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Wednesday, February 25, 2015

Beautiful Illustrated Plotting of Fiction Genres


Published on Dec 9, 2014
"Hiçbir tercih yaşamımızın önüne geçmemeli, buna kendi kararlarımız da dahil" diyen Prof. Dr. Talat Kırış, kendi deneyimlerinden ve hastalarının hayatından örneklerle hayatımızın kontrolünü elimize almamız için ilham veriyor.

How Portugal Brilliantly Ended its War on Drugs

February 24th 2015 by Mark Provost @ attn:

In the 1990s, Portugal was faced with a drug epidemic. General drug use wasn’t any worse than neighboring countries, but rates of problematic drug use were off the charts. A 2001 survey found that 0.7 percent of its population had used heroin at least one time, the second highest rate after England and Wales in Europe. So, in 1998, Portugal appointed a special commission of doctors, lawyers, psychologists, and activists to assess the problem and propose policy recommendations. Following eight months of analysis, the commission advised the government to embark on a radically different approach.

Rather than respond as many governments have, with zero-tolerance legislation and an emphasis on law enforcement, the commission suggested the decriminalization of all drugs, coupled with a focus on prevention, education, and harm-reduction. The objective of the new policy was to reintegrate the addict back into the community, rather than isolate them in prisons, the common approach by many governments. Two years later, Portugal’s government passed the commission’s recommendations into law.
Just as important as the specific policies recommended by the commission is an entirely different philosophy. Rather than treating addiction as a crime, it’s treated as a medical condition. João Goulão, Portugal’s top drug official, emphasizes that the goal of the new policy is to fight the disease, not the patients. 

Decriminalization doesn’t mean legalization.
Legalization removes all criminal penalties for producing, selling, and possessing drugs whereas decriminalization eliminates jail time for drug users, but dealers are still criminally prosecuted. Roughly 25 countries have removed criminal penalties for the possession of small amounts of certain or all drugs. No country has attempted full legalization.
When Portuguese authorities find someone in possession of drugs, the drug user will eventually go before a three-member, administrative panel that includes a lawyer, a doctor, and a psychologist. In dealing with the drug user, the panel has only three choices: prescribe treatment, fine the user, or do nothing.
Portugal also invested heavily in widespread prevention and education efforts, as well as building rehabilitation programs, needle exchanges, and hospitals.

How did it work?
Levels of drug consumption in Portugal are now among the lowest in the European Union. No surprise, the decriminalization of low-level drug possession has also resulted in a dramatic decline in drug arrests, from more than 14,000 per year to roughly 6,000 once the new policies were implemented. The percentage of drug-related offenders in Portuguese prisons decreased as well -- from 44 percent in 1999 to under 21 percent in 2012.
HIV infection is an area where the results are clear. Before the law, more than half of Portugal's HIV-infected residents were drug addicts. Each year brought 3,000 new diagnoses of HIV among addicts. Today, addicts consist of only 20 percent of HIV-infected patients.
Portugal’s drug control officials and independent studies caution against crediting Portugal's decriminalization as much as its prevention and rehabilitation efforts.

Prospects for ending the U.S. Drug War.
Drug policy in the United States could not be more different. In the U.S., law enforcement still takes center stage, and the war on drugs is defended by vested interests -- from police unions to private prison companies -- that command billions in resources. While the top drug control official in Portugal is a doctor, the U.S. has a drug czar who specializes in law enforcement.
But advocates hoping to change the system have something they don’t: scientific evidence and popular support.
In early 2014, the U.K.'s government conducted an eight-month study comparing drug laws and rates of drug use in 11 countries, including Portugal. Published in October, the report concludes that “we did not in our fact-finding observe any obvious relationship between the toughness of a country’s enforcement against drug possession, and levels of drug use in that country.” It was the U.K.’s first official recognition that its war on drugs has been a complete failure since Parliament passed the 1971 Misuse of Drugs Act.
Another sign of hope is the near universal view among Americans that the drug war is not working. A Pew poll from April 2014 revealed that two out of three Americans think people shouldn’t be prosecuted for drug possession. Sixty-three percent support eliminating mandatory minimum sentencing, and 54 percent support full marijuana legalization. States have made more progress changing drug laws than the federal government, particularly when the decision is left to voters, who have passed recreational marijuana legalization or medical marijuana legalization by referenda in several states.

HSBC Bank Scandal Widens As Collusion With U.K. Government and Media Is Exposed

Mon, 2/23/2015 - by Charlotte Dingle

SBC, the Hong Kong and Shanghai Banking Corporation headquartered in the UK, is in fresh trouble. As John Christensen, director of the Tax Justice Network and a leading authority on tax evasion, put it: “An ordinary individual caught doing what HSBC was doing would have all of their assets taken away and would go to prison.”
The week before last it came out that the company's Swiss arm was allowing wealthy customers, allegedly including drug and arms dealers, to dodge tax and hide millions of dollars in offshore accounts. Swiss, Belgian and French authorities are investigating the bank, but the UK government almost immediately refused to launch an in-depth probe.
Chancellor of the Exchequer George Osborne was criticized for laying conspicuously low after the international story broke. He finally appeared more than a week later, telling an audience at the Tate Gallery on London's South Bank that it was a matter for the “prosecuting authorities.”
“I don’t think it would be right for [me] to direct prosecutions against individuals or individual companies,” Osborne said.
Last Wednesday, Peter Oborne, the chief political commentator for the UK's leading conservative broadsheet, the Daily Telegraph, resigned over the paper's biased coverage of the case. By Friday, it became clear that the newspaper wasn't only attempting to retain its advertising revenue from the bank – but that its owners had recently received a £250 million loan from HSBC.
Oborne has called for an independent enquiry following an editorial the paper published claiming “no apology” for its actions. For now, the tale of high-level government and media collusion involving a deeply corrupt financial institution continues.
This Monday, HSBC is set to “apologize” for its actions when it releases its full-year figures for 2014. It's not the first time the bank has been in hot water over what it's doing with its clients' money. In 2012, the bank was forced to pay out $1.9 billion following allegations that it assisted Mexican drug traffickers moving their money around the financial system. A total of $881 million was laundered across HSBC bank accounts. Yet the bank was allowed to continue trading.
“HSBC has been very closely politically connected to the British government for many decades,” John Christensen of the Tax Justice Network told Occupy.com. “Right back to the opium wars, when the big British trading houses were trading opium out of India into China and the Royal Navy was used to break open the Chinese market.
"More recently, the British government was very active pushing in Washington for HSBC not to lose its license in the U.S. over the Mexican drug money scandal," he added, and "it's more than the British government being ineffective in punishing HSBC – it has a long history in being very active protecting HSBC from investigation. It is a complete dereliction of the government's duty that it refuses to look into this situation.”
But the scandal goes even further than that, Christensen said.
“We know HSBC has been involved in criminal activity, at many levels. And it's not just collusion with tax evasion and the marketing of tax evasion services to clients through their Geneva branch, not just the drug money laundering in the U.S.," he continued. "It's also their involvement with the rigging of the Libor (London Interbank offered rate) market, interest rate settlements and currency market exchanges. So they've been involved in rigging markets, avoiding drug money, laundering, and the list just goes on and on.”
So how does he feel about the Daily Telegraph being in cahoots with the bank?
“We are in a terrible situation in this country and the Telegraph isn't unique in this,” Christensen sad. “So many news and media outlets are dependent on advertising, and the financial services industry is a major source of advertising revenue. We're now in a position where we can no longer be sure that our media will be prepared to run stories like this because they're scared of losing advertising revenue. And when financial matters are commented upon, it tends to involve voices from the City of London financial circles – bringing all sorts of conflicts of interest. So we have the worst of both worlds: we have a media scared of losing its revenue which relies very heavily on these conflicted voices.”
Christensen said he's frightened that a lack of sanctions against HSBC would set the precedent for other banks and large corporations to relax their rules.
“There should be a thorough independent inquiry and the company directors should be called to account and sent to prison. The government should send out a strong message that behavior like this won't be tolerated within the company," he concluded. But, "what will actually happen is that they won't be sent to prison, and the message will go out to other banks and to the general public that banks can engage in criminal behavior with impunity because the British government will do nothing.”

A Flowchart for Choosing Your Religion

A Flowchart for Choosing Your Religion

Looking for a JOB - How to Be the Next Hire

Making You the Most Viable Next Hire
Being flexible, creative and adaptable in today’s economy is the cornerstone to survival. The job search is no different and, with unemployment rising, requires just as much vigilance. One way you can keep your options open and make yourself even more marketable is by considering Consulting in addition to your quest for full-time employment. Often perceived as an “either-or” scenario, Consulting offers you just as many benefits as it does your “would be” employer:

Track record of Fixing Problems?
Career wise, people typically fall into one of two categories: those who thrive on problem solving and the prospect of a new challenge –or- someone who is exceptionally good at steering the ship once it is on course. If the thought of fixing something that is broken appeals to you (versus has you thinking about reaching for the Tylenol), then Consulting might be an avenue to explore.

A More Flexible Interview
Quite often, what a company needs is someone to tackle a specific problem, not a new full-time employee. Identifying this in the interview and being able to present yourself as the solution to their problem (at a lower cost), can ultimately create a job tailor made for you and your skill set. No one can compete against that.

Dating Before Marriage
A consulting engagement can give you the opportunity to see if this company is a nice place to visit or a great place to live. The only thing worse than a prolonged job search, is ending up in a position that results in you being unemployed again in 6-12 months. Consulting lets you do more due diligence than you could ever accomplish in an interview.

“Consulting” on Your Resume
To many recruiters, seeing “consulting” as your current role without any clients/engagements is just a way to dress up being out of work. But, with a list of key accomplishments at those engagements, you show that you are in demand, have more control over your search and are broadening your experience. The latter is extremely important if you are looking to transition industries.

Change Agent
For companies looking to make some sort of change internally (and you should like this if you have a track record of fixing problems), consulting is a more preferred approach versus hiring a permanent employee. It is much easier to come in as a consultant, effect the course correction and then hand it off to the internal leadership.

Money
Besides the obvious benefit of having income during your search, it also gives you breathing room to be more objective in selecting your next job.

It’s Easier to Find a Job When You Already Have One
So much of what makes this true is that fact that when you are employed, you tend to be a bit more objective because you have a “bird in hand.” Consulting (in addition to easing that financial strain, which helps here) can provide the self-assurance that comes along with being employed, which can get whittled away while unemployed.

Presenting yourself as a viable consultant or full time employee isn’t mutually exclusive. Rather, they are simply two sides to the same coin. For the companies where you interview, this will only make you more viable and versatile in your eyes. For you, there is nothing to lose. The worst thing that happens here is you generate some income to inevitable financial strain of your job search. On the other hand, you might just find through this process that you discover your next career move.

Bağdat Caddesi

Gel de parmaklara hakim ol, yapma bir Caddebostan, Bağdat Caddesi nostaljisi şimdi!...diğer bir deyişle 'Karşı taraf' . Cok uzun seneler yazları gittiğim, son yıllarda ise her Türkiye'ye gittiğimde kaldığım Istanbul'un bir başka eşşiz köşesi.
1960'lı 70'li yıllarda köşkleriyle, bahçelerinden salkım salkım sarkan ortancalarıyla, billur gibi denizliyle, 'sayfiye' yeri olmasıyla meşhur Erenköy, Suadiye, Caddebostan.

Dükkanların az, ağaçların çok olduğu, bunca yıl geçmesine rağmen hala güzelliğini koruyan Bağdat Caddesi. On, onbir yaşımdan itibaren yazlarım geçti oralarda. Sokaklarda oynanırdı o zamanlar, öyle pek araba filan geçmezdi. Doyasıya bisiklete binilir, el birakarak gitmek büyük marifet sayılır Erenköy, Saskınbakkal, Göztepe bisikletle rahat rahat gidilir dönülürdü. Deniz için bazı sokakların denize vardıkları noktalarda bulunan kayıkhanelerden saatlik ücretle kayık kiralanır, kadın erkek kürek çekmeyi bilir, kayıktan denize girilirdi. Bazı gençler dalıp iskele ayaklarından midye toplar bazıları ise sığ kumda zıpkınla vatos avlarlardı. Sokaklardan dondurmacılar geçerdi o zamanlar. Simdiki gibi binbir çeşit ne gezer 'Dondurma, Kaymaaak' diye bağıran dondurmacının küçücük arabasında sadece kaymaklı ve limonlu dondurma olur, bazen ise çeşit olsun diye vişneli bulunurdu.

Caddebostan Plajı'nın yanı sıra bir de üyelikle girilebilen klüpler vardı. Marmara Yelken Klubü başta olmak üzere, Balıkadamlar, Caddebostan Yat Klübü ve İstanbul Yelken. Eğer bunlardan birine üyeyseniz veya üye bir arkadaşınız varsa bazı sporları yapma veya izleme olanağınız olur, voleybol, ping pong oynar, kıyıdan yelkenlilerin yarışlarını izlerdiniz. Denizin ortasında ise köfteciler vardı. Bunlardan aklımda kalanı ise mayomuzun kenarına sıkıştırdığımız parayla yüzdüğümüz, veya kayıkla yanaştığımız 'Fıştak'tı. Dönerken yüzülüyorsa demirlemiş kayıklara tutuna tutuna, dinlene dinlene yüzülürdü.

Akşamüstüne doğru herkesi bir 'piyasa' heyecanı alırdı. Saçlar yıkanır, bildiğımız ütüyle ütülenerek düzeltilir, ve (Bağdat) Cadde'ye binbir tur atmaya çıkılırdı. Bir aşağı, bir yukarı. Parkur ise genellikle Santral Durağı'ndan Saşkınbakkala kadardı. O zaman 'cafe' adeti bir elin parmaklarını geçmez, 'Borsa'da yer bulabilmek için hızlı davranmak gerekir, 'Divan' ise gençlere çok pahalı geldiğinden ancak hafif 'yaşı geçmiş'lerin duraklama mekanı olurdu. Hali varaba sahiakti oldukça yerinde olan birkaç genç ise bir aşağı bir yukarı arabayla giderek Mustang veya Corvette'leriyle gelene geçene hava atarlardı.

Geceleri ise açık hava sinemalarının keyfine doyulmazdı. Caddebostan'daki Ozan Sineması'nda genellikle Türk filmleri oynar, çıkınca biraz aşağıda, Caddebostan Maksim Gazino'sunun (MIGROS)yakınındaki büfe'de 'zümküfül' yenirdi (Bir çeşit sosisli sandoviç ) Yabancı filmlerin mekanı ise Budak Sineması'ydı (Şimdiki CKM). Yastıgını kapıp tahta iskemlelere yerleştirdikten sonra, çekirdeğini çıtlatarak izlenirdi filmler. Bazen bu sinemalarda Cem Karaca gibi o zamanın ünlü sesleri konserler verir, bazıları ağaç tepelerinden konser izlerdi.

Sonra sonra o köşkler birer birer yıkılmaya, yerlerin uzun uzun binalar dikilmeye, Cadde'deki evlerin yerlerini dükkanlar almaya, arabalar çoğalmaya, faytonlar yok olmaya, tekerlekli dondurmacıların yerini Algida'cılar almaya başladı. Ama ne mutlu ki tüm büyümeler, kalabalıklaşmalar rağmen 'Cadde'yi bozmayı başaramadı! O hala 'Cadde', İstanbul'un ,Türkiye'nin en güzide caddesi hala boydan boya yürümekten zevk aldığım, bir yerde oturup geleni geçeni izlemenin keyfini her yıl bir iki hafta yaşayabildiğim bir yer.

Galata' ya dogru...

Galata' ya dogru...

The best way to improve health care requires physicians and other stakeholders

My honest approach for how to improve the care is to support a methodology such as being self-serving. I would like to start a program to introduce a software-based point-of-care tool for obtaining patient feedback. This real time information can be used with clients to positively impact the patient experience, nurse engagement, physician (soft skills) competence and overall quality. In my perspective the criteria for fulfilling the demand for finding the best way to improve healthcare is that it need be simple to implement, impactful and cost effective. The most impact to healthcare improvement will come from process improvement and healthcare provider recruitment AND retention. The by-products will be reduced cost of care and improved patient satisfaction. This applies to hospitals and private practices. Based on current studies and the economy, supplying adequate healthcare to the community is already tough and is going to get more challenging. Recruiting sufficient healthcare coverage will boost revenue and provide some improvement to patient satisfaction (wait time and access). However, failure to retain the medical staff will significantly hurt the outcome. With high demand and low supply, it will be well worth the time and money to present "we have the greenest pastures here". The method mentioned above may be called such as point-of-care through successful implementations that may turn in to popular key parts of process improvement. You need to have some feedback from the patients and the physicians in order to measure the processes that should be or are currently being improved. In order to achieve this you have to create the acronym HOSPITAL to help those in Healthcare recall the numbers of different types of inefficiencies in any medical facility. Those who have been exposed to Six Sigma and Lean have an appreciation for improvement opportunities and generally view things through differently trained eyes that can see within all those facilities. Publishing the results of the similar programs online may offer a transparent access to the consumers to monitor these inefficiencies. Welcoming any feedback relative to this and encourage your staff to consider this method or similar training methods for their teams will be highly critical for the outcome. We have to understand that it is impossible to solve a problem that we are unaware of. By providing even the most basic tools at the lowest level possible, these problems have a way of surfacing. While everyone recognizes that healthcare systems and organizations need to improve, I think not enough time is spent on firstly identifying the key stakeholders, and secondly properly ENGAGING them. I strongly believe that not enough time is spent trying to engage physicians in this process. In my experience too many of these "improvement strategies" are top-down decisions by non-clinical managers who failed to conduct any research into what physicians might want or what stumbling blocks there are/were to get them to adopt the new technologies. EMR/EHR/CPOE are prime examples - all of these require a breakdown in the normal activity flow of providers, as it requires them to either find and log on to a terminal or carry a bulky instrument. Almost all clients and colleagues I have worked with resent and resist those methods. And look how few MDs are part of Healthcare consulting firm teams. IMHO, I believe more energy should be spent engaging rather than alienating MDs as a first step, then doing the same for patients in order to get buy in from the two key stakeholders as I see it. I've always found that engaging these stakeholders on projects from the beginning results in more buy-in and most importantly, better recommendations/outcomes (a better product).

ULTIMATE RESULTS

ULTIMATE RESULTS

Ilhan Arsel

Ilhan Arsel

BJK FOREVER

BJK FOREVER
Karga kartalların sırtına oturur ve boynunu ısırır. Kartal cevap vermez, kargayla savaşmaz; kargaya zaman veya enerji harcamaz, bunun yerine sadece kanatlarını açar ve göklerde yükselmeye başlar. Uçuş ne kadar yüksek olursa, karganın nefes alması o kadar zor olur ve sonunda karga oksijen eksikliği nedeniyle düşer. Kartaldan öğrenin ve kargalarla savaşmayın, sadece yükselmeye devam edin. Yolculuk için gelebilirler ama yakında düşecekler. Dikkat dağıtıcı şeylere yenik düşmenize izin vermeyin....yukarıdaki şeylere odaklanmaya devam edin ve yükselmeye devam edin!! Kartal ve Karga dersi