved neighborhood icons as they mature.
If you have room in your yard for planting a large conifer and live in Seattle, there are free trees available through Seattle reLeaf's Trees for Neighborhoods Program. Learn more and apply for your tree here: http://www.seattle.gov/trees/treesforneighborhoods.htm.
Photo credit for all pictures to Oregon State University Landscape Plants Database.


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[Kohphangan hotels]
中 文
日 本
Amaresa Resort & Sky Bar
130/22 Moo 6, T. Bantai
Koh Phangan, Suratthani 84280
Haad Rin
Hotel category:
Traveler ratings
Summary of 8 reviews :
Room :
Facilities :
Service :
Location :
Perched on the hills of Haad Rin, Koh Phangan, Amaresa Resort offers breathtaking views of the sunrise and the Haad Rin Beach. Each bungalow brings you closer to nature with its simplistic and no frills design while you laze in the balcony's hammock and be caressed by the sound of ocean waves. In addition to the essential in room facilities for a well deserved rest, Amaresa Resort also provides the weary traveler yoga and meditation classes, a Skybar to satisfy the hunger pangs and wifi internet connection to stay in touch with friends. A short 15 minutes walk down the sand road leads you to the lively village of Haad Rin you are greeted by numerous bars, restaurants, internet cafes and tour agents. At just 10 minutes away from the full moon party beach, Amaresa Resort offers the best privacy away from the hustle and bustle
Hotel summary
Rates & Reservation
Pictures & Facilities
Travel reviews
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Travel reviews for Amaresa Resort & Sky Bar
Date of stay:
Aug 15, 2016
Accommodation and facilities:
We had a wonderful time in Amaresa. Brilliant breakfast, friendly team, great location. We had a wooden bungalow with garden view. Free pick up service to haadrin and pier. Great value good price. We will come back.
Reservation service:
Perfect service
Aug 19, 2016
written by:
Sandra Kiwall
Date of stay:
Aug 15, 2016
Accommodation and facilities:
We had a wonderful time in Amaresa. Brilliant breakfast, friendly team, great location. We had a wooden bungalow with garden view. Free pick up service to haadrin and pier. Great value good price. We will come back.
Reservation service:
Perfect service
Aug 19, 2016
written by:
Sandra Kiwall
Date of stay:
Mar 16, 2014
Accommodation and facilities:
Great View. Nice Rooms. Little outside from noisy had rin.
Reservation service:
Mar 19, 2014
written by:
Rene Henning
Date of stay:
Dec 22, 2012
Accommodation and facilities:
we had an amazing stay at amaresa. The atmosphere is excellent, great view. Lovely bungalows. People are very friendly and sweet. Food was fantastic. We definately would go back there!
Reservation service:
Dec 29, 2012
written by:
olivia harris
Date of stay:
Mar 10, 2012
Accommodation and facilities:
me and 3 friends we stayed in this resort for 3 nights and I was fine with all the services they offered me. The location is very beautiful and unique natural surroundings, 5 minutes you arrive at leela beach and 10 minutes away is the beach where they are celebrating the full moon party. Everything s fine and ok.
Reservation service:
It s all right. All clearly and professional.
Mar 20, 2012
written by:
Giovanni Maraboli
Date of stay:
Feb 12, 2012
Accommodation and facilities:
Worst place in koh pangang! Don t go there
Reservation service:
Feb 15, 2012
written by:
Jonathan Jansson
Date of stay:
Jul 17, 2011
Accommodation and facilities:
Me & my friend booked this hotel for our Pre- Full Moon Party on the last minute basis, cheaper hotel were full. We stayed in the new room with Ocean View, it was fantastic! On the map it looked far but it s within walking distant and the hotel can pick you up and drop you off free of charge until around 7pm. The hotel was lovely and peaceful, much appreciated especially after a hangover in the morning! The staff was very courteous and very helpful! I would very much recommend this hotel to anyone, well those who don t mind trekking home up the hill after late night out but it s worth it once you get into your comfy bed. The only downside of the new room (Ocean view) is that the TV was just plugged into the DVD player, didn t have Satellite unless I didn t know how to turn it on. But then again I was only staying a night so it didn t really bother me. Highly recommended! Definitely would stay again.
Reservation service:
Jul 20, 2011
written by:
May & Kasi
Date of stay:
Jun 13, 2011
Accommodation and facilities:
Very clean, but would recommend bringing a mosquito net. It s got a fab view and a nice resort, but its up a huge big mad hill so expect a bit of a trek home at night, but overall a good review!
Reservation service:
Jun 17, 2011
written by:
Jody Garry
THB ฿ Thailand
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Welcome to Amaresa Resort ...
The sea view bungalows offer spectacular views of the sunrise and the Haad Rin Beach on the east side. Find yourself relaxing in a hammock at your bungalow, gazing at the sea and listening to the sound of the ocean waves breaking against the coastline consisting of rocks and cliffs. Allow yourself to be lost in the moment.
... We look forward to welcome you soon at the
AmaresA Resort...
:: Twin Fan Ocean View - 2 Units ::
:: King Fan Bungalow - 1 Units ::
:: Fan Bungalow for 3 Persons - 2 Units ::
:: Double Fan Bungalow with Garden View ::
:: Garden View Room - 5 Units ::
:: Ocean View Room - 5 Units ::
Room Facilities
Air conditioner
DVD player
Coffee set
A la carte breakfast
Hot & cold shower
Restaurant & bar serving Thai Food
Free Wi-Fi at restaurant
Free safety box at lobby
Free pick up from Haadrin
Free transfer to Haadrin Pier / Town (08.00 - 20.00)
Laundry service
Yoga class
Pool table
Enjoy an ice cold beer at the sky bar overlooking the sunset and the contours of the Island Koh Samui on the west side and the Haad Rin Beach on the East side. Connect to our Wi-Fi network with your laptop and stay in touch with your family and friends back home. At night, keep an eye out for the shooting stars during the star spotting sessions.
Feel the need for some action. A fifteen minute walk down the sand road takes you to the bustling village of Haad Rin, where you will find numerous shops, bars, restaurants, internet cafes and tour agents for all your travelling, tours and excursion needs.
The resort is located on the Island Koh Phangan, just a couple of kilometres off the East Coast of Thailand. Famous for the monthly held Full Moon Party, Koh Phangan is situated between the Island Koh Samui and Koh Tao.
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