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128 Assisted Living Facilities near Greenwood Village, CO
There are 128 Assisted Living Facilities in the Greenwood Village area, with 2 in Greenwood Village and 126 nearby.
The average cost of assisted living in Greenwood Village is $4,050 per month. This is higher than the national median of $3,500. Cheaper nearby regions include Centennial with an average starting cost of $3,462.
To help you with your search, browse the 413 reviews below for assisted living facilities in Greenwood Village. On average, consumers rate assisted living in Greenwood Village 3.9 out of 5 stars. Better rated regions include Centennial with an average rating of 4.5 out of 5 stars.
Caring.com has helped thousands of families find high-quality senior care. To speak with one of our Family Advisors about assisted living options and costs in Greenwood Village, call (855) 863-8283.
Top 10 Assisted Living Facilities in Greenwood Village, CO
The Inn at Greenwood Village
5565 South Yosemite Street, Greenwood Village, ...
"I have been in the community for five years. We have gone through many changes in that time. I like what I see, and like it here. I have to commend the whole kitchen staff on how they have handled..." More
Brookdale Greenwood Village
6450 South Boston St., Greenwood Village, CO 80111
"We did look at Brookdale Greenwood Village. It was a big place. It was very nice. It had very modern feel to the whole facility. " More
Brookdale Lowry
150 Quebec Street, Denver, CO 80230
"Brookdale Lowry felt like a resort and was more open, which would not work really well for my mom. The rooms were beautiful. They didn't have a skilled nursing area." More
Sunrise at Orchard
5975 South Holly Street, Littleton, CO 80121
"Sunrise at Orchard assisted living was very nice and the people were very nice. The residents seemed happy and very communicative to each other which I thought was important. The rooms were nice..." More
Brookdale Meridian Englewood
3455 South Corona Street, Englewood, CO 80113
" Brookdale Meridian Englewood provides a full range of choices for today's seniors. Choosing a senior living community represents a lifestyle choice and we understand that our residents are..." More
Brookdale University Park
2020 South Monroe St., Denver, CO 80210
"Heritage Club of Denver was attractive enough that we decided to move here. It fits our needs very comfortably. The rooms are comfortable, and we have no complaints at all with the food. Their..." More
Montage Hills
2500 South Roslyn Street, Denver, CO 80231
"We are so pleased with the level of care, team members and medical caregivers at Montage Hills. Communication is thoughtful, activities are well organized and appealing to all, atmosphere is "like..." More
Vi at Highlands Ranch
2850 Classic Drive, Highlands Ranch, CO 80126
"We spent a lot of time talking to the director of the Vi at Highlands Ranch. He was very nice. We like this community a lot, but we couldn't afford it because it was too expensive. Nevertheless, it..." More
Sunrise at Cherry Creek
251 S. Colorado Boulevard, Denver, CO 80246
"Sunrise at Cherry Creek was my favorite, but getting there was just horrible because the traffic was terrible. When it snows, I wouldn't be able to get to my mom, so that was the only drawback. I..." More
Springbrooke Retirement & Assisted Li...
"Springbrook Retirement was nice and on the top of my list. The common areas were exceptionally nice. I got to meet the staff and the activities director; they do music programs for various..." More
Find Local Costs for Greenwood Village, CO
Brookdale Parkplace
111 Emerson St., Denver, CO 80218
"Brookdale Parkplace is a very nice community, but I feel that the residents were a bit older than me. My room is fantastic, I have hardwood floors which I like. It's very clean and painted nicely...." More
Serenity House, E. Hinsdale Avenue
3197 E. Hinsdale Avenue,, Centennial, CO 80122
"Serenity House got a good rating on the state of Colorado website so we chose it for my mom. It's a lovely place. The staff are helpful and nice. We were able to get a big room. My mom says the..." More
Serenity House, South Forest Drive
2337 South Forest Drive, Denver, CO 80222
"I chose Serenity House Assisted Living for my father because it was not a huge facility. It was a house with only 8 residents. He got his own room and was able to interact more with the people..." More
Serenity House, S. Kearney Street
3068 S. Kearney Street, Denver, CO 80222
"Serenity House Assisted Living is a unique alternative for assisted living services. Our residential homes service only 7 to 8 residents, allowing each individual more personal attention, nurturing..." More
Serenity House, E. Dry Creek Place
2947 E Dry Creek Place, Centennial, CO 80122
"Serenity House is a residential home with eight residents in total. Dad has a private room and bath, and so far it's OK. He will just watch TV for six hours a day, a couple of ladies from the..." More
Serenity House, E. Hunters Hill Drive
8352 E. Hunters Hill Drive, Centennial, CO 80112
Serenity House, W. Geddes Ave.
5310 W. Geddes Ave., Littleton, CO 80128
"I'm putting my dad in Serenity House. They have 17 different locations in the Denver metro area. We chose it because he will have his own room, there are only eight residents, and it's very tidy,..." More
Sunrise of Pinehurst
5195 West Quincy Avenue, Denver, CO 80236
"Sunrise of Pinehurst was very nice and very clean. The apartment was pretty typical, just like some of the others we have seen. There were numerous activities. The staff was very nice and very..." More
Abby's Assisted Living
2607 S Eudora Place, Denver, CO 80222
"Abby's Assisted Living is a home environment. Mom had a private room and bathroom. The home was always very clean. Home made food was great. The best part about Abby's is the staff. They are..." More
Serenity House, South High Street
3235 South High Street, Englewood, CO 80113
"The facility is wonderfully clean and well decorated, appointed, and very up-to-date. The residents seemed very lively, well-adjusted and alert. There is a constant variety of activities, so..." More
Loving Touch Elderly Assistant Care
280 E. Sterne Boulevard, Centennial, CO 80122
"I have found Loving Touch Elderly Assistant Living to be as advertised. I have been blessed to have had a family member be a resident of this lovely home and recently recommended a friend. The..." More
Cadence Aurora
1820 South Potomac St., Aurora, CO 80012
"The rooms were beautiful. The facility is very lovely, and it was more than what I expected. The staff are very pleasant, nice, and caring, but my parents are not ready to move in yet to any..." More
Cadence Lakewood
3151 South Wadsworth Blvd., Lakewood, CO 80227
"I was very pleased with this community. If my mother would've agreed, we would have placed her there. The staff was very pleasant and very helpful. The dining room was very nice and very intimate,..." More
Jewell Assisted Living
9271 E. Jewell Circle, Denver, CO 80231
"My mother-in-law was with Jewell Assisted Living for six weeks. The staff was very responsive. There's always going to be a few everywhere you go that you're not thrilled with, but I really enjoyed..." More
Atria Englewood (Now Open)
3555 South Clarkson Street, Englewood, CO 80113
"Atria Senior Living is excited to announce a new community serving the families of Arapahoe County: Atria Englewood. Now pre-leasing and scheduled to open in December, Atria Englewood will..." More
Caley Ridge Assisted Living
9350 E Caley Ave, Englewood, CO 80111
"I really liked Caley Ridge Assisted Living. The place was very clean and the residents were really engaged, out and about, mingling, and involved in activities. I liked the setup of the room, and..." More
The Ridge Pinehurst
7205 West Quincy Ave., Lakewood, CO 80235
"Our family checked out many independent and assisted living facilities in our search for the right place for our aunt! She needed moderate care and is thrilled with this beautiful and smartly..." More
Lighthouse Assisted Living- Emporia H...
6318 S Emporia Circle, Englewood, CO 80111
"Our homes allow residents to experience the highest quality of life with excellent care in a comfortable neighborhood setting. We offer various levels of care in our assisted living homes in..." More
Montage Heights
1640 South Quebec Way, Denver, CO 80231
"We offer a home like setting and cheerful smiles from our professional staff who greet you every day. Our caring staff offers the assistance you need while respecting your independence. Our..." More
Alternative Care Homes
941 S. Fulton Street, Denver, CO 80247
"At Alternative Care Homes, our goal is to provide our residents with the best in senior living. Our high quality care and dedicated staff ensure that the health needs of all our residents are..." More
Lighthouse Assisted Living - Newland ...
7070 S. Newland Court, Littleton, CO 80128
Catharine's Quality of Life Homes
3225 S Reed Ct, Lakewood, CO 80227
"Catharine's Quality of Life residential homes create a small family atmosphere in which our resident family members don't passively observe life – they actively live it. Our daily routine provides..." More
We Care Homes of Colorado
6610 S. Oneida Ct., Centennial, CO 80111
"We Care Homes of Colorado provides compassionate and quality care to our residents who value their independence and freedom of choice. Offering personalized assistance and compassionate care in a..." More
Serenity House, Carter Circle
3075 Carter Circle, Denver, CO 80222
Serenity House, South Holly Street
2480 South Holly Street, Denver, CO 80222
Serenity House, E. Ida Court
10760 E. Ida Court, Englewood, CO 80111
Serenity House, S. Kingston Way
5841 S. Kingston Way, Englewood, CO 80111
Serenity House, S. Kenton Way
5750 S Kenton Way, Englewood, CO 80111
Serenity House, S. Iola Way
6128 S. Iola Way, Englewood, CO 80111
Serenity House, S. Kit Carson Cir. E.
6770 S. Kit Carson Cir. E, Centennial, CO 80122
Serenity House, W. Portland Dr
5286 W. Portland Dr., Littleton, CO 80128
Carelink Assisted Living
2602 E Weaver Ave, Centennial, CO 80121
"Carelinkhome is a warm and welcoming residence. Our nurses and staff make your stay welcoming and comfortable. And because we take care of all your needs and daily maintenance, our residents have..." More
8217 W Peakview Dr, Littleton, CO 80123
Aspen View Living
11010 E Colorado Drive, Aurora, CO 80012
"Aspen View Living provides a safe, supportive and inviting home to provide care services to meet each individuals needs. Aspen View Living strives to offer exceptional care that is personalized, at..." More
Leawood Assisted Living II
8385 S. Yarrow Street, Littleton, CO 80128
"All rooms are private and 2 of the rooms are master suites with half baths. We designed our home to meet the highest standards of safety and hygiene while providing every comfortable detail of home..." More
Leawood Assisted Living III
6398 S. Chase Street, Littleton, CO 80123
Leawood Assisted Living IV
1665 E. Noble Place, Centennial, CO 80121
Meadow Vista Assisted Living
7516 S. Wadsworth Court, Littleton, CO 80128
"Meadow Vista Assisted Living is a locally owned assisted living care home with 8 residents. Meadow Vista Assisted Living is located in a beautiful quiet neighborhood. We aim to provide the..." More
Nurturing Care Home Assisted Living S...
7052 W Stanford Ave., Lakewood, CO 80123
"Nurturing Care Home has a beautiful front and back yard offering plenty of space for the residents to enjoy the outdoors. Each room has a 1/4 bath and a large spacious living area with bright sunny..." More
Lighthouse Assisted Living- Steele House
6700 S. Steele St, Centennial, CO 80122
Lighthouse Assisted Living- Irwin House
2745 E. Irwin Place, Centennial, CO 80122
Lighthouse Assisted Living- Elizabeth...
7783 S. Elizabeth Way, Centennial, CO 80122
Modena Cherry Creek
2440 S Wabash St, Denver, CO 80231
"This brand new Community, opening early 2020, Modena Cherry Creek stands apart due to our unwavering commitment to excellence in every aspect of the operation: our team members, our culinary arts,..." More
StoneCreek of Littleton
7800 S Windermere St , Littleton, CO 80120
Lincoln Meadows Senior Living
10001 South Oswego Street, Parker, CO 80134
"I had a very positive visit with Lincoln Meadows. It was a very friendly atmosphere. The rooms were small like every place, and they didn't stand out. What stood out was the food service. It's way..." More
The Courtyards at Mountain View
8101 East Mississippi Ave., Denver, CO 80247
"Brookdale was nice and big, which we didn't think was so great because you have to walk to your room, so that's a negative, but everything else was great. There were a lot of Jewish people there. I..." More
HighPointe Senior Living
6383 E. Girard Place, Denver, CO 80222
"HighPointe Assisted Living & Memory Care was absolutely #1. It was beautiful, perfectly kept, and had friendly staff. It was a good tour. However, my mother still drives, and it's in a highly..." More
Cherry Creek Retirement Village - Ind...
14555 E. Hampden Ave., Aurora, CO 80014
"My father is currently a resident at Cherry Creek Village. I cannot say enough about the care that he gets there. The staff is so friendly and attentive. He has a beautiful studio apartment that is..." More
11265 East Mississippi Avenue, Aurora, CO 80012
"I wish to commend that maintenance department of Canterbury, John (the manager), Adam and Marcus. They do an excellent job of maintaining the buildings. They must be recognized by corporate for..." More
10200 East Harvard Avenue, Denver, CO 80231
"We found what we wanted and right where we wanted it at Harvard Square, so I'm giving it a try. I think I'm going to love it. They're very adamant about fulfilling your needs. One of the things I..." More
St. Andrew's Village
13801 E Yale Ave, Aurora, CO 80014
Abby's Assisted Living II
3071 S Rosemary, Denver, CO 80231
"My mom was a resident at Abby's and we're so thankful we found this home. They took good care of our mom with empathy. " More
The Joy of Caring
9120 EAST JEWELL CIRCLE, Denver, CO 80231
"My husband is in a small group home called Joy of Caring. It is small, the caregiver ratio is excellent, the caregivers are very nice, and he gets excellent care. They don't have organized..." More
Rocky Mountain Assisted Living - E Eu...
3638 E Euclid Ave, Centennial, CO 80121
"This Rocky Mountain Assisted Living facility is wonderful. Excellent attentive staff combined with conveniences not found in other assisted living facilities. Each resident has their own room with..." More
Rocky Mountain Assisted Living - West...
7975 West Quincy Ave, Lakewood, CO 80123
"I love Rocky Mountain. Their staff is great. They're so nice to everybody. They know everybody's name and even the family's names when you go in. It is a smaller place, but it seems homey. I think..." More
Kavod Senior Life
22 S. Adams Street, Denver, CO 80209
"This is a lovely facility, and the residents are really friendly with each other and the staff. I know for a fact that great friendships have been forged here. This facility is close to a lot of..." More
Tender Care Assisted Living LLC
3241 S Mabry Way, Denver, CO 80236
"Tender Care is a wonderful place! My mother lives here and I never have to worry about her care, because I know the staff are doing a fantastic job. All the staff are professional, well trained and..." More
VA Eastern Colorado Health Care System
1055 Clermont St, Denver, CO 80220
"My Grandmother, a 98 year old veteran of the second world war, has stayed at this facility for respite care several times over the last few years, and I've always been very impressed. The building..." More
Clermont Assisted Living
6563 S Clermont Ct, Centennial, CO 80121
"I had my mother here for the last 2 years of her life I was very pleased with her care. Through out her stay they were able to care for her through all her medical changes and the staff was..." More
Loving Care Assisted Living Services,...
6271 West Maplewood Place, Littleton, CO 80123
"We placed my mom in Leawood Assisted Living (Loving Care Assisted Living Services, LLC) and she's very happy there. It's an 8-bedroom care home. The care is phenomenal. Her room is extremely clean..." More
Rocky Mountain Assisted Living - Newl...
1570 S. Newland St, Lakewood, CO 80232
"My father stayed here for over a year and lived out his final days here under their wonderful care. I would highly recommend this company and community to anyone who has a father or mother with..." More
Abundant Blessings & Care Assisted Li...
1137 East Geddes Avenue, Centennial, CO 80122
"Abundant Blessings and Care Assisted Living has eight residents. It is a very pleasant and relatively new place. It has a lovely porch that's covered, and there are there beautiful shade trees out..." More
The Manor on Marston Lake
4800 Old S Wadsworth Blvd, Littleton, CO 80123
"Compassion is the work that best describes the Manor Marston Lake. You see it and sense it in every aspect from housekeeping to the daily activities.... a lot of activities. The management..." More
Belleview Suites at DTC
4901 S Monaco St, Denver, CO 80237
"Brookdale Denver Tech Center was a very nice, new place with 24-hour nursing and memory care unit on the third floor. The staff, who took me around, was very knowledgeable and answered all the..." More
Holly Creek
5500 East Peakview Ave., Centennial, CO 80121
"We found Holly Creek for my mother. It's great. The staff is excellent, and they have full facilities there. They have a walking area." More
Penny Lane Assisted Living
7463 E Costilla Place, Centennial, CO 80112
"We moved my mother from out of state to Penny Lane Assisted Living six months ago. The 1:8 ratio, caregiver to residents, has allowed for much more personalized care than what she was receiving at..." More
Life Care Center of Aurora
14101 EAST EVANS AVENUE, Aurora, CO 80014
Libby Bortz Assisted Living Center
5844 S Curtice, Littleton, CO 80120
"I really liked Libby Bortz. It was a wonderful place. I liked the way it was painted; the colors were very comforting to me. The dining area looked really nice. I was impressed at how friendly the..." More
Eastern Star Masonic Retirement Campus
2445 South Quebec Street, Denver, CO 80231
"My mom and I were desperate to find a place and had absolutely no luck in finding one- then there was an email recommending Eastern Star Mason Retreat Campus from a son of a resident there. After..." More
Rocky Mountain Assisted Living - Silv...
9970 Silver Maple Road, Highlands Ranch, CO 80129
"My father-in-law has already moved into Rocky Mountains Assisted Living. We choose it because it is brand new. It is a group-home. It is nice, bright, and airy with very nice people. It just seems..." More
The Gardens at Columbine
5130 W Ken Caryl Avenue, Littleton, CO 80128
"My parents are in The Gardens at Columbine. We chose it because the cost was within the range that I wanted it to be for two people. It also has a lot of grounds where the residents can walk..." More
Life Care Center of Littleton
1500 W Mineral Aveue, Littleton, CO 80120
"My family and I were very impressed with the professionalism, friendliness, and caring, of the hard-working staff. The facility was kept clean at all times. Life Care seems more of a hotel than..." More
Clermont Park
2479 S Clermont St, Denver, CO 80222
"great place to live very friendly and pleasant staff friendly residents. come and see you are missing out!!! " More
Five Star Residences of Dayton Place
2000 S. Dayton Street, Aurora, CO 80247
"It was more upscale than other places. It was like living on your own, but in a community with a lot of other seniors. They were more active and it just had more appeal. They have a pool, a..." More
Colorado Assisted Living Homes, LLC
6638 W Ottawa Ave Suite, 150-2, Littleton, CO 8...
"Colorado Assisted Living Homes have many different properties. My mom is in one at Rowland Avenue. She has been there for three and a half months now. She has been doing great. It has been..." More
TenderCare at Pinehurst
5290 W Princeton Drive, Denver, CO 80235
"My parents were both residents at Tender Care. We chose this facility because of the home like atmosphere. The house is made for gathering family. That is what they do at Tender Care - they..." More
Hallmark Nursing Center
3701 West Radcliff Avenue, Denver, CO 80236
"Hallmark Nursing Center is more towards the end of your life. It is more of an intensive care. It was very nice, and it smelled good. It just cost a lot. " More
MorningStar Senior Living at RidgeGate
10100 Commons Street, Lone Tree, CO 80124
"My father-in-law is living in MorningStar at RidgeGate and it is very nice. It's nice to live there and the rooms are beautiful, but it's a little tough when you're trying to get stuff, including..." More
MorningStar Assisted Living & Memory ...
14301 E Arapahoe Road, Englewood, CO 80112
"I'm going to use MorningStar at Jordan for my mom. It looks like a hotel. The staff is very nice and are like cheerleaders. They bake cookies every afternoon. They have a nice church inside. They..." More
Porter Place Retirement & Assisted Li...
1001 E YALE AVENUE, Denver, CO 80210
"My mother's going to be moving next week to Porter Place. It's a very nice facility. It's modern, up-to-date, very clean, and very spacious. They offered everything we were looking for. They have..." More
Berkley Manor Care Center
735 SOUTH LOCUST STREET, Denver, CO 80224
7000 East Belleview Avenue, , Denver, CO 80222
"Christian Living Communities have been wonderful to my grandparents. They are thrilled with the quality of housing, their fabulous apartment, and the gorgeous garden view. They receive excellent..." More
Rose of Sharon Valentia
6988 South Valentia, Centennial, CO 80112
"This place is the third faciity in one year for my mother who is rather difficult to care for. They are tremendously professional, the caregivers have untimate kindness and the owners are hands on..." More
1950 S Dayton St., Denver, CO 80247
"Five Star Residences of Dayton Place was a nice place. I liked it. It was good, friendly, homey, and comfortable. The staff and residents were very friendly. The rooms seemed nice, and the food was..." More
Acorn House
919 ELM ST, Denver, CO 80220
"This is a cute facility, a nice, cozy home where the residents can really get to know each other well. This facility has great activities for the residents, especially a nice access to parks. I..." More
2640 S JERSEY ST, Denver, CO 80222
"This facility is very nice, located in a nice quiet residential area. It's located close to both a shopping center and a park. I knew a resident here who couldn't read to herself anymore. Every..." More
Sage Home LLC
5974 South Jay Court, Littleton, CO 80123
"I volunteer as a companion and advocate for the elderly. I have been to the Sage Home on several occasions. It is a home that was converted into an assisted living facility. It backs up to a horse..." More
Senior Care Assisted living I
"Senior Care Assisted Living was a very nice facility. The people were very friendly. It looked comfortable and very homey. It had a nice backyard, comfortable living space, and nice dining area...." More
6461 East Eastman Avenue, Denver, CO 80222
"We went to Abundant Blessings and Care. It was very clean, very bright, it was a house (which was nice), and it wasn't like a nursing home type assisted living place. The staff was very nice, the..." More
The Carillon at Belleview Station
4855 South Niagara Street, Denver, CO 80237
"I am living at The Carillon at Belleview Station. I'm really quite satisfied with it, and I intend to stay. This is a new building. It has many positives including underground parking and of..." More
Rosemark at Mayfair
833 N Jersey Street, Denver, CO 80220
"Rosemark is a mixed bag. The things that matter most are inconsistent and poorly executed more often than you would hope or expect. If your family member's health is changing rapidly or their needs..." More
Lowry Park - Independent and Assisted...
8505 Lowry Blvd, Denver, CO 80230
"Lowry Park was the one where I took my parents for a visit. They were one of the best ones with regards to care for their residents. They have classes for their staff, not just to take on the job,..." More
What to Consider About Assisted Living in Greenwood Village
Greenwood Village is part of the Denver-Aurora-Lakewood metropolitan area and is home to almost 16,000 people. Over 15 percent of the population is aged 65 and older and there are 123 assisted living facilities in Greenwood Village and the surrounding area catering to them. These facilities are administered by the Colorado Department of Public Health and Environment. Facilities that receive Medicaid reimbursements are referred to as Alternative Care Facilities.
Benefits and Drawbacks of Assisted Living in Greenwood Village
The Greenwood Village area is home to world-class medical facilities, including Centennial Medical Plaza, in the event of medical emergencies or illness.
Greenwood Village's overall crime rate is 26 crimes per 1,000 residents, which is higher than 73 percent of Colorado's other towns and cities. This is mainly due to the high property crime rate of 25 crimes per 1,000 residents. The violent crime rate of 1.08 is more than two points lower than the state average. Seniors in the area may wish to investigate ways to protect their property.
Greenwood Village gets 64 inches of snow each year, almost 40 inches more than the national average. The average low temperature in January is 18 degrees. Seniors who enjoy spending time outdoors may find the weather keeps them inside more than they'd like.
Arapahoe County, including Greenwood Village, has mixed air quality. The 24-hour particle pollution level received an A grade in the State of the Air 2018 report. However, the Denver-Aurora metropolitan area is listed in the top two most polluted cities for ozone pollution. Seniors with respiratory conditions may wish to investigate how this will affect their health.
The cost of living in Greenwood Village is rated 234 on the Sperling index, 134 points higher than the national average. This is due to the very high cost of housing. Seniors on a fixed budget can save money on groceries and healthcare, which are both less expensive than the national average.
RTD-Denver provide public transport in the Greenwood Village area. Riders aged 65 and older are eligible for discounted fares and may also be able to utilise SeniorRide and SeniorShopper services. Some seniors may also be able to use Access-a-Ride which offers door-to-door services for people unable to access the fixed route buses.
Paying for Assisted Living in Greenwood Village
Cities in Colorado
$6,970.00 Highlands Ranch
$4,050.00 Greenwood Village
$3,898.00 Littleton
$3,791.00 Englewood
$3,601.00 Denver
$3,434.00 Centennial
Assisted Living costs in Greenwood Village start around $4,050 per month on average, while the nationwide average cost of assisted living is $4,000 per month, according to the latest figures from Genworth's Cost of Care Survey.
It's important to note that assisted living rates in Greenwood Village and the surrounding suburbs can vary widely based on factors such as location, the level of care needed, apartment size and the types of amenities offered at each community.
Financial Assistance for Assisted Living in Greenwood Village
The Home and Community-Based Services Waiver for persons who are Elderly, Blind, or Disabled (EBD) helps fund residents in alternative care facilities. Some seniors in Greenwood Village may be able to access financial assistance through this program.
Learn more about these programs, plus who's eligible, on our Assisted Living in Colorado page.
For more information about different ways to finance assisted living, visit our Assisted Living in Colorado page.
Free Assisted Living Resources in Greenwood Village
Greenwood Village and the surrounding area are home to numerous government agencies and non-profit organizations offering help for seniors searching for or currently residing in an assisted living community. These organizations can also provide assistance in a number of other eldercare services such as geriatric care management, elder law advice, estate planning, finding home care and health and wellness programs.
To see a list of free assisted living resources in Greenwood Village, please visit our Assisted Living in Colorado page.
Assisted Living Laws and Regulations in Greenwood Village
Greenwood Village-area assisted living communities must adhere to the comprehensive set of state laws and regulations that all assisted living communities in Colorado are required to follow. Visit our Assisted Living in Colorado page for more information about these laws.
What to Consider About Assisted Living in Greenwood Village, CO Paying for Assisted Living in Greenwood Village, CO Free Assisted Living Resources in Greenwood Village, CO Assisted Living Laws and Regulations in Greenwood Village, CO
Assisted Living near Greenwood Village, CO
Other Options in Greenwood Village, CO
Recent Reviews of Assisted Living in Greenwood Village
Review of The Inn at Greenwood Village
I have been in the community for five years. We have gone through many changes in that time. I like what I see, and like it here. I have to commend the whole kitchen staff on how they have handled ... Read more
Review of Brookdale Greenwood Village
My relative was in the rehab portion of the facility. This was the worst experience of my life. First off I could never get some to answer a phone. Second I could not get an update as to how the pe... Read more
Bubz
First, the good. The Inn had a few excellent caregivers who made a huge effort with my Dad. We appreciate their efforts. Additionally, the activities coordinators planned many activities and mad... Read more
family member GV
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redpajama_set_name: RedPajamaCommonCrawl


text:
Bloody Tales of the Tower
National Geographic has set a date and a time for the first episode of their three part series - Bloody Tales from the Tower. The three parts are: Traitors, Executions and Scandal.
The first episode will air on Monday April 16 at 8 pm (UK premiere) and includes the piece of Josef.
The episode featuring Josef (Traitors) can be seen on YouTube (below). Josef's segment begins at about the 30 minute mark.
Date of Execution for Josef Jakobs


text:
"""
Part of pymzml test cases
"""
import os
from pymzml.file_classes.standardGzip import StandardGzip
import unittest
import random
from pymzml.spec import Spectrum, Chromatogram
import re
import struct
import test_file_paths

class StandardGzipTest(unittest.TestCase):
    """"
    """

    def setUp(self):
        """
        """
        paths = test_file_paths.paths
        self.File = StandardGzip(paths[1], "latin-1")

    def tearDown(self):
        """
        """
        self.File.close()

    def test_getitem_5(self):
        """
        """
        ID = 5
        spec = self.File[ID]
        self.assertIsInstance(spec, Spectrum)
        self.assertEqual(spec.ID, ID)

    def test_getitem_tic(self):
        ID = "TIC"
        chrom = self.File[ID]
        self.assertIsInstance(chrom, Chromatogram)
        self.assertEqual(chrom.ID, ID)

if __name__ == "__main__":
    unittest.main(verbosity=3)

redpajama_set_name: RedPajamaGithub


text:
39 LISTS Book 'Em, DannoIn the entertainment industry, shows and movies about cops and lawyers are considered especially great. These are their stories.
Top Courtroom Drama Movies Great Drama Series Airing Now The Best Legal Drama TV Shows The Most Brilliant TV Detectives The Very Best Crime Drama Shows Shows You Should Be Watching Now The Best Police Procedurals The Best Serial Cop Dramas Series with a Crimefighting Duo The Greatest Legal Drama Movies The Best Shows About the FBI All Law & Order Detectives, Ranked The Greatest Films About Lawyers The Very Best True Crime Shows What's Streaming on Netflix Great Courtroom Thriller Movies SVU Episodes Based on True Stories The Best Fictional FBI Agents The SVU Cast: Then & Now The Greatest TV Shows About Murders
Photo: NBC
The Best Serial Legal Dramas of All Time
Originally by Ranker Community
7.2k votes 1.2k voters 53.4k views 43 items
The best serial legal dramas of all time include some truly outstanding law-related TV shows. Many of the law dramas listed here have been, or were, on the air for many years, thrilling viewers with complicated and compelling legal cases and outcomes. This list includes a lot of fantastic legal dramas, but it is far from complete, so feel free to add your personal favorites. Also, be sure to vote for those legal dramas you believe are worthy of the "best all time" description, and vote down any law TV shows you just can't stand.
What makes for a great serial legal drama? The show needs to have interesting, popular characters, a solid script and excellent, fresh storylines. There's no doubt that TV viewers love their television lawyers -- Perry Mason (Raymond Burr), Patty Hewes (Glenn Close on 'Damages'), Bobby Donnell (Dylan McDermott on 'The Practice') and Ally McBeal (Calista Flockhart) are just a few notable examples.
Legal TV dramas tend to be very popular and long-running series. They may also cross over to include a certain amount of procedural crime drama as well. The best example of this is definitely the tremendously popular and successful 'Law & Order' franchise (think 'Law & Order: SVU' and 'Law & Order: Trial By Jury'). These shows combine both sides of the coin -- the cops who catch the criminals, and the lawyers who either defend, or prosecute them (insert dramatic "dum dum!" sound here).
Time to vote, or even to rerank this list your way. Enjoy!
Gabriel Macht, Patrick J. Adams, Meghan Markle
Premiered: 2011
Number of Seasons: 9
Suits is a USA Network legal drama created by Aaron Korsh that stars Patrick J. Adams as Michael "Mike" Ross and Gabriel Macht as Harvey Specter. The first episode debuted on June 23, ...more
More Suits
#99 of 219 The TV Shows with the Best Writing #34 of 780 The Best TV Shows to Binge Watchfeaturing All the Top Suits Characters, Ranked by Fans
Julianna Margulies, Chris Noth, Josh Charles
The Good Wife is an American television legal and political drama that premiered on CBS on September 22, 2009. The series was created by Robert King and Michelle King. It stars Julianna ...more
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#107 of 219 The TV Shows with the Best Writing #142 of 780 The Best TV Shows to Binge Watchfeaturing The Best Seasons of The Good Wife
Jerry Orbach, Jesse L. Martin, Dennis Farina
Number of Seasons: 20
Law & Order is an American police procedural and legal drama television series, created by Dick Wolf and part of the Law & Order franchise. It originally aired on NBC and, in ...more
More Law & Order
#56 of 219 The TV Shows with the Best Writingfeaturing The Best Law & Order Actorslisted on Longest Running US Drama Shows
Mariska Hargitay, Christopher Meloni, Ice-T
Law & Order: Special Victims Unit is an American police procedural, legal, crime drama television series set in New York City, where it is also primarily produced. In the style of the ...more
More Law & Order: Special Victims Unit
#109 of 219 The TV Shows with the Best Writingfeaturing 16 Big Stars Who Showed Up On 'Law and Order: SVU' Before They Were Famouslisted on Longest Running US Drama Shows
Dylan McDermott, Kelli Williams, Lara Flynn Boyle
The Practice is an American legal drama and comedy-drama created by David E. Kelley centering on the partners and associates at a Boston law firm. Running for eight seasons on ABC from 1997 to ...more
More The Practice
#856 of 2,286 The Greatest TV Shows Of All Time #198 of 408 The Best TV Shows to Rewatch #327 of 385 The Best TV Shows of The Last 20 Years
James Spader, William Shatner, Candice Bergen
Boston Legal is an American legal dramedy created by David E. Kelley and produced in association with 20th Century Fox Television for ABC. The series aired from October 3, 2004, to December 8, ...more
More Boston Legal
#243 of 780 The Best TV Shows to Binge Watch #239 of 2,286 The Greatest TV Shows Of All Timefeaturing The Best Seasons of Boston Legal
Raymond Burr, Barbara Hale, William Hopper
Perry Mason is an American legal drama series originally broadcast on CBS television from September 21, 1957, to May 22, 1966. The title character, portrayed by Raymond Burr, is a fictional Los ...more
More Perry Mason
#215 of 2,286 The Greatest TV Shows Of All Timefeaturing The Best Perry Mason Actorslisted on Longest Running US Drama Shows
L.A. Law
Corbin Bernsen, Jill Eikenberry, Alan Rachins
L.A. Law is an American television legal drama series that ran for eight seasons on NBC from September 15, 1986 to May 19, 1994. Created by Steven Bochco and Terry Louise Fisher, it contained ...more
More L.A. Law
#45 of 219 The TV Shows with the Best Writing #232 of 2,286 The Greatest TV Shows Of All Timelisted on Longest Running US Drama Shows
David James Elliott, Catherine Bell, Patrick Labyorteaux
JAG is an American legal drama television show with a distinct U.S. Navy theme, created by Donald P. Bellisario, and produced by Belisarius Productions in association with Paramount Network ...more
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#417 of 780 The Best TV Shows to Binge Watch #888 of 2,286 The Greatest TV Shows Of All Timelisted on Longest Running US Drama Shows
Andy Griffith, Linda Purl, Kene Holiday
Matlock is an American television legal drama, starring Andy Griffith in the title role of attorney Ben Matlock. The show, produced by The Fred Silverman Company, Dean Hargrove Productions, ...more
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#746 of 2,286 The Greatest TV Shows Of All Time #151 of 408 The Best TV Shows to Rewatchlisted on Longest Running US Drama Shows
Calista Flockhart, Greg Germann, Jane Krakowski
Ally McBeal is an American legal comedy-drama television series, originally aired on Fox from September 8, 1997 to May 20, 2002. Created by David E. Kelley, the series stars Calista Flockhart in ...more
More Ally McBeal
#80 of 219 The TV Shows with the Best Writing #280 of 780 The Best TV Shows to Binge Watch #321 of 2,286 The Greatest TV Shows Of All Time
Glenn Close, Rose Byrne, Tate Donovan
Damages is an American legal thriller television series created by the writing and production trio of Daniel Zelman and brothers Glenn and Todd A. Kessler. It premiered on July 24, 2007 on FX ...more
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#238 of 780 The Best TV Shows to Binge Watch #1,148 of 2,286 The Greatest TV Shows Of All Time #332 of 385 The Best TV Shows of The Last 20 Years
Judging Amy
Amy Brenneman, Tyne Daly, Karle Warren
Judging Amy is an American television drama that was telecast from September 19, 1999, through May 3, 2005, on CBS-TV. This TV series starred Amy Brenneman and Tyne Daly. Its main character is a ...more
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#720 of 780 The Best TV Shows to Binge Watch #1,066 of 2,286 The Greatest TV Shows Of All Time #241 of 579 TV Shows Canceled Before Their Time
Franklin & Bash
Mark-Paul Gosselaar, Breckin Meyer, Reed Diamond
Franklin & Bash is an American comedy-drama television series created by Kevin Falls and Bill Chais. The series stars Breckin Meyer and Mark-Paul Gosselaar as unconventional lawyers and ...more
Stephanie Kuchinski added The Good Fight
Christine Baranski, Cush Jumbo, Rose Leslie
The Good Fight (CBS All Access, 2017) is a legal and political drama television series, a spin-off of the 2009 series The Good Wife. A year after the finale of The Good Wife, an enormous ...more
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#130 of 134 The Best of Premium Cable TV Series #1,230 of 2,286 The Greatest TV Shows Of All Time #106 of 120 The Best TV Shows Returning In 2020
Rumblefish61 added Homicide: Life on the Street
Richard Belzer, Clark Johnson, Yaphet Kotto
This series is an American police procedural television series chronicling the work of a fictional version of the Baltimore Police Department's Homicide Unit. It ran for seven seasons on NBC ...more
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#131 of 219 The TV Shows with the Best Writing #401 of 780 The Best TV Shows to Binge Watch #436 of 2,286 The Greatest TV Shows Of All Time
Harry's Law
Kathy Bates, Nate Corddry, Christopher McDonald
Harry's Law is an American legal comedy-drama television series created by David E. Kelley, which ran from January 17, 2011, to May 27, 2012. On May 12, 2011, NBC renewed the show for a second ...more
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#1,473 of 2,286 The Greatest TV Shows Of All Time #71 of 92 The Best Dramedy TV Series #248 of 579 TV Shows Canceled Before Their Time
Stephanie Kuchinski added Bull
Michael Weatherly, Freddy Rodriguez, Geneva Carr
Bull (CBS, 2016) is an American drama television series created by Phil McGraw and Paul Attanasio, based on the early days of talk show host Dr. Phil. Psychologist and trial science expert Dr. ...more
Law & Order: Trial by Jury
Bebe Neuwirth, Amy Carlson, Kirk Acevedo
Law & Order: Trial by Jury is an American television drama about criminal trials set in New York City. It was the third spin-off from the long-running Law & Order. The show's almost ...more
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#1,425 of 2,286 The Greatest TV Shows Of All Time #238 of 579 TV Shows Canceled Before Their Time #28 of 84 The Worst TV Spin-Offs
Simon Baker, Alan Rosenberg, Raphael Sbarge
The Guardian is an American drama series which aired on CBS from September 25, 2001 to May 4, 2004. In the United States, as of 2012, it is being broadcast in re-runs on the Sleuth Channel and ...more
Law & Order: LA
Corey Stoll, Rachel Ticotin, Alfred Molina
Law & Order: LA, originally titled Law & Order: Los Angeles, is an American police procedural and legal drama television series set in Los Angeles, where it was produced. Created and ...more
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#973 of 2,286 The Greatest TV Shows Of All Time #18 of 84 The Worst TV Spin-Offs #98 of 109 The Best NBC TV Shows of All Time
ScottChupack added Picket Fences
Kathy Baker, Tom Skerritt, Lauren Holly
Picket Fences is an American television drama about the residents of the town of Rome, Wisconsin, created and produced by David E. Kelley. The show initially ran from September 18, 1992, to June ...more
d.raphael2011 added Revenge
Madeleine Stowe, Emily VanCamp, Gabriel Mann
Revenge is an American primetime television series that airs on ABC, starring Madeleine Stowe and Emily VanCamp, which debuted on September 21, 2011. During its first season it aired on ...more
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#157 of 780 The Best TV Shows to Binge Watch #452 of 2,286 The Greatest TV Shows Of All Time #212 of 395 TV Shows That Only Smart People Appreciate
Dustin Hoffman, Robert Redford, Robert Duvall
The Defenders is an American courtroom drama series that ran on CBS from 1961–1965. It starred E. G. Marshall and Robert Reed as father-and-son defense attorneys who specialized in legally ...more
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#162 of 219 The TV Shows with the Best Writing #444 of 2,286 The Greatest TV Shows Of All Time #328 of 594 The Best TV Theme Songs of All Time
Law & Order UK
Hey There! Please only add items that are relevant to this list topic.
Filed Under: TV Programs TVEntertainmentDramaTV DramapollLegal Dramas
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text:
Maarten van Doorn
Essays about why we believe what we do, how societies come to a public understanding about truth, and how we might do better
Some books I enjoyed and use as inspiration for writing! 😃
I take detailed notes from every book and paper I read in Roam and often draw mindmaps in ViewYourMind. They are an incredible resource for my creative output. Some people have asked me whether I sell access to this database, which I'm considering. So let me know if you're interested (you can get in touch by replying to a newsletter).
Social epistemology
Kindly Inquisitors: The New Attacks on Free Thought by Jonathan Rauch. Social epistemology studies who determines truth, by what criteria do they do so, and how those conceptions have changed over time. This wonderful 1993 (!) book got me hooked on the subject, and is as relevant as ever in today's times of both left-wing and right-wing illiberalism.
Democracy and Truth: A Short History by Sophia Rosenfeld. Even if truth in a democracy has always been up for grabs, and we've always had politicians use fake news, that still raises the question of whether we require some fundamental baseline of truth to have an actual democracy. Read this book if you want to know the answer.
The Story of Us by Tim Urban. Not technically out as a physical book yet, but whatever. A magnificent explanation of many technical social epistemology concepts such as the constitution of knowledge, the Overton window, the marketplace of ideas – with drawings!
Truth Decay: An Initial Exploration of the Diminishing Role of Facts and Analysis in American Public Life by Jennifer Kavanagh and Michael Rich. 'Truth Decay' is a couple things: an ncreasing disagreement over basic foundational beliefs, a blurring of the line between opinion and fact, the increasing relative influence of opinions and emotions over facts, and declining trust in experts and society's central information-gathering and -disseminating institutions. This (somewhat scholarly) report has an interesting analysis of these four trends, drivers, historical context, and likely consequences.
True Enough: Learning to Live in a Post-Fact Society by Farhad Manjoo. What I took away most from this book is how cognition research about selective exposure, selective perception, naive realism, and the like, helps explain why people accept different facts. (Not just societal trends or people losing interest in truth.)
Post-Truth: Knowledge as a Power Game (Key Issues in Modern Sociology) by Steve Fuller. This book is very academic, and hard to follow at times. Nevertheless, Fuller makes a compelling argument for why we should see post-truth as a battle over the conditions under which under which a knowledge claim can be true or false. Not just – as the Oxford English Dictionary defined post-truth when it declared it as word of the year for 2016 – as something like "relating to or denoting circumstances in which objective facts are less influential in shaping public opinion than appeals to emotion and personal belief."
How we know things
The Knowledge Illusion: Why We Never Think Alone by Steven Sloman and Philip Fernbach. I really enjoyed this (long) book. A lot of puzzles surrounding why we believe what we do dissolve once you see knowledge as fundamentally communal rather than individual. (Many remaining puzzles about human beliefs get an interesting twist once you realize that we have most of our beliefs not for their truth value, but for how others react to us for having those beliefs. See The Elephant in The Brain below.)
Not Born Yesterday: The Science of Who We Trust and What We Believe by Hugo Mercier. Great debunking of the the narrative of widespread gullibility, in which a credulous public is easily misled by demagogues, charlatans and fake news.
How Do You Know? The Economics of Ordinary Knowledge by Russell Hardin. How do people come to know or believe what they do? Most of our knowledge depends on testimony, and is grounded in hearsay from a supposedly credible source which we can no longer remember. For knowledge, use is what matters to most us most of the time, apart from when we might be doing science or philosophy. Truth might happen to be a part of what some bit of knowledge useful, but it need not actually be a part of what makes for usefulness.
Cognitive science and rationality
Thinking, Fast and Slow by Daniel Kahneman. The classic. Huge, thorough book. Especially liked chapter 5, about how cognitive ease is our proxy for truth. But of course, whether a statement feels true to us is determined by other factors – Kahneman mentions repeated exposure to the statement, the clarity of its display, whether we're primed, and our mind – than whether the statement accurately describes reality. Truthiness is not evidence.
Map and Territory & How to Actually Change Your Mind (Rationality: From AI to Zombies) by Eliezer Yudkowsky. These blog posts are a joy to read, I recommend them to everyone.
The Elephant in the Brain: Hidden Motives in Everyday Life by Robin Hanson and Kevin Simler. The title is misleading. It's way less pop-psychy and more 'deep' than you'd think. Beliefs aren't often in the driver's seat. Instead, they're often better modeled as symptoms of of the underlying incentives, which are frequently about social usefulness rather than accuracy.
Mindware: Tools for Smart Thinking by Richard Nisbett. "Once you have the knack of framing real-world problems as statistical ones and coding their elements in such a way that statistical principles can be applied, those principles seem to pop up magically to help you solve a given problem." My girlfriend still has to get used to my language when I ask about her sample size of observations after she tells me of her new coworkers peculiar personality.
Predictably Irrational by Dan Ariely. Our intuitions don't tell us when we ought to stop relying on them. Being biased and being unbiased feel the same. On the other hand, as behavioral economist Ariely notes in this book: we're predictably irrational. We screw up in the same ways, again and again, systematically. If we can't use our gut to figure out when we're succumbing to a cognitive bias, we may still be able to use the sciences of mind.
He who does not trust, cannot know
Reputation: What It Is and Why It Matters by Gloria Origgi. Italian philosopher argues that we are experiencing a fundamental paradigm shift in our relationship to knowledge. From the 'information age', we are moving towards the 'reputation age', in which information will have value only if it is already filtered, evaluated and commented upon by others. This is because the greater the amount of information that circulates, the more we rely on so-called reputational devices to evaluate it. What makes this paradoxical is that the vastly increased access to information and knowledge we have today does not empower us or make us more cognitively autonomous, but renders us more dependent on expert judgments regarding the information with which we are faced.
Wrong: Why Experts Keep Failing Us – and How to Know When Not to Trust Them by David Freedman. A little bit too American at times, but does a good job of building John Ioannidis' work.
Don't be Fooled: A Philosophy of Common Sense by Jan Bransen. This book has a great way of showing how most properties we care about (such as ethical, mental, and legal ones) are response-dependent, and so their correct criteria of application have to be reflexively determined by all of us, and are not 'out there' to be discovered by scientists. The book also worries that we're loosing our "investigative attitude", since we're discouraging people from exercising their individual judgement, given the increasing normative weight invested in expertise. The result is that we are breeding a culture of intellectual deference. Ostensibly, this constrasts with the increasing popularity of conspiracy theories.
Inadequate Equilibria: Where and How Civilizations Get Stuck by Eliezer Yudkowsky. This is probably the book that taught me the most the last couple of years. This little gem is many things. It's about a generalized notion of efficient markets, and how we can use this notion to guess where society will or won't be effective at pursuing some widely desired goal. And about the question of when you should trust social consensus versus your own reasoning. Surely you could only do so if certain conditions held – but could you trust your own opinion about whether those conditions hold? And so we we come back to the core hard question in the rationality of disagreement: how can you tell if you are neglecting key signs about your (lack of) meta-rationality? The book is quite complex, but very good and entertaining (it includes a chapter-long hilarious fictional dialogue and dramatic personal examples).
The Great Endarkenment: Philosophy for an Age of Hyperspecialization by Elijah Millgram. Fascinating exploration of the consequences of hyperspecialization, and how the division of labor in the production of knowledge requires acceptance on faith of what others have come to know. Does that mean the Enlightenment ideal of intellectual autonomy is officially outdated? (The book gets quite niche towards the end.)
Capitalist Realism: Is There no Alternative? by Mark Fisher. Makes some interesting observations, but a little too much Žižek, not enough finesse, and too much crude overgeneralizations from idiosyncratic examples of arcane cinema. Only one line that stood out to me, on the relationship between mental illness and capitalism: "The current ruling ontology denies any possibility of a social causation of mental illness. The chemico-biologization of mental illness is of course strictly commensurate with its de-politicization. All mental illnesses are neurologically instantiated, but this says nothing about their causation." (The books by Elliott and Verhaeghe, see below, touch on the same theme.)
Books of knowledge
Gödel, Escher, Bach: An Eternal Golden Braid by Douglas Hofstadter. According to many, this is the best non-fiction book ever written. I don't disagree. If you make the effort to understand all the mathematics in here (there were days when I only read like three pages an hour because I was busy doing the maths, and the book has 777 pages, so go figure), this masterpiece makes for an amazing journey.
Fooled by Randomness: The Hidden Role of Chance in Life and in the Markets & Antifragile: Things That Gain from Disorder, by Nassim Taleb. Is The Incerto – Taleb's collection of non-fiction works, philosophy? Economics? Finance? Statistics? Complexity? What they are, is really good. They are a stream of consciousness on how to think properly about what is happening around you.
Factfulness by Hans Rosling. The important message of this book is that the world is generally better off than we think. Using example after example, Rosling shows that we are working our way out of poverty, overcoming long-held myths about population, education, health, longevity, and more. Also be sure to watch his amazing TED talks.
Plato at the Googleplex: Why Philosophy Won't Go Away by Rebecca Goldstein. Cool dialogues, fun to read. There is, among some scientists, the sense that philosophy will eventually disappear. But there's a lot of philosophical progress, it's just a progress that's very hard to see, because we see with it. We incorporate philosophical progress into our own way of viewing the world. It's obvious to us, for example, that things like class and gender and religion and ethnicity don't matter insofar as individual rights go. That would never have occurred to Plato.
Sapiens: A Brief History of Humankind by Yuval Noah Harari. Like almost everyone, I loved this book. Especially its combination of stories and data. The core premise that homo sapiens rules the world because it is the only animal that can believe in things that exist purely in its own imagination, such as gods, states, money and human rights sounded controversial at first, but makes a lot of sense when you think about it.
Guns, Germs, & Steel by Jared Diamond. Some environments provide more starting materials and more favorable conditions for utilizing inventions and building societies than other environments. Geography is the is most important factor that shaped how history unfolded across the world. As for societies, so for individuals: in explaining behavior, situational factors are often more important than dispositions. Too bad we often tail to notice these influences.
Utopia for Realists: How We Can Build the Ideal World by Rutger Bregman. Universal basic income. A 15-hour workweek. Open borders. Eradicating poverty. Exciting and inspiring argument for such ideas.
Outliers, Blink, The Tipping Point, & David and Goliath, all by Malcolm Gladwell. Gladwell is very entertaining to read. Especially imprressive how he selects his anecdotes from a wide range of sources and diverse locales and weaves them into a coherent narrative arch that also teached you something about society.
Strangers to Ourselves by Timothy Wilson. The idea that a large portion of the human mind is unconscious was Freud's greatest insight. But, thankfully, the modern adaptive unconscious is not the same as a the psychoanalytic one. The most important thing to know about the unconscious has nothing to do with suppressed sexual desires. It's that it's terrific at solving certain kinds of problems that the conscious mind handles poorly if at all, because it registers vastly more environmental information than the conscious mind could possibly notice. Indeed, most of cognition consists of intuitive thought that occurs below the surface of consciousness: although it feels like we have access to the workings of our minds, for the most part we don't. Which is why it's wise to doubt what I and others say about the causes of their judgments and behaviors.
We Are Our Brains: From the Womb to Alzheimer's by Dick Schwaab. This book made a big splash here in the Netherlands at the time. It argues that everything we think, do and refrain from doing is determined by our brain. But, thankfully, nothing much follows from this. People's choices are determined by physics, but by physics that includes the actions of human beings. Physics underlies our decisions and includes our decisions. It does not explain them away.
Situations Matter: Understanding How Context Transforms Your World by Sam Sommers. Interesting to contrast this approach with any neurological determinism you come across. Try it for yourself!
The Nurture Assumption: Why Children Turn Out the Way They Do by Judith Rich Harriss. The reason I tell my girlfriend that it doesn't really matter that much how you raise your kids as long as you don't really screw it up.
Happiness & Well-being
Stumbling on Happiness by Daniel Gilbert. Not at all new-agey or shallow, as the title might suggest. The very helpful insights on affective forecasting, hedonic adaptation, the 'psychological immune system' forever changed how I approach my own happiness.
The Happiness Hypothesis: Putting Ancient Wisdom to the Test of Modern Science by Jonathan Haidt. I adore the genre of philosophy-mixed-with-science books. Every culture rests on a bedrock of folk wisdom handed down through generations. The pronouncements of philosophers are homespun by our grandmothers, and find their way into our common sense: what doesn't kill you makes you stronger. Do unto others as you would have done unto you. Happiness comes from within. But are these 'truths' really true?
Better Than Well: American Medicine Meets the American Dream by Carl Elliott. When the science of our brains is finished, we could control which desires, needs and wants we have to begin with. If man is just a bag of chemicals, once we know what these chemicals are, we can re-mix them at will. And by re-mixing them at will we can give ourselves whatever character we like. But if we can choose a character and desires at random, what shall we use as grounds for taking any decision? It's not a coincidence the end of Sapiens (see above) reads: "Since we might soon be able to engineer our desires too, perhaps the real question facing us is not 'What do we want to become?', but 'What do we want to want?' Those who are not spooked by this question probably haven't given it enough thought."
What about Me? The Struggle for Identity in A Market-Based Society by Paul Verhaeghe. I sometimes worry about the heavy burden on recent generations of young people to strive against one another under the auspices of meritocracyand under the watchful eye of increasingly demanding parents. As Alain de Botton says: "I think we live in a society which has simply pegged certain emotional rewards to the acquisition of material goods." One problem with this way of thinking is that there's a lot of randomness in the 'winning' and 'losing' process: accidents, genes, location of birth, illnesses, lucky coincidences, et cetera. (See also Fooled by Randomness above)
The Happiness Industry by William Davies. I wrote my one of my two MA theses on the similarities and differences between how Aristotle and the field of positive psychology view happiness. The question of under what conditions measures of happiness or life satisfaction, understood as subjectively experienced mental states, can serve as proxies for well-being still interests me greatly. This book deals with it, although I did not particularly like it. Many of arguments are too quick and some are quite ad hominem. They give the impression that the author thinks he can get good information about a technical debate just by psychoanalyzing the personalities involved.
On What Matters by Derek Parfit. I've almost completed a dissertation in meta-ethics, so I figured I'd include a few books on the topic. Parfit's book is the one I enjoyed most, because of its clear arguments and personal touch. That said, some things are really, very arcane and I think his meta-ethics is borderline incoherent.
The Sources of Normativity by Christine Korsgaard. Forcefully asks what justifies the claims morality makes on us? In some sense, an answer to this question can be found in What We Owe to Each Other by Tim Scanlon (which you might know from The Good Place (one of my favorite shows)). Perhaps it's constitutive of any moral sytem that it's composed of principles that no one could reasonably reject.
Ruling Passions: A Theory of Practical Reasoning by Simon Blackburn. This book is less abstract than the two above. For Blackburn, an ethical proposition is essentially an expression of our attitudes, rather than an expression of belief. Despite this non-cognitivism, he also wants to insist that the expressive nature of the moral proposition does not stop us from acknowledging that it can be legitimately true or false. Both ideas seem wrong to me.
Ethical Intuitionism by Michael Huemer. In my PhD research, I investigate what the world must be like for things to matter, and for acts to be right or wrong. Non-naturalists such as Huemer claim that the fundamental level of reality (also) contains ontologically basic moral facts, which are independent of human minds and make things be right and wrong. On this view, moral facts are so-called non-natural ones, meaning (roughly) that they are fundamentally different from any facts of a kind that would ever be studied in science. In the largest part of my dissertation, I argue that we have no reason to believe there are any such non-natural facts, and we could not know about them even if they existed. (Taking Morality Seriously by David Enoch is another good (albeit wrongheaded) book defending non-naturalism (hence wrongheaded)).
Choosing Normative Concepts by Matti Eklund. Argues, I think rightly, that meta-ethical non-naturalism can't address the worry while there may indeed be ways it's right to live, for example, there may also be ways it's right* to live, ways it's right** to live, and so on, where these variant terms or concepts just ascribe different properties to actions, and do so in way that bottoms out in ultimate parity, with nothing to decide between them—except, of course, trivially for each in its own terms. Norms were made for man, not man for the norms. Pair this with the novelle Three Worlds Collide.
Dutch books
Oogklepdenken: Waarom Iedereen Altijd Gelijk Heeft door Ruben Mersch. Heel leuk en knap geschreven. Goede expositie van de literatuur over waarom de meningen hebben die we niet werken. Ook mooie introductie over Bayes.
Kinderen van Apathe: Over leugens en waarachtigheid door Alicja Gescinska. Het essay voor de Maand van de Filosofie 2020, die als thema 'Het uur van de waarheid' heeft. Gaaf dat de Maand van de Filosofie dit jaar aandacht besteedt aan een thema dat te maken heeft met de publieksfilosofie die ik zo leuk vind. Interessante analyse van de dynamiek tussen relativisme en dogmatisme in de uitspraak 'ieder zijn waarheid'. Daarnaast een terechte nadruk op wat Bernard Williams "truthfulness" noemt, dat het post-truth tijdperk ook vooral gekenmerkt wordt in een afname in waarachtigheid en onze interesse in waarheid.
Het Grote Niets: Waarom we te veel vertrouwen hebben in de wetenschap door Rosanne Hertzberger. Goed overzicht van problemen en misbruik van de wetenschap waardoor het geen toeval is dat de meeste gepubliceerde onderzoeken onwaar zijn (dat wil zeggen, ze claimen een niet-bestaand 'effect' te hebben 'gevonden'), zoals we nu zien met de replicatiecrisis. Soms is dit boek kort door de bocht. In een middagje uitlezen.
Het Volk in de Grot: Waarom mensen geen feiten willen door René ten Bos. Enkele scherpe observaties over de morele waarde van de waarheid, en de waarde van feiten in het sociale verkeer. Net wat te veel minder interessante stukken.
Waarom vuilnismannen meer verdienen dan bankiers door Rutger Bregman en Jesse Frederik. Roept goede vragen op over de manier waarop wij ons geld verdelen.
Moeten wij van elkaar houden? Het populisme ontleed door Bas Heijne. Overtuigend betoog er is te weinig ruimte voor discussie binnen het klassiek linkse discours. Grappig om te realizeren dat die druk richting ideologische conformiteit tien jaar later (we hebben nu cancel culture) alleen maar is toegenomen. Net als Ten Bos hierboven zet ook Heijne zich trouwens af tegen het neerkijken op de hang naar gemeenschap, naar identiteit, naar een verschil tussen wij en zij, naar niet van iedereen houden. Boeiend boek! (Soms is het alleen een beetje te veel zijn eigen oude columns aan elkaar knopen.)
© 2021 Maarten van Doorn


Based at Dromore in county Down, award winning Krazibaker aka Mark Douglas, has been reviving interest in traditional Irish breads baked on the griddle since the experienced baker set up his own business in 2013.
All breads from the popular baker are made without sugar. The products are also produced without yeast or preservatives.
KraziBaker has won a series of awards, including two Great Taste Awards in 2016 for his Treacle Farl and Soda Side with Cinnamon & Irish Whiskey Soaked sultanas. Last year, he gained Great Taste Awards for potato apple and Traditional Irish Shortbread. in 2015, he gained one Great Taste Award for potato apple and Traditional Irish Shortbread.
In addition to the development of traditional Irish breads, he also operates a successful bakery school, the only one in Northern Ireland dedicated to spreading skills in traditional Irish bread making. It followed requests from foodservice organisations here to demonstrate his skills.
Among recent product developments is the launch of a sourdough loaf in response to the growing demand here for a type of bread favoured by the UK's Real Bread Campaign.
Mark has also showcased his products and baking technique at events in London and Dublin.


Walter Hill talks about starting out as a second assistant director and screenwriter, pursuing his interest in genre films, working with Sam Peckinpah and John Huston, and his directing career making films like The Warriors (1979), The Long Riders (1980), and 48 Hours (1982).
Walter Hill developed his craft as a screenwriter and director while working as a second assistant director onBullitt, Take the Money and Run, and The Thomas Crown Affair. Hill's first screenplay, Hickey and Boggs, was produced in 1972. Later, he penned The Getaway for director Sam Peckinpah, who became a major influence on his own filmmaking style. Hill also wrote The MacKintosh Man which was directed by another mentor, John Huston.
In 1975, Hill directed his first feature film Hard Times starring Charles Bronson and James Coburn. He achieved great success in 1979 with the stylized gang movie The Warriors, which he wrote and directed and was released the same year he produced the hit science fiction thriller Alien. The 1980s brought more success with films like The Long Riders (nominated for the Golden Palm at the Cannes Film Festival), Southern Comfort, 48 Hours, Another 48 Hours, Brewster's Millions, and Red Heat. Hill also wrote and directed episodes of the television series Tales from the Crypt and the westerns Geronimo: An American Legend, Wild Bill, and Last Man Standing.
Hill received a DGA Award and an Emmy for Best Director for an episode of the HBO series Deadwood. His work on the Emmy Award-winning miniseries Broken Trail garnered him an Emmy nomination and a DGA Award for directing. In 2007, he received the Joseph Plateau Award from the Flanders International Film Festival for his lifetime achievement as a writer, director and producer. Walter Hill served on the DGA's Western Directors Council from 1997-2012 and was a member of the Guild's Social Responsibility Task Force.
Walter Hill explains why he feels the best movies are the ones that are strongly directed.
Hill believes storytelling in Westerns differs from other films because they are essentially "Old Testament" morality tales.
Hill talks about his approach to choreographing action sequences and reflects on action films in general.


82nd Airborne raw edge sleeve badges. Correct WW2 US issue.
Para wings thread emroidered. Nice quality.
British Military police cap badge. WW2 issue repro.
Nice copy with sharp detail and pin. Looks very authentic.
US Airborne Screaming eagles flag. 101st American Airborne flag 5`x3`.


Another one is coming up... should we be afraid? Should we be very afraid??? I get the impression sometimes that as a yoga teacher and energy healer that my friends expect me to more superstitious than the average Joe. Ashtanga Yoga practitioners, for example, are not supposed to practice on full moon days. Yoga practitioners in general may be heard to chant mantras containing the names of exotic Gods such as Hanuman, Lakshmi, Kali, Shiva etc. Surely we are all prone to believing in the unseen and the unproven.
While this may be the case for some, there is also a strong argument that a yoga practitioner may be in fact less prone to superstition than the average. All kinds of people with no particular religious belief will shy away from walking under ladders, opening an umbrella indoors, seeing a black cat, single magpie, etc. However, a yoga practitioner who bases their practice upon the text of the Aphorisms of Patanjali will see the world quite differently. What we experience is largely based upon 'mind-stuff', vrittis, the fluctuations within our own consciousness, and a dedicated practice of yoga helps us to look beyond these fluctuations to a state of mind that is more still, more grounded, less prone to be drawn constantly from one direction to the next. Equanimity and contentment are states of mind favoured by Patanjali yogis rather than states of fear, false expectation, excitement that are generated by superstition. There may or may not be some negative energy associated with Friday 13th, but to a Patanjali Yogi, this will not be matter of great concern, rather they will tend to the quietness and control of their own mind.
Want to learn more about yoga then please check out some of the great books I have recommended from personal experience.


Business Systems Laboratory (BS-Lab) is a nonprofit professional and academic association aiming to promote research and teaching about social and business systems. Bs-Lab is unique in bringing together the worlds of reflective practice and thoughtful scholarship. The Association focuses on the development and dissemination of insights on the systemic approach to business sciences, as well as on fostering contacts and interchange of firms and academia. We aim to act as a catalyst for building and disseminating new ideas in research, practice and teaching around a set of multi-field core issues about social and business systems.
The Association operates exclusively for charitable, scientific, and educational purposes to promote and encourage superior research and practice in the field of business systems. The activities include, among others, the publication of academic journals, the cooperation and interchange of ideas among academics, business practitioners, and consultants through workshops and conference events, the acknowledgement of achievement and scholarly excellence, as well as the establishment of high ethical standards in the conduct of business. Bs-Lab is membership-based and was founded on 30th December 2011, starting its activity in 2012. The organization is governed by the Executive Board, and has an advisory Scientific Board including academics and practitioners of many fields.
We appreciate and are interested in anyone who wants to make a contribution to the field through membership or participation in the various activities of Bs-Lab.


text:
No significant link between SSRIs, autism
According to a new Danish study, use of selective serotonin reuptake inhibitors (SSRIs) during pregnancy showed no significant association with autism spectrum disorder (ASD). The study is the largest to date on the potential connection.
Researchers from Statens Serum Institute in Copenhagen studied every singleton live birth in Denmark from 1996 to 2008: 626,875, with follow-up through 2009. Danish population registries were used to identify maternal use of SSRIs before and during pregnancy, ASD diagnosed in the child, and potential confounders.
After 5,057,282 person-years of follow-up, the investigators found 3892 cases of ASD (incidence rate, 77.0 per 100,000 person-years). Fifty-two cases during 42,400 person-years of follow-up involved children of women who had SSRI exposure during pregnancy (incidence rate, 122.6 per 100,000 person-years). When compared with no SSRI use, either before or during pregnancy, SSRI use during pregnancy was not significantly associated with ASD (fully adjusted rate ratio, 1.20, 95% confidence interval [CI], 0.90 to 1.61). The fully adjusted rate ratio was 1.46 (95% CI, 1.17 to 1.81) among women who had SSRI exposure before pregnancy, but no exposure during their pregnancy.
The study authors concluded that there was no significant association between SSRIs and ASD. Because of the confidence interval, however, they indicated that they could not rule out a relative risk up to 1.61 and felt that the association required even further study.
Hviid A, Melbye M, Pasternak B. Use of selective serotonin reuptake inhibitors during pregnancy and risk of autism. N Engl J Med. 2013;369(25):2406–2415.


text:
Zaburzenia erekcji, ED (od ang. erectile dysfunction) – rodzaj zaburzeń seksualnych będący dysfunkcją wzwodu prącia, czyli utrwaloną (tj. występująca dłużej niż 6 miesięcy) niezdolnością do uzyskania i/lub utrzymania wzwodu (erekcji) niezbędnego do odbycia satysfakcjonującego stosunku płciowego. Od 1992 roku nie stosuje się już terminu "impotencja" na określenie tych zaburzeń ze względu na jego pejoratywny odcień i implikację nieodwracalności problemu.

Epidemiologia
Badania nad rozpowszechnieniem ED są trudne, ponieważ problem ten wciąż dla wielu osób pozostaje tematem tabu. Szacuje się, że w Polsce na zaburzenia erekcji cierpi około 1,5 mln mężczyzn po 35. roku życia, z czego tylko około 15% zgłasza się do lekarza z prośbą o pomoc. Poza tym nie wszyscy, którzy rozpoczęli terapię, chcą ją kontynuować. Wolę taką zgłasza tylko 6,75% mężczyzn spośród tych, u których występują zaburzenia erekcji. Pozostali z różnych powodów przerywają przyjmowanie leków. Wyniki te odpowiadają tendencjom ogólnoświatowym. Ponad połowa chorych to osoby pomiędzy 40. a 60. rokiem życia. Niski poziom świadomości seksualnej sprawia, że co drugi pacjent nadal uważa, iż ED w starszym wieku, a więc w okresie andropauzy, są naturalną i nieuchronną konsekwencją procesu starzenia się i nie ma potrzeby poświęcać im należytej uwagi.

Obecnie szacuje się, że już w wieku 35 lat około 5% mężczyzn obserwuje u siebie ED o różnym nasileniu. U starszych częstość występowania tych zaburzeń wzrasta o około 10% na dekadę, a więc u mężczyzn po 60. roku życia ED występują już u ponad 50% populacji. Dotychczas najpełniejsze dane epidemiologiczne dotyczące zaburzeń erekcji uzyskano podczas badań przeprowadzonych w Stanach Zjednoczonych (MMAS – Massachusetts Male Aging Study). Według tych danych aż u 52% mężczyzn w wieku 40–70 lat stwierdzono różne zaburzenia erekcji, od minimalnych (10%) przez umiarkowane (25%) do całkowitej impotencji (10%). Częstość ich występowania ściśle korelowała z wiekiem mężczyzn.

Wniosek ten potwierdzają również badania Brauna i wsp., gdzie zaburzenia erekcji stwierdzono u 2,3% badanych pomiędzy 30. a 39. rokiem życia, ale w grupie wiekowej 70–80 lat już u 53% mężczyzn poddanych badaniu. Obniżenie jakości życia seksualnego związanego z ED i potrzebę leczenia najczęściej (14,3%) zgłaszali mężczyźni w wieku 60–69 lat – w tej subpopulacji ED stwierdzono u 34,4% badanych. W badaniu Brauna i wsp. czynnikiem ryzyka występowania zaburzeń erekcji okazał się więc wiek – mężczyźni w 8 dekadzie życia byli ponad 22-krotnie bardziej narażeni na wystąpienie ED niż mężczyźni w 4. dekadzie życia.

Etiologia
Do przyczyn zaburzeń erekcji zalicza się wiele czynników, w tym głównie:
 zaburzenia hormonalne (zwłaszcza andropauza u starszych mężczyzn, czyli zmniejszenie syntezy testosteronu i androgenów nadnerczowych (DHEAS) w wyniku starzenia. Objawy andropauzy obserwuje się u 20–30% mężczyzn po 65. roku życia. Niedobór androgenów wywiera niekorzystny wpływ na sferę psychiczną, zmniejszając libido i pogarszając samopoczucie, a metabolicznie prowadzi do progresji zmian miażdżycowych, pogorszenia funkcji śródbłonka, zmniejszenia syntezy tlenku azotu (NO) i pogorszenia podatności naczyniowej)

 choroby przewlekłe – głównie cukrzyca (15% chorych w wieku 30 lat, 60% chorych w wieku 60 lat i 90% chorych z cukrzycą po 70. roku życia ma zaburzenia erekcji), ale i miażdżyca, niewydolność nerek, niewydolność wątroby, stwardnienie rozsiane, choroby układu krążenia (40–80% mężczyzn z chorobą wieńcową i 15% z nadciśnieniem tętniczym ma ED)
 zmiany naczyniowe (np. niedrożność naczyń krwionośnych wskutek postępujących zmian miażdżycowych czy uszkodzenie nerwów erekcyjnych i naczyń krwionośnych dostarczających krew do prącia – tzw. impotencja naczyniowa towarzysząca cukrzycy)
 choroby gruczołu krokowego u starszych mężczyzn – u 50% mężczyzn z objawami ze strony dolnych dróg moczowych (LUTS) lub łagodnym rozrostem gruczołu krokowego (BPH) w 60% przypadków dochodzi do zaburzeń erekcji. ED stwierdza się również u około 25% chorych na raka ograniczonego do stercza i u 12% mężczyzn poddanych elektroresekcji przezcewkowej gruczolaka stercza (TURP)
 przyjmowanie niektórych leków i innych substancji (leki hipotensyjne, leki przeciwdepresyjne, leki uspokajające, antagonisty receptora H2, niesteroidowe leki przeciwzapalne, hormony, analogi gonadoliberyny, antagonisty 5-alfa reduktazy)
 urazy kręgosłupa i rdzenia kręgowego, w którym znajduje się ośrodek erekcji
 nadużywanie alkoholu, przyjmowanie narkotyków, palenie papierosów
 czynniki psychogenne (ciężkie zaburzenia psychiczne, depresja, stany nadmiernego stresu i niepokoju)
 patologie funkcji prącia wskutek starzenia organizmu zmniejszające zdolność do erekcji (np. zmniejszenie zawartości kolagenu i włókien elastycznych w błonie białawej, zmiany niedokrwienne w mikrokrążeniu, spadek potencjału metabolicznego syntezy NO w komórkach śródbłonka).

Zaburzenia erekcji jako wczesny objaw chorób układu krążenia
Zaburzenia erekcji mogą występować u mężczyzn z bezobjawową (utajoną) chorobą układu sercowo-naczyniowego i stanowić wczesny marker m.in. choroby wieńcowej.

Na podstawie badań epidemiologicznych ustalono, że ED poprzedzają objawy choroby wieńcowej serca o około 2–5 lat.

Dlatego zaburzenia erekcji zostały uznane za czynnik ryzyka chorób układu krążenia u mężczyzn. Siła predykcyjna tego czynnika ryzyka jest szczególnie duża i przydatna u mężczyzn w wieku poniżej 40. roku życia.

Ryzyko wystąpienia ostrego zespołu wieńcowego lub zaburzeń krążenia w tętnicach obwodowych rośnie z nasileniem objawów ED.

Badania na populacji australijskiej wykazały, że ryzyko wystąpienia choroby serca u mężczyzn poniżej 40. roku życia rośnie 7-krotnie jeśli zgłaszali wcześniejsze zaburzenia erekcji.

Diagnostyka
W diagnostyce zaburzeń erekcji, od której zależy dobór odpowiedniej metody leczenia, oprócz wnikliwego wywiadu z pacjentem wykorzystuje się również:
 badania laboratoryjne
 morfologia krwi i badanie moczu
 badanie poziomu cukru we krwi – w celu wykluczenia cukrzycy
 transaminazy ALT, AST, GGTP – wysoki poziom tych enzymów wątrobowych może świadczyć o uszkodzeniu wątroby, co przekłada się na zaburzenia hormonalne
 mocznik i kreatynina – w celu wykluczenia choroby nerek będącej na przykład powikłaniem cukrzycy
 cholesterol, frakcje lipidowe, trójglicerydy – w celu wykluczenia miażdżycy
 oznaczenie poziomu hormonów we krwi
 testosteron
 prolaktyna
 FSH, TSH, LH
 swoisty antygen sterczowy PSA – w celu wykluczenia chorób gruczołu krokowego
 konsultację urologiczną
 badanie okolic genitalnych – służy ocenie wyglądu i funkcji narządów płciowych (małe jądra czy nieprawidłowe owłosienie mogą sugerować zmiany hormonalne)
 badanie per rectum – palpacyjne badanie odbytnicy celem oceny stanu gruczołu krokowego (prostaty) i wykluczenia jego przerostu
 diagnostykę obrazową
 tomografia komputerowa naczyń jamy brzusznej i miednicy (tzw. angio TK) – służy ocenie obrazu układu naczyniowego odpowiedzialnego za doprowadzanie krwi do narządów płciowych
 konsultację psychologiczną – służy ocenie ciężkości zaburzenia i jego wpływu na codzienne życie; opiera się na kwestionariuszach medycznych dotyczących ED oraz dokładnym wywiadzie odnośnie do życia seksualnego pacjenta z naciskiem na aspekty psychologiczne i środowiskowe
 konsultację seksuologiczną – oparty na dokładnym wywiadzie z pacjentem o problemach z erekcją z wykorzystaniem chociażby pytań o przyjmowane leki czy choroby w rodzinie.

Leczenie

Psychoterapia
Psychoterapia jest nieodzownym elementem leczenia zaburzeń erekcji u osób z etiologią psychogenną, które stanowią do 20% wszystkich przypadków ED. Jej celem jest przede wszystkim uświadomienie partnerom istoty problemu i wyjaśnienie, że ED jest często zjawiskiem naturalnie postępujące wraz z wiekiem i możliwym do leczenia. U pacjentów z chorobami przewlekłymi ważne jest położenie nacisku na fakt, że zaburzenia erekcji nie są u nich związane z procesem starzenia, ale objawem choroby (np. cukrzycy). Systematyczne i skuteczne ich leczenie może przyczynić się do ustąpienia lub zmniejszenia zaburzeń erekcji.

Farmakoterapia
W leczeniu zaburzeń erekcji, zależnie od stwierdzonej przyczyny dysfunkcji, stosuje się:
 preparaty testosteronu – służą wyrównaniu poziomu testosteronu, szczególnie u starszych mężczyzn, co korzystnie wpływa na libido. Terapia skutkuje zwiększeniem syntezy NO w komórkach śródbłonka poprzez zwiększenie aktywności kanałów potasowych ATP-zależnych. Leczenie działa również korzystnie na hydrauliczny mechanizm utrzymywania wypełnienia ciał jamistych. Poprawę obserwuje się u 70% mężczyzn.
 leki pierwszego rzutu:
 inhibitory fosfodiesterazy typu 5 – podczas podniecenia z zakończeń nerwowych w obrębie ciał jamistych prącia uwalnia się tlenek azotu (NO). Aktywuje on cyklazę guanylową, co w konsekwencji prowadzi do powstania cyklicznego monofosforanu guanozyny (cGMP) z guanozynotrifosforanu (GTP). cGMP odpowiedzialny jest za rozkurcz mięśni gładkich ciał jamistych i powoduje napływ krwi, a w konsekwencji erekcję. Cykliczny monofosforan guanozyny rozkładany jest do GMP pod wpływem fosfodiesterazy typu 5 (PDE5). Inhibitory PDE5 selektywnie i odwracalnie blokują ten enzym, powodując opóźnienie rozkładu drugiego przekaźnika, a tym samym utrzymywanie się stężenia cGMP na wysokim poziomie. Leki z tej grupy działają tylko przy obecności stymulacji seksualnej.
 inhibitory I generacji – cechują się krótkim czasem działania (do 6 godzin) i możliwą interakcją z pokarmem bogatotłuszczowym. Przykładem jest sildenafil, wardenafil i awanafil. Ostatni z wymienionych preparatów – awanafil – jest stosunkowo nowym lekiem, silnie wybiórczym w odniesieniu do PDE5. Odznacza się szybkim wchłanianiem – stężenie maksymalne osiągane po 30-40 min, powodując erekcję wystarczającą do penetracji już po 15-20 min. Działanie leku utrzymuje się do 6 godz. Jego wysoka selektywność obniża ryzyko wystąpienia działań niepożądanych, a ostatecznie substancja jest bezpiecznie wydalana głównie wraz z kałem.
 inhibitory II generacji – cechują się długim czasem działania i brakiem interakcji z pokarmem bogatym w tłuszcze. Jedynym przedstawicielem tej grupy jest tadalafil. Charakteryzuje się on znacznie dłuższym czasem działania w porównaniu z popularnym sildenafilem. Maksymalne stężenie leku występuje we krwi po upływie 2 godz., a okres półtrwania wynosi 17,5 godz. Oznacza to, że pacjenci dysponują dłuższym czasem na podjęcie próby współżycia seksualnego.
 apomorfinę – będącą agonistą postsynaptycznych receptorów dopaminergicznych D1 i D2, zlokalizowanych głównie w jądrze przykomorowym podwzgórza. Receptory te są zakończeniami neuronów oksytocynergicznych, a podawanie apomorfiny aktywuje je, co uruchamia odpowiednie mechanizmy na obwodzie, prowadząc do erekcji. Stosowanie jej przynosi poprawę erekcji o około 15% u pacjentów z niewielkimi zaburzeniami. Do działania leku praktycznie nie jest potrzebna stymulacja seksualna.
 leki drugiego rzutu:
 iniekcje do ciał jamistych – w tym celu wykorzystuje się papawerynę, fentolaminę lub fenoksybenzaminę, a także syntetyczną prostacyklinę PGE1 (alprostadyl). Metoda ta polega na wstrzykiwaniu do ciał jamistych (np. za pomocą penu) leku, który na drodze hamowania receptorów adrenergicznych alfa-1 w tkankach prącia oraz rozkurczania mięśniówki gładkiej ciał jamistych powoduje uzyskanie erekcji. Stosuje się ją rzadziej z powodu kłopotliwej formy podania oraz możliwych powikłań (priapizm, zwłóknienie ciał jamistych i krwiaki. w miejscu wstrzyknięcia).
 metodę MUSE (z ang. medical uretheral system for erection) – stanowi rozwinięcie powyższego sposobu leczenia ED. Polega na aplikowaniu alprostadylu bezpośrednio do cewki moczowej, gdzie lek zostaje wchłonięty przez błonę śluzową i przenika do ciał jamistych, powodując erekcję na drodze zmniejszenia odpływu krwi żylnej i zwiększenia dopływu krwi tętniczej do ciał jamistych. Również jest kłopotliwa w podaniu i niesie ryzyko uszkodzenia cewki moczowej.
 środki pochodzenia naturalnego – substancje pochodzenia roślinnego (wyciąg z owocu cytryńca chińskiego, z drewna, owocu z palmy Sabal) oraz bazujące na cynku. Leki te nie powodują jednorazowej poprawy erekcji, ale mogą być skuteczne w długoterminowej terapii jako preparaty wspomagające leczenie podstawowe.

Leczenie zabiegowe
U mężczyzn, u których problem z uzyskaniem lub utrzymaniem erekcji ma etiologię naczyniową, możliwe jest leczenie metodą fali uderzeniowej ESWT. W trakcie zabiegu falą uderzeniową efekt terapeutyczny uzyskiwany jest poprzez poddanie ciał jamistych prącia działaniu fal dźwiękowych o określonej częstotliwości i natężeniu. Stosowane w trakcie zabiegu fale stymulują proces angiogenezy (tworzenia nowych naczyń krwionośnych), co skutkuje poprawą hemodynamiki w prąciu, a co za tym idzie poprawą jakości erekcji. Leczenie metodą fali uderzeniowej jest bezbolesne i bezinwazyjne, a dotychczasowe badania kliniczne wykazują, że metoda jest bezpieczna, cechuje się wysoką skutecznością i długotrwałym efektem terapeutycznym. U 82,5% pacjentów po terapii zaobserwowano znaczącą poprawę w wynikach testu IIEF-5 (z ang. International Index of Erectile Function 5 Edition). Metoda ESWT jest stosowana w wielu Europejskich placówkach medycznych, także w Polsce (Grodzisk Mazowiecki, Swarzędz).

Ostatnią linią terapii zaburzeń potencji jest implantacja protezy prącia. Jest to metoda najbardziej inwazyjna, ale jednocześnie najbardziej skuteczna – daje najwyższy współczynnik satysfakcji pacjenta, na poziomie 92–100% (EAU Guidelines 2016). W Polsce stosuje się protezy hydrauliczne trzyczęściowe – typu ZSI 475 szwajcarskiej firmy Zephyr. Metodę tę stosują nieliczne, wyspecjalizowane ośrodki urologiczne zajmujące się implantami urologicznymi, na przykład Szpital Specjalistyczny w Puławach.

Aparaty próżniowe
W przypadku przeciwwskazań do zastosowania leczenia farmakologicznego relatywnie skuteczną oraz bezpieczną metodą leczenia jest wykorzystanie aparatów próżniowych. Pierwsza pompka została stworzona w roku 1874 przez amerykańskiego lekarza dr. Johna Kinga. Badanie R. Witherington wskazuje na skuteczność aparatów próżniowych na poziomie 92%. Price D.E i in. wykazali skuteczność leczenia wśród osób chorych na cukrzyce na poziomie 75%. Efektywność tej metody zależy od etiologii zaburzeń wzwodu oraz selekcji pacjentów biorących udział na badaniu.

Zobacz też
 zaburzenia seksualne

Przypisy

Bibliografia
 R. Danej, Zaburzenia erekcji – fizjologia, epidemiologia, patofizjologia, diagnostyka i leczenie, "Przewodnik Lekarza" 2001 nr 4(10), s. 106–111.
 Z. Lew-Starowicz, Leczenie zaburzeń erekcji – przeszłość, teraźniejszość, przyszłość, "Przewodnik Lekarza" 2003 nr 6, s. 56–60.

 M. Prang, Sekrety zdrowia mężczyzny, wyd. Bellona, Warszawa 2004, .
 A. Sikorski, Najważniejsze pytania w diagnostyce zaburzeń erekcji (cz. I), "Przegląd Urologiczny" 2001 nr 4(8).
 A. Sikorski, Najważniejsze pytania w diagnostyce zaburzeń erekcji (cz. II), "Przegląd Urologiczny" 2001 nr 5(9).

Linki zewnętrzne
 Diagnostyka ED – szczegółowy opis
 Mechanizm powstawania zaburzeń erekcji – artykuł w biomedical.pl
 Profilaktyka i leczenie zaburzeń erekcji
 Wszczepienie sztucznej hydraulicznej protezy prącia Zephyr ZSI 475

Zdrowie i zaburzenia seksualne
Dysfunkcje seksualne

redpajama_set_name: RedPajamaWikipedia


books must be covered by Friday, September 14th. Hard covered books may be covered with paper or book sox. Soft covered books are the only books that can be covered with sticky contact paper. They can also be covered with paper. Students should be bringing home a few books each day to be covered. Books must be returned the next day so we can use them in class.


Possibly overuse, trite use, has weakened the significance of these words of Christ. Yet, this verse holds a key to an understanding of the "Justice Christianus". Christ's sense of justice is that it is a mutual justice, a Divine justice now made incarnate in the life of humanity. This Divine Justice, this moral and ethics of a the highest definition, is the manner of justice that is administered now in an egalitarian, communitarian way. This Christian understanding is at the very heart of the principle of the democratic republic. It is not the emperor nor the monarch nor the oligarchy nor the party nor the tyrant who establishes the laws of the land, rather it is the conscience, we hope Divinely inspired, of the people. It is our acceptance of a mutual covenant of the "we". If is our acceptance of a mutual covenant to seeks the draw the community into becoming the more just community.
Yes, the "Justice Christianus" is a process of continually Becoming. It is a Justice that seeks to be moving toward a More Prefect version of itself. This sense of moving in the direction of a More Perfect Union comes from the impetus of Divine Possibility. The perfection is not a reactionary course into the past as we find in the Pharisees of Jesus' time, but rather a leaning toward the future in the direction of Perfection.
This process of ongoing perfection is based on the Christian understanding of the Alpha and the Omega, the beginning and the end. Our proper destiny is always in the future, but NOT waiting for some one day future to arrive, but always moving toward that future together. Now the few, not the many, but "We the People" who are being drawn ever to the frontier of ever more perfect justice.
Our humility is posture of our heart to not claim we already know the answers, but that we are learning the answers. Thus where there is arrogance there is the building a stronger fences to keep us forever in the inadequacy of our past.


Our AGV solutions consist of one or more vehicles, advanced control software, and supporting infrastructure, suitable for both indoor and outdoor use. Integration management ensures that these turnkey logistic systems are optimized to suit customer needs and seamlessly interface with other processes.
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With maximum maneuverability and the ability to move small, light loads up to 2,000 kg (4,400 lb), such as pallets, metal boxes, and plastic totes, these multi-load vehicles are available with a variety of load-handling devices.
These vehicles, the most popular of which are automated forklifts, transport heavy loads of various sizes and types up to 7,000 kg (15,400 lb). Depending on the application, we provide many load-handling device variants, which are available as single- or dual-load vehicles.
Available in a wide range of sizes and with varied carrying capacities up to 3,000 kg (6,600 lb), these are tunneling vehicles that drive beneath a load, lift it, and transport it to a destination.
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