Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Clinton discharged from hospital, doctors expect full recovery

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WASHINGTON (Reuters) – Secretary of State Hillary Clinton was discharged from a New York hospital on Wednesday after being treated for a blood clot near her brain and her doctors expect her to make a full recovery, the State Department said.


Clinton, who has not been seen in public since December 7, was at New York-Presbyterian Hospital under treatment for a blood clot behind her right ear that stemmed from a concussion she suffered in mid-December, the department said on Sunday.






The concussion was the result of an earlier illness, described by the State Department as a stomach virus she had picked up during a trip to Europe that led to dehydration and a fainting spell after she returned to the United States.


Secretary Clinton was discharged from the hospital this evening. Her medical team advised her that she is making good progress on all fronts, and they are confident she will make a full recovery,” Philippe Reines, a deputy assistant secretary of state, said in a statement.


Reines said Clinton was “eager to get back to the office.”


Earlier, State Department spokeswoman Victoria Nuland told reporters at her daily briefing Clinton had been talking with her staff by telephone and receiving memos.


Clinton also spoke to two foreign officials – the U.N. envoy on Syria and the prime minister of Qatar – on Saturday, the day before the State Department disclosed the blood clot and her stay at the hospital.


In a statement released by the State Department on Monday, Clinton’s doctors said she was being treated with blood thinners and would be released from the hospital once the correct dosage had been determined.


(Reporting by Arshad Mohammed; Editing by Sandra Maler and Todd Eastham)


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Gambian leader says to build herbal AIDS-cure hospital

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BANJUL (Reuters) – AIDS patients would be offered an herbal cure at a 1,111-bed hospital in Gambia that the president said on Tuesday he plans to build despite medical concerns the treatment is dangerous.


President Yahya Jammeh said in 2007 he had found a remedy of boiled herbs to cure AIDS, stirring anger among Western medical experts who claimed he was giving false hope to the sick.






“With this project coming to fruition, we intend to treat 10,000 HIV/AIDS patients every six months through natural medicine,” Jammeh said in his New Year’s address, adding that he expected the 1,111-bed hospital to open in 2015.


The World Health Organisation and the United Nations have said Jammeh’s HIV/AIDS treatment is alarming mainly because patients are required to cease their anti-retroviral drugs, making them more prone to infection.


Jammeh said in October that 68 HIV/AIDS patients undergoing his herbal remedy had been cured and discharged, the seventh batch since the treatments began five years ago.


Other African leaders have drawn criticism for extolling the power of natural remedies to combat AIDS.


The administration of former South African President Thabo Mbeki was ridiculed for denying there was a link between HIV and AIDS while prescribing meaningless treatments such as beet root instead of internationally proven medicines.


The HIV rate in Gambia is relatively low compared to other African states, with 2 percent of the country’s roughly 1.8 million people infected, according to the United Nations.


Jammeh came to power in Gambia, a sliver of land on Africa’s west coast that is popular with sun-seeking European tourists, in a bloodless military coup in 1994.


He is accused by activists of human rights abuses during his rule, and most recently drew international criticism for executing nine death-row inmates by firing squad.


(Reporting by Pap Saine; Writing by Richard Valdmanis; Editing by Michael Roddy)


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Clinton’s blood clot an uncommon complication

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The kind of blood clot in the skull that doctors say Hillary Rodham Clinton has is relatively uncommon but can occur after an injury like the fall and concussion the secretary of state was diagnosed with earlier this month.


Doctors said Monday that an MRI scan revealed a clot in a vein in the space between the brain and the skull behind Clinton’s right ear.






The clot did not lead to a stroke or neurological damage and is being treated with blood thinners, and she will be released once the proper dose is worked out, her doctors said in a statement.


Clinton has been at New York-Presbyterian Hospital since Sunday, when the clot was diagnosed during what the doctors called a routine follow-up exam. At the time, her spokesman would not say where the clot was located, leading to speculation it was another leg clot like the one she suffered behind her right knee in 1998.


Clinton had been diagnosed with a concussion Dec. 13 after a fall in her home that was blamed on a stomach virus that left her weak and dehydrated.


The type of clot she developed, a sinus venous thrombosis, “certainly isn’t the most common thing to happen after a concussion” and is one of the few types of blood clots in the skull or head that are treated with blood thinners, said neurologist Dr. Larry Goldstein. He is director of Duke University‘s stroke center and has no role in Clinton’s care or personal knowledge of it.


The area where Clinton’s clot developed is “a drainage channel, the equivalent of a big vein inside the skull — it’s how the blood gets back to the heart,” Goldstein explained.


It should have no long-term consequences if her doctors are saying she has suffered no neurological damage from it, he said.


Dr. Joseph Broderick, chairman of neurology at the University of Cincinnati College of Medicine, also called Clinton’s problem “relatively uncommon” after a concussion.


He and Goldstein said the problem often is overdiagnosed. They said scans often show these large “draining pipes” on either side of the head are different sizes, which can mean blood has pooled or can be merely an anatomical difference.


“I’m sure she’s got the best doctors in the world looking at her,” and if they are saying she has no neurological damage, “I would think it would be a pretty optimistic long-term outcome,” Broderick said.


A review article in the New England Journal of Medicine in 2005 describes the condition, which more often occurs in newborns or young people but can occur after a head injury. With modern treatment, more than 80 percent have a good neurologic outcome, the report says.


In the statement, Clinton’s doctors said she “is making excellent progress and we are confident she will make a full recovery. She is in good spirits, engaging with her doctors, her family, and her staff.”


___


Online:


Medical journal: http://dura.stanford.edu/Articles/Stam_NEJM05.pdf


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New Year’s Resolutions For Better Health

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New Year’s resolutions are typically so singular, self-focused and private. How about making a resolution or two this year that has benefits beyond yourself? Here are some suggestions with lots of links to get you started.


You can help stop the spread of disease. Resolve to get up-to-date on your vaccines. While children have a full slate of vaccines, many adults don’t realize they have regular immunization obligations, too. Getting flu, pertussis, human papillomavirus and other vaccines can protect you and help stop the spread of diseases that harm others. Here’s a great guide to adult immunizations from the federal government. If the cost of vaccines is an issue, check into free or low-cost immunizations through your county’s public health department. Here’s a guide to finding your local office. Volunteer with an organization that needs your help. A group called Catchafire matches professionals who wish to volunteer their skills to organizations that need the help — including many important health organizations. The idea is to give great organizations access to top talent while respecting the professionals’ schedules and making their volunteer work meaningful. Here’s the link. Influence a healthier food climate. Americans spend about half of their food budgets eating out. So we had better demand thorough nutritional information about what we’re getting. Under healthcare reform, many restaurant chains will soon carry nutritional information. But the law has loopholes. If you don’t see the information you’re looking for on salt, fat, calories or other nutrients, ask the restaurant’s manager where you can find it. Nutritional information should be easy to access. Until it is, speak up and ask for it. Do your part to keep down healthcare costs. The Affordable Care Act will bring many consumers into the insurance healthcare system for the first time. But that doesn’t mean we can ignore the cost of care. Rising healthcare costs remain a huge issue that could drag down the economy and bedevil some reform efforts. You can help by being a wise healthcare consumer. Read your insurance policy and know what it does and doesn’t cover. Take advantage of free preventive care services and screening tests under the ACA. Shop around for prescriptions to find the cheapest prices. Ask your doctor for generic equivalents. Finally, use your health savings account if your employer offers one. These accounts provide incentives for using your money wisely, shopping around to find the best healthcare prices and weighing the costs and benefits of certain drugs, tests or procedures.  Here’s a guide to understanding how HSAs work. Be responsible about the prescription drugs you store at home. You can reduce your own risk of addiction and lower the risk for others, too, if you are careful about medications kept in your home. This year marked a turning point in the nation’s epidemic of prescription-drug abuse and addiction.  Admissions to addiction treatment centers for use of narcotic painkillers rose 569 percent in the past decade, according to the federal government. More people now die from drug overdoses than from traffic accidents. More than six million Americans abuse prescription drugs, and more than 70 percent of addicts get their drugs through family or friends or by raiding a home medicine cabinet. Dispose of unused medications. The Drug Enforcement Agency operates a National Prescription Drug Take-Back Day a few times a year (the next one is in April), that makes it easy to dispose of dangerous substance.  Go through your home today and collect unused medications. You can take them to a pharmacy for disposal or even flush them down the toilet. Some drugs carry disposal instructions on the label. Here’s information on how to dispose of prescription medications. Be a safe driver. One of the biggest safety issues on the nation’s roads these days is driver distraction. A large share of the distractions come from talking on a hand-held cell phone or text messaging while driving. You’re 23 times more likely to crash if you text while driving. Most states now prohibit texting while driving, but there are still many people who do it while knowing it’s unsafe. Break yourself of this terrible habit. The federal government has a website that provides people with information and tools to discourage distracted driving. Included in this package is a simple pledge sheet you can print out, sign and post on your refrigerator door or bathroom to help you make the commitment. There are a couple of other things you can do, too. Speak out if the driver you’re riding with is distracted. Encourage family and friends to drive phone-free. Run a race for the greater good. Who doesn’t love a good 5K walk or run? You benefit from the exercise and, if you choose a charity race, others reap rewards, too. There are thousands of charity races each year. Pick one and invite your friends to participate with you. Here’s a website to help you find a race.  Apply for a grant. There’s money out there for doing good. Saucony’s Run for Good Foundation aims at preventing child obesity by promoting running as part of a healthy lifestyle for kids. The foundation issues grant money to organizations that want to organize a kids’ running group. You can find information on how to apply at the foundation website. Sign a petition. Concerned about flame retardants in consumer products? Gun safety? Funding for research to fight a particular disease? There’s probably a petition for that. It’s an easy way to make your voice heard. Both change.org and thepetitionsite.com are good places to look to find a petition close to your heart.






Question: What resolutions can you make to help others? Tell us what you think in the comments.



Shari Roan is an award-winning health writer based in Southern California. She is the author of three books on health and science subjects.


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FDA approves Bristol Myers, Pfizer’s anti-clotting drug Eliquis

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(Reuters) – U.S. health regulators approved clot prevention drug Eliquis, developed by Bristol Myers-Squibb Co and Pfizer Inc, for treatment in patients with atrial fibrillation, or irregular heartbeats.


The drug, also known as apixaban, was approved by European health regulators last month.






Eliquis belongs to a new class of medicines designed to replace decades-old warfarin for preventing blood clots in heart patients, or after a hip- or knee-replacement surgery.


Eliquis would compete against approved blood clot preventers such as Xarelto from Johnson & Johnson and Bayer, and Pradaxa from Boehringer Ingelheim.


Treating atrial fibrillation, which greatly raises the risk of strokes, is considered by far the largest and most important use for these new drugs.


The oral tablet Eliquis, like Xarelto, works by inhibiting a protein called Factor Xa that plays a critical role in blood clotting. Pradaxa has a slightly different mechanism of action.


However, Eliquis should not be taken by patients with prosthetic heart valves or those with atrial fibrillation caused by a heart valve problem, the U.S. Food and Drug Administration said in a statement.


About 5.8 million people in the United States suffer from atrial fibrillation, the most common form of heart arrhythmia, or irregular heartbeat.


Bristol-Myers shares were up 2 percent at $ 32.48 and Pfizer shares were up 10 cents at $ 24.99 in extended trading.


(Reporting by Prateek Kumar; Editing by Sreejiraj Eluvangal)


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Celebrity bad science: Dried placenta pills and oxygen shots

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LONDON (Reuters) – Pop guru Simon Cowell carries pocket-sized inhalable oxygen shots, America’s “Mad Men” actress January Jones favors dried placenta pills, and British soap star Patsy Palmer rubs coffee granules into her skin.


Celebrities rarely shy away from public peddling of dubious ideas about health and science, and 2012 was no exception.






In its annual list of the year’s worst abuses against science, the Sense About Science (SAS) campaign also named former U.S. presidential candidate Mitt Romney for spreading misinformation about windows on planes, and Olympic swimmer Michael Phelps for false justifications for peeing in the pool.


To help set the record straight, SAS, a charity dedicated to helping people make sense of science and evidence, invited qualified scientists to respond to some of the wilder pseudo-scientific claims put about by the rich and famous.


It suggested Romney, who wondered aloud in September why aircraft crews don’t just open the windows when there’s a fire on board, should listen to aeronautical engineer Jakob Whitfield:


“Unfortunately, Mitt, opening a window at height wouldn’t do much good,” the scientist said. “In fact, if you could open a window whilst in flight, the air would rush out…because air moves from the high pressure cabin to the lower pressure outside, probably causing further injury and damage.”


January Jones’s dried placenta pills, which the actress admitted in March she consumed after giving birth, win no favor with Catherine Collins, principal dietician at St George’s Hospital in London.


“Nutritionally, there’s nothing to be gained from eating your placenta – raw, cooked, or dried,” Collins said. “Apart from iron, which can be easily found in other dietary choices or supplements, your placenta will provide toxins and other unsavory substances it had successfully prevented from reaching your baby in utero.”


Gary Moss, a pharmaceutical scientist, patiently points out to Palmer that while caffeine may have an effect on cellulite, rubbing coffee granules into the skin is unlikely to work, since the caffeine can’t escape the granules to penetrate the skin.


Phelps’s claim that it’s fine to pee in the pool because “chlorine kills it” is put straight by biochemist Stuart Jones, who reminds him that “urine is essentially sterile so there isn’t actually anything to kill in the first place”.


And for Cowell, Kay Mitchell a scientist at the Centre for Altitude Space and Extreme Environment Medicine warns that very high levels of oxygen can in fact be toxic – particularly in the lungs, where oxygen levels are highest.


“Celebrity comments travel far and fast, so it’s important that they talk sense,” said Sense About Science’s managing director Tracey Brown. “The implausible and frankly dangerous claims about how to avoid cancer, improve skin or lose weight are becoming ever more ridiculous. And unfortunately they have a much higher profile than the research and evidence.”


To encourage more vigilance among celebrity pseudo-scientists in the future, SAS provided a checklist of “misleading science claims” it suggests should be avoided:


* “Immune boosting” – you can’t and you don’t need to


* “Detox” – your liver does this


* “Superfood” – there is no such thing, just foods that are high in some nutrients


* “Oxygenating” – your lungs do this


* “Cleansing” – you shouldn’t be trying to cleanse anything other than your skin or hair.


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Justice Sotomayor refuses to block contraceptives mandate

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(Reuters) – U.S. Supreme Court Justice Sonia Sotomayor has refused to block enforcement starting next week of a requirement in President Barack Obama‘s 2010 healthcare overhaul that some companies provide insurance coverage for contraceptive drugs and devices.


In an order issued on Wednesday, Sotomayor said two for-profit companies controlled by Oklahoma City billionaire David Green and his family did not qualify for an injunction while they challenge the requirement in court.






Hobby Lobby Stores Inc, an arts and crafts chain with more than 500 stores, and Mardel Inc, a chain of 35 Christian-themed bookstores, said it violated their religious beliefs to require that their group health plans cover treatments that could induce abortions.


They said they face possible fines of $ 1.3 million a day if they disobey the mandate, which takes effect on January 1.


Sotomayor, who hears emergency appeals from the 10th Circuit, said it was not “indisputably clear” that Hobby Lobby and Mardel deserved an injunction, noting that lower courts have been divided in similar cases on whether temporary relief is proper.


“Even without an injunction pending appeal, the applicants may continue their challenge to the regulations in the lower courts,” and following a final judgment ask the Supreme Court at that time to consider their appeal, she said.


Sotomayor did not rule on the merits of the companies’ religious-based claims.


Kyle Duncan, general counsel for the nonprofit Becket Fund for Religious Liberty, which represents the chains, did not immediately respond to requests for comment. At least 42 lawsuits have been filed over the issue, the fund has said.


Hobby Lobby and Mardel claimed that the contraceptives provision violated the First Amendment to the U.S. Constitution, as well as the Religious Freedom Restoration Act of 1993.


But on November 19, Oklahoma federal judge Joe Heaton refused to issue a preliminary injunction, saying the chains did not have the same religious rights as Green family members. Then on Thursday, the 10th U.S. Circuit Court of Appeals in Denver refused to issue a injunction during the chains’ appeal.


Forbes magazine in September called David Green, 71, the 79th richest American, with a net worth of $ 4.5 billion.


The case is Hobby Lobby Stores Inc et al v. Sebelius et al, U.S. Supreme Court, No. 12A644.


(Reporting by Jonathan Stempel in New York; Editing by Cynthia Osterman)


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Obesity declining in young, poorer kids: study

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NEW YORK (Reuters Health) – The number of low-income preschoolers who qualify as obese or “extremely obese” has dropped over the last decade, new data from the Centers for Disease Control and Prevention show.


Although the decline was only “modest” and may not apply to all children, researchers said it was still encouraging.






“It’s extremely important to make sure we’re monitoring obesity in this low-income group,” said the CDC‘s Heidi Blanck, who worked on the study.


Those kids are known to be at higher risk of obesity than their well-off peers, in part because access to healthy food is often limited in poorer neighborhoods.


The new results can’t prove what’s behind the progress, Blanck told Reuters Health – but two possible contributors are higher rates of breastfeeding and rising awareness of the importance of physical activity even for very young kids.


Blanck and her colleagues used data on routine clinic visits for about half of all U.S. kids eligible for federal nutrition programs – including 27.5 million children between age two and four.


They found 13 percent of those preschoolers were obese in 1998. That grew to just above 15 percent in 2003, but dropped slightly below 15 percent in 2010, the most recent study year included.


Similarly, the prevalence of extreme obesity increased from nearly 1.8 percent in 1998 to 2.2 percent in 2003, then dropped back to just below 2.1 percent in 2010, the research team reported Tuesday in the Journal of the American Medical Association.


Whether kids are obese is determined by their body mass index (BMI) – a measure of weight in relation to height – and by their age and sex.


For example, a four-year-old girl who is 40 inches tall would be obese if she was 42 pounds or heavier. A two-year-old boy who is 35 inches tall qualifies as obese at 34 pounds or above, according to the CDC’s child BMI calculator. (The CDC’s BMI calculator for children and teens is available here:.)


The new findings are the first national data to show obesity and extreme obesity may be declining in young children, Blanck said.


“This is very encouraging considering the recent effort made in the field including by several U.S. federal agencies to combat the childhood obesity epidemic,” said Dr. Youfa Wang, head of the Johns Hopkins Global Center on Childhood Obesity in Baltimore.


Blanck said between 2003 and 2010 researchers also saw an increase in breastfeeding of low-income infants. Breastfeeding has been tied to a healthier weight in early childhood.


Additionally, states and communities have started working with child care centers to make sure kids have time to run around and that healthy foods are on the lunch menu, she added.


Parents can encourage better eating by having fruits and vegetables available at snack time and allowing their young kids to help with meal preparation, Blanck said.


Her other recommendations include making sure preschoolers get at least one hour of activity every day and keeping television sets out of the bedroom.


“The prevalence of overweight and obesity in many countries including in the U.S. is still very high,” Wang, who wasn’t involved in the new study, told Reuters Health in an email.


“The recent level off should not be taken as a reason to reduce the effort to fight the obesity epidemic.”


SOURCE: http://bit.ly/JjFzqx Journal of the American Medical Association, online December, 25, 2012.


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Allergies, extra weight tied to bullying

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NEW YORK (Reuters Health) – Kids who have food allergies or are overweight may be especially likely to get bullied by their peers, two new studies suggest.


Not surprisingly, researchers also found targets of bullying were more distressed and anxious and had a worse quality of life, in general, than those who weren’t picked on.






Bullying has become a concern among parents, doctors and school administrators since research and news stories emerged linking bullying – including online “cyberbullying” – with depression and even suicide.


“There has been a shift and people are more and more recognizing that bullying has real consequences, it’s not just something to be making jokes about,” said Dr. Mark Schuster, chief of general pediatrics at Boston Children’s Hospital and a professor at Harvard Medical School, who wrote a commentary published with the new research.


Studies suggest between one in ten and one in three of all kids and teens are bullied – but those figures may vary by location and demographics, researchers noted.


The new findings come from two studies published Monday in the journal Pediatrics.


In one, Dr. Eyal Shemesh from the Mount Sinai Medical Center in New York and his colleagues surveyed 251 kids who were seen at an allergy clinic and their parents. The children were all between age eight and 17 with a diagnosed food allergy.


Just over 45 percent of them said they’d been bullied or harassed for any reason, and 32 percent reported being bullied because of their allergy in particular.


“Our finding is entirely consistently with what you find with children with a disability,” Shemesh told Reuters Health.


A food allergy, he said, “is a vulnerability that can be very easily exploited, so of course it will be exploited.”


The kids in the study were mostly white and well-off, the researcher said – a group that you’d expect would be targeted less often. So bullying may be more common in poorer and minority children who also have food allergies.


But allergies aren’t the only cause of teasing and harassment by peers.


In another study, researchers from Yale University in New Haven, Connecticut, found that almost two-thirds of 361 teens enrolled in weight-loss camps had been bullied due to their size.


That likelihood increased with weight, so that the heaviest kids had almost a 100 percent chance of being bullied, Rebecca Puhl and her colleagues found. Verbal teasing was the most common form of bullying, but more than half of bullied kids reported getting taunted online or through texts and emails as well.


‘START THE CONVERSATION’


Shemesh’s team found only about half of parents knew when their food-allergic child was being bullied, and kids tended to be better off when their families were aware of the problem.


He said parents should feel comfortable asking kids if they’re being bothered at school or elsewhere – and that even if it only happens once, bullying shouldn’t be ignored.


“We want parents to know,” he said. “Start the conversation.”


“Parents whose kids have a food allergy should really be aware that their kids have the kind of characteristic that often leads to being bullied,” Schuster told Reuters Health. “They should be working with the school to handle the food allergy in a way that isn’t going to make it more likely that their kids will be bullied – and they need to be attuned to their kids.”


That’s the same for parents of overweight and obese children, he added.


“Kids need their parents to be their allies in these situations,” he said. “Their parents can help them still feel strong.”


SOURCE: http://bit.ly/cxXOG Pediatrics, online December 24, 2012.


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Few tests done at toxic sites after superstorm

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OLD BRIDGE, N.J. (AP) — For more than a month, the U.S. Environmental Protection Agency has said that the recent superstorm didn’t cause significant problems at any of the 247 Superfund toxic waste sites it’s monitoring in New York and New Jersey.


But in many cases, no actual tests of soil or water are being conducted, just visual inspections.






The EPA conducted a handful of tests right after the storm, but couldn’t provide details or locations of any recent testing when asked last week. New Jersey officials point out that federally designated Superfund sites are EPA’s responsibility.


The 1980 Superfund law gave EPA the power to order cleanups of abandoned, spilled and illegally dumped hazardous wastes that threaten human health or the environment. The sites can involve long-term or short-term cleanups.


Jeff Tittel, executive director of the Sierra Club in New Jersey, says officials haven’t done enough to ensure there is no contamination from Superfund sites. He’s worried toxins could leach into groundwater and the ocean.


“It’s really serious and I think the EPA and the state of New Jersey have not done due diligence to make sure these sites have not created problems,” Tittel said.


The EPA said last month that none of the Superfund sites it monitors in New York or New Jersey sustained significant damage, but that it has done follow-up sampling at the Gowanus Canal site in Brooklyn, the Newtown Creek site on the border of Queens and Brooklyn, and the Raritan Bay Slag site, all of which flooded during the storm.


But last week, EPA spokeswoman Stacy Kika didn’t respond to questions about whether any soil or water tests have been done at the other 243 Superfund sites. The agency hasn’t said exactly how many of the sites flooded.


“Currently, we do not believe that any sites were impacted in ways that would pose a threat to nearby communities,” EPA said in a statement.


Politicians have been asking similar questions, too. On Nov. 29, U.S. Sen. Frank Lautenberg, D-N.J., wrote to the EPA to ask for “an additional assessment” of Sandy’s impact on Superfund sites in the state.


Elevated levels of lead, antimony, arsenic and copper have been found at the Raritan Bay Slag site, a Superfund site since 2009. Blast furnaces dumped lead at the site in the late 1960s and early 1970s, and lead slag was also used there to construct a seawall and jetty.


The EPA found lead levels as high as 142,000 parts per million were found at Raritan Bay in 2007. Natural soil levels for lead range from 50 to 400 parts per million.


The EPA took four samples from the site after Superstorm Sandy: two from a fenced-off beach area and two from a nearby public playground. One of the beach samples tested above the recreational limit for lead. In early November, the EPA said it was taking additional samples “to get a more detailed picture of how the material might have shifted” and will “take appropriate steps to prevent public exposure” at the site, according to a bulletin posted on its website. But six weeks later, the agency couldn’t provide more details of what has been found.


The Newtown Creek site, with pesticides, metals, PCBs and volatile organic compounds, and the Gowanus Canal site, heavily contaminated with PCBs, heavy metals, volatile organics and coal tar wastes, were added to the Superfund list in 2010.


Some say the lead at the Raritan Bay site can disperse easily.


Gabriel Fillippeli, director of the Center for Urban Health at Indiana University-Purdue University Indianapolis, said lead tends to stay in the soil once it is deposited but can be moved around by stormwaters or winds. Arsenic, which has been found in the surface water at the site, can leach into the water table, Fillippeli said.


“My concern is twofold. One is, a storm like that surely moved some of that material physically to other places, I would think,” Fillippeli said. “If they don’t cap that or seal it or clean it up, arsenic will continue to make its way slowly into groundwater and lead will be distributed around the neighborhood.”


The lack of testing has left some residents with lingering worries.


The Raritan Bay Slag site sits on the beach overlooking a placid harbor with a view of Staten Island. On a recent foggy morning, workers were hauling out debris, and some nearby residents wondered whether the superstorm increased or spread the amount of pollution at the site.


“I think it brought a lot of crud in from what’s out there,” said Elise Pelletier, whose small bungalow sits on a hill overlooking the Raritan Bay Slag site. “You don’t know what came in from the water.” Her street did not flood because it is up high, but she worries about a park below where people go fishing and walk their dogs. She would like to see more testing done.


Thomas Burke, an associate dean at the Johns Hopkins School of Public Health, says both federal and state officials generally have a good handle on the major Superfund sites, which often use caps and walls to contain pollution.


“They are designed to hold up,” Burke said of such structures, but added that “you always have to be concerned that an unusual event can spread things around in the environment.” Burke noted that the storm brought in a “tremendous amount” of water, raising the possibility that groundwater plumes could have changed.


“There really have to be evaluations” of communities near the Superfund sites, he said. “It’s important to take a look.”


Officials in both New York and New Jersey note they’ve also been monitoring less toxic sites known as brownfields and haven’t found major problems. The New York DEC said in a statement that brownfields in that state “were not significantly impacted” and that they don’t plan further tests for storm impacts.


Larry Ragonese, a spokesman for the New Jersey Department of Environmental Protection, said the agency has done visual inspections of major brownfield sites and also alerted towns and cities to be on the lookout for problems. Ragonese said they just aren’t getting calls voicing such concerns.


Back at the Raritan Bay slag site, some residents want more information. And they want the toxic soil, which has sat here for years, out.


Pat Churchill, who was walking her dog in the park along the water, said she’s still worried.


“There are unanswered questions. You can’t tell me this is all contained. It has to move around,” Churchill said.


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Analysis: Stop-gap fix most likely outcome of “fiscal cliff” talks

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WASHINGTON (Reuters) – The “fiscal cliff” deadline is days away and the U.S. Congress and President Barack Obama have left town for Christmas.


But even if they were still here, it wouldn’t have mattered, according to Steny Hoyer, the second-ranking Democrat in the House of Representatives. He says they were going nowhere to resolving the disagreement over how to fix the nation’s fiscal problems.






Last month’s dreams of a “grand bargain” of tax hikes and spending cuts seem long gone. They had been reduced to more modest bargains in mid-December, and as 2013 approaches, are on the verge of relegation to a “stop-gap measure,” at best the sort of temporary fix that Congress undertook in 2011.


A stop-gap that puts everything off for a while but resolves nothing is now the most promising alternative, if there is to be one, to the across-the-board tax hikes and spending cuts described as a “fiscal cliff” because they threaten to send the U.S. economy plunging into another recession.


It is also the way fiscal showdowns have ended in Washington in recent years.


Such a fix, at best, would delay the spending cuts and tax hikes further into 2013 as well as work to address in a long-term way a government budget that has generated deficits exceeding $ 1 trillion in each of the last four years. Even worse, it would set up a huge fight in January and February over raising the U.S. debt ceiling, which controls the amount of money the federal government can borrow.


Dysfunction in Washington was specifically cited as one of the reasons rating agency Standard & Poor’s cut the U.S. debt rating to AA-plus after a battle over the debt ceiling in 2011. That alone – not to mention going over the cliff – could lead to another rating cut.


At worst, the new year could start with a full-fledged jump off the ‘cliff,’ with an understanding, communicated to financial markets, that Congress and the White House would come back and try again for a solution.


Given the apparent deadlock, some congressional aides this week said that Washington needed to begin telegraphing to Wall Street that markets should not panic if a “fiscal cliff” deal is not struck in December.


The goal, one aide said on condition of anonymity, is to avoid starting 2013 with a steep stock market drop like the one the U.S. suffered in 2008, when the country’s financial industry was falling apart and Congress was divided over what to do.


On Friday, Obama acknowledged that only small steps might be possible with so little time remaining.


Those, the Democratic president said, would consist of extending benefits for the long-term unemployed and keeping income tax rates low for 98 percent of Americans – meaning raising taxes on households with net incomes above $ 250,000 a year but not for those earning less.


He held out the possibility of something “comprehensive,” as he put it, but it had a hollow ring at the close of a work week that saw House Speaker John Boehner step back from negotiations and pursue a partisan plan that even some of his fellow Republicans could not stomach.


MARKET PRESSURE


The steps that Obama outlined were immediately rejected by Republicans, who have given ground on their previous steadfast opposition to any tax hikes but are still demanding that the White House agree to more substantial spending cuts.


“The president has failed to offer any solution that passes the test of balance,” declared Boehner spokesman Brendan Buck, minutes after the end of Obama’s statement on Friday.


On Saturday, a spokesman for Senate Republican leader Mitch McConnell was similarly dismissive, noting Obama’s call had neither bipartisan support nor spending cuts to ride along with tax increases.


McConnell, on Friday, suggested bringing up a House-passed bill that extends current tax rates for all Americans, including the top earners, and then pushes for comprehensive tax reform next year that theoretically could raise new revenues to help cut deficits.


But Obama has promised repeatedly to veto any extension of the expiring Bush-era tax cuts that fail to hike rates for the wealthy.


And Democrats, who control the Senate, have dismissed the McConnell idea, arguing that Obama ran his successful 2012 re-election campaign on a promise of forcing the wealthy to bear more of the burden of deficit reduction.


Democratic aides in Congress think their own bill implementing Obama’s $ 250,000 income threshold, which passed the 100-member Senate in July with 51 votes, could breeze through this month, or next year after the “fiscal cliff” is breached.


The prospect of a breach is being discussed far more seriously now, and not just as a bluff or to set up the other side for blame.


“I think we’re going to go over the cliff,” said Republican Representative Patrick Tiberi of Ohio. “I don’t see something getting done.”


In an MSNBC interview Friday, Hoyer, a 31-year veteran of Congress from Maryland, said it wouldn’t matter if everyone was in Washington instead of on holiday.


“Frankly, we’ve been in town for four weeks and members haven`t been doing much,” he said, calling it “one of the least productive times that I’ve been in Congress.”


Even Obama speaks of “a mismatch” between how people are thinking about the looming tax hikes and spending cuts “outside of this town and how folks are operating here. And we’ve just got to get that aligned,” he said in his statement.


ITG Investment Research Chief Economist Steve Blitz on Saturday said sliding the “fiscal cliff” negotiations into the new year was not a huge deal. “I think markets will pressure for a deal in January,” he said.


The “pressure” could be in the form of a significant stock market drop, which would hit workers’ retirement plans, threaten to deter consumer and business spending, and possibly rattle other countries’ economies at a time when the global economy is far from robust.


(Additional reporting by Rachelle Younglai; Editing by Martin Howell and Paul Simao)


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Judge orders end to HIV prison segregation in Alabama

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BIRMINGHAM, Alabama (Reuters) – A U.S. federal judge ruled on Friday to end the segregation of prisoners with HIV in Alabama, agreeing that it violates the Americans with Disabilities Act (ADA).


“It is evident that, while the … segregation policy has been an unnecessary tool for preventing the transmission of HIV, it has been an effective one for humiliating and isolating prisoners living with the disease,” U. S. District Judge Myron Thompson wrote in his ruling.






South Carolina now remains the only state segregating HIV inmates from the general population. Mississippi ceased a similar practice in March 2010.


The ruling came in response to a lawsuit by the American Civil Liberties Union (ACLU) over what the group contended was a discriminatory practice that prevented most HIV-positive inmates from participating in rehabilitation and retraining programs, including mental health and substance abuse programs, important for their success after prison.


“We won on all counts. It is a total victory and a glorious day for everyone with HIV,” said Margaret Winter, associate director of the ACLU National Prison Project and lead counsel for the plaintiffs.


Proponents of ending the policy sited an out-dated view of HIV/AIDS, which has become increasingly controllable. In the case of a virus transmitted by behavior, and not environment, preventing its spread is easier through proper medical treatment, rather than radical segregation of HIV positive inmates, according to Nancy Mahon, who chairs the Presidential Advisory Council on HIV/AIDS (PACHA).


“We now have ability to suppress the virus and reduce the possibility of transmission to four percent. Alabama and South Carolina have been in the dark ages about this public health sorrow,” said Mahon, who also directs the MAC AIDS Fund, which is financing the ACLU challenges in both states.


“The last thing we want to do is send them back into the community without treatment,” she added.


Two of Alabama’s 29 prisons have dormitories specifically housing prisoners with HIV. A handful of prisoners had been allowed to live and work in non-segregated settings in work-release programs, Winter said.


Currently, the inmates with HIV live, eat and exercise apart from the general population, according to court documents filed by the ACLU. Male inmates in the HIV dormitories were given white armbands that signal their medical status.


“First, we are isolated … like we are contagious animals,” Dana Harley, another prisoner who was a plaintiff in the case, said in a letter included in the court file. “It is like punishment three times over.”


Approximately 270 inmates out of the 26,400 in the state prison system have tested positive for the virus and none have developed AIDS, according to Alabama Department of Corrections spokesman Brian Corbett, who did not respond to inquiries about the ruling.


The judge plans to rule separately on the medical criteria for work release for HIV prisoners, according to his ruling.


(Editing by David Adams and Andrew Hay)


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AuntMinnie.com’s Year in Review examines biggest radiology stories of 2012

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Radiology news and education portal AuntMinnie.com today published its inaugural Year in Review special report, offering a look back at the 10 biggest developments in medical imaging in 2012.


Tucson, AZ (PRWEB) December 20, 2012






Radiology news and education portal AuntMinnie.com today published its inaugural Year in Review special report, offering a look back at the 10 biggest developments in medical imaging in 2012.


Year in Review offers radiology professionals an analysis of the news stories that shaped medical imaging this year. The topics span the gamut, from economic developments such as pressure on Medicare reimbursement to technical issues like the use of the third-generation iPad for mobile interpretation of medical images.


“Radiology has come under pressure in the last several years due to economic concerns, but our Year in Review special report demonstrates just how vibrant the specialty remains,” said Brian Casey, editor in chief of AuntMinnie.com. “New technologies came to the fore in 2012 that promise to improve patient care, such as CT radiation dose reduction tools, breast density measurement applications, and PET radiopharmaceuticals for predicting which individuals may develop Alzheimer’s disease.”


Year in Review can be accessed on the AuntMinnie.com website at http://www.auntminnie.com.


About AuntMinnie.com



AuntMinnie.com is the premier online radiology news, information, transaction, and education site for all individuals affiliated with the medical imaging market. Rich in timely, original content and customer-centered products and services, AuntMinnie.com is designed to enhance the professional lives of its members through interaction, participation, exchange, and commerce. AuntMinnie.com is owned by IMV, Ltd. Additional information on AuntMinnie.com is available at http://www.auntminnie.com.


Brian Casey
AuntMinnie.com
415-908-235
Email Information


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Family Meals Help Kids Eat More Fruit & Veggies

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One or two family meals a week may help kids eat more fruits and vegetables, a new study suggests.


In the U.K. study, children whose families always ate meals together consumed 4.4 ounces (1.5 portions) more fruits and vegetables a day compared with children whose families never ate together.






And kids who had family meals just once or twice a week consumed 3.4 ounces (1.2 portions) more produce a day.


“Modern life often prevents the whole family from sitting round the dinner table, but this research shows that even just Sunday lunch round the table can help improve the diets of our families,” said study researcher Meaghan Christian, of the University of Leeds.


Family meals may provide an opportunity for children to learn healthy eating habits from their parents or siblings, and are also an incentive to plan meals, the researchers said.


Cutting fruits and vegetables into smaller pieces also appeared to increase consumption. Children ate half a portion more of fruits and vegetables (1.4 ounces) if their parents said they always cut up these foods.


The majority of children in the United States, Europe and Australia don’t consume the recommended daily amount of fruits and vegetables (five servings a day), the researchers said. [See 10 Ways to Promote Kids' Healthy Eating Habits].


Previous research has shown that children who dine with their families are less likely to be obese and more likely to eat healthy foods.


The new study’s findings are based on information from 2,000 elementary school children in London, with an average age of 8. Parents answered questions about their child’s food consumption over the last day, as well as how often the family ate meals together. Sixty-three percent of the kids did not eat the recommended five servings of fruits and vegetables a day.


Because the results are based on parents’ reports of their kids’ food intake, they may be subject to bias, the researchers noted. Parents may overreport the amount of fruits and vegetables their child eats because a healthy diet is socially desirable. But the parents of children in the study did watch a DVD to learn how to properly report their child’s food intake, the researchers said.


The study is published today (Dec. 19) in the Journal of Epidemiology & Community Health.


Pass it on:One or two family meals a week may increase a child’s fruit and vegetable intake.


Follow Rachael Rettner on Twitter @RachaelRettner, or MyHealthNewsDaily @MyHealth_MHND. We’re also on Facebook & Google+.


Copyright 2012 MyHealthNewsDaily, a TechMediaNetwork company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
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9/11 cancer study won’t settle debate over risks

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CHICAGO (AP) — The most comprehensive study of potential World Trade Center-related cancers raises more questions than it answers and won’t end a debate over whether the attacks were really a cause.


The study suggests possible links with prostate, thyroid and a type of blood cancer among rescue and recovery workers exposed to toxic debris from the terrorist attacks. But there were few total cancers and even the study leaders say the results “should be interpreted with caution.”






The study involved nearly 56,000 people enrolled in a registry set up to monitor health effects from those exposed to the aftermath of the trade center attacks. Most participants volunteered for enrollment, which could skew the results if people who already had symptoms were more likely to enroll than healthier people.


Cancers diagnosed through 2008 were included in the study, but that’s just seven years after the 2001 attacks, and cancer often takes longer to develop. People diagnosed with cancer before the attacks were excluded from the study.


Cancer rates were compared with those in the general New York state population. But the researchers had no data on whether people in the study had risk factors for getting cancer, including a strong family history, or if they had existing cancer that wasn’t detected until after the disaster. Participants are being monitored for health issues and may have gotten more cancer screening than other people, which also could skew the results.


The increased risks were seen only in rescue and recovery workers, who likely had more direct, sustained contact with potential cancer-causing substances in the dust, smoke and debris from the attacks. But cancers weren’t more common in workers who had the most exposure — a finding that would seem to contradict the theory that contact was the cause.


The study comes just a few months after the federal government added dozens of types of cancer to a list of illnesses related to the trade center attacks that will be covered by a program to pay for health coverage.


The study results “won’t settle the question because it’s still too early,” said Dr. Thomas Farley, New York City‘s health commissioner. “People are very, very interested in this topic and we thought it was important to get the data out that we have even though it is early.”


Marijo Russell O’Grady, dean of students at Pace University’s New York City campus, was at her office near the trade center during the attacks. She also lives nearby, and said she worries about how exposure to choking dust, ash and an “overwhelming burnt plastic smell” might affect her family, including her then 1 1/2 year-old son. They are all enrolled in the health registry.


Cancer is her greatest concern and it’s “always present in the back of my mind,” she said.


Researchers from the city’s health department led the study, which was partly paid for by the National Institute for Occupational Safety and Health. NIOSH spokesman Fred Blosser said the agency welcomes the results and that longer follow-up is needed to examine risks for cancers with that take a long time to develop.


The study appears in Wednesday’s Journal of the American Medical Association.


Earlier research from the same registry linked the attacks with respiratory problems including asthma and symptoms of post-traumatic stress.


The new study involved a broader array of people, including firefighters and other emergency workers, along with residents and employees of workplaces near ground zero, Farley said.


In the new study, possible links were mainly seen with cancers diagnosed in 2007 and 2008 in rescue and recovery workers. These included 67 cases of prostate cancer, 13 thyroid cancer cases, and seven cases of multiple myeloma — all at rates higher than in the New York state population.


Donald Berry, a biostatistics professor at the University of Texas MD Anderson Cancer Center in Houston, said the study has too many limitations to draw any definitive conclusions.


“There’s no evidence that 9/11 caused any of these cancers,” Berry said.


He pointed out that no increased risks were found for lung cancer — a cancer that might seem plausible after breathing lots of toxic dust and smoke.


___


Online:


JAMA: http://www.jama.com


World Trade Center health effects: http://www.cdc.gov/niosh/topics/wtc/


___


AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com.LindseyTanner


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Amgen to plead guilty in criminal case: prosecutors

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NEW YORK (Reuters) – Biotech company Amgen Inc is scheduled to plead guilty on Tuesday in a criminal case in federal court in Brooklyn, New York, prosecutors said.


A brief statement from the U.S. Attorney‘s office gave no details of the charges Amgen would plead guilty to.






Representatives of Amgen could not immediately be reached to comment on the subject matter of the expected plea.


Amgen in October 2011 said it had taken a $ 780 million charge to settle a probe into allegedly illegal sales and marketing practices. The investigation, relating to sales of its anemia drugs Aranesp and Epogen, had been conducted for several years by federal prosecutors in Brooklyn and Seattle.


Amgen said at the time that if settlement discussions were successful, the $ 780 million would resolve federal probes and related state Medicaid claims as well as other litigation. But the company did not disclose when and if it would plead guilty to criminal charges.


The biotechnology company disclosed in court papers filed in 2010 that it has been under investigation by the Brooklyn federal prosecutor since 2006 in connection with alleged violations of the False Claims Act and other federal statutes.


(Reporting by Ransdell Pierson and Jessica Dye; Editing by M.D. Golan)


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Boehner opens door to tax hikes, shifts U.S. fiscal cliff talks

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WASHINGTON (Reuters) – U.S. House of Representatives Speaker John Boehner‘s offer to accept a tax rate increase for the wealthiest Americans knocks down a key Republican road block to a deal resolving the year-end “fiscal cliff.”


The question now boils down to what President Barack Obama offers in return. Such major questions, still unanswered so close to the end of the year suggest, however, that no spending and tax agreement is imminent.






A source familiar with the Obama-Boehner talks confirmed that Boehner proposed extending low tax rates for everyone who has less than $ 1 million in net annual income, meaning tax rates would rise on all above that line.


Under current law, the 35 percent top tax rate is scheduled to expire on January 1, and would automatically go to 39.6 percent. Boehner’s proposal would allow that rate to rise as scheduled at a threshold of $ 1 million – putting it back to where it was during the Clinton administration.


The White House has not accepted the proposal and the source could not confirm any additional talks were held on Sunday between Obama and Boehner.


With just over two weeks before the fiscal cliff’s $ 600 billion in automatic tax hikes and spending cuts are triggered, threatening a new recession, there is little time to craft a comprehensive deal that will satisfy both Democrats and Republicans.


Until the latest Republican offer, made on Friday, Boehner had insisted on extending all of the Bush era’s lower tax rates, resisting Obama’s demand to let the marginal rates rise on income above $ 250,000. A rising chorus of business executives also had urged Republicans to agree to this.


Some lawmakers and congressional aides had predicted that Republicans, once serious negotiations began, might try to raise the $ 250,000 threshold, say to $ 500,000 or $ 1 million. They also speculated that Republicans, if forced into a tax rate hike on the upper-income groups, might seek a smaller increase, say to around 37 percent.


Although the White House has not accepted Boehner’s gambit, it could push negotiations away from entrenched, ideological positions.


“Boehner has now accepted the premise of higher rates. So now we’re just arguing over details. I think it’s a significant step,” said Greg Valliere, chief political strategist at Potomac Research Group.


A framework deal spelling out tax revenue and spending cut targets to be finalized in the new year could be possible, Valliere said.


“Boehner’s offer to allow tax rates to go up for taxpayers earning over $ 1 million fundamentally transforms fiscal cliff negotiations,” added Sean West, U.S. policy analyst at Eurasia Group, a political risk consultancy.


In a note to clients, West wrote that it signals, significantly, that Boehner ultimately believes a deal to avoid the cliff is still possible.


“The political burden is now shifted back to the president, who must be willing to take on his party in order to get a deal Boehner can ultimately pass. We do not think the president will overreach: Obama will work with Boehner to get to a deal.”


There are still several critical elements to a deal besides a tax rate increase on the wealthy, including Republican demands to cut spending on social programs.


Changes to the expensive Medicare and Medicaid health care programs for the elderly and the poor could be central to any deal, which must also include an increase in the federal debt limit needed by the end of February.


DEMANDS SOCIAL PROGRAM CUTS


Boehner conditioned his tax rate increase offer on Obama’s agreement to cuts in social program spending, often called entitlements.


Many Republican lawmakers want to raise the eligibility age for Medicare to 67 from 65. They also want to link Medicare to the income of recipients, making wealthier retirees pay more for their care.


Currently, Medicare does have some means testing, charging higher premiums for coverage of doctors visits and prescription drugs to individuals earning more than $ 85,000 and married couples earning more than $ 170,000. Only about 5 percent of recipients pay these higher premiums.


Thus far, Obama has offered only about $ 400 billion in 10-year entitlement savings, mostly through small adjustments in reining in health care costs – not fundamental changes such as raising the eligibility age.


And just as Boehner faces opposition in his own party to raising any tax rates, Obama faces opposition to cuts to Medicare, Medicaid and Social Security from Democrats, who pledged in election campaigns they would protect these programs.


A major bloc of congressional Democrats has already signaled they will not accept major cutbacks in Medicare as part of any fiscal cliff deal.


House Minority Leader Nancy Pelosi of California and Maryland Representative Chris Van Hollen of Maryland are among the high ranking Democrats in the House who have come out forcefully in recent days against raising the age for eligibility for Medicare to 67 years of age.


“Given the level of savings that is being talked about from Medicare, you can’t get it all from providers and drug makers,” said Paul Heldman, an analyst at Potomac Research, which tracks Washington policy for investors.


“So opponents of raising the eligibility age have reason to believe beneficiaries will take some sort of hit if a mega-deal is cut,” he said.


If Republicans are not successful in securing entitlement program cuts in exchange for a tax-rate increase on the wealthy, they are adamant about using a debt-limit increase as leverage to overhaul Social Security and Medicare.


The U.S. Treasury expects to reach its $ 16.4 trillion statutory debt cap by year-end, and will exhaust its remaining borrowing capacity around mid-February, risking a potential default.


Louisiana Republican Representative John Fleming, a member of the conservative Tea Party caucus who has never voted to increase the debt ceiling, said he would support a debt limit hike if it were part of a deal to make Medicare and Social Security sustainable.


The pace of activity could pick up the coming week.


House Republicans were told to prepare for a possible weekend session next week, potentially interrupting travel plans for the long Christmas holiday weekend.


House Majority Leader Eric Cantor scheduled “possible legislation related to expiring provisions of law,” a reference to the expiring tax cuts, for the end of the week, portending a weekend session. Cantor has said the House would meet through the Christmas holidays and beyond.


(This story was fixed to correct current top tax rate to 35 percent from 36 percent)


(Additional reporting by Thomas Ferraro, Richard Cowan and Kim Dixon; Editing by Fred Barbash, Todd Eastham and Jackie Frank)


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Venezuela’s Chavez has “full intellectual capacity” after surgery

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CARACAS (Reuters) – Venezuelan President Hugo Chavez has recovered “full intellectual capacity” after a six-hour cancer operation in Cuba this week, an official said on Saturday, but offered few details on the socialist firebrand’s physical condition.


Chavez’s health weakened sharply after his October re-election, casting doubt on the future of his “21st century socialism,” which has won broad popular support but also infuriated adversaries who call him an aspiring dictator.






Science and Technology Minister Jorge Arreaza, who is also Chavez’s son-in-law, said in a phone call from Havana broadcast over state television that Chavez was continuing to recover.


“He is in a process of progressive stabilization and has full intellectual capacity, sufficient to send this message to the Venezuelan people,” said Arreaza, who is accompanying Chavez during his recovery.


“We recognize that there were some moments of tension, mostly on (Tuesday and Wednesday), but we have overcome them one by one,” he said.


The call came during a celebration of the eighth anniversary of the founding of the leftist ALBA bloc of nations championed by Chavez as an anti-U.S. alliance of socialist nations.


Bolivian President Evo Morales and Ecuador’s Foreign Minister Ricardo Patino joined a celebration in downtown Caracas largely dedicated to celebrating Chavez’s leftist policies and wishing him a swift recovery.


The government has provided no details on the situation of his cancer, which has returned twice since it was originally diagnosed in June 2011 and has required four operations. Chavez has said the cancer struck his pelvic region, but has not given any further details.


The information minister this week conceded Chavez may not be in condition to begin his third term on January 10, as mandated by the constitution.


If he cannot, fresh presidential elections would be called within 30 days, with Vice President Nicolas Maduro running as the ruling Socialist Party’s candidate.


The opposition would likely field the youthful Henrique Capriles, who lost to Chavez in October but gave the opposition its strongest showing in a presidential race against him.


That will depend on Capriles winning reelection for governor in the state of Miranda against Chavez protege and former Vice President Elias Jaua in Sunday’s regional elections.


If Caprles loses that vote, other opposition hopefuls might push him aside. Chavez’s adversaries hope to retain seven of the 23 governorships they currently hold, and may view the ballot as a dry run for a possible presidential election down the road.


Energy companies are keenly watching events and hope a change in government will lead to greater access to the country’s vast crude oil reserves – the world’s largest. Years of combative state takeovers have alienated major oil companies.


Investors drawn to Venezuela’s highly traded bonds are hoping for more fiscal responsibility after a year of blowout campaign spending.


(Reporting by Brian Ellsworth; editing by Todd Eastham)


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Bayer seeks FDA approval for cancer drug radium-223

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FRANKFURT (Reuters) – German drugmaker Bayer said on Friday it requested approval from U.S. regulators for an experimental prostate cancer drug that could eventually generate more than 1 billion euros ($ 1.31 billion) in annual sales.


Radium-223 dichloride, which Bayer used to call Alpharadin, is designed to target bone metastases from prostate cancer that cannot be treated by standard hormone therapy.






Bayer licensed radium-223 from Algeta in 2009, and if approved in the United States, radium-223 will be co-promoted by Bayer and Algeta, the Oslo-based company said on Friday.


Bayer, which on Wednesday said it was requesting EU approval for the drug, will market radium-223 alone in Europe if the treatment is approved there.


Bayer said last year that Radium-223 dichloride could become a “blockbuster” product with annual sales of least 1 billion euros.


The drug has some properties of calcium, which makes it cling to cancerous bone cells and then destroy them via alpha rays, which is more targeted that the shotgun approach of conventional radiotherapy.


(Reporting by Jonathan Gould; Editing by Hans-Juergen Peters)


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Obama, Boehner hold “frank” meeting amid ‘fiscal cliff’ frustration

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WASHINGTON (Reuters) – President Barack Obama and House of Representatives Speaker John Boehner held a “frank” face-to-face meeting on Thursday in an effort to break an impasse in talks to avert the “fiscal cliff” of steep tax increases and spending cuts.


With an end-of-year deadline looming, the two leaders talked at the White House as frustration mounted over the recent lack of progress in negotiations that had become bogged down in a daily round of finger-pointing.






Aides on both sides used similar language to describe the 50-minute meeting, calling it “frank” and repeating that lines of communication remained open.


The meeting, also attended by Treasury Secretary Timothy Geithner, was announced after frustration broke out on both sides at a lack of progress and U.S. stocks turned negative due to fears the economy could dip into recession again if politicians fail to break the gridlock in Washington.


At times raising his voice, Boehner criticized Obama earlier in the day for putting jobs and the economic recovery at risk by insisting on raising tax rates for the wealthiest 2 percent.


White House spokesman Jay Carney responded by reaffirming Obama’s commitment to raising the top rates and complaining there had been no movement from Republicans on that crucial topic.


“What we have not seen from the Republicans is any movement at all on the fundamental issue,” Carney told reporters. “Republicans need to accept the fact that rates will go up on the top 2 percent.”


In an interview with a Minnesota CBS television affiliate, Obama said he was hopeful of getting a deal and willing to make more spending cuts as long as revenue from higher tax rates for the rich was part of the deal.


“I’m willing to do a lot more cuts in spending. We also need to pair it up with a little more revenue,” he told WCCO television.


At a meeting earlier on Thursday, Obama’s top economic adviser, Gene Sperling, delivered a downbeat message to Democratic senators about the status of the fiscal cliff talks.


A Democratic aide described the presentation as “bleak,” saying Sperling told the group of senators that “we don’t have anywhere to go until Republicans move on (income tax) rates.”


RECESSION FEARS


Economists say failure to reach an agreement before January 1 could push the country back into recession. The main hurdle is the expiring tax cuts, which Obama wants extended for all but the rich and Boehner wants extended for everyone.


But with positions seeming to harden, both sides also emphasized their differences on Obama’s request for permanent authority to increase U.S. borrowing as part of a fiscal-cliff agreement and on Republican calls for an increase in the eligibility age for recipients of the Medicare healthcare program.


At a news conference, Boehner occasionally raised his voice in criticism of Obama’s bottom-line insistence on raising tax rates on the rich.


“Raising tax rates will hurt small businesses at a time when we’re expecting small businesses to be the engine of job creation in America,” said Boehner, who used a chart to illustrate his point that curbing spending increases was the key to deficit reduction.


If Obama persisted on a path of higher spending and higher taxes, he said, “this chart is going to look a lot worse.”


Afterward, his spokesman said Boehner would return to his home state of Ohio on Friday for the weekend, but was available if there were more talks. “Ohio has both cell phone service and airports,” spokesman Michael Steel said. “It won’t be a problem.”


A seven-day rally in world shares came to a halt and commodity prices slipped on Thursday after negotiations over the fiscal cliff appeared to stall.


Today there’s a certain sense that both sides are still apart,” said Gordon Charlop, managing director at Rosenblatt Securities in New York, describing trading as “tweaking” while investors watch Washington’s back-and-forth drama.


While Republicans fumed, Obama planned to continue his public-relations offensive with a round of interviews with anchors from local television stations. He was interviewed by ABC’s Barbara Walters two days ago.


A flurry of new polls showed strong support for Obama’s position. According to a Wall Street Journal/NBC survey, three-quarters of Americans said they would accept raising taxes on the wealthy to avoid the cliff. Even among Republicans, some 61 percent said they would accept tax increases on high earners.


‘REALITY SHOULD SET IN’


A Pew Research Center poll showed Obama’s approval rating rising and 55 percent saying he was making a serious effort to engage in the fiscal talks, while just 32 percent said Republicans were serious about a deal.


Senate Democratic leader Harry Reid, citing the polls, said Boehner “can’t ignore the people forever” on the tax issue. “At some point, reality should set in,” he told reporters.


The polls have put Republicans in a difficult negotiating position, and pressure has grown on Boehner in recent weeks from the right and left. Some Republicans have expressed a willingness to give in on higher tax rates in exchange for deeper spending cuts, while conservatives have demanded that Boehner stand firm.


“I’m not concerned about my job as speaker,” Boehner, who faces re-election to the leadership post in January, told reporters.


Boehner also dismissed any notion that Republicans would agree to giving Obama more authority on the debt ceiling.


“Congress is never going to give up our ability to control the purse,” Boehner said. “The debt limit ought to be used to bring fiscal sanity to Washington.”


A group of 72 House Democrats urged Obama to reject Republican calls to raise the Medicare eligibility age.


Senator Dick Durbin of Illinois, the second-ranking Democrat in the Senate, told reporters he was told by the White House that raising the eligibility age for qualifying for Medicare benefits was not in the mix anymore.


“My understanding is that is no longer one of the items being considered by the White House,” Durbin told reporters.


He said that raising the eligibility age “creates some serious issues for a lot of people who may be caught in the gap between retirement and eligibility. Where are they going to get health insurance? Many of them are sick people.”


(Additional reporting by Kim Dixon and Rachelle Younglai; Writing by John Whitesides; Editing by Alistair Bell and Peter Cooney)


Seniors/Aging News Headlines – Yahoo! News


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