Tuesday, January 31, 2012

Weight loss may prevent leaky bladder in diabetes (Reuters)

NEW YORK (Reuters Health) ? Overweight women with diabetes may be able to cut their risk of urine leakage if they shed some pounds, a new study suggests.

Extra pounds, especially in the belly, are considered a risk factor for urinary incontinence. And some studies have found that when overweight women drop even a modest amount of weight, they can curb their risk of incontinence.

Type 2 diabetes, which often goes hand-in-hand with obesity, is also a risk factor for urine leakage, regardless of weight. So weight loss could be especially helpful for heavy women with diabetes -- but studies hadn't looked at the question until now.

In the new study, researchers found that overweight diabetic women who took up diet and exercise changes lost an average of 17 pounds over a year. And with the weight loss came a lower risk of developing incontinence.

Over a year, 10.5 percent of women in the diet-and-exercise group developed new problems with urine leakage. That compared with 14 percent of women who had not made lifestyle changes.

"Overweight and obese women with type 2 diabetes should consider weight loss as a way to reduce their risk of developing urinary incontinence," lead researcher Suzanne Phelan, of California Polytechnic State University, told Reuters Health by email.

And of course, she added, there are already known benefits of shedding those extra pounds -- like better diabetes control and a lower risk of heart disease.

The findings, reported in the Journal of Urology, are based on 2,739 middle-aged and older women who were part of a larger diabetes study.

At the outset, the women were randomly assigned to one of two groups. In one group, the women were encouraged to cut calories and exercise for three hours a week. The other group had three diabetes education sessions.

Overall, women in the lifestyle group had a lower rate of urinary incontinence over the next year. And it didn't take a lot of weight loss to start to make a difference, Phelan's team found.

For every two pounds a woman lost, the odds of developing incontinence dipped by three percent.

On the other hand, weight loss did not seem to help women who already had urine leakage problems at the study's start.

"We aren't sure why weight loss appeared to impact prevention but not resolution of urinary incontinence," Phelan said.

It's possible, she said, that weight loss is more effective at preventing, rather than treating, urine leakage. Or there may simply have been too few women with existing urinary incontinence to detect an effect of weight loss, Phelan added.

It's also unclear how to account for the drop in incontinence risk -- it might be related to the exercise or the blood sugar reduction, for instance.

Urinary incontinence is very common among women -- in large part because vaginal childbirth is a major risk factor.

One recent study of U.S. adults found that about 53 percent of women older than 20 said they'd had problems with urine leakage in the past year. That was up from less than half of women surveyed several years earlier.

Researchers said the increase was partly explained by rising rates of diabetes and obesity.

SOURCE: http://bit.ly/zqDrRV Journal of Urology, online January 19, 2012.

Source: http://us.rd.yahoo.com/dailynews/rss/weightloss/*http%3A//news.yahoo.com/s/nm/20120131/hl_nm/us_weightloss_bladder

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Italian islanders worry about their future (AP)

GIGLIO, Italy ? Residents of the Italian island of Giglio held a strategy meeting Monday as fears mounted about threats to the environment and their prized tourism industry from the stricken Costa Concordia cruise ship lying off the coast.

Officials have ruled out finding anyone else alive more than two weeks after the ship hit a reef. Worries are now focusing on the impact the disaster could have on the pristine Tuscan region, especially if tons of fuel and chemical pollutants spill from the ship.

Ahead of the closed-door meeting, some residents hung a banner demanding the removal of the half-submerged ship, which threatens some of the most unspoiled waters in the Mediterranean and a sanctuary for dolphins and other marine life.

About 500,000 gallons (2,400 tons) of heavy fuel and other pollutants are in danger of leaking out of the ship, threatening the livelihoods of local fishermen and residents who depend on tourism.

"They need to get a move on. We are moving toward the tourist season," said Antonia Rum, a resident heading into the gathering of more than 200 people.

"Let's hope we are able to solve everything without pollution," said Giuseppe De Politi, a Giglio fisherman. "That's the main worry."

Concordia ran aground Jan. 13 when the captain deviated from his planned route and struck a reef, creating a huge gash that capsized the ship. More than 4,200 passengers and crew were on board. Seventeen bodies have been recovered, while 16 people are listed as missing, with one body not yet identified.

The gathering of residents came a day after Franco Gabrielli, the head of Italy's national civil protection agency, said it could take a full seven-to-10 months to remove the massive ship, which is 950 feet (290 meters) long and 115 feet (35 meters) wide. That means the damaged ship, or at least parts of it, will still be off the coast for most, if not all, of the summer tourist season.

One of the residents at the meeting, Fabio Agugliari, expressed the determination to defend the island and its "treasures." Another, Alvaro Andolfi, said residents are mainly demanding transparency from Gabrielli.

"We want him to tell us how it happened that it's going to take a year to remove this ship, what they are doing and how the plans to remove the fuel are proceeding," Andolfi told reporters after the meeting.

The harbor at Giglio, which usually accommodates dozens of private and tourist boats, is now off-limits to any vessels except rescue boats and two ferry companies that connect the island to the mainland.

Lawmaker Angelo Bonelli, with the Greens party, said a 10-month removal process was a huge time span in which oil, solvents and the corrosion of the ship could "provoke a real disaster."

"We have the impression that there is underestimation of the enormous environmental, touristic and economic damage that will take place if the ship stays in its place for more than a year," he was quoted as saying by the ANSA news agency.

The prospects of a quick solution were further dampened Monday by bad weather, which prevented crews from starting to pump oil from the ship. Authorities set off another blast in an underwater compartment of the ship, hoping to find more bodies, but held off on removing fuel.

Despite the rough seas, other workers labored to collect tons of ship debris ? chairs, furniture, luggage ? floating in the surrounding waters or on the shore.

Experts say it will take a month to remove fuel from the 15 tanks that account for more than 80 percent of all the ship's oil. The next job would be to target the ship's engine room, which contains nearly 350 cubic meters of diesel, fuel and other lubricants.

Only once the fuel is pumped out can work begin on removing the ship, either floating it in one piece or cutting it up and towing it away. That operation will involve large barges, cranes and other commercial salvage equipment.

"They say there is not going to be any environmental damage, but we are not stupid. The damage to the environment is strong," said Riccardo Vicchianti, son of a Giglio resident. "If I think of just one cabin, it's like throwing a whole bar into the sea ... imagine a floating town!"

___

Gera reported from Rome.

Source: http://us.rd.yahoo.com/dailynews/rss/energy/*http%3A//news.yahoo.com/s/ap/20120130/ap_on_bi_ge/eu_italy_ship_aground

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How Evi Compares to Siri: Evi's Clever, Too, But Slow [VIDEO] (Mashable)

Getting Siri's voice-recognition capabilities on your phone just became a possibility for Android users and a bit less expensive for iPhone users. Meet Evi -- a $.99 app for iPhones and free for Android. For such a nominal price, don't expect Evi to be on par with Siri. There are some major differences with Evi as opposed to the quick and integrated Siri. Evi will not schedule meetings on your calendar or let you dictate text messages. But for functions like finding local shops, restaurants and general information, it's pretty helpful.

[More from Mashable: 7 Big Privacy Concerns for New Facebook and the Open Graph]

I asked Evi: "What time is it, Evi?" and it thought I said, "What time is it TV?". Messages such as "Just a mo'" appeared on the screen to let me know it was thinking and then it said, "I'm having trouble getting a response from my servers." Yes, it was noticeably slower than Siri.

Other times it would say, "I don't know right now -- try asking again next week." I asked, "Can you set my alarm for 9 p.m.?" even though Evi is not synced with the other apps like Siri is, it said it hasn't learned to do that yet.

[More from Mashable: Facebook Apps: Highlights of the 60 New Integrated Applications]

Could it be possible that True Knowledge, the company behind Evi, will integrate the app with its operating system's other functions in the future? Check out the company's video below introducing Evi.

The voice sounds a lot like Siri, although some reviewers have said the voice sounds annoying. Yes, it thinks too long and sometimes right after you state your query it says it is not getting a response from the servers, but then, your answer appears.

But even as I write this, I keep wanting to call this app Siri because it's quite similar. However, Apple's assistant still comes out in the lead compared to Evi [Link to app store].

For as many people who use Siri for making appointments and scheduling calls, there are also many who enjoy the depth of knowledge and wit Siri contains. Ask Siri to "tell me about the Civil War" and it directs me to a related link. Ask Evi the same question and you get a brief encyclopedia response including the dates and a small photo.

Siri also has built-in cleverness. Just to play around with Evi and find out if any sassy answers were built into this app, I asked, "What's my name?" and it responded, "Who are you? Surely you know the answer to that one already." I asked Evi other absurd questions like, What should I eat for dinner?" and it pointed me to a website for an olive tapenade recipe.

If you want a bare-bones Siri with some frequent hiccups -- but a .99 cent or free price tag -- Evi is a good option for now.

What do you think about Evi? Have you used it? How does it compare to Siri? Tell us in the comments.

This story originally published on Mashable here.

Source: http://us.rd.yahoo.com/dailynews/rss/personaltech/*http%3A//news.yahoo.com/s/mashable/20120129/tc_mashable/how_evi_compares_to_siri_evis_clever_too_but_slow_video

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Monday, January 30, 2012

Officers checking robbery find 5 dead in Ala. home

Police talk outside a house where five people were found dead in Birmingham, Ala., on Sunday, Jan. 29, 2012. The victims were not immediately identified, nor was the cause of death released. Birmingham authorities launched a homicide investigation and police believe more than one person was involved. (AP Photo/Jay Reeves)

Police talk outside a house where five people were found dead in Birmingham, Ala., on Sunday, Jan. 29, 2012. The victims were not immediately identified, nor was the cause of death released. Birmingham authorities launched a homicide investigation and police believe more than one person was involved. (AP Photo/Jay Reeves)

Unidentified Birmingham police officers stop Ravenn Carlton, second from right, whose husband's body was found inside the house, and her cousin Nakia Carlton, far right, from getting close to the scene where five people were found dead inside a house at 3113 Avenue S in Birmingham, Ala., Sunday, Jan 29, 2012. Birmingham police discovered the bodies when they arrived to investigate a robbery call. Sgt. Johnny Williams said the incident happened about 3:30 a.m. (AP Photo/The Birmingham News, Jeff Roberts)

Ravenn Carlton, center, whose husband's body was found inside the house, is comforted by her cousins, Nakia Carlton, left and Khalena McIntyre, right, at the scene where five people were found dead inside a house in Birmingham, Ala., Sunday, Jan 29, 2012. Birmingham police discovered the bodies when they arrived to investigate a robbery call. Sgt. Johnny Williams said the incident happened about 3:30 a.m. (AP Photo/The Birmingham News, Jeff Roberts)

Ravenn Carlton, center, wife of one of the five people found dead is comforted by Nakia Carlton, left, and Khalena Carlton, right, near the scene where five people were found dead inside a house in Birmingham, Ala., Sunday, Jan 29, 2012. Birmingham police discovered the bodies when they arrived to investigate a robbery call. Sgt. Johnny Williams said the incident happened about 3:30 a.m. (AP Photo/The Birmingham News, Jeff Roberts)

A Birmingham police car sits in the drive way as police investigate the scene where five people were found dead inside a house in Birmingham, Ala., Sunday, Jan 29, 2012. Birmingham police discovered the bodies when they arrived to investigate a robbery call. Sgt. Johnny Williams said the incident happened about 3:30 a.m. (AP Photo/The Birmingham News, Jeff Roberts)

(AP) ? Police investigating a possible robbery at a Birmingham home early Sunday instead found five people dead inside, authorities said.

Birmingham Police Sgt. Johnny Williams said officers arrived at the house around 3:30 a.m. Sunday after getting a call that a robbery was in progress and soon discovered the five victims. He told reporters that investigators are interviewing potential witnesses but so far have made no arrests.

"Someone out there knows more information," said Williams. "We know someone is going to do the right thing."

The victims' identities and the causes of death were not immediately released. Birmingham authorities launched a homicide investigation and police believe more than one person was involved.

"It obviously appears to us this horrific crime was not a random act of violence," said Birmingham Police Chief A.C. Roper.

The two-bedroom house, which is made partly of cinderblocks, was built along a busy street in west Birmingham. Vacant homes sit beside houses where some residents have lived for years. One is Beatrice Houston, who lives across the street from the home where the bodies were found.

Houston, who is 64, said she believes a woman, her son and her brother had lived in the house for the last year or so. She said she didn't know the neighbors' names, but started worrying when she saw groups of young men hanging around the house at odd hours.

Still, she said, her neighbors didn't cause many disturbances.

"I never had any problem with them," she said. "They were cordial. I just kept to myself."

Doreatha Moss lived in the house, a white building with green trim now surrounded by police tape, until late 2010. She doesn't know who moved in to take her place.

"I don't know anything about it now other than that there's all the time a bunch of young guys hanging around there," said Moss, who still returns to visit friends. "That's not good."

Houston said most of her neighbors are still in a "state of shock"

"They never had any trouble over there," Houston said. "I never seen the police over there. This was really strange that this happened. It wasn't like they were real rowdy."

___

Associated Press writer Greg Bluestein in Atlanta contributed to this report.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/386c25518f464186bf7a2ac026580ce7/Article_2012-01-29-Five%20Dead-Alabama/id-6b34017258da460a94857c1972e82432

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Rapper Cory Gunz Tweets Apology After Gun Arrest

Rapper Cory Gunz Tweets Apology After Gun Arrest

Rapper Cory Gunz has issued an apology to his fans for letting them down following his arrest this weekend for gun possession. The Young Money [...]

Rapper Cory Gunz Tweets Apology After Gun Arrest Stupid Celebrities Gossip Stupid Celebrities Gossip News


Source: http://feedproxy.google.com/~r/stupidcelebrities/~3/Qd61pfJV5FY/

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Private investors near deal on Greek debt

Charles Dallara, left and Jean Lemiere from the Institute of International Finance leave Maximos Mansion after meeting Greek Prime Minister Lucas Papademos and Greek Finance Minister Evangelos Venizelos in Athens on Saturday Jan. 28 2012. Talks between Greece and private creditors on halving the country's privately held debt load have ended and a deal is very close, according to the creditors' representatives. (AP Photo)

Charles Dallara, left and Jean Lemiere from the Institute of International Finance leave Maximos Mansion after meeting Greek Prime Minister Lucas Papademos and Greek Finance Minister Evangelos Venizelos in Athens on Saturday Jan. 28 2012. Talks between Greece and private creditors on halving the country's privately held debt load have ended and a deal is very close, according to the creditors' representatives. (AP Photo)

Greek Finance Minister Evangelos Venizelos leaves Maximos Mansion after a meeting with Greek Prime minister Lucas Papademos, Charles Dallara and Jean Lemiere from the Institute of International Finance in Athens on Saturday Jan. 28 2012. Talks between Greece and private creditors on halving the country's privately held debt load have ended and a deal is very close, according to the creditors' representatives. (AP Photo)

Greek Prime Minister Lucas Papademos, left, and Greek Finance Minister Evangelos Venizelos leave Maximos Mansion after a meeting Charles Dallara and Jean Lemiere from the Institute of International Finance in Athens on Saturday Jan. 28 2012. Talks between Greece and private creditors on halving the country's privately held debt load have ended and a deal is very close, according to the creditors' representatives. (AP Photo)

Charles Dallara, left and Jean Lemiere from the Institute of International Finance leave Maximos Mansion after meeting Greek Prime Minister Lucas Papademos and Greek Finance Minister Evangelos Venizelos in Athens on Saturday Jan. 28 2012. Talks between Greece and private creditors on halving the country's privately held debt load have ended and a deal is very close, according to the creditors' representatives. (AP Photo)

Charles Dallara managing director of the Institute of International Finance arrives at Maximos Mansion for a meeting with Greek Prime Minister Lucas Papademos and Finance Minister Evangelos Venizelos in Athens on Saturday Jan. 28 2012. Talks between Greece and private creditors on halving the country's privately held debt load have ended and a deal is very close, according to the creditors' representatives. (AP Photo)

(AP) ? Greece and its private investors are close to a deal that will significantly reduce the country's debt and pave the way for it to receive a much-needed euro130 billion bailout.

Negotiators for the investors announced the tentative agreement Saturday and said it could become final next week.

Under the agreement, the investors would take a hit of more than 60 percent on the euro206 billion of Greek debt they own.

Here's how it would work: private investors would receive new bonds whose face value is half of the existing bonds. The new bonds would have a longer maturity and pay an average interest rate of slightly less than 4 percent (compared with an estimated 5 percent on the existing bonds).

Without the deal, which would reduce Greece's debt load by at least euro120 billion, the private investors' bonds would likely become worthless. Many of these investors also hold debt from other eurozone countries, which could also lose value in the event of a Greek default.

The agreement taking shape is a key step before Greece can get a second, euro130 billion bailout from its European Union partners and the International Monetary Fund, although there are other issues involved before Greece can get that aid. This would be Greece's second bailout. The EU and the IMF signed off on a euro110 billion aid package for Greece in May 2010, most of which has already been disbursed.

Greece faces a euro14.5 billion bond repayment on March 20, which it cannot afford without additional help.

Private investors hold roughly two-thirds of Greece's debt, which has reached an unsustainable level ? nearly 200 percent of the country's economic output. By restructuring the debt held by private investors, Greece and its EU partners are hoping to bring that ratio closer to 120 percent by the end of this decade.

In return for the first bailout, Greece's public creditors ? the International Monetary Fund, the European Union and the European Central Bank ? have unprecedented powers over Greek spending. However, austerity alone will not fix Greece's problem. The country must also find ways boost its economic output, which at the moment is shrinking.

If no debt-exchange deal is reached with private creditors and Greece is forced to default, it would very likely spook Europe's ? and possibly the world's ? financial markets. It could even lead Greece to withdraw from the euro.

The banks, insurance companies and other private holders of Greek bonds are being represented by Charles Dallara, managing director of the Washington-based Institute of International Finance, and Jean Lemierre, senior adviser to the chairman of the French bank BNP Paribas.

The main creditor negotiators will leave Greece on Sunday and will remain in close consultation with Greek and other authorities.

___

Elena Becatoros in Athens and Gabriele Steinhauser in Brussels contributed.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/cae69a7523db45408eeb2b3a98c0c9c5/Article_2012-01-28-EU-Greece-Financial-Crisis/id-f72f9e8a45384f478cedada05d42facb

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Sunday, January 29, 2012

Fans hold rally to send Pats off to Super Bowl (AP)

FOXBOROUGH, Mass. ? Packed to capacity in the lower level on one side of Gillette Stadium on Sunday, Patriots fans watched replays from the AFC championship victory that put New England in the Super Bowl.

A few minutes later, those roughly 25,000 fans sent the players off in style.

Before a spirited crowd that filled approximately one-third of Gillette Stadium, the Patriots officially began their short journey to Indianapolis by attending a free send-off rally, addressing the fans and returning the appreciation that's been bestowed upon them.

"This never gets old, huh?" running back Kevin Faulk asked the raucous crowd. "The one question I was asked during the offseason was, `Why are you coming back, Kevin?'

"This is it, right here."

Following the 13-minute program on a stage constructed at the 50-yard line, the players skirted the lower level of seats on their way out of the stadium, high-fiving fans and filming the celebration along the way before boarding busses bound for the airport.

New England will play the New York Giants next Sunday ? a little more than four years after the Giants spoiled the Patriots' perfect season with a stunning 17-14 Super Bowl victory.

"We wish we could take all of you guys to Indy with us," said Tom Brady, who will tie the record for quarterbacks with his fifth Super Bowl start. "Hopefully we'll have a lot more people at our party next weekend."

After re-watching Baltimore kicker Billy Cundiff's botched 32-yard field goal attempt in the closing seconds that gave New England a 23-20 win over the Ravens last Sunday, the fans erupted as players filed into the stadium to their traditional entrance music.

A parade of Patriots, including coach Bill Belichick, then made their way to the podium to thank fans for their support.

"You guys are the reason why we're in the spot we're in, because we had home-field advantage throughout the end, and we were able to take advantage and now we're in the Super Bowl," said receiver Wes Welker. "That's what it's all about.

"I promise you all, all of these guys, with the way we're going to play this next Sunday, we're going to give it everything we've got out there and you're going to be proud to support the New England Patriots."

Linebacker Jerod Mayo touched on the difficult year endured by team owner Robert Kraft, whose wife, Myra, passed away July 20 after a battle with cancer. The team dedicated this season to her, wearing oval patches with the initials "MHK" on their uniforms right above their hearts.

Kraft, the final speaker, took the stage to chants of "MHK."

"At the beginning of the season, (Kraft's son and team president) Jonathan and I met with the team and told them that they would wear an MHK patch over their hearts," Kraft said. "And they really dedicated this season to her and all the volunteers in America who make this country great."

Liam Corbett, a fan clad in a blue Rob Gronkowski jersey, recalled attending his first Patriots Super Bowl send-off rally with his father in 2004, when New England beat the Carolina Panthers for the second of its three championships.

Now, with his father unable to attend due to an injury, he made the 50-mile trek from New Bedford with his wife, sister and two children, marveling at how the celebration morphed from roughly a couple hundred fans eight years ago to more than 20,000 on Sunday.

"It gives you more of a connection," he said. "You're able to be here with the team and they're able to see you off and all that, because not everybody can get to Indianapolis. It's pretty cool."

Corbett's wife, Nicole, was focused on creating memories for her almost 2-year-old son, Maximus, and 5-year-old daughter, Aurora, who was sporting a Brady jersey.

"Someone asked why we were coming down ... he goes, `I could sit on my couch.' I said, `Yeah, but I can't afford to go to the stadium for a regular game so I'm going.' We love this," she said. "It's exciting. I just like the energy, getting pumped up for the game, especially the kids, it makes great memories.

"It really gives you a lot of history and connection to the team as you get older. (Liam) did this with his dad when he was little and now we get to do it with our kids."

Source: http://us.rd.yahoo.com/dailynews/rss/sports/*http%3A//news.yahoo.com/s/ap/20120129/ap_on_sp_fo_ne/fbn_patriots_fan_rally

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Video: Researchers show how viruses evolve, and in some cases, become deadly

Friday, January 27, 2012

In the current issue of Science, researchers at Michigan State University demonstrate how a new virus evolves, which sheds light on how easy it can be for diseases to gain dangerous mutations.

The scientists showed for the first time how the virus called "Lambda" evolved to find a new way to attack host cells, an innovation that took four mutations to accomplish. This virus infects bacteria, in particular the common E. coli bacterium. Lambda isn't dangerous to humans, but this research demonstrated how viruses evolve complex and potentially deadly new traits, said Justin Meyer, MSU graduate student, who co-authored the paper with Richard Lenski, MSU Hannah Distinguished Professor of Microbiology and Molecular Genetics.

"We were surprised at first to see Lambda evolve this new function, this ability to attack and enter the cell through a new receptor ? and it happened so fast," Meyer said. "But when we re-ran the evolution experiment, we saw the same thing happen over and over."


Researchers at Michigan State University demonstrate how a new virus evolves, shedding light on how easy it can be for diseases to gain dangerous mutations. Credit: Michigan State University/Jeremy Polk, National Science Foundation

This paper follows recent news that scientists in the United States and the Netherlands produced a deadly version of bird flu. Even though bird flu is a mere five mutations away from becoming transmissible between humans, it's highly unlikely the virus could naturally obtain all of the beneficial mutations all at once. However, it might evolve sequentially, gaining benefits one-by-one, if conditions are favorable at each step, he added.

Through research conducted at BEACON, MSU's National Science Foundation Center for the Study of Evolution in Action, Meyer and his colleagues' ability to duplicate the results implied that adaptation by natural selection, or survival of the fittest, had an important role in the virus' evolution.

When the genomes of the adaptable virus were sequenced, they always had four mutations in common. The viruses that didn't evolve the new way of entering cells had some of the four mutations but never all four together, said Meyer, who holds the Barnett Rosenberg Fellowship in MSU's College of Natural Science.

"In other words, natural selection promoted the virus' evolution because the mutations helped them use both their old and new attacks," Meyer said. "The finding raises questions of whether the five bird flu mutations may also have multiple functions, and could they evolve naturally?"

###

National Science Foundation: http://www.nsf.gov

Thanks to National Science Foundation for this article.

This press release was posted to serve as a topic for discussion. Please comment below. We try our best to only post press releases that are associated with peer reviewed scientific literature. Critical discussions of the research are appreciated. If you need help finding a link to the original article, please contact us on twitter or via e-mail.

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Source: http://www.labspaces.net/117147/Video__Researchers_show_how_viruses_evolve__and_in_some_cases__become_deadly

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Paul braves snowy Maine in hunt for GOP delegates (AP)

WATERVILLE, Maine ? Ron Paul braved Maine's snow and ice Friday in a quest to pick up delegates, vowing he and his loyal band of supporters would be a factor in the Republican nominating contest for weeks to come.

The Texas congressman attracted a packed house in Bangor despite a powerful winter storm that shuttered schools and brought traffic to a virtual standstill.

Feisty and defiant, Paul said he had watched a television segment that morning in which pundits debated how Republicans should try to manage Paul and his fervent backers.

"They want us to go away, but they don't want to offend us. How are they going to manage that?" Paul said to boos. "I'll tell you what ? we'll just hang around for a while longer."

Paul is all but skipping Florida, whose primary is Jan. 31, to focus on Maine and other states holding caucuses, including Nevada, Colorado and Minnesota. Nevada's caucuses are Feb. 4 and Colorado and Minnesota's follow on Feb. 7.

Paul's campaign is following President Barack Obama's 2008 model, hoping a similarly young, Internet-savvy fan base will organize themselves and attend caucuses for Paul. The caucus states also yield a large number of delegates for far less money than many primary states.

The comparison to Obama's 2008 campaign has its limits, however. Obama had racked up at least one major victory ? a huge win in the Iowa caucuses ? before turning to the smaller-state caucus strategy. Paul has yet to win a single contest.

His best showing was in the New Hampshire primary, where he placed second behind Mitt Romney. But he came in third in Iowa behind Romney and Rick Santorum and placed a dismal fourth last Saturday in South Carolina's first-in-the-South primary.

Paul was spending two days in Maine, campaigning on or near college campuses, which have typically been receptive to his libertarian-leaning message.

At Colby College in Waterville, he emphasized his support for bringing U.S. troops home from overseas engagements and railed against what he called government's efforts to regulate lifestyle choices.

"When it comes to putting anything into your body, or your mouth, in your lungs, you can't do it without permission of the government," Paul said.

Maine's caucuses begin Feb. 4 and wrapping up on Feb. 11, when the GOP will announce the results of what is essentially a nonbinding straw poll.

The gatherings in schools, Grange halls, fire stations and town halls are the first step to selecting 24 delegates from the state to the Republican National Convention in Tampa next summer.

Charles Welles, 34, a Waterville resident and Navy veteran, said he supports Paul's views on ending military engagements and wants to vote for him. But Welles said he was still a bit confused by the caucus process.

"I'm from Ohio, so this is all new to me," Welles said.

Paul and Romney were both on the ballot in Maine's 2008 caucuses and have maintained active organizations in the state. The former Massachusetts governor finished first that year. Paul came in third, behind Arizona Sen. John McCain, who went on to win the GOP nomination.

Maine, often an afterthought compared to its next-door neighbor, New Hampshire, tends to reward candidates who are organized and make an effort to show up to court voters, Colby political science professor Sandy Maisel said.

Maisel noted that Gov. Jerry Brown of California, who was out of office at the time, won Maine's Democratic caucuses in 1992 after making frequent trips to the state.

The enthusiasm among Paul's supporters could help him prevail in Maine, Maisel added.

"The GOP has a very low turnout and it tends to be the most ideological people, which favors Ron Paul," he said.

Paul state chairman Paul Madore was guarded about setting expectations, saying GOP officials in the state would press for a more traditional candidate like Romney.

We have a rank-and-file Republican leadership in Maine, and they don't budge easily," Madore said. "We have to get in there and make our presence heard."

___

Sharp reported from Portland, Maine.

___

Follow Beth Fouhy on Twitter: http://www.twitter.com/bfouhy

Source: http://us.rd.yahoo.com/dailynews/rss/gop/*http%3A//news.yahoo.com/s/ap/20120127/ap_on_el_pr/us_paul

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Saturday, January 28, 2012

Shop Android Deal of the Day: HTC Tatami Hard Shell Case for EVO 3D

HTC Tatami Hard Shell Case for EVO 3D

The Jan. 27 Shop Android Deal of the Day is the HTC Tatami Hard Shell Case for the EVO 3D. It has a perfect fit and a sleek look, lets you charge without having to remove the case, protects your phone from scratches, drops and falls, and its easy snap-on installation requires no extra tools. And it's available in black, purple or raspberry today only for just $9.95. Get yours while supplies last!



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Katherine Heigl goes for "Money" in new caper film (Reuters)

LOS ANGELES (Reuters) ? Katherine Heigl has headlined several romantic comedies such as "27 Dresses" and "The Ugly Truth," but for her newest film, the former "Grey's Anatomy" TV star toplines an action comedy "One for the Money," in theaters of Friday.

The film is based on author Janet Evanovich's best-selling novel about Stephanie Plum, a divorced, unemployed woman who becomes a bounty hunter to pay the bills. To date, there are 17 installments of the popular book series.

"Money" sees Plum entering the profession, only to find herself chasing down a onetime romantic acquaintance and becoming entangled in a murder. The Emmy award-winning Heigl sat down with Reuters to talk about the film, her life as a working mom, adopting another baby perhaps within the year and a bad smoking habit she just can't seem to quit.

Q: Were you a fan of Janet Evanovich's books?

A: "I read the books when I was first approached about the project. The first one led to the second and by the time I got to the 10th, I was pretty hooked and obsessed. I just love Stephanie. She's savvy, brave and has a big heart. Her perspective on life and people is sort of wacky, charming and fun. She's got this great caustic sense of humor that I really responded to."

Q: And action film is a bit different for you. What was the most difficult thing for you to learn while shooting the film?

A: "I was pretty bad with the handcuffs. I really wanted to master the art of cuffing somebody quickly and efficiently. There's something about holding somebody's hands in a crossed way and trying to slap a cuff on. I didn't want to hurt the co-stars I was working within the scenes."

Q: You've established yourself as a romantic comedy actress. Is that a genre you feel comfortable in?

A: "If you asked me the same question two years ago I would have said, I love doing romantic comedies because those are the movies I tend to only watch. I want to laugh and believe in true love and romance. I'm still thrilled to be in those movies but at 33, I wouldn't mind breaking out of that genre a little bit. This movie had a murder mystery vibe to it, a kind of a caper film, so it was a different spin on the same formula."

Q: Did you have the whole family on location with you in Pittsburgh, including your adopted daughter Naleigh?

A: "Yes and it was chaos! (laughs). There was also my dog, my mom's dog, and then my mom would come for part of the filming because she's a producer on this as well. Then (husband/musician) Josh (Kelley) would come in and out because he's always on tour. Naleigh and the nanny were there all the time."

Q: Is Naleigh aware of what you do for a living?

A: "No, she isn't. Naleigh loves to play doctor and has a little doctor's kit. Recently my mom said, 'Naleigh, your mother played a doctor on TV.' And it was the first time that anyone has ever said to her that her mom is on TV. So she's starting to put the dots together."

Q: Any more kids for you and Josh?

A: "Naleigh's three now, so I'm hoping we have another child sooner than later -- at least maybe in the next year. Naleigh loves babies and the whole idea of babies."

Q: Will you adopt again or have biological children?

A: "We'd like to do both, but I'm on an adoption bent at this point. I'm afraid of pregnancy. That terrifies me. After being in (the R-rated comedy) "Knocked up" and having to watch birthing videos, I'm terrified! (laughs)"

Q: You are in a position where you headline your own movies, but you also produce many of them too. Was that always the plan?

A: "For me, there's so much inherent pressure in the position, so I started to feel neurotic and terrified all the time (laughs). I thought the only way for me to calm down was to take an active role in my future, not to sit and wait, but to create my own opportunities."

Q: So what's on the horizon?

A: "I'd love to write something. I'd love to direct. And there's so much great television, I would never rule out the opportunity to do a great TV show. I watch 'Homeland' and think Clare Danes is brilliant and if an opportunity like that came my way, I wouldn't say no."

Q: You've been spotted smoking electronic cigarettes to help you stop smoking. How's that been going?

A: "It's supposed to get you off the real thing, but I smoke it all the time because I don't have to step outside and it never goes out -- except when the battery dies. So I'm smoking it way more than I probably would a real cigarette."

Q: That's not good.

A: "I'm a nicotine addict and it's really ugly. If I could take anything back, smoking would be it. I wish I never picked up a cigarette. That was so stupid. That would be the one thing I would say to my kid as she gets old and inevitably will want to try a cigarette. I will say, 'Sure, go ahead, if you want to be a slave to something for the rest of your life!' I'll always be fighting the addiction."

(Reporting By Zorianna Kit, Editing by Bob Tourtellotte)

Source: http://us.rd.yahoo.com/dailynews/rss/celebrity/*http%3A//news.yahoo.com/s/nm/20120127/people_nm/us_katherineheigl

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[OOC] the midnight assassins

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Friday, January 27, 2012

Children among 74 dead in 2 days of Syrian turmoil

This citizen journalism image provide by the Local Coordination Committees in Syria and released early Friday Jan. 27, 2012, purports to show a Syrian man, right, mourning over the dead body of his son, who was shot by the Syrian forces, in Idlib province, Syria, on Thursday Jan. 26, 2012. A "terrifying massacre" in the restive Syrian city of Homs has killed more than 30 people, including small children, in a barrage of mortar fire and attacks by armed forces loyal to President Bashar Assad, activists said Friday. (AP Photo/Local Coordination Committees in Syria) EDITORIAL USE ONLY, NO SALES, THE ASSOCIATED PRESS IS UNABLE TO INDEPENDENTLY VERIFY THE AUTHENTICITY, CONTENT, LOCATION OR DATE OF THIS HANDOUT PHOTO

This citizen journalism image provide by the Local Coordination Committees in Syria and released early Friday Jan. 27, 2012, purports to show a Syrian man, right, mourning over the dead body of his son, who was shot by the Syrian forces, in Idlib province, Syria, on Thursday Jan. 26, 2012. A "terrifying massacre" in the restive Syrian city of Homs has killed more than 30 people, including small children, in a barrage of mortar fire and attacks by armed forces loyal to President Bashar Assad, activists said Friday. (AP Photo/Local Coordination Committees in Syria) EDITORIAL USE ONLY, NO SALES, THE ASSOCIATED PRESS IS UNABLE TO INDEPENDENTLY VERIFY THE AUTHENTICITY, CONTENT, LOCATION OR DATE OF THIS HANDOUT PHOTO

This citizen journalism image provided by the Local Coordination Committees in Syria and released on Friday Jan. 27, 2012, purports to show the bodies of five Syrian children wrapped in plastic bags, with signs in Arabic identifying them by name. Activists say the children were killed in a shelling attack by Syrian forces, in the Karm el-Zaytoun neighborhood of Homs, Syria, on Thursday Jan. 26, 2012 A "terrifying massacre" in the restive Syrian city of Homs has killed more than 30 people, including small children, in a barrage of mortar fire and attacks by armed forces loyal to President Bashar Assad, activists said Friday. (AP Photo/Local Coordination Committees in Syria) THE ASSOCIATED PRESS IS UNABLE TO INDEPENDENTLY VERIFY THE AUTHENTICITY, CONTENT, LOCATION OR DATE OF THIS HANDOUT PHOTO EDITORIAL USE ONLY

An anti-Syrian regime protester, gestures during a demonstration against Syrian President Bashar Assad, at Khalidya area in Homs province, central Syria, on Thursday, Jan. 26, 2012. Syrian troops stormed a flashpoint suburb of Damascus on Thursday, rounding people up in house-to-house raids and clashing with army defectors, activists said, as the 10-month-old uprising inches ever closer to the capital. (AP Photo)

Syrian army defectors stand guard on a rooftop to secure an anti-Syrian regime protest in the Deir Baghlaba area in Homs province, central Syria, on Friday, Jan. 27, 2012. Armed forces loyal to President Bashar Assad barraged residential buildings with mortars and machine-gun fire, killing at least 30 people, including a family of women and children during a day of sectarian killings and kidnappings in the besieged Syrian city of Homs, activists said Friday. (AP Photo)

Syrian army defectors secure a street near an anti-Syrian regime protest in the Deir Baghlaba area of Homs province, central Syria, on Friday, Jan. 27, 2012. Armed forces loyal to President Bashar Assad barraged residential buildings with mortars and machine-gun fire, killing at least 30 people, including a family of women and children during a day of sectarian killings and kidnappings in the besieged Syrian city of Homs, activists said Friday. (AP Photo)

(AP) ? Two days of bloody turmoil in Syria killed at least 74 people, including small children, as forces loyal to President Bashar Assad shelled residential buildings and fired on crowds in a dramatic escalation of violence, activists said Friday.

Video posted online showed the bodies of five small children, five women and a man, all bloodied and piled on beds in what appeared to be an apartment after a building was hit in the city of Homs. A narrator said an entire family had been "slaughtered."

Much of the violence was focused in Homs, where heavy gunfire hammered the city Friday in a second day of chaos. A day earlier, the city saw a flare-up of sectarian kidnappings and killings between its Sunni and Alawite communities, and pro-regime forces blasted residential buildings with mortars and gunfire, according to activists.

At least 384 children have been killed, as of Jan. 7, in the crackdown on Syria's uprising since it began nearly 11 months ago, the U.N. children's agency UNICEF said Friday. The count, based on reports from human rights groups, included children under age 18.

Most of the deaths took place in Homs and most of the victims were boys, UNICEF said. It said 380 children have been detained, including some under age 14. The United Nations estimates that more than 5,400 people have died in the turmoil.

The U.N. Security Council met in a closed-door session to discuss the crisis, which diplomats said was a step toward a possible U.N. resolution against the Damascus regime.

However, any resolution faces strong opposition from China and Russia, and both nations have veto power. Russian Deputy Foreign Minister Gennady Gatilov said Friday that Moscow will oppose any resolution because it does not exclude the possibility of outside military interference.

The Syrian uprising, which began last March with mostly peaceful protests, has become increasingly violent in recent months as army defectors clash with government forces and some protesters take up arms to protect themselves. The violence has inflamed the sectarian divide in the country, where members of Assad's Alawite sect dominate the regime despite a Sunni Muslim majority.

Activists said at least 35 people were killed in Homs on Thursday and another 39 people were killed across the country Friday.

The video posted Friday by activists showed the bodies of five young children, their faces bloodied, wrapped in orange plastic bags. It said the children were believed to be from two families, the Akras and the Bahadours. Brown cardboard placards with the children's names written in Arabic were placed on their chests, identifying them: Thanaa, Ali, Najm, Abdul-Ghani and Sidra.

The video could not be independently verified.

Hilal Khashan, a political science professor at the American University of Beirut, said the spike in violence was linked to increasing pressure from the international community, the Arab League and the United Nations.

"The regime is trying to finish the matter through military means as soon as possible," and for that reason the level of violence increased," he said.

On Tuesday, Syrian Foreign Minister Walid al-Moallem insisted that Damascus will continue its crackdown and said Syria would not accept any international interference in its affairs.

Assad's regime claims terrorists acting out a foreign conspiracy by the U.S., Israel and Gulf Arab countries are behind the uprising, not protesters seeking change.

The head of Arab League observers in Syria said in a statement that violence in the country has spiked over the past few days. Sudanese Gen. Mohammed Ahmed al-Dabi said the cities of Homs, Hama and Idlib have all witnessed a "very high escalation" in violence since Tuesday.

A "fierce military campaign" was also under way in the Hamadiyeh district of Hama since the early hours of Friday, according to the British-based Syrian Observatory for Human Rights and other activists. They said the sound of heavy machine-gun fire and loud explosions reverberated across the area.

Some activists reported seeing uncollected bodies in the streets of Hama.

Elsewhere, a car bomb exploded Friday at a checkpoint outside the northern city of Idlib, the Observatory said, citing witnesses. The number of casualties was not immediately clear.

Details of the wave of killings in Homs emerged Friday from an array of residents and activists

"There has been a terrifying massacre," Rami Abdul-Rahman, director of the Syrian Observatory for Human Rights, told the AP on Friday. He called for an independent investigation.

Thursday started with a spate of sectarian kidnappings and killings between the city's population of Sunnis and Alawites, a Shiite sect to which Assad belongs as well as most of his security and military leadership, said Mohammad Saleh, a centrist opposition figure and resident of Homs.

There was also a string of attacks by gunmen on army checkpoints, Saleh said. Checkpoints are a frequent target of dissident troops who have joined the opposition.

The Observatory said at least 11 people, including eight children, died when a building came under heavy mortar and machine-gun fire in the city's Karm el-Zaytoun neighborhood. Some residents spoke of another massacre that took place when shabiha ? armed regime loyalists ? stormed the district, slaughtering residents in an apartment, including children.

"They are killing people because of their sect," said one Sunni resident of Karm el-Zaytoun, speaking on condition of anonymity for fear of reprisal.

Thursday's death toll in Homs was at least 35, said the Observatory and the Local Coordination Committees, an umbrella group of activists. Both groups cite a network of activists on the ground in Syria for their death tolls.

The reports could not be independently confirmed. Syria tightly controls access to trouble spots and generally allows journalists to report only on escorted trips, which slows the flow of information.

Also Friday, Iran's official IRNA news agency said gunmen in Syria kidnapped 11 Iranian pilgrims traveling by road from Turkey to Damascus.

Iranian pilgrims routinely visit Syria ? Iran's closest ally in the Arab world ? to pay homage to Shiite holy shrines. Last month, seven Iranian engineers building a power plant in central Syria were kidnapped. They have not yet been released.

The Free Syrian Army, a group of army defectors fighting the regime, released a video on its Facebook page claiming responsibility for the kidnapping and saying the Iranians were taking part in the suppression of the Syrian people.

___

AP writer Elizabeth A. Kennedy contributed to this report from Beirut.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/3d281c11a96b4ad082fe88aa0db04305/Article_2012-01-27-Syria/id-87f60efedfd646ae890d73a28db96382

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Danish health care fast track program reduces cancer patients' treatment, diagnosis wait time

Danish health care fast track program reduces cancer patients' treatment, diagnosis wait time [ Back to EurekAlert! ] Public release date: 26-Jan-2012
[ | E-mail | Share Share ]

Contact: Nicole Napoli
nicolen@astro.org
703-839-7336
American Society for Radiation Oncology

Program could reduce risk of recurrence, lower cost to government

In Denmark, implementing a national fast track system for cancer patients reduced the waiting time between a patient's initial meeting with a health care provider and their first treatment by four weeks when comparing 2010 to 2002, according to a study presented at the Multidisciplinary Head and Neck Cancer Symposium, sponsored by AHNS, ASCO, ASTRO and SNM.

Denmark's health care system is state run, meaning health care services are funded by taxes with no out-of-pocket costs to patients. Many similar health care systems in western counties are plagued by long waiting times for surgery and radiation therapy, which can lead to significant tumor progression for head and neck cancer patients and as a result an increased risk of local recurrence and death.

In 2008, a new fast track program was implemented, where cancer patients and potential cancer patients were given the highest priority in the Danish health care system. Also, telephone hotlines, reserved slots in ENT and radiology, faster pathology reporting, and twice weekly multidisciplinary tumor boards and clinics were implemented and paper referrals eliminated to curb the increasing wait times.

Researchers from the Danish Head and Neck Cancer Group (DAHANCA) compared data from 474 patients treated in 2002 or 2010, before and after the fast track program, respectively. The median treatment time from first contact with health care provider to initial treatment was 41 days in 2010, reduced significantly from 69 days in 2002.

"Although it is still too early to tell if the shorter waiting period has a significant effect on tumor control or survival, our study shows that the treatment waiting period can be significantly reduced by prioritizing cancer patients and that most patient and health care professionals are satisfied with the fast track system," Cai Grau, MD, DMSc, lead author of the study and a professor of radiation oncology at Aarhus University Hospital in Aarhus, Denmark, said. "This reduced waiting period will more than likely lead to a decrease in tumor progression and lower a patient's risk of local recurrence and death, which ultimately will reduce the government's costs for treating a cancer patient."

###

The abstract, "Significant reduction in waiting time for diagnosis and treatment of head and neck cancer in Denmark in 2010 compared to 2002. First results of the Danish national fast track program for cancer," will be presented on Friday, January 27, 2012, at 10:30 a.m. Mountain time. To speak with one of the study authors, contact Beth Bukata or Nicole Napoli on January 26-27, 2012, in the press room at the Arizona Biltmore at 602-912-7854 or 703-839-7336. You may also email them at bethb@astro.org or nicolen@astro.org.

About the American Head and Neck Society

The American Head and Neck Society (AHNS) is the single largest organization in North America for the advancement of research and education in head and neck oncology. The purpose of the AHNS is to promote and advance the knowledge of prevention, diagnosis, treatment, and rehabilitation of neoplasms and other diseases of the head and neck; to promote and advance research in diseases of the head and neck; and to promote and advance the highest professional and ethical standards.

About the American Society of Clinical Oncology

The American Society of Clinical Oncology (ASCO) is the world's leading professional organization representing physicians who care for people with cancer. With more than 30,000 members, ASCO is committed to improving cancer care through scientific meetings, educational programs and peer-reviewed journals. ASCO is supported by its affiliate organization, the Conquer Cancer Foundation, which funds ground-breaking research and programs that make a tangible difference in the lives of people with cancer. For ASCO information and resources, visit http://www.asco.org. Patient-oriented cancer information is available at http://www.cancer.net.

About the American Society for Radiation Oncology

The American Society for Radiation Oncology (ASTRO) is the largest radiation oncology society in the world, with more than 10,000 members who specialize in treating patients with radiation therapies. As the leading organization in radiation oncology, biology and physics, the Society is dedicated to improving patient care through education, clinical practice, advancement of science and advocacy. For more information on radiation therapy, visit http://www.rtanswers.org. To learn more about ASTRO, visit http://www.astro.org.

About SNMAdvancing Molecular Imaging and Therapy

SNM is an international scientific and medical organization dedicated to raising public awareness about what molecular imaging is and how it can help provide patients with the best health care possible. SNM members specialize in molecular imaging, a vital element of today's medical practice that adds an additional dimension to diagnosis, changing the way common and devastating diseases are understood and treated.



[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Danish health care fast track program reduces cancer patients' treatment, diagnosis wait time [ Back to EurekAlert! ] Public release date: 26-Jan-2012
[ | E-mail | Share Share ]

Contact: Nicole Napoli
nicolen@astro.org
703-839-7336
American Society for Radiation Oncology

Program could reduce risk of recurrence, lower cost to government

In Denmark, implementing a national fast track system for cancer patients reduced the waiting time between a patient's initial meeting with a health care provider and their first treatment by four weeks when comparing 2010 to 2002, according to a study presented at the Multidisciplinary Head and Neck Cancer Symposium, sponsored by AHNS, ASCO, ASTRO and SNM.

Denmark's health care system is state run, meaning health care services are funded by taxes with no out-of-pocket costs to patients. Many similar health care systems in western counties are plagued by long waiting times for surgery and radiation therapy, which can lead to significant tumor progression for head and neck cancer patients and as a result an increased risk of local recurrence and death.

In 2008, a new fast track program was implemented, where cancer patients and potential cancer patients were given the highest priority in the Danish health care system. Also, telephone hotlines, reserved slots in ENT and radiology, faster pathology reporting, and twice weekly multidisciplinary tumor boards and clinics were implemented and paper referrals eliminated to curb the increasing wait times.

Researchers from the Danish Head and Neck Cancer Group (DAHANCA) compared data from 474 patients treated in 2002 or 2010, before and after the fast track program, respectively. The median treatment time from first contact with health care provider to initial treatment was 41 days in 2010, reduced significantly from 69 days in 2002.

"Although it is still too early to tell if the shorter waiting period has a significant effect on tumor control or survival, our study shows that the treatment waiting period can be significantly reduced by prioritizing cancer patients and that most patient and health care professionals are satisfied with the fast track system," Cai Grau, MD, DMSc, lead author of the study and a professor of radiation oncology at Aarhus University Hospital in Aarhus, Denmark, said. "This reduced waiting period will more than likely lead to a decrease in tumor progression and lower a patient's risk of local recurrence and death, which ultimately will reduce the government's costs for treating a cancer patient."

###

The abstract, "Significant reduction in waiting time for diagnosis and treatment of head and neck cancer in Denmark in 2010 compared to 2002. First results of the Danish national fast track program for cancer," will be presented on Friday, January 27, 2012, at 10:30 a.m. Mountain time. To speak with one of the study authors, contact Beth Bukata or Nicole Napoli on January 26-27, 2012, in the press room at the Arizona Biltmore at 602-912-7854 or 703-839-7336. You may also email them at bethb@astro.org or nicolen@astro.org.

About the American Head and Neck Society

The American Head and Neck Society (AHNS) is the single largest organization in North America for the advancement of research and education in head and neck oncology. The purpose of the AHNS is to promote and advance the knowledge of prevention, diagnosis, treatment, and rehabilitation of neoplasms and other diseases of the head and neck; to promote and advance research in diseases of the head and neck; and to promote and advance the highest professional and ethical standards.

About the American Society of Clinical Oncology

The American Society of Clinical Oncology (ASCO) is the world's leading professional organization representing physicians who care for people with cancer. With more than 30,000 members, ASCO is committed to improving cancer care through scientific meetings, educational programs and peer-reviewed journals. ASCO is supported by its affiliate organization, the Conquer Cancer Foundation, which funds ground-breaking research and programs that make a tangible difference in the lives of people with cancer. For ASCO information and resources, visit http://www.asco.org. Patient-oriented cancer information is available at http://www.cancer.net.

About the American Society for Radiation Oncology

The American Society for Radiation Oncology (ASTRO) is the largest radiation oncology society in the world, with more than 10,000 members who specialize in treating patients with radiation therapies. As the leading organization in radiation oncology, biology and physics, the Society is dedicated to improving patient care through education, clinical practice, advancement of science and advocacy. For more information on radiation therapy, visit http://www.rtanswers.org. To learn more about ASTRO, visit http://www.astro.org.

About SNMAdvancing Molecular Imaging and Therapy

SNM is an international scientific and medical organization dedicated to raising public awareness about what molecular imaging is and how it can help provide patients with the best health care possible. SNM members specialize in molecular imaging, a vital element of today's medical practice that adds an additional dimension to diagnosis, changing the way common and devastating diseases are understood and treated.



[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2012-01/asfr-dhc012412.php

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Prison dilemma: surging numbers of older inmates

FILE - In this Wednesday, April 9, 2008 file photo, Debbie Coluter, a certified nursing assistant, holds the hand of an elderly inmate with Alzheimer's disease, as she helps him to his cell at the California Medical Facility in Vacaville, Calif. (AP Photo/Rich Pedroncelli)

FILE - In this Wednesday, April 9, 2008 file photo, Debbie Coluter, a certified nursing assistant, holds the hand of an elderly inmate with Alzheimer's disease, as she helps him to his cell at the California Medical Facility in Vacaville, Calif. (AP Photo/Rich Pedroncelli)

(AP) ? In corrections systems nationwide, officials are grappling with decisions about geriatric units, hospices and medical parole as elderly inmates ? with their high rates of illness and infirmity ? make up an ever increasing share of the prison population.

At a time of tight state budgets, it's a trend posing difficult dilemmas for policymakers. They must address soaring medical costs for these older inmates and ponder whether some can be safely released before their sentences expire.

The latest available figures from 2010 show that 8 percent of the prison population ? 124,400 inmates ? was 55 or older, compared to 3 percent in 1995, according to a report being released Friday by Human Rights Watch. This oldest segment grew at six times the rate of the overall prison population between 1995 and 2010, the report says.

"Prisons were never designed to be geriatric facilities," said Jamie Fellner, a Human Rights Watch special adviser who wrote the report. "Yet U.S. corrections officials now operate old age homes behind bars."

The main reasons for the trend, Fellner said, are the long sentences, including life without parole, that have become more common in recent decades, boosting the percentage of inmates unlikely to leave prison before reaching old age, if they leave at all. About one in 10 state inmates is serving a life sentence; an additional 11 percent have sentences longer than 20 years.

The report also notes an increase in the number of offenders entering prison for crimes committed when they were over 50. In Ohio, for example, the number of new prisoners in that age group jumped from 743 in 2000 to 1,815 in 2010, according to the report.

Fellner cited the case of Leonard Hudson, who entered a New York prison at age 68 in 2002 on a murder conviction and will be eligible for parole when he's 88. He's housed in a special unit for men with dementia and other cognitive impairments, Fellner said.

A.T. Wall, director of the Rhode Island Department of Corrections and president of the Association of State Correctional Administrators, said he and his colleagues regularly exchange ideas on how to cope with the surging numbers of older prisoners.

"We are accustomed to managing large numbers of inmates, and it's a challenge to identify particular practices that need to be put into place for a subset," he said. "There are no easy solutions."

Wall said prison officials confront such questions as whether to retrofit some cells with grab bars and handicap toilets, how to accommodate inmates' wheelchairs, and how to deal with inmates who no longer understand instructions.

"Dementia can set in, and an inmate who was formerly easy to manage becomes very difficult to manage," he said.

States are trying to meet the needs. Some examples:

?Washington state opened an assisted living facility at its Coyote Ridge prison complex in 2010, with a capacity of 74 inmates. It's reserved for inmates with a disability who are deemed to pose little security risk.

?The Louisiana State Penitentiary has had a hospice program for more than a decade, staffed by fellow prisoners who provide dying inmates with care ranging from changing diapers to saying prayers.

?In Massachusetts, a new corrections master plan proposes one or more new facilities to house aging inmates who need significant help with daily living. Some critics object, saying inmates shouldn't get specialized care that might not be available or affordable for members of the public.

?Montana's corrections department is seeking bids for a 120-bed prison that would include assisted-living facilities for some elderly inmates and others who need special care.

In Texas, legislators have been considering several options for addressing the needs of infirm, elderly inmates. State Rep. Jerry Madden, chairman of the House Corrections Committee, said no decisions have been made as the experts try to balance cost factors and public safety.

"You can't just generalize about these prisoners," he said. "Some are still extremely dangerous, some may not be.... Some you wouldn't want in the same assisted living facility with your parents or grandparents."

Fellner, who visited nine states and 20 prisons during her research, said corrections officials often were constrained by tight budgets, lack of support from elected officials, and prison architecture not designed to accommodate the elderly.

She noted that prison policies traditionally were geared to treat all inmates on an equal basis. So it may not be easy for prison officials to consider special accommodations for aging inmates, whether it be extra blankets, shortcuts to reduce walking distance, or sparing them from assignments to upper bunks.

The report said the number of aging prisoners will continue to grow unless there are changes to tough-on-crime policies such as long mandatory sentences and reduced opportunities for parole.

"How are justice and public safety served by the continued incarceration of men and women whose bodies and minds have been whittled away by age?" Fellner asked.

One of the problems facing prisons is that many of their health care staff lack expertise in caring for the elderly, according to Linda Redford, director of the geriatric education center at the University of Kansas Medical Center.

"It's a big struggle for them to keep up," said Redford, who has helped train prison staff and inmates in geriatric care.

"They're used to having to deal with issues of younger prisoners, such as HIV and substance abuse," she said.

Under a Supreme Court ruling, inmates are guaranteed decent medical care, but they lack their own insurance and states must pay the full cost. In Georgia, according to Fellner's report, inmates 65 and older had an average yearly medical cost of $8,565, compared with $961 for those under 65.

Redford said the challenges are compounded because inmates' health tends to decline more rapidly than that of other Americans of the same age due to long-term problems with drug use and poor health care.

"In the general population, 65 doesn't seem that old," Redford said. "In prison, there are 55-year-olds looking like they're 75."

Many states have adopted early release programs targeted at older inmates who are judged to pose little threat to public safety. However, a 2010 study by the Vera Institute of Justice in New York City found the laws were used infrequently, in part because of political considerations and complex review procedures.

Redford said a common problem is finding nursing homes or other assisted-living facilities that will accept released inmates who have family to live with.

"Nursing homes don't want former felons," she said. "Some states are looking at starting long-term care facilities outside prison for that could take care of parolees."

For inmates who are terminally ill and have no close family on the outside, it's probably more humane to let them die in prison if there's a hospice program available, Redford said.

"The inmates who are volunteering are at those guys' sides when they die ? they're really committed to making the last days as comfortable as possible," Redford said. "They're not going to get that on the outside."

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Online:

Human Rights Watch: http://www.hrw.org/

Association of State Correctional Administrators: http://www.asca.net/

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David Crary can be followed on Twitter at http://twitter.com/CraryAP

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/386c25518f464186bf7a2ac026580ce7/Article_2012-01-27-Aging%20America-Aging%20Inmates/id-edb1d2972c7649748f0202c02890c4a2

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