text:
A solution to sexual challenges may lie within you and your partner, not at your local pharmacy:
""The findings from our study show how a woman's expectations to improve sexually can have a substantial positive effect on her sexual well-being without any actual drug treatment," Meston says. "Expecting to get better and trying to find a solution to a sexual problem by participating in a study seems to make couples feel closer, communicate more and even act differently towards each other during sexual encounters."
"Many women reported they received more stimulation during sexual activity while they participated in the trial, even though their partners were not given any special instructions."
Original Medical Article Summary — Related: Placebo Affect
Webmaster's Note: While the information presented below is based on a book published 15 years ago, I'm not aware that our understanding of female sexual function has increased significantly since then, and progress on treatment of female sexual dissatisfaction/dysfunction has progressed even less. No magical wonder drug has been discovered, despite everyone's expectations. Female sexuality has proven to be much more complex than originally envisioned. The article "Low or Absent Female Sexual Desire" has relevant information.
The following information
is from the book For Women Only by Jennifer Berman, M.D., and Laura Berman, PH.D., first published in 2001.
Illustrations contained within the book For Women Only are available in the anatomy section.
The clinical or correct term used to specify "sexual dissatisfaction" is actually "sexual dysfunction." The Bermans prefer to use the term "sexual dissatisfaction" when speaking with their patients. The correct "label" is unlikely to be one a woman wants to apply to herself. In addition, if a woman is not happy with all aspects of her sexuality she is not automatically "dysfunctional." A woman is more likely to feel comfortable saying she is dissatisfied than she is to say she is dysfunctional. It is for this reason that I have chosen to use the term "sexual dissatisfaction" as well.
The book contained the latest information on the diagnosis and treatment of female sexual dissatisfaction. A medical study found 43% of women were experiencing the effects of sexual dissatisfaction. Only recently had the medical profession put any significant effort into trying to discover the causes. Since the true causes have often been unknown, there has been a lack of effective and reliable treatments. Women who are searching for a solution to the sexual difficulties they are experiencing may very well find themselves needing to do a lot of research prior to visiting their doctor, therapist, psychologist, or psychiatrist.
In 1998 a panel of nineteen medical specialists from around the world met to redefine the definitions used to describe female sexual dissatisfaction. Prior to then, sexual dissatisfaction was thought to be solely psychological in origin, now it is accepted that in may have a medical origin. The original definitions may have dealt solely with psychological causes as the American Psychiatric Association created them, twenty years ago. The panel agreed upon four classification of female sexual dissatisfaction, they are given below.
The information presented in the next four paragraphs is Copyrighted 2001 by Jennifer Berman, M.D., and Laura Berman, PH.D..
The following definitions became outdated in May 2013 with the publication of a new Diagnostic and Statistical Manual. The current definitions: Types of Female Sexual Dysfunction.
1. Hypoactive Sexual Desire Disorder: A lack of sexual desire that causes a woman personal distress. This includes a persistent or recurring deficiency or absence of sexual fantasies or thoughts, or a lack of interest in sexual activity. As a subcategory, it includes sexual aversion disorder. Hypoactive sexual desire disorder may be the result of medical factors (such as medications), emotional factors (such as depression), or menopause (either natural or surgical). Sexual aversion disorder is the complete avoidance of sexual intercourse or relations. It is also classified as a phobic disorder that can result from physical or sexual abuse or childhood trauma. [Hypo- means lack or deficiency.]
2. Sexual Arousal Disorder: An inability to attain or maintain adequate genital lubrication, swelling, or other somatic [somatic relating to the body, not the mind] responses, such as nipple sensitivity. Disorders of arousal include a lack of vaginal lubrication; decreased clitoral or labial sensation; decreased clitoral and labial engorgement; or lack of vaginal lengthening, dilation, and arousal. Although these conditions can be caused by psychological factors, such as depression, they can also have a medical basis, such as diminished vaginal or clitoral blood flow. Some women with physically based sexual function problems understandably develop psychological problems, which must also be addresses.
There are four subtypes of Sexual Arousal Disorder:
a) Subjective Sexual Arousal Disorder is "characterized by diminished or absent feelings of sexual excitement and pleasure but intact vaginal lubrication." This occurs when exposure to mental and/or physical sexual stimulation results in physical sexual arousal but a woman is not aware of her physical arousal. For some reason her brain does not make her aware of the fact that her body is sexually aroused. During partnered sex she may not "feel" sexually aroused but increased vaginal lubrication indicates to her partner that she is. This subject is addressed in a detailed Question & Answer.
b) Genital Sexual Arousal Disorder is "characterized by diminished or absent genital arousal, i.e. lubrication and sensation." This occurs when sexual stimulation does not result in physical sexual arousal. Her mind may be telling a woman she is sexually aroused but there is no increased vaginal lubrication or blood engorgement of her genitals. This is more likely to be indicative of a physical or medical problem, but current research indicates this is a much less common experience than subjective sexual arousal disorder.
c) Combined Genital and Subjective Arousal Disorder is "characterized by diminished or absent sexual excitement and genital arousal." This is a combination of the above two definitions. This occurs when there is neither physical or mental sexual arousal. This may be caused by medical or environmental factors. Women with insufficient levels of testosterone may experience decreased or absence of sexual desire, arousal, and sensation. Natural and surgical menopause and medically prescribed hormonal treatments like birth control pills and hormone replacement therapy (HRT or ERT) can reduce testosterone production.
d) Persistent Genital Arousal Disorder is "characterized by spontaneous and persistent genital arousal which is unwanted." This a new diagnosis that appears to be relatively rare, yet causes significant emotional distress for those who experience it. It is possible that women who stop taking an antidepressant medication after using it for an extended period of time are more susceptible to this condition than others. After having their sexual responses impaired by the medication it is possible their body is unable to limit their sexual responses as it should. This is not to be confused with an intense yet normal level of sexual desire and arousal. 53% of women in a survey on this website say they believe their level of sexual desire is greater than that of their peers and in another survey 45% say they believe their level of sexual arousal is greater than that of their peers. This indicates women in general believe they have stronger or more intense sexual feelings than their peers, or what is socially acceptable. This subject in addressed in a Question & Answer.
3. Orgasmic Disorder: A difficulty or inability to reach orgasm after sufficient sexual stimulation and arousal. Orgasmic disorder also includes any difficulty or delay in reaching orgasm that causes the woman personal distress. The quality of the orgasm may also be diminished. Some women with orgasmic disorder describe their orgasms as "muffled," particularly if they have had strong orgasms in the past. Orgasmic disorder is most often categorized as primary, meaning that a woman has never achieved orgasm, or secondary, meaning that she can no longer achieve orgasm because of surgery, hormone deficiencies, or trauma. Primary orgasmic disorder can be caused by emotional trauma or sexual abuse, but many medical factors, such as medications or damage to the pelvic nerves during surgery, may also contribute to the problem. Clitoridectomy, or the removal of the clitoris, as practiced in some cultures in Africa, the Middle East, and Asia, would seem to be a natural cause of this category of dysfunction.
4. Sexual Pain Disorders: These include dyspareunia, which is a recurrent or persistent genital pain associated with sexual intercourse. Dyspareunia can develop as a result of medical problems, such as vaginal infections or thinning of the vaginal lining during menopause, or following some vaginal or vulvar surgical procedures. It can also be psychological based or reflect a relationship problem or other emotional conflict. More often than not, as with most disorders, it is a combination of physiological and psychological factors. Another sexual pain disorder is vaginismus, or involuntary muscles spasms of the lower third of the vagina, which interferes with or precludes vaginal penetration. Vaginismus usually develops as a conditioned response to painful penetration, but it can also be due to emotional or relationship problems. The panel identified a third subcategory as other sexual pain disorders, or genital pain induced by noncoital sexual stimulation. This is pain that occurs with any type of sexual stimulation other than intercourse. Although sexual stimulation triggers the pain, the primary cause of the pain can include vaginal infections, prior genital mutilation (a rite of female passage in some African countries which we discuss in chapter 6), or vestibulitis, a recurring inflammation and burning sensation around the opening of the vagina.
It Has a Name, Now What?
Okay, now you have a fancy medical term to apply to your particular type of sexual dissatisfaction, now what do you do? The next thing you will want to know is what are the possible causes. If you do not know the cause, you are less likely to find a solution. Below are abbreviated descriptions of known medical and psychological conditions that can impact sexual satisfaction. While I want to point out the vast number of factors that can impact a woman's sexuality, I cannot go into the same detail as the book does. This is just meant to be a general overview.
Pelvic Surgery or Trauma: Doctors simply have a very limited understanding of the location and routing of the nerves and blood vessels that pass through the female pelvis on their way to the vagina and vulva. They simply do not know what areas to avoid when performing surgery in this area. As a result, a woman's sexual responses and feelings can be impacted by such surgeries as hysterectomy, uterine embolization, and episiotomy. In addition, injuries to the vagina during childbirth can cause damage to the vagina, and nerve and vascular damage to the vagina and clitoris. Damage to the blood vessels can affect a woman's clitoral, labial, and vaginal sensitivity and her ability to experience sexual arousal and lubrication, and as a result orgasm. Removal of the uterus and cervix can change a woman's orgasms, particularly if she experiences "pelvic orgasms." Pelvic fractures and other straddles injuries may also affect the pelvic and genital organs and their blood and nerve supplies. Many doctors simply do not know pelvic surgery can have negative consequences for a woman's sexuality. They may tell women just the opposite, and adamantly stand by their convictions. More can be learned at Institute for Sexual Medicine: Sexual Dysfunction after Hysterectomy
Vasculogenic or Blood Flow Problems: The flow of blood through the pelvic and genital organs is a major component of female sexual response. It directly affects a woman's ability to experience arousal, lubrication, and engorgement, and as a result orgasm. If you restrict or sever this blood flow a woman's sexual responses will likely be impaired. Here are the diseases and activities that can affect pelvic blood flow.
Coronary heart disease: We are frequently informed by the media about the risks of coronary heart disease. One aspect of this disease they do not mention is that the same plaque that builds up in the arteries of the heart also builds up in the arteries of the pelvis. This can restrict the flow of blood to the pelvic and genital organs. It may also lead to thickening and scaring within of the muscles of the vagina and the smooth muscles tissues of the clitoris. This can lead to a lack of lubrication and pain during foreplay and intercourse.
High blood pressure: The affects of high blood pressure on female sexuality are not fully understood at this time. What is know is, high blood pressure can damage the blood vessels resulting in an increased risk for coronary heart disease, described above. The medications used to treat it may directly affect female sexual response as well. These medications are discussed on the Health page.
Smoking: While we have all been made aware of the damage cigarette smoking can do to our bodies, few would expect it to affect our sexuality. Smoking causes the blood vessels to constrict. This can affect the blood flow to the pelvic organs. Toxins in cigarettes can also damage the walls of the arteries leading to coronary heart disease.
Bicycle riding: The use of standard narrow bicycle seats can result in damage to the blood vessels and nerves that lead to the clitoris. This can result in clitoral numbness, at first it is just temporary but may become permanent. Women, and men, should only use wide bicycle seats. You can learn more about this at: Institute for Sexual Medicine: Bike Riding and Your Sex Life. An interesting medical article abstract can be read here. Medical Quote, "Handlebars positioned lower than the saddle were significantly associated with increased perineum saddle pressures and decreased genital sensation in female cyclists." Read More
Hormonal Problems: The level of estrogen and testosterone in a woman's body can have a significant affect on her sexuality. Some of the common hormonal conditions that contribute to female sexual dissatisfaction are given below.
Menopause: The decreased production of estrogen that occurs during menopause can result in hot flashes, vaginal dryness or irritation, incontinence, a thinning or loss of elasticity of the skin, mood swings, and depression. A corresponding decrease in androgen hormones like testosterone can result in reduced muscle strength, appetite, energy, memory, sexual desire, and responsiveness. Testosterone appears to be the main controller of sexual desire. A medical article abstract says the sexual functioning of the brain changes after menopause, possibly the result of hormonal changes. There was a medical study done to see if the changes that occur in the female genitals during menopause could be observed by Magnetic Resonance Imaging (MRI) and they were successful, which provided some information on how they change. Read that article.
Endocrine disorders: The endocrine glands are spread throughout the body and are responsible for controlling the body's internal functions by producing numerous hormones. Diseases and illnesses that affect such glands as the pituitary, hypothalamus, thyroid, and adrenals can have a significant affect on a woman's sexuality. Hormones control the production of other hormones so a chain reaction of events may lead to sexual dissatisfaction.
Postpartum hormone deficiencies: While a short-term loss of libido flowing pregnancy and childbirth is normal, it should not last for years. When a woman is breast-feeding her body produces oxytocin and prolactin that suppress the production of testosterone. As a result, breast-feeding women may experience a decreased desire for sex for as long as they nurse. (The benefits of breast-feeding still greatly outweigh the negatives.) Women who do not breast feed, and after others stop doing so, may also experience a chronic decrease in sexual desire and this may be the result of a decrease in or total absence of testosterone. The reason why testosterone production ceases is not known.
Diabetes: A diabetes related disorder called diabetic neuropathy can affect the nervous system and blood vessels. More than fifty percent of diabetics develop neuropathy. This condition often results in a loss of feeling in the feet, hands, and legs. The small arteries in the pelvis may also be affected by the resulting vasculogenic problems.
Neurogenic Problems: Any medical condition that affects the nervous system can have a major impact on a person's sexual function.
Spinal cord injury: Paralysis often results in a significant sexual impairment but not a decease in sexual desire. Women may experience a loss of genital sensitivity and may not be able to experience orgasm following a spinal injury. New research though has shown some women with paralysis are able to experience orgasm by using non-conventional means. Some experience orgasm while stimulating the cervix or vagina. Others experience orgasm by using a standard vibrator. Still others find other areas of their body become erogenous zones, like the nipples, neck, and ears. Disabilities are often only as debilitating as a person allows them to be.
Other Physical Problems:
Endometriosis and fibroids: Women with endometriosis and fibroids may suffer sexual dissatisfaction as a direct result of medical treatments they receive; like D&C (dilation and curettage), hysterectomy, or uterine embolization. The effects these procedures may have on a woman's sexual satisfaction have been addressed above.
Vaginal and urinary tract infections: The symptoms associated with vaginal and vulvar infections like vulvitis, vulvadynia, urinary tract infections, and cystitis can result in a woman's vulva and vagina being too sensitive or irritated to permit any form of sexual contact. Some of these infections result in unpleasant smells as well. While most of these infections are easily treated and have a limited impact on a woman's sexuality, others are chronic and debilitating. Unfortunately, all of these diseases are not fully understood and as a result there is no known treatment for some of them.
Interstitial cystitis: This is a chronic inflammation of the bladder. It is indicated by a frequent urge to urinate, lower abdominal, vaginal, and rectal pain. This disease can be hard to detect and often requires the visual examination of the bladder using a cystoscope, to look for hemorrhages. This condition often becomes debilitating and leads to sexual dissatisfaction. It can result in labial, vaginal, and pelvic pain and difficulties with arousal and orgasm. Researchers are still searching for a cause and developing new medications to treat it.
Pelvic floor disorders: These disorders result in the relaxation and loosening of the muscles and connective tissues that support the pelvic organs; like the uterus and bladder. Women who experience this may also experience vaginal pain, loss of sensitivity within the vagina, and arousal and orgasmic impairment. New and better surgeries are being developed to help protect a woman's sexual functioning, to protect her vital nerve and blood supplies when surgical treatments are undertaken.
Medications that Affect Sexual Function: Medications that can have a detrimental affect on female sexuality are discussed on the Health page.
Psychological causes of female sexual dissatisfaction:
Depression and dysthymia: Depression affects twice as many women as men. It has many causes, chemical imbalances within the brain, severe stress, grief, family history, emotional conflict, or any combination of factors. Dysthymia is a less severe form of depression that usually goes undetected. A woman with dysthymia may feel sad and unattractive. Both forms of depression can lead to sexual dissatisfaction and avoidance of sex.
Stress: Many women have two careers, they perform the tasks required of a mother and a businesswoman at the same time. Today's working mother often times does not have the support of multiple nuclear family members to the degree they once did. The responsibilities associated with both careers results in women who are under much more stress than the average man. Stress can lead to emotional and medical problems and as a result sexual difficulties. Women who find they are feeling stressed need to ask for, if not demand, assistance from others. If you cannot relax in the arms of your partner you are very unlikely to be able to experience sexual arousal and orgasm, if you are able to attempt intimacy at all.
Sexual or emotional abuse: The potential ways in which sexual and emotional abuse can affect a woman's sexuality are enormous. Women who have been exposed to this may experience one or more of the four types of sexual dissatisfaction listed above. It can cause women to avoid sex or be unable find it pleasurable. A woman may find herself unable to develop a committed and lasting emotional relationship with someone; she may seek pleasure through frequent sex, perhaps with multiple partners that have no emotional attachment to her. For a woman to heal from abuse it often takes a sizeable investment of time and a very supportive partner. I want to point out that just because a woman has a strong interest in sex or has no interest in sex at all, that does not automatically mean she was abused as a child. In addition, a woman who was abused may still have a healthy sex life as an adult. Women should be careful not to become the victims of suggestion.
Drug and alcohol use: Women may abuse drugs and alcohol as a result of a preexisting emotional conditions. While the drugs and alcohol may allow them to hide from their problems, it only adds to them by creating new ones. Women who are always intoxicated or under the influence of drugs when they engage in sex may be unable to relate to their partner on an emotional level when they are sober. Once a woman is no longer addicted she often finds herself unable to have a fulfilling sexual relationship with her partner, in part because the emotional problems come to the forefront once again. Some women use sex as a form of distraction, as a means of avoiding their problems. Sex becomes the drug; hormones produced during sex may result in a natural high or peaceful state-of-mind. Women who have been treated for alcohol or dug abuse often need extensive counseling and a supportive partner if they are to find sexual happiness.
Sexual addiction: This is a controversial subject. Women in the past were labeled nymphomaniacs if they expressed any outward interest in sex. Now if they express "too much" interest they may be called a sex addict. Is it possible that only the label applied to a sexual woman has changed with time, rather than our opinion of her? Who exactly is defining what is too much? What is sexual addiction and what is a strong yet normal sex drive? If your desire for sex precludes all else, specifically work and family, then it is unhealthy emotionally. If the only thing you and your partner(s) do while together is have sex, then you may be using sex as a means of avoiding emotional and intimacy issues. Sex is just one spoke in the wheel of life, if all the other spokes are broken or weak, the wheel will collapse when jostled.
Body image and self-esteem problems: Women often compare their body to an unrealistic and unhealthy ideal created and propagated by the mass media. Women often expect they should naturally look like the underweight or surgically modified models frequently shown on the covers of magazines, television, and in movies. Women who are considered very attractive by those around them often find significant fault with their body; especially those very women who adorn the covers of magazines. As a result, many women are uncomfortable showing their body to their partner. They never allow their partner to see them undressed, with the lights on. They may not allow their partner to look at or touch certain areas of their body, specifically their vulva. If a woman cannot undress fully in front of her partner with the lights on and allow them to examine her entire body with their eyes and hands, she is not going to be able to fully enjoy her sexual interactions with them. How a woman values herself in her work and relationship also affects her sexuality. If a woman feels she has no skills or qualities others value, she will likely find she unable to express herself sexually. If a woman believes her partner will not listen to or respect what she has to say she will never make her sexual needs known. If she does not feel comfortable with herself and her partner she is less likely to be able to relax and have an orgasm. Having an orgasm may cause a woman to feel very vulnerable, if she does not have confidence in herself or the relationship she may not allow herself to have an orgasm, consciously or unconsciously. See Body Image section of website for more information on this subject.
Relationship problems: The state of a couple's sexual relationship is often a direct indicator as to the state their entire relationship. If a couple is having sexual difficulties, those difficulties usually have a negative impact on their entire relationship, and vise versa. If the relationship is in turmoil then no form of treatment that involves only the woman will solve their sexual difficulties. If the woman's sexual dissatisfaction is the result of her partner's sexual difficulties or lack of sexual skills, treating her alone will most surely result in failure. If a couple does not trust one another and have good communication skills, achievement of sexual satisfaction is unlikely. Some couples have trouble accepting the natural changes their relationship undergoes with the passing of time. Many relationships start out as the result of mutual infatuation that is intense and often accompanied by sexual passion. Once the newness of the relationship has worn off the relationship becomes mellower and less exciting. If the couple has good communication skills and there is mutual trust and respect the relationship will survive the transition, the couple discovers love. If a person expects to maintain that initial emotional and physical intensity throughout the relationship they often find themselves bouncing from one relationship to the next. Many couples have false expectations as to what their sex life should be like, ignoring all the other things that have changed within the relationship. Having children for example will usually require a couple's sexual relationship to change. A healthy relationship is essential to enjoyable sex. Love is not an essential quality of a healthy sexual relationship, but mutual respect and trust, and the ability to communicate effectively are. Unfortunately, society is to blame for much of the mutual distrust that exists between the sexes.
Physiological and psychological assessment: As can be seen, there are many possible causes for sexual dissatisfaction. To determine which are responsible for an individual woman's dissatisfaction requires a thorough diagnosis process. Since the cause is seldom purely physiological or psychological in nature, both areas need to be assessed jointly. If a woman goes to either her gynecologist or therapist but not the other she is less likely to know the true cause and extent of her sexual dissatisfaction. If a woman sees one or the other, the diagnosis is more likely to be wrong or incomplete and as a result the prescribed treatment is less likely to succeed.
Jennifer and Laura Berman's clinic, that existed at the time of the book's publication, was perhaps a bit unusual in that they were able to look at both the psychological and physiological aspects jointly, and team up to form a diagnosis and an appropriate treatment. Many women who read this may have trouble locating a doctor and therapist who already work together and who have the knowledge base necessary to do the same. A woman may have to seek out a doctor and therapist separately, and request that they work together as a team. When she does, she may need to provide the information necessary for her diagnosis and treatment. By this I do not mean a woman should self diagnose herself, she should only insure that all possible options are explored. She needs to make sure the medical doctors know of the possible medical causes and do the appropriate tests, and the therapist should be made aware of known medical conditions. The woman may also need to make sure the therapist does not assume there are no medical conditions that are the basis for her emotional problems. She needs to ask a lot of question and at the same time answer just as many. A woman should be careful not to force her doctors to a desired diagnosis, consciously or unconsciously. If she does not agree with their diagnosis then she may want to seek out a second opinion.
I realize many of the women who read this are likely going to feel they cannot perform the task of searching out the appropriate doctor and therapist. If a woman is having sexual difficulties she may not have the self-confidence required to make the necessary phone calls, understandably. Given the "sexual" nature of her difficulties she probably will not be overly eager to talk about it with multiple strangers, who may not be understanding of her problems and concerns. Anyone she does speak to needs to know how to address sexual issues in sensitive and professional manner. Luckily there are organizations that can help women complete this task. One of them is, The American Association of Sex Educators, Counselors, and Therapists (AASECT). They have put together a list of thousands of sex therapists from all over the United States. There are several ways to contact them for a list of qualified therapists in your area. That information is presented below.
The American Association of Sex Educators,
Counselors, and Therapists (AASECT)
PO Box 1960
Ashland, VA 23005-1960
804-752-0056 (fax)
Website: AASECT
E-mail: email@example.com
The psychological assessment process is beyond the scope of this article and given the complexities of the human mind, it would be inappropriate to try and describe it here. The Berman's recommend women seek out a therapist who is trained and proficient in both general and sexual therapy; so they have the necessary skills required to address all emotional aspects of the sexual dissatisfaction. The therapist needs to assess the entire relationship. The medical assessment process used by Dr. Jennifer Berman includes some medical procedures that have just recently come into existence. Your local doctors may not be aware of their existence. In addition, the assessment tools may not exist in the average doctor's office. You may have to seek out a doctor who has them and is qualified to use them.
The medical tests used by Dr. Berman are described below.
Full gynecological and urological exam: This involves the thorough examination of the internal and external structures; including an examination of the clitoris, which is not normally done during pelvic examinations. A woman's medical history is also taken. The doctor needs to know about past surgeries, illnesses, family history, and treatment of emotional problems.
Determination of the vaginal pH level: A small flexible probe is inserted into the vagina to measure its acidic level. A reading of 4.5 to 5.1 is considered normal for premenopausal women. Post-menopausal women who are not on estrogen replacement therapy experience an increase in acidity. A measurement of 0-7 is considered acidic, 7-14 is considered alkaline. A measurement of 7 is neutral.
Measurement of clitoral and labial sensitivity: This is done using a biothesiometer; a device that measures the sensitivity of the skin to high and low frequency vibration. It is used to determine the sensitivity of the clitoris and labia to stimulation, and the condition of the nerves.
Determination of vaginal compliance: This test is done to measure the ability of the vagina to relax and lengthen. A small balloon like device is inserted into the vagina and slowly inflated. A woman is asked to indicate when she first feels a sensation of pressure within the vagina and then when the dilation begins to become uncomfortable.
Examination using ultrasound: Using a small matchstick sized ultrasound probe, the anatomy and blood flow of the clitoris and labia is examined. The doctor is able to observe the anatomy and blood flow on a television screen. A tampon sized ultrasound probe is then inserted into the vagina to do a similar examination of the vagina and uterus.
Assessment of arousal: This is perhaps the type of procedure women would least expect to occur in a doctor's office. In order to measure a woman's ability to become sexually aroused she needs to be aroused sexually. Dr. Berman gives the women a pair of 3-D surround sound video glasses and a vibrator. The glasses fill the woman's full range of vision and allow her to watch an erotic video, designed for and produced by women. (One would hope they also have videos for use by their lesbian clients.) The woman is then asked to engage in self-stimulation (masturbation) for fifteen minutes using the vibrator to achieve a high degree of arousal. The doctor is not present while the woman is engaged in this activity. When the doctor returns she repeats the three prior steps to determine the level of lubrication, blood flow, sensitivity, and the elasticity of the vagina when the woman is aroused. If the expected changes do not occur, it could be a sign that there are physical factors involves in the woman's sexual dissatisfaction. If a woman is not able to become aroused because of the situation she currently is in, she needs communicate this to her doctor.
Assessment of arousal when Viagra is used: On a subsequent visit a woman may be give a dose of sildenafil (Viagra) and the above step is repeated. This is done to see if this prescription medication will have the desired beneficial affects on the woman's sexual response. An increase in blood flow and sensitivity are the desired results. If emotional issues are at play, even if a woman is highly aroused physically, orgasm may still be unachievable. The Berman's have found that if careful screening is done before hand, prescribing Viagra can be very beneficial for women. This is not true for all women. Viagra is not an effective treatment option for all or most forms of sexual dissatisfaction. It usually works best for women who once had a fulfilling sex life but due to physiological changes is no longer able to experience the necessary level of sexual arousal required to achieve orgasm.
Some medical offices and research facilities now have special equipment like the GSA Genitosensory Analyzer (this device is no longer manufactured, but may still be available in some clinics) that is used to test the nerves of the vulva and clitoris to see if there is appropriate sensitivity to temperature and vibration. You can see a list of some of the facilities in North America that have this device here. Some of these facilities may not work with the general public, since they are research facilities.
Preliminary medical research has confirmed there is a significant potential for women experiencing arousal and/or orgasmic dissatisfaction, in the absence of other sexual and medical symptoms, to have decreased clitoral and/or vaginal sensitivity. This mean's the tissues and nerves of their clitoris and/or vagina are less sensitive to stimulation than is considered typical. This would indicate the symptoms weren't purely psychological in nature, that they had a physical and measurable manifestation. The presence of this impaired sensation would influence a woman's ability to become sexual aroused and experience orgasm, as a result of physical vulvar and vaginal stimulation alone. Psychological (mental) and androgenic (hormonal) induced arousal and desire may not be adversely affected, but given the occurrence of purely mentally induced orgasms is extremely infrequent, orgasm could be greatly impaired even if arousal isn't. Unfortunately, identifying the cause of this impaired sensation wasn't part of this medical study. Access to doctors with the necessary testing equipment and knowledge is likely very limited as well; see prior paragraph. Estrogens and Androgens influence genital tissues and their sensitivity to sexual stimulation; other possible causes are described above.
Read a 2004 Glamour article that includes a discussion with seven doctors: Can Your Doctor Improve Your Sex Life? This same discussion would likely occur in 2015.
Last changes January 30, 2016
Published February 10, 2001


text:
Reporting Foreign Accounts to IRS:
Extent of Duplication Not Currently Known, but Requirements Can Be Clarified
GAO-12-403: Published: Feb 28, 2012. Publicly Released: Mar 29, 2012.
Additional Materials:
- Full Report:
- Accessible Text:
(202) 512-3000
Office of Public Affairs
(202) 512-4800
What GAO Found
Some of the information requested on the Form 8938 and FBAR is duplicative. Both forms ask for the same or similar information on the filer, foreign financial accounts, and financial institutions where accounts are held. Form 8938 asks for additional information not required by the FBAR, such as other foreign financial assets and income. Since the Form 8938 is a new requirement beginning after 2011, data are not yet available to determine the number of filers subject to these duplicative reporting requirements.
A variety of tax commentators, taxpayer representatives, and individuals stated that these duplicative reporting requirements have created confusion. They report being unclear about what and how information should be reported on both forms. Neither form provides filers any explanation as to why duplicative reporting is necessary, where the duplication occurs, or how the information being requested is the same or different.
Without data on Form 8938 filers, the benefits and costs of taking actions to reduce duplicative reporting cannot be determined. When Form 8938 filing data becomes available, Treasurys Office of Tax Policy, IRS, and FinCEN would have the information needed to assess whether cost-effective steps could be taken, including allowing filers who would normally have to submit both forms to substitute the information reported on one to meet the requirements of the other.
Why GAO Did This Study
This letter formally transmits the briefing we gave on February 1, 2012. We gave this briefing in response to a Congressional request that we assess potential duplicative foreign-account reporting requirements under the Foreign Account Tax Compliance Act (FATCA) for the Internal Revenue Service (IRS) Form 8938 and under the Bank Secrecy Act (BSA) for the Foreign Bank Account Report (FBAR).
The objectives of the briefing were to (1) determine to what extent, if any, the reporting requirements on the FATCA Form 8938 and FBAR are duplicative; (2) assess the potential effects that any duplicative reporting requirements have on filers; and (3) identify and assess opportunities, if any, to cost-effectively reduce or eliminate the burden that any duplicative reporting creates while maintaining the usefulness of the information for tax-administration and law-enforcement purposes.
What GAO Recommends
We are recommending that the Secretary of the Treasury direct the Office of Tax Policy, IRS, and FinCEN to (1) revise both the Form 8938 and FBAR instructions and related guidance to explain the extent to which duplication exists (for example, instances where account-related information requested on the two forms is the same or different) and the circumstances in which filers are, or are not, expected to comply with both reporting requirements; and (2) as data become available, determine whether the benefits of implementing a less-duplicative reporting process exceed the costs and if so, implement that process.
For more information, contact James R. White at (202) 512-9110 or firstname.lastname@example.com.
Recommendations for Executive Action
Status: Closed - Implemented
Comments: In February 2012, we reported that the forms and instructions for Internal Revenue Service (IRS) form 8938 (Statement of Foreign Financial Assets) and Department of Treasury form TDF 90-22.1 (Report of Foreign Bank and Financial Accounts) requested duplicative information. Although there were differences in the forms and they served different purposes, we found that the duplicative requirements could create confusion for filers resulting in increased burden and the potential for unnecessary or inaccurate reporting. To address this issue, we recommended that the instructions and related guidance for the forms be revised to explain the extent to which duplication exists (for example, instances where account-related information requested on the two forms is the same or different) and the circumstances in which filers are, or are not, expected to comply with both reporting requirements. In response to our recommendation, IRS updated the instructions for the form 8938 in November 2012 by providing a link to an IRS webpage that provides a side-by-side comparison of the reporting requirements for the two forms. IRS provided similar guidance on a webpage explaining FBAR reporting requirements.
Recommendation: The Secretary of the Treasury should direct the Office of Tax Policy, IRS, and FinCEN to revise both the Form 8938 and FBAR instructions and related guidance to explain the extent to which duplication exists (for example, instances where financial account-related information requested on the two forms is the same or different) and the circumstances in which filers are, or are not, expected to comply with both reporting requirements
Agency Affected: Department of the Treasury
Status: Open
Comments: In December 2015, we reached out to IRS to determine whether any progress has been made in analyzing the related benefits and costs of a less duplicative reporting process. IRS reported that they continue to analyze and compare Form 8938 and FBAR filings. They anticipate another update in the coming months. At this time, this analysis has not led them to conclude that there is an opportunity to implement less duplicative filing requirements and processes. However, as more data becomes available they plan to continue pursuing the possibility.
Recommendation: As data becomes available, the Secretary of the Treasury should direct the Office of Tax Policy, IRS, and FinCEN to determine whether the benefits of implementing a less duplicative reporting process exceed the costs and if so, implement that process.
Agency Affected: Department of the Treasury
Explore the full database of GAO's Open Recommendations »
Jul 21, 2016
IRS 2017 Budget:IRS Could Improve Presentation of Budget Data in Its Congressional JustificationGAO-16-695: Published: Jul 21, 2016. Publicly Released: Jul 21, 2016.
Jul 7, 2016
Tax Expenditures:Opportunities Exist to Use Budgeting and Agency Performance Processes to Increase OversightGAO-16-622: Published: Jul 7, 2016. Publicly Released: Jul 7, 2016.
Jun 27, 2016
Refundable Tax Credits:Comprehensive Compliance Strategy and Expanded Use of Data Could Strengthen IRS's Efforts to Address NoncomplianceGAO-16-475: Published: May 27, 2016. Publicly Released: Jun 27, 2016.
Jun 23, 2016
Identity Theft and Tax Fraud:IRS Needs to Update Its Risk Assessment for the Taxpayer Protection ProgramGAO-16-508: Published: May 24, 2016. Publicly Released: Jun 23, 2016.
Apr 19, 2016
Tax Filing:IRS Needs a Comprehensive Customer Service Strategy and Needs to Better Combat Identity Theft Refund Fraud and Protect Taxpayer DataGAO-16-578T: Published: Apr 19, 2016. Publicly Released: Apr 19, 2016.
Apr 13, 2016
Corporate Income Tax:Most Large Profitable U.S. Corporations Paid Tax but Effective Tax Rates Differed Significantly from the Statutory RateGAO-16-363: Published: Mar 17, 2016. Publicly Released: Apr 13, 2016.
Apr 7, 2016
Internal Revenue Service:Preliminary Observations on the Fiscal Year 2017 Budget Request and 2016 Filing Season PerformanceGAO-16-459R: Published: Mar 8, 2016. Publicly Released: Apr 7, 2016.
Mar 28, 2016
Information Security:IRS Needs to Further Improve Controls over Financial and Taxpayer DataGAO-16-398: Published: Mar 28, 2016. Publicly Released: Mar 28, 2016.
Mar 24, 2016
IRS Referral Programs:Opportunities Exist to Strengthen Controls and Increase Coordination across Overlapping ProgramsGAO-16-155: Published: Feb 23, 2016. Publicly Released: Mar 24, 2016.
Mar 22, 2016
Small Employer Health Tax Credit:Limited Use Continues Due to Multiple ReasonsGAO-16-491T: Published: Mar 22, 2016. Publicly Released: Mar 22, 2016.
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subset: commoncrawl


text:
As an AISD teacher, I was interested in Sunday's editorial, "Time for action has arrived." I went on to read the Celebrate Education insert, which I found to be informative and hopeful.
I applaud the notion of business people interacting in the classrooms, "Educator For a Day" is a good beginning. Publisher Les Simpson was in my classroom, but only for an hour.
That tiny taste of the joy and frustration was great, but would have been more valuable if it had lasted all day.
Suppose some students had an opportunity to be "Business People For a Day."
The enthusiasm created when a student had a chance to be mentored in a dress-rehearsal for life would be invaluable. A day at the newspaper office, a bank, a radio station, or a retail store would be an educational tool like no other.
Suppose business people would come to the schools, be a mentor, offer an example and a promise of possibilities to our greatest asset. Many students would respond well to such a role model.
This effort is a good start. My hope is that leaders will not fail to consult classroom teachers, in addition to administrators, and be willing to think outside the box.
I'll give the editorial writer a B- for generalities and word usage.
Most of us agree that we need to marshal, meaning "to usher or lead," our efforts, not martial, meaning "be warlike."
Joy Allen Holland
Amarillo Globe-News © 2016. All Rights Reserved. Terms of Service | Privacy Policy / About Our Ads


text:
Google Analytics' stats have been pretty unbalanced because of my visits being recorded. For example, I've been using Opera 9.5 alpha for actually browsing, and most of the Opera visits to my blog are of that version. There are even more Opera visits to my blog than Firefox visits.
Is there any way I can stop Google Analytics to record my own visits to my blog so results are a little more reliable?


text:
Anne Hathaway Wore Droopy Givenchy Couture
And Amanda Seyfried went for Balenciaga!By Charlotte Cowles
And Amanda Seyfried went for Balenciaga!By Charlotte Cowles
Staking his claim.By Hilary Moss
We all have one (or make that two).By Bek Andersen and Katie Van Syckle
The Cut reports.By Hilary Moss
Despite the criticism, some clues from his shows suggest he has what it takes.
On Twitter. It's official!By Charlotte Cowles
And some cautious optimism.By Charlotte Cowles
The Chinese star picked a great day to wear Ghesquière.By Charlotte Cowles
Neither party will confirm, though.By Charlotte Cowles
But he's not Christopher Kane's replacement — yet.By Charlotte Cowles
Reports say he could be named next week.By Charlotte Cowles
Can they just tap him for Balenciaga already?By Charlotte Cowles
"The market is overcrowded, and one in a thousand succeeds."By Hilary Moss
"She'll always change into her Converse by halfway through a carpet, which is to be expected at this point, but she puts on the heels for me for the photos."By Sally Holmes
1. Say nice things about Anna.By Charlotte Cowles
Balenciaga, what?By Hilary Moss
Both sides seem to be dodging the question.By Hilary Moss
Carine knows all.By Charlotte Cowles
Ooh, ooh!By Hilary Moss
We investigate.By Hilary Moss


text:
I am wondering if it is easy to do this. I know that using X to serve the other computers ain't that difficult. I just have no idea how would I have to configure the laptops in order for them to work as terminals.
How to setup a ubuntu home network based on a powerful server and many outdated laptops as terminals?
If your older laptops can boot from their network cards (ie. PXE boot) then you can set up LTSP, which is fully supported in Ubuntu:
Here is a pretty old post which I wrote: http://ubuntuforums.org/showthread.php?t=1437074
You will have to copy commands line by line from the script cause from 10.04 it doesn't work any more automatically by dropping into the Terminal this script.


text:
Mac Miller had been teasing Read more →
Posts Tagged 'Xspo'
The homie Xspo is preparing for the release of his next project Love Fame Money 2 and today he delivers a new track titled The Motivation featuring Tray Boi and produced by Xspo himself. Love Fame Money 2 will be available this summer.
In preparation for Xspo's upcoming EP he will be releasing new music weekly, today he gives us a track titled Real featuring Weasel Sims & Jae Haze. Listen below.
Continue reading "Xspo Feat. Weasel Sims & Jae Haze – Real" »
Xspo delivers his new visual Honored to pay respect to one of the realest artist ever, Tupac. Xspo is preparing to release his next mixtape…Read More
Xspo continues to stay busy, this time he sends over his latest video Dope Boi off his latest project Days Never End directed by himself…Read More
Better late then never, last night our homie Xspo sent over a dope track titled NBA Finals in celebration of the Warriors beating Lebron and the Cavs. Vibe to Xspo below.
The homie Xspo has released his latest project titled Days Never End consisting of 10 tracks that includes production from Dope Instruments, Murder, Kewley B, Xspo himself as well features from Picasso, B-Mar, Flame Marley, Sean Cole and more. Stream and tracklist below.
Xspo delivers his promise on giving new music by releasing another song titled Dope Boi produced by Dope Instruments and Xspo himself. Be on the look out as Xspo prepares to release his latest mixtape later this year.
New music from Xspo surfaces tonight featuring Mississippi's own Picasso & LA's BMar titled Had 2 Do This, stayed tune as Xspo prepares to release more collective of songs this month and a mixtape announcement. Vibe out below.
Continue reading "Xspo Feat. Picasso & B-Mar – Had 2 Do This" »
It's finally here solid leaks Xspo releases his highly anticipated mixtape TRILL that includes features from Wire, Mr. Lock, DJ Trey Illz, Barrel Gang, That Kid Ty and more. To celebrate the release of the mixtape Xspo gives us his latest video 4.18 which you can catch below. For now stream, download and check out the tracklist for TRILL after the jump.
Xspo is putting the finishing touches to his upcoming project TRILL, today we get a new track off the project titled Spend Dat produced by Cartier Jones. Trill drops January 7th, 2015.


text:
Brandon hosts film, forum this weekJune 10,2014Brandon hosts film,
forum this week
BRANDON Drug Addiction: A Brandon Community Discussion will be held today and Wednesday.
The town will again have an opportunity to see the documentary The Hungry Heart, from 7 to 9 p.m. tonight at the Brandon Town Hall. Wednesday, a public forum will be held from 6 to 8 p.m., at the Brandon Congregational Church Fellowship Hall.
The Hungry Heart provides a look at the often hidden world of prescription drug addiction through St. Albans pediatrician Fred Holmes, who works with patients struggling with this disease. Following the movie will be a question and answer session with Jessica Farnsworth from the West Ridge Treatment Center in Rutland and Mary Alice McKenzie from the Burlington Boys & Girls Club.
The public forum Tuesday, moderated by Bernie Carr, will focus on seven different discussion areas. The goal is to produce an action plan for the community.
For more information contact Sue Gage at 247- 3635 or firstname.lastname@example.com IN This Just InSPRINGFIELD Springfield residents will be asked next month during Market Madness for their... Full StoryPHILADELPHIA Many delegates from Vermont arrived at the Democratic National Convention this... Full StoryI could feel the groan rising inside me as I read the subject line of the press release in my... Full Story
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text:
The latest cover for the London Underground's pocket tube map has been created by US artist, Barbara Kruger. Good to see CR's offices residing somewhere between Power and Perfection…
Kruger's effort, Untitled (Tube Map), follows that of 12 other artists, including Cornelia Parker, Richard Long, Liam Gillick and David Shrigley, who have created the cover design for the pocket-sized version of the iconic tube system map.
The words that Kruger chose to replace the more familiar station names with apparently relate to her experience of that particular part of the city. Westminster is Reason, for example, while Regent's Park is Memory.
While previous artists have subverted the map design more radically (see Parker's ink blot, or Shrigley's messy ball of lines), Kruger's take has more in common with Simon Patterson's artwork, The Great Bear, detail here, where he replaced the station names with well-known cultural figures.
The new pocket maps will be available from tube stations from May 21. The maps, incidentally, have one of the largest print runs for any organisation in Europe: 15m are printed each year.
More on the LU's Art of the Underground projects, here.


text: Home > Actress > Poonam Bajwa Poonam Bajwa - Actress, Tamil Photo Gallery (1207 Photos) Actress Poonam Bajwa Photos including Poonam Bajwa latest stills from movies and events. Poonam Bajwa HQ stills. Feel free to download these images. Post your comment Related AlbumsSreya VyaasSweethaRuchika SharmaPriya ManiKushbooTeja ShreePoojaRaasi TamilWire.NET - Latest English News TamilCinema.News - Latest Cinema News TamilTunes.com - Latest Songs Downloads Tamil.Movie - Latest Tamil Movie Trailers to Watch Online Tamil.Gallery - Latest Tamil Galleries


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Hotels in Coogee, New South Wales
Search & Compare Coogee Hotels
Trending now in Coogee
Hotels in Coogee
- Most bookedAdina Apartment Hotel Coogee
192 people looked at this hotel in the last hour
Most recent review
"sTayed here on business. Everything was quite good. wifi lmit was pretty low (100MB), but ok for most I suspect. It would be great if they recycling facilities for guests-in the modern age, I had to take mine to the workplace. Pool was great and gym had enough for a decent workout. Lifts were ver..."
M, Jul 2016, AU
34 people looked at this hotel in the last hour
Most recent review
"I usually avoid small hotels, but for this one I would make an exception any time. Super friendly staff and management, fantastic location. Very nice rooms (iron, board, microwave, coffee & tea facilities). Reasonably fast WiFi! Right at the Coogee beach. Many restaurants just an easy walk away. ..."
A Traveller, Jul 2016, GB
29 people looked at this hotel in the last hour
Most recent review
"Awesome beachfront hotel in a very cosy quaint Beach Community the Sundeck is awesome must check it out for the views within walking distance of everything"
A Traveller, Jul 2016, AU
29 people looked at this hotel in the last hour
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"Staff was very pleasant & helpful. Booking was upgraded upon check-in which was a delight. Room was lovely overlooking the beach & hotel garden area. Overall I was extremely satisfied with my stay at Coogee Bay Hotel. Thank you to the team & Expedia"
T, Jul 2016, AU
27 people looked at this hotel in the last hour
Most recent review
"It suited our needs as we needed to be close to Prince of Wales Hospital. The room was clean all the Staff were friendly and obliging "
A Traveller, Jul 2016, AU
25 people looked at this hotel in the last hour
Most recent review
"Apartment was very spacious and in a great position overlooking the beach with great walks nearby. Coffee shop at front door and buses only a minute away. The area can be very noisy on a Friday/ Saturday night being close to a pub. Car parking available, but not good for larger vehicles such as f..."
A Traveller, Jul 2016, AU
- Coogee Beachside Budget Accommodation - HostelNo Guest Reviews yet
9 people looked at this hotel in the last hour
- Coogee Bay Boutique HotelNo Guest Reviews yet
6 people looked at this hotel in the last hour
Hotels within 5 miles of Coogee
42 people looked at this hotel in the last hour
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"We booked the room for a one night stay. Great location, price and very clean. Definitely be back. "
A Traveller, Jul 2016, AU
36 people looked at this hotel in the last hour
Most recent review
"The room was comfortable and spotless, and the bed was perfect. The receptionist was very helpful. The only downside was there was not a lot of parking in the area, however if you didn't have a car it was all good. It was warm even though it was the middle of winter. Will definitely stay again."
A Traveller, Jul 2016, AU
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If you are looking for Coogee hotels in a particular area, you can use the search feature at the top of the page to search by neighborhood, landmark, address or zip code, or you can search by using the built-in map feature. You can also browse hotels in Coogee by type, amenities, and star-rating so that you can find the best hotel. Currently, top rated hotels in Coogee are:
- Coogee Sands Hotel and Apartments
- Coogee Bay Hotel
- Dive Hotel
- Coogee Bay Hotel Pub Style
- Adina Apartment Hotel Coogee
The location of your Coogee hotel is important. If you are traveling to Coogee, &StateorCountry for business, you may want to consider getting a hotel close to the airport or near your meeting venue. By doing so, you can really cut down on transportation costs and time. You may also want to book a hotel that offers free wifi just in case you need to get some work done.
If you are traveling for vacation, figure out which attractions or landmarks you want to see and book a hotel that is within close proximity. Although hotels near attractions might cost a little more, you may find that spending those extra few dollars is worth the convenience. You can even find hotels that align with your interests. For example, if you are looking for a relaxing vacation, a spa hotel may be the perfect choice for you.
You'll also want to determine which type of accommodations will suit your needs before booking a hotel in Coogee. If you're traveling with the kiddos, a family friendly hotel will offer larger rooms and more sleeping arrangements. For those traveling for an extended period of time, booking a hotel suite with a kitchenette is a smart move and will feel a little more like home. If you are budget conscience and just need a place to rest your head, a hostel or motel may be all you need.
If you are looking to score the best discounts and deals, use the filter to sort by price from low to high. You can book a hotel in Coogee for as low as $23 per night. If you are looking to cut down on expenses, look for hotels that include free breakfast and parking. Some hotels even offer free shuttle service to and from nearby places. You can also sort by star rating, proximity, and guest rating.
Before you book, check out user reviews. Hotels.com has 764 reviews in Coogee. We show reviews from Expedia and TripAdvisor so you know that you are reading genuine, reliable reviews. Be sure to download the Hotels.com app so you can book your reservations on the go, view amenities, and save the hotels you want to view and compare later.


text:
Sub-Sahara Africa Stocks: Oando of Nigeria, KenolKobil Decline
The FTSE/Namibia Overall Index retreated for a fifth day, slumping 2.4 percent to 816.29 in Windhoek, the longest losing streak since the 11 days through Aug. 10.
The Ghana Stock Exchange Composite Index tumbled for a ninth day, dropping 2.1 percent to close at 943.84, the longest decline since January. The Nigerian Stock Exchange All-Share Index weakened 0.1 percent to 19,849.31 in Lagos, according to a statement on the bourse's website. Mauritius's SEMDEX Index fell 0.1 percent to 1,857.64 by the end of trading. Kenya's All-Share Index gained 0.8 percent to 54.53 in Nairobi.
The following shares were active in sub-Saharan Africa, excluding South Africa. Stock symbols are in parentheses.
Oando Plc (OANDO NL), a Nigerian oil company, tumbled 5 percent to 23.09 naira, the lowest close since Sept. 30. Oil fell from a one-week high in New York as the Organization of Petroleum Exporting Countries agreed to raise its production ceiling, moving the group's supply target nearer to current output levels.
KenolKobil Ltd. (KNOC KN), a Kenyan fuel retailer with operations in nine African countries, fell 2.7 percent to 9.05 shillings, the biggest fall on a closing basis since Nov. 28.


text:
Co-Founder at Erlio GmbH (http://www.erl.io). Creator of VerneMQ. bio from Twitter
Just me. And some sushi. bio from Twitter
Co-Author of RabbitMQ in Action. Working at RabbitMQ. Made in Uruguay
Personal twitter account -- tweets may or may not be related to my current position (CTO at Monetas). bio from Twitter
Switzerland Switzerland, Zurich
23rd April 2012


text:
This January, Wendy Whitaker and her husband bought their first home, a turn-of-the-last-century bungalow on a quiet street in Harlem, Ga., just outside Augusta.
A month later, police showed up on their doorstep. Wendy would have to move, they explained, or face arrest.
- Joeff Davis
- Convicted nine years ago under Georgia's old sodomy law, Wendy Whitaker is required to re-register every year as a sex offender.
A 26-year-old college student on federal disability, Whitaker doesn't fit most people's image of a sex offender. But, because of an ill-considered 10th-grade blowjob -- resulting in her conviction for an act that's no longer crime in Georgia -- she has spent nearly a decade on Georgia's sex-offender registry.
Harlem police told Whitaker she was in violation of a state law that prohibits registered sex offenders from living within 1,000 feet of a school, playground or other place where children congregate. Before she and her husband of six years bought the house, she says, they made sure the property was far enough away from a public park down the street. What the Whitakers didn't realize was that a nearby church was operating a small day-care center.
As a result, they've had to move into a trailer park across the county line. They're sharing a two-bedroom single-wide with Whitaker's brother-in-law and his teenage daughter.
"We're paying a mortgage for my cat to live here," she says of the house she and her husband have had to leave behind. When she stops by to check on the property or do laundry, she says, her neighbors routinely call the cops, who drop by to make sure she isn't trying to move back in.
Now, Georgia's strict new sex-offender law -- signed by Gov. Sonny Perdue in April but delayed in federal court before it could take effect July 1 -- could force Whitaker out of the trailer park as well, leaving her with few options for living anywhere in the state. Under a nebulous loitering provision in the new law, she might not even be allowed to go to church.
"This is causing a lot of problems in my marriage," she says. "My husband can't quit his job. What are we supposed to do, separate? If this new law goes into effect, I really don't know what I'll do. I'm absolutely at wit's end."
The easy response to Whitaker's dilemma, and the one implied by Georgia legislators, who overwhelmingly approved the new law, can be summed up in two words: Tough luck.
Sponsored by House Majority Leader Jerry Keen, R-St. Simons Island, the sex-offender law increases minimum sentences for most violent sexual offenses to 25 years; requires the most dangerous offenders to wear a GPS tracking device for the rest of their lives; and requires those convicted of felony sex offenses to remain on the state registry for life.
But the law's thorniest provision expands the existing 1,000-foot residency restriction to include school bus stops, which renders virtually all of Georgia off-limits to the state's 10,000 or so registered sex offenders.
In March, when Keen, a former state head of the Christian Coalition, described to a Senate committee the intended impact his law would have on sex offenders, he didn't mince words: "Candidly, senators, they will in many cases have to move to another state."
Only one senator, Democrat Regina Thomas of Savannah, voted against the bill. In the House, it sailed through with token opposition from a handful of Democrats.
"Sex offenders are the most reviled people in society," explains a legislator who, despite misgivings, voted in favor of the bill and asked not to be named. "They're one step above terrorists; there's no political downside to cracking down on these folks."
But critics say the new law -- which is awaiting a judge's ruling this week to determine whether it can go into effect -- is likely to do more harm than good.
Law enforcement officials warn that the law is practically unenforceable and that, instead of driving offenders out of Georgia, it will cause many to go into hiding.
Lawyers predict the harsh residency restrictions and increased mandatory minimum sentences will remove incentives for accused offenders to plead guilty, which inevitably means more child molesters will escape conviction.
And experts in sex-offender treatment claim the law will do little to protect children and could actually result in more repeat crimes by offenders cut off from their families, jobs and treatment programs.
In other words, Keen may have produced a near-perfect example of a poison law -- not simply unfair or unsavory, but likely to do just the opposite of what was intended.
As DeKalb County Sheriff, Thomas Brown relentlessly attacks the new law at public gatherings and in the press, he doesn't seem a bit worried about being labeled soft on sex offenders.
"I have a responsibility to tell people in DeKalb when I can't protect them, and this law would have that effect," Brown says. "This law is nothing but election-year politicking by the Republicans."


text:
Retenez Moi...Ou Je Fais Un Malheur
|Retenez Moi...Ou Je Fais Un Malheur
|Directed by
|Michel Gerard
|Produced by
|Pierre Kalfon
Michel Gerard
|Written by
|Michel Gerard
|Jerry Lewis
Michel Blanc
Charlotte de Turckheim
|Distributed by
|Gaumont Film Company
Release dates
|January 11, 1984 (France)
Running time
|90 minutes
|Box office
|636,314 admissions (France)[1]
Retenez Moi...Ou Je Fais Un Malheur was filmed in 1983. It was released on January 11, 1984 in France by the Gaumont Film Company.
Jerry Logan (Jerry Lewis) is a Las Vegas police officer who is visiting France to see his ex-wife (Charlotte de Turckheim), who he is still friendly with. She is remarried to Laurent Martin (Michel Blanc), who is a police officer in France.
The two men do not hit it off very well at first, but eventually they team up to solve the case of some art smugglers.
US distribution[edit]
This was one of two films that Jerry Lewis made in the 1980s strictly for European release. They have never been released in the US, although it has been given at least two tentative US release titles, To Catch a Cop and The Defective Detective. Lewis has stated that as long as he has control over distribution they will never be released in the US.
- ^ Jerry Lewis films French box office information at Box Office Story
External links[edit]
|This film article about a 1980s comedy is a stub. You can help Wikipedia by expanding it.


text:
Free personalized radio that
plays the music you love
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text:
This product is no longer available. Continue shopping at
Ikat Dot Dhurrie Rug
Woven by hand from yarn-dyed wool, our rug's large dots have the softly blurred edges of traditional Moroccan ikat patterns. The effect is bold and geometric, yet earthy and warm, making this rug easy to place nearly anywhere. Hand woven from pure wool, yarn-dyed for lasting color. The simple, Ikat-inspired pattern is versatile and reversible. Self-bound. We recommend our Lightweight Rug Pad with this style; our latex-backed pad (sold separately) can be trimmed to fit exact rug dimensions. Due to the handmade nature of our rugs, all sizes are approximate. Professionally clean. A Williams-Sonoma Home exclusive. Made in India.
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Ikat Dot Dhurrie Rug
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Daniel Simerman
Daniel Simerman is an aspiring angel investor who is deeply enthralled with emerging technology. He's fascinated with psychology and consumer behavior and hopes to explore how the human mind is affected and impacted by software and technology.
Daniel is a business analyst for a mid sized international software development and consulting firm that specializes in enterprise level financial applications.
3 answers
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- Stamford, CT
- DanielSimerman.com
- Member for 3 years, 9 months
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Top Posts (3) All Questions Answers | Votes Newest
1 Is touchscreen device more personal and intimate? Oct 23 '12
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Southglenn Super Sport: 6839 South Vine Street Centennial, CO 80122 303-209-1116 [Print]
August 5 - August 21 - Train Like an Olympian. Challenge your inner athlete with a results based fitness challenge packed with moves inspired by Team USA. Meet us in the GX24 studio for a fun fast moving interval strength workout that delivers total body conditioning, a core challenges and mental training that leaves you feeling like a Champion.
Every Aqua Zumba and Zumba Gold class is Endorsed by Silver&Fit®
Notes: {esp} - Se habla espanol


text:
Excellence HFFLID Stainless Steel Lid
- Stainless steel construction
Made of stainless steel for superior durability, this Excellence HFFLID flip top lid is a perfect replacement for the ones that came with your HFF-4, HFF-8, or HFF-12 ice cream dipping cabinet, or will fit other ice cream dipping cabinets with a minimum opening of 21" W x 21 1/4" L and maximum opening of 22 3/4" W x 23 1/2" L!
Because this item is not stocked in our warehouse, processing and transit times will vary. If you need your items by a certain date,
please contact us prior to placing your order. Expedited shipping availability may vary. We cannot guarantee that this item can be cancelled off of the order once it is placed.
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- Fits a variety of ice cream dipping cabinets
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text:
Researchers Now Have a Myriad of...
Capitol Hill Critics Second-Guess Agencies Using...
Clinical-Style Validation, Regulation, and Quality Control...
Keep the Opportunities, Lose the Opportunists
The VTT Technical Research Centre of Finland and the Molecular Sciences Institute (MSI) have joined forces to establish a new research center in Berkeley, CA. The new VTT/MSI Center for Bioengineering aims to enable the quantitative prediction of the behavior of biological systems.
The new center will focus on quantitative biology to develop strategies for the improved production of bio-based chemicals and proteins in industrial microbes. It will also work to develop novel quantitative tools for the detection of toxins, chemicals, and biomarkers of disease.
VTT will provide its knowhow on industrial biotechnology to augment basic research at the center. VTT expects that the basic science generated will fuel its offerings. MSI has expertise in systems biology and synthetic biology.
This year, MSI was renamed VTT/MSI Molecular Science Institute and today specializes in understanding the quantitative behavior of biological systems. The laboratory is located in Berkeley, CA.
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MDMA (commonly known as the empathogen "ecstasy") is classified as a Schedule 1 drug, which is reserved for compounds with no accepted medical use and a high abuse potential. Two researchers from Stanford, however, call for a rigorous scientific exploration of MDMA's effects to identify precisely how the drug works, the data from which could be used to develop therapeutic compounds.Do you agree that ecstasy should be studied for its potential therapeutic benefits?
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Army of Darkness
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Dan Porter wants to give students in the Panhandle as many opportunities as possible to experience science first hand.
In order to achieve that goal, Porter, a biology professor at Amarillo College, develops training programs for Panhandle educators and offers free equipment kits for school classrooms.
"My focus is to improve science education, because it is our future," he said.
Porter works with the Region 16 science collaborative, a program designed to educate science teachers and provide them with science technology for their classrooms. AC has been a partner with the collaborative since the early 1990s.
But Porter has also created workshops - or institutes - of his own that focus on biotechnology, his specialty.
In short, biotechnology uses living organisms to produce something for man, Porter said. Biotechnology applications include everything from agriculture to medicine to fuel production.
"I came back from a science conference in 1994 and realized that the Panhandle needed to have an increase in the biotech education at the high school level," he said.
After launching the biotechnology program at AC, Porter opted to give high school and middle school teachers the chance to learn about biotechnology and how to use the equipment.
Teachers must commit three weeks during the summer and six weekends during the school year for the training, but all costs are waived.
Porter has written several grants to buy the equipment and offer the training courses. Grant money also covers lunchtime meals for the teachers, any long-distance mileage they accrue, and half the cost to provide a substitute teacher on training days.
"I provide opportunities and take down barriers," Porter said. "It's a very minimal cost for a lot of professional development."
"Students in the Panhandle are just as intelligent as anyone else, and they need to be presented with opportunities that will foster scientific thought."
Dan Porter, Amarillo College professor
Teachers who participate also receive nine college credit hours and are eligible to check out over 280 different science kits for their own classrooms.
"One of barriers to incorporating biotech is not having the equipment, which is very expensive," Porter said.
This year, Porter will sponsor two institutes comprised of 20 teachers. The first started earlier this summer and will last until next May. A second session will begin this fall.
Eddie Taylor, a science teacher at Fannin Middle School in Amarillo, has participated in several institutes with Porter.
Taylor said he considers himself "more of a biologist." But recent school curriculum encourages science teachers to include other scientific fields, and the workshops have prepared him for those changes, he said.
"The collaborative has offered me a way to learn physics, chemistry and geology without having to go back to college," Taylor said. "Through the collaborative, I now appreciate all types of sciences."
Taylor uses several check-out kits in his classroom, including boxes of animal skins, a physics kit and microscopes.
Only a few teachers in the Panhandle have fully incorporated the biotechnology education into their curriculum, Porter said.
But those who do sign up for the workshops and take advantage of the free kits see positive results in their classrooms, he said.
"The opportunities that Dan has provided has given me the confidence to be able teach whatever they throw at me," said Taylor. "I just love to go into the collaborative; there's always interesting things to learn."
Porter said his ultimate goal is to "spark a fire" in students to explore science with renewed interest.
"The biggest reward is when I've made a difference in the lives of students," he said. "That's why I teach."
"Dan genuinely cares about what we can do to help our students," Taylor said.
"Students in the Panhandle are just as intelligent as anyone else, and they need to be presented with opportunities that will foster scientific thought," Porter said.
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I didn't shed a tear when "The Hills" went off the air, but I think a Costco-sized package of tissues is in order for this heartbreaking news. The leggy star of the MTV series, confirmed "The City" is dead on Ryan Seacrest's KIIS-FM show this morning saying, "As of right now it doesn't really look like we're doing it anymore". She also added that it probably won't be moving to another network either. Sniff, sniff.
Considering "Jersey Shore" brings in record Nielsen Ratings (roughly 6 million each week) for the network, The Hills-spinoff's paltry 1 million seems downright anemic. I guess it's a no-brainer. Damn you The Situation and Snooki for being so appealing.
So what's in store for the gorgeous blond? She has a few things lined up and packing up her apartment in NYC and heading back to the West Coast.
"I'm working on some other things, but It's okay, one door closes and another opens."
"I really love L.A. My family is here, and I just love the vibe…."
She failed to mention her boyfriend of seven months, Ben Mentin (The Buried Life) also lives in Cali. Like that didn't factor in her decision to move back. As much as I love Whitney, I'm more sad that I won't get to see Erin Kaplan and Olivia Palermo go at it each week. But most of all, I will miss Kelly Cutrone the most. That woman is my business guru. Her words of wisdom are not only insightful but downright hilarious. I'm keeping my fingers crossed that Bravo greenlights season two of "Kell on Earth". I'll take my Cutrone any way I can. C'mon Andy Cohen, we don't need another installment of "The Real Housewives of…".
Will you miss "The City"? or is this good riddance? Which "character" will you miss the most? Post your comments below.