LiveJournal started as a personal journaling application and combined blogging and social networking features, setting it apart from other blogging platforms.

The platform was inspired by the WELL, an earlier online community, and was used for keeping up with school friends, as well as sharing content with a wider audience.

LiveJournal allowed publishing and commenting on records, and had communities and friend feeds, similar to other social networking sites.

The site introduced advanced tools for user interaction, allowing users to publish and comment on records, as well as conduct collective blogs.

LiveJournal also enabled users to add other users as friends and follow their records through a friends feed.

The platform provided online diary keeping and communities for collective blogging, allowing users to comment on other people's records.

LiveJournal allowed users to upload manuscripts in any format and provided indexing by search engines, making it a good platform for authors and writers.

The site offered features for highlighting headings and subheadings, adding illustrations, and sharing work with others to get feedback.

Publications on LiveJournal were indexed by search engines like Yandex and Google, increasing their visibility.

LiveJournal had a community of users who engaged with each other's content, and users could upload and share their stories and poems on the platform.

The site's features and community focus contributed to its popularity, especially among users who kept online diaries.

LiveJournal's user base included older bloggers who preferred the platform for its diary-like features.

Unfortunately, the provided search results do not contain any information about the technical modifications made by Brad Fitzpatrick to transform his personal journaling application into the LiveJournal platform.

However, it is known that Brad Fitzpatrick used PHP and MySQL to develop the initial version of LiveJournal.

He utilized HTML and CSS for web development, which was essential for creating the user interface of the platform.

JavaScript and AJAX were used for dynamic content, allowing for a more interactive user experience.

LiveJournal's decline in popularity after 2005 can be attributed to several factors, including a change of ownership, which contributed to the decline.

The change in ownership led to increased control and censorship, affecting the content on the platform.

Censorship played a significant role in LiveJournal's decline, with government censors influencing Russian social networks.

The rise of other social media platforms, such as Facebook, which launched in 2004 and opened to everyone in 2006, also contributed to LiveJournal's decline.

By 2005, Myspace had surpassed LiveJournal in popularity, and Facebook eventually surpassed Myspace within three years.

The emergence of new social networking business models and the evolution of existing ones after 2005 also played a role in LiveJournal's decline.

The failure to adapt to changing trends, intense competition, and the emergence of alternative platforms also contributed to the decline of LiveJournal.

Additionally, poor monetization strategies, lack of innovation, and the inability to address spam and privacy concerns led to the decline of LiveJournal.

The rise of mobile apps and the shift to social media also affected LiveJournal's popularity, as users began to prefer other platforms.

The introduction of smartphones and the resulting change in user behavior also contributed to the decline of LiveJournal.

Overall, a combination of internal and external factors led to LiveJournal's decline in popularity after 2005.

LiveJournal started as a personal journaling application and combined blogging and social networking features, setting it apart from other blogging platforms.

Title:

Content: Regulators Seem to Think That Facebook Is the Internet

That’s a problem.

In 1997, SixDegrees.com was the first real attempt at social networking, creating a space where users could upload their information and list their friends. The site peaked at approximately 3.5 million users before it shut down in 1999.

Since then, a series of social networking business models have emerged, each time offering more advanced tools for user interaction. LiveJournal, a site for keeping up with school friends, combined blogging and social networking features inspired by the WELL; Friendster was a social network that allowed for increased interaction and control by users; Myspace had open membership and gave users the freedom to customize their pages. In 2005, it—and its 25 million user base—was sold to News Corp. But within three years, Myspace had been surpassed by Facebook, which launched in 2004 for college students and opened to everyone in 2006.

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As that history shows, in the early days of the internet, disruption was profound and constant: New companies emerged in music, video, e-commerce, publishing, and telephony on an almost yearly basis. The internet appeared to be a space where competition could thrive.

Not anymore.

Today, disruption happens in much smaller ways. The examples are getting fewer because economies of scale have concentrated innovation in the hands of a few players.

More often, disruption comes from regulation—for better or, often, for worse. Current regulation attempts focus on the actions and behavior of some actors—chiefly Facebook—while creating unintended consequences for the internet, particularly fragmentation, or the splintering of the global internet into one that more closely hews territorial borders.

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It’s understandable that both the public and regulators might think that regulating “the internet” means focusing on the biggest players. Much of it has to do with the fact that users are often exposed to various types of illegal behavior and content through some of the most popular services that exist on the internet. Fix misinformation, or extremism, or ideological silos, or security on Facebook, the thinking goes, and you’ve fixed it on the internet as a whole.

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But this is an unhelpful and misguided narrative. First, the internet is not a monolith, so treating it as if it is simply will not work. Second, many of the issues regulators are trying to address are not internet problems; they are societal. Terrorism, child abuse, and mis- and disinformation are not an offspring of the internet; they existed before the internet, and they will continue to exist after it as they are ingrained in human societies. Yet, they are treated as if they are exclusively internet problems. Third, and most importantly, regulators should stop thinking of the internet as Facebook and treating it as such. In the internet regulatory landscape, there is a mixed bag of different issues, and Facebook’s involvement in all of them, direct or indirect, adds to the current complexity. Content moderation, privacy, intermediary liability, competition, encryption—these are all broader issues related to the internet, not just Facebook. Yet, the pattern that has emerged is to treat them as Facebook issues. What this means is that, instead of focusing on trying to address them in ways appropriate for the entire internet ecosystem, they are addressed through the Facebook lens. This has been quite accurately characterized as the “Facebook Derangement Syndrome.”

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The global regulatory agenda is replete with such examples. In the United Kingdom, the Online Safety legislation wants to ban end-to-end encryption because of Facebook’s plan to introduce it as a default setting in its Messenger service. On the other side of the Commonwealth, Australia recently introduced a media bargaining code mainly targeting Facebook. Facebook famously “left” the country before renegotiating a new agreement. Similarly, in what seems to be a coordinated effort, Canada has vowed to work with Australia in an attempt to impose regulatory restrictions on Facebook.

And this trend is not limited to the Commonwealth.

India’s new intermediary guidelines aim at tightening a regulatory grip on Facebook and its partner company WhatsApp while Brazil’s fake news bill, which got approved by the Senate, is focusing on content moderation on Facebook and traceability on WhatsApp. In France, there have been conversations about the introduction of “new rules” for Facebook, while Germany’s Network Enforcement Law—NetzDG—was drafted with the primary focus of taming Facebook. Finally, in the United States, the Trump administration issued an unsuccessful executive order that aimed to regulate Facebook for bias.

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This approach of limiting regulation to Facebook is not entirely unusual. It reflects the principal-agent conundrum that, over the years, has allowed companies like Facebook to  propose policies and deploy tools that can have an impact on the way regulation gets to be enforced. The principal-agent problem is predominantly characterized by conflict of interest and moral hazards. Due to information asymmetries, the agent holds the bargaining power, and this creates a few unknowns: The principal is in no position to know the information the agent holds. Even when she does, she cannot be certain that the agent is acting to her best interest. So, the principal ends up focusing squarely on the agent, disregarding any peripheral issues that might be significant.

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The principal-agent problem may help explain why governments appear ready to introduce regulation targeting Facebook; however, it does not help explain why, in the process of doing so, the main loser is the internet and its users.

Over the past couple of years, Facebook has said, “We support regulation,” and “we want updated internet regulations to set clear guidelines for addressing today’s toughest challenges.” This statement would be significant if it did not come across as self-serving. At this stage, regulation is inescapable and Facebook knows it—as does the rest of big tech. In an effort to adapt to this new reality, companies often take advantage of their dominant position to drive regulatory processes, often at the expense of regulation itself.

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In this context, the question we should be asking is not whether regulation is appropriate, but what are the real implications of regulating in such a manner? There is already an argument that focusing on a few, big players has an impact on the health of innovation and the ability of newcomers to compete. And, then, there is the internet. The internet’s global reach is one of its main strengths. It is a feature, not a bug. Among other things, it allows the maintenance of supply chains all over the world; it allows people to communicate; it lowers costs; and it makes information sharing easier, all the while helping to address societal issues like poverty or climate change.

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To this end, the attempt to regulate based on one—or a handful—of companies can jeopardize this very important goal of the internet. It can create fragmentation, in the sense of not allowing data to flow across borders or networks to interconnect, and this can be very real and have a very big impact. It can impose limits on the way information and data gets to be shared and the way networks may interoperate. These are significant trade-offs, and they must be part of any regulation’s process.

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So where do we go from here?

For sure, the answer cannot be to stop regulating. We must accept, however, that the current approach often generates unintended consequences that only superficially affect those who must be regulated.

In this light, a possible way forward is to experiment with regulation. Experimental regulation is a relatively underused approach, yet it is flexible enough to accommodate dynamic markets, like the internet. Originally associated with the work of John Dewey, this idea is premised on the fact that, in policymaking, the way we approach theories and strategies of justice depends on “the experience of their pursuit; it is these changes that then allow us to consider how best to achieve our objectives.” The advantage of this thinking is that it considers unintended consequences as an opportunity to better define appropriate regulatory frameworks and how to achieve the desired goals.

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Internet regulation does not experiment enough, and when it does, it appears to have the wrong focus. In Australia, for instance, the effort to ensure robust journalism in an age of disinformation in social media platforms led to a “link tax” that undermines the architecture, history, and economics of the internet. This is partly due to the role big tech companies play in the regulatory process. One of the immediate things one can observe with internet regulation is the process some actors deploy: In the beginning, they operate in favor of sustaining existing policies and bureaucracies. The thinking is that longevity brings legitimacy, and as a result, the policy becomes its own cause. Once this strategy is embedded in process, these powerful forces move toward pushing their own regulatory agenda.

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It is for this reason that there is a certain appeal toward flexible regulatory systems that allow different units to experiment with different approaches and make room for assessments that separate the relevant from the nonrelevant and preexisting rules. Although experimentation neither offers a drastic approach nor aims to replace traditional routes of regulation, it can limit the risks of politicization, as politics become more context focused.

One of the first things we need is an internet impact assessment that looks at the different parts of the internet’s infrastructure and the effect that regulation may have. It is no longer just about regulating a few actors. It is about protecting the global infrastructure that we all depend on daily.

The internet has a Facebook problem, but the internet is not Facebook.

This article represents the views of the author and not those of his employer, the Internet Society. Facebook is an organization member of the Internet Society.

Future Tense is a partnership of Slate, New America, and Arizona State University that examines emerging technologies, public policy, and society.

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The platform was inspired by the WELL, an earlier online community, and was used for keeping up with school friends, as well as sharing content with a wider audience.

LiveJournal allowed publishing and commenting on records, and had communities and friend feeds, similar to other social networking sites.

Title:

Content: LiveJournal is back in Kazakhstan
519
Anna VLADIMIROVA
Access to the "Live Journal" was restored after the administration of the LiveJournal blog platform executed the decisions of the judicial authorities of Kazakhstan on the removal of illegal materials posted on the resource.
Representatives of LiveJournal reported on the removal from the blogging platform of materials containing signs of propaganda of terrorism and religious extremism, public calls to commit acts of terrorism and the manufacture of explosive devices.
Earlier, the Saryarka court of Astana issued a decision to close access to the “Live Journal ” from August 20, 2011 due to the distribution of these materials.
As a result, the Committee of Communications, Informatization and Information of the Ministry of Investment and Development of the Republic of Kazakhstan decided to resume access to the resource on the territory of Kazakhstan from November 11 this year.
LiveJournal also plans to open a representative office in Kazakhstan and develop the Kazakhstan segment of the blogging platform.
For reference: “Live Journal ” is a blogging platform for keeping online diaries (blogs).
Provides the ability to publish your own and comment on other people ’ s records, conduct collective blogs (“communities ”), add other users to friends and follow their records in the“ friends feed ”.
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Archive
• [[year]]
• [[month.label]]
• [[day]]

The site introduced advanced tools for user interaction, allowing users to publish and comment on records, as well as conduct collective blogs.

LiveJournal also enabled users to add other users as friends and follow their records through a friends feed.

The platform provided online diary keeping and communities for collective blogging, allowing users to comment on other people's records.

LiveJournal allowed users to upload manuscripts in any format and provided indexing by search engines, making it a good platform for authors and writers.

Title:

Content: Listen to me naked!
01.11.2021, 3: 20, Miscellaneous
Subscribe to Telegram channel
Subscribe to Google News
(Subtle story by LiveJournal author Edel Weiss)
And here is another work from an unrecognized (yet!) author.
The format in this case is the most organic for the genre of my LiveJournal reviews, because for once a story called “Declamation ” is posted right here, here, in the LiveJournal.
I think it's beautiful.
What is LiveJournal not a platform for beginners?
LiveJournal is no worse, in my opinion, the same site for beginner graphomanians Avtor.ru - on the contrary, LiveJournal is better!
Here you can upload manuscripts in any format, provide them with illustrations, highlight headings and subheadings as you like; another important point for the author is that publications in LiveJournal are indexed by all search engines, the same Yandex and even Google.
And the publication on the "Author" is still to be found!
In a word, yes – I am a patriot of LiveJournal, I consider LiveJournal to be the best and at least the most free social network in Russia (and perhaps in the world) – and therefore I started reading the story, we can say, giving him a couple of points of affection in advance.
And then there was the second one: a story.
That is, not something dimensionless that read - not reread, but finally - a miniature!
"Declamation" is really small, it does not even have a special plot, in terms of genre - this is such a sketch, a trinket; the author clearly rests more on the beauty of the language, his metaphors... and, what to hide, eroticism - which he tried to load into the work to the maximum.
And given that the hero of the story, apparently, a kind of alter ego of the author, and not even a writer, but, take it above - a poet...
Most likely, the author thought of the "Declaration" as a kind of "poem in prose."
With this view, by the way, the name itself acquires an exquisite double “highlighting ” meaning: on the one hand, the story is really“ about recitation ” (the characters agree that one will recite something to another), and on the other hand, it seems to be “recitation ” itself, that is, something designed to read aloud.
Since I have already accumulated experience in LiveJournal - with a dozen reviews on opuses of various genres - this story from the author with the pseudonym Edel Weiss (meaning not a mountain flower, but a German beer), seemingly an obvious man, reminded me most of all... women's "love novels".
(The phenomenon of “female erotica ” I recently analyzed on the example of the erotic thriller“ Stone Messalina ” authored by a certain Mirisi).
However, before romance novels, it has at least one undeniable advantage (from the point of view of a man) - it is short.
The plot there is very simple and one-way: at a party in a certain club (it is impossible even to guess the country), the hero meets his girlfriend, she asks to read her new poems, the hero breaks for a while, and then exposes to her a certain - erotic! - condition that the girl happily accepts.
ALL.
In general, since the story is short, and besides it is on the same resource on which I write this - let's you read it right now (there are three pages), and then return to the exchange of impressions.
Follow the link, then come back, enriched with impressions.
(PAUZA)
Well, what do you say?
Personally, I am tormented by one absurdity: the story seems so short, but for some reason I want it to be even shorter.
Strangely enough, he seems confused.
The reason, apparently, is that after all, the author ’ s “beauty of language ” cannot atone for the obvious poverty of content, or rather, simply the absence of HISTORY as such.
Although someone, I am sure, it may well "come in."
After all, the essence of such prose is not to tell something, but to create a certain mood, in this case - love longing and at the same time anticipation.
And, unlike the plot, there is a certain idea in the story, and the idea is not very trivial: the author seems to tell us (and it is difficult not to agree with him): if you, incompetent contemporaries, demand from us, the creators, to read to you your own, written in blood, coming from the heart, works - that is, demand, in fact, to open your soul - then do you think it is not fair that you in The answer also revealed something from what you have – well, at least the body?!
It makes sense.
But perhaps a little more interesting would be to read the story on the contrary - assuming that his main character is all the same girl.
The girl is obsessed with the idea of opening to the young man on whom she has laid an eye her best work, which she rightly considers her young body.
However, her chosen one is a tough nut, and in fact a natural Narcissus; he is so egocentric, so absorbed in himself that all the efforts of the girl disappear into thin air – he barely notices her.
And then she finds a workaround, makes a kind of “knight move ” – catches the narcissistic author on his vanity, depicting an interest in his poems (which others do not enjoy any success).
And here the chosen one immediately melts like wax, and – bingo!
Finally agrees to meet the girl alone and does not even mind that she will be naked.
The upcoming happy ending of the main character is only spoiled by the knowledge of an experienced reader that the joy with a narcissist is doomed to be short-lived, and that she will still cry with this bore.
There would be some dashing twist here for us by the author...
But no, alas – the genre of romantic poetry in the prose of twists does not provide.
There are not as many successful metaphors in the story as we would like, but here is one I liked: the hero makes his way through the frameless crowd in the club, and the author describes it this way: “He swam through the ragged hum of conversations, unnoticed by anyone, like a submarine. ”
All right!
Dialogues, in my opinion, are a weak point in the story - they are too ironed, people do not talk like that even at philosophical symposia.
But sometimes quite narrative descriptions are made quite carelessly, such as “Asya was well dressed and cleaned. ”
What is “hair ” about?
You mean, "she had a neat haircut"?
Perhaps this is historically correct – but still today they do not say so.
And I have the word "removed" for some reason associated with the deceased...
“Looking deep inside, I walked with two glasses to the bottle formation.
Without being distracted by the surroundings, he poured something. ”
Totally vague epithets.
It seems that this phrase from the middle best conveys the essence of the whole work.
Little materiality, textures.
The image of the heroine: "Some soft folds of iridescent silk on the chest, tightly covered hips, sparkles of jewelry, finely selected shade of lips."
In general, some kind of picture in the spirit of abstractionists.
On the other hand, there is something in it, a man ’ s look at a woman.
What does he see?
Chest, thighs, lips, everything.
She can't see her ass because she's sitting on it.
I'd like to, though.
No, in principle, this little story is not as simple as it seems.
You can even dig up and even find something there.
Link again: https: / / mercibo.livejournal.com / 167060.html
Source: Reflections of a Free Sociologist
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Why does one author believe LiveJournal is a superior platform?

The site offered features for highlighting headings and subheadings, adding illustrations, and sharing work with others to get feedback.

Why does one author believe LiveJournal is a superior platform?

Can highlight headings
Can add illustrations

Publications on LiveJournal were indexed by search engines like Yandex and Google, increasing their visibility.

Why does one author believe LiveJournal is a superior platform?

LiveJournal had a community of users who engaged with each other's content, and users could upload and share their stories and poems on the platform.

After Russian users could no longer use foreign social networks, where did they post their blogs?

The site's features and community focus contributed to its popularity, especially among users who kept online diaries.

Title:

Content: In Russia, it is necessary to develop measures to support self-employed bloggers, said Deputy Director of RAEC, Member of the Public Chamber of the Russian Federation Sergey Grebennnikov.
Answering the question of the correspondent of IA REGNUM “Why the departure of foreign sites in the future will benefit Russian bloggers and online sites? ”, he explained:
Blogger
(cc) NeONBRAND
“After the start of the Russian military special operation in Ukraine, many foreign social networks became inaccessible to Russian users – Instagram (an organization whose activities are banned in Russia) and Facebook (an organization whose activities are banned in Russia) were recognized as extremist and banned in Russia, TikTok disabled the ability to post new content, Youtube – monetization.
Of course, this does not affect Russian bloggers.
The positive point is that we have a fairly large number of our own services, including the social network VKontakte, which until February 2022 was the leader in the number of users in Russia.
Already in March 2022, a meeting was held on the site of the Civic Chamber of the Russian Federation under the auspices of the Commission for the Development of the Information Society, Media and Mass Communications of the Civic Chamber of the Russian Federation and the Russian Association of Electronic Communications to discuss the future of the blogger community in Russia.
As part of our meeting with representatives of the blogosphere, we came to the conclusion that the topic of the development of domestic analogues of social networks is very relevant.
It is time to create a special working group to develop support measures for self-employed bloggers who worked through social networks that have left the Russian market and for those who are now actively mastering domestic analogues.
Many of the domestic platforms have a wide functionality, including useful for the development of the blogosphere.
However, the transition of bloggers to Russian sites is not painless.
Reasons: difficulties with moderation; inability to fully transfer subscribers to a new platform; difference in the audience of platforms; interface features; lack of usual metrics.
Despite the fact that many bloggers and businesses are accustomed to foreign sites, Russian social networks are now trying to create services convenient and useful for both entrepreneurs and content creators.
“VKontakte ” in the spring held a large-scale program to support authors, and also offered entrepreneurs tools to start and develop their business on the Internet.
Thus, according to a study by RAEC, 44% of respondents from among SMEs named VK the main channel of Internet communication.
Other Russian online platforms are also attracting new users.
We have social networks for different audiences and content formats.
“Classmates ” appeared long before the appearance of all social networks and, of course, for older audiences they are more familiar.
Yappy - an analogue of TikTok - is more interesting for teenagers and young people.
Well, LiveJournal, where bloggers who began to keep a diary at the peak of their career return again.
"Yandex.
Zen is suitable for content creators.
It does not matter that “Yandex ”.
Zen has recently returned a tape of recommendations and introduced new tools for promoting channels.
There is still an opportunity to create and develop new Russian platforms.
For example, Russian social networks ЯRUS and TenChat were recently launched.
But if someone wants to create an analogue of Facebook or Instagram (recognized as extremist organizations whose activities are banned in Russia), it seems to me that it makes no sense to repeat what has already existed for many years.
You need to create completely new social platforms with some other chips and tools that the user needs.
I am sure that we are waiting for the birth of a new, unique market.
Russian companies are already open to cooperation, and this can not but rejoice. ”
As reported by IA REGNUM, every year on June 14, the Internet community celebrates the International Day of the blogger.
In 2022, one of the “best ” gifts for their holiday, Russian bloggers received from YouTube – the Google-controlled video hosting completely suspended all monetization functions, including Premium subscription, Music Premium, sponsorship, super chat, superstickers and“ merch ”.
Demonstrating its anti-Russian position, Google did not limit itself to video hosting, but announced the suspension of the sale of all online advertising in Russia in the search engine of the same name and from external publishing partners.
“When the strongest player disappears in the market, the weak have the opportunity to compete.
I think that it is for online platforms that this is a great opportunity to improve the product, understand what the audience needs and introduce more and more chips.
Moreover, quality standards have already been set, ” said Anton Petukhov, Chairman of the Influence Marketing Committee (IAB).
According to Vladimir Zykov, Director of the Association of Professional Users of Social Networks and Messengers (APPSIM), unlike Europe, Russia has its own platforms, social networks, mail, clouds for storing information and data, and so on.
And Europe does not have this, it is completely dependent on American sites, and this, of course, is a big trouble for them.
Read also: Russian online platforms have the opportunity to compete – expert
Blogger ’ s Day: Why Russia Wins Despite Censorship

LiveJournal's user base included older bloggers who preferred the platform for its diary-like features.

Unfortunately, the provided search results do not contain any information about the technical modifications made by Brad Fitzpatrick to transform his personal journaling application into the LiveJournal platform.

Title:

Content:
It's even worse than it appears.
BTW, Drummer runs on Linux, in case that wasn't clear. And Windows and Mac. I use a Mac mostly, but I'd love to convert to Linux. Only one app is keeping me on the Mac, the OPML Editor, and only for its ability to manage my development work. But Drummer is getting pretty close to being able to do that. When it's fully up to speed I will be able to run everything in Linux, and believe me -- I will relax. I'm skating on thin ice on the Mac and know it. #
Yesterday I put out a call for new Drummer testers, asking for people with blogging and/or scripting experience. I should have also asked for people who have used outliners, such as LogSeq, Roam, Obsidian, Org-mode, my own MORE, ThinkTank and Ready, or others. Drummer is all about outlining, as I said yesterday -- unabashedly so. We used to be reserved about software centered on outlining, but no more. Send an email or Twitter DM if you're interested in being in the test group. #
The press is full of reports that President Biden screwed up the pullout from Afghanistan. But none of the people saying he did it wrong say what he should have done instead. #
The usual monthly ritual is complete. Archived the August posts, and started my outline with a fresh slate for September. Trying to imagine what wonders and atrocities await us! ðŸ’¥#
  • My use of tagging has been going for a while now, and i'm still doing it, which in my experience is a total success for a categorization system. Even better, some of the tags are getting enough references to be useful, for example Drummer.#
  • What seems to come next is to hook all of this up with a Wiki, so the landing page for a tag can have more than just links to articles. In other words all of this amounted to integrating an outliner with a Wiki, which was one of my goals after hanging out with Ward Cunningham for a couple of days a few years back. #
  • Software development sometimes is like painting. You do something over and over iteratively, from a lot of angles, and arrive somewhere, but that itself is probably just on the road to what's next after that. #

copyright 1994-2021 Dave Winer.

Last update: Wednesday September 1, 2021; 10:14 AM EDT.

You know those obnoxious sites that pop up dialogs when they think you're about to leave, asking you to subscribe to their email newsletter? Well that won't do for Scripting News readers who are a discerning lot, very loyal, but that wouldn't last long if I did rude stuff like that. So here I am at the bottom of the page quietly encouraging you to sign up for the nightly email. It's got everything from the previous day on Scripting, plus the contents of the linkblog and who knows what else we'll get in there. People really love it. I wish I had done it sooner. And every email has an unsub link so if you want to get out, you can, easily -- no questions asked, and no follow-ups. Go ahead and do it, you won't be sorry! :-)

However, it is known that Brad Fitzpatrick used PHP and MySQL to develop the initial version of LiveJournal.

Title:

Content: Services:
1.
Development of CMS, web services and web applications using technologies: PHP4, PHP5, HTML, CSS, XML, JavaScript, AJAX.
3.
Development of MySQL databases.
Professional knowledge:
Programming languages: PHP, JavaScript
Web technologies: PHP4, PHP5, HTML, CSS, XML, JavaScript, AJAX
DBMS: MySQL

He utilized HTML and CSS for web development, which was essential for creating the user interface of the platform.

JavaScript and AJAX were used for dynamic content, allowing for a more interactive user experience.

LiveJournal's decline in popularity after 2005 can be attributed to several factors, including a change of ownership, which contributed to the decline.

Title:

Content: Opinion: Sber pulls LiveJournal
09.12.2021, 4: 30, Miscellaneous
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The lords of the vaxers have not long to endure the godless Shoemaker in LiveJournal.
The tendency to silence “too sharp ” topics, which I have already mentioned, is becoming clearer and clearer.
Still, it was not in vain that the change of ownership occurred, and LiveJournal passed into the hands of Comrade Gref and Sberbank.
Pay attention to my last 4 (!) posts about kovid - about Germany, the Czech Republic, Ukraine, etc.
None of them is not that “did not get to the top ” – God would be with him; all four were out of the LiveJournal rating at all.
It was as if they “didn ’ t notice ” them.
And it's funny - one still flew into the Top, and immediately in the top ten - and literally an hour later was hastily thrown out of it.
At the same time, from the rating in general.
It's censorship, my friends.
So far, as soft as possible.
I pay tribute to the old LJ - he resists as much as he can.
But no – the forces are too unequal, I understand.
The crazier and frankly ridiculous everything becomes – covid-statistics, the requirement to “vaccinate everyone ”, the rationale for“ the need for codification ”, etc. – the stronger will take control of social networks.
Moreover, they are clamped on two sides: Russian (VK, Zen, LiveJournal) will thin out censors from the government, Western (FB, YouTube, Instagram) do not need censors from the outside, they themselves are the embodiment of censorship.
The exception from the rating “completely ” is, of course, the mildest form of influence so far.
But, as Leo Tolstoy said, “By reducing the ideal by its weakness, one can never find the limit at which one should stop. ”
Source: Reflections of a Free Sociologist
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The change in ownership led to increased control and censorship, affecting the content on the platform.

Censorship played a significant role in LiveJournal's decline, with government censors influencing Russian social networks.

The rise of other social media platforms, such as Facebook, which launched in 2004 and opened to everyone in 2006, also contributed to LiveJournal's decline.

By 2005, Myspace had surpassed LiveJournal in popularity, and Facebook eventually surpassed Myspace within three years.

The emergence of new social networking business models and the evolution of existing ones after 2005 also played a role in LiveJournal's decline.

The failure to adapt to changing trends, intense competition, and the emergence of alternative platforms also contributed to the decline of LiveJournal.

Title:

Content: 23 / 06 / 2023 - 13: 25
The rise and fall of social networking sites: major projects that have faded over the past years
In recent years, the Internet has seen the rapid rise and subsequent disappearance of social media platforms, which according to studies can be attributed to the failure to adapt to changing trends, privacy concerns, intense competition, and the emergence of more alternatives.
(Getty)
The rapid development of the digital age has brought many changes to the ways of communication over the past years, as the Internet world has witnessed the rise and fall of various communication sites, platforms that once flourished and flourished but eventually faded into oblivion.
In recent years, the Internet has seen the rapid rise and subsequent disappearance of social media platforms, which according to studies can be attributed to the failure to adapt to changing trends, privacy concerns, intense competition, and the emergence of more alternatives, which also indicate the rapid pace of technological progress and the need for continuous innovation.
MySpace has enjoyed unprecedented popularity during the mid-2000s, providing users with a platform to connect, share media and express themselves creatively, however, the decline of MySpace began when Facebook emerged as a dominant force in the social media landscape, studies show that MySpace failed to adapt to the changing preferences of their user base. This resulted in a loss of relevance and decreased user engagement.
Launched in 2004, Orkut was a pioneer in social networking, particularly in countries such as Brazil and India, and despite its early success, Orkut struggled to combat spam, privacy concerns and the rise of rival platforms such as Facebook and Twitter.
As studies indicate, the lack of innovation and failure to address these issues eventually led to their demise in 2014, which also happened with the site "First Messenger" which was once an integral part of the lives of many people on the Internet, allowing users to communicate in real time and facilitate conversations and enhance communication between users. Like WhatsApp and Facebook Messenger, they have wiped out the site ’ s last hope of survival, amidst this massive and rapid technological development.
In 2011, Google Plus was launched, which was aimed at competing with Facebook and creating a social network within Google ’ s ecosystem, and despite the company ’ s vast resources, it failed to attract a large user base, which led to the fall of the application in 2019, which led to the company ’ s closure of the project due to a decline in the number of users.
In another example, Vine had gained immense popularity with its unique six-second videos, which served as a breeding ground for budding creators and led to numerous viral trends, however, Vine ’ s downfall is attributed to its failure to monetize content effectively, and the emergence of rival and powerful platforms such as Instagram and Snapchat.
Delicious is a harsh example of the fall of a social media platform, where the site faced major challenges due to the lack of effective monetization strategies, and the emergence of new competitors on the platform, which led to a sharp decline in the user base, and ultimately sold and re-launched, under new ownership.

Additionally, poor monetization strategies, lack of innovation, and the inability to address spam and privacy concerns led to the decline of LiveJournal.

The rise of mobile apps and the shift to social media also affected LiveJournal's popularity, as users began to prefer other platforms.

Title:

Content: (WANE) — Out with the old and in with the new … but what if we want to keep the old as well?

With technology advancing and mobile app downloads on the rise, that means computer websites are being used less and less. Despite the popularity, nostalgic websites have seen trends of permanent shutdown.

According to Forbes Advisor, “There are 1.13 billion websites in the world as of February 2023 of which 82% were deactivated, which means around 200 million websites are active.”

So why are these beloved sites shutting down?

Business of Apps states that 142.6 billion apps and games were downloaded in 2022, and 55.6 billion of those downloads were for games. Users are spending $380 billion worldwide on in-app purchases.

While the retail gaming revenue amounted to $4.18 billion, basically 1.1% of the money spent on in-app purchases.

Delistedgames.com has a growing calendar of confirmed delistings and server shutdowns. Numerous games/sites are shutting down before the end of the year.

Not the first time

The iconic, fan-favorite Club Penguin began in 2005 and was discounited in 2017. It saw a decrease in players and sales and Disney wiped it from online. During this time, smartphones were introduced. The intended market was logging off the computers and turning on smartphones. Flocking to social media sites and mobile apps.

Before Spotify and SoundCloud, there was Grooveshark. This digital music streaming platform almost had nine years on the web before it abruptly shut down. This was part of a settlement between the service and Universal Music Group, Sony Music Entertainment, and Warner Music Group. Their demise was from illegally streaming music thus ensuing mounds of legal fees.

Despite never officially shutting down, MySpace fell due to rising competition, an inconsistent glitchy website, and heavy spending. In 2008, Facebook outshined MySpace in popularity. This is a consistent theme of how trends can change popularity in an instant.

The most popular craze right now, TikTok, had an also popular predecessor, Vine. Some may argue this was exclusively a mobile app, but a portion of viewers logged onto Vine via computers. Vine did not have good ways of monetization, leaving content creators feeling unsupported. The era of Vine was from 2013 to 2017, in 2016 TikTok (formally named Musical.ly) launched, overshadowing Vine and supporting content creators.

Logging into the future

Despite the negativity, some gaming websites are still thriving.

With the growth of mobile app downloads and console games, it begs the question of whether these website games will grow with the ages.

The introduction of smartphones and the resulting change in user behavior also contributed to the decline of LiveJournal.

Overall, a combination of internal and external factors led to LiveJournal's decline in popularity after 2005.


The US prescription drug shortage list has over 250 medications, making 2023 the worst year for shortages in about a decade.

Most prescription drugs in shortages are generics, which make up 90 percent of US prescriptions.

Manufacturing and quality problems are the primary causes of most shortages.

High demand can contribute to drug shortages, affecting at least half a million patients on average.

Lack of transparency in the pharmaceutical industry hinders response to shortages due to undisclosed ingredient sources.

The FDA monitors the US supply chain and announces medication shortages, like the 2022 Adderall shortage, due to manufacturing delays.

The FDA provides information on alternative medications like Vyvanse during shortages.

Patients can find alternatives on the national drug shortage list and use websites like GoodRX or RX Saver for cheaper options.

As a primary caretaker, be aware of potential medication shortages and take steps to ensure a steady supply.

You can ask your pharmacist about shortages and alternatives, and doctors may prescribe alternatives if necessary.

Telehealth can help manage care during medication shortages by reducing facility overcrowding and enabling real-time provider consultations.

Check the national drug shortage list for your parent's medications and alternatives to prepare for potential shortages.

Refill prescriptions before they run out to maintain a steady supply of necessary medications.

Listing your parent's medications, diseases, and allergies helps healthcare providers make informed decisions.

Monitor medication quantity at home to prevent waste and ensure sufficient supply until the next visit.

Building relationships with multiple pharmacies can help ensure a stable supply of essential medications.

Alternative sourcing can mitigate shortages and ensure a stable medication supply.

The FDA allows temporary imports of some chemotherapy drugs from overseas to help alleviate shortages.

The US prescription drug shortage list has over 250 medications, making 2023 the worst year for shortages in about a decade.

Title:

Content: Prescription drug shortages lead to higher prices

Reporter: Andryanna Sheppard
Published: Updated:
Lea este artículo en Noticias WINK

Millions of people in the United States depend on prescription drugs to manage pain, treat medical conditions, and even to help them stay alive. However, the country’s drug shortage is making it hard for some people to get the medication they need or pay for the drugs that are available.

Federal Drug Administration data shows 90 percent of prescriptions in the US are for generic drugs. According to the National Institutes of Health, most prescription drugs involved in shortages are generic options.

There are currently more than 250 medications on the nation’s prescription drug shortage list, according to the American Society of Health-System Pharmacists. The organization says 2023 marked the worst year for shortages in about a decade.

Jessica Kahn’s two sons were diagnosed with ADD.

“I would say tricky, tricky to navigate,” Kahn described.

For the past year, Kahn said getting their medication has been frustrating.

“I have my list of all the pharmacies. I’ve even driven all the way up north to Walgreens or a CVS, some random place to go pick up a kids’ prescription,” Kahn added.

According to the FDA, prescription drug shortages are often linked to manufacturing and quality problems, delays, and discontinuations. Two drugs used in chemotherapy, Adderall, lidocaine, and amoxicillin are just a couple of the prescription medications on the shortage list.

When drug supplies are low, prices tend to increase. According to the US Department of Health and Human Services, there is a 16.6 percent increase in the price of drugs involved in a shortage. And in some cases, alternative drugs were priced at least three times higher.

“You got to be very conscientious that it might not be available and that it is not an option,” Kahn advised. “No matter how many places you call, it’s not there.”

Beating the prescription drug shortage

Health experts offer these tips:

  • Check the national drug shortage list for your medication and possible alternatives.
  • Don’t wait until your prescription is almost gone to refill it.
  • Check other pharmacies for availability and if you can’t find the generic version, look for coupons or programs that offer payment help. Some patients have reported that they receive additional help to reduce some prescription costs from $100 to $10, it’s not allowed if you are already on Medicare.
  • Websites and apps like GoodRX, RX Saver and WellRX can help you find the cheapest place that has your medication and coupons for it.

Contributors to this news report include: Lindsay Dailey, Producer; Bob Walko, Editor

Copyright ©2024 Fort Myers Broadcasting. All rights reserved.

This material may not be published, broadcast, rewritten, or redistributed without prior written consent.

Most prescription drugs in shortages are generics, which make up 90 percent of US prescriptions.

Manufacturing and quality problems are the primary causes of most shortages.

Title:

Content: General Supervision
Elham Aboul Fath
Editor-in-Chief
Thank you for your patience.
General Supervision
Elham Aboul Fath
Editor-in-Chief
Thank you for your patience.
An Unexpected Catastrophe in the World ’ s Largest Country: The Complete Story of U.S. Drug Shortages
The deficit is at a record level.
According to data from the American Society of Health System Pharmacists and the University of Utah Drug Information Service, organizations began tracking drug shortages for the first time in 2001. Steady since 2021 – now reaching a record high of 323 drugs in the first three months of 2024.
Paul Abramowitz, CEO of the American Society of Health System Pharmacists, wrote in a blog post on Thursday: “It ’ s been a long time to end drug shortages, ” and wrote:“ All drug classes are vulnerable to shortages, some of the most worrisome shortages include sterile injectable generic drugs, including cancer chemotherapy drugs and emergency drugs stored in hospital vans and procedural areas. It is dangerous for doctors and patients. ”
In addition to the 32 chemotherapy drugs that are deficient, the five categories of drugs with the greatest deficiency include central nervous system stimulants, antimicrobials, hormonal agents, and intravenous fluids. [1] The Drug Deficiency Database maintained by the American Society of Health System Pharmacists and the University of Utah is based on voluntary reports from practitioners, patients, and others that have been confirmed by manufacturers. The U.S. drug is in short supply, because it captures broader effects on service providers and patients.
The crisis has lasted a year and a half.
More than half of the treatment shortages have lasted for more than two years, according to an analysis by health consultancy IQVIA, and the average shortage affects at least half a million patients, many of them elderly, according to the US Office of Health and Human Services under the Assistant Secretary for Planning and Evaluation, which shared its analysis with Congress in May.
Growing demand can play a role in drug shortages, as with the recent shortage of weight-loss drugs, but often manufacturing and quality problems, such as supply chain gaps and downtime, are the root cause. And varied.
But the American Society of Health System Pharmacists has “serious concerns ” about parts of this proposal, especially financial sanctions imposed on hospitals that lack the resources to comply with the recommendations, Abramowitz wrote:“ We all know that managing shortages is not enough and is not a sustainable solution to the worsening crisis, and there is still a lot of work to be done at the federal level to fix the root causes of drug shortages. ”
Why Shortage Occurs
Shortages can be caused by high demand, as with the recent shortage of weight-loss drugs, but this is not usually the main problem.
The FDA also blames manufacturing and quality problems, supply chain gaps, and downtime, and Dr. Emily Tucker, a drug shortage expert and an assistant professor of industrial engineering at Clemson University, says that when there is an indication of shortages, large health systems often also proactively place large orders, adding to the system ’ s stress.
“I don ’ t blame anyone.
“When I talk to all the stakeholders – whether it ’ s wholesalers, manufacturers, or the government – everyone wants this problem to end, ” she said.
Lack of transparency
Dr. Julie Grallo, chief medical officer and executive vice president of the American Society of Clinical Oncology, told the House Committee earlier that the shortage puts providers in a terrible position: “The drug shortage crisis is forcing providers to make impossible choices, and it is also hindering the development of new drugs. Health drugs are purchased only on a price basis, and manufacturers do not have to disclose the source of their acquisition of the ingredients.
The shortage of this generic chemical drug came due to the closure of one factory in India that manufactures the active ingredient after a surprise FDA inspection found “significant quality issues, ” says Jarallo:“ We didn ’ t know, and there was no transparency regarding the company ’ s supply of the majority of active pharmaceutical ingredients to all manufacturers across the board.
Knowing this in advance, we could have responded much faster, ” Dr. Steven Schundlemeyer, director of the PRIME Institute of the University of Minnesota School of Pharmacy, which focuses on economic and management issues, told the committee that as with defense contractors in the United States, New Zealand requires manufacturers to disclose their suppliers, and that information is required.
Easily accessible in the database.
Related Topics

High demand can contribute to drug shortages, affecting at least half a million patients on average.

Lack of transparency in the pharmaceutical industry hinders response to shortages due to undisclosed ingredient sources.

The FDA monitors the US supply chain and announces medication shortages, like the 2022 Adderall shortage, due to manufacturing delays.

Title:

Content: Nationwide Adderall shortage impacting area pharmacies in the Panhandle

Published: Oct. 19, 2022 at 5:07 PM CDT|Updated: 19 minutes ago

AMARILLO, Texas (KFDA) - The Food and Drug Administration has declared a nationwide Adderall shortage and the Panhandle is feeling the affects.

The FDA blames the shortage on manufacturing delays.

Health experts say a shortage in stimulant medications is actually not a rare occurrence.

“The amount of medication that is produced is limited and regulated by the government, so there have been other years where towards the end of the year in particular, we start to struggle with supply issues. In this case, however, while that does seem to be probably one of the contributing factors, the other issue we’re facing, at least what we’re hearing about it right now, is that the manufacturing delays have been an issue and some of that has been secondary to the labor shortages,” said Dr. Carolyn Lentsch-Parcells, pediatrician and assistant professor at Burnett School of Medicine at TCU.

Martin Tipton Pharmacy is being impacted by this shortage.

“We’re having to order from various manufacturers right now, not our normal manufactures just because we cannot get them from our normal ones,” said Mark Vogler, Martin Tipton Pharmacy.

Fortunately its patients have been able to get their needed medication, just a different brand.

Amarillo Pharmacy is also being impacted, saying the drug has been back ordered for the past two months.

The Amarillo Pharmaceutical Care Center at Texas Tech Physicians is also seeing a back order on one of the strengths of the drug.

“The drug company manufacturers short-acting and extended-release, for example. So, a pharmacist, in this situation, will work collaboratively with the patient’s provider to find an available strength and dosage to meet the patient’s needs until the original strength becomes available again,” said Amarillo Pharmaceutical Care Center at Texas Tech Physicians.

Dr. Lentsch-Parcells acknowledged this may be an uneasy time for those depending on Adderall, especially with the end of the semester and holidays approaching. She encourages you to reach out to your providers.

“There are various strategies that we will sometimes use to help our patients get the best care possible, while we are trying to ride out the shortage, so that might be changing dosage or using dosage forms that are available to replace their typical medication,” said Dr. Lentsch-Parcells

She emphasizes not to make any changes to your medications without speaking to your providers first.

Pharmacy chains, like CVS and Walgreens, both confirm they are seeing intermittent supply issues with the generic form of the drug.

The FDA provides information on alternative medications like Vyvanse during shortages.

Title:

Content: Clara Pitts has always strived for perfection.

The 17-year-old Utah native has been named a 2023 National Merit Scholarship finalist. And she heads to Brigham Young University as a freshman this fall.

But despite all of her achievements, Clara has one thing weighing on her mind: What if she fails?

Clara was diagnosed with attention-deficit/hyperactivity disorder (ADHD) in 10th grade, during the summer of 2020, after months of digital schooling had started to take its toll.

"For the first time, I started struggling with getting my homework done [and] having a set schedule that I had to do myself," Clara said. "It was because of online school."

So along with her mother, Rebekah, she made the decision to try medication.

"I didn't realize just how much my ADHD was inhibiting me from acting the same way as all of my friends until I had that experience of leveling the playing field," Clara said.

By December 2020, Clara was prescribed 10 milligrams of Adderall, a formulation of amphetamine mixed salts, to be taken twice a day. Immediately, she noticed a difference.

"It seemed like the logical course of action, like something that shouldn't have been happening in my brain was being fixed," Clara said. "Naturally, my brain goes really, really fast, and I don't even notice it because it's what I've grown up with, and it's the only mind I've ever experienced. But once I started having a different experience mentally, I felt a lot calmer."

For the two years that followed, Clara was finally able to lead what she called a normal life, managing school, extracurricular activities and social life -- all with the help of Adderall.

But in October 2022, Clara's sense of calm was stripped away when the US Food and Drug Administration announced a shortage of Adderall and its generic counterparts.

"I hadn't heard anything about a shortage," she said. "I didn't really take it seriously at first until later that week -- maybe three or four days later -- when I started to hear news about the shortage, and it really started to sink in."

CNN first spoke with Clara and her mother, Rebekah, about a month after the FDA's announcement. At the time, Clara had eight Adderall pills left in her prescription bottle -- enough to last her four days.

"Initially, I was just very surprised when I tried to refill the prescription and they would not [refill it]," Rebekah says. "Very quickly, I went from surprised to afraid."

On October 24, Rebekah texted Clara the bad news. The shortage had finally affected them, and their pharmacy could not refill Clara's medication due to the shortage.

"They wouldn't put you on a waiting list," Rebekah texted her daughter. "I'm just sitting here crying because I can't get you these meds."

Rebekah says she called eight local pharmacies, and each one turned up empty.

"I felt really emotional about it in that first week or two ... like I had failed my child, even though it wasn't my fault," Rebekah said. "I felt scared for what that would mean for her as a senior."

Why is there a shortage?

The FDA announced a shortage of Adderall on October 12. The agency noted that it was in communication with all manufacturers of amphetamine mixed salts and that one of those companies, Teva, was "experiencing ongoing intermittent manufacturing delays." Although other manufacturers continued to produce the drug, the agency said, "there is not sufficient supply to continue to meet U.S. market demand through those producers."

Jim McKinney, a spokesperson for the agency, told CNN that the manufacturing delay has been resolved and that the shortage is now "demand-driven."

Data from the analytics and research company IQVIA shows that the demand for Adderall has risen nearly 27% in recent years, with prescriptions jumping from 35.5 million in 2019 to 45 million last year.

On its website, the FDA lists eight manufacturers that have reported Adderall shortages to the agency. The website lists the shortage reason for some versions of the drug, such as "demand increase" or "shortage of active ingredient," but for other versions, it just says "other" or lists no reason at all.

Each year, the Drug Enforcement Administration tracks and sets a limit on production of amphetamine, one of the key ingredients in Adderall. It says that for the past three years, manufacturers didn't expend all of the ingredients that were available for their use.

"DEA is committed to ensuring that all Americans can readily access needed medications," an agency spokesperson told CNN in a statement. "We are aware that the pharmaceutical industry is claiming that there is a quota shortage for the active ingredients in ADHD drugs. Based on DEA's information -- which is provided by drug manufacturers -- this is not true."

CNN reached out to the eight manufacturers that reported shortages to the FDA.

Teva Pharmaceuticals, Epic Pharma and Rhodes Pharmaceuticals did not respond. Alvogen, SpecGX and Sunrise Pharmaceutical declined to comment.

Sandoz said it had enough product to meet current customer orders. Lannett also said it had enough to meet current customer orders but added that it did not have enough to fulfill increased demand.

McKinney, the FDA spokesperson, said supply is increasing.

"The FDA recognizes the potential impact that reduced availability of certain products may have on health care providers and patients and is working closely with numerous manufacturers and others in the supply chain to understand, mitigate and prevent or reduce the impact of intermittent or reduced availability of certain products," he said.

McKinney clarified that although the FDA is working with manufacturers, the agency does not make drugs and "cannot require a pharmaceutical company to make a drug, make more of a drug, or change the distribution of a drug."

Dr. Yoram Unguru, a pediatric hematologist and oncologist with joint faculty appointments at the Herman & Walter Samuelson Children's Hospital at Sinai and the Johns Hopkins Berman Institute of Bioethics, studies drug shortages.

He says a lack of transparency about details -- how big the shortage is and how much drug each company is making -- is hindering solutions.

"Pharmaceutical manufacturers are not required to disclose the reason for disrupted supply. Knowing the exact reason for a given shortage is always challenging," Unguru said. "It's really difficult to be able to anticipate and let alone come up with meaningful solutions if you don't know what the problem is."

The search for alternatives

Clara ultimately went without Adderall for two and half months as she coped with the stresses of senior year. She began taking a different ADHD medication, Vyvanse, in mid-January.

Rebekah says she hopes Adderall will be an option for Clara again one day, adding that she doesn't have the emotional stamina to keep searching for the medication.

"I would like her to have medication as an option and for it to be reliable, because college will probably be the hardest journey for her with ADHD."

Clara says that life without Adderall is like trying to see the world vividly while wearing smudged glasses.

"You go around with dirty glasses. You get used to it, and you don't realize that they're dirty. But when you clean them off, having that extra bit of clarity makes a world of difference."

The-CNN-Wire

™ & © 2023 Cable News Network, Inc., a Warner Bros. Discovery Company. All rights reserved.

CNN's Raenu Charles and Janelle Chavez contributed to this report.

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Patients can find alternatives on the national drug shortage list and use websites like GoodRX or RX Saver for cheaper options.

As a primary caretaker, be aware of potential medication shortages and take steps to ensure a steady supply.

You can ask your pharmacist about shortages and alternatives, and doctors may prescribe alternatives if necessary.

Title:

Content: Is a prostate issue to blame for my sexual problems after I started online dating aged 76 following divorce? Ask DR ELLIE CANNON

Q: I’m a healthy 76-year-old and I just started online dating after my divorce. However, during sex I struggle to maintain an erection. Also when I climax, I experience a pleasurable feeling but produce nothing. Should I be worried about my prostate?

Dr Ellie replies: Men often experience sexual problems later in life because of an enlarged prostate or its treatment. The prostate is a small gland at the base of the bladder around the tube that carries the urine out. It is often described as being the size of a walnut, but as men age, it can become much larger than this.

Regular exercise, quitting smoking and cutting down on alcohol have all been shown to help combat erectile dysfunction

Of course, men can also get prostate cancer. An enlarged prostate will make it more difficult to urinate, due to the proximity of the prostate to the bladder, and trigger sexual problems.

These issues are typically erectile dysfunction and difficulty ejaculating. There are treatments which can combat an enlarged prostate, but it’s important to know that these too can lead to sexual problems.

READ MORE: DR ELLIE CANNON: Are the drugs I'm taking to blame for my hip pain?

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One commonly used medication for prostate problems is called finasteride, a daily tablet which can make it easier to pee.

However, more than one in 100 men who take it will have problems getting an erection and or problems ejaculating.

Men who don’t respond to medication are often offered a transurethral resection of the prostate – known as a TURP – which involves cutting away sections of the prostate.

It is thought that as many as three-quarters of men who receive a TURP will have difficulty ejaculating due to damage to the nerves and muscles in the prostate region.

Likewise, surgery to remove the prostate often leads to dry orgasms – where nothing comes out – as the gland is involved in the production of semen.

There are things you can do yourself to reduce the severity of your symptoms.

Regular exercise, quitting smoking and cutting down on alcohol have all been shown to help combat erectile dysfunction.

If the problem continues – or gets worse – then you should talk to your GP about treatment.

Q: I’m a woman in my late 70s. In 2018 I was prescribed alendronic acid after I had a fall and fractured my wrist. I have heard that you should take a break from this medication after five years but my GP says I should stay on it. I also requested another bone density scan but she said I didn’t need one. Is this correct?

Dr Ellie replies: Alendronic acid is the medication we most commonly use for the bone-thinning condition osteoporosis, and it is usually safe to take long-term.

It is taken as a weekly tablet or drink and reduces the risk of further breaks. Our bones are constantly being broken down and rebuilt by specially adapted cells within them. Osteoporosis occurs when there is too much bone breakdown happening which causes them to weaken. Alendronic acid slows down this process. Usually after five years on the treatment you would have a review of your medication to decide if you still require it. This would often involve a bone density scan, also known as a Dexa scan. A patient may stay on the medication for another five years or take a ‘treatment holiday’ and come off it for a few years.

Alendronic acid does have some common side-effects including constipation, dizziness and headaches

Alendronic acid does have some common side-effects including constipation, dizziness and headaches.

If the treatment is causing too many problems, or is failing to keep the osteoporosis under control, patients might be offered a new drug. However, it is hard to make this decision without a further Dexa scan.

The Royal Osteoporosis Society offers excellent support – you can speak with one of their specialist nurses on 0808 800 0035. After this, it would be worth requesting a conversation with the GP to establish why your medication is being continued.

Q: My GP advised I take statins, but ten days after I began the pills I developed serious pins and needles in my feet and hands. I immediately stopped taking the drug, but two months later, the pins and needles have turned into a painful stabbing sensation all over my body. My feet feel like they are burning.

Despite this, my GP refuses to see me for an appointment because he says it is a matter for a pharmacist. What should I do?

Dr Ellie replies: This is not the standard of care someone should be receiving from an NHS GP. Anyone with new symptoms or potential medication side-effects should be offered an appointment.

It might be worth looking into registering at a new practice, so you can get easier access to a doctor. Pins and needles are an uncommon side-effect of statins. The fact the sensation has continued after you stopped taking the pills could suggest it is unrelated. A feeling of electric shocks or burning, particularly in the feet, can be a condition called peripheral neuropathy where the nerves are not working properly. Peripheral neuropathy is often triggered by a vitamin B12 deficiency, and can be reversed. This is why it is crucial that you see a doctor.

If it is the statins, a GP can recommend other ways of treating cholesterol such as diet and lifestyle changes, or other medicines.

DRUG SHORTAGES PUT PATIENTS AT RISK

Medicine shortages are worse than ever, and are now affecting people’s health, according to a new report.

Supply problems have doubled since 2020, the Nuffield Trust think-tank found. GPs and pharmacists deal with this daily.

I do not recall shortages like this even being an issue

ten years ago.

Medicines for epilepsy are often in short supply. Without these, seizures are more likely and can be catastrophic. And I know parents who drive to many pharmacies to find ADHD drugs for their children.

If you have a practice pharmacist at your GP surgery, try to ask them if there are shortages of your prescription drugs, and whether alternatives can be had.

Doctors tend not to know what is and isn’t available.

Are you struggling to get hold of vital medication? Write and let me know.

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Back pain sufferers are being fobbed off

Latest figures suggest a staggering 2.8 million Britons are ‘economically inactive’ due to ill health.

That’s double the number of ten years ago — and includes a rise of almost three-quarters of a million since the pandemic. This is probably because getting treatment for even serious problems is so difficult now.

Mental illness and respiratory diseases top the list of reasons for going long-term sick. The other most common is ‘musculoskeletal problems’, often back trouble. But back pain can be resolved quickly with advice, exercise and a physiotherapy assessment.

It frustrates me that, even if I refer my patients for the latter, it’s just not available — they’re fobbed off with phone appointments and leaflets. Have you struggled to get help with your back pain? Write and let me know.

Do you have a question for Dr Ellie Cannon? Email DrEllie@mailonsunday.co.uk

Dr Cannon cannot enter into personal correspondence and her replies should be taken in a general context.

Telehealth can help manage care during medication shortages by reducing facility overcrowding and enabling real-time provider consultations.

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Content: Local healthcare facilities see rise in wait times as 'tripledemic' continues to rage

Healthcare experts are anticipating an increase in cases of COVID and seasonal illnesses associated with the so-called ‘tripledemic’ as the holiday season brings family and friends together.

Dr. Heather Osher, Medical Director of Patient First, says her facility is seeing increased wait times as more fall ill. To avoid overcrowding, Osher says it's important to keep tabs on their website.

"I tell people, as far as Patient First, you can always go on the website and see if the center is busy right now," Osher said.

People who fall ill should try to avoid large crowds to prevent spreading their sickness. As such, Dr. Osher suggests taking advantage of telehealth to talk to a healthcare provider about treatments.

"They’ll go on here real time with the camera and the computer, talk to them and diagnose, and we can do it all the computer electronically," Osher said.

While the passing of illness remains prevalent this winter, pharmacies are facing a shortage of over-the-counter and prescription medications to help alleviate patient's symptoms.

"It’s been a nightmare for the last few months getting in all children’s products," said Kourtney Chichilitti, a Pharmacist at Parkway Pharmacy.

On Tuesday night Parkway Pharmacy had only about 100 bottles of Children’s Motrin for families in need.

Check the national drug shortage list for your parent's medications and alternatives to prepare for potential shortages.

Refill prescriptions before they run out to maintain a steady supply of necessary medications.

Listing your parent's medications, diseases, and allergies helps healthcare providers make informed decisions.

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Content: Preparing a list of medications for patients
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Some people suffer from many diseases and need to take a variety of drugs, which is difficult to avoid confusion.
Jurong Community Hospital pharmacist Sun Shimin reminded that caregivers should prepare a list of medications for patients in case of emergencies, such as patients unable to communicate well or suddenly unable to recall what medicine they were taking.
Jurong Community Hospital pharmacist Sun Shimin recommends that the list of medications prepared by caregivers for patients should include:
• Details of the patient, such as what disease they have, whether they are allergic to any medication or food.
• List all medications, supplements, or traditional Chinese medicines that the patient is taking (including dosage, frequency, and purpose).
If the patient only takes certain medications when necessary, it should also be noted on the list.
Reminder! If there are any changes to the medicine, remember to modify the list; when you see a doctor or buy a medicine from a pharmacist, remember to bring the list.
What should a caregiver look out for when taking a patient to a clinic, hospital or pharmacy?
The pharmacist Sun Shimin recommends:
• Make sure there is enough medication to last until the next visit.
• Also keep an eye out for the amount of medication left in your home to avoid overstocking.
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Monitor medication quantity at home to prevent waste and ensure sufficient supply until the next visit.

Building relationships with multiple pharmacies can help ensure a stable supply of essential medications.

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Content: Lubbock pharmacies struggling to keep important medication on the shelves

Shortage of antibiotics, cough syrup, and allergy medication
Published: Dec. 8, 2022 at 9:42 PM CST|Updated: 21 minutes ago

LUBBOCK, Texas (KCBD) - With more people getting sick this season, some pharmacies are having trouble keeping important medications in stock.

Soon, it may be hard to find simple things like antibiotics and cough medicine.

This can be a scary thought for a parent with a sick kid at home. Kelsie Hatchett is the mother of 4-year-old Briggs. Briggs has had strep at least three times this year. Kelsie says the thought of not being able to get what she needs in the future is scary.

“It seems like every day you’re hearing of another friend or family member who is sick and they’ve either got flu, they’ve got RSV, COVID, and respiratory illness,” Hatchett said. “So, it is a scary thing him getting sick and maybe he didn’t tolerate it as well that time.”

Jerad Thornhill is the owner of Thornhill’s Pharmacy’s in Shallowater and Lubbock. Antibiotics, cough medicines, and allergy medicines are flying off the shelves in his stores. He says on top of the high demand, all of these items are on back order.

“It’s been a real struggle to fulfill the majority of the prescriptions that are coming in for patients that are actively sick,” Thornhill said.

Trying to restock the shelves, Thornhill says he frequently checks with suppliers to see if anything is in stock. Then, checks with providers to find something comparable.

“Typically, we’re able to get someone taken care of that route,” Thornhill said. “The other option is a lot of times if something else is available we may have to order it and get it in for the next day.”

Every time you hear more sneezing and coughing around town, Thornhill says pharmacies experience shortages, but it’s never been like this.

“But for whatever reason this year it seems like it’s been, I don’t know if it’s still supply chain issues from COVID, or what it might be, but it’s this year in particular it seems to be quite a struggle,” Thornhill said.

Thornhill says there could be more than one problem affecting medicine making it to the stores.

“I think it’s a combination of supply chain and there are starting to be fewer and fewer manufacturers making some of these medications,” Thornhill said.

Kelsie is mom to Briggs, but she’s also a nurse. She says it’s important to make sure you absolutely need antibiotics before getting them so patients in the hospital have access.

“Now more than ever, it is important for us to take care of our bodies and really focus on letting them use those natural defenses to preserve those medications,” Hatchett said.

Hatchett says she understands wanting to treat children immediately; she shares that feeling as well, but she says it’s important to preserve that medication for everyone.

Thornhill says it’s not just cold and flu medications that are a problem currently. He says stores are low on ADHD medication and blood pressure medication as well.

Alternative sourcing can mitigate shortages and ensure a stable medication supply.

The FDA allows temporary imports of some chemotherapy drugs from overseas to help alleviate shortages.

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Content: As drug shortage list grows, many hospitals face tough decisions on rationing care

More than half of hospital pharmacists are reporting a critical shortage of chemotherapy drugs and nearly all are reporting overall medicine supply gaps as prescription drug shortages near an all time high, according to a new survey.

Hospital pharmacists said drug shortages have forced 1 in 3 health systems to delay, cancel or ration care or switch to alternate drugs to continue to treat patients. And 99% are reporting some drug supply shortages, an American Society of Health-System Pharmacists survey of more than 1,000 pharmacists released Thursday found.

The organization reported shortages of 309 drugs, near the all-time high of 320 shortages in 2014. The scarcity of key drugs is prompting hospitals to find or substitute drugs and change treatment plans as needed.

“In some cases, there are no alternatives to the affected drugs, which puts patients at risk," ASHP Chief Executive Officer Paul W. Abramowitz said in a statement. "This issue requires quick action from Congress to address the underlying causes of shortages and ensure patients have the medications they need.”

Cancer drug shortages

In June, the Food and Drug Administration said it will temporarily allow overseas drug manufacturers to import some chemotherapy drugs.

The FDA allowed Qilu Pharmaceutical, a drug manufacturer in China, to import the injectable chemotherapy drug cisplatin in 50-milligram vials. Toronto pharmaceutical company Apotex Corp. will distribute the medication in the United States.

More than a dozen cancer drugs have been in shortage in recent months, including cisplatin and carboplatin, used to treat lung, breast, prostate and gynecologic cancers. The National Cancer Institute said cisplatin and similar drugs are prescribed for 10% to 20% of all cancer patients.

In June, the National Comprehensive Cancer Network released a survey of 27 academic cancer centers that found 93% reported shortages of carboplatin and 70% faced shortages of cisplatin.

When cancer hospitals face such shortages, they attempt to make sure there's enough medication for patients to finish the course of treatment, said Mike Ganio, ASHP's senior director of pharmacy practice and quality.

Cancer hospitals facing such shortages might change medications for new patients starting on chemotherapy, said Ganio, a former pharmacy manager at an academic cancer center.

"You try to keep that patient on the same regimen as much as you can, unless they're failing it for some reason, and then you would switch," Ganio said.

Steroids, hormonal drugs also in short supply

More than 1 in 5 hospital pharmacists also reported shortages for steroids, hormonal drugs and oral liquids such as lidocaine, ibuprofen and amoxicillin.

A smaller number of pharmacists said heart medications, emergency prefilled syringes and drugs used for intensive care unit patients were in short supply. Others reported shortages of attention deficit hyperactivity disorder medicines, antimicrobial drugs and injectable opioids.

In all, about two-thirds of pharmacists said the shortages were "moderately impactful," which means they are managing shortages but patients are affected.

Pharmacists are managing the shortages by offering therapeutic alternatives, buying different vial sizes or concentrations and rationing medicines.

This article originally appeared on USA TODAY: Survey: Drug shortages are widespread, hospitals ration care