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Is effexor over the counter ). The following is original post: In the latest study, "Effects of Efficacy on Serotonin Transporter Serum Levels in Patients Undergoing Effexor and + Sustained Release Treatment", published in the Annals of Clinical Pharmacology (Vol. 20 no.11), the researchers conducted a retrospective chart review of patients who took Effexor (meperidine) or + Sustained the generic pharmacy price list Release for more than 12 weeks, and compared those who took Effexor vs. a placebo for the same length of treatment. This latter group consisted of all patients who received continuous Effexor therapy. The results showed that daily use of a maintenance dose EFP in patients taking was associated with clinically significant elevations in blood levels of 5-HTT, with significant elevations in serum 5-HTT levels approximately 33% Strattera generic canada cost of the patients compared with approximately 29% in patients taking a placebo. The researchers speculate that this elevation in the level of serotonin may occur through a mechanism of increased metabolism and release or through enhanced clearance. There is no data on the use of these agents in chronic treatment of depression. The authors note that it is possible the therapeutic effect of Effexor is also associated with its ability to inhibit 5-HT uptake, but this is not considered significant in their study. As I see it, this is yet more evidence that is venlafaxine er a generic for effexor Effexor should be considered a SSRI. This doesn't mean to say, though, that SSRIs "work" better for depression than Effexor does — but they seem to do significantly better, especially when the patients are older and medication effexor xr generic is discontinued. I don't see does effexor xr have a generic how Effexor could be considered an alternative to SSRIs; it seems likely that there are more significant changes (e.g., decreased 5-HTT levels) than just a "down" in serum levels. I think most of the controversy, in any event, is a result of the relative simplicity Effexor and absence of serious side effects that patients complain of. I would think, for example, that any patient who has been prescribed Effexor for some periods of time and sees improvement is likely to be satisfied with its results and would not be as eager to discontinue. If it was "good for depression" when taken a few weeks, it is likely to be "good for depression" when kept as well for longer periods of time. And the more that Effexor is used, the more likely it is that will become "good for depression." But Effexor seems to have no effect on 5-HTP levels, which, again, is the first step in pathway of 5-HT. It should also be noted that the authors were limited to looking at the levels of 5-HTT as well the serum levels of 5.

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Librarians, as a rule, don’t tolerate anarchy well. They like things to be organized and to follow processes. But when it comes to emerging technologies, too much reliance on planning and committees can stifle creativity and delay adoption. The open source software community can offer librarians models for how to make progress on big projects with minimal oversight.

“Lazy consensus” is one such model from which librarians can learn a lot. At the Code4Lib conference in February 2012, Bethany Nowviskie of the University of Virginia Scholar’s Lab encouraged library development teams to embrace this concept in order to create more innovative libraries. (I encourage you to watch a video or read the text of her keynote.) This goes for all sizes and types of academic libraries, whether they have a development staff or just staff with enthusiasm for learning about emerging technologies.

What is lazy consensus?

According to the Apache software foundation:

Lazy Consensus means that when you are convinced that you know what the community would like to see happen you can simply assume that you already have consensus and get on with the work. You don’t have to insist people discuss and/or approve your plan, and you certainly don’t need to call a vote to get approval. You just assume you have the community’s support unless someone says otherwise.
(quote from http://incubator.apache.org/odftoolkit/docs/governance/lazyConsensus.html)

Nowviskie suggests lazy consensus as a way to cope with an institutional culture where “no” is too often the default answer, since in lazy consensus the default answer is “yes.” If someone doesn’t agree with a proposal, he or she must present and defend an alternative within a reasonable amount of time (usually 72 hours). This ensures that the people who really care about a project have a chance to speak up and make sure the project is going in the right direction. By changing the default answer to YES, we make it easier to move forward on the things we really care about.

When you care about delivering the best possible experience and set of services for your library patrons, you should advocate for ways to make that happen and spend your time thinking about how to make that happen. Nowviskie points out the kinds of environments in which this is likely to thrive. Developers and technologists need time for research and development, “20% time” projects, and freedom to explore new possibilities. Even at small libraries without any development staff, librarians need time to research and understand issues of technology in libraries to make better decisions about the adoption of emerging technologies.

Implementing lazy consensus

Implementing lazy consensus in your library must be done with care. First and foremost, you must be aware of the culture you are in and be respectful of it even as you see room for change and improvement. Coming in the first day at a new job is not the moment to implement this process across the board, but in your own work or your department’s work you can set an example and a precedent. Nowviskie provides a few guidelines for healthy lazy consensus. Emphasize working hard and with integrity while being open and friendly. Keep everyone informed about what you are working on, and keep your mission in mind as the centerpiece of your work. In libraries, this means you must keep public services involved in any project from the earliest possible stages, and always maintain a commitment to maintaining the best possible user experience. When you or your team reliably deliver good results you will show the value in the process.

While default negativity can certainly stifle creativity, default positivity for all ideas can be equally stifling. Jonah Lehrer wrote in a recent New Yorker article article that the evidence shows that traditional brainstorming, where all ideas are presented to a group without criticism, doesn’t work. Creating better ideas requires critiquing wrong assumptions, which in turn helps us examine our own assumptions. In adopting lazy consensus, make sure there is authentic room for debate. Responding to a disagreement about a course of action with reasoned critique and alternate paths is more likely to result in creative ideas, and brings the discussion forward rather than ending it with a “no.”

Librarians know a lot about information and people. The open source software community knows a lot about how to run flexible and transparent organizations. Combining the two can create wonderful experiences for our users.