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For 28 years, The Legal 500 has been analyzing the capabilities of law firms across the world, with a comprehensive research programme revised and updated every year to bring the most up-to-date vision of the global legal market. The Concept suggests the implementation of activities aimed at solving the issues of timely patients support with qualitative, safe and efficient medicinal products, immunobiological products and medical evices, and activities aimed at the prevention of corruption and limited competition that lead to medicinal products and medical devices procurement at an over-inflated price. The document authors note that the Concept designates the directions, mechanisms and terms for public procurements system transformation in healthcare sector of Ukraine through the development of modern convenient system aimed at the establishment of competitive environment and further development of fair competition in this sector. The Concept shall be implemented with the assistance of international organizations and donors in three stages during 2016—2018. Stage 1 (2016) – establishment of institutional and legal basis for the reformation of public procurements in healthcare sector.
CPO shall fulfill the procurements at local and foreign levels, and if required shall maintain the procurement from international suppliers — import of medicinal products, immunobiological products and medical devices, involve other organizations into customs clearance, storage and distribution, conduct other business activities based on long-term plan principles. The procedure for insulin products reimbursement foresees that the pharmacy warehouse should file monthly report on the medicinal products sold. Moreover, the document amends the CMU Resolution as of March 5, 2014, a„– 73 "On the Implementation of Pilot Project on State Regulation of Insulin Products Prices" regarding the definition of the unified mechanism of the state regulation of insulin products prices. These medical devices are allowed for market distribution before their expiry date and not later than 5 years from the date of their sales start without the compliance assessment and national quality standard mark.
Based on the abovementioned, the compliance assessment procedures shall become obligatory starting from July 1, 2017 for registered medical devices with the unlimited state registration certificate or with the certificate expiring after this date.
Another significant change introduces the opportunities to conduct the compliance assessment procedures during the period of validity of medical devices registration certificate. Moreover, certain changes have been introduced into the registration of the officials responsible for putting medical devices into operation. In case such entity is not a resident of Ukraine, the authorized representative should be assigned with the responsibility to introduce such medical devices into Ukrainian market. State Administration of Ukraine on Medicinal Products should maintain a Register of entities responsible for the introduction of medical devices into the market. The legal support of the development and adoption of the abovementioned Order of Cabinet of Ministers, as well as the above-mentioned order of the Ministry of Health of Ukraine was provided by the Legal Alliance Company in cooperation with the SIAPS project.
The said provision establishes that the drugs will be included in the National List of Essential Medicines (hereinafter - the National List), taking into account population incidence rates, prevalence of disease and mortality, evidence of the comparative effectiveness (performance), safety and cost-effectiveness of medicines, as well as industry standards in terms of health and level of funding for health care.
The Expert Committee will consist of 12-18 people, it will be composed of specialists with higher medical, pharmaceutical and economic education.
Once an expert committee under the Ministry of Health of Ukraine is established, work concerning the selection of drugs to be included in the National List will be conducted by them. Interested individuals and legal entities can apply with a package of necessary documents for inclusion of drugs in the National List of Medicines.
Notice of tax assessment is developed for each separate tax due together with the penalties, as well as for each penalty and poena for the violation of other legislation being under supervision of regulatory authorities.
Notice of tax assessment is considered to be submitted to the taxpayer – legal entity if such assessment notice is delivered by hand to the official employee of such taxpayer against acknowledgement or forwarded in a letter with notification of the delivery. Notice of tax assessment is considered to be submitted to the taxpayer – individual if such assessment notice is delivered by hand to such individual or his authorized representative or forwarded in a letter with notification of the delivery to the address of residence or of the latest known location of such individual.
The new Law provides for the implementation of public procurement with the use of two competitive regulatory procedures: open tendering and competitive dialogue, as well as a non-competitive procedure - negotiating the purchase procedure. An important innovation of the Law is the introduction of electronic procurement (e-auction), the electronic review system, as well as the implementation of the exchange of information, documents, to provide clarifications in the e-procurement system.
Moreover, for the conduct of unauthorized concentration, which did not lead to monopolization and significant impediment of competition on Ukrainian market , the AMCU recommends to calculate the basic penalty in accordance with the total revenue (income) received from the sales of products (goods, services) at all commodity markets of Ukraine. The AMCU made the greatest specification regarding the calculation of the basic penalties in the cases of the infringements of informational character. Moreover, the AMCU believes that if the incorrect information has been provided several times during the consideration of the case regarding the violation of informational character, the total penalty charges shall amount to the penalty for one relevant violation. It is worth to mention that the AMCU established the reduced penalty, which may be imposed on the respondent during the investigation of the case of informational character and on the applicant in the case regarding the concentration and the concurrent actions if they provided incomplete case information. Correction of previously determined penalty taking into consideration the aggravating and mitigating circumstances.
Declarations with violation of the deadlines for submission for the reporting period in case the application is submitted within its contents. The registers are published at the official State Fiscal Service’s web-site on a daily basis.
In case the Main Directorates of the State Fiscal Service in regions, or in the city of Kyiv send to the appellant the decision on final or partial denial of the appeal, the appellant has a right to file the subsequent appeal within 10 calendar days upon the receipt of such decision.
The document in its new edition, updated and improved in line with the requirements of the Law of Ukraine "On Prevention of Corruption", was recently approved by the Management Board of AIPM Ukraine.
The project was conducted by Oleksii Bezhevets, partner with Legal Alliance Company and senior associate Lidiya Sangarovskaya-Gurlach. The most important among the suggested amendments is the one concerning the Procedure of monitoring of adverse reactions to medicinal products permitted for medical use as approved by decree a„– 898 of the Ministry of Health of Ukraine, dating December 27, 2006 (hereinafter - the current procedure), in the new edition, changing its name to "The Procedure for the Conduct of Pharmacovigilance" (hereinafter - the new procedure). Thus, the new procedure determines that the applicant may have more than one system of pharmacovigilance, for example, specific systems for different types of medicines (vaccines, OTC drugs, etc.). With regards to the authorized person, the new order establishes that in the case of the applicant, who is located in Ukraine, the authorized person must be part of the applicant's personnel. The new procedure defines the document with a detailed description of the pharmacovigilance system as a Pharmacovigilance System Master File (PSMF). An important achievement of the new procedure is to establish the requirements for the system of risk management in pharmacovigilance. In contrast to the existing rules, the new procedure provides for the obligation of creating a risk management plan. In concern with medicinal products that do not require the creation of risk management plans, the applicant must support the specification file of important identified risks and important potential risks with the aim of preparing regular reports.
In terms of other amendments foreseen by the new procedure, emphasis should be given to the advanced categorical apparatus and a new player in the field of pharmacovigilance - rapid response groups of relevant departments of Health, which are responsible for investigating all serious adverse events after immunization and some others.
Therefore, the adoption of the new order will contribute to the harmonization of national legislation with the European legislation.in the field of pharmacovigilance. It is to be recalled that in their time some of the provisions were "the bone of contention" between the regulator and the subjects of the pharmaceutical market.
Therefore a situation may arise where the abovementioned provisions will be in force before the relevant decision of the Cabinet of Ministers' of Ukraine albeit with the edition of order a„– 143. The abovementioned draft legislation proposes the disclosure of information contained in the materials of the pre clinical studies and the clinical trials that are attached to the application for the registration of the medicinal product.
In the opinion of the legislation draft's initiators, the closed nature of such data results in the circulation of drugs, whose effectiveness and safety have not been proved. The Project aims to supporting of Ukrainian government in issue of improvement of effectiveness and transparence in public purchasing system for medicinal products, in particular, by complying of National list of main medicinal products and medical devices with international standards. This year the event attended 130 representatives of the pharmaceutical sector, specialized media, non-governmental organizations, professional associations, and state regulatory authorities. In the beginning of the session Dmytro Aleshko presented a report on the regulation of the medicinal products and medical devices market. Taking into consideration the composition of the event members many of whom represented the medical devices market, the regulation of the medical devices circulation in 2016 was discussed during a separate interactive session involving Pavel Harchyk, President of the Association of market operators of medical devices, Natalia Serhienko, Health Care Committee Executive Director, European Business Association, and Darya Bondarenko, CEO of Association of market operators of medical devices. The next session of the conference touched the most current issues of the organization of corporative ethics and anticorruption compliance system in the pharmaceutical business. Following the traditions of the summery conferences the session on taxation of pharmbusiness was held.
The highly topical conference programme did not let the participants to relax and loose focus, just as the regulatory and law-enforcement authorities does not let the sector representatives to relax in the course of the year. Hygiene requirements exclusively concern dietary suppements and do not apply to medicinal products, functional foods and special dietary foods. Hygienic requirements set requirements for the content of dietary supplements, in particular, the latter indicate that for the production of dietary supplements vitamins and minerals listed in Annex 1 of the hygiene requirements may be used, in the form specified in Annex 2 to the hygienic requirements.
Therefore amendments are provided to the Law of Ukraine "On Insurance" , namely by defining sponsor liability insurance a mandatory type of insurance . The document designates the mechanism for taxpayers’ appeals against tax assessment notices or any other decisions made by the regulatory authorities in the course of administrative procedure.
This Procedure shall not be applied to the appeals against the regulatory authorities’ decisions, actions or inactions of their officers or other employees if the special law establishes other procedures for appeals.
Complaints about the decisions of state tax inspection offices are filed to regulatory authorities in Kyiv and regions, to inter-regional territorial agencies.
Complaints about the decisions of regulatory authorities of Kyiv and regions, of inter-regional territorial agencies, and of customs offices are submitted to the State Fiscal Service of Ukraine. The decisions of State Fiscal Service of Ukraine made upon the consideration of taxpayers’ complaints are final and without any further administrative appeal, however may be appealed to court. The complaint should be submitted in writing to the higher regulatory authority within 10 calendar days following the taxpayer’s receipt of the respective decision made by the regulatory authority. The complaints for the regulatory authorities’ decisions and actions should be cited and submitted separately. The taxpayers may attach to their complaints all calculations and evidence, which they deem appropriate. Certified copies of quality certificates (certificates of analysis, test reports, etc.) issued by the manufacturer for the series of medicinal products to be imported.
The Ministry of Health shall within five working days from documents delivery shall issue for the importer a certificate of import confirmation or send a written refusal notice indicating the reasons for refusal. The Ministry of Health shall issue within five working days from documents delivery the certificate of confirmation for the medicines payment under the agreements or send a written refusal notice indicating the reasons for refusal. The supplier shall submit the confirmation certificate to the revenues and duties authority, where it is registered as a tax payer, not later than 10 working days after the deadline for submission of VAT declaration for the relevant reporting (tax) period.
The intended use of the medicinal products and medical devices exempt from VAT shall be fulfilled in accordance with corresponding legislation.
Nevertheless, the tax payers are still obliged to pay advanced corporate profit tax payments for the first three quarters of 2016.
The failure to make this payment shall result in imposing on such tax payer the penalty in the amount provided in Article 123 of the Tax Code of Ukraine. In such a way, the National List of Essential Medicinal Products and Medical Devices has been renamed into the National Essential Medicines List. Since CMU Resolution a„– 333 as of March 25, 2009 adoption, the list has not been amended with any medical device. National Essential Medicines List should be formed with due consideration of world-wide practices of rational pharmacotherapy and pharmacotherapeutic approach to primary health care of patients with priority pathologic conditions taking into consideration disease burden and mortality rate, and health care sector standards.
In the majority of countries this function is fulfilled by the WOH Model List of Essential Medicines, which has been elaborated as a core document for ensuring public health care at government expense.
The designated authority, on the basis of a document of compliance issued by a foreign authority, shall apply the conformity assessment procedure or part of it and issue the relevant document under this procedure under its responsibility. This Regulation shall enter into force six months after the date of publication and will be valid until 31st March 2019. It is to be noted that these legislative changes are due to the implementation of public procurement procedures of medical devices involving specialized international organizations that provide states and other entities with related services.
Dmytro Aleshko, Legal Alliances' Partner, became a member of the working group on essential medicines selection within the implementation of the project for National Medicinal Products Policy development. The sub-working group members are responsible for the implementation of essential medicines concept, establishment of the state priorities for participation in the pharmaceutical sector according to national morbidity rate. The Order provides for a simplified assessment procedure of the registration materials for the medicinal products that are purchased on budgetary funds via specialized international organizations. Therefore, as opposed to the general procedure, the assessment does not provide for the conduct of a preliminary or specialized examination of registered materials for the validation of quality, safety and effectiveness of the medicinal product. It is to be noted that in order to conduct the assessment for the authentication of materials, a batch of documents is submitted, which differs from the one required for the general assessment. The materials from the register dossier, which were submitted to the state authority at the place where the product has been registered for the registration of the medicinal product or for the reclassification of this medicinal product by the WHO. The evaluation report of the medicinal product, compiled by the authorities of the state where the product is registered or issued by the WHO if the product has been reclassified.
Control methods of the medicinal product's quality (final product) (information concerning the quality assurance of medicinal products (final product)).
It is to be noted that unlike the general procedure, the applicant submits all of the documents to the Ministry of Health, which in turn forwards on its' own within one working day the documents required for the assessment to the State Expert Centre.
It should also be noted that the deadline for the conduct of the assessment is five working days.
In accordance with the results of the authentication expertise, the SEC compiles a conclusion, which is forwarded to the Ministry of Health within one working day.
It is to be reminded that under current legislation the Ministry of Health has 7 working days (as opposed to 1 month for the general procedure) to make a decision concerning the state registration of a medicinal product, which is procured by international organizations.
The Legal Alliance Company was represented at the meeting by Dmytro Aleshko, head of the pharmaceutical regulation and norm setting practices.
The first session of the meeting was devoted to the development of a strategic approach to ensure access to better medicines for the population as well as specific issues of concern, which is likely to face in the background of medication for the population and also to more specific issues with will possibly be met against the background of changes in the demographic, economic conditions and modalities of the pharmaceutical market. Dmytro Aleshko commented after the meeting on the preliminary conclusions reached by the participants: "I am pleased to note that within the walls of the Ministry of Health a dialogue on strategic issues has begun.
This is the day I have set aside to explore my close surroundings before I head out on my Maui adventure activities for the next seven days. As I allow the disappointment to get as big and painful as it needs too, something happens that has happened many times in my life during difficult experiences. During a recent trip to Maui, I rediscovered that beautiful child in the eyes of the aging woman Ia€™ve become. For many years, I searched to be a better person, to become wiser, and to learn how to live a full and productive life, and to be admired. Patience has been my work this year and Ia€™ve learned much about the difference between tolerance and patience.
The voting was heavy and because most of us know each other in some way, our politics are often known. As Zacha€™s son-in-law returned to the inside of the voting precinct to witness the casting of Zacha€™s vote, he said two simple words: Thank you.
Later heading home, fatigue turned to laughter and memory recorded these shared emotional experiences of inspiration. The written word has often been the way spiritual messages have been received during my Life.
The human survival instinct supports us in seeing what is there that needs to change or is threatening to us. Sometimes an old message said in a simple direct way can change the Life of the one who truly hears it. Since that time, I have written of the learning that came from my choice and consequently his choices. As I was leaving the workshop, a young woman came up to me and asked me to share what meditation had meant in my life. My deepest longing is to love and be loved and yet fear can hold me back by expecting perfection.
Michael Singer wrote a book called The Untethered Soul, and it speaks of the way to let the personality desires play out while the Seer of what is transpiring watches without judging or clinging to an outcome.
It has been some seventy-two hours since I began this essay and then stopped writing because I realized I was living in a huge story and could not write authentically from that place. It has been seven years since this small community called to me and embraced me within its furry mountains and quiet streams.
During the last few weeks, I have begun to feel that my time here in this small community is limited. The rock in the creek feels cold against my warm skin in contrast to bike riding on this hot day.
When he turns, his familiar face and eyes are beaming toward me as he explains that he is looking for the rock we used in meditation the last time we visited the creek. His love for me is visible in the steady gaze of his eyes, and it both comforts and frightens me.
It is late evening and Mark Nepoa€™s words speak to me; his writings have been an inspiration in many ways during the past few months. At first, the feeling is a bit overwhelming and tears flow as I remember Nepoa€™s request to include looking at the lighted candle as part of my meditation. It is spring again; forty-eight years have past and yet my memories of a small toddler are as vivid as every. It is good to remember the joy of him running across the yard, small frog in hand and joy in his face, panting as he recalls how challenging it was for him to catch it. He made the team, got a new girlfriend, went off to college, had much success, and oh so many friends. May the light in the eyes of our children remind us of the light that is possible in our own. Mark Nepo is my author of choice the last few days, and his writing speaks to me in the silence of my being and I am changed by what I hear. Those who have poor vision, those who have less than average senses of taste and smell, those who have physical difficulties, those who have hearing challenges, what do they have in common?
My friend has learned to angle his head in a certain way that tells me he is listening carefully sometimes cupping his ear with his hand. Recently Ia€™ve been seeing growing older as a limitation; an ache here, a gray hair there, a bit of fatigue at the end of the day, a need for a short rest more often, a wrinkle on the back of my hand, a need for glasses more often. As the mother, the blind childa€™s face filled with wonder inspires me to see more clearly through her blindness. As the cherry blossom, I stand in the glow of the sun knowing that I add beauty and wonder to the earth and to its inhabitants.
Mark Nepo in his book, The Awakening, asked the questions: How am I different from others and how am I the same.
In this silence, the wisdom of Lamotta€™s quote is known somewhere deep in the part of me that I share with all others. Each of us experiences death of our physical body, each of us grows physically from birth to death, each of us is capable of thought, each of us experiences the pain of physical life and the joys.
I believe deep in our core of being, we are each a small piece of the Universe, and we have manifested into this unique physical form equipped with the tools and a gift we need to create our healing part of the collective. As I began to ride the bike, it seemed a bit big for my frame and often my back hurt after riding a long distance, so I chose to buy a new girla€™s bike.
Two days ago, a new friend suggested he would like to go biking with my group, but his bike needed repairing. On the ride back to the trailhead, my friend and I rode together; I shared that the bike had belonged to my son and he was the first to ride it besides me. A limiting beliefa€”just as it soundsa€”is having a thought about the past, present, or future that keeps you from seeing what is true in the moment you are living right now. This natural symbol of equality of day (light) and night (dark) is a reminder that light and dark are different not better or worse. Equality is a slippery word in our culture and the term is often used to compare one thing, one thought, one person, and one event to another. This search for meaning has brought me to this autumnal point, and to a knowing that equality is expressed within through an attitude of a€?non-judgmenta€? about what we can see, smell, hear, taste, and touch through our five senses.
Recently in a difficult discussion with a male friend about equality between genders, I suggested that our older generation seems to have more difficulty with this deeper feeling of equality since our culture has encouraged stories about superiority vs. This experience has supported me in looking closely within me to see where I discover feelings of inequality as a part of my physical existence. Observation of the equality of light and dark during this Fall Equinox reminds me that deep equality means no judgment or comparisons are needed.
During the past few weeks, Ia€™ve spent time at the Wintergreen Nature Foundation as a volunteer.
One particular Saturday, a call came that a baby rabbit had been very still in the garden for a long time and appeared injured. A few days later, I was the human contemplating the impermanence in nature and wondering what to do. Recently I met my daughter and her family to fulfill her wish to visit the two homes where she had been a baby.
As I approached the door, I remembered my husband carrying me across the threshold; I remembered bringing my son and daughter home to the loving arms of an extended family that had arrived to celebrate their coming into Life.
Unbelievably, the man and woman that had bought the house from us still lived there, and it felt wonderful that they had continued to add their love of the house to ours.
Neighbors dropped in yesterday and provided me with fun, friendship, and an unexpected sacred moment. It was a balmy late spring day and the hydrangeas were in full bloom and served as a backdrop as we drank smoothies, ate rice chips and salsa, and enjoyed a glass of wine on my screened porch. We shared how important it is to avoid fearful story-telling about what is happening and to simply deal with what is happening right now in the present moment. My friend is out of town and some part of me is pleased by the freedom that gives to me and I have an authentic knowing that he is doing what enriches his life. As I sit typing this, I realize that my day is my own creation and whether or not I act from a place of fear is all up to me. From some people the question triggers a feeling of annoyance within me, and I sometimes give them an answer like, a€?nothing special just the usual things or therea€™s always plenty to do.a€? It is more avoidance of responding from annoyance than an answer. As I examined my feelings during these different experiences, I discovered the part of me that wants to be what the other person perceives me to be, a busy, active, interesting person. It is a reminder that I am not here to fulfill anyone elsea€™s expectations; I am here to find meaning and purpose for my own life.
This morning I awaken to the gentle sound of rain, and I snuggle down into the nighta€™s accumulated warmth under my blankets. Again no thoughts come, just an incredible presence and knowing that in each moment there is beauty and nurturing for the soul for the taking.
If unused muscles and bones create a message to the brain that their dysfunction is normal until the imbalance creates pain, is that also true of emotional dysfunction? The physical discomfort is in my second energy center, which I understand to be the energy center of creativity and belonging, and it is sending me a message. A few days ago, Eckhart Tollea€™s book, called The New Earth, was mentioned in a conversation with a friend, and I had a knowing that I wanted to reread it. In that moment, I began to look at my choices during the past few months and the intentions behind them. Tolle goes on to say that if you can neither enjoy or bring acceptance to what you doa€”stop. In that moment, I chose to look into his clear blue eyes and said, a€?Hi.a€? He didna€™t look at me, but his eyes were alive with the joy and pure light of the incredible sun that rose through the window of the elevator.
In gratitude, I left the elevator carrying the gift of pure light that had come to me from the sun through a young man that reflected it.
Yesterday nature spoke to me through the visual image of a heart; it supported me in examining my own. The fast moving falls as it entered the pool of water surrounded by ice at its base had created the shape of a large and pulsing heart. Many emotions were resident in my body; the state of love and the state of fear fought for domination.
Living without attachment and an open heart creates vulnerability, and it is sometimes difficult to do from the shadows of past experiences. He did not have children of his own, but his extended family was more connected to him than many parents are to their own children. The adoption of the Draft Resolution shall promote the establishment of professional centralized procurement organizations (hereinafter - CPO) in Ukraine, which requires some time and incremental actions. CPOs shall be established under the Health Ministry decision and shall operate under its supervision. During this period all medical devices shall be introduces to the market and put into operation on the basis of acting certificate of state registration. Registered medical devices with the certificate expiring after July 1, 2017, should undergo the compliance assessment procedures after the expiration of such certificate in order to stay on the market. The structure and contents of national lists will be based on the latest edition of the Basic List of Essential Medicines recommended by WHO.
An important step forward is the need to study whether or not such persons present a conflict of interest, as well as the possibility of participation of foreign specialists with the necessary knowledge and experience in the selection process in the national list,"- said Dmytro Aleshko, who heads the team of experts developing a normative - regulatory package on this matter. Such persons shall not present a real conflict of interest, in particular, they should not be in an employment or any other contractual relationships with producers and holders of certificates of registration of drugs or associated persons. At the same time, the Law provides a number of cases to which the provisions of the latter do not apply. In addition, the AMCU has specified the meaning of such aggravating circumstances as the obstruction of case investigation. This method is recommended in case the respondent did not provide any information on the total revenue at the market where the concentration took place and at adjacent markets. Thus, previously the basic penalty equaled up to 5% of the revenue from the sales of the products (goods, works, services) of economic entity in the last reporting year prior to the year the penalty was charged, and if there was no revenue or the respondent did not provide any information on the total revenue – the penalty equaled to 10 000 of non-taxable incomes of the residents.
The written appeal should contain all data outlined in the Procedure, it should be signed by the appellant-physical entity or by the authorized person, for other appellants – the appeal should be signed by the director or a legally authorized representative and sealed (if available).
Thus, the new procedure provides a number of new features, the most interesting of which relate to the applicant.
At the same time, each applicant's pharmacovigilance system can have only one authorized person responsible for the pharmacovigilance (hereinafter – authorized person). Should the applicant not be located in Ukraine, then a contact person for pharmacovigilance in Ukraine, who is a subordinate of the applicant's authorized person, must be assigned on the territory of Ukraine. In comparison with the current procedure, the new procedure establishes simultaneously a clear framework for such PSMFs with the requirements for information that must be contained in it.
It should be noted that the current procedure contains a provision, according to which the applicant creates a pharmacovigilance risk management plan, i.e. The draft resolution prepared by the Ministry of Health of Ukraine , does not contain any significant differences , except for some editorial amendments. The matter concerns a three-way contract, the requirement for the conclusion of which seems by importers to not be feasible. Therefore the draft legislation at hand is aimed at initiating access to such information, which will enable all interested citizens, their associations and professionals to decide on the selection for the appointment and the medical use of the medicinal products on the basis of objective data concerning the level of proof on their safety and effectiveness. Being an annual event for the pharmaceutical sector representatives, the Conference focuses on the regulatory aspects of the pharmbusiness and other legal tendencies of the pharmaceutical market. Krzysztof Siedlecki, European Business Association President, Astellas Pharma Europe BV Country Manager Ukraine, Dr.
The discussion was held around the current status, potential problems and roadmaps in this sphere. The session was opened by Legal Alliance Partner Oleksii Bezhevets, who informed the participants on the main changes in anticorruption requirements. Legal Alliance Associate Partner Andrii Gorbatenko, who leads the antimonopoly and competition law practice, acted as a moderator of this session.
Nevertheless, all the attendees remained satisfied with a quantity and quality of the information received at the event and expressed a desire to meet in such a format at least twice a year. Quality criteria for nutrients used for the production of dietary supplements must comply with the requirements of Ukrainian legislation and in their absence - standards established by the Codex Alimentarius Commission.
The opportunity to track dietary supplements and any substance intended to be administered in dietary supplements should be ensured at all stages of production and circulation.
According to the proposed changes , the relevant contract may be concluded not only by the sponsor of the clinical trial , but also by their authorized representative.
In addition the mentioned procedures shall not be applied to the appeals against decisions made in the course of administrative violations proceedings. Prior to this Resolution adoption the list approved by the CMU Resolution a„– 400 March 29, 2006 was in force containing 783 products among which only 1 product was a medical device – test system.
The essential medicines are selected with regard to the morbidity rate, comparative effectiveness and safety evidence, economic efficiency.
In particular, the State Expert Centre (SEC) examines only the authentication of the registration materials for the mentioned product category. However, the expertise of the materials of the medication, which is submitted for the State registration with a full dossier can continue for up to 210 working days. During the second session, the special place that pricing policies have in the wide spectrum of medicinal products was examines alongside the opportunities for the restrictions of various pricing mechanisms.
I am even more pleased that such a discussion takes place with the participation of European experts. It is a dark starless night, the rain slashes against the window, the winds howl with 50 miles an hour gusts. It is morning, a light rain continues, the winds are not as strong and yet the bamboo grove sways and sweeps the ground. The week continued to have some misadventures and some spectacular adventures and the courageous and joyous parts of me lived them fully. So as this year ends, the compassionate patience I feel for myself fills my heart and it is soft with love; a love that has always been close at hand and seemingly just out of my reach.
The voters are old friends, new friends, community workers, casual acquaintances, and families coming together to express their preferences through voting. As the voting lines formed for this election, we stood together only as neighborsa€”rich and not so rich, young and not so young, extraverted and not so extraverted, highly educated and not so highly educated, multi-raced, blue voters and red votersa€”without malice or ill intent.
She was adorable in her winter hat pulled down over her ears; it brought attention to her laughing eyes.
He looked concerned and said to me, My father-in-law is out in my truck; he is 85 and hea€™s had a medical procedure today and wea€™ve been with the doctors. It was an unforgettable moment; we hugged and thanked each other for making it possible for Zach to vote.
Since saying a€?yesa€? is the first rule of improv, the message didna€™t seem new at first. The need for control is strong so supporting someone elsea€™s ideas or interests each moment seems difficult at times. This one has certainly changed the content of my last two days, and the intention to expand the experiment is exciting and feels like a spiritual loving act. As I sat on my deck looking out over the city, the leaves of fall were turning the world into bright hues of red, orange, and brown. I felt reluctant, but I had had some physical limitations during the last year that had been difficult to accept and meditation had really supported my healing. Mostly it happens when a small activity of the day seems more difficult than I judge it should be. Without being sure of outcomes or things unseen, this is my opportunity to act without attachment and with the joy of what I will learn from the experiences my actions create. It was a time of change from working long hours to going inward to discover what was left to uncover within me.
The withdrawal I needed and the healing it has brought to me has completed this phase of my life.
The need for expansion comes from an internal voice that says explore, experiment, and do not become complacent. When the time and move is right, something within my spirit will say, a€?Get crackin.a€? The patience to wait for that insight has come as a part of the growth Ia€™ve found in this small blue house on top of a hill surrounded by mountains. He agreed to run away for a day to escape the heat and discomfort brought on by a loss of electrical power in our homes even though his electricity had returned.
This evening he invites me to light a candle, to close my eyes, to reopen my eyes, and to see each thing before me. I stood in wonder at this amazing child so full of life and uninhibited yearning to have a good time and accomplish what he set out to do.
He wanted to have the biggest paper route and he wanted to make the most sales at his part-time job. Academics didna€™t seem to be his focus, but he seemed to relish his relationships and became the life of the party and the favorite student to his teachers. Now his spirit of aliveness lives in me and the memory of his voice reminds me that Life in this physical realm is short and that what we create here lives forever within those we have truly touched. Today in the quietness that is The Wintergreen Nature Foundation on some Wednesday mornings, my clarity about what I was to learn came. His voice stills my mind, brings me to the present, and opens my heart to listen not to the words but to the message his words point too. What Ia€™ve noticed is that they look more closely, eat more slowly, move more deliberately, and listen intently to others.
A young blind childa€™s face radiates the sun in his eyes as he turns his face up to feel the warmth. So today, Ia€™m altering my thoughts about limitations and seeing opportunities everywhere. I am sometimes impatient, but Ia€™m learning to accommodate his need for being on my right side to hear more clearly.
Then he issued an invitation to sit in silence with eyes closed and contemplate these questions. We are here together at this time, in this place, and in this specific body to understand that the essence of all Life exists in each of us humans and in all living matter. If we examined each Life, it would not be what happens to us that would be different for pain and joy comes to everyone; it would be how we respond to what happens to us that has created our unique experience of our individual Life. Another woman loses a child and creates a charity in its name and supports the lives of many children.
To live well is to choose to grow into what we are most capable of being and be grateful for the uniqueness of the Life. I am a personality in a physical body with the power of logic and thought as is everyone else. Two years ago it was refurbished with new tires, new horns on the handlebars, and had been given a good checkup so it could be used for riding with my new bike group. Without hesitation, I offered the unused bike in the garage, and I felt my heart open to the possibility that the bike would finally be used.
Perhaps you awaken from a long nighta€™s sleep and have the thought that you are tired; but are you really tired or just not quite alert as yet?
They were planted by the property owner in the early 1900s and seem to be a symbol of welcome outside the front door of an ancient majestic medieval stone castle. To quote Wikipedia: a€¦the Sun is at one of two opposite points on the celestial sphere where the celestial equator and ecliptic intersect.
Who could argue that day and night have distinct powers to aid in the Life upon planet Earth? In my youth the expression, a€?all men are created equal,a€? stirred many thoughts of disbelief in my mind: Does that include women, does that mean skill level, does that mean talent, does that mean appearance, does that meana€¦on and on? It is a deeper understanding that the Universal energy dynamic of which we are a part is without judgment. If there is a value judgment placed by me on what I see, it is sure to mean that I do not see myself as equala€”it could be a feeling of doing better or of a feeling of doing less, of being stronger or of being weaker, in control or not in control.
To honor what each contributes with no value judgment added supports my intention to appreciate all that a€?isa€? because it a€?is.a€? If Ia€™m walking on eggshells, stomping heavily through a room, or withdrawing my love in a reaction to another to gain acceptance or power, it will be my challenge to ask why I do not feel equal in this moment without demanding an immediate answer.
It is summer and the calls to rescue injured or troubled animals and people come in quite often. The caller stated that hawks were circling and it wouldna€™t be long before the rabbit could not be saved. What happens are visions of past experiences, people, and places that are pictures in the minda€™s album. They had added gardens, doors, patios, waterfalls, fireplace, and fisha€”just to mention a few of their creations. It is challenging to accurately describe a sacred moment and the power it contains, so Ia€™ll start slowly from the beginning.
I can feel within me the need to know who is the night raider and how can I change what is happening in order to have my world be as I choose it to be. For some reason, I have doubt about whether that person is capable of caring about me just as I am in this moment. The birds are chirping in the trees, the squirrels are trying to get into the bird feeders, the breeze is moving the leaves, the raindrops are collecting on the deck, and the mountains stand observing it all. There is no thinking only comfort and presence; it is as if I am one with my feelings and it feels like what I believe peace to be. Ia€™ve felt that my body is trying to tell me something so each morning Ia€™ve asked the question: a€?What do I need to know that I do not want to know?a€? Without requiring an answer, Ia€™ve continued to just be open to learning. As I began, I felt I was reading it for the friend to support him in his relationship with someone he loves; but as I began to read, I knew the booka€™s message would bring me the understanding of what I needed to know that I was resisting unconsciously. My intention is to have compassion for the part of me that feels I need all the answers to lifea€™s questions now. I dona€™t know what it is I am not aware of in this moment, but I am fully aware that I am enjoying the quietness of it.
The elevator door opened and a middle-aged woman entered pushing a teenage boy in a wheelchair.
He wasna€™t concerned that it was crowded or that too many obstacles were in the way of what he wanted.
I thought of future losses that could ultimately occur with the experiences of living fully. The choice is always mine, a€?Do I live in a state of love or a state of fear?a€? My intention was as clear as the bubbling water under the falls, let the light within me grow and expand with a welcoming compassion for the dark shadowy edges that I know still exist. Freely I stooped to pick them up; they are reminders of my choice to fully live from the most loving place I can find within me in each moment.
He was an accomplished pianist, but did not play often, because he felt he couldna€™t play up to his earlier standards. I began to ask the question, a€?Where am I not living fully?a€? During my walk to his home and the memorial reception, my neighbors were in my thoughts.
The reimbursement of insulin products costs shall be fulfilled at the rate of reference price for the medicinal product approved by the Ministry of Health of Ukraine.
The patients shall receive their medication for a lowered price or for free in accordance with these categories. Business entity should submit the relevant report not later than the 5th day of the month following the reporting month, and in December — not later than the 24th day of the reporting month.
An important selection criterion is the presence of experience of the evaluation of the comparative efficacy (effectiveness), safety and cost-effectiveness of drugs.
This Order updates the mailing procedures for tax assessment notices to be sent to taxpayers by regulatory authorities. Today the AMCU increased the penalty up to 30% of the revenue from the sales of the products (goods, works, services) that violated the legislation on the protection against unfair competition.
In the end of the session the Legal Alliance senior associate Alexander Bondar presented a report on the new public procurements law, which practically implements the electronic procurements (electronic auction), electronic system of appeal, and the exchange of information, documents, submission of explanations in the electronic procurements system. In the course of his report the delegated had an opportunity to discuss the plans and implementations of 2015 and to share their expectations and forecasts for the coming year.
After he passed the floor to the special guests of the conference - Aliona Kushnova, Judge at the regional Kiev administrative court, and Jonas Triggvason, Managing Partner, UPharma Consulting. The session was traditionally opened with an analytical report on the status of the pharmaceutical market in 2015 presented by Irina Gorlova, General Director, SMD. Vitalii Savchuk, Senior Associate, Legal Alliance, presented a report on the most high-profile cases, investigations and court practices regarding the pharmaceutical industry.
Before 2006 the list approved by the CMU Resolution a„– 1482 as of November 16, 2001 was acting.
Yesterday, it was decided to start work on a national strategy for the pharmaceutical sector. 50 mile an hour gusts of wind in Virginia would encourage me to hunker down for protection.
The disappointment is strong and yet I can take a small step toward the bathroom and get dressed.
As I compared the pictures of me as a child and me as a grown woman, I finally could see my own beauty and it made me laugh with joy.
As the New Year begins, my heart is open and I look forward to the experiences I will create. As a poll worker, the day was long, warm inside, cold outside, enjoyable, inspiring, and at times emotional.
He is immobile at the moment and concerned because he has never missed an election since he began to vote. Sometimes it is before an experience and during the experience the words start ringing in my ears.
As we began to practice creating scenes, it was immediately clear that it was easier for me to say a€?yes, buta€? and it was equally clear that doing so blocked the scene from expanding. Acceptance of a€?what isa€? can be challenging and this simple idea of energetically saying, a€?yes, anda€? has given me clarity about my own negative or judgmental views as Ia€™ve gone through my day. The experiment itself has supported me in living more fully in the present, which is, of course, the only place we can live fully. My heart seemed to stop breathing, my throat was tightly constricted, and the top of my head felt as if it would fly into the trees so great was the pressure. His choices were courageous; his experiences were dramatic examples of how to live and not to live for those who watched his progress. It could be loading bikes on a rack, spilling milk in my new car, lateness of a friend, hot when I want it to be cool, or appreciation not shown. The deep longing for companionship thwarted by my fear of losing independence is simple but complex within my thoughts about what to allow and what not to allow into my world.
Ia€™ve been living at least for the past few day in a story of my own making about what others want me to do, how they want me to live, or what they need from me. Recently a friend was talking about his experiences and how excited he was about his hopes and dreams for the future; I recognized them as both different and similar to my own. It has been amazing and comfortable and productive in a different way than accomplishing projects. Last night as I looked around during a concert on the mountain, I saw the same people I see almost daily. It isna€™t dissatisfaction with what is; its more a wonderment of what other experiences and growth are possible for me. There is a joyful feeling of contentment as the warm air circles close in and sweat runs down my back.
Joy has not always come to me with ease, as my human need to protect myself and those I love is well practiced and vigilant at times. He talks about a concept in a book we are sharing and wonders if hea€™s got it right; if he has understood it. He encourages me to ask myself how the things Ia€™m seeing are different and how they are the same and listen to my heart speak. It is orange and ita€™s light is a lacy hue; two triangles extending from ita€™s center one reaches toward me and the other away from me. What an awesome experience to see the love of a husband and a father reflected in the toothless grin of a new life.
Memories of his birth and death have supported me in finding this place where I intend to live with compassion for others and myself and with a love of Life every day and every minute. I cannot change it, but I can surrender to a€?what isa€? in each moment in order to respond from the healthiest part of me rather than to fearfully react. This habit has triggered in me a new perspective about what I see as limitation and opportunity. Today that message is to consider every limitation as an opportunity and to be opened to what is most important to learn in each moment.
The woman in a wheel chair demonstrates patience as she waits to enter through a revolving door.
I now move slowly enough in the morning to watch a cardinal land on the bird-feeder, my glasses magnify the beauty of the gifts that fill my home, my aches encourage me to stretch and care for my body and to find the wisdom to rest when rest is needed. My nose will tell me of ita€™s fragrance, my touch will tell me of its softness, but only through my mothera€™s tone and voice will I know what that fragrance and softness belongs too. As I carefully describe what Ia€™m seeing, my gift to this unseeing child supports me being present enough to fully see it myself; and this level of awareness is the childa€™s gift to me.
As the child, as the mother, or as the cherry blossom, my purpose is simply to live my best life and to grow. The manifestation of that essential Life we have brought into being takes many physical forms; all different, all unique. All of these things have resulted in my becoming the a€?soul in a bodya€? that I see in my mirror this morning. If in this Life, we do not become conscious of the power of the collective Life of the Universe, we will be given another chance. To make that possible, I pulled it out, pumped up the tires, admired ita€™s beauty, and my heart felt lighter.
As we remounted and rode on, the bike was a€?just another bikea€? racing to the song of the fall breeze. Perhaps you look in the mirror and think that you are getting older and no longer beautiful; yes you are getting older, but aging has ita€™s own beauty. The ability to bring awareness to the harsh, dramatic, judgmental, and repetitive sounds within our minds contains the freedom we think is not open to us. These points of intersection are called equinoctial points: classically, the vernal point and the autumnal point. So to carry the a€?Pointa€? into an individual Life, who could argue that pleasant (light) experiences are better or worse than difficult (dark) experiences since every experience has the potential for learning by the being that experiences it. Like the similar times of day and night in this season, we are connected by individual and collective purposes with an equal opportunity to live our best lives. As I was hearing the story, it occurred to me that we saved the rabbit or deprived the hawk of its meal. It is a beautiful spot and it was early evening as the light played its songs upon the angles of the rocks and crevices as we watched.
Today if someone walks along the same path we took, there will be no hint of what occurred between the snake and the frog. Going back there did not necessarily appeal to me either since my relationship to my former husband and her Dad had become faded memories of love and pain. As often happens with this friend, the discussion turned to nature and bird songs in particular. It was quickly replaced with a look of acceptance of what was now occurring as she described her coming treatment.
Ia€™m grateful for the awareness of this part of me that continues to need challenging if I am to be at peace with what is in this moment.
How do I challenge the part of me that judges his actions and wants him to be different so that I can be happy?
That feels nurturing and I can feel my heart open as I consider the possibility that life is an illusion created by my thoughts, and I can choose which thoughts I will give my energy too. For others, I just say something like, a€?planning a quiet day.a€? That answer feels authentic and supportive of the way I want to live my life. For sure, I am an active person with a wide variety of interests, but sometimes I enjoy a€?Beinga€? in my home. Today I have set an intention to answer the question, what are you doing today, with authenticity no matter who is asking. As the morning unfolds, the feeling of hunger comes and without questioning it, I stretch, arise, and move to my robe. Without thinking, there is a deep knowing that I am not a separate entity seeing, hearing, tasting, touching, and smelling this moment, but an integral part of it and without my energy and presence it would be different. She said that I was flexible in my hips and so compensated there for the lack of flexibility in the last vertebra of my back. I begin to remember the times in my life when I have felt emotional pain and have chosen to override it with thinking.
Also this week, Ia€™ve felt the need to remain quiet while reflecting with more stillness than is my normal pattern.
This morning I read Tollea€™s words I needed to hear: If you are not in the state of either acceptance, enjoyment, or enthusiasm, look closely and you will find that you are creating suffering for yourself and others. I will ask for guidance to accept what is happening in the moment without adding drama and fearful thoughts or intelligent explanations. I felt impatient with the loss of time and the people that swirled around in the garage seemingly in my way. He seemed challenged both mentally and physically, and my reaction was to look away so that his mom would not feel I was staring at the young boy. He wasna€™t complaining internally, he wasna€™t judging others; he was without fear and was gazing in awe at the light. The courage to challenge my own fear in that moment had supported my own pure light and brought pure joy! In the sunny light side of the heart pool, the water churned and danced, but in the shaded darker side of the heart pool, the water hardly moved at all. One of these experiences was contained in the laughter of my friends as they sat along the mountain stream. One of my friends encouraged me to pick up a larger rock than I usually do; he placed it in my backpack.
Did all of them have this sense of knowing that it could have been anyone of us that decided to return to our spiritual home?
The reports should be submitted to local budgets holders who have been legitimately assigned for the execution of operating expenses of local budgets for preferential provision of insulin products to diabetic patients defined by the decisions on such expenditures in accordance with the legislation for the reimbursement to business entity of the amount stated in the register within 15 days upon the report receipt. In addition to a lot of interesting facts the reporter highlighted that the total volume of the medicinal products market in Ukraine amounted to 2.1 billion USD in 2015.
Outside the window, the lily pond beyond the deck is beautiful, the deck is wet and shiny, and the door slightly open lets in a pure and sweet freshness. I can take a small step toward my car and drive the dirt road to the main road; and if the wind is too strong, I can return to this rugged North shore bamboo farm and make the best of it.
As I gazed at the photo of the beautiful child holding the doll, I remembered that feeling of love; my heart was soft and full.
The beauty had nothing to do with the physical features displayed in the photos; it was the radiance that traveled from my heart through my eyes and took in the world around them. Let me tell you why inspiring and emotional experiences were my companions on this day in small-town America. We kissed each other, hugged each other, waved to each other, talked with each other, supported each other, and laughed and yes cried with each other. I focused on these positives as we supported him in whatever healing was possible, and eventually, supported him as his alcohol-damaged body died. As she led us in meditation, I felt the deep pain of powerlessness again, and again I invited it to get as big as it could.
When Ia€™m in that centered place what happens outside me is like a movie and I can watch my personality, the actor, think and plan and wish without attachment. It is all a a€?Storya€? from the part of me that loves stories and the justification they give for me to be less than open and less than loving.
As we parted, I heard myself say to him, looks like youa€™re on it and Ia€™m just standing beside it. It has been exciting, it has been challenging, it has been peaceful, it has been stimulating; and mostly, it has been healing. Ia€™ve come to look forward to their presence and the feeling of security and safety they trigger within me.
Change for many is difficult, but for me the newness of change is invigorating and stimulating. Expansion now calls and the excitement of just what that will entail lifts my energy and makes me want to sing. In my view as I watch the water run over the rocks, he stands with his back to me looking into the creek. His open heart is almost always constant even when he is confused or slightly annoyed with his surrounding world. As we danced I asked him, a€?What was the best thing about today?a€? And, without waiting for his answer, I laughed and said, a€?Everything.a€? He laughed out loud with complete delight and agreed. I listen to his expressed doubt and somewhat confused words, and have a knowing that he understands it perfectly.
We are many flames from the same candle, and yet, just one light; apart we are a flicker but together we make a luminous Life. The memory fills my heart and I see a vision of him in a jaunty Easter hat and sports jacket toddling up the small hill in front of my house; two steps forward and one step back and finally falling and rolling to the bottom only to rise again and begin again with laughter and determination.
In those magical days, he marveled at the beauties of the life of which he found himself a part be they giant mountains, rock music, or the smallest of butterflies. In time he began to drink alcohol to lessen the pain of the world not always being as he wanted. It is my full responsibility to live with presence and courage and to grow into the person I am called to be. This act of responsible choice and the intent behind it becomes the vehicle of my creation and the consequence it brings. It has been a life-long habit to observe closely human behavior and sometimes to judge or to give value to what I see; that is changing. They are aware that the opportunity to connect must be given their full attention and they have learned how to do that. The man whose taste and smell is not so acute takes two bites before he makes his choice of what to eat.
The veins and wrinkles on the back of my hand remind me that Ia€™m dehydrated and need to drink more water today.
I hear from her there are five petals close together in almost a circle; and where the petals attach in the middle of the cherry blossom, it is a deeper shade of pink that grows almost to white at the petalsa€™ edges. This delicate flower filled with color and shadow created by the warm and nurturing sun comes alive in my being and is energetically past to this curious and loving child. My heart called me to the computer to put down my feelings, and I became distracted by email for a moment.
Each of us makes choices that create our life day-to-day, hour-to-hour, moment-to-moment, and those choices add up to a Life unlike any other.
The experiences were the same; the creation process of what remained in each of them became very different. If I stood in a long line of people, those who know me would recognize me even though we all have two eyes, two arms, two legs, one nose, and one mouth. For this Life, in this place, I have a knowing that the Life I have created has supported the Lives of others and me.
The answer for me is in what I choose to give my attention and time too; with a conscious intention to live my life fully not someone elsea€™s, just mine. He had bought the bike as transportation when he lost his drivera€™s license because of a drunk driving charge. Later we loaded the bike into his SUV, and I felt as feathery light as the evening air rushing across my skin.
No memories flooded me for I was in the moment, and this moment was another level of healing I had not expected. You see a friend walking and think she really wants to walk alone; but in reality when you join her on the walk she is welcoming and the walk enriches you both. In each moment, we can step back from a belief and ask one simple question: Does this thought or belief serve to expand my Life or limit my life? Since being human with the power of our minds to create stories around our experiences, it is often easier to live in an imaginary story of what happened and how we should react than to see that how we respond to an experience in this moment creates the suffering or not. Growing and aging brought new a€?judgmentsa€? about equality and how to discover what equality really meansa€”not to others, but to me. It is not always easy to carry that deep sense of equality into our relationships for we are indeed spiritual beings in physical human forms with old patterns of reactions and judgments.
The rejoicing of anothera€™s strength or my own cannot diminish or inflate my feelings about either if I am without judgment of that persona€™s or my own value as a result. It was peaceful and awe inspiring to see the effects the water has played and still plays upon the landscape as it all shifts and changes imperceptibly.
But there we were in front of a house that I had come to as a bride, altered it with the support of my dad and husband to accommodate our familya€”a house in which I had brought my children, and where I laughed and cried and planned the perfect future.
I thought of a day when the world was perfect because we were exhausted together and happy.
The small trees that we had planted cast some shade now, and the flowers his wife had planted added color all around them. My friend had started them from her plants, and her husband had traveled along with her to deliver them to me and to share a few moments of time. So she and I pulled out my IPad to compare what we were hearing in my yard with the Audubon recorded bird-songs. I looked at her husband and there I saw a deep pain quickly replaced with an expression of deep love for this woman with which he has shared many years. Only then can I make a responsible choice to support the life I want with the consequences that come from making choices within the presence of acceptance.
This is not a new conflict; the difference is that I am aware of the thoughts and feelings within this dynamic that create circumstances I do not wish to occur. I alone am responsible for the experiences I create and it is those experiences that enrich my life if I choose. Of course, routine chores like making a bed, fixing food, doing dishes, caring for my home are always needed, but this question seems to be about something more. Ia€™m reading, Ia€™m writing, Ia€™m thinking, Ia€™m dreaming, Ia€™m questioning, Ia€™m answering, but more than anything else Ia€™m simply being here now doing this and it nurtures my life.
Sometimes I will be playing golf or tennis, rushing around running a project, working to beautify my yard; but sometimes Ia€™ll simply be choosing to a€?Bea€? and for me that will be enough. The rain is, the fruit is, the wood is, the carpet is, the chair is, the joy garden is, Jon Kabat-Zinn is, the peace is, and I am. She said that when some part of the body is not used, the brain notices and will see the lack of movement as a€?normal.a€? She said the unused area becomes more and more unbalanced and eventually creates pain in the body. Ia€™ve told myself that life is difficult sometimes and have moved on without giving the pain its due course and attention. As I sit with that question and just relax into the moment, I feel certain that if I remain open the question will be answered; not by the intellect, but by something deeper inside me that guides my life if I choose to listen. The light from the sun had entered his eyes and body completely and radiated outward toward anyone who chose to look. As my day progressed, it was reflected back to me in the smiling eyes of those I encountered. Many days and nights before had been extremely cold so the stream had frozen ice sculptures everywhere with running water painting different shades of gray under its surface as the moving water touched the ice in various ways.
Volodymyr Redko, Executive Director of Association of Pharmaceutical Research and Development APRaD.
Doubts about whether I should be here alone nag me and breathing deeply doesna€™t seem to help. Many times Ia€™ve experienced that feeling over the years: when I married my new husband, when each of my children were borne, when a bond of female friendship was revealed to me, when I gave unconditional love to an amazing yet flawed man, when I held my grandsons the first time, when I witnessed my son-in-lawa€™s tears at a grave site, and so many moments in nature.
Many times the circumstances of life and my thoughts about them hid my beauty from me, and I could not believe others even when they shared their love and compassion for me. May I remember to look deeply into my own eyes to find love and then freely give it away to others. She literally danced to the voting booth and then out; waving and glowing as she left the precinct. The voice in my head was still, the polling precinct was quiet, and the room filled with the light of choice I had been witnessing all day. Of course, there are times when I have to say no to someone, and what Ia€™ve found is that even that is easier when I say yes to what is transpiring in the moment and then expand the conversation or activity to make my point or acknowledge someone elsea€™s need. But inside me deeper than even I imagined was a sense of sadness and powerlessness to change the drinking habits of my 37-year-old son.
When I could bare it no longer, it vanished and was replaced with a deep stillness of peace.
My overall intention for my life is to love well, and of late, that seems more difficult than it has for the recent past years.
It protects me and not in a way that is creative; it prevents me from living each moment as it is with an intention to hear the quiet voice that wisely guides my Life. Then from deep inside me came that still small voice, that is not the Phyllis I know; I recognized the voice as me and not me.
It is a song of healing and caring for this person I am and the growing Being that awaits me with my next choice and adventure. It does not; so I reach my hand toward it and it appears as if the light is resting upon my hand.
All these objects, all those Ia€™ve loved, and all those who have loved me are part of this one light. I may need to remain silent.A I may need to speak aloud about something that is bothering me about whata€™s happening. It is with gratitude that I accept all the parts of mea€”the difficult and the pleasanta€”and quietly surrender to the learning that my experience offers in this moment, and the next, and the next.
Now more often I observe not to give value but to learn and to appreciate the insight that observing brings to me about me.
As my hair grows and the gray is more visible, Ia€™m reminded of what a long and remarkably healthy life I have and the freedom that brings. From the middle of the deep pink rise varying lengths of stamens with small orangey-pink, round fluffy dots at each of their tips. My heart aches with gratitude for this small being whose blindness first filled me with sadness; but now has added a measure of being alive that could not have been possible without what I once considered to be her handicap.
There in the emails I read: We begin to find and become ourselves when we notice how we are already found, already truly, entirely, wildly, messily, marvelously who we were born to be. They may remark that I look like someone else, but if they truly know me, they know that I am like no one else. When it came off the moving van five years ago, it went into the corner of the garage, because I was still not ready to let go of the memory of the healing I thought it would bring to my son.
It sat and sat, and I would see it with a flood of emotions triggered by the healing and loss it represented. We stopped again to sit by the river; all I felt was deep gratitude for all the extraordinary experiences of this Life lived fully.
Perhaps the thought is that living alone is not as enriching as living as a couple, but the amount of freedom that comes with living alone is amazing. It takes a deep intention to look inside us and see those patterns, take a second look, and remind ourselves they are imaginary stories we have created to feel okay in this particular incarnation and perhaps others.
Since the evolutionary process of physical a€?survival of the fittest,a€? has taught me to judge whether or not I am safe when with another, this approach to Life is challenging and yet interesting and exciting to me. Only the man, the boy, my friend and I will really know the changes created within us from these experiences. We took smiling pictures with a camera to add to our real photo albums of course, and we spoke of the skill and time that each family had given to this beautiful modest home. As I watched them drive away, I knew this strong, courageous couple was focusing their attention on accepting and living Life fully in each moment, and I was grateful that they were part of mine! Simultaneously, I feel a€?less thana€? because Ia€™m choosing not to do something a€?importanta€? and a€?more thana€? because I feel at some level the other person isna€™t capable of understanding that need. Sliding my feet along the carpet, the harder surface of my wood floor is recognized at the doorway. She continues my therapy and she comments that my pelvic area begins to move a little, but I cana€™t seem to feel it. Have I, therefore, sent a message to my intellect to override this pain and continue to function. I will not seek the answer in my mind, but I will relax into the present and observe what comes to me.
It has felt really good and freeing, but Ia€™ve also had this voice in my head that says, a€?Whata€™s wrong with you?a€? I watched the thought come and go and remained quiet, peaceful, and still. I will look at my activities one by one to see if there is a second agenda lurking in the shadow of my fearful ego.
As the elevator door opened, I said to his Mom that I believed he was enjoying the sunshine.
In the absence of fear, it seems each of us becomes a conduit for the Light and its reflection. Many rocks upon the ground were more visible to me than usual and I wanted to pick up all of them. The small shadowed area of my own heart became visible to me as I remembered the losses that life has co-created with me. The intention to feed the love light within me healed the small shadowed part of my heart a bit more and allowed me to know the joy of this new experience. My heart was open and my friend was truly my a€?presenta€? in all the meanings of that word. In the framework of this session the participants discussed the adjustments in the personal data protection, as well as promotional activities and programs of the pharmaceutical companies. Therefore, the National Essential Medicines List did not function properly from the very beginning of its development. The curious part of me whispers, a€?go out and take a few photos.a€? So dressed in my robe and slippers with camera in tow, my hands slide back the door, and I venture out. As I said a€?yes, anda€? to what she had to say, the profound lesson came that what she was saying would be an amazing way to not only do improv, it would change a life from a negative focus to a positive one. Over the years, my daughter and I, had pleaded, threatened, and prayed for him to give up drinking. He was free and it was spring one year and four months after his first healthy choice in a very long time.
The last few years have been filled with the joy of living and remembering his life and what it brought to mine.
Do this, dona€™t do that, go here, stay there, love this, mistrust that; the mind chatter is overwhelming in these moments.
So when discontent of the kind Ia€™ve been experiencing of late is present within me, it puzzles me as to what Ia€™m to learn this time. One of me is the movie my personality creates with thinking, assessing, resisting, and this me was the Seer who watches in loving amazement at times.
There was a time in the past when this need would cause me to question a€?who I am,a€? and a€?why am I like this;a€? now it feels warm with acceptance like the return of an absent and beloved friend.
This slow to respond, slow to move, slow to show emotion man has a great capacity for deep joy that I admire.
He wanted to hear his music uninterrupted and spit on his sister when she came into his room to chat.
These moments of choice step-by-step and consequence-by-consequence truly become the Life I experience.
This year as I focus on creating more humility through patience, the experiences that I a€?m creating through what Ia€™ve viewed up to now as limitations are supporting me in doing just that.
Her words say that the stamens are the pollen-bearing male part of this delicate precious flower. She never considered herself handicapped, and her acceptance has brought me bravery and added awareness that life is created by the choice to live with a€?what isa€? with courage.
This quote by Anne Lamott brought me back to my intention to explore Nepoa€™s original questions.
Another man loses his job and decides to create a different way of living and becomes a role model for others.
We are a soul having a physical experience that has the opportunity to contribute to the healing of all living beings. In the peaceful stillness, I closed my eyes and let the gurgle of the racing river wash through me as the sun shared its warmth. Perhaps your belief is that your children should behave differently, but then you see them blossom into their own lives that are very different from what you imagined. If the answer is limits, look at it and let it go for it does not serve your Life or anyonea€™s. With closer observation of the direction of the winds and of the angles of the sun, it becomes clear that the one that seems to be leaning-in has twisted, has transformed, and has become deeply rooted thereby protecting the other from the elements. Our patterned reaction may not be the healthiest response in this moment, and if it is not, it may be wise to make a different choice. It was clear to me that as a male, he had automatically assumed that the woman in his relationship had to have been weaker or less assertive for inequality to exist. Later a call came that a skunk, which appeared to have a broken leg, was outside the restaurant by the golf course.
Life is by definition impermanent and the cultivation of acceptance has been my yearlong intention since Winter Solstice of last year.
I remembered a summer of disruption as Dad added the addition and my son walked in the foundation ditches and later put nails into the exposed electrical outlets. In that moment of presence, their togetherness seemed all that truly mattered, and I was touched by their love for each other. No one knows in Life what will come next, living in this present moment is where we find our power. Ia€™ve watched the French Open and seen the victory there as a moment in time that is relevant only to the lives involved. She says thata€™s okay because the movement is subtle, but necessary to maintain the health of the back and ultimately the nerve in that area. I will trust the Universal force to support me in my learning and relax into the pain, feel it deeply in the moment; I will no longer resist the discomfort, but welcome it in with whatever message it brings. Ia€™ve read, baked cookies, watched the birds out my window, slept late, meditated, done yoga, watched old movies, and just stayed in my home with just me. If I find one, I will look to see what I can learn from that situation in the present moment. What a waste of my day!a€? These thoughts were still in my head as I entered the glass elevator with a few others on the top deck of the parking garage. When it seemed I should do so a sudden stillness appeared with a different message that said, a€?Leave the rocks in place;a€? so I did. Once again gratitude for what a€?isa€? trumped the sadnesses of past experiences and the fears for the future. His memorial was held and the entire community turned out to support his family and to say goodbye to him. He was a photographer with the tenacity and perfectionism to create a new business and share the beauty of our mountain community with the sick and the well alike. Now absorbed in the beauty of the ocean, focused on the view in the camera, and not feeling my feet, my body tumbles down on the lower deck, my camera flies off into the grass about one foot from the lily pond. As more new-generation voters came to exercise their right to choose along with others that had been voting for a long time, it reminded me of how precious this right is to Americans. As he voted, we prepared to go outside to collect a€?Zacha€™sa€? vote from the truck, being careful to follow procedures that would allow his ballet to be cast privately.
What I have never written about is how difficult and how painful it was to be the Mother of a dying son, and what Life was like for me when I could no longer touch his physical presence. No longer do I pretend that losing a sona€™s physical presence is easy, no longer do I need to be that strongest person in the room, no longer do I hide that losing him changed my own life in ways I could not have imagined. I smiled with the recognition that it is the Seer that I can trust and I let the Story of discontent go.
The need for change calls to be embraced with wonder and welcoming; it is part of the personality that has formed my human experience for as long as I can remember. I try again; I want to catch the light and hold it, but the flame of the candle cannot be held, it must shine wherever it will or it disappears. Without judgment of how things should be, we can simply shine and bask in each othera€™s light. His physical body left us nine years ago, but for me his spirit is in the sound of the wind through the treetops and in the light of an early Easter morning sunrise. And as I chuckle at this thought that is now present, my perception of losing some short-term memory gives me ample time to remember the most important thing: what is the present moment offering me as an opportunity. My mother says, behind the flower the great sun, which I feel on my face, casts a dark surrounding edge that make the blossom even more vivid and creates a shadow of the stamens on the petal itself. The light shining in her sea foam green eyes reflects what she is seeing through my voice and her other senses.
As a physical manifestation of a living Universe with unique skills, hopes, dreams, and personalities, how much healing we contribute is up to each of us for we have free will to choose what we will create. In the words of Lamott, I am truly, entirely, wildly, messily, marvelously who I was born to be. The strength coming back into his body was coming too late for him to survive this incarnation, but he seemed to love his experiences on the bike. Because of their ages, that would be a very long time into the future, but it was the logic I used to hold on to this small symbol of my sona€™s longing for health and my own. I turned and sped away leaving him to his own period of learning since he had not ridden a bike for sometime.
It was a beautiful river, a beautiful moment, a beautiful bike, another memory, and I loved and was honored to share it with this friend. Perhaps your belief is that you love to write, but that you are too old and unknown to get published; you go forward anyway and your book is published and it brings you great joy.
Because they are almost 100 years old, their roots under the surrounding plants, rocks, and soil are entwined with and supportive of each other in ways that cannot be undone. Since I did not feel he was open to the idea that this assumption was in and of itself telling about his view of equality, I just said there are many kinds of strength and the subject was ended. As this thought was taking up residence in my brain, I noticed a man and a small boy up ahead. She said, a€?He still makes me laugh.a€? He, in character, chuckled with pleasure at that thought.
Ia€™ve dressed to go biking and yet I stayed in the drama unfolding at the French Open as if it had some significance in my own life. Time to make the smoothie that has become a part of my mornings of late: cantaloupe, pineapple, blueberries, yogurt, strawberries, apples, and raspberries. It has been years since I fearfully resisted emotional pain and stiffened and numbed against it. For so long, I have worked to be conscious, to be authentic, to be present, and in that moment, the part of me that feels sorry for myself was active yet again.
Thirty minutes into the walk, the falls appeared in the distance; they seemed frozen solid. One family member said, a€?he could be difficult,a€? and those who knew him best chuckled agreement. The best retail figures are shown by dietary supplements, patients care items and medicinal products, the worst figures – personal care products and cosmetics. This week as I gazed at the two photos, the child and the woman, it dawned on me that the beauty of love has always been within me patiently waiting for me to rediscover it.
With the wisdom that I was changing my own life not his, I decided to offer him my support for sobriety one more time. The silence of deep meditation, the practice to live in this moment, and the awareness that we are a part of something bigger than our physical being have supported me to accept and heal from the things I can not change. As we close our eyes and state our intentions for the week, I feel his love and send him mine. I am filled with love and gratitude for the ability to write my thoughts and feelings down in a way that enriches and expresses my experiences.
Each day the intention to live in fear of losing a physical existence that is inevitable carries us away from the love that is the essence of the Life we all share. When I took it to be restored with new tires, etc., the repairman remarked on how well it was made and how unworn it appeared. Perhaps your belief is that your life experiences should have been different, but deep inside you know that it has been those experiences that have created you Life.
This deep presence and seeing of their combined lives bring a growing appreciation of connectedness. By convention, equiluxes are the days where sunrise and sunset are closest to being exactly 12 hours apart. His physical pain during the discussion expressed itself in a visible expressed pain in his chest as he talked about the need to live a more solitary Life to insure his freedom to be himself. I have a deep knowing that no matter what my perception is in the moment, the Universe is a friendly supportive force within me that a€?does not take sides, but seeks only balance.a€? It is my intention to have compassion for what I hear and see and to learn the lesson of impermanence as I witness it in nature. What mattered was the memory of love and support that flowed through the energy of the house into me and then to my daughtera€™s family.
I began to think he was just bored as my friend and I turned to playing games on my IPad, so I asked if he would like to join us. Their smells mingle with the sounds of the rain and for a moment the blender whirl drowns out all other sounds. With the absence of resistance to my feelings as they were in that moment, my heart reopened to the beauty and life that was represented by all the parts of the watery heart below.
He created gardens that he said, a€?just evolved.a€? Their colorful landscapes are a testimony to his ability and actions that put his beauty into the world around him. Session speakers - Zoya Zamikhovska, Junior associate, Lidiya Sangarovskaya-Gulach, Senior associate, and Andrii Gorbatenko, Associate partner, who presented to the audience their reports on medicinal products advertising, marketing agreements in the pharmacy sector, and distribution contracts. Since staying here on the deck doesna€™t seem to be an option, I pull myself up, retrieve my camera (bent but not broken), and shuffle back to my room and sit silently on the bed.
He lay in the back seat of the truck, and as I stood on my knees in the front seat to get his ID papers, Zach asked, Can I vote? It had been a few years since we had seen him because he just never showed up to family gatherings. This time was different than before; this time I knew I could accept whatever choice he made, but he was my son and for myself I needed to offer him assistance one last time! The deep wound of loss affected many of my relationships and still I clung to the strength of knowing that I had done the a€?righta€? thing. Without the wisdom and acceptance of or a€?surrendera€? to each moment as it is, I cannot choose an appropriate action with a conscious intent and honor my need to live authentically in this moment, and the next, and the next. Her voice falls upon my ears and her words become my thoughts, and I imagine with great specificity how the cherry blossom appears and admire its beauty. This cherry blossom is magnificent, and the glory of its connection to this growing child leaves me speechless and filled with awe for this blessed life. Perhaps your belief is that there is only one Path to God and that prevents you from appreciating all those who believe in a different God than yours. Depending on where you stand, they are framed by the sky above, or the garden below, or by the giant stone arches of the porch.
There is evidence that we are still there as surely as we are here through our choices to give of ourselves. He said, a€?No, Ia€™ll just walk up to the edge of the golf course.a€? His demeanor seemed unusual, but I dismissed it and returned to the game my friend and I were sharing.
I glide to the coffee maker and the smell of coffee is strong enough to feel like I taste it already.
Clearly as the sun moved and warmed the pool, the light would grow and the shadowed frozen area of the pool would diminish. But what stood out during his memorial service, as one after the other went to the lectern to speak, was his love for his wife of 34 years.
Andrii Gorbatenko emphasized the types of law infringements foreseen by the competition law, and paid the attendees attention to the provisions of distribution contracts, which are attracting a close attention of the Antimonopoly Committee of Ukraine, in particular the provisions regulating the reports, discounts and bonus payments. My body is tired, my mood is gray like the clouds above the ocean, and self-doubt seems to have taken me over. He had stopped answering his phone and his friends called me to say they thought he was dying. Perhaps your thoughts are that your thoughts are true and you do not question further how best to live your Life with yourself or in relationship to others. The annoyance I felt in my body as I viewed his pain turned into compassion and acceptance for us both. The back legs and rear of the frog were already in the snakea€™s mouth and the froga€™s body was badly bloated as its eyes bulged, its front legs kicked, and it sought freedom from the snake.
My choice to visit the past because I love my daughter created a rare opportunity to catch a glimpse of time passing in the present, and my gratitude for my daughter and our choices to share our Life sang within my heart; a reminder and then a another memory of time passing in the present! I smile at the wonder of just being present without thinking something should be different than it is.
This need to understand everything that happens has been a recurring theme for as long as I can remember. In that moment, under his white hair and beyond his aging body, there was the light of youth and his eyes held the same excitement I had witnessed in the young girl that morning. The last five years had been a roller coaster ride of emotions for me as he was better and then not better over and over again.
I could do this and I began a long path of self-healing without the courage to ask for support directly. Perhaps you have doubts about your own goodness and forget to look at the generosity that has been a major thread of your Life. Earlier that day, a dog had stumbled upon a horneta€™s nest and had been stung badly, and a staff member went looking for the nest to eliminate it so humans could walk the path without being stung.
I felt the pain of the froga€™s struggle; I wanted to do something to make this stop, but what? I relived a day when my small son gave my baby daughter a drink from a cup as she rested in her crib; she almost drowned. If I understand it then I can accept it, or more accurately change it; or so my Story goes. Meditation had supported me in staying centered enough to love my daughter and her family, support my partnera€™s interests, hold a demanding job, and attempt to just enjoy and learn about my life. Perhaps your belief is that friends and family should be more open hearted and open minded and so you close your heart and mind to them.
It is the most reoccurring event involving injury that comes to the attention of the Nature Foundation.
They are delicious and colorful in contrast to the dark quiet of the room and the day outside my window. His essence was generously given in his relationships, his music, his photos, his garden, and his passion for life. Perhaps you have made what seems like a mistake and your belief is that you cannot be forgiven and that thought keeps you separate from someone you love. My thought was that the bees were there first and should be left alone to resettle into their lives. I chose only to stand and watch with sadness and curiosity as this unusual sighting in nature played out. I gaze at my joy garden that is bright with purple, pink, and white against a blue-gray sky.
He lived his life with gusto and without apology, or so it seemed to me as he was remembered.
On this glorious October day, I felt that I had done everything I could and my body sagged from the weight of wanting him to be different.
Perhaps the belief is that if you dona€™t act in a certain way, you will not gain acceptance; but someone once said, a€?if you do not always bring with you who you truly a€?area€™ others will fall in love with who you are a€?nota€? and how limiting will that be? It is hard to express all that I saw through the visual memory there in our first small house. It took him some time to physically fill out the ballot, and it was my honor to wait for him. For me, Zacha€™s light infused the darkness around the truck and as I looked from my fellow poll workera€™s eyes to Zacha€™s son-in-lawa€™s eyes, they seemed to glow with something unexplainable. I could no longer watch so we turned away and continued our walk through this civilized and yet still wildly natural, tourist attraction.
In the pages, he quotes, William Stafford: What can anyone give you greater than now, starting here, right in this room, when you turn around?
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Published at: Shed Blueprints