Evaluating Solitary Pulmonary Nodules.


Particularly for small peripheral nodules, skip the conventional bronchoscopy, and consider navigational bronchoscopy.

With increasing use of chest computed tomography (CT) scans, particularly in the setting of lung cancer screening, a marked rise has occurred in incident discoveries of solitary pulmonary nodules (SPNs). Limited data are available to guide further evaluation of SPNs, but two recent studies help clarify this process.

Researchers studied routine use of conventional bronchoscopy for evaluating SPNs as part of a Dutch-Belgian CT lung cancer screening trial. The criteria for a positive CT results were nodule diameter >10 mm or fast volume doubling time as determined by serial CT. Of 318 SPNs meeting these criteria (average maximum diameter, 14.6 mm), 178 eventually were found to be malignant, but conventional bronchoscopic biopsy results were positive in only 24 cases (sensitivity, 13%). The diagnostic yield was better for larger nodules and endobronchial lesions. In 11 nodules visible in airways, the sensitivity of bronchoscopy was 82%.

A variety of “navigational bronchoscopy” tools are available to better localize small SPNs. These advanced techniques include global positioning system–like guidance to the SPN and ultra-thin bronchoscopes that allow access to smaller airways and focal sampling. A meta-analysis of 39 small studies revealed a 70% diagnostic yield (range, 46%–86%) with navigational bronchoscopy techniques (all types combined). Adverse event rates were very low.

Comment: Conventional bronchoscopy should not be used routinely to evaluate small or peripheral solitary pulmonary nodules. In trained hands, navigational bronchoscopy has much greater diagnostic yield for SPN evaluation. Both types of bronchoscopy can be used in conjunction with endobronchial ultrasound if lymph node biopsy also is needed. Decisions about transthoracic needle aspiration versus navigational bronchoscopy should be made based on nodule characteristics (i.e., size, location), patient’s risk for adverse events, and site expertise in these procedures.

Source: Journal Watch General Medicine

 

Withdrawal of Life Support and Stroke Mortality.


A review of stroke deaths at one hospital highlights the substantial effect that family decisions about life support have on stroke mortality.

Stroke mortality is being considered in models to measure quality of care in hospitals. Some evidence suggests that unmeasured factors such as stroke severity can affect mortality (JW Neurol Aug 7 2012). Now, researchers have examined the effect that withdrawal of life-sustaining treatments has on short-term stroke mortality, by investigating the 37 stroke deaths that occurred at one hospital or during postdischarge hospice care in 2009.

Of the 37 deaths, 36 occurred after avoidance or withdrawal of life support, based on the patient’s or family’s decision. Three neurologists at the center who were not otherwise involved in the study judged that about 40% of these short-term deaths might have been avoided if life support had been used or continued for patients with borderline or better prospects for survival (4.6% mortality vs. 7.8%). Care of these patients adhered to 98% of four standard-of-care measures.

The Editors

Comment: Vascular neurologists have traditionally been wary of the value of acute stroke mortality as a quality measure. Because aggressive care can sometimes result in patients surviving the acute (30-day poststroke) period, but with severe disability, would the result be acceptable to patients and their families?

This study demonstrates the impact that clinician decisions about withdrawal of care have on stroke mortality. The vast majority of deaths after ischemic stroke were caused by withdrawal of mechanical ventilation or artificial nutrition methods, not by deviations from standard care metrics. The authors do not comment on the proportion of patients that underwent hemicraniectomy, a procedure with proven value for reducing stroke mortality. In an era of finite healthcare resources, one hopes that hospitals will not pursue hyperaggressive care just to make sure that the 30-day stroke mortality appears low.

Source: Journal Watch Neurology

Vandetanib Improves Progression-Free Survival in Differentiated Thyroid Cancer.


Compared with placebo, this multikinase inhibitor nearly doubled PFS in patients with locally advanced, radioiodine-refractory differentiated disease in a phase II trial.

Effective treatments have been lacking for patients with radioiodine-resistant, locally advanced or metastatic differentiated thyroid carcinoma (papillary, follicular, or poorly differentiated). Over the past five years, numerous phase II studies of multitargeted kinase inhibitors such as sorafenib and vascular endothelial growth factor (VEGF) inhibitors such as axitinib have demonstrated clinical efficacy (JW Oncol Hematol Dec 2 2008). However, toxicity has been substantial with these agents, and data is limited because most of these reports are single-arm studies without a control group for comparison. More recently, vandetanib — an inhibitor of VEGF receptor, endothelial growth factor receptor, and RET proto-oncogene kinases — was shown in a phase III trial to significantly prolong progression-free survival (PFS) in patients with unresectable, locally advanced or metastatic medullary thyroid cancer (J Clin Oncol 2012 Jan 10; 30:134).

Now, investigators in Europe have conducted an industry-supported, multicenter, randomized, double-blind, placebo-controlled, phase II study to test the effectiveness and safety of vandetanib in patients with nonmedullary thyroid cancer. A total of 145 patients (age range, 23–87; performance status 2) with unresectable or metastatic undifferentiated thyroid cancer (papillary, follicular, or poorly differentiated without anaplastic features) who were deemed unsuitable for radioiodine therapy received either oral vandetanib (300 mg daily) or placebo until they experienced disease progression, death, or stable disease for 12 months.

PFS (the primary endpoint) was superior with vandetanib versus placebo (11.1 vs. 5.9 months; hazard ratio, 0.63; P=0.017). At 6 months, the disease control rate (including rates of complete response, partial response, and stable disease at 6 months) was also superior with vandetanib. However, overall survival (OS) was not improved. Of note, the PFS benefit was greater for patients with papillary thyroid cancer (16.2 months vs. 7.7 months), but when compared to other histologies, the difference was not statically significant. Grade 3 or greater toxicity was substantially higher in patients treated with vandetanib when compared to placebo. Of note, 74% of patients treated with vandetanib reported diarrhea, and 14% had QTc prolongation. Two treatment-related deaths occurred in the vandetanib group (from pneumonia and skin metastases hemorrhage) and one occurred in the placebo group (from pneumonia).

Comment: The data from this study bring up the ongoing debate regarding the use of pharmaceutical agents that demonstrate a benefit in PFS but fail to demonstrate an improvement in OS. The investigators state that phase III trials are needed to further define the clinical benefits of this agent in differentiated thyroid carcinoma. However, a cautionary note should be sounded. Given the toxicity of vandetanib, off-protocol use of this agent in differentiated thyroid carcinomas should be discouraged.

Source: Journal Watch Oncology and Hematology

 

the-world-peace-invitation-and-release-of-technology-the-2nd-international-presentation-how-to-become-axes-of-evil.


We have been asked to make our point clear about the upcoming expected and possible war between Iran and US.

We release the new information below to pre-empt any new plans for a new war in the world and as a prelude to our conference in September.

We explain here how nations like Iran are made to look as if they become an axis of evil in the eyes of the international community through pre-planned actions of some nations to start new international crises.

Prepare yourselves as this will be a long read, but it is important that one understands why we call upon nations for our upcoming meeting. We are fully aware of what we are releasing and now we want not only the nations but the citizens of the earth to understand the real depth of the Foundation’s knowledge of the hidden working of all nations and the reasons for our actions, even though sometimes they look as if they are against our ethos. (Please advise if you see any mistakes in the text for them to be corrected.)

The second part of this statement will be released soon by the Foundation.

For those who do not know, here we lay the groundwork for the effort of the Foundation for the peace conference due on the 6th of September of 2012 in Keshe foundation centre in Belgium.

 

Our firm belief is that:

There shall be no war between Iran, Israel and US, as the latter have more and may be all to lose if such an action takes place, and this is a clear message from this Foundation. If you are interested to know why we give such an indication please take note of the following paragraphs in this open letter.

How any nations become an axis of evil according to the pre-mandated action of the real evildoers of the earth is easy to understand and to be seen and read as follows:

As most of the readers of this forum know and some have listened to my previous interviews over the past years, they know my education background and my work.

It is important to make clear some points for all readers and the world audience to know how every nation can become an axis of evil according to the agreement signed by President Reagan and Mrs Thatcher in the late seventies and the establishment of the nuclear triad connection between the USA, UK and France.

There shall be no war between Iran, Israel and US, as the latter have more and may be all to lose if such an action takes place, and this is a clear message from this Foundation.

In my early work at the British nuclear classified site, I had an opportunity to read the proposal and documents which made it clear to me that the future of the world nuclear industry was well set and with agreement of the above three nations the act of making every nation an axis of evil was signed and sealed by the leaders of these countries for the control of power and energy resources of the future.

In this agreement the process was initiated of bringing the world economy to its knees and starting the second process of slavery of all nations as they did in earlier centuries with opium, but this time using the nuclear industry as the whip of threat and control.

In late seventies it was agreed that the British use US military might to force and attack nations and then rob all nations of their resources and then control them through nuclear power supply systems and control of nuclear fuel started by the British.

To make the triad work, the British gave the right of manufacturing the nuclear power stations even for the UK to the US and their companies, with the carrot that the UK even stopped with immediate effect all new research in development and building of new nuclear British designed power stations and the UK started the closure of all the nuclear power station capabilities of its own design.

In return the British under the disguise of helping the US accepted the proliferation and recycling of nuclear fuel worldwide. This is the most lucrative part of the nuclear industry long term.

At the same time with proliferation the UK in the future can force nations to its will because if materials are not processed they cannot operate their nuclear power stations.

As nations need new fuel rods, their energy supply becomes slave to UK generosity and colonial power pressures as in past centuries.

At the moment this process has already started as the UK has been practising its reprocessing system by profiteering from fuel for Japan and Germany in the past decades.

At the same time to keep the French on board, part of the structural work in Europe and the nuclear fuel production of Europe were given to the French.

Thus in this triad of nations, they have shared out the future of the world energy supply between each other in such a way that once the oil runs out or they create oil crises, these three nations excluding Russia and China will become the controllers of the energy for Europe, the Middle East, Asia and South America.

Now let us explain how nations become an axis of evil like the nation of Iran through this triad of the nuclear control through deliberate and false accusation and by controlling present world media.

 

  • Primarily it has to be understood that Iran has been and is self-sufficient in producing raw nuclear material.

In the mid-fifties the US used to take uranium from the mines of Hamadan in the south central regions of Iran for their nuclear processing and fuel supply, and this is well documented in international shipments of uranium.

Now these mines are in the hands of the Iranian nation, thus Iran does not need to purchase any fuel and is using its own natural resources for its future fuel processing and fuel production and Iran even has surpluses of raw material to support other power stations of other nations if it is needed in the region for their future power supply.

Thus Iran has and can become a fuel supplier and competitor to the French and US pieces of the cake of the present organised nuclear triad.

 

  • Secondly Iranian nuclear scientists through the help of the US in the past and presently through work with Russian scientists have gained enough knowledge to build nuclear reactors for power generation.

Thus with the newly gained knowledge by home-grown and taught nuclear engineers and scientists, Iran now can and has cut into the piece of the cake of the US power generation manufacturing market.

Now Iran becomes another financial threat to a member of nuclear triad, the USA.

By the same measure, Iranian aircraft engineers, being boycotted for parts by US sanctions, have made a full working Boeing 747 jetliner in Iran in the past five years to service the fleet of Iran jet liners and now one can buy exact parts of these craft in even better quality from Iran than from the US.

From producing these systems Iran is now using the same knowledge in building aircraft and has gained the full capability to produce the spaceship program craft of the present trials using Iranian scientists.

Thus the boycott has given Iran the advantage and step up for the new spaceship program systems that have left NASA in the dark ages of space technology.

 

  • Thirdly, now that Iran has its own raw material and has learned the lessons of the oil refinery materials boycott by the west in the past thirty years, in the past three years Iran has begun the process of learning and developing reprocessing of the fuel.

With this Iran can use its own mined uranium as fuel to enrich and use the fuel for supporting its nation with energy once the oil runs out.

Thus Iran with the capability of reprocessing and enriching fuel for its power stations now has the power and the knowledge to cut into the piece of cake of the UK of the triad.

Therefore now Iran has become a supplier and competitor not only in oil, but in the nuclear industry too with the triad.

Thus the mask of axis of evil is nothing but cover for the crimes of the past done by nations of the nuclear triad and a new setting for the scenario of the 1972 crisis, where this time the British will control the world energy and will take nations hostage like pirates of the high seas as they have done for centuries, but in a modern version.

The other recent action of the EU boycott against the nation of Iran came about purely by an accident and the greed of Germany which had nothing to do with Iran.

In the early seventies Iran acquired a small prototype nuclear reactor built for Iran by the western nations for training its future nuclear scientists for the power stations to be built in late and early eighties by them for Iran.

I was presumed to be one of these scientists when and if I returned to Tehran after finishing my education as a nuclear engineer in Europe.

This nuclear reactor in Tehran University has the capability of producing the low level high grade nuclear material isotopes needed nowadays in the medical sector of the health system of all nations.

This sector of the health radiation industry will be worth some 12 billion euros in the coming years.

What has happened in the past years is that the nuclear power plant which is the parallel system to the Iranian research nuclear reactor and has been the major producer of these isotopes for years, which was based in Canada and employing thousands of scientists and workers and generating billions of dollars of revenue for Canada for years, in the recent past has gone faulty and cannot produce and supply the world demand for isotopes for the medical market.

Hence this has given a unprecedented chance to Iran to fill this vacuum generated in the market by chance in the western world supply of nuclear medical isotopes and this is a material to save lives of thousands of people around the world as without these isotopes no brain scan, no MRIs and other non-intrusive medical procedures can be carried out.

I wonder how many British, American, French and other nationals are not told daily that thanks to Iran we can give yours and your children’s lives back to you.

This does not fit into the image of an axis of evil which the triad have made for Iran.

I wonder how many Americans walk away from MRI tables and thank the lives of Iranian scientists who have filled the gap that was created by the Canada nuclear breakdown to save their lives.

We thank you Iranian nuclear scientists in the place of those who have never been told the real truth and salute you for your support of world citizens, even though in helping us you have put your lives in danger and are even losing your lives by assassination because you are serving and helping the rest of mankind in time of need.

Under the nuclear treaty of the Second World War the government of Germany, like the Japanese government, cannot get involved in the proliferation of nuclear materials on any scale in Germany. But the German government can appoint proxies and use a third nation for its research and to develop a system to cover the Canadian gap in nuclear isotope manufacturing.

Thus through agreement with France, UK, US and Belgium they have signed a treaty with the rest of the EU nations to build a replacement of the Canadian reactor in the nuclear centre in Mole in Belgium, which is at present under construction.

Thus Iran unwantedly has become a competitor again with Germany and France in the industrial gap which Iran at the moment is helping to fill to save the lives of people around the world.

But Iran will not be attacked until this reactor is operational, as by chance even the President of the US might need these isotopes from Iran for saving his life or his family, thus the Iran cat and mouse game will be continued until this reactor is operational in Belgium.

This is the reason why suddenly Germany has appeared as the 5+1 (5 of UN +1 of Germany) of nations in negotiation with Iran over Iran’s nuclear program.

However Germany according to the Second World War treaty has nothing to do with world nuclear operation.

 

Now the role of Iran in enforcing world peace through its newly gained spaceship program:

Iran is and will be the flagship nation for world peace.

Iran has the capability to prevent the start of any war and stifle all future wars with the present knowledge of spaceship technology in its hands.Iran has the capability to prevent the start of any war and stifle all future wars with the present knowledge of spaceship technology in its hands.

Iran the land of peace will be the flagship nation for peace in these so called enforced crises in the world.

Let me explain in simple words what will happen if the triad of the nuclear nations or their proxies decide to attack Iran in the near future.

Iran has never passed its borders in the past three hundred years and will never do so, as we have found war is nothing but a waste of human resources.

In the Iran and Iraq war there were prisoners from twenty seven countries in Iranian prisons, these all being recruited by the same nations who started the new spring uprising in the past year.

The Italian government sold NINE million land mines to the Iraqi government to mine and kill Iranians at any cost.

In Iran every day in the past twenty years up to today, children playing in their homes and gardens are losing their lives and their limbs to these mines, all thanks to Italian hostility and greed.

And I wonder what happened to the cries of the advanced nations of the west to help come and clean up these mines which they supplied; I wonder how many Italians will give the hand of help to fathers and sons who have lost their children and fathers in Iran through these Italian mines in the past year alone.

The Keshe Foundation is developing systems to eradicate these meaningless tools of destruction and greed from the land of peace.

Now one wonders why Italians are in these crises of today as they are paying the price of the murderous recent acts of their fathers to fill the banks of Italy with the blood of innocent children of Iran.

But in the war with Iraq, even though Iran could have crossed the borders of Iraq to recapture and finish the old regime, Iran did not cross its agreed international borders.

The Iranian nation has defended the integrity of the motherland of Iran for centuries and it will do so if need be again, but this time with its new SSP program. If the triad of nations or their proxies try to pass the international Iranian border lines the game will be different.

Iran is at this moment in possession of the most advanced technologies known to man, and it showed a small part of the power and capabilities of this new technology in December of last year by capturing an American spy plane 27m long at high speed and altitude and under the control of over 8 satellites.

If need be to enforce world peace Iran will show the full might of its spaceship program in an instant to the powers of the world if they cross the borders of Iran.

Iran is the land of Dareush who saved the lives of my Jewish forefathers and in the seventh century the Iranian king saved the Christians by providing them shelter, and now this race have become the present descendants of my blood.

Iran is my Islamic descendant forefathers’ home and land of peace and prosperity and it will teach the world the knowledge of space and the true conduct of real men of integrity.

Iran has the power to bring about world peace though its wisdom and generosity to other nations and religions as it has done in the past, without firing a single shot with its new SSP program.

 

Let us tell you what will be the consequences of any attack on Iran territorial borders now that Iran is in possession of spaceship technology.

On 21 April 2012 in a meeting at the Keshe Foundation centre, we showed to the world delegation present the SSP system and the video of its capacity to increase its weight, which allows the submergence of the SSP system in the deepest waters of the earth.

And within 36 hours from this meeting on 23.4.2012 we received the presidential decree to silence us as the US realised what has been developed as they have nothing to protect themselves from such an advanced technological gain by Iran and the Keshe Foundation. For the first time they realised how they lost their craft in December of the previous year to Iran, and the US president asked Iran to give their toy back.

With this technology the submariners of any nation contemplating an attack on Iran through the Straights of Hormoze and any waters across the earth will be faced with instant death due to an operational failure of all their systems, as was done with the unmanned aircraft in December of last year. At the same time these craft will maintain their position in the deep seas and will never resurface for decades, unless they are pulled out of the water through special operations, so once Iran SSP touches these submarines in the deep waters of the earth, no mother or son of these submariners will ever know the fate of their loved ones.

Above water, military ships will cease working and become obsolete and they will and can be caused to join their submariners in seconds, which will leave thousands and thousands of fathers without their sons and so many mothers without their daughters who are serving on these ships.

Aircraft which are airborne will drop from the skies like heavy metal cast birds on the borders of Iran or at any point of choosing on earth by the Iranian SSP program, so that they will not be able to even reach the beautiful borders of the land of peace.

This would lead to more loss of the beautiful lives of men and women of the USA and their collaborators.

Satellite communication will be brought to an absolute halt as Iran has to ensure that no nuclear warhead missiles can be controlled and targeted on Iran and hence most of the intercontinental missiles will fall on Iran’s neighbouring nations or wherever these missiles are lost due to loss of satellites, and surely none will reach Iran.

US intercontinental missiles will be activated in their berth holes and how many of our cousins and brothers are to lose their lives in the land of the US by the action of the US military if the misguided action of a few goes through.

Then the question to ask is why humanity allows this triad of nations to carry out all these acts under the banner of world peace and not the real truth of its objective of tyranny.

Thus Iran does not need to start the war, but will use its wisdom to protect itself as before; the losses will be from those who are doing the instigation of war and will be in the land of the instigators of the war.

 

What is the solution?

The solution is simple and immediate.

We call upon the triad nations and Iranian government to meet under the banner of world peace in the immediate future, to save the lives of hundreds of thousands of young and beautiful daughters and sons of mainly US origin as they are the real slaves of the master in the war.

We have seen it happen in Iraq and Afghanistan with invasions under the same type of false accusation to loot these nations or use them to supply drugs to other nations as in the past centuries, where again the UK walked away with the loot of oil and national reserves and the US paid the price of the lives of its youth and is still paying it.

From the Keshe Foundation we call upon the leaders of the world to open their eyes to the song of peace from us, or the beautiful White House will only be white by name as its residents will leave the fields of their matters within this structure with no sign of real material life, once Iran has to enforce world peace, without the use of war.From the Keshe Foundation we call upon the leaders of the world to open their eyes to the song of peace from us, or the beautiful White House will only be white by name as its residents will leave the fields of their matters within this structure with no sign of real material life, once Iran has to enforce world peace, without the use of war.

In the palaces of Europe the bells of justice will be rung by their people and not by its present residents as the men of truth will open the files of the real working of these houses of horror and stop the suffering of their nations as they are answerable to the nations of the world for whom they have chosen to govern and rob others under their name.

We did not set the scene, but we are the messengers of peace and we are the instigator of world peace and we have the technology to serve mankind and walk and enforce the path of peace.

My call to citizens of this planet is simple and straightforward; join us and each other to serve our human race under one banner of mankind and not nationhood.

Under one banner of peace this will carry us through as one soul and one planet and not as a divided broken army of nations.

Our decree of peace will take its course and soon there will be no more conflict as each man has the power of the king to serve and not as power of the slave.

The leaders of the world have to accept that the seat of kingship and leadership is the seat of serving one’s nation and not to be served by the nation, and this has to become the path of every being.

Then one will see that there shall be no servants by force, but men will be servants by choice and for their fellow men, and earth will be a sea of physical bodies that have nothing to do but to serve each other.

From this point on kinship is among the souls of mankind and not through the physical body.

From this point on we take away the physicality of the workings of man’s life as we have met all his needs through the kinship of the soul. At the level of soul there is no physicality to feed, but the essence of equality to protect and serve.

Blessed are the souls who have received the message of peace not in the physical but in the true realm of creation.

Source: http://soundofheart.org/galacticfreepress

The Greatest “Disclosure” Event Ever to be Released to the World ~ Today in Belgium ~ by the Keshe Foundation.


The World Peace Invitation and Release of Technology

Following the meeting of the Keshe Foundation with the world ambassadors invited to Brussels on 21 April 2012, our invitation now goes to the nations of the world through their ambassadors and their leaders To attend a gathering on 6 September 2012 at the Keshe Foundation Center in Ninove, Belgium (or in any other place the nations may choose).

As your Excellencies have been aware, we invited representatives of every country to the first presentation of our technology on 21 April 2012.

The ambassadors of some nations attended this meeting and others chose to ignore the call, due to pressure from other nations, and decided not to attend or withdrew at the last moment.

With this second invitation (to take place on 6 Sept, 2012) we directly and unequivocally invite the leaders of your nation to appoint qualified individuals who can take part in the upcoming meeting at the Foundation on 6 September on behalf of their governments.

The reasons for this invitation and the meeting are as follows:

On 21 September 2012 the Keshe Foundation will release the first phase of its space technology and the gravitational and magnetic (Magravs) systems it has developed, to all scientists around the world simultaneously, for production and duplication.

From that point on, international borders will cease to have any real significance.

This is because, once the first flight system has been built and put into operation for the public, the time of travel for example from Tehran to New York will be about 10 minutes maximum.

The new airborne systems will enable every individual to make the same length of journey in the same time and at hardly any cost from any point on this planet.

The craft will not be detectable with present radar technology.

The energy crisis will be resolved at a stroke, and once the technology is put into practice the powers that control energy supplies and through them the present financial structures will find their hands empty.

The world water shortage will be addressed and resolved by presenting this technology to the public soon after the release of our energy and space technology.

How we have done this?

For the past six years we have used the international patent system to make sure that every nation and major scientists around the world have a copy of our patents in their possession.

(Please check the European patent and international servers downloads for number of downloads.)

Thus we have prevented any possible blocking of this technology by any individual or group and now most nations are in possession of our patents for energy generation, medical systems and space travel.

In this way the methods used in the past to prevent international development have been circumvented and now all nations have the same opportunity to work together to see that this technology is developed safely.

The principal point is that our technology is intended to be freely available to every government for the benefit of all its citizens.

Through the systems we have developed every nation can have access to as much energy, water and food as they need, as well as to new methods of health care and of transport, all at very little cost.

According to its charter the Keshe Foundation and all its technologies are owned by the peoples of the world.

The patents are the assets of every individual on this planet and cannot be claimed by any one person or organization or nation.

This means that all income generated by the technology belongs to the nation that makes use of it.

We will release the list of countries invited to the meeting on 6 September 2012 and the full e-mail addresses of those who receive invitations, so it will be up to you as a government to make it known who from your nation will be attending this meeting.

By the time this email arrives at your embassies a copy will be posted on the Foundation forum and website so your citizens will be aware of the offer that has been made to you.

Then it will be for you to make your response known to them, as well as to the Foundation, and we will gather the names of the delegates appointed and let your officials know where and how to meet.

Following this meeting, the presentation on 21 September 2012 will be the first step in the Keshe Foundation’s teaching program to share its knowledge and put it into the hands of the people worldwide.

Once these new technologies and their benefits are known to the general public, the leaders of every nation will need to decide how they are going to implement them for the betterment of everyone.

At that point there will be two choices:

Either we all work together to change the life of everybody on earth for the better through the correct patterns of conduct, or

The advanced nations of the world will see in the near future a flood of immigrants in tens of thousands flocking to the major cities.

We are prepared to present the technology to your representatives in any setting, so that they can understand its implications and the changes it will bring about.

From now on, we can make sure that no child or adult will die of thirst or hunger and that no nation will be attacked by another,

Because the potential military applications of the new technology are so horrendously destructive that we will have no choice but to accept that fighting over the resources of the planet is a thing of the past.

There has been nothing wrong with protecting national assets, but now, as the leaders of small regions of the Earth, it is

Your responsibility to see that its resources are available to be shared, and that with the help of our technology, everyone’s basic needs for energy, water, food and health care are met.

The Keshe Foundation takes no account of color, nationality, religion or political affiliation, thus our call is going out to every government to appoint a team of scientists to come and see our technologies at first hand.

Then they can decide whether or not to make use of them.

If you ignore this invitation, your nation will soon have no choice but to follow the lead of the nations who have decided to develop them.

We call on your nation, to start the process of world cooperation as soon as possible because once these systems are in operation, the frontiers that separate one country from another will have no meaning.

We have set the scene for a change of course for humanity and in the coming months we will see it through.

In the near future people will come to realize that we are here to serve each other, and not to be served, as all resources will be available to everyone, at the same time, and in the same measure.

M T Keshe

The founder and caretaker director of Stichting the Keshe Foundation (The Netherlands).

_________________________________________________

Further reading:

To view an ‘intro video’: http://youtu.be/UrN99RELqwo

Please, take the time to check out this statement from the Keshe Foundation concerning war with Iran: http://www.keshefoundation.org/en/media-a-papers/keshe-news/330-the-world-peace-invitation-and-release-of-technology-the-2nd-international-presentation-how-to-become-axes-of-evil

 

Source: http://soundofheart.org/galacticfreepress

 

IOM: One Third of Healthcare Dollars Wasted .


Roughly one third of the money spent on U.S. healthcare in 2009 — about $750 billion — didn’t improve patients‘ health, according to an Institute of Medicine report released Thursday.

The report, Best Care at Lower Cost: The Path to Continuously Learning Health Care in America, outlined six categories of waste — unnecessary services, inefficient delivery of care, unnecessary administrative costs, inflated prices, missed opportunities for prevention, and fraud.

Among the group’s recommendations to help improve care while reducing cost:

  • Decision-support tools and knowledge management systems at point of care should be an integral part of the healthcare system.
  • Clinicians should use digital systems to capture patient care experiences.
  • Patients and caregivers should be encouraged to partner with clinicians in making healthcare decisions.
  • Clinicians should partner with community-based organizations and public health agencies to coordinate interventions to improve health, including use of Web-based tools.
  • The payment system should be reformed to reward quality care.

Source:Institute of Medicine

USPSTF Reaffirms Its Recommendation Against Ovarian Cancer Screening .


The U.S. Preventive Services Task Force has officially reaffirmed its 2004 recommendation against screening asymptomatic women for ovarian cancer. Published in the Annals of Internal Medicine, the statement concludes that “there is at least moderate certainty” that the potential harms of screening outweigh any possible benefit.

The recommendation does not apply to women with genetic mutations known to increase ovarian cancer risk.

Writing in Journal Watch Women’s Health, Andrew Kaunitz writes: “Patients regularly ask if they should be screened for ovarian cancer. Consistent with its previous guidance, the USPSTF’s answer remains an unqualified no.”

Source:Annals of Internal Medicine

 

Preoperative Hyponatremia May Heighten Mortality Risk .


The presence of even mild hyponatremia before surgery is associated with increased perioperative mortality, according to a cohort study in the Archives of Internal Medicine.

Nearly 1 million U.S. adult patients in a surgical-quality registry had their sodium levels measured within 90 days before surgery. About 8% of patients had hyponatremia (defined as a serum sodium level under 135 mEq/L), with most of these being only mildly hyponatremic (values ranging from 130 to 134 mEq/L).

The study’s primary outcome, mortality within 30 days after surgery, was higher in those with hyponatremia than in those with normal sodium levels (5.2% vs. 1.3%); the difference remained significant even after adjustment for other risk factors such as smoking and functional health status.

Editorialists comment that the findings are not surprising, given the comorbidities associated with hyponatremia. They say it remains an open question whether elective surgery should be postponed in the face of mild hyponatremia, “but the diagnosis should contribute to the informed consent process.”

Source:Archives of Internal Medicine