INSERT INTO `dede_addonarticle` VALUES('1272','1','	<p>Diane Balma felt vindicated when she\nheard the news -- Canadian researchers had discovered that\nwomen with dense breasts, making their mammograms difficult to\nread, had a far higher risk of cancer.<p/>\nThey found that women with the densest breasts had four to\nsix times the risk of breast cancer compared with women with\nthe fattiest, and easiest-to-image, breasts.<p/>\nWriting in the <span class=\"keyword\"><a href=\"http://us.rd.yahoo.com/DailyNews/manual/nm/hl_nm/cancer_breast_density_dc/21651632/*http://news.search.yahoo.com/search/news?fr=news-storylinks&amp;p=%22New%20England%20Journal%20of%20Medicine%22&amp;c=&amp;n=20&amp;yn=c&amp;c=news&amp;cs=nw\">New England Journal of Medicine</a></span>, Dr. Norman\nBoyd of the Ontario Cancer Institute in Toronto and colleagues\nsaid breast density itself could be a risk factor for breast\ncancer.<p/>\nThe other risk factors include having a close relative with\nbreast cancer, carrying one of the known BRCA breast cancer\ngenes and never having borne a child.<p/>\nBalma had none of the other risk factors, but was worried\nwhen she felt a lump in her breast 11 years ago at age 30.<p/>\n\"I wasn\'t doing self-exams at the time,\" said Balma, who is\nnow director of public policy at the non-profit Susan G. Komen\nBreast Cancer Foundation. \"I just happened to come upon it. It\nwas quite large and pretty deep.\"<p/>\nShe went immediately for a mammogram -- not a routine\nrecommendation for women under 40, but Balma was worried.<p/>\n\"It did not show on the mammogram,\" said Balma in a\ntelephone interview. She had dense breasts, which show up on an\nX-ray like a white mass of tissue. Tumors in fatty breasts\nusually show up more clearly.<p/>\nHer radiologist, a doctor who specializes in reading X-rays\nsuch as mammograms and other scans, was not especially worried\nbut ordered an ultrasound.<p/>\n\"I was relatively small-breasted. Even so, he was barely\nable to find it on the ultrasound,\" Balma said. \"When he did\nsee it, his words to me were, \'You know, you are too young. I\nwouldn\'t worry about this. I am sure it is not cancer.\"\'<p/>\nBut it was.<p/>\nLIFE-SAVING DECISION<p/>\n\"I decided to have it removed and it was a decision that\nsaved my life,\" Balma said. Her surgeon discovered a very large\ntumor that turned out to be an aggressive type of cancer.<p/>\nBalma eventually had both breasts removed and endured six\nrounds of chemotherapy. She has been cancer-free for 11 years.<p/>\n\"I have always known that dense breast tissue makes breast\ncancer harder to detect. But I also wondered if it brought a\ngreater risk of breast cancer,\" Balma said.<p/>\nThe Canadian study, published on Thursday, appeared to\nconfirm that.<p/>\nBreast cancer will be found in 180,510 men and women in\n2007 in the United States alone and will kill 40,900, according\nto the <span class=\"keyword\"><a href=\"http://us.rd.yahoo.com/DailyNews/manual/nm/hl_nm/cancer_breast_density_dc/21651632/*http://news.search.yahoo.com/search/news?fr=news-storylinks&amp;p=%22American%20Cancer%20Society%22&amp;c=&amp;n=20&amp;yn=c&amp;c=news&amp;cs=nw\">American Cancer Society</a></span>. Globally, it affects 1.2\nmillion people a year.<p/>\nThe deaths are almost exclusively in people whose cancer is\nfound too late, and young women under 40 make up about 5\npercent of that number. Most cases are in women past menopause.<p/>\nMammograms are only recommended for women who know they are\nat high risk, and for women over the age of 40. How would a\nyounger women such as Balma even know she had dense breasts and\nthus perhaps have a higher risk?<p/>\n\"That is a question that has not been answered yet,\" said\nDr. Cheryl Perkins, senior clinical adviser at the Foundation.<p/>\n\"We need more study of breast cancer in young women. We\ncomprise far fewer breast cancers but our tumors tend to be\nmore aggressive and more deadly,\" said Balma.<p/>\nPerkins agreed. Younger women have fewer treatment options,\nshe said. \"Those types of breast cancer tend to metastasize\n(spread) early. They tend to metastasize to the brain,\" Perkins\nsaid.\n<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1273','1','	<p>As breast cancer ravaged her body, Susan G. Komen asked her younger sister for a promise. Komen wanted help to \"cure this disease.\" After a three-year struggle, the vivacious young mother with the bright smile died in 1980 at age 36.<p/>\nAnd her sister, Nancy Brinker, kept her promise to do something, founding the Susan G. Komen Breast Cancer Foundation two years later.<p/>\n\"I knew it had to be big. We had to change a culture,\" Brinker said.<p/>\nIndeed, the culture and much more have changed.<p/>\nIn the 25 years since, the foundation has grown from a small gathering of women in Brinker\'s living room to a world-renowned operation that will have invested roughly $1 billion in community outreach and research by year\'s end.<p/>\nThe Dallas-based organization has 200 employees, more than 100,000 active volunteers and 125 affiliates. Its annual Race for the Cure has grown from 800 women who ran for charity in Dallas to about 1.5 million participants in 120 races worldwide. The foundation has funded work in more than 47 countries.<p/>\nThe nonprofit is celebrating its 25th year with a new name ? Susan G. Komen for the Cure, an edgy new advertising campaign that includes T-shirts reading: \"If you\'re going to stare at my breasts, you could at least donate a dollar to save them,\" sales of pink promise rings and a pledge to raise another $1 billion in the next 10 years.<p/>\nWith the help of organizations like Komen and prominent figures like First Lady Betty Ford, who spoke openly of about her experience with breast cancer in the mid-1970s, the culture slowly began to change from breast cancer being a taboo subject, said Dr. Gabriel Hortobagyi, president of the American Society of Clinical Oncology.<p/>\n\"I grew up at a time when most families didn\'t talk about either sex or cancer,\" said Hortobagyi, chairman of the department of breast medical oncology at the University of Texas M.D. Anderson Cancer Center in Houston. \"Those were sort of taboos. It was sort of shameful if anyone in the family had cancer. And people didn\'t talk about breasts, either healthy or sick.\"<p/>\nToday, the Komen Foundation reports: Nearly 75 percent of women over 40 get regular mammograms compared to fewer than a third who got breast exams in their doctor\'s offices in 1982; the five-year survival rate for breast cancer when caught before it spreads is 98 percent compared to 74 percent back then; the federal government devotes more than $900 million each year to breast cancer research, treatment and prevention compared to $30 million in 1982.<p/>\n\"I truly believe if Nancy hadn\'t started this thing, that that would not be the case, it just needed that special focus,\" said Hala Moddelmog, president and chief executive officer of Komen.<p/>\nThe Komen organization says it is second only to the U.S. government as a source of funding for breast cancer research and community outreach programs, which include education, screening and treatment. It says about 84 cents of every dollar it raises is spent in those areas, totaling about $157 million this year.<p/>\n\"Every advance in breast cancer has been touched by a Komen grant,\" said Komen spokeswoman Emily Callahan.<p/>\nThis year the organization is refocusing its research money to concentrate on more focused areas, such as finding biological signs that can help predict cancer before symptoms appear.<p/>\nModdelmog says the goal is to support research that is \"transformational and that definitely ties back to the cure.\"<p/>\nFunding both research and community programs is important, said Moddelmog, herself a five-year breast cancer survivor.<p/>\n\"We\'re helping to discover the cures by funding the research. And we\'re helping to deliver the cures by providing access,\" Moddelmog said. \"What we want to wake up and see one day is a world without breast cancer.\"<p/>\nThere will be an international emphasis this year including a September summit in Budapest, where Brinker served as U.S. ambassador to Hungary from 2001 to 2003. The event will pair 25 U.S. activists with 25 people from around the world to look at the social, cultural and financial circumstances that prevent women from getting quality breast health care and treatment.<p/>\nBrinker said that her sister might not have foreseen her legacy, but she knew Brinker would tackle breast cancer head on.<p/>\nGrowing up in Peoria, Ill., the sisters followed along with their mother on volunteer projects. The sisters were close, but had different personalities, said Brinker, who now lives in Washington, D.C.<p/>\n\"We were kind of a good pair because Suzy never thought she was aggressive or good in school. She was very pretty and popular,\" said Brinker. It was Komen, a high school homecoming queen, who taught Brinker how to use makeup.<p/>\nBrinker was the more driven sister, the family\'s \"Miss Fix It,\" she said.<p/>\nBut above all, \"she was always looking out for me and I was always doing things to look out for her too.\"<p/>\nBy the late 1970s, Brinker was living in Dallas, part of the executive training program at luxury retailer Neiman Marcus. Komen, who was three years older, was raising her family in Peoria, working as a part-time model. They remained close, keeping up by phone.<p/>\nOne afternoon, Komen called to tell Brinker that her doctor had found a lump in her breast that needed to be biopsied. Komen had a mastectomy, but about five months later she found a lump under her arm.<p/>\nWhile she first sought treatment in her hometown, she eventually went on to the Mayo Clinic and then M.D. Anderson. By then, her cancer had spread.<p/>\nWhen her sister died, a devastated Brinker knew she had work to do.<p/>\n\"It wasn\'t going to be enough to raise money from some very wealthy people, we needed to change the culture,\" said Brinker, who herself was diagnosed with breast cancer in 1984. \"We needed to approach this as an eradication of an entire disease. We fund the entire spectrum.\"<p/>\nHortobagyi, who has had a close relationship with the Komen organization including receiving grants for projects and chairing their health advisory board, said that the organization shows the power of a single person.<p/>\n\"It\'s made a huge difference in how we approach breast cancer,\" said Hortobagyi, who said Komen has served as a model for other disease advocacy movements. \"It has been enormously influential.\"<p/>\nHe also has a personal connection, having been part of Komen\'s treatment team at M.D. Anderson as a young doctor.<p/>\n\"She was a very delicate young lady, a very resolute young woman who was a true fighter,\" he said.<p/>\nBy getting the subject of breast cancer out into the public, Komen led women to becoming advocates, said Jean Sachs, executive director of Living Beyond Breast Cancer, a nonprofit provides breast cancer education. Komen is one of the sponsors of the group\'s annual conference for those diagnosed with breast cancer under the age of 45.<p/>\n\"If you look at where we are today, it\'s so different. Women have so many choices,\" said Sachs, who added that her 15-year-old organization could be viewed as \"one of the grandchildren of Komen.\"<p/>\nWhile the advances made in the 25 years since Komen was formed are reason to celebrate, the organization\'s ultimate goal remains unachieved: the eradication of breast cancer.<p/>\nAbout one in eight women will get breast cancer, and the disease is the second most lethal kind of cancer after lung cancers in women. About 41,000 U.S. women died of breast cancer last year. Worldwide, it kills about 370,000 women each year.<p/>\n\"When you look at where we are, we\'re still not where our mission is, and that\'s a world without breast cancer,\" Moddelmog said.<p/>\n___<p/>\nOn the Net:<p/>\nSusan G. Komen for the Cure: <a href=\"http://us.rd.yahoo.com/dailynews/ap/ap_on_he_me/storytext/komen_anniversary/21652716/SIG=10migqefi/*http://www.komen.org\">http://www.komen.org</a><p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1274','1','	<p>A widely used blood-pressure drug reduced muscle damage in mice with the most common form of muscular dystrophy, researchers report.<p/>\nA team at Johns Hopkins University found the drug losartan seemed to improve muscle regeneration in mice with a rare condition known as Marfan syndrome and in mice with Duchenne muscular dystrophy ? the most common form in children.<p/>\n\"The results are very intriguing and certainly worthy of further investigation,\" said Dr. Valerie Cwik, medical director of the Muscular Dystrophy Association.<p/>\nWhile noting that it is only a single study, Cwik said the drug is currently used in children and has a good safety profile.<p/>\nThe only current treatment for Duchenne has side effects, so it is worth investigating whether this can offer an alternative, said Cwik, who was not part of the research team.<p/>\nIn Marfan mice treated with the drug, the aorta was strengthened, reducing the chance of an aneurism in which this major blood vessel bursts.<p/>\n\"In addition to the aortic defect, children with severe Marfan syndrome often have very small, weak muscles, and adults with Marfan often can\'t gain muscle mass despite adequate nutrition and exercise,\" Dr. Harry C. Dietz of Johns Hopkins, the lead researcher, said in a statement.<p/>\nIn Marfan mice, treatment with losartan \"completely restored muscle architecture\" and vastly improved strength, according to Dietz. He is planning a test in people with Marfan syndrome.<p/>\nResearchers wondered whether the muscle response was specific to Marfan or if they had discovered something basic about muscle biology. So they then tested the drug in mice with Duchenne muscular dystrophy.<p/>\nAfter six months of treatment, the mice showed a significant reduction in muscle damage. The mice showed increased grip strength in their fore- and hind-limbs and experienced less fatigue in repetitive tests, the researchers reported in Monday\'s online issue of the journal Nature Medicine.<p/>\nLosartan was approved for use as a blood pressure medication in 1995 by the <span class=\"keyword\"><a href=\"http://us.rd.yahoo.com/DailyNews/manual/ap/ap_on_he_me/muscular_dystrophy_drug/21652925/*http://news.search.yahoo.com/search/news?fr=news-storylinks&amp;p=%22Food%20and%20Drug%20Administration%22&amp;c=&amp;n=20&amp;yn=c&amp;c=news&amp;cs=nw\">Food and Drug Administration</a></span>. It is known to block a protein known as TGF-beta.<p/>\nExcessive activity by TGF-beta is associated with reduced muscle generation and repair, leading Dietz\'s team to test it against Marfan and then muscular dystrophy.<p/>\nDuchenne muscular dystrophy is a muscle-wasting genetic disorder that affects only boys. It occurs in about 1 in every 3,500 male births. It is the most severe and most common childhood form of muscular dystrophy and the best-known.<p/>\nMarfan is a genetic disorder that affects about 1 in 5,000 to 10,000 individuals.<p/>\n___<p/>\nOn the Net:<p/>\nNature Medicine: <a href=\"http://us.rd.yahoo.com/dailynews/ap/ap_on_he_me/storytext/muscular_dystrophy_drug/21652925/SIG=1165uqv6j/*http://www.nature.com/naturemedicine\">http://www.nature.com/naturemedicine</a><p/>\nMuscular Dystrophy Association: <a href=\"http://us.rd.yahoo.com/dailynews/ap/ap_on_he_me/storytext/muscular_dystrophy_drug/21652925/SIG=10lcpphqk/*http://www.mda.org/\">http://www.mda.org/</a><p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1275','1','	<p>The cafeteria lunch line at Columbus Elementary School moves quickly as students grab portions of carrots, celery, apples and oranges. French fries and hamburgers, once cafeteria staples, aren\'t even offered.<p/>\n\"I eat carrots or apples every day,\" said 10-year-old Alan Espino. He said he didn\'t notice that the bun holding his all-beef hot dog was whole wheat. Even the pizza available in the cafeteria has whole wheat crust.<p/>\nThe school cafeteria looks radically different from those of his parents\' generation, and it appears many kids aren\'t turning their noses up at the new offerings. In fact, according to a survey of food service directors, french fries are decreasing in popularity and interest in carrots is skyrocketing.<p/>\nAs choices on the lunch line change, many children are accepting them, said Martha Conklin, an associate professor at Penn State University who conducts research about school nutrition programs and school food service.<p/>\n\"If you present these healthy offerings to children, they may turn them down the first time, but you can\'t give up,\" she said. \"Children will adapt. Choice is important, but they can make those selections from healthy offerings.\"<p/>\nThe School Nutrition Association\'s annual survey given to food service directors around the country shows just that. Among students in kindergarten through 12th grade, french fries dropped in popularity from 1998 to 2006, while carrots and fresh vegetables rose in popularity.<p/>\n\"We are dealing with much more sophisticated audiences now, and we working hard to meet their needs in a healthier way,\" said Janey Thornton, the association\'s president.<p/>\nMore states are enacting nutrition standards to ensure healthy food and beverage options are available to students, said Amy Winterfeld, a health policy analyst for the National Conference of State Legislatures.<p/>\nA 2004 wellness program requires school districts receiving federal reimbursements for school meal programs to develop policies that promote the health of students and address the growing problem of childhood obesity.<p/>\nIn 2005, at least 17 states enacted some form of school nutrition legislation and at least 11 more approved them last year.<p/>\nA New Jersey law requires that, by next fall, snacks and a la carte items sold or served contain no more than 8 grams of total fat per serving and two grams of saturated fat per serving. Candy is banned and so are foods and beverages with sugar as the major ingredient.<p/>\nThe law is an attempt to establish a culture in which eating nutritiously is the accepted social norm, said Emma Davis-Kovacs, acting state director for the New Jersey <span class=\"keyword\"><a href=\"http://us.rd.yahoo.com/DailyNews/manual/ap/ap_on_he_me/diet_school_nutrition/21656355/*http://news.search.yahoo.com/search/news?fr=news-storylinks&amp;p=%22Department%20of%20Agriculture%22&amp;c=&amp;n=20&amp;yn=c&amp;c=news&amp;cs=nw\">Department of Agriculture</a></span>\'s division of food and nutrition.<p/>\n\"The leading health authorities are all recommending that schools take an active role in this area of nutrition to prevent disabling chronic health conditions,\" she said.<p/>\nMark Vidovich, president of Pomptonian Food Service, which runs programs in 11 north and central New Jersey counties, recalled that students were turned off by whole wheat bread just five years ago.<p/>\n\"The children wouldn\'t eat it. It didn\'t look right to them,\" he said. \"Now their dining preferences have changed and they\'re now accepting of making healthier dining options.\"<p/>\nPat Johnson, food service director in the Maplewood and South Orange district, said she started reforming her cafeterias before the new state law. The district is renovating its kitchens to remove fryers and add grills and ovens.<p/>\nShe said younger children seem more open to tasting healthier foods and are likely to continue the patterns to middle and high school.<p/>\n\"If you put it there and make it look appealing to them, they like it,\" she said.<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1276','1','	<p><p>SUNDAY, Jan. 21 (HealthDay News) -- During winter, cold temperatures, biting winds, low humidity and indoor heating can cause dry, itchy, cracked skin and chapped lips and exacerbate conditions such as eczema, psoriasis and seborrhea. </p> <p>But there are some simple steps you can take to protect your skin from winter\'s harsh conditions, says dermatologist Dr. Deborah A. Scott, director of the Center for Laser Dermatology and Skin Health at Brigham and Women\'s Hospital, in Boston.</p> <p>Scott recommends that you:</p> <ul> <li> <b> Stay hydrated. </b> Drinking adequate amounts of water benefits your overall health and helps hydrate your skin from within. You should try to drink at least eight 8-ounce glasses of water a day. </li> <li> <b> Keep showers short and warm. </b> Long, hot showers strip natural oils from your skin. You should spend no more than 10 minutes in the shower and keep the water temperature below 90 degrees F. </li> <li> <b> Use mild skin care products. </b> The best choices are creams, ointments and lotions that are formulated for sensitive skin and don\'t contain alcohol. Do not use deodorant or antibacterial soaps, or soaps or shampoos with skin irritants such as fragrances and lauryl sulfates. </li> <li> <b> Moisturize daily. </b> Immediately after a shower, pat skin dry (do not rub) and apply moisturizer to help trap moisture in the outer layers of your skin. Carry a travel-size container of lotion with you so you can replenish your skin moisture throughout the day. </li> <li> <b> Take care when exfoliating. </b> While gentle exfoliation can help eliminate the buildup of dead skin cells, too much exfoliation can irritate skin and dry it out. Exfoliate once a week in moderation. </li> <li> <b> Consider using a humidifier in your home. </b> Central heating systems can dry indoor air to as low as 10 percent humidity. To counter this, place a humidifier in the room in which you spend the most time and aim for moisture levels of 30 percent to 50 percent humidity. </li> <li> <b> Wear sunscreen. </b> Apply SPF 15 in the winter and use a higher SPF sunscreen if you\'re vacationing on the slopes or at the beach. </li> <li> <b> Protect your lips. </b> Lips can be especially prone to dryness because the skin there does not have oil glands. Do not lick your lips to hydrate them. Instead, use a petroleum- or beeswax-based lip balm. </li></ul> <p><b>More information</b></p> <p>The American Academy of Dermatology has more <a href=\"http://www.skincarephysicians.com/eczemanet/winterizing_tips.html\" target=\"_new\">winter skin care tips</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1277','1','	<p><p>SUNDAY, Jan. 21 (HealthDay News) -- Beth Witrogen McLeod had never even <i> heard</i> the term \"caregiver\" until six months after her parents died. But during the roughly two years that she served as their primary caregiver -- from 1991 to 1993 -- she amassed a wealth of knowledge on the topic. </p> <p>Her caregiving journey inspired her to write a 1995 series for the <i>San Francisco Examiner</i>, <i>The Caregivers</i>, in which she explored the burgeoning trend of adults caring for aging parents. In 1997, she left to write a book, <i>Caregiving: The Spiritual Journey of Love, Loss, and Renewal</i>. Each received a Pulitzer Prize nomination.</p> <p>Witrogen\'s immersion into the unfamiliar world of family care-giving began when her 69-year-old father, who had a recurring type of cancer, failed to improve with surgery, and her 70-year-old mother was diagnosed with amyotrophic lateral sclerosis (Lou Gehrig\'s disease) with dementia. Suddenly, she was flying back to Wichita, Kan., every six to eight weeks on unpaid leave from her newspaper job to assist her terminally ill parents. </p> <p>\"I was just stunned by what their needs were all the time, I didn\'t really have much family that could help, and I didn\'t know about the network of aging services,\" she said. \"So, things sort of got pieced together through that time, but it was never organized.\" </p> <p>Caregiver is a role for which adults are often ill prepared. Sometimes people are thrust into it when Mom has a stroke or begins showing signs of dementia, or when people begin to worry about Dad living alone in a big house with lots of stairs, explained Suzanne Mintz, president and co-founder of the National Family Caregivers Association (NFCA).</p> <p>But care-giving experts say it is a role that is becoming more visible as the nation\'s baby boomers struggle to secure the resources they need to help their ill and elderly parents, often while balancing the demands of their own career and family. </p> <p>Nationally, more than 50 million Americans care for chronically ill, disabled or aged family members or friends in any given year. Most family caregivers are women, typically a 46-year-old caring for her widowed mother. All told, family caregivers provide an estimated $306 billion a year in unpaid services, according to the NFCA.</p> <p>\"In terms of preparation, I think it\'s important for people to think about the what-ifs,\" Mintz suggested. \"What if Mom has a stroke or heart attack or falls and breaks her hip or we think her safety\'s at risk? What are we going to do? Assuming Mom doesn\'t live anywhere near the kids, who could be the first responder? Does Mom have all her paperwork in order?\" </p> <p>Mintz had that conversation with her own brother, after her 89-year-old mother, who lives in Florida, had a bad concussion, prompting terrible headaches and a problem with her eyes. \"And so, I called him up and said, \'Who knows what\'s going to happen here, but if somebody has to go down immediately, you\'re more flexible than I am because I can\'t leave my husband by himself,\' \" she said. Mintz is a family caregiver for her husband, Steven, who has multiple sclerosis. </p> <p>Preparation is critical because the toll that care-giving can exact is immense. Witrogen now teaches an online course through Barnes &amp; Noble University called \"Taking care of Your Aging Parents.\" In it, she covers issues that caregivers are likely to confront along their journey, from legal and financial matters to emotional and self-care concerns. </p> <p>\"I did not eat well, I did not hydrate well, I did not rest,\" Witrogen recognized after the fact. She also suffered severe depression during her mother\'s ordeal.</p> <p>Care-giving\'s toll, of course, varies depending on circumstances.</p> <p>\"If you\'re helping Mom with the groceries every week and her finances once a month and she\'s still living on her own, that\'s very different than 24/7 care-giving and Mom\'s living with you,\" Mintz observed. Plus, if your parents have money to buy services, say hiring a home health aide, that ma kes things a lot easier, she said. \"But for many people, the money isn\'t there.\" </p> <p>Witrogen suspects that she and her husband, who died last year, spent $20,000 in the one month that her parents died, considering the cost of plane trips, rental cars, funerals and other bills that had to be paid. </p> <p>Yet, despite the stress and strain of care-giving, her experience also proved to be life-changing in profoundly positive ways.</p> <p>\"You learn to live day-to-day, you learn to live more in the moment,\" Witrogen said. Most of all, she said, you learn how to give and how to receive love. \"We create a more loving world by doing this, by being caregivers,\" she insisted. \"It\'s a higher calling. I\'m convinced of it.\" </p> <p><b>More information</b></p> <p>Visit the <a href=\"http://www.thefamilycaregiver.org/ed/resources.cfm\" target=\"_new\">National Family Caregivers Association</a> for resources for caregivers.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1278','1','	<p><p>Here are some of the latest health and medical news developments, compiled by editors of <i>HealthDay:</i></p> <p><span class=\"subhead\"><b>Pfizer Expected to Announce Major Cutbacks, Plant Closings</b></span></p> <p>Facing billions of dollars in lost patent protection and the clinical trial failure of a major cholesterol drug, Pfizer Inc., the world\'s largest pharmaceutical company, is expected to announce plans that may include slashing more than $2 billion in operating costs, including closing some plants and releasing 10 percent of its work force.</p> <p>The <i>Associated Press</i> reports that Pfizer\'s new Chief Executive Officer Jeffrey Kindler is expected to announce a plan that counteracts some huge losses sparked by lost patent protection within the next three years including Lipitor, the companys top selling drug, which lowers cholesterol</p> <p>Lipitor is one of a number of Pfizer drugs losing patent protection by 2010, the news service reports, totaling almost $14 billion in annual revenue.</p> <p>Additionally, Pfizer had to end clinical trials late last year on its new cholesterol drug torcetrapib, after a number of deaths occurred. According to Pfizer spokesman Paul Fitzhenry, in a trial of 15,000 patients, 82 of those taking the combination of torcetrapib and Lipitor had died, compared to 51 deaths among those taking Lipitor alone.</p> <p>There had been concerns about torcetrapib, which was designed to be taken with a statin like Lipitor, because a recent study showed it triggered a slight increase in blood pressure.</p> <p>The last major successful drug introduced by Pfizer was the erectile dysfunction medication Viagra, which came onto the market in 1998.</p> <p>-----</p> <p><span class=\"subhead\"><b>President to Make Health Insurance Proposals in State of The Union </b></span></p> <p>One of the cornerstones of President Bush\'s State of the Union address Jan. 23 will be proposals to combat the rising costs of health care, the <i>New York Times</i> reports.</p> <p>Health care, immigration and energy sources and costs are three main topics in the President\'s address, the newspaper said.</p> <p>President Bush\'s health care initiative has two principal focuses, according to the <i>Times</i>: a tax on some individuals whose health insurance plans cost more than the national average; and a tax benefit for the poor who buy health insurance or people who may buy private health insurance instead of having a company plan.</p> <p>The President gave a broad outline of his intentions in his Saturday radio address: \"I will propose a tax reform designed to help make basic private insurance more affordable, whether you get it through your job or on your own.\"</p> <p>Reaction from at least one influential Democratic congressman was negative. \"It\'s a bad policy,\" The <i>Times</i> quotes Rep. Charles Rangel, D-NY, as saying. Rangel\'s opinion carries weight, because he\'s the chairman of the House Ways and Means Committee, which writes tax legislation. \"We are trying to bring tax relief to the middle class. This proposal is inconsistent with what the majority is seeking in the House and the Senate,\" Rangel is quoted as saying.</p> <p>-----</p> <p><span class=\"subhead\"><b>Almost 300,000 South Korean Poultry To Be Killed Following Bird Flu Outbreak</b></span></p> <p>Yet another massive poultry kill is being scheduled in the wake of the discovery of an outbreak of avian flu.</p> <p>This time, the <i>Associated Press</i> reports, the virus was discovered for the fifth time in the past three months in South Korea. After being quarantined, 273,000 poultry will be killed to head off the spread of the strain of H5N1 flu, the type of bird flu that has caused the deaths of millions of birds worldwide.</p> <p>The latest outbreak occurred earlier this week on a chicken farm about 60 miles south of Seoul, the wire service quotes a Korean Ministry of Agriculture as saying.</p> <p>There may be another 386,000 chickens and ducks killed within the next day or two, the official told the <i>A.P.</i>, in order to eliminate the outbreak from the South Korean poultry population.</p> <p>Since avian flu was first identified, 160 humans have died, but health officials say that all of them contracted the disease from contact with birds and not from other humans.</p> <p>Still, the World Health Organization and other medical agencies such as the U.S. Centers for Disease Control and Prevention continue to monitor outbreaks for any mutation that could cause a human pandemic.</p> <p>-----</p> <p><span class=\"subhead\"><b>More Than Half of All Americans Now Living With Non-Smoking Laws</b></span></p> <p>More than half of the American population now live in states that have at least one law restricting where a person can smoke.</p> <p>The <i>Associated Press</i> reports that with the passing of a Nevada law in December 2006, 50.2 percent of all Americans live where smoking has been banned in public places, such as office buildings, bars or restaurants.</p> <p>\"We think 100 percent of Americans will live in smoke-free jurisdictions within a few years,\" the wire service quotes Bronson Frick, associate director of Americans for Nonsmokers\' Rights as saying.</p> <p>In all, the <i>A.P.</i> says 22 states and 577 municipalities have some sort of smoking restriction law.</p> <p>-----</p> <p><span class=\"subhead\"><b>Global Fund Would Subsidize Malaria Drugs for Africans</b></span></p> <p>Delegates to an international forum sponsored by the World Bank have proposed a global fund to subsidize the purchase of a new generation of anti-malaria drugs for people in Africa, where malaria kills about 1 million people a year.</p> <p>The new drugs -- artemisinin-based combination therapies (ACTs) -- are needed to replace chloroquine and other older drugs that have become ineffective. Currently, ACTs are too expensive for most Africans.</p> <p>The proposed fund would require about $80 million to $100 million from donor countries in the first year, increasing to about $250 million per year after that, the <i>Associated Press</i> reported.</p> <p>The malaria drugs would be distributed by government health officials and by local stores.</p> <p>ACTs are based on Chinese herbal medicine for malaria, but contain a combination of ingredients meant to make it difficult for the malaria parasite to develop resistance to the new drugs, as happened with the older generation drugs, the <i>AP</i> reported.</p> <p>-----</p> <p><span class=\"subhead\"><b>Chlorinated Water Increases Bladder Cancer Risk: Study</b></span></p> <p>People who drink or bathe, shower and swim in chlorinated water may be at increased risk for bladder cancer, says a Spanish study in the <i>American Journal of Epidemiology</i>.</p> <p>The researchers compared 1,200 people who were exposed to chlorination byproducts known as trihalomethanes (THM) to a similar number of people who weren\'t exposed, <i>The Australian</i> reported.</p> <p>People who lived in areas where THM concentrations in the water were more than 49 micrograms per liter were twice as likely to develop bladder cancer than people who lived in areas where concentrations were less than 8 mcg per liter.</p> <p>The study also found that people who were exposed to more than 35 mcg of THM a day through drinking water had a 35 percent increased risk of bladder cancer, <i>The Australian</i> reported.</p> <p>People who showered or bathed in chlorinated water were 83 percent more likely to develop bladder cancer, and people who swam in chlorinated pools were 57 percent more likely to develop the disease.</p> <p>-----</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1279','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Boomers\' health mistakes can add up later</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Even simple lifestyle changes could increase longevity and quality of life</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><div class=\"textMedBlackBold\" style=\"padding-top:10px;\">By By Allison Van Dusen</div><a href=\"http://www.forbes.com/home/index.html?partner=msnbc\"><a href=\"http://www.forbes.com/home/index.html?partner=msnbc\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/Local/sourceForbes.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>Some baby boomers do a great job of taking care of their bodies and minds. They watch what they eat, exercise regularly and follow the latest health findings.</p><p>Then there are the other boomers - the ones working incredibly long hours, too tired to hit the gym or whip up a healthy meal. Squeezed between taking care of their growing children as well as their aging parents, they know what they\'re supposed to do to lead healthy lives. </p><p>They just don\'t do it.</p><p><b><strong>Boomers\' lifestyle choices leading to health problems</strong></b><br>According to a 2005 study by researchers at Beth Israel Deaconess Medical Center and Harvard Medical School, obesity rates substantially grew for baby boomers (those born from 1946 to 1965), compared with the generation before them. When members of the prior generation were 35 to 44 years old, 14 percent to 18 percent were obese. At comparable ages, 28 percent to 32 percent of the youngest boomers were obese.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><p><a href=\"http://www.forbes.com/forbeslife/2007/01/18/boomer-health-mistakes-forbeslife-cx_avd0119boomermistakes_slide_2.html?partner=msnbc\" target=\"_blank\">Slideshow: 9 mistakes baby boomers make?/a></p></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>What\'s more, even when boomers\' behavior and choices lead to serious problems, their health may still not come first. According to data from Internet survey provider Greenfield Online of 1,000 people ages 42 to 60 years old who\'d been previously diagnosed with hypertension, only 24 percent said the condition motivated them to change their lifestyles.</p><p>Doctors and experts on boomers say there are some common mistakes men and women of this generation tend to make when it comes to their well being. Giving these areas a little attention now could make all the difference in their ability to enjoy hard-earned retirements. </p><p>For instance, many boomers have a knack for being overly optimistic about everything from finances to their health, says Carol Orsborn, co-author of \"Boom: Marketing to the Ultimate Power Consumer - the Baby-Boomer Woman.\" </p><p>\"There was a sense when we were in our formative years that every problem was going to be soon solved by science,\" Orsborn says. \"Even if we don\'t have the answer yet, we think we\'re going to have it soon.\"<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#FFFFFF\">&nbsp;From fears to trans-fatty foods </b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#a4abc1\" border=\"0\" style=\"border-right:solid 1px #a4abc1;border-bottom:solid 1px #a4abc1;border-left:solid 1px #a4abc1;background-color:#f3f3f6;\" bgcolor=\"#f3f3f6\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\"><tr><td style=\"padding:10px;\"><font color=\"#000000\"><table><tr><td><p class=\"textMed\"><strong><u>More from Forbes</u></strong></p><table cellspacing=\"3\" cellpadding=\"0\" border=\"0\" width=\"100%\" ID=\"Table1\"><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/home/2007/01/16/leadership-jobs-business-lead-careers-cx_tw_01016bizbasics_slide.html?partner=msnbc\" target=\"_blank\">10 Ways to Recharge at Work</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/forbeslife/2006/12/13/most-common-fears-forbeslife-cx_avd_1214commonfears_slide.html?partner=msnbc\" target=\"_blank\">Our Most Common Fears</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/2006/05/10/cz_mh_fastest_0511plastic_slide.html?partner=msnbc\" target=\"_blank\">Fastest-Growing Plastic Surgeries</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/forbeslife/2006/12/04/trans-fat-vote-forbeslife-cx_avd_1205transfat_slide.html?partner=msnbc\" target=\"_blank\">The 5 Worst Trans-Fat Offenders</a></font></td></tr></table></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr></table></p><p>As a result, when it comes to making decisions about their health, boomers sometimes think that if they delay doing something, a better solution might come along. At the other end of the spectrum, there are those who hop on the Internet to learn everything about their symptoms and possible treatments, thinking they can out-research their doctors or find the latest alternative cure. Either way they end up putting off taking action.</p><p>\"They might do a lot better if they just changed their diets, but they\'re more likely to look for miracles,\" Orsborn says.</p><p><b><strong>Simple changes can mean a big difference</strong></b><br>With people now fully aware they\'re expected to live into their 90s and even 100s, simple changes in what boomers eat and how they think can affect the quality of the later years. </p><p>Making an effort to add more fruits, vegetables and lean meats to one\'s plate will not only help boomers trim the fat, but also could help them fight diseases that may develop in old age, says Dr. Marie A. Bernard, professor and chair of the department of geriatric medicine at the University of Oklahoma.</p><p>\"It will certainly leave you at a baseline higher level of fitness,\" says Bernard, also a member of the senior health center staff at OU Physicians group.</p><p>Making specific plans for life postretirement can play a big role in maintenance of blood flow to the brain too, which helps keeps boomers alert. Studies of retired people who sat around and did nothing versus those who went on to do something new showed the latter group did better at maintaining vitality, Bernard says. </p><p>Being physically active and getting involved in projects and hobbies that excite us are more important than we realize.</p><p>\"Retirement is not necessarily a good thing,\" adds Dr. Robert Butler, CEO of the International Longevity Center, a not-for-profit, nonpartisan research, policy and education organization. \"In general, people need to have some sense of purpose. Those individuals that have goals live longer and better lives.\"</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?ThreadID=173974\">Discuss: How do you stay fit?</a></li><li><a href=\"/id/16173568/\">Want to live longer? Toss back a few cocktails</a></li><li><a href=\"/id/16625762/\">Senior women turn to basketball for fun, fitness</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Bernard says she frequently hears patients say they wish they\'d treated their bodies better when they were younger. She tells them it\'s not too late to turn things around. Studies have shown that 90-year-olds who started regularly lifting weights as small as a half pound were able to build muscle strength and become more active, Bernard says. Imagine how much progress a 50-year-old could make.</p><p>The key is taking it slow. </p><p>\"Pick one thing you want to address and give yourself time to succeed before moving onto the next thing,\" she says. \"It is never too late.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 Forbes.com</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1280','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Mexico\'s doctors urged to stub out</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>No-smoking push targets physicians</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><div class=\"textMedBlackBold\" style=\"padding-top:10px;\">By By Manuel Roig-Franzia\n</div><div class=\"textMedBlack\">Washington Post Staff Writer</div><a href=\"http://www.washingtonpost.com/wp-srv/front.htm\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Art/SITEWIDE/PartnerColorBoxLogos/WaPost_333_GCH.gif\" height=\"26\" width=\"152\" vspace=\"0\" hspace=\"0\"></a><p></p></font><p>MEXICO CITY - Dr. Antonio Conde\'s voice comes out in a husky, smoke-cured rasp. A pack of Marlboros bulges his shirt pocket, and two more lie on his cluttered desk -- right below the \"No Smoking\" sign.</p><p>Conde inhales one cigarette before walking into his office at a southern <a href=\"http://www.washingtonpost.com/wp-srv/world/countries/mexico.html?nav=el\">Mexico</a> City hospital. He slips out for another at breakfast and keeps puffing throughout the day, even though everything he knows about the human body tells him he shouldn\'t.</p><p>\"If only I could give it up,\" the 34-year-old internist said in an interview interrupted by coughing fits. \"It\'s a vice that is extremely hard to quit.\"</p><p>Conde\'s dilemma embodies a seldom-discussed global phenomenon. In Mexico and dozens of other countries, especially developing nations, health workers smoke at far higher rates than the general adult population. Mexican doctors and nurses smoke at twice the rate of other adults, according to international data compiled by the American Cancer Society. Similar disparities exist in Paraguay and <a href=\"http://www.washingtonpost.com/wp-srv/world/countries/pakistan.html?nav=el\">Pakistan</a>, countries where 32 percent of health professionals smoke, and Iranian doctors and nurses smoke at more than triple the rate of other adults.</p><p>The statistics disturb anti-tobacco activists, who worry that the habits of health professionals will influence patients and blunt the effectiveness of smoking cessation programs. Increasingly, doctors are becoming the preferred first targets of anti-smoking campaigns around the world.</p><p><b><strong>Subtle campaign</strong></b><br>Mexico has just launched a campaign that is notable for its subtlety. Instead of overtly trying to get doctors to quit, an alliance of government and private agencies, as well as the U.S. drug company Pfizer Inc., plans to lure doctors to seminars on diabetes and other illnesses, then tack on presentations about the ill effects of smoking. The program will also offer doctors Mexico\'s first university certification in treating tobacco illnesses.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"120\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#333333\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#333333\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Art/SITEWIDE/PartnerColorBoxLogos/WaPost_333_GCH.gif\" height=\"26\" width=\"152\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#333333\"><font size=\"-1\"><b color=\"#ffffff\"></b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#CCCCCC\" border=\"0\" style=\"border-right:solid 1px #CCCCCC;border-bottom:solid 1px #CCCCCC;border-left:solid 1px #CCCCCC;background-color:#EEEEEE;background-image:url(\'http://msnbcmedia.msn.com/i/msnbc/Components/ColorBoxes/Styles/ColorBoxImages(GlobalOnlyPlease)/component_grey.gif\');\" bgcolor=\"#EEEEEE\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\"><tr><td style=\"padding:10px;\"><font color=\"#000000\"><table><tr><td><table cellspacing=\"3\" cellpadding=\"0\" border=\"0\" width=\"100%\" ID=\"Table1\"><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/world/index.html\">Full international coverage</a></font></td></tr></table></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr></table>\"We\'re playing a trick,\" said Mario Acosta, head of Medical Alliance, a Mexican doctors\' trade group. \"You have to look for a dramatic strategy to impact them.\"</p><p>The goal of the campaign, which also targets teachers and students, is to reduce smoking by 10 percent in three years. Organizers plan to conduct Mexico\'s first large-scale courses for doctors on smoking cessation techniques.</p><p>Smoking among health professionals follows a distinct pattern, according to Thomas J. Glynn, director of international programs for the American Cancer Society. When tobacco use first becomes widespread in a country, doctors smoke more than the wider population because they generally belong to the upper classes and can afford to buy cigarettes.</p><p>\"As time goes on, they give it up,\" Glynn said, \"and that filters down to the rest of society.\"</p><p>In the 1950s, 50 to 60 percent of physicians in the United States smoked, Glynn said. Now, that figure has dropped to about 3 percent. Smoking rates among health professionals have plummeted similarly in <a href=\"http://www.washingtonpost.com/wp-srv/world/countries/greatbritain.html?nav=el\">Britain</a> and Australia.</p><p><a href=\"http://www.washingtonpost.com/wp-srv/world/countries/china.html?nav=el\">China</a>, where more than one in four health professionals smoke, is at the opposite end of the smoking arc. Glynn said he remembers Chinese physicians lighting up during a meeting he convened about anti-smoking efforts.</p><p>\"They told me they had other problems to worry about,\" Glynn said.</p><p><b><strong>Deal with tobacco companies</strong></b><br>Physicians in Mexico -- where smoking estimates for the general population vary from the American Cancer Society\'s 8.8 percent to more than 20 percent in some Mexican studies -- can be equally blase about tobacco, Acosta said. Though some Mexican physicians are embarrassed about smoking, he said, others say grimly, \"I\'ve got to die of something.\"</p><p>The Mexican medical establishment\'s recent history with tobacco is a tortured one. In 2004, the country\'s top physician, Health Minister Julio Frenk, drew international condemnation for striking a deal with tobacco companies.</p><p>Frenk accepted a $400 million donation from the companies for new health programs but agreed to cancel the donation if cigarette taxes were raised. The deal is widely believed to have been a factor in torpedoing Frenk\'s promising candidacy last year to head the World Health Organization.</p><p>Frenk left office in December, and a new push for higher tobacco taxes is gaining momentum in Mexico\'s Congress, stoked in part by studies showing high smoking rates among Mexico\'s youth. More than 69 percent of Mexican smokers started using tobacco at age 12 or younger, according to a government study.</p><p>Conde, the Mexico City physician, was one of them. A cousin introduced him to cigarettes, he said, and he was smoking heavily by the time he turned 14.</p><p>After medical school, he entered an environment in which smoking among physicians was the norm. He said he remembers walking through the halls with a cigarette and smoking in his tiny office.</p><p><b><strong>Changing culture</strong></b><br>Slowly, the culture has been changing. Five years ago, his hospital banned indoor smoking, but physicians still cluster outside for smoke breaks. Conde now looks for inconspicuous spots outside the hospital to smoke.</p><p>\"I feel embarrassed,\" he said.</p><p>While he chatted, a colleague in a doctor\'s white lab coat passed by.</p><p>\"He quit 10 years ago -- when he had a heart attack,\" Conde confided.</p><p>Conde wants to quit, too -- without the motivation of a heart attack, he hopes. But he still smokes a pack a day.</p><p>He tried a nicotine patch, but it didn\'t work.</p><p>\"I needed to have something in my hand, something in my mouth,\" he said.</p><p>Then he tried nicotine gum, but it gave him an upset stomach. Frustrated, he keeps on smoking. And he keeps on coughing.</p><p>These days, besides puffing cigarettes, he is also puffing something else: an inhaler to stop his bronchial spasms.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Washington Post Company</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1281','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">U.S. reaches anti-smoking milestone</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>More than half of Americans live in smoke-free jurisdictions</b><br></td></tr><tr><td valign=\"top\"><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img src=\"/images/icons/video.gif\" width=\"20\" height=\"14\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#ffffff\">NBC VIDEO</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"1\" style=\"border:solid 1px #cccccc;background-color:#eeeeee;background-image:url(\'/images/backgrounds/component_grey.gif\');\" bgcolor=\"#eeeeee\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" bgcolor=\"#cccccc\" background=\"/images/backgrounds/component_dkgrey.gif\" width=\"100%\"><tr valign=\"top\"><td align=\"middle\"><a href=\"javascript:msnvDwd(\'00\',\'7eca01cc-44b6-43d1-aaf6-06e40a27318c\',\'us\',\'Source_Nightly News\',\'c24\',\'msnbc\',\'\',\'16725567\',\'Milestone in push for smoke-free living\')\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/j/msnbc/Components/Video/070120/nn_taibbi_smoking_070120.300w.jpg\" vspace=\"0\" hspace=\"0\"></a></td></tr><tr valign=\"top\"><td align=\"middle\"><div class=\"scalAd\"><input type=\"button\" class=\"mbox w77\" value=\"Launch\" title=\"Launch\" onmouseover=\"swapbtn(this, 1)\" onmouseout=\"swapbtn(this, 0)\" onclick=\"javascript:msnvDwd(\'00\',\'7eca01cc-44b6-43d1-aaf6-06e40a27318c\',\'us\',\'Source_Nightly News\',\'c24\',\'msnbc\',\'\',\'16725567\',\'Milestone in push for smoke-free living\')\"></div></td></tr></table></td></tr><tr><td style=\"padding:10px;\"><font color=\"#000000\"><font color=\"551E1B\">?/font><font class=\"textMedBlackBold\"><a href=\"javascript:msnvDwd(\'00\',\'7eca01cc-44b6-43d1-aaf6-06e40a27318c\',\'us\',\'Source_Nightly News\',\'c24\',\'msnbc\',\'\',\'16725567\',\'Milestone in push for smoke-free living\')\">Milestone in push for smoke-free living</a></font><br><font color=\"black\">Jan. 20: Thirty years after it started as a quirky movement in Berkeley, Calif., the push to ban smoking in public places has reportedly reached a national milestone. A non-smokers\' rights group says more than half of all Americans live under smoke-free laws. NBC\'s Mike Taibbi reports.</font><p class=\"credit\">Nightly News</p></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr><tr><td valign=\"top\"><font size=\"-2\"></font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>RENO, Nev. - Thirty years after it began as just another quirky movement in Berkeley, Calif., the push to ban smoking in restaurants, bars and other public places has reached a national milestone.</p><p>For the first time in the nation\'s history, more than half of Americans live in a city or state with laws mandating that workplaces, restaurants or bars be smoke-free, according to Americans for Nonsmokers\' Rights.</p><p>\"The movement for smoke-free air has gone from being a California oddity to the nationwide norm,\" said Bronson Frick, the group\'s associate director. \"We think 100 percent of Americans will live in smoke-free jurisdictions within a few years.\"</p><p>Seven states and 116 communities enacted tough smoke-free laws last year, bringing the total number to 22 states and 577 municipalities, according to the group. Nevada\'s ban, which went into effect Dec. 8, increased the total U.S. population covered by any type of smoke-free law to 50.2 percent.</p><p>It was the most successful year for anti-smoking advocates in the U.S., said Frick, and advocates are now working with local and state officials from across the nation on how to bring the other half of the country around.</p><p>In a sign of the changing climate, new U.S. House Speaker Nancy Pelosi banned smoking in the ornate Speaker\'s Lobby just off the House floor this month, and the District of Columbia recently barred it in public areas. Arizona, Colorado, Hawaii, Louisiana, New Jersey and Ohio also passed sweeping anti-smoking measures last year.</p><p>\"That\'s how life is now. They\'re banning smoking everywhere,\" said Rep. Devin Nunes, R-Calif., an occasional smoker.</p><p>Susan Burgess, the mayor pro tem of Charlotte, N.C., said what\'s fueling the push is a U.S. Surgeon General\'s report released last June that found just a few minutes inhaling someone else\'s smoke harms nonsmokers, and separate smoking sections don\'t offer enough protection.</p><p><b><strong>\'Almost a no-brainer\'</strong></b><br>She said the report gave momentum to the anti-smoking front even in North Carolina - the nation\'s No. 1 tobacco state - and influenced Nevada voters to approve a ballot measure banning smoking at restaurants, bars that serve food, and around slot machines at supermarkets, gas stations and convenience stores. Nevada, where gambling and smoking had been assumed to go hand in hand, previously had one of the nation\'s least restrictive smoking laws.</p><p>\"The Nevada vote shows that when people are given accurate information about the dangers of secondhand smoke, it\'s almost a no-brainer\" they\'ll support smoking controls, said Burgess, founder of the anti-smoking group Smokefree Charlotte.</p><p>Not all elected officials and business owners embrace the cause. They maintain such laws drive away smoking customers and cut profits.</p><p>\"There\'s a fear that we would lose restaurant business to nearby towns if we passed a smoking ordinance,\" Moline, Ill., Mayor Don Walvaert said. \"Before acting, we would need real proof that cities have not experienced business losses because of smoking regulations.\"</p><p>Nevada\'s smoking restrictions have been challenged in state court by a coalition of businesses. Opponents say the ban, which does not apply to the gambling floors of casinos on and off the Las Vegas Strip, is unconstitutional, vague and unenforceable.</p><p>In Columbia, Mo., one business owner displayed his displeasure at a new local ordinance banning smoking with a sign: \"Smoking allowed until Jan. 9, City Council banning beer next, and hopefully, karaoke!\"</p><p>R.J. Reynolds Tobacco Co. plans to continue to fight smoking bans at adult-only businesses because it thinks such restrictions infringe on the rights of owners and adversely affect business, spokesman David Howard said from the company\'s headquarters in Winston-Salem, N.C.</p><p>But Columbia Mayor Darwin Hindman said studies show bans will not force smoking customers to go elsewhere. The Surgeon General\'s report reached a similar conclusion.</p><p><b><strong>Legislation pending in seven states</strong></b><br>\"I don\'t think it\'s a legitimate fear that bars and restaurants will lose business,\" Hindman said. \"From what I\'ve read, smokers keep going to bars and restaurants even after smoking is banned. Smoking restrictions should be based on health issues anyway.\"</p><p>Amy Winterfeld, health policy analyst for the National Conference of State Legislatures based in Washington, D.C., said smoke-free legislation is pending in at least seven states.</p><p>\"When you see an issue like this passing in a number of states it does give it momentum in other states,\" Winterfeld said. \"It\'s certainly possible that a number of states will take it up this year.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i>Copyright 2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</i></div><br><table width=\"100%\" style=\"background-color:#ffffee\" cellPadding=\"2\" cellSpacing=\"0\"><tr><td width=\"50%\"><font size=\"1\"><img src=\"/images/msnbc/print02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:printThis(\'16725035\')\" class=\"linkBlack\">Print this</a></font></td><td><font size=\"1\"><img src=\"/images/msnbc/email02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:emThis(\'16725035\')\" class=\"linkBlack\">Email this</a></font></td></tr></table></td><td width=\"10\"></td></tr></table><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#ffffff\">&nbsp;MORE FROM SLEEP</b></font></td></tr></table></td></tr><tr><td><table 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INSERT INTO `dede_addonarticle` VALUES('1282','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Are you a giver? Brain scan tells the truth</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>MRI pinpoints area of the brain involved in altruistic behaviors</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>WASHINGTON - Altruism, one of the most difficult human behaviors to define, can be detected in brain scans, U.S. researchers reported on Sunday.</p><p>They found activity in a specific area of the brain could predict altruistic behavior - and people\'s own reports of how selfish or giving they are.</p><p>\"Although understanding the function of this brain region may not necessarily identify what drives people like Mother Theresa, it may give clues to the origins of important social behaviors like altruism,\" said Scott Huettel, a neuroscientist at Duke University in North Carolina who led the study.</p><p>They set up an experiment in which they put 45 college students into a functional magnetic resonance imaging scanner, which can take real-time images of brain activity.</p><p>They gave the students various games to play, and told them that winning earned cash for either themselves or for a charity. The students had chosen the charities beforehand from a list, the researchers report in the journal Nature Neuroscience.</p><p>The students reacted differently depending on whether they won for themselves or for charity with the ones who described themselves as altruistic responding more strongly.</p><p>\"The game involved reacting as fast as one can to the appearance of a target; if one responds fast enough, then money was earned,\" Huettel said.</p><p>The task was fairly simple, and the students did not give up any payments to themselves to give to the charities. But it cost enough effort that Huettel believes it did represent altruistic intent.</p><p>\"It\'s challenging and requires them to focus,\" Huettel said in a telephone interview. \"They are lying in a tube, and it is a little tiring for them. Even though it doesn\'t cost them anything monetarily, it costs them their effort.\"</p><p><b><strong>Rewards for the brain<br></strong></b>And the researchers were surprised by their findings. Some other studies had predicted that giving would activate the reward systems in the brain.</p><p>In fact, another center was activated when the students either won money for charity, or watched the computer win money for charity.</p><p>\"This area we saw was the posterior superior temporal cortex,\" Huettel said. \"It\'s part of the parietal lobe. What this brain area seems to be involved in is extracting meaning from things you see.\"</p><p>\"If you see a rock move because someone picked it up, you can recognize that they have a goal. That would activate this region. If you saw a leaf fluttering in the wind, there is no intention in that leaf.\" And this brain region would not activate.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16657090/\">Should women be paid for supplying eggs?</a></li><li><a href=\"/id/16709755/\">Caught daydreaming? Blame brain\'s settings</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>\"We think altruism might help others understand the intentions of others,\" Huettel said.</p><p>His team asked the students how altruistic they were, and found the test strongly correlated with their own reports of unselfish activity, such as helping a stranger or comforting a friend.</p><p><b><strong>Hard to measure<br></strong></b>He admits it is very difficult to measure altruism.</p><p>\"If done in the laboratory, it would be difficult to know whether subjects were trying to impress the experimenter with their actions, and thus one could not be sure of the validity of any measurements,\" Huettel said.</p><p>\"Conversely, trying to watch people in their daily lives would make data collection nearly impossible. So, we settled on self-reports as a good, albeit imperfect, measure.\"</p><p>Huettel believes it is valid to try to assess altruism scientifically.</p><p>\"It is hardly the case that all altruistic acts come from people who are religiously faithful; there are undoubtedly many altruistic atheists,\" He said.</p><p>\"And, a religious explanation would have considerable difficulty explaining why some animals help others of their species at significant cost or danger to themselves.\"</p><p>Next his team hopes to test children, and find out how and when altruism develops. </p><div class=\"textBodyBlack\" style=\"clear:both;\"><i>(c) Reuters 2007. All rights reserved. Republication or redistribution of Reuters content, including by caching, framing or similar means, is expressly prohibited without the prior written consent of Reuters. 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INSERT INTO `dede_addonarticle` VALUES('1283','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Blood pressure pill may aid muscular dystrophy</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Losartan found to reduce muscle damage in mice, Johns Hopkins reports</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>WASHINGTON  - A widely used blood-pressure drug reduced muscle damage in mice with the most common form of muscular dystrophy, researchers report.</p><p>A team at Johns Hopkins University found the drug losartan seemed to improve muscle regeneration in mice with a rare condition known as Marfan syndrome and in mice with Duchenne muscular dystrophy - the most common form in children.</p><p>\"The results are very intriguing and certainly worthy of further investigation,\" said Dr. Valerie Cwik, medical director of the Muscular Dystrophy Association.</p><p>While noting that it is only a single study, Cwik said the drug is currently used in children and has a good safety profile.</p><p>The only current treatment for Duchenne has side effects, so it is worth investigating whether this can offer an alternative, said Cwik, who was not part of the research team.</p><p>In Marfan mice treated with the drug, the aorta was strengthened, reducing the chance of an aneurysm in which this major blood vessel bursts.</p><p>\"In addition to the aortic defect, children with severe Marfan syndrome often have very small, weak muscles, and adults with Marfan often can\'t gain muscle mass despite adequate nutrition and exercise,\" Dr. Harry C. Dietz of Johns Hopkins, the lead researcher, said in a statement.</p><p>In Marfan mice, treatment with losartan \"completely restored muscle architecture\" and vastly improved strength, according to Dietz. He is planning a test in people with Marfan syndrome.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16657090/\">Should women?e paid for supplying eggs?</a></li><li><a href=\"/id/16331336/\">January Jumpstart: Doable daily tips</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Researchers wondered whether the muscle response was specific to Marfan or if they had discovered something basic about muscle biology. So they then tested the drug in mice with Duchenne muscular dystrophy.</p><p><b><strong>More strength, less fatigue</strong></b><br>After six months of treatment, the mice showed a significant reduction in muscle damage. The mice showed increased grip strength in their fore- and hind-limbs and experienced less fatigue in repetitive tests, the researchers reported in Monday\'s online issue of the journal Nature Medicine.</p><p>Losartan was approved for use as a blood pressure medication in 1995 by the Food and Drug Administration. It is known to block a protein known as TGF-beta.</p><p>Excessive activity by TGF-beta is associated with reduced muscle generation and repair, leading Dietz\'s team to test it against Marfan and then muscular dystrophy.</p><p>Duchenne muscular dystrophy is a muscle-wasting genetic disorder that affects only boys. It occurs in about 1 in every 3,500 male births. It is the most severe and most common childhood form of muscular dystrophy and the best-known.</p><p>Marfan is a genetic disorder that affects about 1 in 5,000 to 10,000 individuals.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1284','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Should women be paid for supplying eggs?</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Ethical debate rages over \'altruistic\' egg donations for stem cell research</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/j/msnbc/Components/Photos/070117/070117_stemcellegg_hmed_7p.hmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"IMAGE: Dr. Alison Murdock (left) and Dr. Fouzia Mamon\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Scott Heppell / AP file</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Dr. Alison Murdoch, left, who heads research and development of stem cells, chats with colleague, Dr. Fouzia Mamon, at the NHS Fertility Center at LIFE in Newcastle, England.</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>Say you\'re a woman who wants to have fertility treatment but can\'t afford the $5,000 to $6,000 cost.</p><p>What if you could get it for half-price, by agreeing to donate half the eggs you produce for stem cell research?</p><p>Interested?</p><p>British women may get a crack at that deal in a few months, under a plan pursued by Dr. Alison Murdoch of Newcastle University.</p><p>This concept, which resembles a strategy sometimes used to get eggs for fertility treatment, is just one of several new efforts to boost the supply of human eggs needed for research. The shortage has triggered an ethical debate on both sides of the Atlantic: Should women be paid for supplying eggs?</p><p>Scientists need eggs for a process called therapeutic cloning, which creates stem cells genetically matched to an individual. It may be used someday to create tissue to treat illnesses like diabetes and Parkinson\'s disease, providing transplant material that\'s genetically matched to the patient so that it won\'t be rejected. Therapeutic cloning may also help scientists develop better drug treatments.</p><p>The process involves transferring DNA into human eggs and growing them into 5-day-old embryos, from which stem cells are harvested.</p><p>It\'s not clear just how many eggs scientists need for this research. But it is clear that for a woman, donating eggs is a significant undertaking.</p><p>By various estimates, a woman can spend 40 to 56 hours in medical offices, being interviewed, counseled and subjected to a surgical procedure, under sedation, that retrieves eggs from her body. Before that procedure, she takes hormone injections daily for more than a week to stimulate egg development.</p><p>Women donate thousands of eggs in the United States every year to help other women have babies. They are paid. The American Society of Reproductive Medicine doesn\'t recommend a figure but says $5,000 or more requires some justification and that $10,000 is too much. (In fact, some ads for eggs offer far more).<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Art/HEALTH/070117/AP_STEM_CELL_EGGS.gif\" align=\"Right\" height=\"370\" width=\"352\" vspace=\"0\" hspace=\"0\"></td></tr></table></p><p>The medical group also says it\'s fine to pay women for producing eggs for stem cell research. But other guidelines and laws on that topic favor just reimbursing women for expenses. That\'s the word from the law books of California and Massachusetts and a committee of the National Research Council, a congressionally chartered nonprofit organization that advises the federal government.</p><p>In fact, the compensation question has split American feminists and advocates for reproductive health and rights, said Marcy Darnovsky, associate executive director of the Center for Genetics and Society. One side says offering money beyond reimbursement risks exploiting disadvantaged women by offering undue inducement to participate, while the other side calls that stance paternalistic, she said.</p><p>Darnovsky said her center has no position on paying women to provide eggs for fertility clinics, but holds that if women give eggs for stem cell research, they should only be reimbursed for expenses, including lost wages.</p><p>Why the difference? It\'s a matter of a woman\'s gauging the risks and benefits of donating her eggs, Darnovsky said.</p><p>On the risk side, there\'s been too little follow-up of women to know for sure how safe the egg-retrieval process is, she said.</p><p>On the benefit side, while donating eggs to a fertility clinic often produces a baby, the potential payoff in stem cell research is promising but only speculative at the moment, Darnovsky said. But women, like society, have so bought into the expectation of \"miracle cures\" from stem cells that they overestimate the benefit from donating eggs, she said.</p><p><b><strong>Exploiting poor women?<br></strong></b>The result? If stem cell researchers offer the kind of money that fertility clinics do, \"I think any woman who\'s trying to pay the rent and put food on the table, and people who don\'t have a lot of money to spare, are going to be tempted to discount the risks and overvalue the benefits,\" she said.</p><p>Similarly, ethicist Laurie Zoloth of Northwestern University believes that paying compensation could exploit some women. Women who give eggs to fertility clinics are doing it for the money, she said, and as a society, \"we don\'t ... want the bodies of the poor used for the needs of the wealthy.\"</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16711117/\">Vote: Should women be paid for producing eggs?</a></li><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?ThreadID=173818\">Discuss: Eggs for stem cell research?</a></li><li><a href=\"/id/16514457/\">Stem cells found in amniotic fluid</a></li><li><a href=\"/id/16209096/\">\'Virgin birth\' process produces stem cells</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>\"You do not see many full professors or CEOs selling eggs to secretaries or housecleaners,\" she said in an e-mail.</p><p>Zoloth, who emphasized that she strongly supports stem cell research that would use the eggs, said she believes women donating eggs for such research should only be reimbursed for expenses. Giving up eggs, like donating organs, should be an altruistic act, she said.</p><p>But others believe women should be paid.</p><p>Participants in other kinds of biomedical research are compensated for their time, inconvenience and rigors of participating, says Kathy Hudson, director of the Genetics and Public Policy Center at Johns Hopkins University. So why, she asks, should egg donors be treated any differently?</p><p>There are ways to guard against exploitation of vulnerable women, she said. One would be for local boards that oversee research to make sure that donors are recruited from a wide variety of groups rather than just the economically disadvantaged, she said. And limits can be set on the number of times any one woman can participate, she said.</p><p><b><strong>Few willing to donate for free<br></strong></b>So far, the track record for altruistic donations is mixed. On one hand, hundreds of women volunteered to donate eggs in South Korea for research by the now-disgraced scientist Hwang Woo-suk, who fraudulently claimed success in therapeutic cloning.</p><p>But Dr. Robert Lanza, vice president of research and scientific development at Advanced Cell Technology Inc. of Alameda, Calif., said he has given up trying to get donations without compensation. After more than a year of pursuing that strategy and about 100 advertisements, ACT was able to get only one woman to donate eggs, he said in an e-mail.</p><p>And Kevin Eggan of the Harvard Stem Cell Institute, who\'s been seeking eggs since May in return for reimbursing out-of-pocket expenses, said recently that the effort had generated some calls but no donors yet. The approach must be given more time to work, he said.</p><p>Murdoch, who also directs a fertility treatment center in Newcastle upon Tyne, said that when her lab asked fertility-clinic patients to donate eggs, it received only 66 over seven months. That\'s just not enough, she said.</p><p>In contrast, if her new plan attracts two women a week - chosen because they appear likely to produce lots of eggs - it would provide 20 eggs each week. That\'s still not a lot, but the supply should be steady, she said.</p><p>Her \"egg-sharing\" plan resembles an arrangement that\'s used occasionally at fertility clinics. In that plan, a woman shares her eggs and treatment costs with another woman who wants a baby.</p><p>Murdoch\'s group has permission from Britain\'s Human Fertilization and Embryology Authority to set up the arrangement for stem cell research. Now it\'s a question of raising money to finance it. Murdoch said she hopes to start offering the deal to British women in a few months, and that she has already heard from dozens of women eager to participate.</p><p><font size=\"2\"><span CM=\"PageNavBot\"><b><a CE=\"2\" href=\"/id/16657090/page/2/\">CONTINUED: Opinion split on sharing eggs</a></b><hr width=\"100%\" noshade=\"true\" size=\"1\" color=\"#808080\">1 | <b><a CE=\"2\" href=\"/id/16657090/page/2/\">2</a></b>\n			| <b><a CE=\"2\" href=\"/id/16657090/page/2/\">Next &gt;</a></b></span></font></p><br><table width=\"100%\" style=\"background-color:#ffffee\" cellPadding=\"2\" cellSpacing=\"0\"><tr><td width=\"50%\"><font size=\"1\"><img src=\"/images/msnbc/print02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:printThis(\'16657090\')\" class=\"linkBlack\">Print this</a></font></td><td><font size=\"1\"><img src=\"/images/msnbc/email02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:emThis(\'16657090\')\" 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INSERT INTO `dede_addonarticle` VALUES('1285','7','	<p><p>WEDNESDAY, Sept. 20 (HealthDay News) -- Aggressive cancer cells have a &quot;toggle switch&quot; that enables them to travel to other parts of the body and form new tumors, say Duke University researchers.</p> <p>Until now, scientists have believed that gene mutations must occur in cancer cells so that they transform permanently from stationary epithelial cells to migratory mesenchymal cells. These mutations would allow them to metastasize, or travel to other parts of the body.</p> <p>But in a new study published in this week\'s issue of the <i>Proceedings of the National Academy of Sciences</i>, researchers found the most aggressive cancer cells are equal parts epithelial and mesenchymal, transitioning between the two states as their surroundings demand.</p> <p>&quot;Understanding this toggle switch might ultimately enable scientists to find ways to stop cells from metastasizing, which is the most deadly trait of cancer,&quot; lead investigator Mariano Garcia-Blanco, a professor of molecular genetics and microbiology, said in a prepared statement.</p> <p>The researchers observed cancer cells in rats that had been implanted with a fluorescent &quot;reporter&quot; -- a protein that illuminates if the cell turns epithelial but lies dormant if the cell reverts to its mesenchymal state.</p> <p>&quot;Our findings validate that tumors are highly complex in their behavior and don\'t necessarily need a gene mutation to alter their behavior,&quot; Sebastian Oltean, a research associate, said in a prepared statement.</p> <p>This new understanding may eventually lead to new therapies for blocking cancer metastasis.</p> <p><b>More information</b></p> <p>The U.S. National Cancer Institute has more about <a href=\" http://www.cancer.gov/\" target=\"_new\">cancer</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1286','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/21/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p>LODI, New Jersey (AP)  -- The cafeteria lunch line at Columbus Elementary School moves quickly as students grab portions of carrots, celery, apples and oranges. French fries and hamburgers, once cafeteria staples, aren\'t even offered.</p><p>&quot;I eat carrots or apples every day,&quot; said 10-year-old Alan Espino. He said he didn\'t notice that the bun holding his all-beef hot dog was whole wheat. Even the pizza available in the cafeteria has whole wheat crust.</p><p>The school cafeteria looks radically different from those of his parents\' generation, and it appears many kids aren\'t turning their noses up at the new offerings. In fact, according to a survey of food service directors, french fries are decreasing in popularity and interest in carrots is skyrocketing.</p><p>As choices on the lunch line change, many children are accepting them, said Martha Conklin, an associate professor at Penn State University who conducts research about school nutrition programs and school food service.</p><p>&quot;If you present these healthy offerings to children, they may turn them down the first time, but you can\'t give up,&quot; she said. &quot;Children will adapt. Choice is important, but they can make those selections from healthy offerings.&quot;</p><p>The School Nutrition Association\'s annual survey given to food service directors around the country shows just that. Among students in kindergarten through 12th grade, french fries dropped in popularity from 1998 to 2006, while carrots and fresh vegetables rose in popularity.</p><p>&quot;We are dealing with much more sophisticated audiences now, and we working hard to meet their needs in a healthier way,&quot; said Janey Thornton, the association\'s president.</p><p>More states are enacting nutrition standards to ensure healthy food and beverage options are available to students, said Amy Winterfeld, a health policy analyst for the National Conference of State Legislatures.</p><p>A 2004 wellness program requires school districts receiving federal reimbursements for school meal programs to develop policies that promote the health of students and address the growing problem of childhood obesity.</p><p>In 2005, at least 17 states enacted some form of school nutrition legislation and at least 11 more approved them last year.</p><p>A New Jersey law requires that, by next fall, snacks and a la carte items sold or served contain no more than 8 grams of total fat per serving and two grams of saturated fat per serving. Candy is banned and so are foods and beverages with sugar as the major ingredient.</p><p>The law is an attempt to establish a culture in which eating nutritiously is the accepted social norm, said Emma Davis-Kovacs, acting state director for the New Jersey Department of Agriculture\'s division of food and nutrition.</p><p>&quot;The leading health authorities are all recommending that schools take an active role in this area of nutrition to prevent disabling chronic health conditions,&quot; she said.</p><p>Mark Vidovich, president of Pomptonian Food Service, which runs programs in 11 north and central New Jersey counties, recalled that students were turned off by whole wheat bread just five years ago.</p><p>&quot;The children wouldn\'t eat it. It didn\'t look right to them,&quot; he said. &quot;Now their dining preferences have changed and they\'re now accepting of making healthier dining options.&quot;</p><p>Pat Johnson, food service director in the Maplewood and South Orange district, said she started reforming her cafeterias before the new state law. The district is renovating its kitchens to remove fryers and add grills and ovens.</p><p>She said younger children seem more open to tasting healthier foods and are likely to continue the patterns to middle and high school.</p><p>&quot;If you put it there and make it look appealing to them, they like it,&quot; she said.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1287','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/6/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>CHICAGO, Illinois</b> (Reuters)  -- A drug can combat depression common among patients with severe heart disease, but psychological counseling doesn\'t seem to work, a study said  Tuesday.</p><p>The report from the University of Montreal Hospital Center said there have been few studies looking at how much antidepressants help depressed heart disease victims, even though as many as 27 percent may suffer from it. Doctors believe that treating the depression may also slow the deterioration of their patients\' health.</p><p>The Canadian study, published in this week\'s Journal of the American Medical Association, involved 284 patients variously given the drug citalopram -- sold as Celexa by Forest Laboratories Inc. -- a placebo or short-term psychotherapy.</p><p>The patients had previously suffered a heart attack or major blockage of arteries.</p><p>Citalopram is one of a class of antidepressants taken by millions, commonly called SSRIs, that include Eli Lilly\'s Prozac.</p><p>The study found that the drug worked to combat depression by easing its most common symptoms, with the effect apparent within six weeks.</p><p>But, it concluded, counseling did not have an impact.</p><p>&quot;It remains to be demonstrated that any form of psychotherapy is superior to clinical management in reducing depression symptoms in this group,&quot; it said.</p><p>In an editorial in the same issue commenting on the study, physicians Alexander Glassman and J. Thomas Bigger of the New York State Psychiatric Institute said the study provides further evidence that SSRIs combat depression in heart disease victims.</p><p>And while there is suggestive evidence that such drugs help reduce the risk of a subsequent heart attack and other problems it will take a large study to find that out, a project which they said is &quot;urgently needed.&quot;</p><p class=\"cnnSCAttribution\">Copyright 2007 <a href=\"/interactive_legal.html#Reuters\">Reuters</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1288','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/22/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>IOWA CITY, Iowa</b> (AP)  -- Heavy tackles and 300-pound nose guards are common in pro and college football. Now a study shows the trend toward beefier, overweight linemen is emerging at the high school level.</p><p>Researchers at Iowa State University found nearly half of the offensive and defensive linemen playing on Iowa high school teams qualify as overweight, and one in 10 meet medical standards for severe obesity.</p><p>&quot;These are 15- and 16-year-old boys that have a weight and body-mass ... that as they enter adulthood puts many at a very adverse health condition,&quot; said Dr. Joe Eisenmann, co-author of the study and a professor in pediatric exercise physiology at Iowa State.</p><p>The study appears in Wednesday\'s Journal of the American Medical Association.</p><p>For years at the pro and college level, teams have sought bigger, stronger linemen who are harder to budge. Players have responded by adding weight and muscle mass, making the 300-pound lineman fairly common, sports medical experts said.</p><p>Recently, however, the National Football League and players have taken greater note of health risks for heavy athletes because of two high-profile NFL player deaths and a 2005 study, which concluded that 56 percent of NFL players fit medical standards for obesity.</p><p>The size, bulk and ever-widening girth of the pros apparently has not gone unnoticed by those dreaming of one day playing at the next level.</p><a name=\"1\"></a><a name=\"rv1\"></a><h3>Looking to the pros</h3><p>&quot;Sure I look at college players and pro players a lot and size them up,&quot; said Chad Wilson, a junior who started at center last season for Iowa City West High School. He wants to add at least another 20 pounds before next season.</p><p>Pressure to get bigger, stronger, heavier may come from parents and coaches, but there is also a desire from within, players said.</p><p>&quot;You want to have the weight to be able to compete in the conference we\'re in,&quot; said Thomas Reynolds, a junior linebacker hoping to switch to the defensive line next season.</p><p>The study\'s researchers began by gathering height and weight data of 3,683 varsity linemen available from rosters from all classes of Iowa high school football teams. They used that data to calculate a body-mass index, the same tool used for the NFL study.</p><p>Of the players analyzed, 28 percent were deemed at risk of being overweight and 45 percent fit the standards for being overweight, including 9 percent who met adult severe obesity standards.</p><p>Researchers believe the study is one of the first -- and most comprehensive -- appraisals of obesity in high school football.</p><p>&quot;We don\'t suspect, though, that Iowa is unique in any way,&quot; said Kelly Laurson, a graduate assistant and co-author of the study. &quot;I suspect that states with an even richer high school football tradition, like Florida and Texas, may have an even bigger problem.&quot;</p><p>But the researchers and sports medicine experts acknowledge the study is not perfect.</p><p>The roster data was obtained in the preseason before athletes had a chance to get in shape, and the BMI formula can, in some cases, be deceptive, they said.</p><p>Dr. Edward Wojtys, an orthopedic surgeon and chief at the University of Michigan Sports Medicine Service, said the BMI fails to account for muscle mass and lean tissue and is less accurate than more sophisticated measuring techniques.</p><p>&quot;On the other hand, there is still an obvious and growing problem of obesity among football linemen,&quot; Wojtys said. &quot;The rules have changed in ways that favor larger and larger-sized bodies rather than smaller, athletic ones. It\'s not a good trend and one we should be concerned about.&quot;</p><p>Health experts also said the results are no surprise in a society dealing with high rates of child and adolescent obesity. Overweight children and teens face higher risks for heart disease, high blood pressure, diabetes and weight problems through adulthood.</p><p>They said it\'s impossible to lay blame on any single source or factor.</p><p>&quot;But I think if we\'re honest about it, at least in this case, we\'d have to look at the role models for these young athletes,&quot; said Dr. George Phillips, a pediatrician at the University of Iowa\'s Sports Medicine Center.</p><p>&quot;Most of these kids aren\'t going to play professionally or even at the college level. So what we need to do is to make sure if they\'re going to add weight, muscle mass, that they do it in a healthy way.&quot;</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1289','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/23/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>LOS ANGELES, California</b> (AP)  -- Hospital staff did not properly clean medical instruments linked to a deadly bacterial outbreak at a neonatal intensive care unit, state regulators have concluded.</p><p>White Memorial Medical Center closed the unit Dec. 4 after an outbreak of Pseudomonas aeruginosa sickened five infants. Two of the babies died, and their deaths were believed to have been caused by the pathogen.</p><p>In a report issued Tuesday, inspectors from the California Department of Health Services faulted hospital staff for not following manufacturer\'s recommendations for sterilizing laryngoscope blades, which are used to insert breathing tubes. The report said the respiratory therapy staff simply wiped the blades with soap, tap water and alcohol wipes.</p><p>A White Memorial statement said the report &quot;confirms the hospital\'s preliminary findings.&quot;</p><p>The neonatal unit has been reopened and officials said there have been no new infections.</p><p>Of the roughly two million hospital-acquired infections each year, about 10 percent are caused by P. aeruginosa, a common bacterium that can be spread by health care workers, medical instruments, disinfectant solutions and food.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1290','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/23/2007\";</script> <div id=\"cnnSCHighlightsBox\"><!----><h4><span>Story Highlights</span></h4>&#8226; FDA advisory panel opposes failure limits for birth control pills<br> &#8226; Lower-dose pills less effective at preventing pregnancy than early contraceptives<br> &#8226; Agency examining whether pre-approval studies reflect pills\' &quot;real-world&quot; use<br>  </div><div id=\"cnnSCFontButtons\" ><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>WASHINGTON</b> (AP)  -- Birth control pills sometimes fail, but setting limits on how often that could happen would put newer, low-dose contraceptives off limits to women, federal health advisers said Wednesday.</p><p>The lower-dose pills are less effective at preventing pregnancy than the first oral contraceptives approved beginning in 1960. Yet the newer drugs offer other health benefits or cause fewer side effects. That has split federal health officials on the need to define a pregnancy or failure rate that would be unacceptably high for next-generation pills.</p><p>Throughout the 1960s, the earliest birth control pills to win Food and Drug Administration approval failed just once per 100 woman-years of use. That is, for every 100 women taking the pills for a year, there was fewer than one pregnancy on average among them.</p><p>Today, newer pills contain less estrogen and progestin. Those pills can reduce the risk of blood clots, stroke and other sometimes deadly side effects. But as the hormone content of the pills has dipped, failure rates have climbed.</p><p>Over the last decade, the FDA has approved some pills with failure rates that exceed two pregnancies per 100 woman-years of use, according to agency documents. That is twice the rate considered acceptable in the 1960s.</p><p>But allowing the less-effective pills on the market can increase the options for women and their doctors, said Dr. Charles Lockwood of Yale University, acting chairman of FDA\'s reproductive health drugs advisory committee.</p><p>&quot;We don\'t want an arbitrary number to be ascribed,&quot; Lockwood said after the panel declined to define a pregnancy rate that would be considered unacceptable.</p><p>While most women take the pill to prevent pregnancy, others rely on hormonal contraceptives to regulate their monthly periods or curb acne.</p><a name=\"1\"></a><a name=\"rv1\"></a><h3>Gathering information</h3><p>The FDA scheduled meetings both Tuesday and Wednesday with its outside experts to gather advice on future guidelines that drug makers could follow in seeking approval for new hormonal contraceptives.</p><p>The FDA is looking at how well studies done before approval of new birth control pills reflected their &quot;real-world&quot; use. Typically, that use is less consistent and reliable than it is in clinical studies.</p><p>Also, newer versions of the pill aren\'t being tested on women who reflect the broader population. The women in clinical trials are younger, skinnier and healthier than are U.S. women on average, panelists and other experts said.</p><p>The more clinical trials can mimic real-world use, the more confident women will be that the pills both work and are safe, Kirsten Moore, president of the Reproductive Health Technologies Project, a nonprofit advocacy group, told panelists.</p><p>&quot;When expectations don\'t match up to reality, women are more likely to discontinue their contraceptive use and possibly expose themselves to unwanted pregnancies,&quot; Moore said.</p><p>The exclusion of smokers, obese and older women from clinical trials also underscores the need for large follow-up studies that assess the real-world safety and effectiveness of the oral contraceptives, advisers said. Who would fund those studies remains unclear.</p><p>For instance, the risk of pregnancy and blood clots both can rise in obese women who take the pill, Amy Allina, program and policy director with advocacy group National Women\'s Health Network, told the panel. The pills also appear not to work as well in overweight women, according to the FDA.</p><p>The FDA acknowledged its own staff is split over whether to establish an acceptable failure rate for pills and, if so, what that rate should be. The FDA isn\'t required to follow the advice of its advisory committees, but usually does.</p><p>Several panelists suggested that any birth-control pill that isn\'t highly effective or offers some other benefit simply wouldn\'t sell, making the issue moot.</p><p>&quot;If a new product isn\'t as good as what\'s out there, clinicians aren\'t going to prescribe it -- unless there\'s something there,&quot; said Lorraine Tulman, of the University of Pennsylvania\'s School of Nursing and the panel\'s consumer representative.</p><p>Nearly 12 million U.S. women were on the pill as of 2002, making it the nation\'s leading method of contraception, according to a recent Centers for Disease Control and Prevention study.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1291','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/23/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>DALLAS, Texas</b> (AP)  -- As breast cancer ravaged her body, Susan G. Komen asked her younger sister for a promise.</p><p>Komen wanted help to &quot;cure this disease.&quot; After a three-year struggle, the vivacious young mother with the bright smile died in 1980 at age 36.</p><p>And her sister, Nancy Brinker, kept her promise . She founded the Susan G. Komen Breast Cancer Foundation two years later.</p><p>&quot;I knew it had to be big. We had to change a culture,&quot; Brinker said. (<a href=\"/2007/HEALTH/01/24/komen.brinker/index.html\">A promise created a movement.</a> )</p><p>Indeed, the culture and much more have changed.</p><p>In the 25 years since, the foundation has grown from a small gathering of women in Brinker\'s living room to a world-renowned operation that will have invested roughly $1 billion in community outreach and research by year\'s end.</p><p>The Dallas-based organization has 200 employees, more than 100,000 active volunteers and 125 affiliates. Its annual Race for the Cure has grown from 800 women who ran for charity in Dallas to about 1.5 million participants in 120 races worldwide. The foundation has funded work in more than 47 countries.</p><p>The nonprofit is celebrating its 25th year with a new name -- Susan G. Komen for the Cure, an edgy new advertising campaign that includes T-shirts reading: &quot;If you\'re going to stare at my breasts, you could at least donate a dollar to save them,&quot; sales of pink promise rings and a pledge to raise another $1 billion in the next 10 years.</p><p>With the help of organizations such as Komen and prominent figures including first lady Betty Ford, who spoke openly of about her experience with breast cancer in the mid-1970s, the culture slowly began to change from breast cancer being a taboo subject, said Dr. Gabriel Hortobagyi, president of the American Society of Clinical Oncology.</p><p>&quot;I grew up at a time when most families didn\'t talk about either sex or cancer,&quot; said Hortobagyi, chairman of the department of breast medical oncology at the University of Texas M.D. Anderson Cancer Center in Houston. &quot;Those were sort of taboos. It was sort of shameful if anyone in the family had cancer. And people didn\'t talk about breasts, either healthy or sick.&quot;</p><a name=\"1\"></a><a name=\"rv1\"></a><h3>The numbers tell the story</h3><p>Today, the Komen Foundation reports: Nearly 75 percent of women over 40 get regular mammograms compared with fewer than a third who got breast exams in their doctor\'s offices in 1982; the five-year survival rate for breast cancer when caught before it spreads is 98 percent compared with 74 percent back then; the federal government devotes more than $900 million each year to breast cancer research, treatment and prevention compared with $30 million in 1982.</p><p>&quot;I truly believe if Nancy hadn\'t started this thing, that that would not be the case, it just needed that special focus,&quot; said Hala Moddelmog, Komen\'s president and chief executive officer.</p><p>The Komen organization says it is second only to the U.S. government as a source of funding for breast cancer research and community outreach programs, which include education, screening and treatment. It says about 84 cents of every dollar it raises is spent in those areas, totaling about $157 million this year.</p><p>&quot;Every advance in breast cancer has been touched by a Komen grant,&quot; said Komen spokeswoman Emily Callahan.</p><p>This year the organization is refocusing its research money to concentrate on more focused areas, such as finding biological signs that can help predict cancer before symptoms appear. (<a href=\"javascript:CNN_openPopup(\'/interactive/health/0502/breast.cancer/frameset.exclude.html\',\'620x430\',\'toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=no,width=620,height=430\');\">Interactive: Breast cancer warning signs.</a> )</p><p>Moddelmog says the goal is to support research that is &quot;transformational and that definitely ties back to the cure.&quot;</p><p>Funding both research and community programs is important, said Moddelmog, herself a five-year breast cancer survivor.</p><p>&quot;We\'re helping to discover the cures by funding the research. And we\'re helping to deliver the cures by providing access,&quot; Moddelmog said. &quot;What we want to wake up and see one day is a world without breast cancer.&quot;</p><p>There will be an international emphasis this year including a September summit in Budapest, Hungary, where Brinker served as U.S. ambassador from 2001 to 2003. The event will pair 25 U.S. activists with 25 people from around the world to look at the social, cultural and financial circumstances that prevent women from getting quality breast health care and treatment.</p><p>By getting the subject of breast cancer out into the public, Komen led women to becoming advocates, said Jean Sachs, executive director of Living Beyond Breast Cancer, a nonprofit provides breast cancer education. Komen is one of the sponsors of the group\'s annual conference for those diagnosed with breast cancer under the age of 45.</p><p>&quot;If you look at where we are today, it\'s so different. Women have so many choices,&quot; said Sachs, who added that her 15-year-old organization could be viewed as &quot;one of the grandchildren of Komen.&quot;</p><p>While the advances made in the 25 years since Komen was formed are reason to celebrate, the organization\'s ultimate goal remains unachieved: the eradication of breast cancer.</p><p>About one in eight women will get breast cancer, and the disease is the second most lethal kind of cancer after lung cancers in women. About 41,000 U.S. women died of breast cancer last year. Worldwide, it kills about 370,000 women each year.</p><p>&quot;When you look at where we are, we\'re still not where our mission is, and that\'s a world without breast cancer,&quot; Moddelmog said.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1292','1','\n\n\n	 <p>WASHINGTON, Jan. 23 ?President Bush delivered a domestic agenda to Congressional Democrats on Tuesday that was, in large part, modest and a reiteration of past proposals. Where he did break ground ?on health care ?his initiative was quickly dismissed by leading Democrats and seemed unlikely to form the basis of bipartisan action.</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n    \n<div id=\"inlineMultimedia\">\r\n<h3 class=\"promo\">The State of the Union</h3><a class=\"more\" href=\"http://www.nytimes.com/washington\">Go to Complete Coverage ?/a></div>\r\n<div class=\"doubleRule\"></div>\r\n<!--BEGIN INLINE FLASH GRAPHIC-->\r\n<object classid=\"clsid:d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://fpdownload.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=8,0,0,0\" width=\"189\" height=\"510\" id=\"stateOfUnionInline\" align=\"middle\">\r\n<param name=\"allowScriptAccess\" value=\"sameDomain\" />\r\n<param name=\"movie\" value=\"http://graphics8.nytimes.com/packages/html/national/20070123_SOTUINLINE_GRAPHIC/stateOfUnionInline.swf\" /><param name=\"quality\" value=\"high\" /><param name=\"bgcolor\" value=\"#ffffff\" /><embed src=\"http://graphics8.nytimes.com/packages/html/national/20070123_SOTUINLINE_GRAPHIC/stateOfUnionInline.swf\" quality=\"high\" bgcolor=\"#ffffff\" width=\"189\" height=\"510\" name=\"stateOfUnionInline\" align=\"middle\" allowScriptAccess=\"sameDomain\" type=\"application/x-shockwave-flash\" pluginspage=\"http://www.macromedia.com/go/getflashplayer\" />\r\n</object>\r\n<!--END INLINE FLASH GRAPHIC-->\r\n  \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>There were some notable omissions in Mr. Bush? speech. He did not offer a new proposal for dealing with the long-term financial problems in Medicare and Social Security, although he again identified those entitlement programs as a challenge that must be confronted. Nor did he make the grand gesture that might have spurred Congressional Democrats into the bipartisan talks on entitlements that administration officials insist they want.</p><p>Mr. Bush renewed his call for an overhaul of <a href=\"http://topics.nytimes.com/top/reference/timestopics/subjects/i/immigration_and_refugees/index.html?inline=nyt-classifier\" title=\"More articles about immigration.\">immigration</a> laws, considered one of his best chances to accomplish something big in the current Congress. But in general, his domestic agenda reflected the political constraints of a conservative second-term president facing a newly empowered Democratic-led Congress.</p><p>Aside from energy, the major focus of Mr. Bush? domestic proposals was an effort to expand access to affordable health insurance, by creating a new tax benefit for those buying insurance on their own rather than through their employer. The new benefit would be part of a sweeping change in the tax code under which employer-provided health insurance, which is how more than half of Americans get their coverage, would be treated as taxable income. For decades, those benefits have been exempt from income and payroll taxes.</p><p>In effect, the president is proposing a new standard deduction for health insurance ?$15,000 for families and $7,500 for individuals. That would mean lower taxes for more than 100 million Americans with employer-provided coverage worth less than the standard deduction, Mr. Bush said. But it would raise taxes for about 30 million people with more expensive plans, unless they switched to less costly alternatives, White House officials said.</p><p>Mr. Bush said the tax proposal was an effort to ?evel the playing field?between Americans buying insurance on their own and those who get it through their employers. ?or the millions of other Americans who have no health insurance at all, this deduction would help put a basic private health insurance plan within their reach,?he said. ?hanging the tax code is a vital and necessary step to making health care affordable for more Americans.? </p><p>Democrats, labor unions and some consumer advocates said the proposal would shake the foundations of the nation? health insurance system, still largely built around the workplace.</p><p>Congressional Democrats described the plan as a middle-class tax increase that would penalize people with good health benefits. They praised the new focus on health care, but said the Bush proposal was more likely to yield partisan debate than a search for consensus.</p><p> ?t? difficult to imagine a proposal like this making it through the House or the Senate,?said a spokesman for Senator <a href=\"http://topics.nytimes.com/top/reference/timestopics/people/r/harry_reid/index.html?inline=nyt-per\" title=\"More articles about Harry Reid.\">Harry Reid</a> of Nevada, the Democratic leader.</p><p>Representative <a href=\"http://topics.nytimes.com/top/reference/timestopics/people/r/charles_b_rangel/index.html?inline=nyt-per\" title=\"More articles about Charles B. Rangel.\">Charles B. Rangel</a>, Democrat of New York and chairman of the Ways and Means Committee, said, ? cannot conceive of this as an olive branch, as an attempt to get something done.?</p><p>Representative Pete Stark, Democrat of California and chairman of the Ways and Means Subcommittee on Health, said his panel would not consider Mr. Bush? proposal.</p><p>Prospects were less grim for immigration legislation. Mr. Bush renewed his push for a law that would toughen border security, grant legal status to the nation? illegal immigrants and create a temporary worker program to ensure a steady flow of foreign workers to businesses.</p><p> The proposal, which would also toughen criminal and financial penalties for employers who hire illegal immigrants, has a much stronger chance of passage in a Democratic-led Congress this year than it did when <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/r/republican_party/index.html?inline=nyt-org\" title=\"More articles about Republican Party\">Republicans</a> were in control, lawmakers of both parties say. </p><p>Leading Democrats in the Senate, who have consulted with Mr. Bush in recent weeks, expect to introduce legislation next month. House Democrats expect to follow.</p><p>But passage is far from assured. The A.F.L-C.I.O, which is expected to have more leverage in this Congress, is determined to scuttle the temporary worker program, saying it threatens to replace American workers with foreigners. Administration officials emphasized on Tuesday that the program would have to be ?ruly temporary,?which left some advocates for immigrants concerned that Mr. Bush might oppose a path to permanent residency or citizenship for temporary workers.</p><p>And some moderate Democrats, along with conservative Republicans, strongly oppose proposals that would legalize illegal immigrants, saying they amount to an amnesty for lawbreakers. </p><p>Still, critics and proponents of the legislation alike agree that this year offers Mr. Bush his best opportunity to build a bipartisan consensus on the issue. His focus on the need for immigrants to assimilate ?by learning English and integrating more deeply into American society ?may be intended to help ease concerns among some of his Republican supporters and some moderate Democrats. </p><p>Mr. Bush also returned to the signature bipartisan accomplishment of his first term, the No Child Left Behind legislation that requires schools to demonstrate yearly progress in students?achievements. He urged Congress to renew the law. </p><p><span class=\"bold\"> </span></p><NYT_AUTHOR_ID><p id=\"authorId\">Rachel L. Swarns and Diana Jean Schemo contributed reporting.</p></NYT_AUTHOR_ID><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1293','1','\n\n\n	 <p><span class=\"bold\">THE FACTS</span> Some call it nature? tranquilizer, able to smooth away stress and lift the spirits. But are the stress-reducing powers of tea fact or fiction?</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<div class=\"enlargeThis\"><a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23really_ready.html\', \'23really_ready\', \'width=508,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">Enlarge This Image</a></div>\n<a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23really_ready.html\', \'23really_ready\', \'width=508,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/22/science/vital.2.190.jpg\" width=\"190\" height=\"195\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\"></div>\n<p class=\"caption\">\n</p>\n</div>\n  \n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Although the association between tea and relaxation dates back centuries, few independent scientific studies have put that idea to the test. Much of the research has been focused only on animals. But a new study on humans suggests that it may hold only a sliver of truth.</p><p>The <a href=\"http://www.springerlink.com/content/m226111566k24u65/fulltext.html\" title=\"Read the Article.\" target=\"new\">study</a> was published this month in the journal Psychopharmacology and financed by the British Heart Foundation. It found that adult men who drank black tea four times a day for six weeks reacted no differently in the face of stress from  men  given a caffeinated placebo. But there was some indication that they were able to calm down more quickly.</p><p>The two groups in the study, consisting  of about 75 men who were forced to give up their normal caffeinated beverages,  were subjected to stressful social situations while their <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/bloodpressure/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about blood pressure.\">blood pressure</a>, hormone levels and other indicators of stress were measured. All of the subjects showed the same substantial increases  in those measures, with no positive effect on heart rate or blood pressure in the tea group. But those who drank tea had slightly lower levels of the stress hormone cortisol an hour later, suggesting that their levels of the hormone were returning to baseline sooner.</p><p>Whether that has any long-term benefit is unclear. Previous studies on animals have pointed to sedative effects of certain compounds in tea, but so far the evidence is weak.</p><p><span class=\"bold\">THE BOTTOM LINE</span> There is some evidence, but not much, that tea  affects stress levels.</p><NYT_TAGLINE>\n<p><i><a href=\"mailto:scitimes@nytimes.com\">scitimes@nytimes.com</a></i></p>\n</NYT_TAGLINE><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1294','1','\n\n\n	 <p>As the self-described ?an who would not die,?the humor columnist <a href=\"http://topics.nytimes.com/top/reference/timestopics/people/b/art_buchwald/index.html?inline=nyt-per\" title=\"More articles about Art Buchwald.\">Art Buchwald</a> was a strange bedfellow with the hospice movement. But in the months between the end of his extended hospice stay and his death from kidney failure on Wednesday at age 81, Mr. Buchwald was a living testimonial to the benefits of hospice care. </p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<div class=\"enlargeThis\"><a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23brod_ready.html\', \'23brod_ready\', \'width=378,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">Enlarge This Image</a></div>\n<a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23brod_ready.html\', \'23brod_ready\', \'width=378,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/22/science/brody.190.jpg\" width=\"190\" height=\"278\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\">Stuart Bradford</div>\n<p class=\"caption\">\n</p>\n</div>\n  \n<div id=\"inlineMultimedia\">\n<h4>Multimedia</h4>\n<div class=\"story first\">\n\n\n\n\n\n\n\n<a href=\"http://video.on.nytimes.com/?fr_chl=6efd2cf88059d849bf303c6e8a1cd09c635bfb08&rf=bm\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/18/obituaries/buchwald_190.jpg\" height=\"126\" width=\"190\" alt=\"The Last Word: Art Buchwald \" border=\"0\"><span class=\"mediaType video\">Video Feature</span>\n</a>\n\n\n<h2>\n\n<a href=\"http://video.on.nytimes.com/?fr_chl=6efd2cf88059d849bf303c6e8a1cd09c635bfb08&rf=bm\" >The Last Word: Art Buchwald </a>\n\n</h2>\n<div class=\"clear\"></div>\n</div>\n</div>\n<div id=\"sidebarArticles\">\n<h4>Related</h4>\n<h2><a href=\"http://topics.nytimes.com/top/reference/timestopics/people/b/art_buchwald/index.html\">Times Topics: Art Buchwald</a></h2>\n</div>\n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>What he hoped to do, he wrote in his recently published book, ?oo Soon to Say Goodbye?(Random House, 2006), was make ?ospice?a household word.  ?nless they?e had some experience with it, the hospice is still a mystery to most people,?he wrote. ?ecause hospice deals with death, people tend not to talk about it.?/p><p>Early last year, Mr. Buchwald wrote, after his kidneys failed, after he lost half a leg and after doctors told him he would have to be on dialysis for the rest of his life, he decided ?nough already.?So he moved from a critical care bed to a comfortable room in a lovely hospice in Washington, D.C., to await his death, which his doctor expected would come in a few weeks.</p><p>But Mr. Buchwald managed to charm the Angel of Death. He did not die. Instead, his kidneys rebounded while he entertained a steady stream of visits from the rich and famous and ordinary in his hospice living room. And while his doctors said his kidneys would surely crash again soon, they did not.  Finally, after five months of having ? swell time ?the best time of my life,?Mr. Buchwald checked himself out of hospice to resume an ordinary life of a famous old funny man.</p><p>He continued to write his column and  he worked on his book, in which he provided a first-hand account of the advantages of hospice. </p><p>?he hospice gives a person the opportunity to die with dignity,?he wrote. ?t provides care, help, and as much comfort as possible.?</p><p>And not just for the person who is dying. As Mr. Buchwald described his experience, ?hen the patient enters the hospice, an entire team sets to work to meet the family? needs ?a doctor, a team of nurses, a case manager, a social worker, a chaplain, a nursing assistant, a bereavement coordinator, and of course, the volunteers,?who give nurses more time to spend with patients by answering phones, screening calls and running errands.</p><p><span class=\"bold\">An Underused Service</span></p><p>Hospice services, in institutional settings or at home, benefit only about one person in three who dies in this country. ?here are still over one million Americans who die each year without receiving hospice or hospice-type services that would have benefited them and their families,?according to a report, ?ccess to Hospice Care,?produced in 2003 by the Hastings Center.</p><p>And for most who do get hospice care, the benefit is short-lived, with the average patient receiving care for less than three weeks, 1 person in 3 for the last week of life, and 1 person in 10 for the last day of life. </p><p>With time in hospice so short, staff members often lack the  opportunity to provide optimum care for a dying patient? physical and emotional needs. It can take days or weeks to determine the best way to control a patient? pain, to help a patient tie up life? loose ends and to fulfill a patient? spiritual and emotional needs.</p><p>The most common report from families after a loved one? death is regret that hospice had not been called in sooner. In a study of 275 patients, families that benefited from hospice thought three months would have been optimal and that less than three weeks was too short. </p><p>There are several reasons that more patients do not go into hospice care earlier. One is the Medicare-dictated requirement that patients entering hospice forgo life-prolonging treatment for their disease and waive coverage that would pay for such treatment. Some patients or their families refuse to stop therapy for a fatal disease, even when it is obviously not helping.</p><p>Only comfort care is covered through the hospice benefit, and patients sometimes have to fight for therapies to control distressing symptoms, like blood or platelet transfusions, that may coincidentally prolong their lives.</p><p>Medicare also requires that the doctor referring someone for hospice care must certify that the patient is expected to die within six months. Doctors ?as was the case with Mr. Buchwald ?are notoriously poor at predicting life expectancy unless patients are within days or hours of death. And for most life-threatening chronic diseases ?congestive heart failure, kidney failure ?it is impossible to predict longevity with the precision that Medicare requires.</p><div id=\"pageLinks\"><ul id=\"pageNumbers\"><li> 1 </li><li> <a onClick=\"s_code_linktrack(\'Article-MultiPagePageNum2\');\" title=\"Page 2\" href=\"?pagewanted=2&_r=5\">2</a> </li></ul><a class=\"next\" onClick=\"s_code_linktrack(\'Article-MultiPage-Next\');\" \n             title=\"Next Page\"\n             href=\"?pagewanted=2&_r=5\">Next Page &#x00bb;</a></div><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1295','1','\n\n\n	 <p>A graduate school application can go sour in as many ways as a blind date. The personal essay might seem too eager, the references too casual. The admissions officer on duty might be nursing a grudge. Or a hangover.</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n  \n<div id=\"inlineReadersOpinion\">\n<h4>Readers&#8217; Opinions</h4>\n<div class=\"story\">\n</div>\n<!--begin comments promo -->\r\n<div class=\"story\">\r\n<ul class=\"refer\"><li style=\"background-image:none;padding-left:0;\"><IMG src=\"http://graphics8.nytimes.com/images/section/opinion/comment_icon.gif\" border=\"0\" alt=\"Comment\" style=\"vertical-align:middle;margin-right:3px;padding-top:3px\"><a href=\"http://news.blogs.nytimes.com/2007/01/22/do-you-believe-in-magic/\">Read Comments</a></li><!--<li><a href=\"http://news.blogs.nytimes.com/2007/01/22/do-you-believe-in-magic/\">Read Comments</a></li>--></ul></div>\r\n<!--end comments promo -->\n</div>\n   \n<div class=\"image\">\n<div class=\"enlargeThis\"><a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23magic2_ready.html\', \'23magic2_ready\', \'width=670,height=513,scrollbars=yes,toolbars=no,resizable=yes\')\">Enlarge This Image</a></div>\n<a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23magic2_ready.html\', \'23magic2_ready\', \'width=670,height=513,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/22/science/magic.front.190.jpg\" width=\"190\" height=\"181\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\">Tony Cenicola/The New York Times</div>\n<p class=\"caption\">\n</p>\n</div>\n  \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Rachel Riskind of Austin, Tex., nonetheless has a good feeling about her chances for admittance to the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_michigan/index.html?inline=nyt-org\" title=\"More articles about the University of Michigan.\">University of Michigan</a>? exclusive graduate program in psychology, and it? not just a matter of her qualifications. </p><p>On a recent afternoon, as she was working on the admissions application, she went out for lunch with co-workers. Walking from the car to the restaurant in a misting rain, she saw a woman stroll by with a Michigan umbrella. </p><p>? felt it was a sign; you almost never see Michigan stuff here,?said Ms. Riskind, 22. ?nd I guess I think that has given me a kind of confidence. Even if it? a false confidence, I know that that in itself can help people do well.?/p><p>Psychologists and anthropologists have typically turned to faith healers, tribal cultures or New Age spiritualists to study the underpinnings of belief in superstition or magical powers. Yet they could just as well have examined their own neighbors, lab assistants or even some fellow scientists. New research demonstrates that habits of so-called magical thinking ?the belief, for instance, that wishing harm on a loathed colleague or relative might make him sick ?are far more common than people acknowledge. </p><p>These habits have little to do with religious faith, which is much more complex because it involves large questions of morality, community and history. But magical thinking underlies a vast, often unseen universe of small rituals that accompany people through every waking hour of a day.</p><p>The appetite for such beliefs appears to be rooted in the circuitry of the brain, and for good reason. The sense of having special powers buoys people in threatening situations, and helps soothe everyday fears and ward off mental distress. In excess, it can lead to compulsive or delusional behavior. This emerging portrait of magical thinking helps explain why people who fashion themselves skeptics cling to odd rituals that seem to make no sense, and how apparently harmless superstition may become disabling.</p><p>The brain seems to have networks that are specialized to produce an explicit, magical explanation in some circumstances, said Pascal Boyer, a professor of psychology and anthropology at <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/w/washington_university/index.html?inline=nyt-org\" title=\"More articles about Washington University\">Washington University</a> in St. Louis. In an e-mail message, he said such thinking was ?nly one domain where a relevant interpretation that connects all the dots, so to speak, is preferred to a rational one.?</p><p>Children exhibit a form of magical thinking by about 18 months, when they begin to create imaginary worlds while playing. By age 3, most know the difference between fantasy and reality, though they usually still believe (with adult encouragement) in Santa Claus and the Tooth Fairy. By age 8, and sometimes earlier, they have mostly pruned away these beliefs, and the line between magic and reality is about as clear to them as it is for adults.</p><p>It is no coincidence, some social scientists believe, that youngsters begin learning about faith around the time they begin to give up on wishing. ?he point at which the culture withdraws support for belief in Santa and the Tooth Fairy is about the same time it introduces children to prayer,?said Jacqueline Woolley, a professor of psychology at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_texas/index.html?inline=nyt-org\" title=\"More articles about University of Texas\">University of Texas</a>. ?he mechanism is already there, kids have already spent time believing that wishing can make things come true, and they?e just losing faith in the efficacy of that.?/p><p>If the tendency to think magically were no more than self-defeating superstition, then over the pitiless history of human evolution it should have all but disappeared in intellectually mature adults. </p><p>Yet in a series of experiments published last summer, psychologists at Princeton and <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/h/harvard_university/index.html?inline=nyt-org\" title=\"More articles about Harvard University.\">Harvard</a> showed how easy it was to elicit magical thinking in well-educated young adults. In one instance, the researchers had participants watch a blindfolded person play an arcade basketball game, and visualize success for the player. The game, unknown to the subjects, was rigged: the shooter could see through the blindfold, had practiced extensively and made most of the shots. </p><p>On questionnaires, the spectators said later that they had probably had some role in the shooter? success. A comparison group of participants, who had been instructed to visualize the player lifting dumbbells, was far less likely to claim such credit. </p><p>In another experiment, the researchers demonstrated that young men and women instructed on how to use a voodoo doll suspected that they might have put a curse on a study partner who feigned a headache. And they found, similarly, that devoted fans who watched the 2005 Super Bowl felt somewhat responsible for the outcome, whether their team won or lost. Millions in Chicago and Indianapolis are currently trying to channel the winning magic.</p><div id=\"pageLinks\"><ul id=\"pageNumbers\"><li> 1 </li><li> <a onClick=\"s_code_linktrack(\'Article-MultiPagePageNum2\');\" title=\"Page 2\" href=\"?pagewanted=2&_r=5\">2</a> </li></ul><a class=\"next\" onClick=\"s_code_linktrack(\'Article-MultiPage-Next\');\" \n             title=\"Next Page\"\n             href=\"?pagewanted=2&_r=5\">Next Page &#x00bb;</a></div><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1296','1','\n\n\n	 <p>I carry the card in the glove compartment of my car. It is not a Valentine? card from my wife, or a graduation card from my mother. It is a simple greeting card, with a cheerful watercolor of wildflowers, sent to me by a patient I cared for after moving to Memphis.</p>      <p>She was an attractive 34-year-old medical detailer who was engaged to be married until she became inexplicably short of breath. First her doctors thought it was <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/asthma/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about asthma.\">asthma</a>, then <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/bronchitis/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about bronchitis.\">bronchitis</a>. </p><p>Finally, after admission to the hospital and a bronchoscopy (a scope to wash her lungs), we discovered that she had pneumonia, of a type common to patients with <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/aids/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about AIDS/HIV.\">AIDS</a>. My patient was H.I.V. positive. </p><p>She recovered from the initial pneumonia, but her CD-4 count ?a measure of the strength of her immune system ?continued to drop, falling as low as 5. (Normal is 500; a count below 200 is defined as AIDS.) We tried several  H.I.V. medicines and enlisted her in a trial of experimental drugs. A few years later she moved out of the state.</p><p>The card reads: </p><p>?ear Dr. Jain,</p><p> ? just wanted to drop you a note to say hello. It? hard to believe I met you nine years ago this summer! I have enjoyed wonderful health & a happy life with my husband. My viral load has been undetectable (H.I.V. infection is fully controlled) for several years & CD-4 over 400 ?vs. 5 when we started. I have so much to be grateful for & wanted to let you know how much I appreciated all you did for me. </p><p>? hope this finds you & your family happy and well. All the Best.?</p><p>On days when my patients are feeling overwhelming pain, suffering or grief ?or on days when the violence in the Middle East becomes unbearable, or when I have done my best and the patient? family threatens a lawsuit ?I pull out the card and reread it. </p><p>Her simple words help me to reconnect to this truth: It is an honor and a privilege to help and heal people,  not just because I am trained to prescribe drugs, administer injections and wield the scalpel, but because I am able to help them at the most difficult time of their lives. By the same token, my patient let me know that she realized the privilege and security of being cared for and treated by a doctor.</p><p>The doctor-patient relationship is more than a commercial transaction between retailers and customers; it is a sacred bond in which both parties are interdependent. It is the place where doctors and patients become allies. </p><p>Much has happened in the medical profession and in society at large to loosen and misfocus that relationship. Medical technology has led to a certain estrangement between doctor and patient, there is the constant threat of <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/malpractice/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about medical malpractice.\">malpractice</a> suits, Medicaid (Tenncare in our state) has unraveled, and then there is confusion over Medicare Part D and the management of the uninsured. All these have contributed to doctors and patients being thrown together almost as adversaries, rather than the allies they are meant to be. </p><p>And yet, as I drive home each evening, the greeting card and a sentence from an ancient Jaina scripture reminds me of my purpose in life. </p><p>Parasparopagraho jivanam, it says: souls render service to one another. </p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1297','1','\n\n\n	 <p>Perhaps you heard it? The wail last month from the labs of heart researchers and the offices of Wall Street analysts?</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<div class=\"enlargeThis\"><a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23cons_ready.html\', \'23cons_ready\', \'width=597,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">Enlarge This Image</a></div>\n<a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23cons_ready.html\', \'23cons_ready\', \'width=597,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/22/science/cons.190.1.jpg\" width=\"190\" height=\"153\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\">Gary Taxali</div>\n<p class=\"caption\">\n</p>\n</div>\n  \n<div id=\"sidebarArticles\">\n<h4>Related</h4>\n<a href=\"http://topics.nytimes.com/top/news/health/columns/theconsumer/\">More The Consumer Columns ?/a>\n</div>\n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Pfizer Inc., the pharmaceutical giant, halted late-stage trials of a <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/cholesterol/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about cholesterol.\">cholesterol</a> drug called torcetrapib after investigators discovered that it increased heart problems ?and death rates ?in the test population. </p><p>Torcetrapib wasn? just another scientific misfire; the drug was to have been a blockbuster heralding the transformation of cardiovascular care. Statin drugs like simvastatin (sold as Zocor) and atorvastatin (Lipitor) lower blood levels of LDL, the so-called bad cholesterol, thereby slowing the buildup of plaque in the arteries. </p><p>But torcetrapib worked primarily by increasing HDL, or good cholesterol. Among other functions, HDL carries dangerous forms of cholesterol from artery walls to the liver for excretion. The process, called reverse cholesterol transport, is thought to be crucial to preventing clogged arteries. </p><p>Many scientists still believe that a statin combined with a drug that raises HDL would mark a significant advance in the treatment of <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/heartdisease/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about heart disease.\">heart disease</a>. But for patients now at high risk of heart attack or stroke, the news is better than it sounds.  An effective HDL booster already exists.  </p><p>It is niacin, the ordinary B vitamin. </p><p>In  its  therapeutic form, nicotinic acid, niacin  can increase HDL as much as 35 percent when taken in high doses, usually about 2,000 milligrams per day. It also lowers LDL, though not as sharply as statins do, and it has been shown to reduce serum levels of artery-clogging triglycerides as much as 50 percent. Its principal side effect is an irritating flush caused by the vitamin? dilation of blood vessels. </p><p>Despite its effectiveness, niacin has been the ugly duckling of heart medications, an old remedy that few scientists cared to examine. But that seems likely to change.</p><p>?here? a great unfilled need for something that raises HDL,?said Dr. Steven E. Nissen, a cardiologist at the Cleveland Clinic and president of the American College of Cardiology. ?ight now, in the wake of  the failure of torcetrapib, niacin is really it. Nothing else available is that effective.?/p><p>In 1975, long before  statins, a landmark study of 8,341 men who had suffered heart attacks found that niacin was the only treatment among five tested that prevented second heart attacks. Compared with men on placebos, those on niacin had a 26 percent reduction in heart attacks and a 27 percent reduction in strokes. Fifteen years later, the mortality rate among the men on niacin was 11 percent lower than among those who had received placebos.</p><p>?ere you have a drug that was about as effective as the early statins, and it just never caught on,?said Dr. B. Greg Brown, professor of medicine at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_washington/index.html?inline=nyt-org\" title=\"More articles about University of Washington\">University of Washington</a> in Seattle. ?t? a mystery to me. But if you?e a drug company, I guess you can? make money on a vitamin.?/p><p>By and large, research was focused on lowering LDL, and the statins proved to be remarkably effective. The drugs can slow the progress of cardiovascular disease, reducing the risk of heart attack or other adverse outcomes by 25 percent to 35 percent. </p><p>But recent studies suggest that the addition of an HDL booster like niacin may afford still greater protection. </p><p>After analyzing data from more than 83,000 heart patients who participated in 23 different clinical trials, researchers at the University of Washington calculated this month that a regimen that increased HDL by 30 percent and lowered LDL by 40 percent in the average patient would reduce the risk of heart attack or stroke by 70 percent. That is far more than can be achieved by reducing LDL alone.</p><p>Other small studies have produced similarly encouraging results, but some experts caution that the data on increased HDL and heart disease are preliminary.</p><p>Researchers at 72 sites in the United States and Canada are recruiting 3,300 heart patients for a study, led by Dr. Brown and financed by the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/n/national_institutes_of_health/index.html?inline=nyt-org\" title=\"More articles about National Institutes of Health, U.S.\">National Institutes of Health</a>, comparing those who take niacin and a statin with those who take only a statin. This large head-on comparison should answer many questions about the benefits of combination therapy.</p><p>Many cardiologists see no reason to wait for the results. But niacin can be a bitter pill; in rare instances, the vitamin can cause liver damage and can impair the body? use of glucose. High doses should be taken only under a doctor? supervision. </p><p>A more frequent side effect is flushing. It becomes less pronounced with time, and often it can be avoided by taking the pills before bed with a bit of food. Doctors also recommend starting with small doses and working up to larger ones.</p><p>Extended-release formulations of the vitamin, taken once daily, are now available by prescription, and in many patients they produce fewer side effects. And a new Merck drug to counteract niacin-induced flushing is being tested in Britain. If it works, the company plans to bundle the drug with its own extended-release niacin and with Zocor, its popular statin.</p><p>Until then, consider this: If it means preventing a heart attack, maybe it is better to put up with flushing than to wait for the next blockbuster. </p><p>?f you can just get patients to take niacin, HDL goes up substantially,?said Dr. Nissen of the Cleveland Clinic. ?ost of the evidence suggests they?l get a benefit from that.?/p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1298','1','	<p><p>WEDNESDAY, Jan. 24 (HealthDay News) -- President George Bush\'s proposals on fixing the nation\'s health insurance woes, outlined in Tuesday\'s State of the Union speech, just don\'t go far enough to solve the problem, many observers said.</p> <p>\"It\'s just totally inadequate at addressing any of the fundamental issues,\" said Dr. Oliver Fein, professor of medicine and public health at Cornell University and director of Physicians for a National Health Program. \"Let\'s deal with the question of does this have anything to do with universal coverage.\" </p> <p>Fein\'s organization, along with the California Nurses Association, called the proposal \"feeble.\" </p> <p>\"The basic premise is increasing the marketability of health insurance, including changing the tax structure,\" added Dr. A. Mark Fendrick, co-director of the University of Michigan\'s Center for Value Based Insurance Design and a professor in the university\'s medical school and School of Public Health. \"But in expanding health insurance, we must address the issue of cost containment. That\'s the larger issue. None of the proposals at hand basically say how we\'re going to deal with cost growth.\" </p> <p>Others, however, were less critical of the proposal. In a prepared statement, Karen Ignagni, president and CEO of America\'s Health Insurance Plans, said that \"enacting common-sense tax incentives for individuals will go a long way toward helping millions secure and maintain the coverage they need. This plan also recognizes that states are an essential partner in any program to cover the uninsured.\" </p> <p>The proposal, unveiled in the president\'s speech Tuesday night, was two-pronged and intended, Bush said, to \"help more Americans afford their own insurance.\" </p> <p>The first component was a standard tax deduction for health insurance of $15,000 for families and $7,500 for single Americans, regardless of whether they buy their own health insurance or get it through work. According to the president, this reform would mean that 100 million Americans would benefit from lower tax bills, and it would put private health insurance plans within the reach of uninsured Americans. </p> <p>However, \"the administration estimates that 3 to 5 million people will benefit from this proposal,\" Fein pointed out. \"We\'ve got 46.6 million uninsured. That\'s going to leave 42 or 43 million still uninsured. This is not a real step toward universal coverage in any way shape or form.\" </p> <p>\"And, as I read the proposal, it essentially will benefit people who have high incomes,\" Fein continued. \"This isn\'t very beneficial for people who have low incomes.\" </p> <p>Karen Davis, president of The Commonwealth Fund, which focuses on research in health care issues, agreed with that assessment.</p> <p>\"About 95 percent of the uninsured would not benefit substantially from the tax deductions,\" she said in a statement published Wednesday. According to Davis, one Commonwealth Fund report found that \"more than 55 percent of the uninsured have such low incomes that they pay no taxes, while another 40 percent are in the 10 to 15 percent tax bracket.\" Therefore, the proposed help in the form of tax breaks would not reach this population, she said.</p> <p>Carol Pryor, a senior policy analyst at The Access Project, a Boston-based group that advocates access to health care, said, \"Mr. Bush\'s proposal is aimed at leaving more people on their own in the private sector to purchase insurance. And there\'s a lot of research that shows that people in that market are likely to have higher deductibles and spend a greater percentage of their income on medical expenses and be less satisfied with their plans. So this proposal would shift more of the costs to consumers by forcing them into coverage with less comprehensive policies and it wouldn\'t protect people that it claimed to protect.\"</p> <p>President Bush\'s second proposal would provide federal funds to states to subsidize private insurance to people who earn too much to qualify for Medicaid. </p> <p>Bush also called for expanding Health Savings Accounts and for helping small businesses through Association Health Plans. </p> <p>The proposals came under general criticism for relying on private health insurance which, Fein said, \"is, in fact, the most expensive form of insurance that we have in this country, has the highest administrative costs and gives the least money to providers.\" </p> <p>\"All this ties in with the idea that consumers are going to make important health care decisions,\" Fendrick added. \"Allowing consumers to make their own health care spending decisions will likely save money in the short term, but the fact that people will buy less of essential medical services if left to their own decision-making may ultimately decrease health.\"</p> <p>However, despite their reservations, observers were happy that the issue of health care reform is now firmly on the table. </p> <p>\"The president is responding to the fact that there are now people out there really talking about universal coverage. That\'s very exciting,\" Fein said. \"He couldn\'t neglect putting something in the State of the Union, but to put forward a proposal that is basically unacceptable just doesn\'t make a lot of sense. It doesn\'t accomplish the goals.\" </p> <p><b>More information</b></p> <p>View the full text of the speech at the <a href=\"http://www.whitehouse.gov/news/releases/2007/01/20070123-2.html\" target=\"_new\">White House</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1299','1','	<p><!--Spanish ID: 601275 --> <p>WEDNESDAY, Jan. 24 (HealthDay News) -- Most endurance athletes with an irregular heartbeat called ventricular arrhythmia have dysfunction in their heart\'s right ventricle, European researchers report.</p> <p>Ventricular arrhythmia is a condition in which the heart beats at an abnormal rate and rhythm, sometimes resulting in sudden death in otherwise healthy athletes. There are many underlying causes to the condition, which is often due to inherited problems, according to background information in the article.</p> <p>Previous research has found that in endurance athletes with ventricular arrhythmias (such as runners and cyclists), the condition is often the result of a problem in the heart\'s right ventricle. Ventricles are those chambers of the heart that pump blood back out to the body.</p> <p>In this study, Belgian researchers at the University of Leuven examined 22 endurance athletes with ventricular arrhythmia and compared them to 15 endurance athletes without the condition, as well as to a control group of non-athletes without ventricular arrhythmia.</p> <p>The researchers concluded that the right ventricle was the definite or probable source of the defect in 82 percent of the athletes with the condition.</p> <p>Endurance exercise itself may contribute to ventricular arrhythmia, the study authors suggested.</p> <p>\"The hypothesis that high-level endurance exercise is an underlying cause of the ventricular arrhythmia is supported by other studies,\" study team leader Hein Heidbuchel, professor of cardiology/electrophysiology, said in a prepared statement.</p> <p>However, Heidbuchel added that ventricular arrhythmias aren\'t common, and endurance athletes don\'t need to worry about them too much.</p> <p>\"But they need to be vigilant and honest with themselves: If they have a family history of arrhythmogenic right ventricular cardiomyopathy (ARVC), arrhythmias, sudden death or other heart complaints, or if they have experienced exercise-induced light-headedness, palpitations or fainting, then they should see their doctor for an evaluation,\" Heidbuchel said.</p> <p><b>More information</b></p> <p>The American Academy of Family Physicians has more about <a href=\"http://familydoctor.org/286.xml\" target=\"_new\">arrhythmia</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1300','1','	<p><p>(HealthDay News) -- Here are the latest clinical trials, courtesy of <b>Thomson CenterWatch</b>:</p> <p><span class=\"subhead\"><b> Ear Infections </b></span></p><p> Parents, are you frustrated with your child\'s ear infections -- even though your child has ear tubes? Your child may qualify for this study of an investigational medication to treat middle ear infections in children with ear tubes. He or she may be eligible if between six months and 12 years old, has had ear tubes longer than 72 hours that are in working order, and has otorrhea for 21 days or less duration that\'s visible by parent/guardian.</p><p>The research site is in Madisonville, Ky. </p><p><b>More information</b></p><p>Please see <a href=\" http://www.centerwatch.com/patient/studies/cat176.html\" target=\"_new\"> http://www.centerwatch.com/patient/studies/cat176.html</a>.</p> <p>-----</p> <p><span class=\"subhead\"><b> Diabetes - Type 2 </b></span></p><p> This trial will evaluate an investigational inhaled insulin for a period of 24 weeks. Volunteers may be eligible if they are ages 18 to 80, have had a clinical diagnosis of type 2 diabetes for at least six months, are receiving metformin and a secretagogue combination therapy, and have been non-smoking for at least six months.</p><p>The research site is in Tacoma, Wash. </p><p><b>More information</b></p><p>Please see <a href=\"http://www.centerwatch.com/patient/studies/cat603.html\" target=\"_new\">http://www.centerwatch.com/patient/studies/cat603.html</a>.< /p> <p>-----</p> <p><span class=\"subhead\"><b> Post Menopause </b></span></p><p> This study will evaluate an investigational oral drug to determine if it safely and effectively treats postmenopausal symptoms. You may be eligible if you are between the ages of 40 and 80 and have postmenopausal symptoms. Qualified participants will receive all study-related care and study drug at no cost.</p><p>The research site is in Huntsville, Ala. </p><p><b>More information</b></p><p>Please see <a href=\"http://www.centerwatch.com/patient/studies/cat274.html\" target=\"_new\">http://www.centerwatch.com/patient/studies/cat274.html</a>.< /p> <p>-----</p> <p>Copyright 2007 <a href=\"http://www.centerwatch.com/patient/trials.html\" target=\"_new\">Thomson CenterWatch</a>. All rights reserved.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1301','1','	<p><!--Spanish ID: 601277 --> <p>WEDNESDAY, Jan. 24 (HealthDay News) -- Radon gas is the second leading cause of lung cancer in the United States.</p> <p>But while most Americans know tobacco smoke is the primary trigger for lung cancer, very few are aware of the risks posed by radon -- or that dangerous levels of the gas can be found in many homes.</p> <p>\"Radon is an invisible, odorless, tasteless gas that can be in your home and you not even know it,\" said Bill Wehrum, acting assistant administrator of the Environmental Protection Agency\'s Office Air and Radiation. \"There are about 20,000 deaths per year attributable to lung cancer caused by radon exposure.\"</p> <p>January is National Radon Action Month, and the EPA is urging people to get their homes tested. Only one in five homeowners has actually tested for the gas, according to the agency.</p> <p>Radon gas is created by the natural breakdown of uranium in soil, rock and water. It can travel up through the ground and seep into buildings and homes through cracks and other holes in the foundation. When it gets trapped inside a home, radon can build up to dangerous levels.</p> <p>Radon causes lung cancer by decaying into radioactive products that can become lodged in your lungs when you inhale them, said Andrew Gelman, professor of statistics and political science at Columbia University.</p> <p>\"Your risk of having a high level of radon depends on whether you have a basement, use your basement as a living area, and where you live,\" he said.</p> <p>It\'s estimated that about one of every 15 homes in the United States has elevated radon levels. Testing is the only way to know if your home is safe. The EPA recommends testing all homes below the third floor.</p> <p>There are two types of tests -- short-term and long-term. Most short-term tests remain in your home for a couple of days to a week, while long-term tests usually remain in your home for a year. The tests measure the amount of radon in the air in \"picocuries per liter of air,\" or \"pCi/L.\"</p> <p>Gelman suggests the yearlong test if you can afford it -- about $50 -- because it\'s more accurate than short-term tests.</p> <p>The EPA recommends a short-term test (about $15) first, since it\'s more convenient. If the results are 4 pCi/L or higher, the agency recommends that you follow up with either a long-term test or second short-term test. If the long-term test or the average of two short-term tests is 4 pCi/L or higher, the EPA says you should take steps to safeguard your home.</p> <p>A qualified professional can install a radon-reduction system that will cost around $2,000. The system works by using a pipe and simple fan to draw air from beneath the home to prevent radon-containing air from migrating from the soil up through the basement and into the home, Gelman said.</p> <p>\"There is a real public health issue here,\" Wehrum said. \"What we have to do is persuade people that it is important to test their homes and to act if the test indicates that there is a problem.\"</p> <p>Still unsure whether you should test your home?</p> <p>Gelman and his colleagues have developed a Web site called the \"Radon Project\" (www.stat.columbia.edu/~radon/), which includes a test that assesses a homeowner\'s risk of dangerous levels of radon in the house.</p> <p><b>More information</b></p> <p>The EPA has more about <a href=\"http://www.epa.gov/radon/\" target=\"_new\">radon</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1302','1','	<p><p>Here are some of the latest health and medical news developments, compiled by editors of <i>HealthDay:</i></p> <p><span class=\"subhead\"><b>Heart Meds Costliest Class of Drugs in 2004: U.S. Report</b></span></p> <p>American adults spent $32 billion on cardiovascular drugs in 2004, making them the costliest class of prescription drugs for people age 18 and over, according to a U.S. Agency for Healthcare Research and Quality (AHRQ) report released Wednesday.</p> <p>The other classes of drugs in the top five were: hormones ($25 billion); central nervous system drugs used to treat pain and control seizures ($24 billion); cholesterol-lowering medications ($22 billion); antidepressants and other psychotherapeutic drugs ($18 billion).</p> <p>In total, these five classes of drugs accounted for two-thirds of the $181 billion spent by American adults on outpatient prescription drugs in 2004.</p> <p>The AHRQ also found that the top five classes of drugs prescribed for Medicare beneficiaries age 65 and older in 2004 were: cardiovascular drugs ($17 billion); cholesterol-lowering drugs ($10 billion); hormones ($8 billion); central nervous system drugs ($7 billion); gastrointestinal drugs ($6 billion).</p> <p>Spending on these drugs accounted for about 75 percent of the $65 billion spent on all prescription drugs for Medicare beneficiaries age 65 and older in 2004.</p> <p>-----</p> <p><span class=\"subhead\"><b>New Generation Birth-Control Pills Highly Effective: FDA</b></span></p> <p>Recent news stories have created misconceptions about the effectiveness of newer generation birth-control pills, according to the U.S. Food and Drug Administration.</p> <p>The agency said the stories inaccurately reported that the newer birth-control pills are much less effective at preventing pregnancy than pills that were approved decades ago. In fact, the newer products are highly effective at preventing pregnancy, the FDA said in a news release issued Tuesday.</p> <p>The agency also said the news stories mistakenly reported that a meeting this week of the FDA\'s Reproductive Health Drugs Advisory Committee was called to discuss the need for higher standards of effectiveness for newer generation birth-control pills.</p> <p>In fact, the two-day meeting was called to discuss clinical trial designs that reflect the diversity of birth-control pill users, expectations for effectiveness and safety, and user acceptability of newer generation products, the FDA said.</p> <p>The advisers concluded Wednesday that birth-control pills sometimes fail, but setting limits on how often that could happen would put newer, low-dose contraceptives off limits to women, the <i>Associated Press</i> reported.</p> <p>-----</p> <p><span class=\"subhead\"><b>Fetal Nicotine Exposure Causes Brain Changes Linked to Addiction</b></span></p> <p>Smokers who are trying to quit may find it especially difficult if their mother smoked during pregnancy, say researchers at Duke University Medical Center.</p> <p>It\'s known that exposure to nicotine in the womb alters areas of the brain that play important roles in learning, memory and reward. This new study suggests that these changes may program the brain for relapse to nicotine addiction.</p> <p>The Duke team found that rodents that were exposed to nicotine while in the womb self-administered more nicotine after periods without the drug than rodents that had no prenatal exposure to nicotine. The findings were published online this week in the journal <i>Pharmacology</i>.</p> <p>The study results suggest that pregnant women should not smoke or use nicotine products such as patches or gums, the researchers said.</p> <p>\"Smoking during pregnancy can harm the baby in ways that extend far beyond preterm delivery or low birth weight. It causes changes in the brain development of the baby that can last a lifetime,\" lead investigator Edward Levin, professor of biological psychiatry, said in a prepared statement.</p> <p>-----</p> <p><span class=\"subhead\"><b>High-Fiber Diet May Cut Breast Cancer Risk: Study</b></span></p> <p>Eating large amounts of fiber could help premenopausal women reduce their risk of breast cancer by half, suggests a British study in the <i>International Journal of Epidemiology</i>.</p> <p>The University of Leeds study of 35,000 pre- and postmenopausal women found that those who ate 30 grams of fiber a day were half as likely to develop breast cancer as women who ate less than 20 grams of fiber a day, <i>BBC News</i> reported.</p> <p>A high-fiber diet did not reduce breast cancer risk in postmenopausal women.</p> <p>The women were ages 35 to 69 at the start of the study and were followed for seven years. They ate a wide range of diets. The positive effect noted in premenopausal women may be linked to how fiber influences the activity of the female hormone estrogen, the researchers said. Premenopausal women have higher estrogen levels than postmenopausal women, <i>BBC News</i> reported.</p> <p>In order to consume 30 grams of fiber a day, a person needs to have high-fiber cereal for breakfast, have five portions of fruit and vegetables a day, and switch from white or brown bread to wholegrain bread.</p> <p>-----</p> <p><span class=\"subhead\"><b>Many High School Football Players Overweight: Study</b></span></p> <p>Overweight linemen are common on U.S. pro and college football teams, and that trend is showing up on high school teams, according to an Iowa State University study.</p> <p>The researchers collected data on the height and weight of 3,686 high school varsity linemen in Iowa and calculated the players\' body mass index, BMI, a ratio of weight to height. The study found that nearly half of the offensive and defensive linemen were overweight, and one in 10 was severely obese, the <i>Associated Press</i> reported.</p> <p>The findings were published Wednesday in the <i>Journal of the American Medical Association</i>.</p> <p>\"These are 15- and 16-year-old boys that have a weight and body mass... that as they enter adulthood puts many at a very adverse health condition,\" study co-author Dr. Joe Eisenmann, professor of pediatric exercise physiology, told the <i>AP</i>.</p> <p>The researchers said they don\'t believe the issue of overweight high school football players is unique to Iowa.</p> <p>\"I suspect that states with an even richer high school football tradition, like Florida and Texas, may have an even bigger problem,\" said study co-author Kelly Laurson, a graduate assistant.</p> <p>-----</p> <p><span class=\"subhead\"><b>Zoo Reports \'Virgin Birth\' of 5 Komodo Dragons</b></span></p> <p>The \"virgin birth\" of five offspring to a Komodo dragon in a British zoo offers new hope for captive breeding of the endangered species, the <i>Associated Press</i> reported.</p> <p>The mother, Flora, became pregnant without mating with a male. Instead, she used an asexual process called pathenogenesis to fertilize her own eggs. After an eight-month gestation period, the eggs began cracking last week. The hatching of the eggs was completed Tuesday with the emergence of the fifth baby dragon, said staff at Chester Zoo in northern England.</p> <p>All the young dragons are in good health, and are between 15.5 and 17.5 inches, the <i>AP</i> reported.</p> <p>The only other recorded case of pathogenesis in a Komodo dragon occurred in a female named Sungai, who lives at London Zoo. She had offspring in April 2006.</p> <p>This birthing ability could improve the chances of survival for the species. There are fewer than 4,000 Komodo dragons left in the wild.</p> <p>-----</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1303','1','	<p><!--Spanish ID: 601276 --> <p>WEDNESDAY, Jan. 24 (HealthDay News) -- Despite claims by zinc supplement manufacturers that the pills can help prevent type 2 diabetes, there is no proof for that notion in randomized clinical trials, a new report concludes.</p> <p>But even though there is no evidence from clinical studies, that doesn\'t mean that zinc has no role in diabetes prevention, say the authors of a research review article in the current issue of <i>The Cochrane Library</i> journal. Laboratory research suggests that zinc does help promote the production and action of insulin, the review authors point out.</p> <p>The problem is a lack of good clinical trials on the issue, the review authors said.</p> <p>They analyzed 192 clinical trials involving zinc, insulin and their use in type 2 diabetes. However, just one of the studies met their content and quality criteria for inclusion in the review. That four-week study of 56 obese women found that zinc did not have an effect on factors associated with the development of diabetes.</p> <p>\"It is important to recognize that this systematic review was left with one trial that treated 56 people with either zinc or a placebo for four weeks and found no effect. This single trial is too small and too short to really tell us anything about the effectiveness of zinc,\" Dr. John Buse, an American Diabetes Association spokesman who was not involved in the review, said in a prepared statement.</p> <p>\"Basically, we know nothing that can definitively guide clinicians in providing advice regarding zinc supplementation in diabetes,\" Buse said.</p> <p><b>More information</b></p> <p>The U.S. National Institute of Diabetes and Digestive and Kidney Diseases has more about <a href=\"http://www.ndep.nih.gov/diabetes/prev/prevention.htm\" target=\"_new\">preventing diabetes</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1304','1','	<p><p>(HealthDay News) -- Cluster headaches are severe headaches that usually cause pain behind or around one eye. The nose may also be red, swollen or runny on the same side as the headache.</p> <p>These headaches do not run in families and do not appear to be related to other conditions, the American Academy of Family Physicians says.</p> <p>The academy says the following factors may trigger cluster headaches:</p> <ul> <li>Certain medications, including nitroglycerin.</li> <li>Frequent smoking.</li> <li>Changes in sleep schedule.</li> <li>An abnormality in the hypothalamus, the part of the brain that controls the body\'s \"biological clock.\"</li> </ul> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1305','1','	<p><p>(HealthDay News) -- In vitro fertilization (IVF) involves fertilizing a woman\'s eggs in a laboratory, then transferring the resulting embryos to the woman\'s uterus.</p> <p>Here are common reasons why a woman may turn to IVF to help her conceive, courtesy of the Duke University School of Medicine:</p> <ul> <li>Scar tissue on the reproductive organs.</li> <li>Damaged fallopian tubes.</li> <li>Endometriosis.</li> <li>Difficulty conceiving with other infertility treatments.</li> <li>Low or abnormal test of the male partner\'s semen.</li> </ul> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1306','1','	<p>Injecting tiny beads into the arteries\nthat feed painful fibroids in the uterus can be better than\nsurgery for most women, even if the long-term risk of\ncomplications is higher, researchers reported on Wednesday.<p/>\nAbout 30 percent of all women over the age of 30 develop\nthe benign tumors, which are responsible for about 13,000\nhysterectomies in Britain alone each year. Fibroids can cause\npain, heavy menstrual bleeding, pressure on the bladder, or\nbowel obstruction.<p/>\nHysterectomy once was the only treatment, but now other\noptions are available, including the bead treatment, known as\nuterine-artery embolization. Once injected, the beads cut off\nthe supply of blood to the fibroids, shrinking or killing them.<p/>\nThe new study, conducted at 27 British hospitals and led by\nJonathan Moss of Gartnavel General Hospital in Glasgow, found\nthat the 106 women who received the treatment fared just as\nwell as the 51 who had the conventional surgery -- either a\nhysterectomy to remove the uterus or a myomectomy to remove the\nfibroids.<p/>\nThe patients getting the beads typically spent one day in\nthe hospital, compared to five days for the women receiving the\nsurgery; they also returned to work sooner.<p/>\nBut one year after the operation, the women who received\nthe surgery were a little less likely to still have\nfibroid-related problems, the researchers reported in\nThursday\'s <span class=\"keyword\"><a href=\"http://us.rd.yahoo.com/DailyNews/manual/nm/hl_nm/fibroids_treatment_dc/21693514/*http://news.search.yahoo.com/search/news?fr=news-storylinks&amp;p=%22New%20England%20Journal%20of%20Medicine%22&amp;c=&amp;n=20&amp;yn=c&amp;c=news&amp;cs=nw\">New England Journal of Medicine</a></span>.<p/>\nTen of the 106 women in the embolization group needed some\ntype of additional treatment for their symptoms during the\nfirst year. \"After the first year of follow-up, 11 additional\nwomen were admitted for the same indication,\" the Moss team\nwrote.<p/>\nFor women whose fibroids are causing problems, \"the faster\nrecovery after embolization must be weighed against the need\nfor further treatment in a minority of patients,\" they said.<p/>\nEmbolization, introduced in 1995, involves cutting into a\nleg artery and snaking a hollow tube into the blood vessels\nthat feed the fibroids. Doctors then release the beads into the\narteries. As the artery narrows, the beads begin to clog it,\nstarving the fibroid of oxygen and nutrients.<p/>\nOne year after treatment, 93 percent of the women who had\nsurgery said they would recommend that option to a friend,\nwhile 88 percent who received embolization said they would\nrecommend the technique.<p/>\nPrevious research has shown that after six years, the\nfibroids return in up to 27 percent of women treated with\nembolization.\n<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1307','1','	<p>A highly contagious form of stomach flu sickened hundreds of passengers during a worldwide voyage on the famed Queen Elizabeth 2 cruise ship in what health officials called an unusually large outbreak.<p/>\nThe Centers for Disease Control and Prevention reported 276 passengers and 28 crew members had come down with norovirus by the time the ship docked Wednesday in San Francisco for a regularly scheduled stop, though only four passengers remained sick.<p/>\nThe <span class=\"keyword\"><a href=\"http://us.rd.yahoo.com/DailyNews/manual/ap/ap_on_he_me/cruise_ship_outbreak/21693628/*http://news.search.yahoo.com/search/news?fr=news-storylinks&amp;p=%22CDC%22&amp;c=&amp;n=20&amp;yn=c&amp;c=news&amp;cs=nw\">CDC</a></span> boarded the QE2 on Friday in Acapulco, Mexico, to investigate the outbreak.<p/>\nInvestigators determined the emergency sanitation measures put in place by the ship\'s crew, from disinfecting casino chips to halting self-service at the ship\'s buffet, were containing the outbreak.<p/>\n\"This one was a good example where they had a lot of cases but they did gain control over the spread of infection,\" Ames said.<p/>\nThe infections affected nearly 17 percent of the ship\'s 1,652 passengers, a particularly high percentage, said Jaret Ames, acting chief of the CDC\'s vessel sanitation program. By comparison, a norovirus outbreak last month aboard the world\'s largest cruise ship, Royal Caribbean\'s Freedom of the Seas, infected 338 passengers out of 3,823, or less than 9 percent.<p/>\nIn rare cases, the elderly and young children can die from dehydration caused by norovirus symptoms. The infection, which ranks second only to the common cold in reported cases, usually clears up in two or three days with no lasting effects.<p/>\nNo passengers have canceled their tickets as a result of the outbreak, said Brian O\'Connor, a spokesman for Cunard Line, the company that operates the QE2.<p/>\nThe ship departed Jan. 8 from New York on the first leg of its 106-day cruise around the world. It was to leave San Francisco for Honolulu on Wednesday night.<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1308','1','<p>For doctors, the continuing education credits required by most states to renew a medical license are a way to bone up on the latest clinical developments while chowing down at some of the country\'s finest restaurants. For drug companies, which provide much of the more than $1.7 billion spent annually on these dinner meetings and conferences, they are an opportunity to help educate physicians who must remain up-to-date in a rapidly changing field.</p><p>But some doctors have complained that industry sponsorship of medical education creates an inherent conflict of interest for physicians at the expense of patients who risk being prescribed drugs they may not need or cannot afford.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<script src=\"http://www.washingtonpost.com/wp-adv/jobs4/javascript/scripts.js\"></script>\n<link href=\"http://www.washingtonpost.com/wp-adv/jobs4/css/jobsboxes.css\" rel=\"stylesheet\" type=\"text/css\">\n<!-- ====================================== -->\n<!-- ========= START JOB SEARCH =========== -->\n<!-- ====================================== -->\n<div class=\"jobsearch\">\n<div class=\"jobsbox228\">\n<div class=\"boxpad\">\n<div class=\"titleimg\"><img src=\"http://media.washingtonpost.com/wp-adv/jobs4/images/title-job_search_228.gif\" alt=\"Job Search\" /></div>\n<div style=\"margin-bottom:10px;\">\n<img src=\"http://media.washingtonpost.com/wp-dyn/content/graphic/2006/11/27/GR2006112700853.jpg\" style=\"height:72px;width:80px;float:left;margin-right:7px;\"/>\n<div class=\"job_search_header1\">Your Co-Workers Like McSteamy?</div>\n<p class=\"job_search_text\">We can help you find the right work environment with competitive benefits.</p>\n<div class=\"clearboth\"></div>\n</div>\n<div class=\"job_search_header3\">Nursing, Allied Health:&nbsp;<a href=\"http://www.washingtonpost.com/wp-srv/jobs/DC-health-care-jobs.html?nav=apj\" class=\"font3\">Get a New Job</a></div>\n</div>\n</div>\n</div>\n<!-- ====================================== -->\n<!-- =========== END JOB SEARCH =========== -->\n<!-- ====================================== -->\n\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433_Technorati.html\') ;\ntechnorati.article = new item(\'Hold the Hors d\\\'Oeuvres\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433.html\',\'For doctors, the continuing education credits required by most states to renew a medical license are a way to bone up on the latest clinical developments while chowing down at some of the country\\\'s finest restaurants. For drug companies, which provide much of the more than $1.7 billion spent annually on these dinner meetings and conferences, they are an opportunity to help educate physicians who must remain up-to-date in a rapidly changing field....\',\'Sandra G. Boodman\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433.html%3Freferrer=digg&title=Hold the Hors d\'Oeuvres&bodytext=For doctors, the continuing education credits required by most states to renew a medical license are a way to bone up on the latest clinical developments while chowing down at some of the country\'s finest restaurants. For drug companies, which provide much of the more than $1.7 billion spent annually on these dinner meetings and conferences, they are an opportunity to help educate physicians who must remain up-to-date in a rapidly changing field....\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Hold the Hors d\'Oeuvres&labels=&annotation=For doctors, the continuing education credits required by most states to renew a medical license are a way to bone up on the latest clinical developments while chowing down at some of the country\'s finest restaurants. For drug companies, which provide much of the more than $1.7 billion spent annually on these dinner meetings and conferences, they are an opportunity to help educate physicians who must remain up-to-date in a rapidly changing field....&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433.html%3Freferrer=delicious&title=%22Hold the Hors d\'Oeuvres: Program Helps Doctors Stay Current Without Accepting Drugmakers\' Meals%22 By Sandra G. Boodman&notes=For doctors, the continuing education credits required by most states to renew a medical license are a way to bone up on the latest clinical developments while chowing down at some of the country\'s finest restaurants. For drug companies, which provide much of the more than $1.7 billion spent annually on these dinner meetings and conferences, they are an opportunity to help educate physicians who must remain up-to-date in a rapidly changing field....\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433.html%3Freferrer=yahoo&title=Hold the Hors d\'Oeuvres&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433.html%3Freferrer=reddit&title=Hold the Hors d\'Oeuvres\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Hold the Hors d\\\'Oeuvres\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>\"If you\'re a doctor, you can refuse to see drug reps in your office, but you can\'t avoid CMEs,\" said physician Adriane Fugh-Berman, a longtime critic of industry funding of continuing medical education programs. While these courses appear impartial, said Fugh-Berman, an associate professor in the department of physiology at Georgetown University School of Medicine, they can be an integral but largely unscrutinized part of a covert marketing campaign to convince doctors that a disease or condition is pervasive, under-diagnosed and best treated by writing a prescription.</p><p>Two weeks ago, armed with a $400,000 grant, Fugh-Berman and several Georgetown colleagues launched PharmedOut, a free, Internet-based alternative for doctors seeking CME courses devoid of industry funding. The site ( <a href=\"http://www.pharmedout.org\" target=\"\">http:/<wbr/>/<wbr/>www.pharmedout.org</a>) lists more than 200 online classes available to doctors at no cost, many of them sponsored by federal agencies such as the Food and Drug Administration and the National Institutes of Health. It also includes links to studies exploring the role of drug company funding in medical education and research, as well as a YouTube interview with a former drug salesman who candidly discusses the ways he deflected doctors\' concerns about a widely prescribed psychiatric drug that has been linked to massive weight gain and diabetes.</p><p>PharmedOut is one of about two dozen projects across the country designed to teach doctors and nurses to critically evaluate information about drugs and to direct them to unbiased information. The projects are funded by a $21 million grant through the Attorney General Consumer and Prescriber Grant Program, which was created as part of a 2004 settlement by Warner-Lambert involving the drugmaker\'s illegal promotion of the widely used epilepsy drug Neurontin.</p><p>The second phase of the program, which is being administered by the Center for Evidence-Based Policy at the Oregon Health &amp; Science University, will provide similar educational programs targeted at consumers.</p><p>Interest in the overt and covert ways drug companies influence doctors has mushroomed in the past few years, experts say, fueled in part by concerns about the safety of prescription drugs, exemplified by the now-withdrawn blockbuster pain medication Vioxx, coupled with the skyrocketing cost of pharmaceuticals. Much of the attention has focused on the influence of salespeople who frequent doctors\' offices touting new medicines, dropping off free samples and buying lunch for the staff.</p><p>More recently there has been debate about drug companies\' influence on the outcome of scientific studies it finances, and on medical education, including residency training programs.</p><p>Scott Lassman, senior assistant general counsel of the pharmaceutical trade group PhRMA, said that drug manufacturers do not wield undue influence in continuing education because the content of CME courses is \"completely independent\" and not designed or dictated by drug companies.</p><p>Firms \"fund it because they feel it is an important part of medical education,\" Lassman said, and are fulfilling \"a corporate responsibility\" by bankrolling courses.</p><p>There is no dispute that CMEs are big business. According to the Accreditation Council for Continuing Medical Education, which oversees the courses, more than $1.7 billion was spent on CME programs in 2005, more than double the $842 million reported in 1998.</p><p>About $1 billion comes from drug companies, Fugh-Berman noted in an article posted last year in Virtual Mentor, an online ethics journal published by the American Medical Association.</p></div></div><br clear=\"all\">\n<div align=\"right\"><table width=\"100%\" cellpadding=\"2\" cellspacing=\"0\" border=\"0\"><tr><td align=\"right\"><font face=\"arial,sans-serif\" color=\"#CC0000\" size=\"-1\"><b>CONTINUED</b></font>&nbsp;&nbsp;&nbsp;&nbsp; <b><font face=\"arial,sans-serif\" size=\"3\" color=\"#CC0000\">1</font> &nbsp;&nbsp; <font face=\"arial,sans-serif\" size=\"3\"><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433_2.html\">2</a></noscript></font></b> &nbsp;&nbsp;&nbsp;<font face=\"arial, ms sans serif, sans-serif\" size=\"3\"><b><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901433_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1309','1','<p><i></i></p><p><i></i>So, you think you\'re stressed? Get a load of this dream I had last week.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<div class=\"media_photo\"><!--link rel=\"image_src\" href=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/19/PH2007011901437.jpg\"/--><div style=\"float:left;position:relative;top:14px;\"><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-dyn/content/photo/2007/01/19/PH2007011901442.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-srv/photo/largerPhoto/images/enlarge_tab.gif\" width=\"103\" height=\"12\" border=\"0\" align=\"bottom\" alt=\"\"></a></div><div style=\"float:left;\"><div style=\"padding-left:135px;\"><img src=\"http://www.washingtonpost.com/wp-srv/photo/images/pictopia1.jpg\" width=\"15\" height=\"12\" border=\"0\"/><span style=\"position:relative;bottom:2px;font-family:Arial;font-size:10px;\"><a href=\"http://pictopia.com/perl/ptp?provider_id=25&ptp_photo_id=xt-mt-25-title_7415320\">Buy This Photo</a></span></div>\n</div><br clear=\"all\"/><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-dyn/content/photo/2007/01/19/PH2007011901442.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/19/PH2007011901437.jpg\" border=\"0\"  alt=\"\"  height=\"142\" width=\"228\" align=\"top\"></a><div id=\"caption\"><span id=\"credit\"> (Katherine Frey - Twp) </span></div></div>\n<title></title><div>\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<!--   <h2>Special Package</h2> -->\n<div class=\"sidebarcontent\" style=\"padding-left: 10px; padding-right: 10px;\">\n<div class=\"sidebarbox\" style=\"color: #333;\">\n<a href=\"\"><img src=\"http://www.washingtonpost.com/wp-srv/health/images/stressPromo_228.gif\" border=\"0\"></a>\n<p style=\"margin-top: 0; padding-top: 0;\">\nTechniques for you to lighten the load on your mind and body.\n</p>\n<p style=\"margin-top: 0; padding-top: 0;\">\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/graphic/2007/01/22/GR2007012200620.html\">Graphic: Stress and Your Body</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901443.html\">Giving Meditation a Spin</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/23/DI2007012300535.html\">Noon Wed.: Meditation Live Discussion</a>  <br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435.html\">Laugh, and Get to Work</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901447.html\">Nonstop Office</a>&nbsp;|&nbsp;<a href=\"http://www.washingtonpost.com/wp-dyn/content/video/2007/01/19/VI2007011901237.html\">Video</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436.html\">Why We Eat When The Heat Is On</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901448.html\">Real People Manage Stress </a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901430.html\">Stress Statistics</a>  <br />\n</p>\n<!--     <p style=\"border-top: 1px dashed #CCC; margin-top: 5px; padding-top: 7px; font-weight: bold;\"\n</p>\n-->\n<div>\n<script src=\"http://media.washingtonpost.com/wp-srv/mmedia/player/js/player_v1.8.js\"></script>\n<script>createVideo(\'left\',\'health\',\'011907-14v\',\'none\',\'011907-14v_427\',\'Not Your Average Work Space\',\'yes\',\'/video/2007/01/19/VI2007011901237.html\',\'Jacqueline Refo / washingtonpost.com\')</script>\n<div style=\"font-family:arial;font-size:11px;margin-bottom:10px;color:#333333;\">\n<strong style=\"color:#CC0000;\">VIDEO</strong></span> | Freelance editor, Lois Yurow created a desk on her treadmill in her home office so that she can work and exercise at the same time.</div>\n</div>\n</div>\n</div>\n</div>\n\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/sidebars.css\" rel=\"stylesheet\" media=\"all\"/>\n<!-- **** NO NEED TO INCLUDE CSS FILE ABOVE, WHEN ORBITIZING.  ONLY USED HERE FOR DISPLAY. **** -->\n<!-- *** CHTML *** -->\n<div style=\"width:228px;\">\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>Find a Therapist</h2>\n<div style=\"background:url(\'http://media.washingtonpost.com/wp-srv/health/images/therapySearch228_bg.gif\') bottom left no-repeat; min-height:160px; height:auto; _height:160px;\">\n<div class=\"sidebarcontent\">\n<div class=\"sidebarbox\">\n<div style=\"padding:5px 0 18px 0;\">Find help with relationships, depression,<br/> anxiety, addiction, kids and more. </div>\n<div style=\"font-weight:bold; padding-bottom:2px;\">City or Zip Code:</div>\n<form name=\"therapysearch\" method=\"get\" action=\"http://health.washingtonpost.com/therapistfinder/prof_results.php\">\n<input type=\"text\" name=\"search\" style=\"float:left; width:100px; margin-right:4px; padding-top:6px;\">\n<div style=\"float:left; width:24px;\"><input type=\"image\" src=\"http://www.washingtonpost.com/wp-srv/images/cg/goButton_white.gif\" width=\"24\" height=\"24\" border=\"0\" alt=\"Go\" /></div>\n<div style=\"clear:both; height:1px; overflow:hidden;\"></div>\n<div style=\"padding-top:3px;\">&raquo; <a href=\"http://health.washingtonpost.com/therapistfinder/index.php?t=custom\" style=\"font-weight:normal;\">Advanced Search</a></div>\n</div>\n</div>\n</div>\n</div>\n</div>\n<!-- *** /CHTML *** -->\n\n<div style=\"width:228px;\">\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>What Readers Are Saying</h2>\n<div class=\"sidebarcontent\" style=\"padding-left: 10px; padding-right: 10px;\">\n<div class=\"sidebarbox\" style=\"color: #333;\">\n <p style=\"margin-top: 0; padding-top: 0;\"> <span style=\"color: rgb(204, 0, 0);\"><strong>Your Comments On...</strong></span><br> <h1 style=\"color: rgb(0, 51, 153);\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2006/12/19/AR2006121901431.html\" target=\"_blank\">Short Mental Workouts May Slow Decline of Aging Minds, Study Finds</a></h1></p> <p style=\"margin-top: 0; padding-top: 0;\"> \"It would be interesting to know if factors such as stress, or sleep disorders etc. were taken into account. They can be quite memory inhibiting and are more likely to be present in the control group, as a lack of mental stimulation can increase self doubt, decrease confidence and cause a form of panic. Could this have put the control group behind, at the same time the motivated groups were leaping ahead and would this not effect the measurement of the outcome? \" </p> <div style=\"text-align:right;\">-- <b>By smilesturner01 ;</b></div> <p style=\"border-top: 1px dashed rgb(204, 204, 204); margin-top: 5px; padding-top: 7px; font-weight: bold;\"> <strong><font face=\"arial,helvetica\" SIZE=\"-1\">&#149; </font> <span style=\"font-family:arial;font-size:11px;color:#000000;\"><a href=\"http://www.washingtonpost.com/ac2/wp-dyn/comments/display?contentID=AR2006121901431&start=1\"><b>View, Add More Comments</b></a></span><br> <font face=\"arial,helvetica\" SIZE=\"-1\">&#149; </font> <span style=\"font-family:arial;font-size:11px;color:#000000;\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2006/12/19/AR2006121901431.html\"><b>Read the Story</b></a></span><br></strong> </p> \n</div>\n</div>\n</div>\n<div class=\"clearboth\"></div>\n</div>\n\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435_Technorati.html\') ;\ntechnorati.article = new item(\'Laugh, and Get to Work\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435.html\',\' So, you think you\\\'re stressed? Get a load of this dream I had last week. In my waking hours, I thought I was getting along just fine, despite an abnormally heavy workload (lots of assignments -- including this article -- due at once) and the daily travails of a work-at-home mother of two. But I knew it was time to reassess when I woke, panting, from a nightmare in which: ...\',\'Jennifer Huget\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435.html%3Freferrer=digg&title=Laugh, and Get to Work&bodytext= So, you think you\'re stressed? Get a load of this dream I had last week. In my waking hours, I thought I was getting along just fine, despite an abnormally heavy workload (lots of assignments -- including this article -- due at once) and the daily travails of a work-at-home mother of two. But I knew it was time to reassess when I woke, panting, from a nightmare in which: ...\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Laugh, and Get to Work&labels=&annotation= So, you think you\'re stressed? Get a load of this dream I had last week. In my waking hours, I thought I was getting along just fine, despite an abnormally heavy workload (lots of assignments -- including this article -- due at once) and the daily travails of a work-at-home mother of two. But I knew it was time to reassess when I woke, panting, from a nightmare in which: ...&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435.html%3Freferrer=delicious&title=%22Laugh, and Get to Work%22 By Jennifer Huget&notes= So, you think you\'re stressed? Get a load of this dream I had last week. In my waking hours, I thought I was getting along just fine, despite an abnormally heavy workload (lots of assignments -- including this article -- due at once) and the daily travails of a work-at-home mother of two. But I knew it was time to reassess when I woke, panting, from a nightmare in which: ...\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435.html%3Freferrer=yahoo&title=Laugh, and Get to Work&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435.html%3Freferrer=reddit&title=Laugh, and Get to Work\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Laugh, and Get to Work\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>In my waking hours, I thought I was getting along just fine, despite an abnormally heavy workload (lots of assignments -- including this article -- due at once) and the daily travails of a work-at-home mother of two.</p><p>But I knew it was time to reassess when I woke, panting, from a nightmare in which:</p><p></p><p>? Out-of-town guests appeared unexpectedly in my home and needed a ride to the airport.</p><p></p><p>? Only I couldn\'t remember where the airport was.</p><p></p><p>? Nor could I find my purse.</p><p></p><p>? So I couldn\'t drive my car (no purse, no keys).</p><p></p><p>? And when I set out on foot to find the airport, I found it was raining baby frogs, which got caught in my hair and everywhere else.</p><p>The following morning, after shaking off those baby frogs, I followed two of my  therapist\'s most enduringly useful tips. First, I smiled big and said, out loud, \"Hello, anxiety!\" Confronting my stress on friendly terms makes it less ominous, says my doctor, psychologist Joe Brown, who practices in the Hartford, Conn., area. Plus, the ritual is so goofy it takes the edge off.</p><p>Next, I made myself sit right down and get to work. Because, Dr. Brown helped me discover, procrastination is a huge source of my stress -- and stress-related behaviors such as cramming mini marshmallows into my maw by the fistful.</p><p>I\'m feeling much better now, in part because most of that stress-inducing pressure to produce is behind me. Most of the work\'s done -- except this story. But while I initially viewed the piece as part of the problem, in fact it ended up helping me place my stress-reduction strategies in context.</p><p>In speaking with two stress-management gurus, I learned that there are three basic ways in which people try to beat back anxiety. They:</p><p></p><p>? mask it in ways that may ultimately be destructive (through use of illicit drugs or overuse of alcohol, smoking or overeating);</p><p></p><p>? distract themselves from it in ways (such as exercise or even prescription anti-anxiety drugs) that, while perhaps health-promoting in themselves, do little to fix the underlying stress-inducing problem;</p><p></p><p>? make some changes that actually tackle the stress problem at its root.</p><p>Though countless people resort to taking drugs, getting drunk, lighting up or pigging out to relieve their stress, you\'d be hard-pressed to find an expert who supports covering up anxiety in these ways. Most therapists suggest a combination approach: figure out exactly what\'s causing you stress, change what can be changed, and devise a plan for coping with the inevitable remainder.</p><p>Jerilyn Ross, president and chief executive of the Ross Center for Anxiety and Related Disorders, located in the District, has been treating stressed-out people for a quarter of a century. Ross says a lot of stress derives from trying to meet expectations, real and imagined, external and self-imposed. The stress of managing all those expectations has been compounded in recent years by the difficulty of taking a real break from those pressures. Even on vacation, she notes, we take along our BlackBerrys and our laptops so that those who wish to impose their expectations on us can reach us at the beach.</p><p>Instead of blindly accepting all those expectations, Ross suggests taking a hard look at them to determine whether any can be scrapped. \"Ask yourself, \'Who are you really doing it for?\' \" Ross advises. \"If you\'re volunteering in school, serving as a Cub Scout leader and coaching the sports team and you\'re feeling overwhelmed, ask yourself, \'Am I doing this for my child? Am I really enjoying it?\' \" If so, she says, carry on. But if you\'re doing those things to prove to others -- or to yourself -- what a great, involved parent you are, then maybe you can ditch some of those activities.</p><p>Of course, not all stressful expectations are easily ditched: caring for an ailing parent or sick child, keeping up with the mortgage and navigating the ups and downs of a marriage are realities that must be dealt with. That\'s when you need some reliable stress-management strategies.</p><p>Harvey Oaklander, a licensed clinical psychologist and principal of the Center for Stress Management in Arlington and Fairfax, recommends confronting stressors you can\'t eliminate, acknowledging their sources and working to achieve a healthier balance in your life. \"It\'s okay to be ambitious and to work hard,\" he says. \"But sometimes the balance between internal focus and external focus gets lost.\" Adopting a self-interested (as opposed to selfish) stance can help you determine which of your activities and commitments are really important to you, he says; pruning away those that are less important should result in less stress.</p><p>How to do this?</p><p>Ross suggests starting with a stress-management diary. \"Note when you feel stressed. Where do you feel it? In your stomach? Your head? Note the time of day and the circumstance. Look at stress patterns.\" When you\'ve got a sense of when and how your stress kicks in, ask yourself, \'What can I do to alleviate it?\' Find something you like. Look at things that are easily accessible to you. Try a few different things and look at how you feel afterward.\"</p><p>What activities work best? \"Anything that makes us get away from our thoughts of what we\'re doing all the time,\" Ross suggests. Ross\'s personal favorite? \"I sit down at the piano.\" For others, she says, \"meditation is wonderful. Dance, music. Clubs, hobbies, musical instruments. Sudoku puzzles. You\'re using your mind, but [the activity is] mindless in terms of everything else in your life -- unless it becomes a competition.\"</p><p>With stress-reduction tools, as with all things in life, moderation is key. If you find a cocktail relaxing at the end of a long day, that\'s fine, says Ross. \"But two or three? Not so fine. You\'ll just get depressed,\" she says.</p><p>You can even overdo physical exercise. \"A lot of people find if they do some exercise, they feel good, so they figure if they do more, they\'ll feel better. They end up working out two hours a day -- and stressing out over it,\" Ross notes.</p><p>Oaklander cautions against over-reliance on temporary fixes, whether alcohol or something else. People who turn to food for stress relief, for instance, \"are comforting themselves with eating, not looking at themselves, not taking time out to think about what feels good in the long term versus the immediate gratification of eating,\" he says.</p><p>Even exercise and relaxation techniques, by themselves, \"don\'t really solve the problem,\" he says. \"Exercise is great temporarily, but doesn\'t get rid of the stress. Exercise addicts siphon off the feeling of being tense, which makes them feel euphoric. But after it wears off, if they haven\'t faced the stress, it\'s going to continue.\"</p><p>But don\'t ditch that treadmill. Oaklander says that working out has its place in his anti-stress prescription, which starts with staring the sources of your stress in the eye and taking active steps to minimize or eliminate them. Then he recommends what he calls \"self-gardening techniques\": getting enough rest, eating healthfully and, yes, getting some exercise. (Ross adds to the list: watch your caffeine intake, which can affect your anxiety level, and slow down on sugar, which can make you lethargic and less able to meet daily challenges.) \"It\'s a matter of taking time out every day, to do nothing, if necessary,\" Oaklander says. \"Just finding withdrawal time every day. You find balance that way.\"</p><p>For many, finding time for stress release might feel like just one more big expectation. Women, in particular, feel guilty about doing anything for themselves, Ross says. \"The fact is that if people take time to build in stress-relieving activities, they\'ll be more productive at work, more loving at home.\" So, Ross insists, \"give yourself permission\" to take time to do whatever you need to do to feel better. \"You have to schedule it like anything else. And don\'t just pencil it in -- pen it in. Make an appointment.\"</p><p>For quick stress-reduction at work, Ross suggests that you \"build in a 10-minute walk. And if you can\'t build in a 10-minute walk, you should find a new job.\" ?</p><p><i>Comments:<a href=\'mailto:health@washpost.com\'>health@washpost.com</a>.</i></p><p><i></i></p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1310','1','<p>When it comes to domestic economic policy, Bush the Wounded President is much to be preferred over Bush the Decider.</p><p>After six years of stubborn inflexibility, President Bush signaled last night in his State of the Union address that he is ready to come to the negotiating table on a range of domestic issues, holding some new and credible ideas that are consistent with his conservative philosophy but open to ideas that aren\'t.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2>Wednesday, Jan. 24, 11 a.m. ET</h2><div class=\"sidebarcontent\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/23/DI2007012300556.html\" target=\"\">State of the Union: Economic Response</a><br/>Washington Post business columnist Steven Pearlstein will be online to discuss the economic issues presented in this year\'s State of the Union address.<br/>\n<div style=\"clear:both;\"></div></div></div>\n<div class=\"sidebarhack\"><b></b></div> <div class=\"sidebar\">\n<h2><img src=\"http://www.washingtonpost.com/wp-dyn/content/graphic/2005/06/13/GR2005061300865.gif\" width=\"25\" height=\"13\" alt=\"\" border=\"0\" valign=\"bottom\" border=\"0\" ALT=\"xml\" vspace=\"0\">&nbsp;Syndicate/Subscribe</h2>\n<div class=\"sidebarcontent\">\n<form name=\"rssform\" style=\"display: inline;\">\n<select name=\"dest\" onchange=\"window.location.href=this[selectedIndex].value;\" style=\"width:213px;\">\n<option value=\"\">Select Method (may require registration)</option>\n<script language=\"javascript\" type=\"text/javascript\">\nvar feedurl = \"http://www.washingtonpost.com/wp-dyn/rss/linkset/2005/03/24/LI2005032400138.xml\";\ndocument.write (\"<option value=\\\"\" + (feedurl) + \"\\\">XML (raw feed)</option>\");\r\ndocument.write (\"<option value=\\\"http://www.bloglines.com/sub/\" + 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class=\"clearboth\"></div></div></div></div>\n\n<div style=\"clear:both;\"></div>\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892_Technorati.html\') ;\ntechnorati.article = new item(\'Bipartisan Cooperation on Health Care Is Dead on Arrival\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892.html\',\'When it comes to domestic economic policy, Bush the Wounded President is much to be preferred over Bush the Decider.\',\'Steven Pearlstein\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892.html%3Freferrer=digg&title=Bipartisan Cooperation on Health Care Is Dead on Arrival&bodytext=When it comes to domestic economic policy, Bush the Wounded President is much to be preferred over Bush the Decider.\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Bipartisan Cooperation on Health Care Is Dead on Arrival&labels=&annotation=When it comes to domestic economic policy, Bush the Wounded President is much to be preferred over Bush the Decider.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892.html%3Freferrer=delicious&title=%22Bipartisan Cooperation on Health Care Is Dead on Arrival%22 By Steven Pearlstein&notes=When it comes to domestic economic policy, Bush the Wounded President is much to be preferred over Bush the Decider.\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892.html%3Freferrer=yahoo&title=Bipartisan Cooperation on Health Care Is Dead on Arrival&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892.html%3Freferrer=reddit&title=Bipartisan Cooperation on Health Care Is Dead on Arrival\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Bipartisan Cooperation on Health Care Is Dead on Arrival\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>Yes, it is possible it could be a bluff, a desperate and hollow attempt by an unpopular president to demonstrate that he\'s still relevant to the policy process. But whether it is or not, the right response for Democrats is to call that bluff, treating it as the jumping-off point for a much-delayed dialogue on domestic policy and seeing how his proposals can be transformed into something better.</p><p>Think about it. Here\'s an oil-man president who, having denied the existence of global warming for almost a decade and embraced increased drilling as the favored energy policy, is now willing to lead the charge for alternative fuels, raise automobile mileage standards and begin a conversation on what to do about global warming.</p><p>No, he\'s not yet come around to a modest carbon tax and cap-and-trade system for CO2 emissions, but now that corporate types have begun to accept the idea, is there any doubt where this all is headed?</p><p>This is also an administration that started out arguing that federal budget deficits don\'t matter and that even the teensiest, tiniest tax increase will destroy the economy. Now he\'s eager to be seen as a budget-balancer who is open to higher taxes as part of a financial rescue for Social Security and knows he\'ll have to sacrifice some of his tax cuts to save others.</p><p>And here is a president willing to take on members of his own party to celebrate the accomplishment of hard-working Hispanic immigrants, normally the kind of people Democrats like to champion, and give them a path to citizenship.</p><p>But the most surprising and encouraging development is that a president who for six years has only nibbled around the edges of health-care issues has weighed in with some bold ideas to expand coverage, rein in costs and bring some fairness to the tax code. And get this: It actually involves raising taxes on the rich and lavishly insured and giving the money to the working poor and the uninsured.</p><p>Given that, you\'d think Democrats would have welcomed a politically courageous proposal to put a cap on one of the biggest and most regressive features of the individual income-tax code. But instead, they\'ve shifted reflexively into partisan attack mode, mischaracterizing the impacts of the proposal and shamelessly parroting the propaganda from the labor dinosaurs at the AFL-CIO.</p><p>\"Dead on arrival,\" declared Rep. Pete Stark (D-Calif.), chairman of a key health subcommittee in the House, hinting at a dark conspiracy to kill off employer-sponsored health insurance.</p><p>\"A dangerous policy that ultimately shifts cost and risk from employers to employees,\" said Charlie Rangel, chairman of the House Ways and Means Committee.</p><p>Sen. Harry Reid, the majority leader, called it nothing less than an \"attack\" on American workers.</p></div></div><br clear=\"all\">\n<div align=\"right\"><table width=\"100%\" cellpadding=\"2\" cellspacing=\"0\" border=\"0\"><tr><td align=\"right\"><font face=\"arial,sans-serif\" color=\"#CC0000\" size=\"-1\"><b>CONTINUED</b></font>&nbsp;&nbsp;&nbsp;&nbsp; <b><font face=\"arial,sans-serif\" size=\"3\" color=\"#CC0000\">1</font> &nbsp;&nbsp; <font face=\"arial,sans-serif\" size=\"3\"><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892_2.html\">2</a></noscript></font></b> &nbsp;&nbsp;&nbsp;<font face=\"arial, ms sans serif, sans-serif\" size=\"3\"><b><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/23/AR2007012301892_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1311','1','<p>Writer <b>Katharine Ellison</b> took questions on her recent <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901443.html\" target=\"\"><person>story</person></a> about the growing popularity of meditation and Asian spirituality.</p><p>Ellison was online <b>Wednesday, Jan. 24 at Noon.</b></p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<title></title><div>\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<!--   <h2>Special Package</h2> -->\n<div class=\"sidebarcontent\" style=\"padding-left: 10px; padding-right: 10px;\">\n<div class=\"sidebarbox\" style=\"color: #333;\">\n<a href=\"\"><img src=\"http://www.washingtonpost.com/wp-srv/health/images/stressPromo_228.gif\" border=\"0\"></a>\n<p style=\"margin-top: 0; padding-top: 0;\">\nTechniques for you to lighten the load on your mind and body.\n</p>\n<p style=\"margin-top: 0; 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Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/23/DI2007012300535.html%3Freferrer=digg&title=Giving Meditation a Spin&bodytext=Writer Katharine Ellison takes questions on her  recent story about the growing popularity of meditation and Asian spirituality.\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Giving Meditation a Spin&labels=&annotation=Writer Katharine Ellison takes questions on her  recent story about the growing popularity of meditation and Asian spirituality.&bkmk=http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/23/DI2007012300535.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/23/DI2007012300535.html%3Freferrer=delicious&title=%22Giving Meditation a Spin%22 With Katharine Ellison&notes=Writer Katharine Ellison takes questions on her  recent story about the growing popularity of meditation and Asian spirituality.\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/23/DI2007012300535.html%3Freferrer=yahoo&title=Giving Meditation a Spin&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/23/DI2007012300535.html%3Freferrer=reddit&title=Giving Meditation a Spin\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/23/DI2007012300535.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Giving Meditation a Spin\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p><b>A transcript follows.</b></p><p>____________________</p><p><b>Richmond, Va.:</b> Any books you\'d recommend to someone interested in addressing their depression through meditation?</p><p><b>Kathy Ellison:</b> I really like Matthieu Ricard\'s recent book, &quot;Happiness&quot; -- and also recommend that if you haven\'t, you join a sangha, because the community element can be very helpful!</p><p>_______________________</p><p><b>Kathy Ellison:</b> Hi there--</p><p></p><p></p><p>This is my first foray into live-chatting, so please forgive any techno-idiocy I commit!</p><p></p><p>I am very happy to hear your questions and will try to answer all of them.</p><p>_______________________</p><p><b>Washington, D.C.:</b> Hi -</p><p>I\'ve heard that mediation can lead to breathing more deeply/slowly which can in turn lead to reducing blood pressure and other health benefits.  Do you know if it is possible to internalize these techniques to the extent that one can slow their breathing without conscious effort -- i.e. it becomes one\'s standard breathing pattern?  Thanks for your thoughts.</p><p><b>Kathy Ellison:</b> You know, in addition to using traditional techniques of watching your breathing, I have found a software neuro-feedback program called Freeze-Framer very helpful for this. It\'s a video game where you have to slow your breathing and completely relax to win. Good for kids!</p><p>_______________________</p><p><b>Montevideo, Uruguay:</b> I\'d like to hear your thoughts on how reflection, meditation and yoga focused on the different nerve centers, the chakras, can keep these centers flowing smoothly, avoiding illnesses and injuries.</p><p><b>Kathy Ellison:</b> How great to get a question from Montevideo! Uruguay is one of my all-time favorite places -- I almost named my older son Joey Montevideo -- not kidding.</p><p></p><p></p><p>Sorry to say, however, I have not studied anything to do with chakras and am probably not qualified to address this.</p><p>_______________________</p><p><b>Washington, D.C.:</b></p><p>When does a person inhale and when to exhale while doing exercise or attempting to meditate.</p><p>What are the 1, 2, 3, 4, 5, 6, 7,... chronological steps to beginning to meditate?</p><p><b>Kathy Ellison:</b> There are many ways to do it, but one very simple way I\'ve learned is to very slowly count to 21, clearing your mind of anything but the counting, and counting only on the exhale. If you lose track, start again. This is for true beginners -- it\'s kind of like training wheels on a bike. Later on you can simply clear your mind and notice when you have a tendency to race off after your thoughts...</p><p>_______________________</p><p><b>Washington, D.C.:</b> Good afternoon Ms. Ellison,</p><p>Thank you for discussing this subject matter with us. Any insight shared here is sure make some difference in the general public\'s perception on the practice of meditation.</p><p>After reading filmmaker David Lynch\'s book, \"Catching The Big Fish--Meditation, Consciousness, and Creativity,\" I was struck by how beneficial meditation can be for one\'s own well being. The David Lynch Foundation for Consciousness-Based Education and World Peace has been created to promote this tool for developing the creative potential of the mind as a standard part of every school\'s curriculum.</p><p>What do you feel are the chances for our nation\'s public school system to be receptive enough to this stress-relieving practice that it may one day be an optional course for students to attend?</p><p></p><p><b>Kathy Ellison:</b> Wow, I hadn\'t heard of the Lynch book -- I will look it up.</p><p></p><p></p><p>As for your question, I noted in the story (am wondering if it got cut!) that scores of U.S. public and private schools are now experimenting with secular meditation. Due to the rate that this is catching on, I have great faith that many more people will experience benefits.</p><p>_______________________</p><p><b>Goleta, Calif.:</b> How do you really keep out thoughts?</p><p><b>Kathy Ellison:</b> That\'s what you are continually practicing! And as far as I understand it -- I\'m not a meditation teacher, only a journalist -- it\'s not really that you\'re keeping the thoughts &quot;out&quot; -- you are noticing them and not getting involved. It\'s a practice of &quot;detachment,&quot; contrary to most humans\' normal m.o., where your thoughts lead you to emotional impulses, all of which you follow.</p><p>_______________________</p><p><b>Belleville, Ill.:</b> Katharine</p><p>I\'m interested in beginning a meditation routine, but really don\'t know where to begin. Could you please discuss some alternatives in learning to meditate (e.g., finding a teacher, visiting a meditation center, practicing at home).</p><p>Thanks.</p><p><b>Kathy Ellison:</b> There are so many meditation centers sprouting up that I\'d bet you could google meditation and your city and find some good leads here. I would really recommend starting with a reputable teacher, if only for a day-long session. One great alternative, which was my personal route to all this, is to take a yoga class with a thoughtful teacher. Many yoga classes these days, the good ones, stress mindfulness and breathing.</p><p>_______________________</p><p><b>Forest Hills, D.C.:</b> Often times when I\'m trying to quiet my mind I have racing thoughts.  Do you have any suggestions that can help me with this?</p><p><b>Kathy Ellison:</b> That\'s exactly what this practice is about. As I understand it, it\'s hard for everyone at first, and then it gets easier, much like playing the piano. You have to be patient with yourself: start slow and forgive your mistakes and celebrate your progress.</p><p>_______________________</p><p><b>Rockville, Md.:</b> Hi Katharine-</p><p>Wondering if you might have some meditation advice for an inexperienced relaxer.  The worst time of day for me is the morning.  I get up early anyway, but often wake up an hour before my alarm goes off -- that\'s when the worrying/stressful thoughts begin.  What\'s on my to-do list?  What did I forget yesterday?  Mortgage get paid?  I eventually get up earlier than I\'d like because laying in bed is stressing me out.  I\'d love to be able to begin the day with a \"clean slate,\" or at least more of a feeling of refreshment.  Any advice?</p><p>Thanks!</p><p><b>Kathy Ellison:</b> It\'s a discipline to start your day with meditation, but I have found it is so worth it. Each day you have the choice to either start your day worrying about the mortgage or treat yourself kindly by sitting by yourself and focusing on your breathing -- starting perhaps with 5-10 minutes, moving on to half an hour or so. I think  the point is you gradually realize you ALWAYS have a choice, that you can actually control your state of mind. We all know worry doesn\'t help pay the mortgage. Here\'s something else you can do with your mind!</p><p>_______________________</p><p><b>Washington, D.C.:</b> Do you think there\'s enough attention paid in the media and by the government to the effects of stress and of state of mind in general?</p><p><b>Kathy Ellison:</b> Hmmm -- enough? I thin k there\'s a lot, and it seems to be increasing. While I\'m discouraged about many trends in the world today, this one gives me hope.</p><p>_______________________</p><p><b>Marlton, N.J.:</b> Hi Katharine, I will read your article on meditation after this chat.  I have been sick for 10 years. Midway through that illness, I started meditating.  It helped a lot, but three years ago my brother died and I seemed to take it to another level.  I always breath in my nose, hold, and out my mouth while meditating.  It always centers me and makes me find the light and love in life.  I am progressing in strength gradually, but will never stop meditation for the rest of my life.</p><p>Keep singing it\'s praises.  Thanks.</p><p><b>Kathy Ellison:</b> Thanks so much for your comment. I wish you good health!</p><p>_______________________</p><p><b>Arlington, Va.:</b> How has meditation changed your life the most?</p><p><b>Kathy Ellison:</b> As I hinted in the story, I really need to be calm with my kids, who are wonderful and also very high-energy! The number-one benefit for me is that when I start to go nuts in reaction to them fighting or whining or all the other things kids do in the normal course of a day, I take a breath and it seems to help!</p><p>_______________________</p><p><b>&quot;The quiet mind&quot;:</b> I\'m still very much a beginner at meditation.  I\'d like to add to the wisdom of &quot;detachment from thoughts.&quot;  Two helpful hints I got in doing this are 1. To have a rope or cord with knots, neckless, rosary ... whatever we can use to count with our fingers.  When our mind goes back to worrying, if it wanders from our breathing or mantra -- we just move one knot along the chord with our fingers as we acknowledge what happened and become mindful again.  We then 2. keep track of this in our meditation journal.  This journal helps us understand what underlies our mental impulses and, as we reduce the number of &quot;knots&quot; in our meditation, we can feel that we\'re making progress or, if we\'re slipping, it can be an alert to us so we can understand what\'s going on below the surface.</p><p><b>Kathy Ellison:</b> great idea!</p><p>_______________________</p><p><b>Bethesda, Md.:</b> You\'re a prize-winning journalist. Did you approach meditation with a certain amount of skepticism, and, if so, how long did it take you to get over it. Did you see results right away.</p><p><b>Kathy Ellison:</b> you know, I actually started by doing yoga, which I\'ve always loved and appreciate for the physical benefits. I ended up taking it with a more spiritually minded teacher, so the spiritual part sort of snuck up on me without me having time to be skeptical! of course I am still very skeptical about many ways meditation is exploited by people who simply want to make money, but that\'s another story!</p><p>_______________________</p><p><b>Kathy Ellison:</b> It\'s time to sign off. Thanks so much for your questions! If you want more information, feel free to look at my site about brains and motherhood, at www.themommybrain.com!</p><p></p><p>_______________________</p><p>Editor\'s Note: washingtonpost.com moderators retain editorial control over Live Online discussions and choose the most relevant questions for guests and hosts; guests and hosts can decline to answer questions.  washingtonpost.com is not responsible for any content posted by third parties.</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1312','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Antidepressant, not therapy, aids heart patients</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Drug works to fight blues but counseling doesn\'t seem to help, study says</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>CHICAGO - A drug can combat depression common among patients with severe heart disease, but psychological counseling doesn\'t seem to work, a study said on Tuesday.</p><p>The report from the University of Montreal Hospital Center said there have been few studies looking at how much antidepressants help depressed heart disease victims, even though as many as 27 percent may suffer from it. Doctors believe that treating the depression may also slow the deterioration of their patients\' health.</p><p>The Canadian study, published in this week\'s Journal of the American Medical Association, involved 284 patients variously given the drug citalopram - sold as Celexa by Forest Laboratories Inc. - a placebo or short-term psychotherapy.</p><p>The patients had previously suffered a heart attack or major blockage of arteries.</p><p>Citalopram is one of a class of antidepressants taken by millions, commonly called SSRIs, that include Eli Lilly\'s Prozac.</p><p>The study found that the drug worked to combat depression by easing its most common symptoms, with the effect apparent within six weeks.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16769173/\">Blood pressure better controlled in U.S.</a></li><li><a href=\"/id/16657083/\">Patients with heart drug stents need year of asprin</a></li><li><a href=\"/id/16713999/\">Soldiers may not get needed mental help</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>But, it concluded, counseling did not have an impact.</p><p>\"It remains to be demonstrated that any form of psychotherapy is superior to clinical management in reducing depression symptoms in this group,\" it said.</p><p>In an editorial in the same issue commenting on the study, physicians Alexander Glassman and J. Thomas Bigger of the New York State Psychiatric Institute said the study provides further evidence that SSRIs combat depression in heart disease victims.</p><p>And while there is suggestive evidence that such drugs help reduce the risk of a subsequent heart attack and other problems it will take a large study to find that out, a project which they said is \"urgently needed.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1313','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Your wacky workout questions answered</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Breathe the fat away? Exercises just for smokers? No query is too inane!</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia4.msn.com/j/msnbc/Components/Photos/070122/070122_bellyFat_hmed_2p.hmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: abs\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">James Darell / Getty Images Stoc / Getty Images</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Think an ab apparatus,? diet drink or altered?reathing?re the?ecrets to a six-pack? Think again.</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><div class=\"textMedBlackBold\" style=\"padding-top:10px;\">Jacqueline Stenson</div><div class=\"textMedBlack\">Contributing editor</div><div class=\"textMedBlack\">MSNBC</div><p></p></font><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"102\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/i/msnbc/Test-Dev/donna/msnbc10/Launch%20images/byline_msnbc.gif\" height=\"20\" width=\"100\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#000000\"></b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#666666\" border=\"0\" style=\"border-top:solid 1px #666666;border-bottom:solid 1px #666666;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Components/Bylines/mugs/MSNBC%20Interactive/msnbc_stenson_jackie.thumb.jpg\" vspace=\"0\" hspace=\"0\"></td></tr><tr><td style=\"padding:4px;\"><font color=\"#000000\"><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\"><tr><td><font color=\"black\"><b>Jacqueline Stenson</b></font></td></tr><tr><td><font class=\"credit\">Contributing editor</font></td></tr><tr><td><hr size=\"1\" width=\"85%\" color=\"#cccccc\" noshade=\"1\" align=\"center\"></td></tr><tr><td><font color=\"551E1B\">?/font><font color=\"black\"><a href=\"/id/10913169/\">Profile</a></font></td></tr><tr><td><font color=\"551E1B\">?/font><font color=\"black\"><script language=\"javascript\">document.write(\'<a href=\"mailto:\'+\'JacquelineStenson\'+\'@\'+\'FEEDBACK.MSNBC.COM\">\')</script>E-mail<script language=\"javascript\">document.write(\'</a>\');</script></font></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Can diet tea and an ab apparatus whittle a huge middle? Are there good exercises especially for smokers? Can you lose belly fat by changing your breathing patterns? And what exercises can straighten a curvy penis? Smart Fitness answers your wackiest workout queries yet.</p><p>Have an exercise question? To e-mail us, <a href=\"http://msnbc-editor/Editor/9917810\">click here</a>. We\'ll post select answers in future columns.</p><p><b><strong>Q: I am drinking diet tea and using the Ab Lounge. Is that a good combo, because my stomach is huge from having children? </strong></b></p><p><b><strong>A:</strong></b> Sitting in your Ab Lounge, sipping diet tea and hoping your \"huge\" stomach will disappear. You don\'t see anything wrong with this picture?</p><p>There are various activities that can help you whittle your middle but none of them has anything to do with lounging.</p><p>Maybe the Ab Lounge can help you firm up your stomach muscles but it won\'t make a big dent in all that baby fat.</p><p>\"You cannot spot reduce,\" explains Mike Bracko, an exercise physiologist in Calgary, Alberta, Canada and a spokesperson for the American College of Sports Medicine. \"That is to say, you cannot reduce the fat on a specific part of the body by doing exercises for that body part.\"</p><p>So what works? Getting out of that lounger and getting moving with exercise that makes you sweat.</p><p>As for the diet tea, it\'s better for weight loss than sugary tea or soda, but it\'s not magic. You need to examine your entire diet and see where else you might cut excess calories.</p><p><b><strong>Q: I love to work out, and in high school I played sports and stayed in shape. However, I am a smoker and I can\'t seem to work out as hard as I would like to. Are there any daily workouts that would give me weight-loss results even with my habit of smoking? </strong></b></p><p><b><strong>A: </strong></b>OK, so you want the \"Smoker\'s Workout.\" Well, I checked around and I can\'t find one.</p><p>There\'s a reason you can\'t work out hard, and I guess I need to spell it out: C-I-G-A-R-E-T-T-E-S.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"120\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/ColorBoxes/Styles/ColorBoxImages_GlobalOnlyPlease/interactive_icon.gif\" height=\"14\" width=\"24\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#FFFFFF\">INTERACTIVE</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#a4abc1\" border=\"0\" style=\"border-right:solid 1px #a4abc1;border-bottom:solid 1px #a4abc1;border-left:solid 1px #a4abc1;background-color:#f3f3f6;\" bgcolor=\"#f3f3f6\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><a href=\"/id/7632791/\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/i/msnbc/Components/Art/HEALTH/PROJECTS/ArtHed_FitnessFactFiction/Tz152_FitnessFact_Fiction.jpg\" height=\"100\" width=\"152\" vspace=\"0\" hspace=\"0\"></a></td></tr><tr><td style=\"padding:10px;\"><font color=\"#000000\"><table><tr><td rowspan=\"2\" width=\"15\"><font color=\"551E1B\">?/font></td><td><b><a href=\"/id/7632791/\">Quiz: Test your exercise knowledge</a></b></td></tr><tr><td></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr></table>Ideally, you should stop smoking, not just so you can exercise harder but so you can reduce your risk of developing heart disease, lung cancer, emphysema, shoe-leather skin and a host of other problems.</p><p>But if you don\'t quit, research has shown that <a href=\"/id/11350094/\">you\'re better off being a chain-smoking exerciser than a puffing couch potato</a>. </p><p>So either way, keep moving. Which workouts will help you lose weight? The same ones that help non-smokers shed pounds.</p><p><b><strong>Q: Above the waist, I\'m OK . just can\'t take off the pouch below the waist. Someone said I may be breathing wrong. How do you breathe right?</strong></b></p><p><b><strong>A:</strong></b> In and out, like you have since birth. No instruction manual required.</p><p>\"The fat distribution on the stomach has nothing to do with breathing,\" says Bracko.</p><p>Maybe you have a genetic predisposition to having a spare tire or maybe you just eat too many Krispy Kremes. Whatever the reason, trying to change your natural breathing pattern, if that\'s even possible, won\'t blast off the belly fat.</p><p>Of course, <em>heavy</em> breathing might help - if it\'s caused by running, aerobics class or some other form of cardiovascular activity that can help you burn calories and fat, including some of that pouch below your waist.</p><p><b><strong>Q: I want to lose the belly fat, but if I lose weight does the size of my breast and butt go down? I really don\'t want to lose that. I only want lose the fat from my belly. What exercises do you recommend?</strong></b></p><p><b><strong>A: </strong></b>Sorry, we don\'t get to pick and choose where our fat takes up residence and we also can\'t target certain areas for weight loss, notes Wayne Westcott, fitness research director at the South Shore YMCA in Quincy, Mass., and a consultant to the American Council on Exercise.</p><p>So, yes, if you embark on weight-loss plan to help trim your waistline, you may wind up with a less buxom bosom and not-so-bootylicious backside.</p><p><b><strong>Q: Can wearing tight support wear help tighten your mid-section?</strong></b></p><p><b><strong>A:</strong></b> If only it were that simple.</p><p>\"The only way to tighten or increase the muscle tone of a body part is to perform some kind of strength-training exercise,\" says Bracko.</p><p>That means sit-ups, crunches, etc. And, again, to lose the fat, you need to sweat. No short-cuts here.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;CLICK FOR RELATED CONTENT</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/3372411/\">Fact file: Accentuate your abs</a></li><li><a href=\"http://fitlist.msnbc.msn.com/\">The Fit List: Weekly workout tips</a></li><li><a href=\"/id/3035466/\">More Smart Fitness columns</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p><b><strong>Q: How can I increase my hips? I want full big hips. </strong></b></p><p><b><strong>A: </strong></b>Well, I can honestly say that in the thousands of questions we\'ve received at Smart Fitness over the years, this is the first time we\'ve heard from anyone wanting <em>bigger</em> hips.</p><p>You could try to fatten them up but that\'ll likely mean you gain weight in other areas, too, such as your belly, thighs and arms. And you don\'t want to do that, do you?</p><p>Enjoy your svelte shape. Women everywhere work hard to achieve what seems to come naturally for you.</p><p><b><strong>Q: How do I straighten my penis with the help of exercise?</strong></b></p><p><b><strong>A:</strong></b> You\'re barking up the wrong tree here. Jogging, doing Pilates, not even competing in the Ironman is going to straighten your penis.</p><p>Maybe it\'s naturally curved a bit or, at the worst, you could have a rare condition known as Peyronie\'s disease. Either way, this is an issue for a urologist.</p><p><em>Smart Fitness appears every other Tuesday.</em></p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><SCRIPT language=\"javascript\" src=\"http://msnbcmedia.msn.com/i/msnbc/components/interactives/tools/mailbag.js\"></SCRIPT><SCRIPT language=\"javascript\"> oMailbag = new Array(); oMailbag.appWidth = 460; oMailbag.BoxStyle = 3053755; oMailbag.appHeader = \"E-mail Smart Fitness\"; oMailbag.appDeck = \"Have an exercise question? Send it in. Selected questions will be answered in future columns.</b><br><br><i>Submissions may be edited for clarity.</i>\"; oMailbag.sSubject = \"Smart Fitness\"; oMailbag.aRetLink = new Array(\"http://www.msnbc.msn.com/id/3035466/\",\"More Smart Fitness stories\"); oMailbag.sMailTo = \"SmartFitness@msnbc.com\"; oMailbag.bTown = 1;  oMailbag.bReqEmail = 1;  oMailbag.navsectionID = 3034510; if (window.MailbagWB3) { MailbagWB3(oMailbag); } </SCRIPT></td></tr></table></p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 MSNBC Interactive</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1314','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Trouble identifying odors points to Alzheimer\'s</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Tangles in the brain can interfere with smelling even early in disease</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>An inability to correctly identify familiar odors may be an early indication of the onset of Alzheimer\'s disease, researchers report.</p><p>Dr. Robert S. Wilson told Reuters Health that difficulty identifying odors seems to be related the buildup of \'tangles\' in the brain that appear early in the development of Alzheimer\'s disease. \"We found the correlation of difficulty identifying familiar odors with Alzheimer\'s disease pathology even in people without dementia,\" he added.</p><p>As reported in the January issue of the Journal of Neurology, Neurosurgery and Psychiatry, Wilson of Rush University Medical Center, Chicago, and colleagues performed brain autopsies on 129 elderly people who had died while participating in a memory and aging study.</p><p>The average age at time of death was 87.5 years. All of the subjects had undergone a standard 12-item Brief Smell Identification Test and had achieved correct scores ranging from 0 to 12.</p><p>After allowing for factors such as age and sex, the researchers determined that the density of tangles in the brain increased as correct smell scores went down.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16713130/\">Boomers\' health mistakes can add up later</a></li><li><a href=\"/id/16636470/\">Significance of Alzheimer\'s gene far from clear</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>\"The results imply that trouble identifying familiar odors is a very early sign of Alzheimer\'s disease,\" concluded Wilson, \"and that olfactory testing may be helpful in early identification of affected people.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1315','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Experts: Better data needed on contraceptives</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Drugmakers need to test how well birth control pills work on obese women</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><div class=\"textMedBlack\">MSNBC News Services</div><p></p></font><p>WASHINGTON - Drugmakers should use more realistic methods for evaluating the effectiveness of birth control pills, patches and other other hormonal contraceptives, a U.S. panel of experts said Tuesday.</p><p>Of particular concern is finding out how well such products work for obese women at a time when a growing number of Americans are struggling with their weight, the panel of gynecologists, researchers and other medical experts told the Food and Drug Administration.</p><p>The FDA dismissed recent reports that the newer contraceptive products are significantly less effective at at preventing pregnancy than those approved decades ago and that the meeting was intended to discuss the need for higher standards. In fact, the newer birth control products are very effective, the FDA statement said.</p>\n<p>The two-day meeting is intended to discuss designing clinical trials to reflect the range of women who use hormonal contraceptives, expectations for effectiveness and safety, and how well women are adjusting to the newer products, the FDA said.</p>\n<p>For example, overweight women, smokers and those already at risk for blood clots - a common side of the drugs - are often excluded from company studies on how well such contraceptives work.</p><p>\"These women, like all women, need contraceptives,\" said panelist Dr. Julia Johnson of the University of Vermont.</p><p>Panel chairman Dr. Charles Lockwood of Yale University, said the panel agreed \"that real world testing is necessary.\"</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><p><a href=\"/id/16098766/\">Chewable birth control pills also freshen breath</a></p></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>The FDA called on the outside advisers as it takes a closer look at how it evaluates most hormonal contraceptives in light of how they are actually used once approved. It did not seek advice on implanted or injected products.</p><p>\"The pregnancy rates obtained from clinical trials may be markedly better than the actual pregnancy rates observed when women in the general population use the product, often in a less consistent and reliable manner,\" FDA staff said in a summary released before the meeting.</p><p><b><strong>New products</strong></b><br>The panel meeting came as a variety of contraceptives are entering the U.S. market.</p><p>Makers of birth control pills include Johnson &amp; Johnson , Bayer AG?and Barr Pharmaceuticals Inc. J&amp;J also sells a contraceptive skin patch, while Akzo Nobel NV unit Organon BioSciences markets a contraceptive ring that is inserted into the vagina.</p><p>Wyeth is awaiting FDA approval to sell its new Lybrel pill, designed to eliminate monthly bleeding.</p><p>\"The purpose of this two-day meeting is to discuss clinical trial designs that reflect the diversity of users of hormonal contraceptives, expectations for efficacy and safety, and user acceptability of the newer generation products,\" the FDA said in a statement late Tuesday.</p><p>At the meeting, panelists said the FDA should work with the industry to find better ways to include a wider range of women in studies without making it too burdensome for manufacturers.</p><p>Still, panelist and Maryland physician Bruce Stadel said it was imperative for companies to \"test what they propose to market in the people they\'re proposing to market to.\"</p><p>Likewise, they called on drugmakers to compare new products against other widely-used, recently-approved contraceptives, rather than against use of no contraceptive at all.</p><p><b><strong>Higher failure rates</strong></b><br>Also at issue is the rising pregnancy rate among contraceptives studied in the last decade.</p><p>FDA officials have said they have seen higher pregnancy rates in recent trials, but it is unclear whether that is due to lower hormone doses, improper use, or other factors.</p><p>Birth control pills approved from 1960 to 1970 saw less than one pregnancy for every 100 women who took them for a year. In the past 10 years, however, some were approved with rates above two per 100 women.</p><p>FDA staff have been divided over whether to limit acceptable pregnancy rates with new products. Even so, \"the newer generation products are highly effective in preventing pregnancy,\" the agency said in its statement.</p><p>Panelists said estimating the risk per 100 women, although widely used, was a \"crude\" way to establish pregnancy risk and manufacturers should move toward a more comprehensive method.</p><p>Wednesday, the panel is expected to discuss contraceptives that prevent bleeding, post-marketing studies and other issues.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i>Reuters contributed to this report</i></div><br><table width=\"100%\" style=\"background-color:#ffffee\" cellPadding=\"2\" cellSpacing=\"0\"><tr><td width=\"50%\"><font size=\"1\"><img src=\"/images/msnbc/print02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:printThis(\'16786552\')\" class=\"linkBlack\">Print this</a></font></td><td><font size=\"1\"><img src=\"/images/msnbc/email02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a 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INSERT INTO `dede_addonarticle` VALUES('1316','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">New drug can help smokers quit, review finds</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Prescription-only pill beats placebo in helping people kick the habit</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>NEW YORK - Smokers who use the prescription-only anti-smoking agent varenicline triple their likelihood of successfully kicking the habit, compared with trying to quit without medication, a new review concludes.</p><p>Pfizer\'s varenicline was approved in 2006 by the Food &amp; Drug Administration under the trade name Chantix and by European regulators under the trade name Champix.</p><p>The drug partially stimulates nicotine receptors in the brain, which helps reduce nicotine withdrawal symptoms. It also partially blocks nicotine from attaching to these receptors, making smoking less satisfying and so curbing a person\'s desire to smoke.</p><p>Dr. Kate Cahill, from Oxford University, U.K. and colleagues analyzed data from six Pfizer-sponsored studies that compared the effects of varenicline with placebo. Three of these also included a comparison with bupropion, an antidepressant that is also used for smoking cessation. The six trials included 4,924 smokers, 2,451 of whom used varenicline.</p><p>The results are reported in the latest issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/15654251/\">Fact file: Want to quit smoking?</a></li><li><a href=\"/id/11030549/\">Interactive: How smoking affects your lungs</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>In the pooled analysis, Cahill and her colleagues found that people who took a varenicline pill twice daily increased their odds of being continuously cigarette-free at one year approximately three-fold compared with people assigned a placebo. Success rates were also 1.6-times greater with varenicline than bupropion.</p><p>The jury remains out on the value of varenicline in helping ex-smokers from taking up smoking again.</p><p>The main side effect of varenicline is mild to moderate nausea, which subsides with time, the researchers say.</p><p>\"Additional and independent randomized trials of varenicline are needed to confirm the early findings from industry trials,\" Cahill\'s team concludes. \"There is also a need for direct comparisons with nicotine replacement therapy; and for further trials with bupropion, to establish the relative efficacy of the treatments.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1317','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">For healthy weight loss, slurp your dinner</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Soup helps reduce portion size, trim fat and boost veggie intake</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/j/msnbc/Components/Photos/070123/070123_soup_vmed_3p.vmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Soup\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Seth Wenig / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Soup is a convenient way to work more vegetables into meals.</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><div class=\"textMedBlackBold\" style=\"padding-top:10px;\">Karen Collins, R.D.</div><div class=\"textMedBlack\">Special to MSNBC.com</div><p></p></font><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"102\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/i/msnbc/Test-Dev/donna/msnbc10/Launch%20images/byline_msnbc.gif\" height=\"20\" width=\"100\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#000000\"></b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#666666\" border=\"0\" style=\"border-top:solid 1px #666666;border-bottom:solid 1px #666666;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><img border=\"0\" src=\"http://msnbcmedia1.msn.com/j/msnbc/Components/Bylines/mugs/MSNBC%20Interactive/msnbc_collins_karen.thumb.jpg\" vspace=\"0\" hspace=\"0\"></td></tr><tr><td style=\"padding:4px;\"><font color=\"#000000\"><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\"><tr><td><font color=\"black\"><b>Karen Collins, R.D.</b></font></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>For many people soup brings an image of a cozy comfort food that just has to be good for you. Indeed, soup can be a boost as you try to stay fit and healthy. But look before you eat, because the details of what\'s in the soup make a difference. </p><p>The long-held connection of soup to good health may stem from grandma\'s advice that you should have chicken soup when ill. Some research has shown that one or more compounds in chicken soup provide mild anti-inflammatory benefits that reduce mucus production and thus, lessen a stuffy nose or cough. We still have relatively little research to confirm the link, but there\'s no harm in trying. </p><p>Soup could be an ally for weight control, too. Americans\' portions have grown markedly in the last 20 years, apparently contributing to our boom in obesity. Some research suggests that starting a meal with soup may help reduce portion size. </p><p>For relatively few calories, soup brings a feeling of fullness and makes it easier to eat less of other foods in a meal. The key for success with this strategy may depend upon serving smaller portions of the other foods. </p><p>Studies have clearly established that for many of us, eating super-size portions is not necessarily due to hunger; it is a response to seeing more food. If that\'s true, then the fact that soup satisfies our hunger won\'t necessarily lead us to eat less if we still see large amounts of food. </p><p><b><strong>Drink your veggies<br></strong></b>Soup can also benefit long-term health by serving as a vehicle to work more vegetables into meals. Tomato soup provides a serving of vegetables in the liquid itself, and then you can add a variety of vegetables. </p><p>Pureed winter squash is also an excellent base for soup that is packed with nutrients. (Simply puree steamed, microwaved or baked squash, and thin to the consistency you prefer with chicken or vegetable broth or fat-free milk.) </p><p>Broth-based soups can be packed with one to two standard servings of vegetables per bowl, too. If you start with commercial soup that\'s light on vegetables, you can frozen, canned or leftover fresh veggies of your own. </p><p>The key to making soup a healthy food option is to make sure it is concentrated in the plant foods that we need to increase in our diet and not loaded with what we need to reduce sodium and saturated fat. </p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16331336/\">January Jumpstart: Doable daily tips</a></li><li><a href=\"/id/16756662/\">Microwave zaps 99 percent of germs on sponges</a></li><li><a href=\"/id/16655168/\">A vitamin a day may do more harm than good</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Conventional commercial soup often contains from 750 to 1,000 milligrams of sodium per 1-cup serving a hefty portion of the suggested maximum of 2,300 mg a day. (If you start with condensed soup, a serving is less than half of a 10-ounce can). </p><p><b><strong>Watch out for salt<br></strong></b>Reduced-sodium soups often contain 400 to 850 mg per cup. This is better but definitely not truly low-sodium. Some people dilute reduced-sodium soup with sodium-free bouillon to produce a soup with even lower sodium than commercial soups. You can add onion, garlic and herbs for plenty of flavor. As for fat content, cheesy or creamy soups tend to deliver 5 to 9 grams of saturated fat per cup; a substantial portion of many people\'s cap of 15 to 20 grams a day, particularly if your portion sneaks above the one-cup mark. </p><p>Vegetable and broth-based soups make limiting fat easier. Soup can play a role in creating meals that reduce cancer risk and promote overall health. By adding soup loaded with vegetables, fruits, whole grains and beans, you can instantly switch the balance of a meal in a healthy direction. </p><p>Soup can even be the complete meal following this approach. A soup chock-full of vegetables that includes a small amount of meat or poultry can provide a satisfying and healthful meal. </p><p><em>Nutrition Notes is provided by the </em><a href=\"http://www.aicr.org/\"><em>American Institute for Cancer Research </em></a><em>in Washington, D.C.</em></p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 MSNBC Interactive</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1318','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Stimulate your brain to fight Alzheimer\'s</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>New evidence backs up benefits of mental exercise to ward off disease</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>WASHINGTON - Just a modest amount of mental stimulation can go a long way toward warding off Alzheimer\'s disease, according to researchers who created mice genetically modified to get a condition similar to it.</p><p>Researchers at the University of California-Irvine studied hundreds of mice altered to make them develop abnormalities known as plaques and tangles in brain tissue that are considered hallmarks of Alzheimer\'s disease in people.</p><p>Writing on Tuesday in the Journal of Neuroscience, they said periodic learning sessions - swimming in a tub of water until finding a submerged platform to stand on - slowed the development in the mice of those two abnormalities.</p><p>\"The remarkable thing was that just by learning infrequently, they still had a very dramatic effect on the Alzheimer\'s disease pathology,\" said Kim Green, one of the researchers.</p><p>\"So it suggests that in humans, if you learn more and more and more, it\'s going to have a huge, beneficial effect,\" Green added.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/6614051/\">Interactive: Test your memory</a></li><li><a href=\"/id/16773416/\">Smelly signal points to Alzheimer\'s</a></li><li><a href=\"/id/16625749/\">Gene found that may cause Alzheimer\'s</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>The findings highlight an idea that also has emerged in other research - that exercising one\'s mind is important to staving off Alzheimer\'s disease, the degenerative brain malady that is the most common form of dementia among the elderly.</p><p>Green noted that other studies have found that more highly educated people are less likely to develop Alzheimer\'s than people with less education.</p><p>There is no known cure for Alzheimer\'s, which gradually destroys a person\'s memory and ability to learn, reason, make judgments, communicate and carry out daily activities.</p><p><b><strong>\'Stimulate the brain\'</strong></b><br>\"What we have shown is that by learning, by stimulating your mind, you\'re able to protect against the development of the pathologies associated with the disease,\" Green said.</p><p>\"Crossword puzzles, reading books, learning a new language - anything you can do to stimulate the brain is going to be beneficial, we think,\" Green added.</p><p>Green said the mice were given \"a very mild learning experience\" - essentially figuring out a maze but in the water - for a week at a time every three months. The sessions were four times daily for a week at 2, 6, 9, 12, 15 and 18 months of age.</p><p>The mice that performed the task experienced slower development of the protein beta amyloid clumping in the brain and forming plaques, gooey buildup that accumulates outside nerve cells, the study found.</p><p>These mice also experienced a slower buildup of another protein in the brain, hyperphosphorylated-tau, that can lead to the formation of neurofibrillary tangles - twisted fibers in brain cells.</p><p>Green said the researchers are looking into whether more frequent and intensive learning sessions might provide bigger and longer-lasting benefits.</p><p>Alzheimer\'s disease first affects parts of the brain controlling memory and thinking. As it advances, it kills cells elsewhere in the brain. Eventually, if the patient has no other serious illness, the loss of brain function will prove fatal.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1319','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">L.A. hospital cited for deadly bacterial outbreak </font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Two infants died after staff failed to clean instruments properly</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>LOS ANGELES - Hospital staff did not properly clean medical instruments linked to a deadly bacterial outbreak at a neonatal intensive care unit in Los Angeles, regulators have concluded.</p><p>White Memorial Medical Center closed the unit Dec. 4 after an outbreak of Pseudomonas aeruginosa sickened five infants. Two of the babies died, and their deaths were believed to have been caused by the pathogen.</p><p>In a report issued Tuesday, inspectors from the California Department of Health Services faulted hospital staff for not following manufacturer\'s recommendations for sterilizing laryngoscope blades, which are used to insert breathing tubes. The report said the respiratory therapy staff simply wiped the blades with soap, tap water and alcohol wipes.</p><p>A White Memorial statement said the report \"confirms the hospital\'s preliminary findings.\"<br>The neonatal unit has been reopened and officials said there have been no new infections.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16691062/\">Staph germ causes deadly pneumonia</a></li><li><a href=\"/id/15994167/site/newsweek/\">Old bugs learn some new tricks</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Of the roughly 2 million hospital-acquired infections each year, about 10 percent are caused by P. aeruginosa, a common bacterium that can be spread by health care workers, medical instruments, disinfectant solutions and food.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1320','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Are pooches headed for Washington\'s pubs?</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>State lawmaker proposes allowing man\'s best friend to be drinking buddy</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia4.msn.com/j/msnbc/Components/Photos/070124/070124_pubPups_vlg12p.vlarge.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Mike Duffy and dog\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">John Froschauer / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Mike Duffy, right, watches while his dog Emma gets a treat from Rebecca Barrett at an outdoor deli window in Olympia, Wash. Duffy said he is not in favor of a bill that?ould allow well-behaved, leashed canines into bars.</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>OLYMPIA, Wash. - Dogs could sidle up to their human companions downing their favorite microbrews in Washington state bars under legislation proposed by a Seattle Democrat.</p><p>Sen. Ken Jacobsen said he got the idea while at a downtown Olympia pub and saw dogs waiting outside in the cold and rain.</p><p>\"There\'s all sorts of places you can bring animals now,\" said Jacobsen, who doesn\'t own a dog. \"You can take dogs into hotels. My God, some people are carrying dogs in their purses. Why can\'t we have them in the bars?\"</p><p>The bill would allow bars and restaurants with liquor licenses to welcome dogs, as long as they accompany their owners and remain leashed. Establishments wouldn\'t be required to allow dogs, except for service animals.</p><p>Janna Goodwin with the National Conference of State Legislatures said she could not find any states that allowed dogs in bars, or any that were considering similar legislation.</p><p>A slightly different law that went into effect in Florida last summer allows restaurants, approved by local governments, to permit dogs to eat with their owners outside.</p><p>Health officials said the ban on pets in restaurants and bars is based on Food and Drug Administration regulations.</p><p>\"Animals don\'t use the toilet and they shed and they sometimes drool, and those are potential issues with food,\" said Joe Graham, public health adviser for the Washington state Department of Health.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?ThreadID=178050\">Discuss: Share your thoughts about dogs in bars</a></li><li><a href=\"/id/16752671/\">Doggie beer? Pet shop owner sees a niche</a></li><li><a href=\"/id/13740984/\">Pet peeves: The dog who crashed the party</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Lisa Owens would like the bill to pass so she could bring her 112-pound Rottweiler, Ida, with her when meeting friends at bars in Olympia.</p><p>\"If people were asking me to go somewhere and I could bring my dog, I might be more likely to go,\" she said.</p><p>But Mike Duffy, walking along a pier with his German shorthaired pointer, Emma, said he didn\'t think it was a great idea.</p><p>\"If you want to take your dog out, go for a walk,\" he said. \"If you want to go to the bar, leave the dog outside or at home.\"</p><p>The Senate Labor, Commerce, Research and Development Committee scheduled a public hearing on Jacobsen\'s proposal for Jan. 30.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1321','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">FDA ends investigation of embryo broker</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Agency says it has no jurisdiction over Texas facility\'s practices</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>SAN ANTONIO  - The Food and Drug Administration has ended an investigation into a broker offering ready-made embryos to prospective parents, concluding the agency had no jurisdiction.</p><p>The FDA has not disclosed what laws or regulations were the focus of the investigation into Jennalee Ryan\'s Abraham Center of Life. The agency\'s statement Wednesday said \"the investigation determined the facility was not currently engaged in practices that fall under FDA jurisdiction.\"</p><p>Ryan\'s service involves a physician who uses donated eggs and sperm to create embryos that cost $5,000 a pair. Clients can review the donors\' characteristics, including their ethnic and educational background and, in some cases, their photos.</p><p>Some critics have said Ryan\'s business may be crossing ethical lines by marketing a better baby.</p><p>But Ryan said she\'s just trying to help couples or single women, for example, who may not be able to have a biological baby.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><p><a href=\"/id/16599217/\">Read the original story about the \'embryo bank\'</a></p></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1322','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Genetically modified chickens lay drugs in eggs</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Researchers hope to use chickens to produce \'therapeutic proteins\'</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>British scientists have succeeded in producing multiple generations of genetically altered, or transgenic, hens that produce functional pharmaceutical proteins in the whites of their eggs.</p><p>To transfer drug-making genes into chickens, Dr. Helen M. Sang from the Roslin Institute in Scotland and her associates used a lentivirus carrier from which all viral coding sequences were deleted. The genetic material was replaced with the gene regulating ovalbumin production combined with genes for making human interferon or an antibody targeting malignant melanoma.</p><p>\"This construct is used to incorporate new protein genes into the chicken chromosome,\" Dr. Sang told Reuters Health.</p><p>This was accomplished by injecting the lentiviral vector containing the coding sequences for the desired pharmaceutical protein into the fertilized embryo of a new laid egg.</p><p>When the resulting chick is old enough, it is then bred it and the offspring examined. \"If the offspring are transgenic, we will see the new genes in every cell of their body, but only expressed in the oviduct,\" Sang continued.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16372490/\">FDA says cloned animals are OK to eat?/a></li><li><a href=\"/id/16383458/\">Cloned food may prompt \'clone-free\' labels</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>In their paper in the early edition of the Proceedings of the National Academy of Sciences, the researchers explain how a single transgenic cockerel was crossed to normal hens. Of 463 chicks they examined, 19 (4 percent) were transgenic.</p><p>When transgenic hens lay eggs, the foreign protein is expressed in the oviduct where the egg white is made. In the case of interferon produced in egg white, the researchers were able to confirm that the compound was functional by showing that it was active against a test virus.</p><p>Sang hopes that using transgenic chickens to produce therapeutic proteins will \"bring down the costs of drugs that currently are prohibitively expensive.\"</p><p>The Roslin Institute, renowned for its creation of Dolly the cloned sheep 10 years ago, is working in collaboration with gene therapy company Oxford BioMedica and biotech company Viragen to develop their transgenic chicken system as a large-scale biomanufacturing alternative for a variety of proteins.</p><p>\"But it is still early days yet,\" said Sang. \"We\'ve made significant steps in developing a process that we hope will be an alternative production platform for protein drugs.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1323','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">\'Cardio Tennis\': A little tennis, lots of running</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Sport emphasizes good aerobic workouts more than great backhands</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia4.msn.com/j/msnbc/Components/Photos/070124/070124_cardiotennis_vmed12p.vmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Tennis player\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Gene Blythe / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Cam Fenton, 49, of Atlanta works through rope ladder exercises during a Cardio Tennis workout in Atlanta. </font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>ATLANTA - It looks like just another tennis workout as balls sail by and sometimes directly at pro instructor Tony Palafox.</p><p>But the plastic cones and the rope ladder along either side of the court suggest otherwise. This is \"Cardio Tennis,\" a group class that combines traditional tennis practice with other endurance-building exercise.</p><p>On a recent brisk morning at a YMCA tennis court in Atlanta\'s trendy Buckhead neighborhood, three tennis players had a workout with Palafox, a former pro tennis player from Mexico City. Palafox has trained other professionals, including U.S. tennis champion John McEnroe.</p><p>\"Did John McEnroe do this?\" asks 42-year-old Caroline McCrary during pre-workout arm stretches and moving sideways in a circle with the group.</p><p>\"Pros should do it - it is good fitness,\" says the 70-year-old Palafox. Today\'s pros, he says, have access to personal trainers to build their stamina.</p><p>For everyone else, Cardio Tennis provides similar benefits, Palafox says, because it uses aspects of a regular tennis workout - hitting balls - with footwork exercises designed to build endurance.</p><p>Unlike a regular game of tennis, Cardio Tennis is focused on fitness and less on hitting great forehands and backhands. The program has 1,500 workout sites in 48 states, Puerto Rico and 25 countries. It started in September 2005 by the Tennis Industry Association as a way to get more people involved in the sport. Classes run from $8 to $20 per session, depending on the club. Palafox\'s YMCA charges $10 for members.</p><p>\"When lower-skilled players go out and play with one another they are not hitting many balls - they are chasing many balls. That doesn\'t get your heart rate up,\" said Michele Krause, national Cardio Tennis director for the Tennis Industry Association. \"In Cardio Tennis, a pro is controlling the activity, you\'re hitting tons of balls ... and you have a great ability to stay in your heart-rate range for the recommended period of time.\"</p><p>Organizers claim the workout offers cardiovascular benefits because all the activity in each workout allows participants to hit their aerobic training zone, which is between 65 percent and 85 percent of their maximum heart rate. The workout also improves a player\'s tennis game because players get lots of tennis practice and tips on how to improve with instructors.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16658017/\">Wacky workout questions answered</a></li><li><a href=\"http://fitlist.msnbc.msn.com/\">The Fit List: Weekly workout tips</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Cardio Tennis means more of a \"total body\" workout than just tennis alone or other activities such as running or cycling, said Randy Braith, director of the an exercise physiology lab at the University of Florida, who is not involved in the Cardio Tennis program. Both upper and lower body get a workout, he said.</p><p>\"I can run a gazillion miles, but it\'s hard,\" McCrary says during the 45-minute workout\'s only down time - when Palafox exhausts his ball hopper and players break to pick them all up again.</p><p>\"We look forward to picking up the balls,\" jokes Cam Fenton, 49, of Atlanta.</p><p>First, Palafox does stretching exercises with his group. Then he hits three or four volleys to a class member, who returns the serves, then runs to the side of the court to do jumping exercises over the rungs of the rope ladder, or footwork exercises around the plastic cones. Then it\'s back to the volley line and hitting balls again.</p><p>They work on their forehand and backhand, lobs, baseline shots and even close to the net. A workout session usually includes three sets of hitting exercises, with two breaks of picking up tennis balls in between.</p><p>Fenton started taking Cardio Tennis last summer and says she can burn about 600 calories per workout.</p><p>\"I like to play tennis and try to get cardio in everyday,\" Fenton said. \"Your heart rate jumps up huge because you\'re running.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1324','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Panel: No failure limits on birth control pills</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>FDA experts consider future guidelines for hormonal contraceptives</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>WASHINGTON - The government shouldn\'t set failure limits on birth control pills because that could put less-effective but still beneficial contraceptives off limits to women, federal health advisers recommended Wednesday.</p><p>The FDA scheduled meetings both Tuesday and Wednesday with its outside experts to gather advice on future guidelines that drug makers could follow in seeking approval for new hormonal contraceptives.</p><p>The FDA is looking at how well studies done prior to approval of new birth control pills reflected their \"real-world\" use. Typically, that use is less consistent and reliable than it is in clinical studies.</p><p>Also, newer versions of the pill aren\'t being tested on women who reflect the broader population. The women in clinical trials are younger, skinnier and healthier than are U.S. women on average, panelists and other experts said.</p><p>The more clinical trials can mimic real-world use, the more confident women will be that the pills both work and are safe, Kirsten Moore, president of the Reproductive Health Technologies Project, a nonprofit advocacy group, told panelists.</p><p>\"When expectations don\'t match up to reality, women are more likely to discontinue their contraceptive use and possibly expose themselves to unwanted pregnancies,\" Moore said.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16695792/\">Trans fats may increase infertility risk</a></li><li><a href=\"/id/16098766/\">Chewable pill stops pregnancy, freshens breath</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>The exclusion of smokers, obese and older women from clinical trials also underscores the need for large follow-up studies that assess the real-world safety and effectiveness of the oral contraceptives, advisers said. Who would fund those studies remains unclear.</p><p>For instance, the risk of pregnancy and blood clots both can rise in obese women who take the pill, Amy Allina, program and policy director with advocacy group National Women\'s Health Network, told the panel. The pills also appear not to work as well in overweight women, according to the FDA.</p><p><b><strong>Lower doses, lower risks</strong></b><br>Newer, lower-dose birth control pills are less effective at preventing pregnancy than the first oral contraceptives approved beginning in 1960. Yet the newer drugs offer other health benefits or cause fewer side effects. That has split federal health officials on the need to define a pregnancy or failure rate that would be unacceptably high for next-generation pills.</p><p>Throughout the 1960s, the earliest birth control pills to win Food and Drug Administration approval failed just once per 100 woman-years of use. That is, for every 100 women taking the pills for a year, there was fewer than one pregnancy on average among them.</p><p>Today, newer pills contain less estrogen and progestin. Those pills can reduce the risk of blood clots, stroke and other sometimes deadly side effects. But as the hormone content of the pills has dipped, failure rates have climbed.</p><p>Over the last decade, the FDA has approved some pills with failure rates that exceed two pregnancies per 100 woman-years of use, according to agency documents. That is twice the rate considered acceptable in the 1960s.</p><p>But allowing the less effective pills on the market can increase the options for women and their doctors, said Dr. Charles Lockwood of Yale University, acting chairman of FDA\'s reproductive health drugs advisory committee.</p><p>\"We don\'t want an arbitrary number to be ascribed,\" Lockwood said after the panel declined to define a pregnancy rate that would be considered unacceptable.</p><p>While most women take the pill to prevent pregnancy, others rely on hormonal contraceptives to regulate their monthly periods or curb acne.</p><p>The FDA acknowledged its own staff is split over whether to establish an acceptable failure rate for pills and, if so, what that rate should be. The FDA isn\'t required to follow the advice of its advisory committees, but usually does.</p><p>Several panelists suggested that any birth-control pill that isn\'t highly effective or offers some other benefit simply wouldn\'t sell, making the issue moot.</p><p>\"If a new product isn\'t as good as what\'s out there, clinicians aren\'t going to prescribe it - unless there\'s something there,\" said Lorraine Tulman, of the University of Pennsylvania\'s School of Nursing and the panel\'s consumer representative.</p><p>Nearly 12 million U.S. women were on the pill as of 2002, making it the nation\'s leading method of contraception, according to a recent Centers for Disease Control and Prevention study.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1325','1','	<p><p>TUESDAY, Sept. 26 (HealthDay News) -- Doctors treat patients who lack health insurance differently than patients who are insured, a major new study finds.</p> <p>For example, the uninsured are much more likely to get two generic medications instead of one easier-to-take brand-name drug. Or, they might be prescribed a cheaper generic drug that must be taken longer than a pricier brand-name version.</p> <p>Both of these prescribing decisions make it harder for uninsured patients to stick to their medications as needed, experts warned.</p> <p> &quot;This paper underscores the tragedy that America doesn\'t have a single-payer health care system,&quot; said Dr. Michael Mendoza, a clinical assistant professor of family medicine at the University of Chicago.</p> <p>He was not involved in the study, which was published in the September/October issue of the <i>Annals of Family Medicine</i>.</p> <p>According to the U.S. Census Bureau, 46.6 million Americans went without heath insurance in 2005, up from 45.3 million in 2004. Overall, the number of Americans without health insurance has risen by 7 million since 2000.</p> <p>The new study finds that doctors often make health-care decisions that are based, at least in part, on whether a patient is insured.</p> <p>In the study, researchers led by Dr. David Meyers, of Georgetown University Medical Center, surveyed 25 doctors from a primary care, practice-based research network in Washington, DC.</p> <p>The doctors completed brief surveys immediately after seeing each patient during two half-day office sessions.</p> <p>According to the survey, 88 percent of the doctors made at least one change in their patients\' clinical management due to his or her insurance status. Overall, physicians changed management strategies for 99 of 409 patients. Nearly two-thirds (62.6 percent) of the time, doctors discussed insurance issues with patients and made changes based on insurance status.</p> <p>Common changes in practice included prescribing two separate generic medicines instead of one brand-name combination pill, or using a less expensive but longer course of medication. Both strategies make it more likely that a patient will not keep up with the prescribed regimen, the researchers noted.</p> <p>Doctors also said lack of insurance often caused them to forego treatments that might boost patient health. For example, they might not prescribe smoking-cessation aids, or fail to refer patients with a family history of colon cancer to life-saving (but expensive) colonoscopy.</p> <p>Primary care doctors face the problem of the uninsured all the time, experts say.</p> <p>&quot;We know that the two biggest factors that impact access to care are insurance and a usual [regular] source of care,&quot; said Dr. Patrick T. Dowling, professor and chair of the Department of Family Medicine at UCLA\'s David Geffen School of Medicine.</p> <p>Dowling said prescribing generic drugs is generally a good idea, since people without insurance are less likely to buy higher-priced brand-name drugs. &quot;We should always use generic drugs whenever we can,&quot; he said.</p> <p>However, it is worrisome that many uninsured patients don\'t get recommended screening tests, Dowling said. &quot;We see uninsured people all the time. We say, \'this is what is recommended, but this is going to be the cost, and this is how we could proceed as an alternative.\' We try to discuss it upfront,&quot; he said.</p> <p>However, health care could be compromised if patients don\'t get tests that can detect diseases such as cancer, heart disease or HIV, Dowling said.</p> <p>Mendoza, who works in a Chicago community health clinic, said he also prescribes generic medications first. And, he said, &quot;I really go out of my way to find [specialist] doctors who will accept patients without insurance.&quot;</p> <p>That\'s important, because uninsured patients often have trouble getting timely appointments with specialists, Mendoza said. In those cases, &quot;I continue to take care of them even though I want them to see a specialist,&quot; he said. &quot;I do the best I can -- as a primary care physician -- to take care of their specialty needs. That can definitely compromise care.&quot; </p> <p>Many specialists require insurance or payment upfront, Mendoza noted. &quot;I can\'t send people to universities [medical centers], because they won\'t be able to afford the bill they are going to get. They are not even going to let you in the door unless you can demonstrate insurance or independent wealth,&quot; he said.</p> <p>In a related study in the Sept. 25 issue of the <i>Archives of Internal Medicine</i>, researchers find that when prescribing new medications, doctors often don\'t tell patients important details, such as side effects, how long or how often to take the drug, or the specific name of the medication.</p> <p>According to the report, doctors used the specific drug name 74 percent of the time for new prescriptions, explained the purpose of the drug 87 percent of the time and discussed adverse effects 35 percent of the time, and gave instructions on how long to take the drugs 34 percent of the time.</p> <p>&quot;This study demonstrates spotty physician counseling about new medication prescriptions,&quot; wrote a team from the University of California, Los Angeles. &quot;Although physicians educated patients more about psychiatric and analgesic medications, the overall quality of communication was poor even for these medication types and could contribute to patient misunderstandings about how and why to take their new medications,&quot; they concluded.</p> <p><b>More information</b></p> <p>There\'s more on the plight of the uninsured at the <a href=\"http://www.cbpp.org/8-30-05health.htm\" target=\"_new\">Center on Budget and Policy Priorities</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1326','1','	<p><!--Spanish ID:535184--> <p>WEDNESDAY, Sept. 27 (HealthDay News) -- Stressed-out pregnant women may carry smaller-than-average babies, a new study finds.</p> <p>In findings published in the September-October issue of <i>Psychosomatic Medicine</i>, researchers from the University of Miami School of Medicine studied 98 women who were 16 to 29 weeks pregnant.</p> <p>The women completed questionnaires that measured their levels of distress from daily hassles, depression and anxiety. The women also underwent ultrasounds to measure their fetuses, and they provided urine samples to measure levels of stress-linked hormones such as cortisol and norepinephrine.</p> <p>The researchers found that the fetuses of the mothers with higher rates of depression, anxiety and stress weighed less and were smaller than average.</p> <p>In addition, cortisol levels were linked to the weight of the fetus, indicating that cortisol may be a potential mechanism for transmitting a mother\'s stress to her unborn baby.</p> <p>&quot;One of the things this research highlights is that if you are pregnant and under extreme amounts of stress or feeling depressed, you should talk with your doctor about ways of treating these conditions during pregnancy,&quot; study author Miguel A. Diego said in a prepared statement.</p> <p><b>More information</b></p> <p>The National Women\'s Health Information Center has more about <a href=\" http://womenshealth.gov/pregnancy/&quot;target=\">pregnancy</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1327','1','	<p><p>THURSDAY, Sept. 28 (HealthDay News) -- Unmarried parents are more likely to report mental-health problems than married moms and dads, a new study finds.</p> <p>The study also suggests that children of unmarried parents may be at higher risk of developing similar mental and behavioral issues, the researchers said.</p> <p>However, they were quick to add that important distinctions exist within the category of &quot;unmarried parents.&quot; </p> <p>&quot;Being unmarried parent is <i>not</i> a homogenous state,&quot; said study lead author Michelle DeKlyen, a research scholar at Princeton University\'s Center for Research on Child Wellbeing, in New Jersey. &quot;It might make a difference if children are living with the biological parents or if you have little or no contact.&quot; </p> <p>Marriage itself does not exist in a vacuum, another expert added. &quot;The article really lends support to the idea that you need to take a comprehensive and broad and holistic view about child and family mental health,&quot; said Robin Goodman, a clinical psychologist and art therapist in New York City.&quot;</p> <p>The findings, published in the October issue of the <i>American Journal of Public Health</i>, may have some bearing on recent government initiatives that seek to boost marriage among parents who haven\'t wed.</p> <p>The findings are also significant because the U.S. rate of childbearing outside of marriage -- especially among people with limited education -- has increased dramatically over the past 40 years. In 2000, one out of three births was to unmarried mothers, according to federal statistics. What\'s more, 70 percent of births to black parents, and 43 percent of Hispanic births, occurred outside of marriage. Non-marital childbearing is associated with low socioeconomic status, a known risk factor for mental-health problems.</p> <p>Previous research has pointed to the mental benefits of marriage.</p> <p>&quot;When people can establish a secure and long-lasting intimate relationship, everything tends to be better for everybody,&quot; said Barry Ginsberg, a child and family psychologist and director of the Center of Relationship Enhancement in Doylestown, Penn. &quot;When you get married, you have a social acknowledgement of your relationship and therefore you get more benefit, you\'re accepted, you\'re liable to be seen as one who can get along better, may be seen as a better employee.&quot; </p> <p>In addition, being married brings the resources of two families together, which enhances security, Ginsberg added. </p> <p>However, experts know less about never-married parents because most prior research has not distinguished between different types of never-married parents. </p> <p>One recent estimate indicates that about half of unmarried parents are cohabiting at the time of the birth of their child, 30 percent are in a romantic relationship with their partner and 20 percent are not in a romantic relationship. </p> <p>In this new study, the researchers looked at data on a group of almost 5,000 births (both marital and non-marital) in major U.S. cities. The data included interviews with mothers and fathers, as well as assessments of anxiety, depression, heavy drinking, illicit drug use, incarceration and domestic abuse. </p> <p>Four types of unmarried relationships were defined: Cohabiting, non-cohabiting, romantic, and nonromantic. </p> <p>In general, unmarried parents reported more mental-health and behavioral problems than married parents. </p> <p>But there were considerable differences within the group of single parents that had not previously been documented. </p> <p>For instance, single parents whose relationships ended before the birth of the child reported more problems than other unmarried parents. And parents who were currently not cohabiting or romantically involved reported the most mental-health problems. </p> <p>Unmarried fathers who lived with their partners were more than twice as likely than married fathers to have been in jail; nonromantic fathers were more than three times as likely as married fathers to have been in jail. </p> <p>Unmarried fathers who were still romantically linked to the mother of their child were more likely to have experienced a major episode of depression compared to married fathers. Unmarried, nonromantic dads experienced the highest rates of depression and anxiety, the study found.</p> <p>Nonromantic fathers were the most likely to have been violent, and married fathers the least likely. Partner violence was twice as high among romantically linked but unmarried couples as among married couples.</p> <p>The findings suggest that &quot;we have to screen carefully to make sure we\'re not putting moms and kids in dangers, that families are not encouraged to stay together until domestic violence is addressed,&quot; DeKlyen said. </p> <p>The study did not show any cause-and-effect relationship, however. &quot;There\'s a physiological, biological, genetic component to things like anxiety and depression,&quot; Goodman said. &quot;There\'s a whole system in terms of the individual and how they\'re wired, as well as the actual environment.&quot;</p> <p>Regardless of what roles nature and nurture play in the process, the data regarding incarcerated fathers was particularly troubling, experts said. The number of people in prison has increased dramatically since 1980, due to changes in sentencing policies. Ex-offenders have trouble finding steady employment, and being in prison undermines the skills people need to stay in healthy relationships. </p> <p>&quot;Both moms and dads say that the most important factor in a stable marriage is having a dad who is stably employed,&quot; DeKlyen said. &quot;The whole marriage initiative is running up directly against incarceration policies.&quot; </p> <p>Also troubling are the findings on depression. </p> <p>&quot;We know that parents who abuse alcohol or drugs or are violent are a risk for children. Maybe somewhat insidious and less well-known to the general public is the potential damage when either mothers or fathers suffer from depression, which is a more common problem,&quot; DeKlyen said.</p> <p>&quot;Because we have so many more unmarried parents, we should want to address parents\' mental-health needs if we are concerned about the well being of children,&quot; she added. &quot;This is a wake-up call. This is a big group here. Maybe we should increase our concern.&quot; </p> <p><b>More Information</b></p> <p>There\'s more on the mental health of children and adults at the <a href=\"http://www.nimh.nih.gov/\" target=\"_new\">U.S. National Institute of Mental Health</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1328','1','	<p><!--Spanish ID:535221--> <p>WEDNESDAY, Sept. 27 (HealthDay News) -- Low-birth-weight babies appear to be at significantly higher risk of developing irritable bowel syndrome (IBS) in later life, Norwegian researchers report.</p> <p>IBS is a chronic bowel ailment characterized by cramping, bloating, gas, diarrhea and constipation.</p> <p>Now, the new study finds that &quot;restricted fetal growth significantly affected susceptibility to IBS later in life,&quot; according to lead researcher Dr. May-Bente Bengtson, from the department of medicine at the University of Oslo.</p> <p>She added that &quot;the rate of IBS was significantly higher in women compared with men, and [the] genetic contribution appeared to be important for IBS among females,&quot; she said.</p> <p>The report was published in the Sept. 27 online edition of the journal <i>Gut</i>.</p> <p>In the study, Bengtson\'s team tracked the health of 3,334 twin pairs, 1,250 of whom were identical twins. The twins filled in a questionnaire about their health, including whether they had ever had IBS. The data were then matched with their weight at birth.</p> <p>Among all the twins, the rate of IBS was 5.4 percent, about one in 20. However, the IBS rate among women was 7 percent, compared with just 3 percent among men, the researchers found.</p> <p>Furthermore, the risk of developing IBS was 2.5 times greater among those whose birth weights were below 1,500 grams (3.3 pounds) compared with those weighing more than 2,500 grams (5.5 pounds) at birth. The risk was generally higher for the lower-weight baby of the twin pair, the researchers found.</p> <p>Bengtson\'s team also found that babies who weighed less than 1,500 grams tended to develop IBS symptoms some 7.7 years earlier compared with babies weighing more than 1,500 grams.</p> <p>&quot;Like other twin studies, we have shown that restricted birth weight, when below 2500 grams, increases the risk of morbidity, and the risk increases with decreasing birth weight,&quot; Bengtson said. &quot;Convincing evidence exists to suggest that restricted development of specific fetal organs could predispose [individuals] to other chronic diseases like cardiovascular heart disease, non-insulin diabetes and hypertension.&quot;</p> <p>The average age of IBS onset was similar for both men and women, with the first signs of the illness appearing at about the age of 18 in men, and a year earlier in women.</p> <p>In addition, the likelihood of IBS was stronger among the identical twins, suggesting that genetic factors play a key role in the illness.</p> <p>Growth of the bowel is a dynamic process that is ongoing at birth, Bengtson noted. She speculates that a &quot;lack of [fetal] nutrition might disturb the development of the gut and the nervous system, and thereby cause symptoms of IBS, like abdominal pain, bloating and disturbed defecation,&quot; she said.</p> <p>One expert said the connection between IBS and low birth weight is a new finding, but needs explaining.</p> <p>&quot;There is one question regarding their interpretation of results -- is this a genetic effect or is this a result of parental concern over a twin who weighs significantly less than the other twin?&quot; said Dr. Charles Gerson, a clinical professor of medicine at Mount Sinai School of Medicine, New York City. For example, parents might feed a lower-weight twin differently than they do the larger twin, he said.</p> <p>The important role of genes in IBS in twins is already known, Gerson said, but &quot;interpretation of data in IBS is always confounded by psychosocial variables,&quot; he said.</p> <p><b>More information</b></p> <p>Find out more about IBS at the <a href=\"http://digestive.niddk.nih.gov/ddiseases/pubs/ibs_ez/\" target=\"_new\">U.S. National Institute of Diabetes, Digestive and Kidney Diseases</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1329','2','\n\n\n	 <p>The fastest way to consumers?hearts may be through their troubled stomachs.</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/22/business/22yogurt.190.jpg\" width=\"190\" height=\"257\" alt=\"\" border=\"0\">\n<div class=\"credit\">Mike Fuentes for The New York Times</div>\n<p class=\"caption\">\nDanActive, a probiotic dairy product meant to strengthen the body&#146;s natural defenses, is made in Dannon&#146;s plant in Fort Worth. \n</p>\n</div>\n  \n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>In the year since the Dannon Company introduced Activia, a line of yogurt with special live bacteria that are marketed as aiding regularity, sales in United States stores have soared well past the $100 million mark, a milestone that only a small percentage of new foods reaches each year.</p><p>Now other food makers, eyeing Activia? success, are scrambling to offer their own products with special live microbes that offer health benefits, known as probiotics.</p><p>Probiotic foods have been popular in Europe and Asia for decades; in fact, Activia has been sold overseas since 1987. But there are challenges in replicating that success in the United States, including an American public that eats far less yogurt than Europeans and a culture that has traditionally relied on pills, rather than food and natural remedies, to remain healthy.</p><p>Still, given Activia? popularity and the growing public demand for natural products in the United States, some experts say that probiotics have the potential to be this decade? oat bran, which became a food sensation in the 1980s after it was shown to lower <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/cholesterol/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about cholesterol.\">cholesterol</a> levels.</p><p>? know marketers will start looking to put it on everything,?said Bob Goldin, executive vice president of Technomic, a food industry research and consulting firm. But probiotic foods will sell only if they taste good and consumers believe they are credible, he said.</p><p>There is broad agreement that probiotics may help improve health, plus a growing body of research linking them to relief of irritable bowel syndrome, yeast infections, and diarrhea that results from certain illnesses. But so far there is no definitive proof for some extravagant claims. Already, manufacturers have suggested that probiotics may help ward off everything from <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/allergies/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about allergies.\">allergies</a> to colon <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/cancer/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about cancer.\">cancer</a>.</p><p>The <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/f/food_and_drug_administration/index.html?inline=nyt-org\" title=\"More articles about the U.S. Food And Drug Administration.\">Food and Drug Administration</a> takes a neutral position, policing food packages to make sure that companies do not try to equate probiotic products with disease-curing drugs (unless they have scientific evidence to back up a claim). One scholarly group that has addressed the topic recently, the American Academy of Microbiology, said in a 2006 report that ?t present, the quality of probiotics available to consumers in food products around the world is unreliable.?/p><p>The oat bran craze fizzled in part because its health benefits were overstated, and some <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/diet/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about diet and nutrition.\">nutrition</a> and medical experts say the situation may be the same with probiotics. Detractors say that a lot of fuzzy claims are being made, and it is sometimes unclear how much of a food a person would have to eat ?or how often they would have to eat it ?to obtain any benefits. </p><p>But the doubts do not seem to have toned down the marketing for probiotics. </p><p>?hey are gaining a reputation as being good for you in some way, and there is an element of truth in that,?said David Schardt, a senior nutritionist at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/c/center_for_science_in_the_public_interest/index.html?inline=nyt-org\" title=\"More articles about Center for Science in the Public Interest\">Center for Science in the Public Interest</a>, a nutrition advocacy group. ?ut it is a very narrow element of truth, in certain very specific diseases where it? been proven to be helpful.?</p><p>Probiotics in food are part of a larger trend toward ?unctional foods,?which stress their ability to deliver benefits that have traditionally been the realm of medicine or <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/dietarysupplementsandherbalremedies/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about dietary supplements and herbal remedies.\">dietary supplements</a>. Whether or not their claims are to be believed, some food companies say that their orange juice with omega 3 fatty acids is good for the heart, that their green tea drinks can burn calories and that their granola bars with plant sterols can lower cholesterol. </p><p>Nutritionists scoff at some of these claims, and not all foods marketed as functional have been hits. The ones that come across to consumers as less natural, such as fortified soft drinks, have not sold as well as those that seem inherently healthy, like yogurt and orange juice. For Activia ?which Dannon recommends eating daily in order to derive health benefits ?it didn? hurt that yogurt sales have been soaring and that millions of Americans complain of stomach problems. </p><p>?ctivia is unique,?said Michelle Barry, senior vice president for consumer insights and trends at the Hartman Group, a market research firm. ?hey are kind of the poster child of great success in this category of functional foods.?/p><p>So far, most probiotic products can be found in the dairy case or as dietary supplements. TCBY sells a probiotic frozen yogurt, and Stonyfield Farm is introducing a dairy-based energy drink called Shift with probiotics. Both Dannon and Stonyfield Farm are owned by the Group  <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=DA\" title=\"Danone\">Danone</a>, a French company.</p><p>But there is also a trickle of non-dairy probiotic food, including a cereal called Kashi Vive and ?ellness bars?from a company called Attune Foods.</p><p>At the Whole Foods store in Union Square in Manhattan, there are several shelves of probiotic dairy products, including DanActive, a new offering from Dannon, as well as Wildwood Soyogurt Smoothie and Probugs Organic Whole Milk Kefir, from  <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=LWAY\" title=\"Lifeway Foods\">Lifeway Foods</a>.</p><p>Susan Kramer, a 50-year-old mother who was shopping at the store recently, said she regularly bought DanActive. ? assume it has more probiotics than regular yogurt,?she said. ?t just makes me feel good to drink it, and my kids like it.?/p><p>Probiotics include bacteria that is used to ferment food, whether it is yogurt, cheese or pickles. While there are thousands of different probiotics, only a handful have been tested in clinical trials and been shown to deliver specific health benefits when eaten regularly. Critics say that some food products do not say which bacterial strains they contain nor how much of the ingredient is in each package.</p><p>The growth of probiotics in food comes as some scientists are focused on the role of beneficial bacteria in people? intestinal tracts in aiding digestion, boosting the body? natural defenses and fighting off harmful bacteria that could cause health problems.</p><p>Gary B. Huffnagle, a professor of internal medicine at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_michigan/index.html?inline=nyt-org\" title=\"More articles about the University of Michigan.\">University of Michigan</a> and a strong proponent of probiotics, says there is independent research that shows that probiotics help with some bowel problems, plus strong but not conclusive evidence that probiotics help alleviate yeast infections and the stomach woes often associated with taking <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/antibiotics/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about antibiotics.\">antibiotics</a>.</p><p>But Professor Huffnagle, who said he had no financial ties to companies that sell probiotic products, said there simply was not enough research to support claims that probiotics could ward off cancer, allergies, high <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/bloodpressure/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about blood pressure.\">blood pressure</a> and other diseases.</p><p>?t? early in terms of the research,?he said. </p><p>Mr. Schardt, the nutritionist with the Center for Science in the Public Interest, said the claims of many probiotic foods and supplements were not backed by scientific research. </p><p>For instance, Kashi Vive cereal promises to ?are for your digestive system and enhance your joie de vivre,?but there is no published research that shows that the probiotic strain in Vive has any health benefits, he said. Kashi, which is owned by the  <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=K\" title=\"Kellogg Company\">Kellogg Company</a>, declined to comment other than to say the strain it uses in Kashi Vive is proprietary.</p><p>Similarly, Mr. Schardt said that a study supporting DanActive? claim for strengthening the body? defenses showed that it did not prevent <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/colds/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about colds.\">colds</a> or infections, though it did reduce the duration of colds by a day and a half. Dannon officials said that Mr. Schardt? analysis was full of errors and that other studies showed that DanActive strengthens the body? defenses.</p><p>As for Activia, the company does not claim that it reduces the risk of specific medical conditions like constipation. Rather, Dannon says, it ?an help regulate your digestive system by helping reduce long intestinal transit time.?/p><p>The success of Group Danone? probiotic products has helped boost its stock by more than 50 percent over the last year. Mark Lynch, an analyst with  <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=GS\" title=\"Goldman Sachs\">Goldman Sachs</a> in London, said that Danone? growth in dairy had been due mostly to growth in new markets combined with the introduction of innovative products in existing markets.</p><p>Besides Activia and Actimel (the European equivalent of DanActive), Danone has introduced a yogurt called Danacol in Europe that contains plant sterols that the company says lower cholesterol. Another Danone yogurt is on the way that claims to improve skin quality.</p><p>As word circulates among consumers about probiotics, not all shoppers are sold. At a Giant Eagle grocery store in Cleveland, Amanda Ross, a 31-year-old grant writer, said she had tried Kashi Vive and concluded that it tasted like cardboard.</p><p>?t didn? make my mouth feel good,?she said. ?nd I? a big granola and cereal person.?/p><p>As for Activia, Ms. Ross said she had bought it on sale and liked the taste, but did not notice any digestive changes. ?hen it went up to its regular price, I didn? buy any more,?she said.</p><NYT_AUTHOR_ID><p id=\"authorId\">Christopher Maag contributed reporting from Cleveland.</p></NYT_AUTHOR_ID><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1330','2','<p>When life gets tough, the stressed often get hungry.</p><p>\"I\'m a total stress eater,\" notes a Lean Plate Club member who faces frequent deadlines in her job at a major magazine publishing house in New York. \"It\'s an ongoing battle for me. . . . Food not only placates, but it also allows me to procrastinate.\"</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<div class=\"media_photo\"><!--link rel=\"image_src\" href=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/19/PH2007011901438.jpg\"/--><div style=\"float:left;position:relative;top:14px;\"><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-dyn/content/photo/2007/01/19/PH2007011901440.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-srv/photo/largerPhoto/images/enlarge_tab.gif\" width=\"103\" height=\"12\" border=\"0\" align=\"bottom\" alt=\"\"></a></div><div style=\"float:left;\"><div style=\"padding-left:135px;\"><img src=\"http://www.washingtonpost.com/wp-srv/photo/images/pictopia1.jpg\" width=\"15\" height=\"12\" border=\"0\"/><span style=\"position:relative;bottom:2px;font-family:Arial;font-size:10px;\"><a href=\"http://pictopia.com/perl/ptp?provider_id=25&ptp_photo_id=xt-mt-25-title_6222458\">Buy This Photo</a></span></div>\n</div><br clear=\"all\"/><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-dyn/content/photo/2007/01/19/PH2007011901440.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/19/PH2007011901438.jpg\" border=\"0\"  alt=\"\"  height=\"184\" width=\"228\" align=\"top\"></a><div id=\"caption\"><span id=\"credit\"> (Julia Ewan - Twp) </span></div></div>\n<div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2>Tuesday, Jan. 23, 1 p.m. ET</h2><div class=\"sidebarcontent\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/18/DI2007011801258.html\" target=\"\">Lean Plate Club</a><br/>Post health and nutrition writer Sally Squires talks about how to eat healthier.<br/>\n<div style=\"clear:both;\"></div></div></div>\n<title></title><div>\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<!--   <h2>Special Package</h2> -->\n<div class=\"sidebarcontent\" style=\"padding-left: 10px; padding-right: 10px;\">\n<div class=\"sidebarbox\" style=\"color: #333;\">\n<a href=\"\"><img src=\"http://www.washingtonpost.com/wp-srv/health/images/stressPromo_228.gif\" border=\"0\"></a>\n<p style=\"margin-top: 0; padding-top: 0;\">\nTechniques for you to lighten the load on your mind and body.\n</p>\n<p style=\"margin-top: 0; padding-top: 0;\">\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/graphic/2007/01/22/GR2007012200620.html\">Graphic: Stress and Your Body</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901443.html\">Giving Meditation a Spin</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/23/DI2007012300535.html\">Noon Wed.: Meditation Live Discussion</a>  <br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901435.html\">Laugh, and Get to Work</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901447.html\">Nonstop Office</a>&nbsp;|&nbsp;<a href=\"http://www.washingtonpost.com/wp-dyn/content/video/2007/01/19/VI2007011901237.html\">Video</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436.html\">Why We Eat When The Heat Is On</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901448.html\">Real People Manage Stress </a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901430.html\">Stress Statistics</a>  <br />\n</p>\n<!--     <p style=\"border-top: 1px dashed #CCC; margin-top: 5px; padding-top: 7px; font-weight: bold;\"\n</p>\n-->\n<div>\n<script src=\"http://media.washingtonpost.com/wp-srv/mmedia/player/js/player_v1.8.js\"></script>\n<script>createVideo(\'left\',\'health\',\'011907-14v\',\'none\',\'011907-14v_427\',\'Not Your Average Work Space\',\'yes\',\'/video/2007/01/19/VI2007011901237.html\',\'Jacqueline Refo / washingtonpost.com\')</script>\n<div style=\"font-family:arial;font-size:11px;margin-bottom:10px;color:#333333;\">\n<strong style=\"color:#CC0000;\">VIDEO</strong></span> | Freelance editor, Lois Yurow created a desk on her treadmill in her home office so that she can work and exercise at the same time.</div>\n</div>\n</div>\n</div>\n</div>\n\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436_Technorati.html\') ;\ntechnorati.article = new item(\'Why We Eat When The Heat Is On\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436.html\',\'When life gets tough, the stressed often get hungry.\',\'Sally Squires\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436.html%3Freferrer=digg&title=Why We Eat When The Heat Is On&bodytext=When life gets tough, the stressed often get hungry.\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Why We Eat When The Heat Is On&labels=&annotation=When life gets tough, the stressed often get hungry.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436.html%3Freferrer=delicious&title=%22Why We Eat When The Heat Is On%22 By Sally Squires&notes=When life gets tough, the stressed often get hungry.\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436.html%3Freferrer=yahoo&title=Why We Eat When The Heat Is On&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436.html%3Freferrer=reddit&title=Why We Eat When The Heat Is On\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Why We Eat When The Heat Is On\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>For others, working long hours is the trigger. \"I\'m a junior in college and often find myself craving salty snacks when I\'m stressed and working late into the night,\" a Lean Plate Club member in Annapolis noted in a recent e-mail.</p><p>Exactly how many people experience stress-related eating isn\'t known, but as the obesity epidemic worsens, there\'s growing scientific interest in the topic -- and how to explain it.</p><p>&quot;Fight-or-flight is the normal response to stress,&quot; <i>not</i>es Tatjana van Strien, professor of psychology at Radboud University in the Netherlands. &quot;All the blood goes to the muscles so that you\'re ready for action and not for eating. . . . So stress eating is highly unadaptive and highly strange.&quot; What\'s more, when people are under great stress, such as the death of a family member, they tend not to eat.</p><p>It\'s easy to blame the urge to raid the refrigerator on job pressures, hectic schedules, family crises and personal conflicts. \"There\'s definitely an association between stress and mood and increased eating,\" notes Michael Lowe, professor of psychology at Drexel University in Philadelphia and author of several recent studies of stress-induced eating. \"Loneliness, boredom, anxiety, depression -- all of those fit in, too.\"</p><p>Lowe\'s work suggests that there may be more at play. The latest findings, published in the journal Appetite, show that people who are engaged in enjoyable activities that require mental focus overeat just as much as those who are stressed by onerous circumstances.</p><p>\"That suggests that there\'s something more than negative emotions going on,\" Lowe says.</p><p>And increased appetite cannot be explained by the additional caloric needs of the brain.</p><p>\"If you do cognitively demanding work, you see a small increase in brain energy, but not a lot,\" Lowe says. \"So why would mental work or stress make anyone want to eat more? It\'s not like you\'ve gone out and run five miles.\"</p><p>What also intrigues scientists is that this superfluous eating doesn\'t affect everyone equally. Those most susceptible appear to be so-called \"restrained eaters\" -- people who watch their weight, whether successful at it or not. For example, Lowe\'s research suggests that they are more likely to overeat in all circumstances than those who don\'t have weight concerns.</p><p>Add to that the 24-hour availability of food and you have what Lowe calls \"a new kind of hunger.\"</p></div></div><br clear=\"all\">\n<div align=\"right\"><table width=\"100%\" cellpadding=\"2\" cellspacing=\"0\" border=\"0\"><tr><td align=\"right\"><font face=\"arial,sans-serif\" color=\"#CC0000\" size=\"-1\"><b>CONTINUED</b></font>&nbsp;&nbsp;&nbsp;&nbsp; <b><font face=\"arial,sans-serif\" size=\"3\" color=\"#CC0000\">1</font> &nbsp;&nbsp; <font face=\"arial,sans-serif\" size=\"3\"><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436_2.html\">2</a></noscript></font></b> &nbsp;&nbsp;&nbsp;<font face=\"arial, ms sans serif, sans-serif\" size=\"3\"><b><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901436_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1331','2','<p>When it comes to exercise, how do you measure success (or even progress)? Some people are so gung-ho about getting fit (yesterday!) that they do too much too soon, burn out and throw in their sweaty towels. Others get hopelessly lost in the details, wondering whether to be most concerned about the duration, distance or intensity of their workouts. Still others play a numbers game as they try to hit a personal best during each tryst with the treadmill or elliptical trainer.</p><p>What should you be aiming for? It\'s a good question, fitness experts say. But before you can answer it, you need to know what your fitness goals are. \"The basic issues are: What do you want to get out of it? Why do you want to exercise?\" says Richard Cotton, chief exercise physiologist with Myexerciseplan.com. In other words, your target will depend on whether you\'re exercising to stay healthy, lose weight or run a marathon.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2>Tuesday,  Jan. 9, 11:30 a.m. ET</h2><div class=\"sidebarcontent\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/22/DI2007012200912.html\" target=\"\">Fitness - Moving Crew</a><br/>Personal trainer Rob Marra joins the Health section\'s Susan Morse to take your questions about health and fitness.<br/>\n<div style=\"clear:both;\"></div></div></div>\n<script src=\"http://www.washingtonpost.com/wp-adv/jobs4/javascript/scripts.js\"></script>\n<link href=\"http://www.washingtonpost.com/wp-adv/jobs4/css/jobsboxes.css\" rel=\"stylesheet\" type=\"text/css\">\n<!-- ====================================== -->\n<!-- ========= START JOB SEARCH =========== -->\n<!-- ====================================== -->\n<div class=\"jobsearch\">\n<div class=\"jobsbox228\">\n<div class=\"boxpad\">\n<div class=\"titleimg\"><img src=\"http://media.washingtonpost.com/wp-adv/jobs4/images/title-job_search_228.gif\" alt=\"Job Search\" /></div>\n<div style=\"margin-bottom:10px;\">\n<img src=\"http://media.washingtonpost.com/wp-dyn/content/graphic/2006/11/27/GR2006112700853.jpg\" style=\"height:72px;width:80px;float:left;margin-right:7px;\"/>\n<div class=\"job_search_header1\">Your Co-Workers Like McSteamy?</div>\n<p class=\"job_search_text\">We can help you find the right work environment with competitive benefits.</p>\n<div class=\"clearboth\"></div>\n</div>\n<div class=\"job_search_header3\">Nursing, Allied Health:&nbsp;<a href=\"http://www.washingtonpost.com/wp-srv/jobs/DC-health-care-jobs.html?nav=apj\" class=\"font3\">Get a New Job</a></div>\n</div>\n</div>\n</div>\n<!-- ====================================== -->\n<!-- =========== END JOB SEARCH =========== -->\n<!-- ====================================== -->\n\n<title></title><div style=\"width:228px;\">\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>In Depth</h2>\n<div class=\"sidebarcontent\" style=\"padding-left: 10px; padding-right: 10px;\">\n<div class=\"sidebarbox\" style=\"color: #333;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/health/special/index.html\"><img src=\"http://media.washingtonpost.com/wp-srv/health/images/healthSpecialReports_206.gif\" border=\"0\" alt=\"Health: Special Reports\"></a>\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px;\">\n<a href=\"http://www.washingtonpost.com/wp-srv/health/lpc/features/2007/index.html\"><img src=\"http://media.washingtonpost.com/wp-dyn/content/photo/2006/12/29/PH2006122901164.jpg\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"Success Stories\"/></a>\n<a href=\"http://www.washingtonpost.com/wp-srv/health/lpc/features/2007/index.html\">Success Stories</a><br />\nGain inspiration from Lean Plate Club readers who have lost weight ... and kept it off.\n<br clear=\"all\" />\n</p>\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2006/01/27/LI2006012700907.html\"><img src=\"http://www.washingtonpost.com/wp-dyn/content/photo/2006/05/30/PH2006053000889.jpg\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"AIDS/HIV\"/></a>\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2006/01/27/LI2006012700907.html\">AIDS/HIV</a><br />\nTwenty-five years after the first diagnosis of the first case of AIDS, the world is waking up to the epidemic.\n<br clear=\"all\" />\n</p>\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px; margin-top: 5px;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2005/10/17/LI2005101700979.html\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2005/08/23/PH2005082300406.jpg\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"Bird Flu\" /></a>\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2005/10/17/LI2005101700979.html\">Focus on Bird Flu</a><br/>Track the latest developments in the spread of the deadly H5N1 influenza virus.\n<br clear=\"all\" />\n</p>\n<!--\n<p style=\"border-top: 1px dashed #CCC; 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Calculate calories and fat at fast-food restaurants\n<br clear=\"all\" />\n</p> -->\n<!--\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2005/03/24/LI2005032401363.html\"><img src=\"http://www.washingtonpost.com/wp-srv/images/promobox/movingcrewthumb1.jpg\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"movingcrew\"/></a>\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2005/03/24/LI2005032401363.html\">Moving Crew</a><br />\nGet Moving! Live discussion with the Post\'s John Briley, Susan Morse, Craig Stoltz and Sally Squires\n<br clear=\"all\" />\n</p>\n-->\n<p style=\"border-top: 1px dashed #CCC; margin-top: 5px; padding-top: 7px; font-weight: bold;\">\n&raquo; <a href=\"http://www.washingtonpost.com/wp-dyn/content/health/special/index.html\">MORE SPECIAL REPORTS</a>\n</p>\n</div>\n</div>\n</div>\n<div class=\"clearboth\"></div>\n</div>\n\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901429_Technorati.html\') ;\ntechnorati.article = new item(\'To Get Anywhere, First Pick a Destination\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901429.html\',\'When it comes to exercise, how do you measure success (or even progress)? Some people are so gung-ho about getting fit (yesterday!) that they do too much too soon, burn out and throw in their sweaty towels. Others get hopelessly lost in the details, wondering whether to be most concerned about the duration, distance or intensity of their workouts. Still others play a numbers game as they try to hit a personal best during each tryst with the treadmill or elliptical trainer....\',\'Stacey Colino\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901429_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901429.html%3Freferrer=digg&title=To Get Anywhere, First Pick a Destination&bodytext=When it comes to exercise, how do you measure success (or even progress)? Some people are so gung-ho about getting fit (yesterday!) that they do too much too soon, burn out and throw in their sweaty towels. Others get hopelessly lost in the details, wondering whether to be most concerned about the duration, distance or intensity of their workouts. Still others play a numbers game as they try to hit a personal best during each tryst with the treadmill or elliptical trainer....\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=To Get Anywhere, First Pick a Destination&labels=&annotation=When it comes to exercise, how do you measure success (or even progress)? Some people are so gung-ho about getting fit (yesterday!) that they do too much too soon, burn out and throw in their sweaty towels. Others get hopelessly lost in the details, wondering whether to be most concerned about the duration, distance or intensity of their workouts. Still others play a numbers game as they try to hit a personal best during each tryst with the treadmill or elliptical trainer....&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901429.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901429.html%3Freferrer=delicious&title=%22To Get Anywhere, First Pick a Destination%22 By Stacey Colino&notes=When it comes to exercise, how do you measure success (or even progress)? Some people are so gung-ho about getting fit (yesterday!) that they do too much too soon, burn out and throw in their sweaty towels. Others get hopelessly lost in the details, wondering whether to be most concerned about the duration, distance or intensity of their workouts. Still others play a numbers game as they try to hit a personal best during each tryst with the treadmill or elliptical trainer....\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901429.html%3Freferrer=yahoo&title=To Get Anywhere, First Pick a Destination&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901429.html%3Freferrer=reddit&title=To Get Anywhere, First Pick a Destination\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/19/AR2007011901429.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'To Get Anywhere, First Pick a Destination\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>After getting an accurate pulse on your underlying motivation, the next step is to be SMART about how you frame your fitness goals. That is, establishing an exercise goal that\'s Specific, Measurable, Achievable, Relevant (to your life) and Time-bound, explains Cedric Bryant, chief science officer for the American Council on Exercise (ACE).</p><p>\"Rather than saying, \'I want to get in better shape,\' which is a goal that\'s too nebulous, you should really define what that is -- that you want to be able to run four miles without stopping, [for instance],\" Bryant says. \"Once you do that, you can start to break it down.\" Let\'s say you currently run out of steam after a mile: You might set your sights on running two consecutive miles within a month then add a half-mile to your target every two weeks until you\'ve reached your goal.</p><p>But if you\'re exercising to boost your health or well-being, your aim might be quite different. The Surgeon General\'s guidelines, along with those of many other health associations, recommend 30 minutes of moderate physical activity on most, if not all, days of the week. (During \"moderate\" exercise, you should be able to carry on a conversation, but you shouldn\'t be able to belt out your favorite show tune.) Instead of thinking about how hard or fast you\'re moving, \"it\'s better to develop consistency and regularity,\" Bryant says. \"What you\'re thinking of is punching the clock, hitting that minimum target each day.\"</p><p>For those who have been exercising consistently, it\'s fine to think about stepping up intensity. \"If you do the same activity over and over at a set rate, once the cells in your muscles or bones adapt to being able to do that easily, they don\'t adapt any further,\" explains Carol Torgan, an exercise physiologist in the District and a spokeswoman for the American College of Sports Medicine. \"In order to get further improvement, you need to provide additional stimuli by increasing the frequency, intensity and/or duration.\"</p><p>At that point, the key is to increase your workouts gradually so you don\'t set yourself up for injury or exhaustion. A good rule of thumb, exercise physiologists say, is to increase the speed or duration of your workout by 10 percent per week.</p><p>Or you can alternate hard and easy workouts, Bryant says: During one workout per week, go for increased intensity or duration but not more than a 20 percent boost; then, in the next workout, make it slightly easier than what you\'d been doing normally. \"This gives your body sufficient time to adapt to and recover from the additional level of stress and allows you to avoid significant muscle soreness,\" Bryant explains. Alternate two hard sessions with three easier ones each week for the first month, followed by three hard sessions and two easier ones each week during the next month, and so on, until all five of your workouts in a given week are at a higher intensity.</p><p>At the gym, it\'s easy to get into a beat-the-cardio-machine mentality. Don\'t. Besides upping the risk of injury, becoming obsessed with the machines\' digital feedback can be misleading. For one thing, there\'s a considerable margin for error with the calorie-counting. \"The feedback is based on the assumption that you\'re not [leaning] onto the machine\'s handrails,\" Bryant says. \"If you\'re offloading 20 to 30 percent of your body weight, you can reduce the calorie burn by 20 to 30 percent. Getting into this whole numbers mind-set can be counterproductive.\"</p><p>That\'s why ACE-certified personal trainer Ted Vickey, president of FitWell, a fitness management company based in Vienna, prefers that people focus on exercising hard enough to get into their target heart zone (60 to 80 percent of their maximum heart rate). \"If you aim for that zone range, you can then cross-train between different machines,\" Vickey says, by trying to stay in that ideal intensity range with each activity.</p><p>While your age, fitness level, body weight and overall health can affect how quickly you reach your fitness goal, rest assured: If you exercise regularly, the feel-good fitness gains will come.</p><p>\"Regular physical activity is like a fountain of youth,\" Torgan says. \"It may prevent, delay or ease cardiovascular problems, diabetes, osteoporosis and some cancers. It can improve mood and sleep, reduce stress, anxiety and depression -- and even increase life expectancy.\" In the end, these may be the measures that truly matter most. ?</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1332','2','	<p><!--Spanish ID:535133--> <p>MONDAY, Sept. 25 (HealthDay News) -- Over-the-counter antihistamine drugs used to treat heartburn and acid reflux might be useful against chronic heart failure, a Japanese study suggests.</p> <p>It\'s a small study, including only 50 patients. But the results point to possible benefits for many of the 23 million Americans with heart failure, a potentially fatal condition in which the heart cannot pump blood effectively, said a report in the Oct. 3 issue of the <i>Journal of the American College of Cardiology</i>.</p> <p>&quot;It\'s still very early, because we know very little about who might benefit from it or what drugs might be best,&quot; said Dr. W.H. Wilson Tang, an assistant professor of medicine at the Cleveland Clinic and co-author of an accompanying editorial in the journal. &quot;It is an important thing to validate this data.&quot;</p> <p>The initial work focused on the drug Pepcid, because a major study of medical databases by a group led by Dr. Masafumi Kitakaze of Japan\'s National Cardiovascular Center found that people with heart failure who were also taking the antihistamine appeared to have fewer heart failure symptoms.</p> <p>The researchers were looking for such a relationship because previous research pointed to a role of histamine in heart failure. The same type of chemical reaction that allows stomach acid to cause heartburn and ulcers also seems to damage and weaken diseased hearts. Blocking this process with Pepcid might help to slow the progression of chronic heart failure, the researchers theorized.</p> <p>The biological chemistry is complex, but the basic idea is that one kind of histamine can accelerate the damage done to heart cells, so that blocking the activity of histamine can protect those cells.</p> <p>Half the patients in the Japanese trial were given Pepcid along with regular therapy. The other half got an alternative heartburn medicine called teprenone, whose protective effect does not involve histamine. Examinations by three cardiologists after 24 weeks found less-severe symptoms in those getting Pepcid.</p> <p>&quot;Now we need to conduct a large-scale trial to confirm the present findings,&quot; Kitakaze said in a statement. &quot;The large-scale trial based on the results of our present research may not help current heart-failure patients because it takes time, but we hope it helps our children and grandchildren and others in the future.&quot;</p> <p>The key point, Tang said, is that the Japanese researchers &quot;found some objective benefit of using this histamine blocker versus another reflux drug that doesn\'t act on this mechanism.&quot;</p> <p>Further studies are essential not only to determine whether all antihistamine drugs might have some value against heart failure but also to identify drugs that might work best for specific patients, he said.</p> <p>&quot;It is intriguing because this work indicates that an inflammatory cell mechanism may be pertinent in heart failure,&quot; Tang said.</p> <p>But it\'s much too early for people with heart failure to take antihistamines because of the many uncertainties that exist, he said.</p> <p><b>More information</b></p> <p>To learn more about heart failure, visit the <a href=\"http://www.americanheart.org/presenter.jhtml?identifier=4585\" target=\"new\">American Heart Association</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1333','2','	<p><!--Spanish ID:535164--> <p>TUESDAY, Sept. 26 (HealthDay News) -- Many people don\'t have the reading and math skills to correctly interpret the nutrition labels on food packages, a new study finds.</p> <p>People need to be better educated about how to read food labels, but labels also need to be redesigned to deliver the information in a way that is easier to understand, the researchers said.</p> <p>The report was published in the November issue of the <i>American Journal of Preventive Medicine</i>.</p> <p>&quot;Even though most people told us that they read food labels on a regular basis, people have a hard time understanding food labels,&quot; said study author Dr. Russell L. Rothman, an assistant professor at the Center for Health Services Research at Vanderbilt University. &quot;Food labels are pretty complex pieces of information, particularly the nutrition panel on the side of the food label.&quot;</p> <p>In the study, researchers surveyed 200 primary-care patients. The participants, who came from a wide range of socioeconomic backgrounds, were given standardized reading and math tests. They were also given a nutrition label survey, which asked them to interpret food labels. It also measured their comprehension of food nutrition labels.</p> <p>Participants were asked to choose which of two foods had more or less of a certain nutrient. Half of the questions used products clearly labeled as &quot;reduced carb,&quot; &quot;low carb,&quot; or designed for &quot;a low-carb diet.&quot;</p> <p>Among the participants, 68 percent had some college education, and 77 percent had at least ninth-grade level literacy skills. However, 63 percent had less than ninth-grade math skills. Most participants said they used food labels and found them easy to understand, the researchers report.</p> <p>&quot;However, we found that a lot of people have a hard time understanding the label and make mistakes when trying to interpret the label,&quot; Rothman said. &quot;This can lead to people grossly overestimating or underestimating how much they are taking in of certain nutrients.&quot;</p> <p>Overall, patients correctly answered 69 percent of the nutrition survey questions, Rothman\'s team found. But, only 32 percent could correctly calculate the amount of carbohydrates consumed in a 20-ounce bottle of soda that had 2.5 servings in the bottle. Only 60 percent could calculate the number of carbohydrates consumed if they ate half a bagel when the serving size was a whole bagel.</p> <p>In addition, only 22 percent could figure out the amount of net carbohydrates in two slices of low-carb bread, and only 23 percent could determine the amount of net carbohydrates in a serving of low-carb spaghetti.</p> <p>The reasons most people gave for these misunderstandings were that they did not understand the serving size information; they were confused by extraneous material on the label, and they calculated incorrectly.</p> <p>Doctors, dietitians and other health-care providers should do a better job of explaining food labels to their patients, Rothman said. Food manufacturers and the U.S. Food and Drug Administration should also work to make food labels easier to understand, he added.</p> <p>&quot;The labels are pretty dense,&quot; Rothman said. &quot;There are opportunities to make them a little easier for people to understand.&quot; Serving sizes should be made clearer, and extraneous information should be removed from the label, he said.</p> <p>These changes and others would make things more understandable, especially for people who are on a particular diet, Rothman noted. &quot;If you really have a hard time understanding the labels, let your doctor know and he can help you by suggesting ways to eat that don\'t require you to understand all the information on the label,&quot; he said.</p> <p>One expert thinks that the way nutrition facts are conveyed to consumers needs to be revamped.</p> <p>&quot;Interpretation of nutrition labels requires both reading and math skills, and the combination is in short supply,&quot; said Dr. David L. Katz, director of the Prevention Research Center at Yale University School of Medicine. &quot;The questions posed to the participants in the study could be directly answered from information on the label itself, by anyone knowing how to find it,&quot; he added.</p> <p>However, the question consumers truly need to answer is whether a product is good for their family, Katz said. &quot;This question cannot be answered by anyone relying on the nutrition facts panel. So even intelligent, committed people can be mislead by marketing claims on the package,&quot; he said.</p> <p>&quot;We need an objective assessment of the overall nutritional quality of foods,&quot; Katz said. &quot;We need that translated into simple, interpretable-at-a-glance symbols on the front of every packaged food. And we need it applied to chain restaurant meals, too.&quot;</p> <p><b>More information</b></p> <p>The U.S. Food and Drug Administration can tell you more about <a href=\"http://www.cfsan.fda.gov/~dms/foodlab.html\" target=\"_new\"> nutrition labels</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1334','2','	<p><p>WEDNESDAY, Sept. 27 (HealthDay News) -- Americans seem to have lost their appetite for fad diets, a new national survey finds.</p> <p>More than two-thirds (69 percent) of respondents said they\'re less likely to try a specialized or fad diet today compared to five years ago. Men are more skeptical than women of fad regimens, the survey found.</p> <p>The poll, released Wednesday by the nonprofit group America On the Move, involved 2,339 adults age 18 or older. It found that many people do understand that eating less and being active is the best way to be healthy. A majority of respondents also believe business and government can play an important role in encouraging people to adopt healthy lifestyles.</p> <p>Some other survey results:</p><ul> <li>Two-thirds of those surveyed said they\'d started a new weight-loss or control program or diet at least once within the past five years. Sixty-five percent said those attempts to shed pounds failed, however.</li> <li>Seven out of 10 respondents said they\'re currently doing something to lose weight or maintain a healthy weight. Of those, 14 percent said their current diet, activity or program isn\'t working, and they\'re frustrated with the lack of success. Another 7 percent said their attempts at weight loss/control are working, but they\'re not optimistic about long-term success.</li> <li>One-third said that food and beverage companies need to create more choices and more affordable options for healthier foods.</li> <li>Three-quarters of those polled percent said government has a role to play in tackling the obesity problem in the United States and helping people develop healthy lifestyles.</li></ul> <p>The survey was released during &quot;America on the Move Week,&quot; Sept. 23 to Sept. 30, at YMCAs across the country. Americans are encouraged to count the steps they take during this week in order to amass a nationwide total of more than a billion steps.</p> <p><b>More information</b></p> <p>The American Academy of Family Physicians has more about <a href=\"http://familydoctor.org/197.xml\" target=\"_new\">weight control</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1335','3','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">AIDS group to sue Pfizer over Viagra ads</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Drug firm accused of illegally promoting recreational use of impotence pill </b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>WASHINGTON - A major U.S. AIDS treatment group plans to file a lawsuit Monday that accuses drug giant Pfizer Inc. of illegally promoting recreational use of its blockbuster impotence pill Viagra.</p><p>The AIDS Healthcare Foundation (AHF) told Reuters it wants Pfizer to be barred from marketing Viagra as a lifestyle or sexual enhancement drug. The nonprofit organization said Pfizer\'s actions had led to risky behavior by men and an increase in HIV and other sexually transmitted diseases.</p><p>\"Pfizer has created and contributed to the perception of Viagra as a safe, sexy, lifestyle, recreational drug, to be frequently used regardless of the degree, or even existence of\" erectile dysfunction, the group said in draft legal documents.</p><p>Pfizer, the world\'s largest drug maker, said it was committed to appropriate Viagra use and urged men to see a doctor for a proper diagnosis. The drug is sold by prescription.</p><p>AHF, in its legal arguments, pointed to several Viagra promotions from recent years, including a 2005 newspaper ad that featured a smiling man asking, \"What are you doing on New Year\'s Eve?\"</p><p>Another ad that ran near the 2006 Super Bowl urged men to \"Be this Sunday\'s MVP\" and ask their doctors about Viagra.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16754865/\">Pfizer to lay off 10,000 workers, close plants</a></li><li><a href=\"/id/16584524/\">Don\'t plan to buy Viagra over the counter soon</a></li><li><a href=\"/id/16582393/\">Scientists map bug that causes sexual disease</a></li><li><a href=\"/id/16184582/\">Circumcision backed in AIDS fight</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Pfizer\'s Viagra Web site asks readers, \"Want to improve your sex life?\" and says the drug can help men who have erection difficulties \"once in a while.\"</p><p>AHF President Michael Weinstein said the promotions made Viagra sound like a \"party drug\" that can make sex more pleasurable for healthy men -- a claim the?Food and Drug Administration has not approved.</p><p><b><strong>Hunky 40-somethings</strong></b><br>Men in the ads also look much younger than Pfizer\'s earlier Viagra pitchman, former Kansas Sen. Bob Dole, who is now 83, he said.</p><p>\"Bob Dole has been replaced by the hunky 40-something guy who looks like he can really have a good time,\" Weinstein said in an interview. \"The message they are sending out is that any and every male should take it,\" he added.</p><p>Studies show evidence of recreational Viagra use among men who have sex with men, sometimes to overcome the erection-inhibiting effects of alcohol or street drugs such as ecstasy and crystal methamphetamine, AHF said.</p><p>The group asked Pfizer repeatedly to alter its ads, Weinstein said.</p><p>In 2004, the FDA objected to a television commercial suggesting Viagra could return a man to the \"wild thing\" of his younger days. The FDA said the ad, showing a man sprouting devilish horns, made an unproven claim that men could regain a youthful level of sexual desire. Pfizer halted that campaign.</p><p>AHF\'s lawsuit, to be filed in Los Angeles Superior Court, asks that Pfizer be prohibited from running similar messages and ordered to fund awareness ads about sexually transmitted disease risks and Viagra.</p><p>The suit also requests that Pfizer turn over profits gained from misleading ads and pay AHF\'s costs of treating AIDS and other illnesses linked to Viagra use.</p><p>California-based AHF runs AIDS clinics in the United States, Africa, Latin America, the Caribbean and Asia that provide medical care and services to more than 53,000 people even if they cannot pay.</p><p>Pfizer spokeswoman Shreya Prudlo said the company was not aware of the planned lawsuit. She said Pfizer \"has always been committed to safe and appropriate use of Viagra\" and that the drug\'s label and promotions stated \"Viagra does not protect against sexually transmitted diseases, including HIV.\"</p><p>Sales of Viagra, known generically as sildenafil, reached $1.6 billion worldwide in 2005.</p><p>Sales growth has been crimped by competition from rival impotence medicine Cialis, which is sold by a joint venture of Eli Lilly &amp; Co. and Icos Corp. Cialis works up to 36 hours, while Viagra works for about four hours.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1336','4','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">\'Egg rebate\' cracks open an ethics mess</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Plan to offer half-price infertility treatments hatches debate</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><div class=\"textStoryTag\" style=\"padding-top:10px;\">COMMENTARY</div><div class=\"textMedBlackBold\" style=\"padding-top:10px;\">Arthur Caplan, Ph.D.</div><div class=\"textMedBlack\">MSNBC contributor</div><p></p></font><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"102\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/i/msnbc/Test-Dev/donna/msnbc10/Launch%20images/byline_msnbc.gif\" height=\"20\" width=\"100\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#000000\"></b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#666666\" border=\"0\" style=\"border-top:solid 1px #666666;border-bottom:solid 1px #666666;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><img border=\"0\" src=\"http://msnbcmedia1.msn.com/j/msnbc/Components/Bylines/mugs/MSNBC%20Interactive/msnbc_caplan_arthur.thumb.jpg\" vspace=\"0\" hspace=\"0\"></td></tr><tr><td style=\"padding:4px;\"><font color=\"#000000\"><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\"><tr><td><font color=\"black\"><b>Arthur Caplan, Ph.D.</b></font></td></tr><tr><td><hr size=\"1\" width=\"85%\" color=\"#cccccc\" noshade=\"1\" align=\"center\"></td></tr><tr><td><font color=\"551E1B\">?/font><font color=\"black\"><script language=\"javascript\">document.write(\'<a href=\"mailto:\'+\'caplan\'+\'@\'+\'mail.med.upenn.edu\">\')</script>E-mail<script language=\"javascript\">document.write(\'</a>\');</script></font></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>When automobile sales get sluggish, as they are these days for many U.S. automakers, Detroit often turns to rebates. A little cash back can help nudge a reluctant customer out of the recliner and into the showroom.</p><p>But is what works for cars right for human eggs??</p><p>Some British scientists propose offering rebates to women seeking infertility services in exchange for giving up some of their eggs to be used in stem cell research. So, if you are desperate to become pregnant and can\'t afford the pricey treatment, your extra eggs can serve as a half-price coupon. </p><p>If that is morally OK, and I have my doubts, would it then be ethically acceptable just to create a market for fertile women who want to sell eggs directly to researchers??</p><p>Proponents of human egg farming make a fairly straightforward case for why rebates or markets in eggs should be allowed. The core of their argument is that women, often college students, are already selling their eggs for cash to help infertile people who want to have babies. </p><p>Indeed, you can get a better idea of the relative standing of colleges than anything U.S. News and World Report has come up with by checking the going rate for eggs from coeds at prestigious universities.?So the idea of paying for eggs is nothing new.</p><p>Sure, unlike obtaining sperm, where all you need is a man, a plastic cup and the right DVD, there are some risks associated with harvesting a woman\'s eggs. But as proponents of rebates and markets in eggs note, women (and men) do plenty of risky things for money. Women are soldiers, cops, construction workers, farm workers and pilots of small planes. Unlike the risks of these jobs, there are very few reported deaths and relatively few complications among women trying to make eggs either to get pregnant or to sell to third parties.</p><p>The clincher in the \"why we should allow pay for eggs\" argument is that getting them from volunteers does not work. A few infertility programs have asked women to donate eggs as part of their treatment and they have gotten next to none. If research is to move ahead then money in the form of rebates or direct payment is needed to fuel egg production.</p><p><b><strong>Donors vs. sellers<br></strong></b>Still, something clearly makes us uncomfortable with the idea because no one who argues for rebates or freewheeling egg markets ever refers to the women getting paid for their eggs as \"sellers.\" They\'re always \"donors.\" Of course women who get paid $5,000 or get half-off on the price of a cycle of in vitro fertilization, which is worth at least that much, are, in truth, sellers. No amount of rhetorical evasion can change that reality.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16657090/\">Should women be paid for supplying their eggs?</a></li><li><a href=\"/id/16711117/\">Cast your vote</a></li><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?ThreadID=173818\">Message Board: Share your views. Do you agree with the practice?</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>I think I know why it is hard to call an egg seller an egg seller. And it\'s not because we think it is wrong to pay people to take risks. Rather we think it is wrong to pay people to reproduce for money. It is the old moral issue of the commodification of sex that is lurking under the shell of the great egg rebate debate.</p><p>Many people have no problem with the law allowing people to pay other people for sex. Few, however, want to defend the practice as ethical. Even fewer want to recommend it as a way to earn money for their mothers, sisters or daughters.</p><p><b><strong>That uneasy feeling<br></strong></b>Giving rebates for eggs smacks of commercializing reproduction. On its face it is not quite as bad as instituting a market but it still feels ethically queasy. Who really wants their mother, sister or daughter to have to give away half their eggs and reduce their own chance of having a baby in order to gain access to infertility treatment? Worse still, who really wants their sister or daughter working their way through college as an egg seller??</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><a href=\"http://www.bioethics.net/\" target=\"_parent\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/i/msnbc/Components/Art/HEALTH/031209/GCH150_BioethicsNet.gif\" align=\"Left\" height=\"65\" width=\"150\" vspace=\"0\" hspace=\"0\"></a></td></tr></table>It is one thing to argue that we should be using spare or unwanted embryos that already exist for research since they will be destroyed anyway. But making eggs for money is a different matter. The market in eggs tries to incentivize women to do something they otherwise would not do.</p><p>Egg sales and egg rebates are not the ethical way to go. We need better alternatives. Maybe women seeking in vitro fertilization could have some of their eggs frozen and then used for research if they do get pregnant. That way they are not forced to compromise their odds at making a baby just to get a chance at all. And maybe instead of buying eggs from students and the financially disadvantaged we could procure them from women who are willing to donate their ovaries when they die.?</p><p>It\'s not that markets or rebates for eggs ought to be illegal, but we should not let proponents egg us on into thinking that it is ethical.</p><p><em>Arthur Caplan, Ph.D., is director of the Center for Bioethics at the University of Pennsylvania.</em></p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 MSNBC Interactive</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1337','4','	<p><!--Spanish ID:535163--> <p>TUESDAY, Sept. 26 (HealthDay News) -- About one in 10 mammograms comes back abnormal, according to a study by researchers from the University of New Mexico and their colleagues.</p> <p>Publishing in the October issue of <i>Radiology</i>, the researchers collected data from six National Cancer Institute-funded research sites, for a total of nearly 2.6 million screening exams assessed by 807 radiologists.</p> <p>The researchers tracked each radiologist\'s assessment, along with each woman\'s outcome within 12 months from their screening exam.</p> <p>Approximately 10 percent of the mammograms yielded abnormal findings. And when a radiologist advised that a biopsy be performed immediately, 34 percent of the biopsy results indicated cancer.</p> <p>Cancer was ultimately diagnosed in 4.8 out of every 1,000 women.</p> <p>&quot;Our results show that most radiologists who are reading mammograms are performing well,&quot; said lead researcher Dr. Robert Rosenberg, professor of radiology at the University of New Mexico in Albuquerque.</p> <p>&quot;Mammography, combined with better breast cancer treatments, appears to be helping to decrease the number of deaths from breast cancer,&quot; he said.</p> <p><b>More information</b></p> <p>The National Cancer Institute has more about <a href=\"http://www.cancer.gov/cancerinfo/types/breast\" target=\"_new\">breast cancer</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1338','4','	<p><p>WEDNESDAY, Sept. 27 (HealthDay News) -- Superior athletic ability may, literally, be at your fingertips.</p> <p>British researchers have deduced that women whose ring fingers are longer than their index fingers achieve higher levels in sports, particularly running, soccer and tennis.</p> <p>So when trying to spot a future Venus Williams or Mia Hamm, coaches and parents might do well to add finger length to the list of promising attributes, says study author Dr. Tim Spector, a professor of genetic epidemiology at Kings College London whose report currently appears online in the <i>British Journal of Sports Medicine</i>.</p> <p>The finding also opens the door to exploring how seemingly unrelated attributes may be linked through shared genes.</p> <p>Previous research had found an apparent link between this finger ratio in males and various traits including fertility, intellectual ability, sexual orientation and athletic prowess.</p> <p>Again, men who achieved high sporting levels, especially runners and skiers, had longer ring fingers vs. index fingers. And homosexual men tended to have shorter ring fingers.</p> <p>This pattern was thought to be due to excess testosterone levels in the womb.</p> <p>A few studies in females had made similar conclusions, but the numbers were small, and the evidence unconvincing. &quot;I\'d seen this data and was actually intrigued, but I didn\'t believe it,&quot; Spector said. &quot;I thought it was bias.&quot;</p> <p>Spector, however, had the ability to test the hypothesis at his own fingertips, courtesy of a registry of twins whose fingers had been X-rayed as part of a study involving the genetics of arthritis.</p> <p>&quot;We had a precise way of measuring finger length very quickly,&quot; Spector explained. </p> <p>These measurements were then compared in identical female twins vs. non-identical twins.</p> <p>Participants were also asked to rank their highest achievement in 12 different sports.</p> <p>As it turned out, there was also a strong relationship to sports achievement. &quot;The longer the ring finger, the more likely they were to compete at high levels, especially in running, soccer and tennis,&quot; Spector said.</p> <p>And most of the variation appeared due to genes.</p> <p>&quot;Identical twins were over 90 percent similar in terms of finger length, and the study showed us that there was very little influence of shared environment which would have included the womb environment,&quot; he said. &quot;This went against the current theory that this is just due to testosterone levels.&quot;</p> <p>But there\'s no clear explanation for the finding. &quot;No one knows why,&quot; Spector said. &quot;The most likely thing is that it\'s a marker of genes that are important in sporting prowess and quite why the finger has turned up as this important marker is quite perplexing, really.&quot; </p> <p>But the data raises the possibility that there may be other such markers.</p> <p>&quot;This tells us that there might be lots of things we can observe in the body that are telling us things about other parts of the body,&quot; Spector said. &quot;The fact that you can look at a baby\'s hands and, just from the proportions of the bones of the fingers, get an idea of what\'s going on elsewhere in the body is an intriguing observation.&quot;</p> <p>And the pattern is not likely to be limited to finger length. It could be the size of the ear lobes, toe length or whether someone is knock-kneed or bow-legged.</p> <p>&quot;All these little things could be telling something about developmental genes or things that influence personality and competitiveness,&quot; Spector said.</p> <p><b>More information</b></p> <p>The <a href=\"http://www.womenssportsfoundation.org/cgi-bin/iowa/index.html\" target=\"_new\">Women\'s Sports Foundation</a> has more on female athletes.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1339','4','	<p><p>WEDNESDAY, Sept. 27 (HealthDay News) -- Australian researchers say they\'ve developed a mathematical formula that\'s 75 percent accurate at predicting which older women are most at risk for fractures -- a frequent cause of disability and death.</p> <p>Called the Fracture Risk -- or FRISK -- score, the new tool takes into account a variety of risk factors, including bone density, and is meant to help doctors tailor their treatment strategy to help women prevent bone breaks.</p> <p>&quot;The equation is a simple combination of bone mineral density at the spine and femoral neck [the upper part of the thigh bone, close to the hip joint], the number of previous fractures sustained, body weight and a falls score derived from the number of falls in the previous year,&quot; said study author Margaret Joy Henry, a statistician at the University of Melbourne, where the formula was developed.</p> <p>&quot;Doctors commonly assess bone mineral density at the spine and femoral neck and will have this data available to include in the equation,&quot; she said. &quot;The previous number of fractures and falls are self-reported by the patient, and weight is easily measured.&quot;</p> <p>The new scoring method goes beyond what physicians currently use to decide how likely a woman is to suffer a fracture. &quot;Currently doctors use T-scores (which compare a person\'s bone density to a group of young females with peak bone density) and Z-scores (a comparison to age-matched peers) at separate anatomical sites (generally the spine and hip) to assess a patient\'s fracture risk,&quot; she said. &quot;However, there has not been a method to combine the contribution of the different anatomical sites to an individual\'s overall fracture risk.&quot;</p> <p>&quot;This study provides an evidence-based equation to aid doctors in assessing their patient\'s fracture risk,&quot; Henry said.</p> <p>The findings are published in the October issue of <i>Radiology</i>.</p> <p>For the study, Henry and her colleagues measured bone density in 231 women, with a mean age of 74, who had had a fracture in the previous two years. Then they measured the bone density of 448 women, mean age 72, who had not suffered a break. The researchers then developed the equation based on the measurements in this study group. Then they tested it on a third group of women, 600 in all, median age 74. The researchers followed the women for six years to see how the formula worked.</p> <p>The results: The formula predicted fractures 75 percent of the time. While previous researchers have found that lighter body weight led to an increased risk of fractures in older women due to the lower body mass that often accompanies light body weight, the Australian researchers found that heavier body weights seemed to increase the force applied to the skeleton during a fall, and therefore increased risk.</p> <p>On a 0-10 scale, a FRISK score of 5.4 or greater was associated with an expectation of fracture. For every one unit increase in the FRISK score, the odds of having a fracture increased by 1.75, the researchers found.</p> <p>The new formula is &quot;a move in the right direction, to find a better way to discuss fracture risk,&quot; said Dr. Robert Heaney, a scientist at the Osteoporosis Research Center at Creighton University, in Omaha, Neb. &quot;There are efforts worldwide to try to do a better job of predicting&quot; fractures, he said.</p> <p>An even better method may be in the works, said Dr. Mone Zaidi, director of the Mount Sinai Bone Program at Mount Sinai School of Medicine, in New York City.</p> <p>&quot;The World Health Organization is developing what will be a more validated test,&quot; he said. &quot;The FRISK score is a very simplistic view of the whole thing, by no means complete.&quot;</p> <p><b>More information</b></p> <p>To learn more about osteoporosis, visit the <a href=\"http://www.nof.org/osteoporosis/diseasefacts.htm\" target=\"_new\">National Osteoporosis Foundation</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1340','4','	<p><!--Spanish ID:535185--> <p>WEDNESDAY, Sept. 27 (HealthDay News) -- The hormone leptin could help keep the body from producing too much insulin, according to a study in mice with type 2 diabetes.</p> <p>People with type 2 diabetes often become resistant to the effects of insulin, causing to much of it to build up in the body.</p> <p>Reporting in the September issue of the journal <i>Peptides</i>, researchers from the University of Florida injected a gene into the brains of diabetic mice, hoping to increase the production of the appetite-controlling hormone leptin in the hypothalamus.</p> <p>Insulin levels in mice that received gene therapy returned to normal -- even when they were fed a high-fat diet, the researchers found. High-fat diets typically help trigger or worsen type 2 diabetes.</p> <p>Mice that ate a high-fat diet but did not receive gene therapy, however, continued to overproduce insulin and have high blood-sugar levels.</p> <p>&quot;This was totally unexpected. Until now, there way no evidence that leptin action in the hypothalamus had control on insulin secretion. [With leptin gene therapy], we can re-impose that control,&quot; senior author Satya Kalra, a University of Florida, Gainesville, professor of neuroscience, said in a prepared statement.</p> <p><b>More information</b></p> <p>The National Diabetes Education Program has more about <a href=\"http://ndep.nih.gov/diabetes/diabetes.htm\" target=\"_new\">diabetes</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1341','4','	<p><p>(HealthDay News) -- Hot flashes -- a side effect of menopause -- cause a woman to feel hot and flushed, notably in the face, neck and chest. Symptoms also may include sweating, chills and a rapid heartbeat.</p> <p>Minor hot flashes may be cooled with simple home remedies, including a cold glass of water and a fan. More severe hot flashes may require therapies prescribed by your doctor.</p> <p>Here are additional suggestions from the University of Michigan Health System:</p> <ul> <li>Wear loose-fitting, lightweight cotton clothing to keep cool.</li> <li>Keep your house at a cool temperature.</li> <li>Don\'t eat spicy foods, chocolate or certain aged cheeses, or drink red wine. Chemicals in these foods may prompt hot flashes.</li> <li>Cut back or eliminate caffeine and alcohol, and don\'t smoke.</li> <li>Minimize stress using relaxation techniques.</li> </ul> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1342','4','	<p><!--Spanish ID:535219--> <p>THURSDAY, Sept. 28 (HealthDay News) -- Women may have an edge on men when it comes to surviving liver transplant, a new British study finds.</p> <p>The study of over 2,700 patients who received a liver transplant between 1985 and 2003 found that female patients live an average of 4.5 years longer than their male counterparts.</p> <p>According to researchers at Queen Elizabeth Hospital, Birmingham, average survival time for the patients in the study was 22 years, compared with 29 years for a comparison group of healthy people of similar age.</p> <p>Average life expectancy for female liver transplant patients was 26 years, compared with 18 for males. The average life expectancy for the general population was 31 years for women and 27 years for men.</p> <p>Liver transplant patients ages 17 to 34 had an average life expectancy of 28 years. While this was the highest among the transplant patients, it fell far short of the average life expectancy of 51 years for people ages 17 to 34 in the general population.</p> <p>Overall, patients who required a liver transplant due to primary liver disease had significantly longer survival times than those who had transplants due to hepatitis C, cirrhosis, or cancer.</p> <p>The findings were published in the journal <i>Gut</i>.</p> <p><b>More information</b></p> <p>The American Medical Association has more about <a href=\"http://jama.ama-assn.org/cgi/content/full/295/18/2208\" target=\"_new\">liver transplantation</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1343','6','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Ground zero health link debated as toll rises</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Some post-9/11 diseases may be caused by other factors, experts say</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>NEW YORK  - Deborah Reeve got a cold, a cough and a fever that wouldn\'t go away. It was more than two years after she had left recovery efforts at ground zero.</p><p>A month later, the nonsmoker was diagnosed with mesothelioma, an asbestos-related cancer. By last spring, the 41-year-old mother of two was dead.</p><p>\"My wife got killed on Sept. 11 and she didn\'t die until March 15, 2006,\" said her husband, David, a paramedic like his wife who also spent months breathing in toxic dust at the World Trade Center site after the 2001 attacks. \"She got killed and didn\'t know it.\"</p><p>After five years, doctors have definitively established a link between work at ground zero and chronic respiratory illness; a study published last fall by the largest monitoring program for post-9/11 workers found nearly 70 percent were likely to have lifelong breathing problems.</p><p>But experts have been slower to officially link deaths to the exposure, saying it is easy to misinterpret some diseases, like cancer, as being connected to ground zero when other factors may be at play.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16711865/\">NBC: Search for ground zero remains continues</a></li><li><a href=\"/id/14681710/\">Most 9/11 workers suffer health problems</a></li><li><a href=\"/id/15349649/\">Scientists tracking health of 9/11 search dogs</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>So far, two deaths have been firmly connected to exposure to the toxic cloud that enveloped lower Manhattan after the twin towers collapsed, killing almost 3,000 people. The family of Felicia Dunn-Jones, who died of sarcoidosis - an inflammation of the lungs - a year after escaping the twin towers - was paid a $2.6 million death benefit by Kenneth Feinberg, who oversaw the compensation fund for Sept. 11 victims. And last April, a New Jersey medical examiner concluded that the January 2006 death of retired police Detective James Zadroga was \"directly related\" to his work at ground zero.</p><p>Feinberg, who issued more than 2,000 payments to people sickened after the attacks, said he rejected many claims of cancer.</p><p>\"We were not satisfied that based on the medical documentation submitted, that the cancers would have represented itself so soon after 9/11,\" he said.</p><p><b><strong>Death toll rising</strong></b><br>But an unofficial, anecdotal death toll of post-Sept. 11 workers is rising rapidly. In 2006, the number of deaths tracked by a lawyer suing the city and contractors overseeing the cleanup of ground zero more than quadrupled to 90 people, up from about 20, said attorney David Worby.</p><p>The plaintiffs, who all worked at ground zero in one form or another, died of diseases now familiar to the thousands who are sick: sarcoidosis, mesothelioma, and pulmonary disease. They include Reeve, who spent four months working at the site and at the city morgue; and a nun, Sister Cynthia Mahoney, 54, who served as a chaplain for six months at the site, often blessing the remains of the dead pulled from the rubble.</p><p>Many experts studying post-Sept. 11 illness say research hasn\'t proven yet that all the deaths are connected - particularly cancer, a leading cause of death in the nation, could be falsely linked to trade center exposure, they say.</p><p>Doctors at Mount Sinai Medical Center, which has screened 19,000 of the believed 40,000 ground zero workers, say they still need to rule out cases of people whose exposure simply triggered an illness they were already predisposed to contract.</p><p><b><strong>Federal funding for workers</strong></b><br>Last fall, the National Institute for Occupational Safety and Health scrapped autopsy guidelines for the nation\'s medical examiners weeks after drafting them. The institute made the decision after experts said the guidelines could lead to misinterpretation and false links to ground zero deaths.</p><p>U.S. Sen. Hillary Clinton and other lawmakers joined ailing recovery workers at ground zero on Monday to demand more federal funding to treat those workers with chronic breathing problems.</p><p>\"We have been given a slow, slow death sentence, and that\'s simply not right,\" said Marvin Bethea, a paramedic who said he has suffered everything from asthma to post-traumatic stress disorder after his work at ground zero.</p><p>David Reeve says it may take decades to prove what should be obvious right now. His wife\'s primary doctor, Reynaldo Alonso, wrote a letter nine months before his wife died stating that Reeve\'s only exposure to asbestos and other carcinogens came from her work at the trade center site.</p><p>\"Why do you have such a disproportionate number of people developing cancer at an earlier age?\" he asked. \"The only thing these people have in common is that they were in southern Manhattan on Sept. 11, 2001. Now argue that.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1344','6','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Antidepressants may raise risk of broken bones</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Weakened bones in older people may be side effect of popular pills</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>CHICAGO - The most popular pills for depression might substantially raise the risk for bone breaks in older people, a drawback that should be considered when the drugs are prescribed, Canadian researchers say.</p><p>People aged 50 and older who took antidepressants, including Zoloft, Prozac and other top-sellers, faced double the risk of broken bones during five years of follow-up, compared with those who didn\'t use the drugs, the study found.</p><p>Still, few of 5,008 people studied used the drugs and had fractures. While more rigorous research is needed to prove the link, the study provides the strongest evidence yet tying these drugs to fracture risks, said Dr. David Goltzman, an endocrinologist at McGill University in Montreal and one of the study authors. The study was part of ongoing osteoporosis research funded partly by the Canadian Institutes of Health Research and makers of osteoporosis drugs.</p><p>Antidepressants have been linked with low blood pressure and dizziness leading to falls, which can increase risks for broken bones, but the researchers said they found fracture risks independent of those factors.</p><p><b><strong>Pills may sap strength of bones<br></strong></b>Research in animals suggests that the pills might have a direct effect on bone cells, decreasing bone strength and size, Goltzman and colleagues said.</p><p>The results have important public health implications since millions of people worldwide use the drugs and because osteoporosis, a bone-thinning disease that can lead to broken bones, can be so debilitating for older adults, Goltzman said.</p><p>Still, the researchers said potential fracture risks should be balanced against the drugs\' effectiveness at treating depression, which also can be debilitating.</p><p>Depression affects about 10 percent of U.S. adults, or nearly 30 million people, including about 7 million aged 65 and older. Depression in older adults is often missed and untreated.</p><p>\"If patients need these drugs, they should not be advised against taking them because of the fracture risk. They should however be warned about the risks,\" Goltzman said.</p><p>The study appears in Monday\'s Archives of Internal Medicine.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;More top health stories</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16657627/\">Wanna live longer? Win a Nobel prize</a></li><li><a href=\"/id/16740729/\">Raising $1 billion for breast cancer research</a></li><li><a href=\"/id/16740643/\">\'Egg rebate\' cracks open an ethics mess</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Some previous studies found similar results but did not adequately consider other factors, the researchers said.</p><p><b><strong>Depression itself a possible cause<br></strong></b>Dr. Gregory Asnis, director of an anxiety and depression clinic at Montefiore Medical Center in New York, said depression itself has been linked with low bone density, and it\'s possible the disease rather than the drugs could explain the findings. He said more rigorous research is needed.</p><p>The drugs in question are called SSRIs or selective serotonin reuptake inhibitors. These are generally the favored treatment for depression in many patients and their combined U.S. sales jumped 32 percent from 2000 to 2004, to more than $10.9 billion, the researchers said.</p><p>The study tracked 5,008 Canadians aged 50 and older for five years. They included 137 people who reported using SSRI antidepressants daily. In this smaller group, 18 people or 13.5 percent had bone fractures during the follow-up, compared with 317 people with fractures or 6.5 percent among the 4,871 who didn\'t take the pills.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><p><a href=\"/id/3296469/\">How healthy are your bones?</a></p></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Broken forearms, ankles, feet, hips and ribs were the most common fractures.</p><p>Amy Sousa, a spokeswoman for Prozac maker Eli Lilly and Co., said the drug\'s label lists osteoporosis as a potential but rare side effect. Still, she said the new study was too small to establish any proof that SSRIs might cause fractures.</p><p>Pfizer Inc., maker of Zoloft, issued a statement responding to the study and calling depression \"a serious problem in the elderly that is under-diagnosed and under-treated.\"</p><p>\"SSRIs are an important option for the treatment of depression in this population. As the authors note, the risks must be balanced against the benefits gained by the treatment of depression,\" Pfizer said.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i>Copyright 2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</i></div><br><table width=\"100%\" style=\"background-color:#ffffee\" cellPadding=\"2\" cellSpacing=\"0\"><tr><td width=\"50%\"><font size=\"1\"><img src=\"/images/msnbc/print02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:printThis(\'16756646\')\" class=\"linkBlack\">Print this</a></font></td><td><font size=\"1\"><img src=\"/images/msnbc/email02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:emThis(\'16756646\')\" class=\"linkBlack\">Email this</a></font></td></tr></table></td><td width=\"10\"></td></tr></table><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#ffffff\">&nbsp;MORE FROM AGING</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"1\" style=\"border:solid 1px #cccccc;background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><table width=\"100%\" bgcolor=\"#ffffff\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\"><tr valign=\"bottom\"><td style=\"padding:10px;\" width=\"15%\"><a onmouseover=\"swapImage(\'next_links\',\'/images/buttons/next/buttonNextOver.gif\')\" onmouseout=\"swapImage(\'next_links\',\'/images/buttons/next/buttonNext.gif\')\" onmousedown=\"swapImage(\'next_links\',\'/images/buttons/next/buttonNextDown.gif\')\" href=\"/id/16713130/\"><img src=\"/images/buttons/next/buttonNext.gif\" border=\"0\" width=\"53\" height=\"19\" id=\"next_links\"></a></td><td class=\"textMedBlackBold\" style=\"padding:10px;\" width=\"85%\">Boomers\' health mistakes can add up later</td></tr></table></td></tr><tr><td style=\"padding:0px;\"><font color=\"#000000\"><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr valign=\"top\" bgcolor=\"#dddddd\"><td width=\"20\"><img src=\"/images/arrowCurrentStory.gif\" border=\"0\" width=\"16\" height=\"16\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\">Antidepressants may raise risk of broken bones</font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16713130/\">Boomers\' health mistakes can add up later</a></font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16657627/\">Wanna live longer? 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INSERT INTO `dede_addonarticle` VALUES('1345','6','\n\n\n	 <p>In the movies amnesia is bizarre, and thrilling. The star is usually a former assassin or government agent whose future depends on retrieving the bloody, jigsaw fragments that restore identity and explain the past. </p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/22/science/amnesia.190.jpg\" width=\"190\" height=\"233\" alt=\"\" border=\"0\">\n<div class=\"credit\">Fredrik Broden</div>\n<p class=\"caption\">\n</p>\n</div>\n  \n<div id=\"sidebarArticles\">\n<h4>Related</h4>\n<h3 class=\"promo\">Web Links</h3>\r\n<h2><a href=\"http://www.pnas.org/cgi/content/abstract/0610561104v1\" target=\"new\">Patients With Hippocampal Amnesia Cannot Imagine New Experiences</a> (PNAS)</h2>\r\n<h2><a href=\"http://www.nature.com/nature/journal/v445/n7123/edsumm/e070104-05.html\" target=\"new\">Constructive Memory: The Ghosts of Past and Future</a> (Nature)</h2>\n</div>\n<div id=\"inlineReadersOpinion\">\n<h4>Readers&#8217; Opinions</h4>\n<div class=\"story\">\n<h2>\n<a href=\"http://forums.nytimes.com/top/opinion/readersopinions/forums/health/mentalhealthandtreatment/index.html?page=recent\">Forum: Mental Health and Treatment</a>\n</h2>\n<p class=\"summary\"></p>\n</div>\n</div>\n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Yet in the real world, people with amnesia live in a mental universe  at least as strange as fiction: new research suggests that they are marooned in the present, as helpless at imagining future experiences as they are at retrieving old ones. </p><p>The new <a href=\"http://www.pnas.org/cgi/content/abstract/0610561104v1\" title=\"Read the Article.\" target=\"new\">study</a>, reported last week in The <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/p/proceedings_of_the_national_academy_of_sciences/index.html?inline=nyt-org\" title=\"More articles about Proceedings of The National Academy of Sciences\">Proceedings of the National Academy of Sciences</a>, is the first rigorous test of how brain-injured people with amnesia mentally inhabit imaginary scenes. The results suggest that to the brain, remembered experience and imagined experience are reflections from the same mirror, rich inner worlds animated by almost identical neural networks. </p><p>The findings provide a glimpse into what it might mean to truly live in the moment. And they feed a continuing debate about memory. Some researchers say that the brain region central to forming new memories ?the hippocampus, a sliver of tissue deep in the brain where the day? memories are registered ?is not necessary for retrieving those experiences, once they have been consolidated elsewhere in the brain. </p><p>Others, including the authors of the new study, contend that the hippocampus in fact provides the stage on which inner mental dramas are set. Without its help only the props remain ?loose facts, people? names, snippets from favorite songs: the players without the play. </p><p>?he study suggests that these patients have fragments, the brick and mortar to create new scenarios, but their descriptions lack coherence because they don? have the scaffolding the hippocampus provides,?said Morris Moscovitch, a neuroscientist at the University of Toronto, who was not involved in the study. ?he other interpretation is they don? have enough brick and mortar to put it all together.?/p><p>The researchers, led by Eleanor Maguire and Demis Hassabis of University College London, instructed five men with severe hippocampus injuries to imagine themselves in familiar scenes, like a museum, a pub and a beach. People with this type of injury, often from oxygen deprivation due to a heart attack, can seem in conversation to be as mentally adept as the next person ?until it becomes clear they have forgotten comments made only moments before.</p><p>The men, urged to fill out the scenes with imagined detail, described what they could. The researchers analyzed transcripts of their answers, carefully scoring each one for personal touches: projected emotions, sensations and actions. They found that compared with similar descriptions produced by adults without brain injuries, the five men? imagined scenes were flat, barren of personal dimension. </p><p>?e think that what the hippocampus provides is a scaffold for experience and imagination, and that scaffold is spatial,?Dr. Maguire said. The brain? record of physical space, she said, appears to be necessary to infuse a scene with rich personal dimension.</p><p>Other researchers said the dulling of imagination could reflect a more fundamental dynamic. The brain may naturally draw on previous experiences to inform imaginary scenes, said Peter J. Bayley, a neuroscientist at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_california/index.html?inline=nyt-org\" title=\"More articles about the University of California.\">University of California</a>,  San Diego. If so, the only such memories accessible to the men might have been childhood scenes, consolidated over the years outside the hippocampus, which would not likely provide rich detail to outfit, say, an imaginary pub. </p><p>?he differences between the two groups may reflect the difficulty the patients are having retrieving information from the recent past,?Dr. Bayley said. He and other researchers have previously reported on patients with hippocampus damage who can recall childhood memories in the same kind of detail  almost everyone else does.</p><p>The distinctions the brain makes between loose facts and the richer, wraparound ambience of an experience are important to understanding memory, because people with healthy brain function tend to recall the gist of experience, whereas those with hippocampus damage can often recollect discrete facts with more accuracy. The difference is partly reflected in the study participants?words.</p><p>When asked to envision an open-air market, one brain-injured man said: ? see people, very many people. Most of all ... um ... not many men, all I see are young ladies. And basically they are all in a hurry.?/p><p>A participant without brain injury responded: ?ight, so on either side of me I?e got stalls and it? noisy. We have a person on my right who is selling fruit and veg, and they?e telling us that bananas are on special offer this week, and they?e shouting about that.?/p><p>In an essay published this month in the journal Nature, two <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/h/harvard_university/index.html?inline=nyt-org\" title=\"More articles about Harvard University.\">Harvard</a> researchers, Daniel L. Schacter and Donna Rose Addis, contend  that this ability to richly imagine scenes, whether entirely dependent on the hippocampus or not, is perhaps the most promising frontier for memory research. </p><p>?or almost 100 years, memory has been the object of experimental studies that have focused almost exclusively on its role in preserving and recovering the past,?they wrote. ?e think it? time to try to understand some of memory? errors by looking to the future.?/p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1346','6','	<p><p>TUESDAY, Sept. 26 (HealthDay News) -- Cephalon Inc.\'s Fentora (fentanyl buccal tablet) has been approved by the U.S. Food and Drug Administration to treat so-called &quot;breakthrough&quot; pain in those who have cancer. This type of pain -- characterized by its rapid onset, intensity and short duration -- affects about 800,000 cancer patients, the American Cancer Society says.</p> <p>Fentora, an oral opioid, is partially absorbed through the cheek into the bloodstream, making it faster-acting than similar drugs absorbed through the gastrointestinal tract, Cephalon said in a statement.</p> <p>The drug was approved for people who are already tolerant of opioid therapy for persistent cancer pain. Side effects of opioids may include decreased respiration and circulation, nausea, and fatigue.</p> <p>Cephalon said it expects Fentora to be available in the United States during the first week of October.</p> <p><b>More information</b></p> <p>To learn more about &quot;breakthrough&quot; cancer pain, visit the <a href=\"http://www.cancer.org/docroot/MIT/content/MIT_7_2x_Breakthrough_Cancer_Pain_Questions_and_Answers.asp\" target=\"_new\">American Cancer Society</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1347','6','	<p><p>(HealthDay News) -- Children often develop a cough due to the common cold or a respiratory infection.</p> <p>Here are suggestions on how to soothe an itchy throat and help calm your child\'s cough, courtesy of the St. Luke\'s Children\'s Hospital:</p> <ul> <li>Try cough drops and cough syrups to soothe the throat and break up congestion. Check with your pediatrician to find out if your child is old enough to begin taking cough medicines.</li> <li>Warm beverages, especially lemonade, herbal tea and apple juice, may loosen congestion and relax your child\'s breathing.</li> <li>A humidifier can help soothe a dry cough.</li> <li>Don\'t let your child exercise or overexert himself while he\'s sick, as it can exacerbate a cough.</li> </ul> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1348','6','	<p><p>WEDNESDAY, Sept. 27 (HealthDay News) -- Flu season is fast approaching, but the troublesome virus may not be a health threat if you take steps to protect yourself.</p> <p>The best protection?</p> <p>&quot;The best way to guard against the flu is to get vaccinated, which helps to protect you, your loved ones, and your community,&quot; says Dr. Jeanne Santoli, deputy director of the Immunization Services Division at the U.S. Centers for Disease Control and Prevention.</p> <p>A record 100 million-plus doses are ready to be distributed nationwide this year, which is welcome news after a manufacturing problem last year left many people scrambling for shots. </p> <p>The increase in available shots reflects an expansion of flu-vaccine recommendations to targeted groups.</p> <p> &quot;For the 2006 flu season, the CDC recommendations have added on children ages 24 to 59 months, which also extends to household contacts of the children, and their caregivers outside the home,&quot; Santoli explained.</p> <p>Everyone from the American Heart Association (AHA) and the American College of Cardiology (ACC) to the American Lung Association endorse flu shots. In fact, the AHA and ACC are asking heart doctors to do something they may not normally do -- give flu shots to their patients who are more likely to die from influenza than patients with any other chronic condition, the groups say.</p> <p>Getting a flu shot each fall, before the flu season hits, is especially important if you\'re in a high-risk group. They include: children aged 6 months to 59 months of age; pregnant women; people 50 and older; people of any age with certain chronic medical conditions such as asthma, congestive heart failure, diabetes or HIV; and people who live in nursing homes and other long-term care facilities. </p> <p>&quot;It\'s also important to prevent the spread of infection from otherwise healthy, younger persons to those who are at high risk. People who live with or who provide care for high-risk individuals -- including health-care providers -- should also be vaccinated to reduce the chance that they get infected and spread the infection to others,&quot; said Dr. Wendy A. Keitel, associate professor of medicine at the Influenza Research Center at Baylor College of Medicine in Houston.</p> <p>&quot;The optimal time to get your flu shot is in October or November, before the flu season typically begins,&quot; Santoli said. &quot;That way, you have the greatest chance of protection, since it takes two weeks for the vaccine to become fully effective.&quot;</p> <p>However, flu season usually doesn\'t peak until January, so getting inoculated later is better than not at all. The flu season typically runs from November through April, but can start earlier and last longer. </p> <p>Even if you get the flu, you should still get a shot, Keitel said. &quot;Some epidemics are caused by more than one type of influenza virus. Having caught the flu early in the season would not protect you from getting infected by a different type of virus, but it should protect you from getting infected by the same virus later in the epidemic,&quot; she explained.</p> <p>Each year, the flu vaccine is designed to include three of the most likely strains predicted to strike that season. Vaccination is kind of like giving a mug shot of a suspect -- i.e. the flu -- to your body, so it can be on alert should it see the virus in question, Santoli said.</p> <p> The flu vaccine doesn\'t contain the live, active virus, but dead parts of the virus that the body recognizes as foreign bodies, which causes the immune system to produce antibodies to fight it when you encounter the virus for real, she added.</p> <p>For the needle-shy, there\'s also a nasal spray flu vaccine called FluMist that replaces the poke with a sniff. Available since 2003, it\'s only recommended for healthy, non-pregnant people ages 5 to 49. It differs from the flu shot in that it contains weakened, live flu viruses instead of dead ones. </p> <p>Every year, about 5 percent to 20 percent of the U.S. population is stricken with the flu, leading to more than 200,000 hospitalizations and about 36,000 deaths. </p> <p>The seasonal flu is not the same as bird flu or pandemic flu, which have been international public-health concerns recently. There\'s no vaccine to prevent either of these diseases, Santoli said.</p> <p> The good news is that no bird-flu cases with the deadly H5N1 strain have been reported in North America yet, although health officials are concerned that the virus could mutate, making human-to-human transmission much easier.</p> <p>The CDC also suggests you take the following steps to help ward off the flu:</p> <ul> <li>Avoid close contact with people who are infected. </li> <li>Wash your hands often to help protect you from germs. Studies suggest that flu viruses can live on surfaces for two to eight hours. </li> <li>Avoid touching your eyes, nose or mouth. Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth. </li> <li>Ask your doctor about antiviral drugs, which are not a substitute for the flu shot, but they do add another level of protection. </li> <li>If possible, stay home from work, school, and errands when you are sick, so you\'ll be less likely to pass on the virus. </li> </ul> <p><b>More information</b></p> <p>To find out more about fighting the flu, visit the <a href=\"http://www.facesofinfluenza.org/\" target=\"_new\">American Lung Association\'s Influenza Prevention Program</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1349','6','	<p><p>(HealthDay News) -- Whooping cough, also called pertussis, is a bacterial respiratory infection that\'s often characterized by a &quot;whoop&quot; sound when the person breathes.</p> <p>There is a vaccine for pertussis, but the infection can still strike very young children who aren\'t yet immunized. Children age 1 year and younger are most susceptible to pertussis. It\'s also among this age group that the illness is most dangerous.</p> <p>If you suspect that your child may have pertussis, call your pediatrician immediately to avoid spreading the infection to others.</p> <p>Here\'s a list of ways to recognize pertussis, courtesy of the Nemours Foundation:</p> <ul> <li>Initial symptoms usually include a runny nose, cough, sneezing, and a mild fever.</li> <li>After a week or two, the cough is usually dry, and often turns into violent coughing spells. </li> <li>Coughing spells may last a minute or more, and cause your child\'s face to turn red or purple. </li> <li>The child may vomit after excessive coughing.</li> <li>&quot;Whooping&quot; sounds when breathing are common.</li> </ul> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1350','6','	<p><!--Spanish ID:535161--> <p>TUESDAY, Sept. 26 (HealthDay News) -- Researchers are trying to determine why the bacterial ear infection called acute otitis media causes pain, fluid buildup and hearing loss in some children but not in others.</p> <p>The findings could prove to be an important step in the development of a vaccine for otitis media, the leading cause of childhood hearing loss.</p> <p>The researchers, from the University of Rochester Medical Center in New York, will examine the immune systems of 400 2-month-old children divided into three groups with different medical histories: no otitis media infections, few infections, and many infections.</p> <p>Comparing the immune responses of these three groups of children may provide answers about how some children are naturally protected against otitis media and how to create a vaccine that can replicate that natural protection.</p> <p>&quot;Otitis media is the number one reason that children receive antibiotic treatment following a doctor\'s office visit, and we believe it can be prevented through vaccination,&quot; project leader Dr. Michael Pichichero, professor of microbiology, immunology, pediatrics, and medicine, said in a prepared statement.</p> <p>&quot;We expect to explain how some kids naturally protect themselves and to package that protection for those who can\'t,&quot; he said.</p> <p>By age 3, about 83 percent of U.S. children have had one or more ear infections. In some cases, otitis media causes permanent hearing loss. Even temporary hearing loss caused by otitis media can have serious consequences because it can cause setbacks in normal childhood development.</p> <p><b>More information</b></p> <p>The Nemours Foundation has more about <a href=\"http://kidshealth.org/parent/infections/bacterial_viral/otitis_media.html\" target=\"_new\">otitis media</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1351','6','	<p><!--Spanish ID:535160--> <p>TUESDAY, Sept. 26 (HealthDay News) -- Heavy drinking may speed up the time to developing AIDS, possibly by damaging the immune system, new animal research suggests.</p> <p>Reporting in the October issue of <i>Alcoholism: Clinical &amp; Experimental Research</i>, researchers from Louisiana State University Health Sciences Center set out to determine how chronic binge drinking might affect the progression to AIDS.</p> <p>For 12 weeks, they fed alcohol to 16 rhesus macaques (often called rhesus monkeys) for five hours, four consecutive days per week to simulate chronic binge drinking. They fed another 16 rhesus macaques a sucrose solution under the same conditions.</p> <p>Then they injected eight of the rhesus macaques in each group with simian immunodeficiency virus (SIV), a virus that mimics what happens to humans affected with HIV.</p> <p>The researchers found that chronic binge drinking accelerated the time to AIDS in the rhesus macaques infected with SIV, with the average time to end-stage disease decreasing from 900 days in the control animals to 374 days in those exposed to alcohol.</p> <p>&quot;Because SIV infection in rhesus macaques is so similar to what happens in HIV-infected humans, we can expect that alcohol would have similar consequences in humans,&quot; study author Gregory Bagby, professor of physiology and medicine, said in a prepared statement.</p> <p><b>More information</b></p> <p>The National Institute of Allergy and Infectious Diseases has more about <a href=\"http://www.niaid.nih.gov/factsheets/hivinf.htm\" target=\"_new\">HIV and AIDS</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1352','7','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Raising $1 billion for breast cancer research</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Susan G. Komen foundation celebrates 25 years with new name, focus</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>DALLAS - As breast cancer ravaged her body, Susan G. Komen asked her younger sister for a promise. Komen wanted help to \"cure this disease.\" After a three-year struggle, the vivacious young mother with the bright smile died in 1980 at age 36.</p><p>And her sister, Nancy Brinker, kept her promise to do something, founding the Susan G. Komen Breast Cancer Foundation two years later.</p><p>\"I knew it had to be big. We had to change a culture,\" Brinker said.</p><p>Indeed, the culture and much more have changed.</p><p>In the 25 years since, the foundation has grown from a small gathering of women in Brinker\'s living room to a <a href=\"http://www.komen.org/\" target=\"_blank\">world-renowned operation</a> that will have invested roughly $1 billion in community outreach and research by year\'s end.</p><p>The Dallas-based organization has 200 employees, more than 100,000 active volunteers and 125 affiliates. Its annual Race for the Cure has grown from 800 women who ran for charity in Dallas to about 1.5 million participants in 120 races worldwide. The foundation has funded work in more than 47 countries.</p><p>The nonprofit is celebrating its 25th year with a new name - Susan G. Komen for the Cure, an edgy new advertising campaign that includes T-shirts reading: \"If you\'re going to stare at my breasts, you could at least donate a dollar to save them,\" sales of pink promise rings and a pledge to raise another $1 billion in the next 10 years.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16695236/\">Obese breast cancer patients get undertreated</a></li><li><a href=\"/id/16673818/\">Dense breasts at greater risk of cancer</a></li><li><a href=\"/id/16206352/\">Breast cancer rate drop tied to less hormone therapy</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>With the help of organizations like Komen and prominent figures like First Lady Betty Ford, who spoke openly of about her experience with breast cancer in the mid-1970s, the culture slowly began to change from breast cancer being a taboo subject, said Dr. Gabriel Hortobagyi, president of the American Society of Clinical Oncology.</p><p>\"I grew up at a time when most families didn\'t talk about either sex or cancer,\" said Hortobagyi, chairman of the department of breast medical oncology at the University of Texas M.D. Anderson Cancer Center in Houston. \"Those were sort of taboos. It was sort of shameful if anyone in the family had cancer. And people didn\'t talk about breasts, either healthy or sick.\"</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia.msn.com/i/msnbc/Components/Art/HEALTH/070122/AP_CANCER_FUNDING.gif\" align=\"Right\" height=\"324\" width=\"181\" vspace=\"0\" hspace=\"0\"></td></tr></table>Today, the Komen Foundation reports: Nearly 75 percent of women over 40 get regular mammograms compared to fewer than a third who got breast exams in their doctor\'s offices in 1982; the five-year survival rate for breast cancer when caught before it spreads is 98 percent compared to 74 percent back then; the federal government devotes more than $900 million each year to breast cancer research, treatment and prevention compared to $30 million in 1982.</p><p>\"I truly believe if Nancy hadn\'t started this thing, that that would not be the case, it just needed that special focus,\" said Hala Moddelmog, president and chief executive officer of Komen.</p><p><b><strong>Refocusing funds</strong></b><br>The Komen organization says it is second only to the U.S. government as a source of funding for breast cancer research and community outreach programs, which include education, screening and treatment. It says about 84 cents of every dollar it raises is spent in those areas, totaling about $157 million this year.</p><p>\"Every advance in breast cancer has been touched by a Komen grant,\" said Komen spokeswoman Emily Callahan.</p><p>This year the organization is refocusing its research money to concentrate on more focused areas, such as finding biological signs that can help predict cancer before symptoms appear.</p><p>Moddelmog says the goal is to support research that is \"transformational and that definitely ties back to the cure.\"</p><p>Funding both research and community programs is important, said Moddelmog, herself a five-year breast cancer survivor.</p><p>\"We\'re helping to discover the cures by funding the research. And we\'re helping to deliver the cures by providing access,\" Moddelmog said. \"What we want to wake up and see one day is a world without breast cancer.\"</p><p>There will be an international emphasis this year including a September summit in Budapest, where Brinker served as U.S. ambassador to Hungary from 2001 to 2003. The event will pair 25 U.S. activists with 25 people from around the world to look at the social, cultural and financial circumstances that prevent women from getting quality breast health care and treatment.</p><p>Brinker said that her sister might not have foreseen her legacy, but she knew Brinker would tackle breast cancer head on.</p><p>Growing up in Peoria, Ill., the sisters followed along with their mother on volunteer projects. The sisters were close, but had different personalities, said Brinker, who now lives in Washington, D.C.</p><p>\"We were kind of a good pair because Suzy never thought she was aggressive or good in school. She was very pretty and popular,\" said Brinker. It was Komen, a high school homecoming queen, who taught Brinker how to use makeup.</p><p>Brinker was the more driven sister, the family\'s \"Miss Fix It,\" she said.</p><p>But above all, \"she was always looking out for me and I was always doing things to look out for her too.\"</p><p>By the late 1970s, Brinker was living in Dallas, part of the executive training program at luxury retailer Neiman Marcus. Komen, who was three years older, was raising her family in Peoria, working as a part-time model. They remained close, keeping up by phone.</p><p>One afternoon, Komen called to tell Brinker that her doctor had found a lump in her breast that needed to be biopsied. Komen had a mastectomy, but about five months later she found a lump under her arm.</p><p><font size=\"2\"><span CM=\"PageNavBot\"><b><a CE=\"2\" href=\"/id/16740729/page/2/\">CONTINUED: So many choices</a></b><hr width=\"100%\" noshade=\"true\" size=\"1\" color=\"#808080\">1 | <b><a CE=\"2\" href=\"/id/16740729/page/2/\">2</a></b>\n			| <b><a CE=\"2\" href=\"/id/16740729/page/2/\">Next &gt;</a></b></span></font></p><br><table width=\"100%\" style=\"background-color:#ffffee\" cellPadding=\"2\" cellSpacing=\"0\"><tr><td width=\"50%\"><font size=\"1\"><img src=\"/images/msnbc/print02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:printThis(\'16740729\')\" class=\"linkBlack\">Print this</a></font></td><td><font size=\"1\"><img src=\"/images/msnbc/email02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:emThis(\'16740729\')\" class=\"linkBlack\">Email this</a></font></td></tr></table></td><td width=\"10\"></td></tr></table><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#ffffff\">&nbsp;MORE FROM CANCER</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"1\" style=\"border:solid 1px #cccccc;background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><table width=\"100%\" bgcolor=\"#ffffff\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\"><tr valign=\"bottom\"><td style=\"padding:10px;\" width=\"15%\"><a onmouseover=\"swapImage(\'next_links\',\'/images/buttons/next/buttonNextOver.gif\')\" onmouseout=\"swapImage(\'next_links\',\'/images/buttons/next/buttonNext.gif\')\" onmousedown=\"swapImage(\'next_links\',\'/images/buttons/next/buttonNextDown.gif\')\" href=\"/id/16705760/\"><img src=\"/images/buttons/next/buttonNext.gif\" border=\"0\" width=\"53\" height=\"19\" id=\"next_links\"></a></td><td class=\"textMedBlackBold\" style=\"padding:10px;\" width=\"85%\">Texas study links pollution, cancer</td></tr></table></td></tr><tr><td style=\"padding:0px;\"><font color=\"#000000\"><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr valign=\"top\" bgcolor=\"#dddddd\"><td width=\"20\"><img src=\"/images/arrowCurrentStory.gif\" border=\"0\" width=\"16\" height=\"16\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\">Raising $1 billion for breast cancer research</font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16705760/\">Texas 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class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16655715/\">Drug slows return of pancreatic cancer</a></font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16640055/\">Chickens engineered to make cancer drugs</a></font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16564573/\">Studies: Drugs slow kidney cancer growth</a></font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16527425/\">Weight tied to prostate cancer death</a></font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/3034576/\">Cancer Section Front</a></font></td></tr></table><font class=\"textSmall\">?/font></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table><br><table width=\"98%\" cellspacing=\"0\" cellpadding=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Test-Dev/donna/msnbc10/Launch%20images/top_msnbc.gif,standard.jpg\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#26386b\"></b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"background-color:#FFF;\" bgcolor=\"#FFF\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"5\"><tr><td style=\"padding:5px;\"><font color=\"#000000\"><table><tr><td valign=\"top\"><font color=\"551E1B\">?/font></td><td><a href=\"/id/16785663/\"><font color=\"33527A\">Senate panel rejects Iraq strategy</font></a></td></tr><tr><td valign=\"top\"><font color=\"551E1B\">?/font></td><td><a href=\"/id/16790110/\"><font color=\"33527A\">Kerry will not run in 2008</font></a></td></tr><tr><td valign=\"top\"><font color=\"551E1B\">?/font></td><td><a href=\"/id/16792385/\"><font color=\"33527A\">Miss. deputy charged in \'64 slayings</font></a></td></tr><tr><td valign=\"top\"><font color=\"551E1B\">?/font></td><td><a href=\"/id/16767118/\"><font color=\"33527A\">Bush urges support for troop \'surge\'</font></a></td></tr><tr><td valign=\"top\"><font color=\"551E1B\">?/font></td><td><a href=\"/id/16786991/\"><font color=\"33527A\">Ex-Duke D.A. faces ethic charges</font></a></td></tr><tr><td width=\"15\"></td><td width=\"405\"></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/j/msnbc/Test-Dev/donna/msnbc10/Launch%20images/tv_highlights.gif,standard.jpg\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#26386b\"></b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"background-color:#FFF;\" bgcolor=\"#FFF\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"5\"><tr><td style=\"padding:5px;\"><font color=\"#000000\"><table><tr><td valign=\"top\"><font color=\"551E1B\">?/font></td><td><a href=\"javascript:OCW(\'http://hardblogger.msnbc.msn.com/\', \'_blank\',\'resizable=yes,status=yes,scrollbars=yes,fullscreen=no,location=yes,menubar=yes,titlebar=yes,toolbar=yes,\');\"><font color=\"33527A\">Hardbloggers on State of the Union</font></a></td></tr><tr><td valign=\"top\"><font color=\"551E1B\">?/font></td><td><a href=\"/id/16773978/\"><font color=\"33527A\">Hillary: State of the union \'troubled\'</font></a></td></tr><tr><td valign=\"top\"><font color=\"551E1B\">?/font></td><td><a href=\"javascript:msnvDwd(\'00\',\'55753a21-4651-42ba-9a2b-7a5cfd172534\',\'us\',\'Source_Scarborough_Country\',\'c1151\',\'msnbc\',\'\',\'16781950\',\'State of the Union reaction\')\"><font color=\"33527A\">Video: Reaction to State of 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size=\"-1\"><b color=\"#FFFFFF\">&nbsp;Q &amp; A Library</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#a4abc1\" border=\"0\" style=\"border-right:solid 1px #a4abc1;border-bottom:solid 1px #a4abc1;border-left:solid 1px #a4abc1;background-color:#f3f3f6;\" bgcolor=\"#f3f3f6\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr valign=\"top\"><td></td><td style=\"padding:10px;\"><font color=\"#000000\"><table><tr><td><b><strong>Click on a topic to learn more:</strong></b></td></tr><tr><td><p class=\"textMed\"><table width=\"100%\" ID=\"Table3\"><tbody><tr valign=\"top\"><td width=\"50%\"><table cellspacing=\"3\" cellpadding=\"0\" border=\"0\" width=\"100%\" ID=\"Table1\"><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\">\n<a 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INSERT INTO `dede_addonarticle` VALUES('1353','7','	<p><p>MONDAY, Sept. 25 (HealthDay News) -- Although the dangers of menthol and regular cigarettes appear to be the same, people who smoke menthol brands may have a harder time quitting, a new study found.</p> <p>The risk seems of particular concern to black Americans. For historical and cultural reasons, including targeted advertising by the tobacco industry, black smokers are much more likely to smoke menthol cigarettes than white smokers, approximately 70 percent to 30 percent, respectively, the researchers said.</p> <p>&quot;We were interested to see if menthol cigarettes were more harmful than non-menthol cigarettes,&quot; said lead researcher Dr. Mark J. Pletcher, an assistant adjunct professor of epidemiology at the University of California, San Francisco. &quot;If it were true, it might help explain some of the difference in disease rates between African-Americans and whites.&quot;</p> <p>Black Americans tend to smoke less than whites, but have disproportionately high rates of cancer, cardiovascular disease and other smoking-related illnesses, according to background information from the study.</p> <p>&quot;However, we found that menthol cigarettes don\'t appear to be any more harmful than non-menthol cigarettes,&quot; Pletcher said. &quot;However, there is some evidence that they may be harder to quit.&quot;</p> <p>In the study, published in the Sept. 25 issue of <i>Archives of Internal Medicine</i>, the researchers collected data on 1,535 smokers who were part of the Coronary Artery Risk Development in Young Adults Study. Pletcher\'s team looked at the association between being able to quit smoking and smoking menthol cigarettes. They also measured for 10 years the build-up of calcium in the arteries that can lead to coronary-artery disease and changes in lung function.</p> <p>Pletcher\'s group found that the 63 percent of the study participants preferred menthol cigarettes, and 36 percent preferred non-menthol cigarettes. Eighty-nine percent of blacks smoked menthol cigarettes, compared with 29 percent of whites.</p> <p>People who smoked menthols were more often young, female and unemployed. They also tended to be less educated, overweight, and to drink less alcohol and smoke fewer cigarettes a day, the researchers said.</p> <p>The researchers found that people who smoked menthol cigarettes in 1985 were more likely to still be smoking in 2000. For example, 69 percent of menthol smokers were still smokers, compared with 54 percent of non-menthol smokers.</p> <p>Most of this difference is explained by the fact that black smokers were more likely to smoke menthols and less likely to quit smoking. &quot;Menthol smokers were less likely to quit and more likely to relapse,&quot; Pletcher said.</p> <p>Pletcher said it\'s not clear why menthol cigarettes seem harder to quit. One reason, he said, is that they may taste better. This may suggest that menthol smokers may need more support when they try to quit.</p> <p>Dr. Norman H. Edelman, a scientific consultant for the American Lung Association, said he doesn\'t think the study proves that menthol cigarettes are either more or less dangerous than regular cigarettes.</p> <p>&quot;The statistics in the study seem weak,&quot; he said. &quot;The authors themselves realize that a definitive conclusion of \'no difference\' [between the types of cigarettes] would have required a larger sample size,&quot; he added.</p> <p>&quot;So, instead of saying that the poorer health outcomes of African-American smokers is not related to their greater use of menthol cigarettes, we must say it \'does not seem to be related, based upon available information,\' &quot; Edelman said.</p> <p>In a related matter, a federal judge on Monday granted class-action status to a racketeering lawsuit filed by smokers of &quot;light&quot; cigarettes against Philip Morris USA and several other large makers of the cigarettes. The ruling will allow the smokers to pursue their claims against the tobacco industry as a group, <i>MarketWatch</i> reported.</p> <p>The smokers filed their case in 2004 and are seeking as much as $200 billion in damages. They contend the tobacco industry defrauded them by making them think &quot;light&quot; or &quot;low-tar&quot; cigarettes were safer than regular cigarettes, when they are not, <i>MarketWatch</i> said.</p> <p>A spokeswoman for Philip Morris USA declined to comment.</p> <p><b>More information</b></p> <p>The American Lung Association can tell you more about <a href=\"http://www.lungusa.org/site/apps/s/content.asp?c=dvLUK9O0E&amp;b=34706&amp;ct=66740\" target=\"_new\">stopping smoking</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1354','7','	<p><p>THURSDAY, Sept. 28 (HealthDay News) -- Living next to heavy industry may boost lung cancer risk, suggests new research.</p> <p>In the study, researchers in New Zealand and the U.K. compared more than 200 women with primary lung cancer and 339 healthy women. All the women lived in Teeside in northeast England, an area with especially high rates of lung cancer among women.</p> <p>During the 19th and 20th centuries, heavy industry expanded rapidly in this area, and poverty and deprivation were common. By 1945, the town of Billingham on Teeside was the site of the largest chemical production complex in the world.</p> <p>Overall, the women in the study had lived in the area for an average of 55 years.</p> <p>The women were interviewed about their lives, including where they had lived and worked, smoking habits, and exposure to secondhand smoke. Home distances from heavy industry sites were divided into three zones: less than 5 kilometers away (Zone A); 5 to 10 kilometers away (Zone B); and more than 10 kilometers away (Zone C).</p> <p>After accounting for other potential risk factors (such as smoking), the researchers concluded that women who lived in Zone A for more than 25 years were nearly twice as likely to develop lung cancer as women who didn\'t live in that zone.</p> <p>Reporting in the journal <i>Thorax</i>, the study authors said their findings were consistent with previous studies and that more research needs to be done on the link between air pollution and lung cancer.</p> <p><b>More information</b></p> <p>The American Academy of Family Physicians has more about <a href=\"http://familydoctor.org/085.xml\" target=\"_new\">air pollution and health</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1355','8','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Parents rebel against birthdays gone wild</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>New group takes aim at oneupsmanship of elaborate kid parties</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/j/msnbc/Components/Photos/070122/070122_wildbdays_hmed_8a.hmedium.jpg\" vspace=\"0\" hspace=\"0\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Ann Heisenfelt / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Linda Zwicky, seen here in her in St. Paul, Minn., home on?an. 17,?ith her?on, Wyatt, 4, helped found a group that\'s trying to reduce the pressure parents feel to throw extravagant, overindulgent birthday parties for their kids. </font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>ST. PAUL, Minn. - Having decided on a ballerina theme for her daughter\'s sixth birthday party, Michelle West drove all over to find little dancers for the cake. Then she put 50 little beefeater guards around the edges. And she gave it beautiful white icing with peppermint trim.</p><p>And what happened? The kids wouldn\'t eat it.</p><p>It wasn\'t long afterward that she joined a group of St. Paul parents determined to end the birthday party arms race.</p><p>Birthdays Without Pressure is taking aim at the oneupsmanship that drives moms and dads to throw parties that will really, really impress the kids and the other parents, too.</p><p>\"We feel there\'s a kind of cultural runaway going on right now around the birthday parties of kids,\" said William Doherty, a University of Minnesota professor of family social science who had a hand in organizing the group, launched publicly earlier this month.</p><p>Birthdays Without Pressure has started a Web site and launched a media campaign.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?ThreadID=175553\">Discuss: Are kid birthday parties out of control?</a></li><li><a href=\"/id/16326136/\">What does it mean to be a \'good mom?\'</a></li><li><a href=\"/id/16491375/\">Babies put strain on women\'s friendships</a></li><li><a href=\"/id/16437570/\">Homesickness is a real illness</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Among its suggestions for more modest, stress-free party planning: Hold gift-free parties, with a note on the invitation that says any presents will be donated to charity; eliminate theme parties and gift bags for the guests; instead of organizing elaborate activities, let kids play outside or hold a treasure hunt; and invite children only, not their parents as well.</p><p>The organization has also started collecting horror stories from other parents to argue its case. Among them:</p><ul><li class=\"textBodyBlack\">A birthday party for a 1-year-old featured a gift-opening that lasted two hours. The child slept through most of it.</li><li class=\"textBodyBlack\">Seven-year-olds were picked up in stretch limos to attend the birthday party of a classmate.</li><li class=\"textBodyBlack\">A 6-year-old guest at a St. Paul birthday party didn\'t like the contents of the gift bag and declared: \"This is a rip-off.\"</li></ul><p>The race to provide a unique experience at kids\' parties can even get dangerous. In December, a 4-year-old girl was mauled by a cougar that was brought in as part of the entertainment at a birthday party for a 7-year-old in Coral Gables, Fla.</p><p><b><strong>Under pressure<br></strong></b>Doherty, who previously led a crusade against what he called overscheduled kids, got wind of frustration among parents after a colleague related how a mother at a parenting class had lashed out against the gift bags that have become a staple of kids\' parties.</p><p>That mom was Linda Zwicky.</p><p>\"I just found myself wondering, you know, does he need another pencil? Does he need another rubber ball? Does he need another whistle?\" Zwicky said.</p><p>But when Zwicky began planning her son Wyatt\'s third birthday party, she found herself engaging in the same kind of oneupmanship.</p><p>\"I was going to do gift bags, but I was going to do them right,\" Zwicky recalled. The party had a train theme, so she got sticks and bandannas and made \"hobo packs\" that included animal crackers and bubble solution.</p><p>Zwicky said that party was a turning point for her. She helped found Birthdays Without Pressure.</p><p>What the members want, they say, is a general agreement that not every party has to be more memorable than the last.</p><p>\"Why are we feeling the pressure to do all this?\" said Julie Printz, another parent in the group. \"Let\'s come up with ways to do this that\'s in your comfort zone, and have a broader spectrum of what\'s acceptable in terms of kids\' parties.\"</p><p>When Wyatt turned 4, Zwicky put on a much more modest affair: No theme. No gift bags. Simple party games involving milk bottles and pennies.</p><p>\"The kids had a great time,\" she said. \"That\'s the thing - the kids don\'t care what kind of effort and planning you put into it. They\'re kids.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1356','8','	<p><!--Spanish ID:535132--> <p>MONDAY, Sept. 25 (HealthDay News) -- Parents are largely unaware of their children\'s alcohol and drug use, new research says.</p> <p>In a study published in the October issue of <i>Alcoholism: Clinical &amp; Experiemental Research</i>, researchers from Washington University in St. Louis sought to determine how helpful parents are in assessing their children\'s alcohol and drug use.</p> <p>The researchers interviewed 591 adolescent-and-parent pairs about the teens\' use of alcohol and drugs. </p> <p>&quot;The three most commonly used substances as reported by adolescents in our study were alcohol at 54 percent, tobacco at 44 percent and marijuana at 23 percent,&quot; Jean Bierut, associate professor of psychiatry at the university\'s school of medicine, said in a prepared statement.</p> <p>But when the child reported alcohol or drug use, the parents often failed to report that their child had used a substance.</p> <p>&quot;Specifically, if a child reported having used alcohol, the parent said their child had used alcohol only 50 percent of the time. Similarly, when a child reported having used tobacco, the parent reported this on 55 percent of the time, and when a child reported having used marijuana, the parent report agreed only 47 percent of the time,&quot; said Bierut.</p> <p>The older the child, the more likely the parent was aware of the substance use.</p> <p>&quot;This is very troubling because research has shown that starting to use alcohol and drugs at a young age is a risk factor for developing substance abuse or dependence in the future,&quot; Bierut said.</p> <p><b>More information</b></p> <p>The Substance Abuse and Mental Health Services Administration has more about <a href=\"http://www.samhsa.gov/\" target=\"_new\">substance abuse</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1357','8','	<p><p>(HealthDay News) -- Children are most often exposed to lead in the form of dust from floors, windowsills, paint and dirt. Lead was frequently used in paints and home building materials before 1978.</p> <p>Lead poisoning can lead to learning disabilities, behavioral issues, affected speech and hearing, and even coma or death.</p> <p>Here are some symptoms to watch for, courtesy of the Coalition to End Childhood Lead Poisoning:</p> <ul> <li>Headache.</li> <li>Sleeping too much.</li> <li>Stomach pains or cramps.</li> <li>Difficulty with motor skills and balance.</li> <li>Irritability.</li> </ul> <p>If you suspect your child may have been exposed to lead poisoning, contact your doctor.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1358','8','	<p><p>WEDNESDAY, Sept. 27 (HealthDay News) -- Certain genes may raise the risk for a compulsive hair-pulling disorder known as trichotillomania, U.S. researchers report.</p> <p>This impulse-control disorder affects 3 percent to 5 percent of the population. People with trichotillomania have noticeable hair loss or bald patches. The condition often accompanies other psychiatric disorders, such as anxiety, depression, obsessive-compulsive disorder or Tourette syndrome.</p> <p>This study included 44 families with one or more members with trichotillomania. Researchers at Duke University Medical Center, in Durham, N.C., found that some people with trichotillomania had two mutations in the SLITRK1 gene. These mutations were not found in family members who did not have the disorder.</p> <p>The SLITRK1 gene plays a role in the formation of connections among brain cells (neurons). Mutations in the gene may cause neurons to develop faulty connections that result in trichotillomania, the scientists said.</p> <p>But they also stressed that SLITRK1 gene mutations probably account for only a small percentage of trichotillomania cases.</p> <p>The findings were to be published in the October issue of <i>Molecular Psychiatry</i>.</p> <p>Currently, there is no specific treatment for trichotillomania. It\'s sometimes successfully managed with drugs designed to treat anxiety disorders and depression.</p> <p><b>More information</b></p> <p>The U.S. National Library of Medicine has more about <a href=\"http://www.nlm.nih.gov/medlineplus/ency/article/001517.htm\" target=\"_new\">trichotillomania</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1359','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/24/2007\";</script> <div id=\"cnnSCHighlightsBox\"><!----><h4><span>Story Highlights</span></h4>&#8226; Officials say more people will use free condoms if they have snappy packaging<br> &#8226; One idea is an official New York condom with subway maps on the wrappers<br> &#8226; The mayor\'s office is trying to reduce the rates of STDs and AIDS<br>  </div><div id=\"cnnSCFontButtons\" ><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>NEW YORK</b> (AP)  -- Available soon: an official New York City condom.</p><p>Mayor Michael Bloomberg\'s administration wants to reduce rates of sexually transmitted diseases and AIDS, and part of the strategy is the aggressive promotion of free condoms. Officials say more people will use them if they have jazzy packaging.</p><p>One idea is a subway theme, with maps on the wrappers.</p><p>&quot;Brands work, and people use branded items more than they use nonbranded items, whether it\'s a cola or a medicine even,&quot; Health Commissioner Thomas Frieden said.</p><p>New York hands out 1.5 million free condoms each month, or about 18 million a year. Hundreds of organizations get free condoms from the city and distribute them at health clinics, bars, restaurants, nail salons, nightclubs and even prisons.</p><p>Widespread free distribution started after Frieden became health commissioner in 2002 and found that the city\'s STD clinics were limiting each patient to just a small number.</p><p>&quot;I thought that was nuts -- of all the people you\'d like to have an unlimited supply of condoms, it\'s people who have an STD,&quot; Frieden said. &quot;Condoms work; they\'re just not where they need to be as often as they need to be.&quot;</p><p>There is even a bowl of condoms outside Frieden\'s office.</p><p>More than 100,000 New Yorkers are living with HIV and AIDS. AIDS remains the third-leading cause of death among New Yorkers under 65.</p><p>The number of condoms distributed by the city multiplied several times over after the health department launched its online ordering system in 2005.</p><p>Individuals cannot order, but any organization or venue can request unlimited free condoms.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1360','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/25/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>WASHINGTON</b> (AP)  -- A five-in-one vaccine that could reduce the number of jabs children receive is both safe and effective, federal health advisers said Thursday.</p><p>The endorsement makes it more likely the Food and Drug Administration will approve the Sanofi Pasteur vaccine, called Pentacel. The FDA is not required the follow the advice of its outside advisers but usually does.</p><p>The vaccine is meant to prevent diphtheria, tetanus, whooping cough, polio and bacterial infection caused by Haemophilus influenzae type b, or Hib. Hib disease can cause meningitis, pneumonia and arthritis.</p><p>The endorsement came even though several FDA advisers questioned the efficacy of the Hib component of the vaccine. The panel recommended follow-up studies on the vaccine if it wins approval.</p><p>If approved, the vaccine could eliminate seven of the 23 federally recommended injections children now must endure through age 18 months, according to Sanofi Pasteur, the vaccines business of Paris-based Sanofi-Aventis. The vaccine would be given in four doses, at 2 months, 4 months and 6 months and finally at 15 months to 18 months.</p><p>The vaccine was first sold in Canada in 1997 and is now available in eight other countries, the company said.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1361','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/25/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>LONDON, England </b>(AP)  -- Europe\'s flu season began two weeks earlier this year compared to last and a more virulent strain of virus is causing most cases, health experts said on Friday.</p><p>The European Influenza Surveillance Scheme (EISS), which collects data and monitors influenza throughout the region, received information about the first cases just before Christmas in Scotland and Northern Ireland -- earlier than normal.</p><p>Spain, Greece, Denmark and the Czech Republic have also reported an increasing number of cases.</p><p>&quot;The dominant virus that we are seeing in the European influenza system is the A H3 virus, which we know from experience is a more virulent virus than last year\'s B virus,&quot; said Professor Koos van der Velden, chairman of the EISS.</p><p>&quot;Usually people with the A virus are more infectious, sicker for a long period and complications are more likely,&quot; he added.</p><p>But Van der Velden said the differences reported this year do not increase the risk of an influenza pandemic.</p><p>Scientists fear the H5N1 bird flu virus that has killed more than 160 people since 2003 could mingle with a seasonal virus to become highly infectious in humans and capable of killing millions.</p><p>&quot;We have no evidence that there is any mixing of seasonal virus and bird flu virus,&quot; he added.</p><p>Each year an estimated 100,000 people in Europe die from seasonal influenza. The global total, according to the World Health Organisation, can be as high as 500,000.</p><a name=\"1\"></a><a name=\"rv1\"></a><h3>Coughs and sneezes</h3><p>The virus is spread by coughs and sneezes from an infected person.</p><p>The normal flu season in Europe runs from December to March. It lasts between five to eight weeks in most countries.</p><p>Van der Velden said it is too early to predict how many people will be infected with seasonal flu or how many deaths it may cause. But he added that the virus circulating in Europe is well matched to the vaccine given to people to prevent infection.</p><p>&quot;This year the match seems to be quite good,&quot; he added.</p><p>It is not known whether the unseasonably warm weather in December and January had an impact on the flu season.</p><p>EISS, which is based in Utrecht in the Netherlands and which was established in 1996, has 30 member countries. Doctors in each nation report all clinical cases of flu and send samples to EISS.</p><p>It collects the information and passes it on to the European authorities, the World Health Organisation (WHO) and the Centers for Diseases Control and Prevention in the United States (CDC). </p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1362','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/9/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>LONDON, England</b> (Reuters)  -- Drinking moderate amounts of caffeine during pregnancy does not lead to premature births or underweight babies, Danish scientists said Friday.</p><p>Up to three cups of coffee a day does not seem to have any negative impact on the baby or the pregnancy.</p><p>Earlier studies that looked at the impact of moderate caffeine consumption during pregnancy have produced mixed results. Some showed no difference while others suggested too much caffeine could lower average birth weight by 3.5-7 ounces (100-200 grams).</p><p>&quot;In our study we found no effect from caffeine,&quot; said Dr Bodil Hammer Bech, of the Institute of Public Health in Aarhus, Denmark.</p><p>Unlike other research projects in which women who had given birth were asked how much coffee they drank while pregnant, the Danish scientists monitored 1,207 pregnant coffee lovers who were randomly selected to drink either a caffeinated or decaffeinated brew during the second half of the pregnancy.</p><p>The women did not know which group they were in.</p><p>&quot;We had two groups and we actually found no difference between the average birth weight for moderate intake of caffeine -- about three cups,&quot; said Bech, whose findings are reported online by the British Medical Journal.</p><p>&quot;The difference in the weight of the babies between the two groups was 20 grams  (0.7 ounce) and there was no difference in the gestational age,&quot; she told Reuters.</p><p>In the caffeinated group, 4.2 percent of babies were born premature compared with 5.2 percent in women drinking decaffeinated coffee. The number of infants who were small for their gestational age were nearly the same in both groups.</p><p>Bech said women who drink a lot of coffee usually smoke and drink more alcohol than other females, which could influence birth weight.</p><p>But because the women were randomised in the study, the other factors that may have an effect on the baby and the pregnancy were equal in the two groups.</p><p>In an earlier study, Bech and her team showed that excessive coffee consumption, eight cups or more, could increase the risk of stillbirth.</p><p>&quot;About three cups of coffee a day is OK but women with a higher intake should be careful,&quot; said Bech.</p><p class=\"cnnSCAttribution\">Copyright 2007 <a href=\"/interactive_legal.html#Reuters\">Reuters</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1363','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><div id=\"cnnSCByLine\">By  Matt McKenna<br> Special to CNN</div><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p class=\"cnnEditorNote\">Editor\'s note: Matt McKenna lives and works in Orange County, California. His story came to CNN through I-Report. This is his account of his dramatic weight loss. </p><p>On October 2, 2005, I weighed 500 pounds.</p><p>I was 34 and had always struggled with my weight, but for 15 years, I had allowed it to get out of control. I ate as if it were my hobby. I was unable to do the simplest physical activity. I made excuses to avoid having to go out in public, for fear of being ridiculed. I tried to hide myself, as if someone so large could actually hide. </p><p>I couldn\'t walk to my car from my apartment or office without being out of breath, and my knees ached from even that small journey. Lying in bed, I could feel my heart pounding. I awoke several times each night struggling to breathe. Still, I was in denial. I knew I was obese, but I never considered what I was doing to myself. Loved ones offered concern and suggestions, but I saw them as just &quot;getting on my case.&quot; (Gallery: <a href=\"javascript:CNN_openPopup(\'/interactive/us/0701/gallery.ireport.weighloss.mckenna/frameset.exclude.html\',\'770x576\',\'toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=no,width=770,height=576\');\">Watch as Matt loses the weight</a>)</p><p>In late July 2005, my mother and father decided it was time to step in. My dad called me and said they were concerned about how difficult my life was. They feared they would soon face every parent\'s nightmare: the death of their son. They told me that they could no longer watch me destroy myself, and they wanted to help me back to a normal life. But it couldn\'t be a halfhearted effort on my part. It would take serious commitment from me.</p><a name=\"1\"></a><a name=\"rv2\"></a><h3>Gratitude and fear</h3><p>I was grateful for the love and support of my family and their willingness to help. But I was also apprehensive at the prospect of giving up a measure of freedom and independence. And I was angry at myself for allowing my eating and weight to get so out of control. But I knew they were right:  I had to do something before the damage to my health became irreversible. My life at this point wasn\'t much of a life at all.</p><p>We decided that I would move into my parents\' home, where I could be supervised and supported. There would be no excuses for failure, and the entire family would know everything -- no more hiding from anyone! It was important to involve them because I needed their encouragement. We devised a &quot;pledge drive&quot; tied into my weight loss with the proceeds going to Habitat for Humanity to benefit Katrina victims. (The storm had just occurred while we were making our plans for my weight-loss &quot;project.&quot;) My goal, based on my frame and height, was 240 pounds. </p><p>On October 3, 2005, I began my journey back to health. I stepped onto two bathroom scales (one wasn\'t enough) and took full measure. While 500 pounds was shocking, seeing that number made me feel even more determined. </p><p>I saw my doctor, and with the exception of my weight and blood pressure, my health was not bad. He prescribed medication for my blood pressure, and I agreed to see him every four to six weeks so he could monitor my progress. I was cleared to get started.</p><p>For two weeks, I followed the South Beach Diet Phase 1. No breads or grains, no fruit, no alcohol, no sugar of any kind -- just eggs, cheese, lean meats and vegetables. I also began to exercise, walking for five minutes on a treadmill at first. Then I started walking around the neighborhood, and then walking around Dana Point Harbor, near our home in Southern California. For the first few weeks, just walking those short distances really wore me out. But I could go a little farther with each try, and I felt my stamina  increasing. </p><p>Sunday mornings were weigh-ins. The first week, I had lost 25 pounds! We were all stunned. I had achieved liftoff! In the next weeks, I continued to lose weight, but more modestly. I &quot;graduated&quot; to South Beach Phase 2, which meant I could have fruit, low-fat yogurt, whole grains and a glass of red wine with dinner. I exercised more. I sought counseling to get at the mental and emotional reasons for my eating. </p><a name=\"2\"></a><a name=\"rv1\"></a><h3>Christmas: 90 pounds gone</h3><p>By Christmas I had lost 90 pounds! By this time everyone saw that I was losing weight. Comments from people at work encouraged me. I had more energy, less pain, and I felt better about myself. I could do things that I couldn\'t six months earlier, like play with my nieces and nephew for more than a few minutes before needing to rest. (<a href=\"/2007/HEALTH/diet.fitness/01/25/matt.sider/index.html\">Diet pro says Matt did it right.</a> )</p><p>In February 2006 I joined a gym. I had lost 130 pounds and had to buy new clothes to fit my shrinking body. I realized that I didn\'t need to hide myself. </p><p>At some periods, my loss would slow down to 1 or 2 pounds a week, but I never lost sight of just how far I had come. I told myself that as long as I was making progress, no matter how small, I was still successful. In the spring I helped coach my niece\'s softball team. </p><p>By the second week of July 2006 -- just nine months -- I had lost 200 pounds! I was now hiking the hills and canyons, as well as playing ice hockey. I was able to discontinue my blood pressure medication. Throughout, I never felt that I was depriving myself. I viewed it as a chance to rediscover the real me. </p><p>By mid-September I was ready to live on my own. I had lost more than 230 pounds, and I felt confident that I had enough knowledge, discipline and drive to reach my goal. </p><p>I went to Europe, something I had always wanted to do but couldn\'t because of my obesity. It was my victory lap, a celebration of what I had accomplished. I don\'t call it my reward, because my reward is the life I have today. </p><p>Just a couple of weeks before Christmas 2006, I reached my goal of 240 pounds. Since then, I have maintained my weight between 236 and 240. The feeling of accomplishment is unlike anything I have ever felt. The reactions I get from friends, family, and co-workers when I recount my journey are indescribable. I can hardly believe it myself. </p><p>I am especially proud that my success has inspired some of those very people to begin their own weight-loss adventures, even if they don\'t have nearly as much to lose as I had. I hope others can learn from my experience. I know that dreams are achievable, and I hope their loved ones don\'t give up on them, but offer help and support. I couldn\'t have done it without my family, but in the end it was up to me. In that lies the biggest lesson of all.... That I can do it.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1364','1','<p>WASHINGTON -- New birth-control pills that are less effective in preventing pregnancy than the original contraceptives of the 1960s still could win federal approval if they promise other benefits, under a recommendation by health advisers.</p><p>Food and Drug Administration advisers refused this week to recommend a set standard on how often next-generation pills would have to fail for them to be denied federal approval.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<script src=\"http://www.washingtonpost.com/wp-adv/jobs4/javascript/scripts.js\"></script>\n<link href=\"http://www.washingtonpost.com/wp-adv/jobs4/css/jobsboxes.css\" rel=\"stylesheet\" type=\"text/css\">\n<!-- ====================================== -->\n<!-- ========= START JOB SEARCH =========== -->\n<!-- ====================================== -->\n<div class=\"jobsearch\">\n<div class=\"jobsbox228\">\n<div class=\"boxpad\">\n<div class=\"titleimg\"><img src=\"http://media.washingtonpost.com/wp-adv/jobs4/images/title-job_search_228.gif\" alt=\"Job Search\" /></div>\n<div style=\"margin-bottom:10px;\">\n<img src=\"http://media.washingtonpost.com/wp-dyn/content/graphic/2006/11/27/GR2006112700853.jpg\" style=\"height:72px;width:80px;float:left;margin-right:7px;\"/>\n<div class=\"job_search_header1\">Your Co-Workers Like McSteamy?</div>\n<p class=\"job_search_text\">We can help you find the right work environment with competitive benefits.</p>\n<div class=\"clearboth\"></div>\n</div>\n<div class=\"job_search_header3\">Nursing, Allied Health:&nbsp;<a href=\"http://www.washingtonpost.com/wp-srv/jobs/DC-health-care-jobs.html?nav=apj\" class=\"font3\">Get a New Job</a></div>\n</div>\n</div>\n</div>\n<!-- ====================================== -->\n<!-- =========== END JOB SEARCH =========== -->\n<!-- ====================================== -->\n\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401161_Technorati.html\') ;\ntechnorati.article = new item(\'New Birth Control Pills Could Win Approval\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401161.html\',\'WASHINGTON -- New birth-control pills that are less effective in preventing pregnancy than the original contraceptives of the 1960s still could win federal approval if they promise other benefits, under a recommendation by health advisers.\',\'ANDREW BRIDGES\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401161_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401161.html%3Freferrer=digg&title=New Birth Control Pills Could Win Approval&bodytext=WASHINGTON -- New birth-control pills that are less effective in preventing pregnancy than the original contraceptives of the 1960s still could win federal approval if they promise other benefits, under a recommendation by health advisers.\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=New Birth Control Pills Could Win Approval&labels=&annotation=WASHINGTON -- New birth-control pills that are less effective in preventing pregnancy than the original contraceptives of the 1960s still could win federal approval if they promise other benefits, under a recommendation by health advisers.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401161.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401161.html%3Freferrer=delicious&title=%22New Birth Control Pills Could Win Approval%22 By ANDREW BRIDGES&notes=WASHINGTON -- New birth-control pills that are less effective in preventing pregnancy than the original contraceptives of the 1960s still could win federal approval if they promise other benefits, under a recommendation by health advisers.\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401161.html%3Freferrer=yahoo&title=New Birth Control Pills Could Win Approval&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401161.html%3Freferrer=reddit&title=New Birth Control Pills Could Win Approval\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401161.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'New Birth Control Pills Could Win Approval\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>\"We don\'t want an arbitrary number to be ascribed,\" said Dr. Charles Lockwood of Yale University, acting chairman of FDA\'s reproductive health drugs advisory committee.</p><p>Instead, the panel of outside experts recommended the agency keep an open mind to approving less-effective pills that could offer other important benefits, such as reduced risk of blood clots and stroke.</p><p>Doing otherwise could limit the options available to women, the panel said.</p><p>Most of the roughly 12 million U.S. women who take the pill do so to prevent pregnancy. But others rely on hormonal contraceptives to curb acne or regulate their monthly periods. The latest, low-dose versions of the pill allow women to go 84 days between periods.</p><p>Throughout the 1960s, the earliest birth control pills to win FDA approval failed just once per 100 woman-years of use. That is, for every 100 women taking the pills for a year, there was fewer than one pregnancy on average among them.</p><p>Today, newer pills contain less estrogen and progestin. Those pills can reduce the risk of sometimes deadly side effects. But as the hormone content of the pills has dipped, failure rates have climbed.</p><p>Over the last decade, the FDA has approved some pills with failure rates that were twice the rate considered acceptable in the 1960s. Still, the pills remain highly effective, the FDA says.</p><p>The FDA acknowledged its own staff is split over whether to establish an acceptable failure rate for pills and, if so, what that rate should be. The FDA isn\'t required to follow the recommendation that it not set such a limit, but it usually does follow the judgment of its advisory committees.</p><p>Several panelists, during two days of meetings this week, suggested that any birth-control pill that isn\'t highly effective or offers some other benefit simply wouldn\'t sell, making the issue moot.</p><p>\"If a new product isn\'t as good as what\'s out there, clinicians aren\'t going to prescribe it _ unless there\'s something there,\" said Lorraine Tulman, of the University of Pennsylvania\'s School of Nursing and the panel\'s consumer representative.</p><p>Panelist Dr. Paul Blumenthal, of Stanford University, even suggested the FDA establish different classes of pills, depending on their effectiveness in preventing pregnancy.</p><p>The FDA is considering future guidelines that drug makers could follow in seeking approval for new hormonal contraceptives.</p><p>The FDA is looking at how well studies done prior to the approval of those products reflected their \"real-world\" use. Typically, that use is less consistent and reliable than it is in clinical studies.</p><p>In public testimony, experts said pill studies should include more older and overweight women to reflect the makeup of the U.S. population.</p><p>___</p><p>On the Net:</p><p>Food and Drug Administration: <a href=\"http://www.fda.gov/\" target=\"\">http:/<wbr/>/<wbr/>www.fda.gov/<wbr/></a></p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1365','1','<p>Economists are still sorting out the implications of the  broad health-care proposals President Bush unveiled this week, but already some clear winners and losers are emerging.</p><p>Families with generous employer-sponsored coverage would be worse off, while those who buy insurance on the individual market, or whose health plan costs less than $15,000 annually, would come out ahead. But some of the winners will probably become losers over time, analysts said.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<title></title><div>\n<script src=\"http://media.washingtonpost.com/wp-srv/mmedia/player/js/player_v1.8.js\"></script>\n<script>createVideo(\'left\',\'politics\',\'ms012507-2v\',\'none\',\'ms012507-2v_427\',\'Kornblut on Bush\\\'s Healthcare Plan\',\'yes\',\'/video/2007/01/25/VI2007012501052.html\',\'MSNBC\')</script>\n<div style=\"font-family:arial;font-size:11px;margin-bottom:10px;color:#333333;\">\n<strong style=\"color:#CC0000;\">VIDEO</strong></span> | Washington Post National Political Reporter Ann Kornblut discusses President Bush\'s domestic agenda.</div>\n</div>\n\n<div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2>\nGraphic</h2><div class=\"sidebarcontent\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/graphic/2007/01/25/GR2007012500138.html\" target=\"\">Tax-Proposal Scenarios</a><br/>President Bush wants to tax health benefits paid by employers as income but would ease the impact on taxpayers by creating a $15,000 standard deduction for families ($7,500 for singles). Here are examples of how the proposal would effect three households earning $60,000 a year, depending how the families purchased health insurance.<br/>\n<div style=\"clear:both;\"></div></div></div>\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956_Technorati.html\') ;\ntechnorati.article = new item(\'Experts Examine Bush Health Plan\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956.html\',\'Economists are still sorting out the implications of the  broad health-care proposals President Bush unveiled this week, but already some clear winners and losers are emerging.\',\'Christopher Lee  and Lori Montgomery\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956.html%3Freferrer=digg&title=Experts Examine Bush Health Plan&bodytext=Economists are still sorting out the implications of the  broad health-care proposals President Bush unveiled this week, but already some clear winners and losers are emerging.\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Experts Examine Bush Health Plan&labels=&annotation=Economists are still sorting out the implications of the  broad health-care proposals President Bush unveiled this week, but already some clear winners and losers are emerging.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956.html%3Freferrer=delicious&title=%22Experts Examine Bush Health Plan: Some Fear That Consumers Wouldn\'t Fare Well in Open Market%22 By Christopher Lee  and Lori Montgomery&notes=Economists are still sorting out the implications of the  broad health-care proposals President Bush unveiled this week, but already some clear winners and losers are emerging.\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956.html%3Freferrer=yahoo&title=Experts Examine Bush Health Plan&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956.html%3Freferrer=reddit&title=Experts Examine Bush Health Plan\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Experts Examine Bush Health Plan\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>Moreover, while Bush\'s plan would alter a historic imbalance in the tax code that favors generally better-off consumers who get insurance through their jobs, it also could undermine coverage for some sicker, older people and erode the employer-sponsored system that still provides coverage to more than half of all Americans.</p><p>Some experts questioned whether the plan would have any impact on holding down spiraling health costs or extending health coverage to some of the 47 million people in the  nation who have none.</p><p>\"It\'s not solving the uninsured problem and it\'s not solving the cost problem, so it\'s not really advancing what we need to have happen,\" said Karen Davis, president of the Commonwealth Fund, a nonprofit health policy research organization. \"What it does is favor individual insurance. . . . The question is, should you try to undermine employer coverage? Employer coverage has lower administrative costs and it covers everybody in a firm, not just those who are healthy enough to pass a medical exam.\"</p><p>Bush would treat the contributions that employers make to their employees\' coverage as taxable income, no longer exempting from payroll and income taxes the money workers use to buy health insurance.</p><p>Instead, the president would create a new tax break for everyone who buys health insurance, regardless of where they get it. The government would allow each family to deduct $15,000 a year from its taxable income to offset the cost of its policy; individuals would be allowed to deduct $7,500.</p><p>Democrats on Capitol Hill have panned the plan.</p><p>\"The president\'s proposals are an opportunity missed,\"  Sen. Edward M. Kennedy (D-Mass.) said. \"They will not improve access to good coverage and won\'t help working families afford the spiraling cost of health care.\"</p><p>Under the plan, which would take effect in 2009, winners would vastly outnumber the losers -- at least at first.</p><p>Families that spend less than $15,000 on their health coverage (either on their own or with an employer\'s contribution) would come out ahead,  because the new deduction would apply to all of the money spent on premiums. A family that spends,  $13,000 a year on health insurance could claim the full deduction. The administration says about 100 million people with employer-sponsored coverage would see their tax bills go down.</p><p>Other winners include the 17 million people who buy health insurance on the individual market, who would for the first time enjoy a tax break on the money they use to pay health premiums.</p></div></div><br clear=\"all\">\n<div align=\"right\"><table width=\"100%\" cellpadding=\"2\" cellspacing=\"0\" border=\"0\"><tr><td align=\"right\"><font face=\"arial,sans-serif\" color=\"#CC0000\" size=\"-1\"><b>CONTINUED</b></font>&nbsp;&nbsp;&nbsp;&nbsp; <b><font face=\"arial,sans-serif\" size=\"3\" color=\"#CC0000\">1</font> &nbsp;&nbsp; <font face=\"arial,sans-serif\" size=\"3\"><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956_2.html\">2</a></noscript></font></b> &nbsp;&nbsp;&nbsp;<font face=\"arial, ms sans serif, sans-serif\" size=\"3\"><b><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401956_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1366','1','<p>The  largest U.S. pork supplier, Virginia-based <a href=\"http://financial.washingtonpost.com/custom/wpost/html-qcn.asp?dispnav=business&mwpage=qcn&symb=SFD&nav=el\" target=\"\">Smithfield Foods</a>, said yesterday that it will require its producers to phase out the practice of keeping pregnant pigs in &quot;gestation crates&quot; -- metal and concrete cages that animal welfare advocates consider one of the most inhumane features of large-scale factory farming.</p><p>Activists hailed the decision as perhaps the most significant voluntary improvement ever made in animal welfare, but they said the stage had been set by the recent passage of two state initiatives that would ban the use of the crates.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<div class=\"media_photo\"><!--link rel=\"image_src\" href=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/25/PH2007012501786.jpg\"/--><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/2007-01-26/index.html?imgId=PH2007012501788&imgUrl=/photo/2007/01/25/PH2007012501788.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-srv/photo/largerPhoto/images/enlarge_tab.gif\" width=\"103\" height=\"12\" border=\"0\" align=\"bottom\" alt=\"\"></a><br/><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/2007-01-26/index.html?imgId=PH2007012501788&imgUrl=/photo/2007/01/25/PH2007012501788.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/25/PH2007012501786.jpg\" border=\"0\"  alt=\"Smithfield Foods, whose Virginia headquarters is shown, is being hailed for phasing in a ban on the confinement of pregnant sows to 2-by-7-foot crates.\"  height=\"161\" width=\"228\" align=\"top\"></a><div id=\"caption\">Smithfield Foods, whose Virginia headquarters is shown, is being hailed for phasing in a ban on the confinement of pregnant sows to 2-by-7-foot crates.<span id=\"credit\"> (By Gary C. Knapp  --  Associated Press) </span></div></div>\n<div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2>Local Economy Challenge</h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\">\n<img src=\"http://media3.washingtonpost.com/wp-dyn/content/graphic/2006/02/03/GR2006020302229.gif\" align=\"left\" border=\"0\" width=\"17\" height=\"17\"><p>How will the Washington regional economy do in 2007? Enter your predictions for how each of 11 indicators will turn out this year. We\'ll publish predictions in a future edition of Washington Business, and a year from now will check out who was most, and least, accurate.</p>\n<ul>\n<li><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/12/AR2007011201069.html\">The Citizen Challenge</a> &nbsp;</ul>\n<div class=\"clearboth\"></div></div></div></div>\n\n<link href=\"http://media.washingtonpost.com/wp-srv/css/sidebars.css\" rel=\"stylesheet\" media=\"all\" />\n<div>\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>What\'s Going Where</h2>\n<div class=\"sidebarcontent\" style=\"padding-left: 10px; padding-right: 10px;\">\n<div class=\"sidebarbox\" style=\"color: #333;\">\n<p style=\"margin-top: 0; padding-top: 0;\">\nEver wonder about what\'s being built -- or what a developer proposes to build -- on the vacant land around the corner? Click the map for a PDF file showing updates on planned homes, office buildings, shopping centers and other development.\n</p>\n<p style=\"margin-top: 0; padding-top: 0;\">\n<!-- BEGIN FLASH GRAPHIC. DELETE IF THIS IS A FLAT GRAPHIC. -->\n<script type=\"text/javascript\" src=\"http://media.washingtonpost.com/wp-srv/js/swfobject.js\"></script>\n<div id=\"flashcontent\">\n<!-- *** ALTERNATE CONTENT HERE FOR NON-FLASH USERS *** -->\n</div>\n<!-- *** NOTE: FOR FLASH SCRIPT BELOW, CHANGE .swf PATH, WIDTH, HEIGHT, FLASH VERSION, AND (if nec.) BG COLOR *** -->\n<script type=\"text/javascript\">\nvar so = new SWFObject(\"http://www.washingtonpost.com/wp-srv/metro/interactives/localdevelopment/localDevelopmentMap.swf\", \"mymovie\", \"206\", \"235\", \"7\", \"#ffffff\");\nso.write(\"flashcontent\");\n</script>\n<noscript><p class=\"error\">JavaScript is required to display this interactive graphic. If it is turned off, please enable JavaScript in your browser preferences.</p></noscript>\n<!-- END FLASH GRAPHIC. DELETE IF THIS IS A FLAT GRAPHIC. -->\n</p>\n<p style=\"border-top: 1px dashed #CCC; margin-top: 5px; padding-top: 7px; font-weight: bold;\">\n&raquo; <a href=\"http://www.washingtonpost.com/wp-dyn/content/business/localbusiness/index.html\">LOCAL BUSINESS COVERAGE</a>\n</p>\n</div>\n</div>\n</div>\n<div class=\"clearboth\"></div>\n</div>\n\n<title></title><div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>Washbiz Data</h2>\n<div class=\"sidebarcontent\">\n<div class=\"mxHeds\">\n<h3>Who\'s Moving</h3> <script src=\"http://media.washingtonpost.com/wp-srv/javascript/HeadlinesJS/HeadlinesObjects.js\"></script> <script src=\"http://www.washingtonpost.com/wp-srv/technology/bizcolumns.js\"></script> <script src=\"http://www.washingtonpost.com/wp-dyn/rss/linkset/2006/11/14/LI2006111400512.js\"></script> <script>render_js_headlines(\"columnlink\",headlines,1)</script>\n<p>&#8226; <b><a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2006/11/14/LI2006111400512.html\">Archive &raquo;</a></b></p> </div>\n<div class=\"mxHeds\">\n<h3>Who\'s Filing for Ch. 11, 7</h3> <script src=\"http://media.washingtonpost.com/wp-srv/javascript/HeadlinesJS/HeadlinesObjects.js\"></script> <script src=\"http://www.washingtonpost.com/wp-srv/technology/bizcolumns.js\"></script> <script src=\"http://www.washingtonpost.com/wp-dyn/rss/linkset/2006/11/14/LI2006111400498.js\"></script> <script>render_js_headlines(\"columnlink\",headlines,1)</script>\n<p>&#8226; <b><a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2006/11/14/LI2006111400498.html\">Archive &raquo;</a></b></p> </div>\n<div class=\"mxHeds\">\n<h3>Who\'s Winning Deals</h3> <script src=\"http://media.washingtonpost.com/wp-srv/javascript/HeadlinesJS/HeadlinesObjects.js\"></script> <script src=\"http://www.washingtonpost.com/wp-srv/technology/bizcolumns.js\"></script> <script src=\"http://www.washingtonpost.com/wp-dyn/rss/linkset/2006/11/14/LI2006111400461.js\"></script> <script>render_js_headlines(\"columnlink\",headlines,1)</script>\n<p>&#8226; <b><a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2006/11/14/LI2006111400461.html\">Archive &raquo;</a></b></p> </div>\n<div class=\"mxHeds\">\n<h3>Who\'s Buying, Selling</h3> <script src=\"http://media.washingtonpost.com/wp-srv/javascript/HeadlinesJS/HeadlinesObjects.js\"></script> <script src=\"http://www.washingtonpost.com/wp-srv/technology/bizcolumns.js\"></script> <script src=\"http://www.washingtonpost.com/wp-dyn/rss/linkset/2006/11/14/LI2006111400457.js\"></script> <script>render_js_headlines(\"columnlink\",headlines,1)</script>\n<p>&#8226; <b><a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2006/11/14/LI2006111400457.html\">Archive &raquo;</a></b></p> </div>\n<div class=\"clearboth\"></div>\n</div>\n</div>\n\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501785_Technorati.html\') ;\ntechnorati.article = new item(\'Largest Pork Processor to Phase Out Crates\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501785.html\',\'The  largest U.S. pork supplier, Virginia-based Smithfield Foods, said yesterday that it will require its producers to phase out the practice of keeping pregnant pigs in \"gestation crates\" -- metal and concrete cages that animal welfare advocates consider one of the most inhumane features of large-scale factory farming....\',\'Marc Kaufman\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501785_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501785.html%3Freferrer=digg&title=Largest Pork Processor to Phase Out Crates&bodytext=The  largest U.S. pork supplier, Virginia-based Smithfield Foods, said yesterday that it will require its producers to phase out the practice of keeping pregnant pigs in \'gestation crates\' -- metal and concrete cages that animal welfare advocates consider one of the most inhumane features of large-scale factory farming....\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Largest Pork Processor to Phase Out Crates&labels=&annotation=The  largest U.S. pork supplier, Virginia-based Smithfield Foods, said yesterday that it will require its producers to phase out the practice of keeping pregnant pigs in \'gestation crates\' -- metal and concrete cages that animal welfare advocates consider one of the most inhumane features of large-scale factory farming....&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501785.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501785.html%3Freferrer=delicious&title=%22Largest Pork Processor to Phase Out Crates: Va.-Based Smithfield to End Practice of Keeping Pregnant Pigs in Small Cages%22 By Marc Kaufman&notes=The  largest U.S. pork supplier, Virginia-based Smithfield Foods, said yesterday that it will require its producers to phase out the practice of keeping pregnant pigs in \'gestation crates\' -- metal and concrete cages that animal welfare advocates consider one of the most inhumane features of large-scale factory farming....\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501785.html%3Freferrer=yahoo&title=Largest Pork Processor to Phase Out Crates&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501785.html%3Freferrer=reddit&title=Largest Pork Processor to Phase Out Crates\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501785.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Largest Pork Processor to Phase Out Crates\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>Smithfield officials denied that pressure from activists or voters had anything to do with their announcement, but they did say the company was responding to concerns voiced by customers such as <a href=\"http://financial.washingtonpost.com/custom/wpost/html-qcn.asp?dispnav=business&mwpage=qcn&symb=MCD&nav=el\" target=\"\">McDonald\'s</a> and several supermarket chains.</p><p>While they defended the use of the crates -- which are so narrow that the animals cannot turn around and some have to lie uncomfortably on their chests -- they said their own research had concluded they could be replaced by group pens without any long-term problems or cost increases.</p><p>&quot;Working with our customers, who have made their views known on the issue of gestation stalls, we are pleased to be taking this precedent-setting step,&quot; said C. Larry Pope, chief executive officer of Smithfield Foods. He said all 187 Smithfield-owned pig nurseries would be converted within 10 years, and contract growers will be eventually expected to move in that direction.</p><p>&quot;I can\'t think of anything more important in terms of humane treatment of animals that has occurred in the agribusiness sector,&quot; said Wayne Pacelle, president of the Humane Society of the United States. &quot;They are the market leader, and this decision changes the dynamic of the industry. It\'s going to be very hard for other companies to not follow Smithfield.&quot;</p><p>The decision follows a pattern that has become increasingly common in the food industry. Groups concerned about issues such as animal welfare or the use of antibiotics or biotechnology in agriculture no longer look to government regulators to produce change, but rather take their concerns to the public, to producers, and to the restaurants and grocery chains that sell the products.</p><p>The Humane Society, Farm Sanctuary and others led successful public initiative campaigns in Arizona last year and in Florida in 2004 to prohibit use of the gestation cages.</p><p>McDonald\'s has been particularly active on the animal welfare issue, and it set an industry precedent several years ago by creating a panel of outside experts to recommend best practices. Some members of that panel identified gestation crates as a particularly inhumane practice, and McDonald\'s expressed interest in reducing or eliminating the amount of pork it buys from companies that rely on the crates. In a statement yesterday, McDonald\'s hailed the Smithfield decision, saying it was in line with advice it got from panel member Temple Grandin in particular, a leading animal welfare expert and author.</p><p>Female pigs selected for breeding in most large pig nurseries are artificially impregnated early in their lives and soon after placed in the crates for their four-month pregnancies. According to Grandin, productive sows will spend several years in the cages while giving birth to five to eight litters. But as the sows get larger over the years, some cannot fit in the cages and are either slaughtered or forced to live in conditions where they can sleep only on their chests, rather than their sides as they do normally.</p><p>Pork producers and many veterinarians argue that the animals do well separated in the crates and are prone to fighting if housed together in pens. But animal advocates say the pigs suffer greatly in the 2-by-7-foot cages, with many chewing on metal bars and endlessly waving their heads. Grandin said many sows in narrow crates show behaviors she considers abnormal -- a sign, she said, that they are suffering. The crates have been banned in Europe for some time.</p><p>In a statement, National Pork Producers Council CEO Neil Dierks said that while his group &quot;respects the right of all producers to make market decisions they believe are in their best interest,&quot; the council considers gestation crates to be appropriate and humane.</p><p>&quot;The American Veterinary Medical Association and other organizations recognize gestation stalls and group housing systems as appropriate for providing for the well-being of sows during pregnancy,&quot; he said. &quot;We support the right of all producers to choose housing that ensures the well-being of their animals and that is appropriate for their operations.&quot;</p><p>Dennis Treacy, Smithfield\'s vice president for environmental and corporate affairs, said his company will phase out the gestation stalls over the next decade and will retrain staff in how to keep the animals from fighting.</p><p>He said that the policy shift was a business decision and that the company does not consider the crates inhumane. But, he said, &quot;We\'ve heard increasing questions from customers about whether sow crates are good or bad, whether they\'re the way to go in the future. Given our research, we decided to go another way.&quot;</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1367','1','<p>Government advisers yesterday recommended against setting specific requirements for the reliability of new hormonal contraceptives, saying that might keep useful products off the market.</p><p>The panel did recommend, however, that the Food and Drug Administration ask drug companies to conduct follow-up studies on some new methods after they go on the market to identify any safety or reliability problems missed during initial testing.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<div style=\"width:228px;\">\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>What Readers Are Saying</h2>\n<div class=\"sidebarcontent\" style=\"padding-left: 10px; padding-right: 10px;\">\n<div class=\"sidebarbox\" style=\"color: #333;\">\n <p style=\"margin-top: 0; padding-top: 0;\"> <span style=\"color: rgb(204, 0, 0);\"><strong>Your Comments On...</strong></span><br> <h1 style=\"color: rgb(0, 51, 153);\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2006/12/19/AR2006121901431.html\" target=\"_blank\">Short Mental Workouts May Slow Decline of Aging Minds, Study Finds</a></h1></p> <p style=\"margin-top: 0; padding-top: 0;\"> \"It would be interesting to know if factors such as stress, or sleep disorders etc. were taken into account. They can be quite memory inhibiting and are more likely to be present in the control group, as a lack of mental stimulation can increase self doubt, decrease confidence and cause a form of panic. Could this have put the control group behind, at the same time the motivated groups were leaping ahead and would this not effect the measurement of the outcome? \" </p> <div style=\"text-align:right;\">-- <b>By smilesturner01 ;</b></div> <p style=\"border-top: 1px dashed rgb(204, 204, 204); margin-top: 5px; padding-top: 7px; font-weight: bold;\"> <strong><font face=\"arial,helvetica\" SIZE=\"-1\">&#149; </font> <span style=\"font-family:arial;font-size:11px;color:#000000;\"><a href=\"http://www.washingtonpost.com/ac2/wp-dyn/comments/display?contentID=AR2006121901431&start=1\"><b>View, Add More Comments</b></a></span><br> <font face=\"arial,helvetica\" SIZE=\"-1\">&#149; </font> <span style=\"font-family:arial;font-size:11px;color:#000000;\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2006/12/19/AR2006121901431.html\"><b>Read the Story</b></a></span><br></strong> </p> \n</div>\n</div>\n</div>\n<div class=\"clearboth\"></div>\n</div>\n\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401693_Technorati.html\') ;\ntechnorati.article = new item(\'FDA Panel Supports Flexibility in the Approval of Hormonal Contraceptives\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401693.html\',\'Government advisers yesterday recommended against setting specific requirements for the reliability of new hormonal contraceptives, saying that might keep useful products off the market.\',\'Rob Stein\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401693_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401693.html%3Freferrer=digg&title=FDA Panel Supports Flexibility in the Approval of Hormonal Contraceptives&bodytext=Government advisers yesterday recommended against setting specific requirements for the reliability of new hormonal contraceptives, saying that might keep useful products off the market.\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=FDA Panel Supports Flexibility in the Approval of Hormonal Contraceptives&labels=&annotation=Government advisers yesterday recommended against setting specific requirements for the reliability of new hormonal contraceptives, saying that might keep useful products off the market.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401693.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401693.html%3Freferrer=delicious&title=%22FDA Panel Supports Flexibility in the Approval of Hormonal Contraceptives%22 By Rob Stein&notes=Government advisers yesterday recommended against setting specific requirements for the reliability of new hormonal contraceptives, saying that might keep useful products off the market.\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401693.html%3Freferrer=yahoo&title=FDA Panel Supports Flexibility in the Approval of Hormonal Contraceptives&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401693.html%3Freferrer=reddit&title=FDA Panel Supports Flexibility in the Approval of Hormonal Contraceptives\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/24/AR2007012401693.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'FDA Panel Supports Flexibility in the Approval of Hormonal Contraceptives\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>The recommendations came a day after the panel called for testing new hormonal contraceptives on women who are more representative of the general population, including, for example, women who are overweight. The panel also urged the agency to require drugmakers to test new approaches on smokers, teenagers, women older than 35, and others to get a better assessment of their effectiveness and risks.</p><p>The agency is not required to follow the panel\'s advice, but an FDA official said it probably would.</p><p>\"This was very useful,\" said Scott Monroe, acting director of the FDA\'s division of reproductive and urologic products. \"All the recommendations are recommendations we are likely to implement.\"</p><p>The FDA convened the panel for a two-day meeting to advise the agency on what criteria should be used to decide when to test new hormonal contraceptives, including pills and patches, because it has been more than a decade since the last review.</p><p>In that time, a number of changes have occurred. The dosages of hormones in some contraceptives have been lowered to reduce the risk of side effects, and new methods are being developed. Even the user has changed: There are more overweight women, and the lower doses may not work for them.</p><p>\"We think the studies should better reflect the real world,\" said Yale University\'s Charles J. Lockwood, who chaired the panel.</p><p>Yesterday, the panel said the effectiveness of each method should be judged individually and weighed against the benefits.</p><p>\"You might have a product that has a higher failure rate but has all kinds of benefits,\" Lockwood said. \"We were uncomfortable being pinned down to a specific number.\"</p><p>That approach was endorsed by some women\'s health advocates.</p><p>\"We think an individual woman might  choose  a product that\'s less effective because it has some other quality that she likes, such as fewer side effects,\" said Amy Allina of the National Women\'s Health Network. She also endorsed the recommendation to test products on more representative groups of women.</p><p>\"Given the trends in weight in the population, we\'re talking about a significant proportion of women in the United States,\" Allina said.</p><p>Lockwood said the panel did not want to discourage drug companies from developing new methods by making expensive follow-up studies mandatory. Instead, it recommended follow-up studies only for specific reasons, such as a new delivery method or a new type of hormone.</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1368','1','<p>LEE\'S SUMMIT, Mo. Jan. 25 -- With his new health-care proposals receiving a frosty reception from Democrats on Capitol Hill, President Bush ventured here Thursday to make the case that his ideas offer the best remedy for the nation\'s health insurance crisis.</p><p>Speaking at a roundtable before an audience made up largely of journalists, Bush promoted his plan to offer new tax incentives for people to get modestly priced health insurance through their employers or on their own.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<div class=\"media_photo\"><!--link rel=\"image_src\" href=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/25/PH2007012501954.jpg\"/--><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/2007-01-26/index.html?imgId=PH2007012501956&imgUrl=/photo/2007/01/25/PH2007012501956.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-srv/photo/largerPhoto/images/enlarge_tab.gif\" width=\"103\" height=\"12\" border=\"0\" align=\"bottom\" alt=\"\"></a><br/><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/2007-01-26/index.html?imgId=PH2007012501956&imgUrl=/photo/2007/01/25/PH2007012501956.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/25/PH2007012501954.jpg\" border=\"0\"  alt=\"President Bush, right, listens to Jim Hart in the emergency room at St. Luke\'s East hospital in Lee\'s Summit, Mo. At left is Sen. Christopher S. Bond (R-Mo.).\"  height=\"137\" width=\"228\" align=\"top\"></a><div id=\"caption\">President Bush, right, listens to Jim Hart in the emergency room at St. Luke\'s East hospital in Lee\'s Summit, Mo. At left is Sen. Christopher S. Bond (R-Mo.).<span id=\"credit\"> (Pool Photo By David Eulitt) </span></div></div>\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953_Technorati.html\') ;\ntechnorati.article = new item(\'Bush Touts Health-Care Plan as Cost Control\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953.html\',\'LEE\\\'S SUMMIT, Mo. Jan. 25 -- With his new health-care proposals receiving a frosty reception from Democrats on Capitol Hill, President Bush ventured here Thursday to make the case that his ideas offer the best remedy for the nation\\\'s health insurance crisis.\',\'Michael A. Fletcher  and Christopher Lee\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953.html%3Freferrer=digg&title=Bush Touts Health-Care Plan as Cost Control&bodytext=LEE\'S SUMMIT, Mo. Jan. 25 -- With his new health-care proposals receiving a frosty reception from Democrats on Capitol Hill, President Bush ventured here Thursday to make the case that his ideas offer the best remedy for the nation\'s health insurance crisis.\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Bush Touts Health-Care Plan as Cost Control&labels=&annotation=LEE\'S SUMMIT, Mo. Jan. 25 -- With his new health-care proposals receiving a frosty reception from Democrats on Capitol Hill, President Bush ventured here Thursday to make the case that his ideas offer the best remedy for the nation\'s health insurance crisis.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953.html%3Freferrer=delicious&title=%22Bush Touts Health-Care Plan as Cost Control: The President Says He Thinks Market Forces Will Help Hold Down Prices%22 By Michael A. Fletcher  and Christopher Lee&notes=LEE\'S SUMMIT, Mo. Jan. 25 -- With his new health-care proposals receiving a frosty reception from Democrats on Capitol Hill, President Bush ventured here Thursday to make the case that his ideas offer the best remedy for the nation\'s health insurance crisis.\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953.html%3Freferrer=yahoo&title=Bush Touts Health-Care Plan as Cost Control&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953.html%3Freferrer=reddit&title=Bush Touts Health-Care Plan as Cost Control\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Bush Touts Health-Care Plan as Cost Control\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>Bush, who announced the initiative Tuesday in his State of the Union address, said it is part of a larger strategy to use private-sector forces, new technology and changes in existing government programs to hold down health-care costs and improve access to medical coverage.</p><p>&quot;The best way to do that is through private health insurance,&quot; Bush said. &quot;Therein lies part of the debate we have in Washington. We believe the private sector is the best delivery of health care. We know there\'s a role for the federal government, but it\'s not to dictate, it\'s not to be the decision-maker.&quot;</p><p>The president wants to offer tax breaks for families who buy health insurance that costs less than $15,000 a year, and impose a new tax on those with more expensive plans. For individuals, the tax break would go to those with plans costing $7,500 or less.</p><p>Bush said his proposal would help some of the 47 million uninsured buy coverage, while giving everyone a financial incentive to seek reasonably priced health plans, which he said would slow spiraling health costs in the long run. He also promised to redirect some federal health money to state efforts to help low-income people and those whose chronic health conditions make it hard to get health insurance.</p><p>&quot;There is no question in my mind that a proper role for the federal government is to help the poor and the elderly and the diseased get health care,&quot; Bush said. &quot;We\'ll do that.&quot;</p><p>After touring facilities run by the high-tech St. Luke\'s East medical center here, Bush spoke in a session that included small-business owners and uninsured workers who would probably benefit from his plan.</p><p>The plan would end the tax code\'s longtime bias in favor of employer-sponsored insurance, allowing millions of people who buy policies in the individual market to enjoy a tax deduction on their premiums for the first time. The self-employed can deduct premium costs, but many others cannot.</p><p>Essentially, Bush would use the new tax on people with high-priced health plans to subsidize the cost of insurance for those with lower-priced coverage, a progressive feature that administration officials thought would draw interest from Democrats who now run Congress.</p><p>But so far Democrats have given the idea the cold shoulder, characterizing it as a tax on the middle class that would do little for the uninsured.</p><p>&quot;I find the plan troubling because it does nothing to help people get insurance, hurts those who already have it and provides a tax break that benefits the wealthiest Americans,&quot; <a href=\"http://projects.washingtonpost.com/congress/members/k000105/\" target=\"\">Sen. Edward M. Kennedy</a> (D-Mass.) said.</p></div></div><br clear=\"all\">\n<div align=\"right\"><table width=\"100%\" cellpadding=\"2\" cellspacing=\"0\" border=\"0\"><tr><td align=\"right\"><font face=\"arial,sans-serif\" color=\"#CC0000\" size=\"-1\"><b>CONTINUED</b></font>&nbsp;&nbsp;&nbsp;&nbsp; <b><font face=\"arial,sans-serif\" size=\"3\" color=\"#CC0000\">1</font> &nbsp;&nbsp; <font face=\"arial,sans-serif\" size=\"3\"><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953_2.html\">2</a></noscript></font></b> &nbsp;&nbsp;&nbsp;<font face=\"arial, ms sans serif, sans-serif\" size=\"3\"><b><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/25/AR2007012501953_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1369','1','\n\n\n	 <p><span class=\"bold\">Q.</span> <span class=\"italic\">The optical Large Synoptic Survey Telescope is supposed to measure dark matter. Since dark matter is invisible, how can an optical telescope see it?</span></p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<div class=\"enlargeThis\"><a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23qna_ready.html\', \'23qna_ready\', \'width=524,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">Enlarge This Image</a></div>\n<a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/22/science/23qna_ready.html\', \'23qna_ready\', \'width=524,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/22/science/qa.190.jpg\" width=\"190\" height=\"188\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\">Victoria Roberts</div>\n<p class=\"caption\">\n</p>\n</div>\n  \n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p><span class=\"bold\">A.</span> The Large Synoptic Survey Telescope, a proposed public-private project for which money is  being raised by the LSST Corporation (<a href=\"http://www.lsst.org\" target=\"_\">www.lsst.org</a>), plans to study time-lapse images of stars distorted by gravitational lensing, with the gravity coming from invisible dark matter. </p><p>?ccording to Einstein, gravity warps both space and time,?explained Alan J. Friedman, consulting senior scientist for the New York Hall of Science. Small objects like  Earth ?roduce only a modest warping of space and time.?</p><p>?ut massive galaxies of stars,?Dr. Friedman said, ?r large amounts of dark matter warp space and time around them so much that any light rays that happen to pass through these warped spaces are visibly bent, smeared around, even split up, so it might seem they came from multiple directions.?/p><p>The result, he said, is that light from a distant galaxy may appear in telescopes to be coming from several  galaxies, but all with exactly the same characteristics. When scientists see this, they know the light from the distant galaxy must have passed through warped space before getting to them, he said.  They can measure the distortion to calculate what matter is causing it, even if that warping matter is completely dark.   </p><NYT_AUTHOR_ID><p id=\"authorId\">Readers are invited to submit questions by mail to Question, Science Times, The New York Times, 229 West 43rd Street, New York, N.Y. 10036-3959, or by e-mail to <a href=\"mailto:question@nytimes.com\">question@nytimes.com</a>.</p></NYT_AUTHOR_ID><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1370','1','\n\n\n	 <p> Are biotechnology companies reaching the limits of how much they can charge for their drugs? One sign of that is the sluggish sales of drugs for psoriasis. </p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n  \n   \n<div class=\"image\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/24/business/24rash2_190.jpg\" width=\"190\" height=\"274\" alt=\"\" border=\"0\">\n<div class=\"credit\">Hiroko Masuike for The New York Times</div>\n<p class=\"caption\">\nRemicade won regulatory approval for psoriasis in September. \n</p>\n</div>\n  \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>When the biotech industry began rolling out psoriasis drugs a few years ago, experts heralded the new medications as safer, more effective treatments for the skin disease. And the companies  &#151; <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=AMGN\" title=\"Amgen\">Amgen</a>, <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=DNA\" title=\"Genentech\">Genentech</a> and <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=BIIB\" title=\"Biogen Idec\">Biogen Idec</a>, arguably the industry&#8217;s best-known firms  &#151;  forecast a repeat of the success they have had with similarly priced drugs for rheumatoid <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/arthritisandrheumatism/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about arthritis and rheumatism.\">arthritis</a>, <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/multiplesclerosis/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about multiple sclerosis.\">multiple sclerosis</a> and <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/cancer/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about cancer.\">cancer</a>. </p><p>But they may have overestimated the medical establishment&#8217;s willingness to spend $10,000 to $35,000 a year on treatments for psoriasis, a condition that is often, though incorrectly, perceived as merely a cosmetic problem. </p><p>Many insurers are insisting that psoriasis patients try older, cheaper therapies first before approving reimbursement of a biotech drug, frustrating some doctors and patients. </p><p>Dr. Mark G. Lebwohl, chairman of dermatology at Mount Sinai School of Medicine and a consultant to many of the drug developers, said he grew so frustrated he had sought help from the New York attorney general&#8217;s office on a number of occasions to persuade insurance companies to pay for the drugs. The tactic usually worked, he said. </p><p>Price is not the only barrier. Dermatologists, many of whom prefer doing lucrative Botox procedures to treating psoriasis, worry about the side effects of the drugs, not to mention the vexation of trying to help patients seek insurance reimbursement. &#8220;In today&#8217;s market I can see four acne patients in the time I see one patient on biologics,&#8221;&#8217; said Dr. William Abramovits, a professor of dermatology at <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/b/baylor_university/index.html?inline=nyt-org\" title=\"More articles about Baylor University\">Baylor University Medical Center</a> in Dallas, referring to the biotech psoriasis drugs, which he prescribes despite the obstacles. </p><p>Even many patients seem to have little enthusiasm for the drugs, which users typically take by injecting themselves as often as twice a week. </p><p>&#8220;Have drugs, need patients,&#8221;&#8217; said Dr. Craig Leonardi, a St. Louis dermatologist who is a consultant to many of the drug developers. </p><p>Amgen, which sells the field&#8217;s leader, Enbrel, estimates there are 1.1 million Americans with severe enough psoriasis to warrant one of the biotechnology drugs, which are called biologics because they are manufactured in cultures of living cells. But the company estimates that only about 60,000 people are using one of the drugs. </p><p> Psoriasis can be far more than the bad case of dandruff that might come to mind for people old enough to recall a vintage shampoo commercial that lamented &#8220;the heartbreak of psoriasis.&#8221; </p><p>An autoimmune disease, in which the body&#8217;s defenses mistakenly attack the skin, psoriasis is marked by red, scaly patches that can be itchy or painful. And because of its potential impact on a patient&#8217;s social or sexual life, psoriasis can cause severe emotional distress. In some cases the condition is linked to a joint disease known as psoriatic arthritis. </p><p>The sluggish sales of the biotech drugs have already started taking a toll on their makers. </p><p>  Biogen Idec, which introduced the first biologic for psoriasis in 2003, has already given up, divesting its drug to Astellas Pharma, a Japanese pharmaceutical company.  The drug, Amevive, had sales of only $48.5 million in 2005. </p><p>Raptiva from Genentech, which was approved later in 2003, had $90 million in sales last year, up 14 percent from 2005. That makes the drug a laggard by that company&#8217;s standards. Its new eye drug, Lucentis, for instance, had $153 million in sales in just its first three months on the market. </p><p>Raptiva&#8217;s sluggish sales have also dashed the hopes of Xoma, a small company that helped develop the drug and had hoped to become profitable from its share of the proceeds. </p><p>Both Amevive and Raptiva lost out to  Enbrel, which many doctors perceive as more effective. But even Enbrel is &#8220;not meeting expectations, despite considerable effort,&#8221; George Morrow, an executive vice president at Amgen, told analysts recently. </p><p>Enbrel sales in North America did rise 10 percent in the first nine months of last  year, to $2.1 billion. But that is down from 35 percent growth in 2005 and is likely to leave 2006 sales less than $3 billion, a figure Amgen had originally expected to reach by 2005.  </p><p><a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=WYE\" title=\"Wyeth\">Wyeth</a> helps market the drug in North America and handles overseas sales by itself. </p><p>One reason for the slowdown is that Enbrel is losing market share for its main use  &#151; as a treatment for rheumatoid arthritis, a different autoimmune disease, which accounts for as much as 70 percent of  its sales. But another factor is slow growth of the psoriasis market, which accounts for much of the rest. </p><p>Amgen is trying to underline the seriousness of the disease with television commercials using the theme &#8220;Enough is enough.&#8221; </p><p> The ads do not  mention Enbrel by name. A previous commercial that did was withdrawn in 2005 after the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/f/food_and_drug_administration/index.html?inline=nyt-org\" title=\"More articles about the U.S. Food And Drug Administration.\">Food and Drug Administration</a> warned that the ad &#151; which featured actors with perfect skin frolicking on the beach &#151; exaggerated the drug&#8217;s effectiveness and underplayed its risks. </p><p>Adhering to voluntary industry guidelines, Amgen is discussing with the F.D.A. proposed new ads that mention Enbrel. </p><p>Manufacturers say they remain enthusiastic, though. And indeed, the market is getting more crowded. </p><p>A <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=JNJ\" title=\"Johnson &#38; Johnson\">Johnson &#38; Johnson</a> drug, Remicade, already used for rheumatoid arthritis and Crohn&#8217;s disease, won approval for psoriasis in September. Humira, from <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=ABT\" title=\"Abbott Laboratories\">Abbott Laboratories</a>, is approved for psoriatic arthritis and is now being tested for psoriasis itself. </p><div id=\"pageLinks\"><ul id=\"pageNumbers\"><li> 1 </li><li> <a onClick=\"s_code_linktrack(\'Article-MultiPagePageNum2\');\" title=\"Page 2\" href=\"?pagewanted=2&_r=5\">2</a> </li></ul><a class=\"next\" onClick=\"s_code_linktrack(\'Article-MultiPage-Next\');\" \n             title=\"Next Page\"\n             href=\"?pagewanted=2&_r=5\">Next Page &#x00bb;</a></div><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1371','1','\n\n\n	 <p>WASHINGTON, Jan. 23 (AP) &#151; The government is considering raising standards for birth control drugs, saying new pills appear to be less effective at preventing <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/pregnancy/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about pregnancy.\">pregnancy</a> than those approved decades ago.</p>      <p>The <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/f/food_and_drug_administration/index.html?inline=nyt-org\" title=\"More articles about the U.S. Food And Drug Administration.\">Food and Drug Administration</a> asked a panel of experts on Tuesday whether it should require new contraceptive drugs to meet a standard of effectiveness before approving them for sale. The panel is to meet again on Wednesday.</p><p>In documents on its Web site, the F.D.A. says newer contraceptives appear to be less effective &#151; with twice the failure rate at times &#151; than previous products, most likely because manufacturers have started using lower doses of <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/hormones/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about hormones.\">hormones</a> that stop ovulation.</p><p>&#8220;The very first pills were very high dose and carried risks of blood clots and cardiovascular problems that would be unacceptable to most women,&#8221; Amy Allina, program director of the National Women&#8217;s Health Network, said. &#8220;Today, most birth control pills are very safe for the vast majority of women.&#8221;</p><p>The original pills approved in the 1960s allowed on average fewer than one pregnancy for every 100 women taking the pill for at least a year, the drug agency said. But in the last decade, the government has approved pills allowing more than two pregnancies for every 100 women.</p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1372','1','\n\n\n	 <p> Arthur Agatston, the South Beach <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/diet/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about diet and nutrition.\">diet</a> doctor, came to town last week and, in between bites of filleted  fish, he was trying to persuade me that his patients rarely have heart attacks anymore.</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n  \n<div id=\"sectionPromo\">\n<div class=\"story\">\r\n<p class=\"summary\">\r\nBetter preventive medicine and emergency care have already caused a 25 percent decline in heart-disease deaths since the mid-1980?. For government data back to 1999, click <a href=\"http://www.cdc.gov/nchs/data/statab/mortfinal2003_worktableorig290r.pdf\" target=\"new\">here</a> (pdf) and go to page 271. For data from 1979 to 1998, click <a href=\"http://www.cdc.gov/nchs/data/statab/hist002r_2.pdf\" target=\"new\">here</a> (pdf) and go to page 311. </p></div>\r\n<div class=\"doubleRule\"></div>\r\n<h3 class=\"promo\">Related</h3>\r\n<h2><a href=\"http://www.nytimes.com/2006/08/20/magazine/20lunches.html\">The School-Lunch Test</a> (Times Magazine, August 20, 2006)</h2>\n</div>\n<div id=\"sidebarArticles\">\n<h4>Related</h4>\n<h2>\n\n\n<a href=\"http://www.nytimes.com/2007/01/24/business/24leonhardt-responses.html\" >Reader Responses</a>\n\n(January 24, 2007)\n</h2>\n</div>\n    \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p> As he is quick to tell almost anyone ?as he told me before we had even sat down for our Greek lunch ?he is an accidental diet doctor. By training, he? a cardiologist. He spent 20 years doing research and seeing patients in Miami before his little nutrition manifesto was published in 2003. It and its various spinoffs have since sold close to 20 million copies.</p><p> But Dr. Agatston still spends much of his time as a working cardiologist. After the first book came out, he opened a private practice where he treats everyone from locals who knew him when he was just another doctor to wealthy South Americans who fly in to see the famous South Beach doctor. </p><p> The practice has  2,800 patients, and, as best as Dr. Agatston can recall, only three of them had a heart attack last year. ?eart attacks are essentially disappearing from my practice,?he says in his Long Island-tinged accent.</p><p> It is a fairly stunning claim, the sort of claim that you might expect to hear from someone who knows how to sell a product. If Dr. Agatston were to do a thorough review of his files, I wonder if he might come across a few more heart attacks, perhaps among patients  he doesn? see regularly. </p><p> But his larger point is a perfectly good one: we now know an enormous amount about how to prevent heart attacks, with powerful drugs like statins, <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/smoking/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about smoking.\">smoking</a> cessation, exercise and diet.  With the right preventive care, people can cut their risk of a heart attack by up to 80 percent, cardiologists estimate. </p><p> ?e have made major improvements in prevention,?<a href=\"http://civtmd.columbia.edu/physicians/stone.html\">Dr. Gregg W. Stone</a>, the director of cardiovascular research at <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/c/columbia_university/index.html?inline=nyt-org\" title=\"More articles about Columbia University.\">Columbia University</a>, says. ?ut it? difficult. It takes frequent visits, a close relationship between a physician and a patient and a very committed patient.?/p><p> Which is exactly the atmosphere Dr. Agatston? practice tries to create. Nurses there  give patients specific <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/cholesterol/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about cholesterol.\">cholesterol</a> goals to meet and help them deal with the side effects of the drugs they are taking. A nutritionist, Marie Almon, meets with patients frequently enough to discuss real-life issues like how to stick to a high-fiber Mediterranean diet even on a cruise or a business trip. </p><p> There is only one problem with this shining example of a medical practice: it is losing money.</p><p> See, preventive medicine just doesn? pay in the current American medical system. ?he time we spend with patients ?we get rewarded almost zilch,?Dr. Agatston says. Or as <a href=\"http://www.mountsinai.org/msh/msh_frame.jsp?url=clinical_services/cvi/cvi_fuster.htm\">Dr. Valentin Fuster</a>, a former president of the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/a/american_heart_association/index.html?inline=nyt-org\" title=\"More articles about American Heart Association\">American Heart Association</a>, puts it: ?here is no incentive at all. It? a disaster.?/p><p> This is obviously an exciting time for health care reform. In California and Massachusetts, state officials have announced plans to provide universal health insurance. Last week, the head of the Business Roundtable, a major corporate lobbying group, and Andy Stern, a  union leader, held a <a href=\"http://www.businessroundtable.org//newsroom/document.aspx?qs=58E6BF807822B0F1ADC458622FB51711FCF50C8 \">news  conference</a> <span class=\"italic\">together </span>to call for universal coverage.  President Bush devoted a big part of last night? State of the Union address to his own health insurance ideas. The push to reduce the number of uninsured, now approaching 50 million, is long overdue.</p><p> But a lack of insurance is only one of the two huge problems with health care. The other is the perverse system of incentives that nudges doctors and patients toward expensive tests and procedures when cheaper preventive measures  might actually produce better results. Partly as a result, costs are rising rapidly for the 250 million people who do have insurance. </p><p> In cardiac care, nuclear scans and invasive procedures like bypass surgery bring in the money. Medicare alone paid almost $15 billion, or about 5 percent of its total budget, for bypasses, <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/stents/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about stents.\">stents</a> and other invasive cardiology <a href=\"http://www.dartmouth.edu/~jskinner/\">in 2005, according to Jonathan Skinner</a> of  Dartmouth. Yet for many patients, there is <a href=\"http://www.nytimes.com/2006/12/13/business/13leonhardt.html \">no scientific evidence</a> that stents or surgery  prolong life.</p><p> Dr. Agatston doesn? need Medicare reimbursements to make a living. His books, the latest being ?he South Beach Heart Program,?have given him ?n outside income,?as he delicately puts it. ? can afford to be holier than thou,?he says. </p><p> Absent a wealthy patron,  many other clinics that focus on preventing <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/heartdisease/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about heart disease.\">heart disease</a> are struggling to survive, Dr. Richard Pasternak, a Harvard Medical School cardiologist and <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=MRK\" title=\"Merck & Company\">Merck & Company</a> executive, says. Family doctors, doctors who treat back pain and doctors who treat <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/diabetes/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about diabetes.\">diabetes</a> all face similar challenges.</p><p> It? important to note that the economic gains from preventive care are sometimes exaggerated. Sadly, the cheapest patients are often the ones who receive no care whatsoever, because many die before they reach their medically expensive golden years.</p><p> But the political case  ? the moral case  ? for prevention is unassailable. And to the extent that drugs and lifestyle changes replace surgery, rather than merely supplement it, preventive care can help pay for itself.</p><p> Given the way the  universal insurance movement has taken off, the most likely path to reform probably runs through local governments or other pilot programs, and some of this is beginning to happen. </p><p><a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=HUM\" title=\"Humana\">Humana</a>, the insurer, and Dr. Fuster will soon begin studying 6,000 high-risk patients, in part to get a better understanding of how they can be persuaded to take the preventive steps they should be taking. Medicare, meanwhile, is experimenting with some pay-for-performance stipends for doctors. </p><p>?e still pay more when patients have more complications and get more services than when they get better results,?<a href=\"http://www.aei.org/scholars/scholarID.119,filter.all/scholar.asp\">Dr. Mark McClellan</a>, Medicare? former director, told me recently.</p><p> The prevention push is still waiting for its Massachusetts moment ? a signature event  to make it a topic of national conversation, as Massachusetts? health insurance plan did for universal coverage last year. Dr. Agatston, who does have a track record of getting people? attention, has one idea.</p><p> ?y dream has been to go to a corporation and say, ?ave all your executives and all your high-risk employees come to our practice, and if they hit our goals and still have a heart attack, we?l give you a million dollars,??Dr. Agatston said. ?y wife and our lawyers say, ?ou can? do that!?But that? frankly my dream.?/p><p> Any takers?</p><NYT_TAGLINE>\n<p><i><a href=\"mailto:leonhardt@nytimes.com\">leonhardt@nytimes.com</a></i></p>\n</NYT_TAGLINE><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1373','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Pet oxygen masks coming to the rescue in fires</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Life-saving devices becoming standard for fire departments across country</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/j/msnbc/Components/Photos/070125/070125_petoxygen_hmed_1p.hmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Dog oxygen mask\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Alden Pellett / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Maple, a sheperd mix dog belonging to Firefighter Will Berkovits, left, demonstrates an oxygen mask made for pets.</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>CLARENDON, Vt.  - Fire helmet? Check. Gloves? Check. Axe? Check. Pet oxygen masks? Check.</p><p>Increasingly, little oxygen masks for pets are becoming standard equipment for firefighters. Hoping to save cats, dogs and other pets caught in house fires, animal advocacy groups and pet-products suppliers are equipping departments all over the country with them.</p><p>The cone-shaped plastic masks, which come in three sizes and fit snugly on snouts, can resuscitate animals suffering from smoke inhalation. They can be used on dogs, cats, ferrets, rabbits, guinea pigs, even birds.</p><p>\"In the past, we used regular air masks like the firefighters use. In a pinch, it works,\" said Norman Flanders, fire chief in this small Vermont town, which was given a set of pet masks by a local animal welfare group Tuesday. \"But these masks are designed specifically to fit over the muzzle of a cat or a dog.\"</p><p><b><strong>Pet rescues difficult</strong></b><br>An estimated 60 million U.S. households have pets, but statistics on how many die in house fires are hard to come by. Frequently, house pets hide during a fire, making rescues difficult.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia2.msn.com/i/msnbc/Components/Art/HEALTH/070125/AP_PET_MASK.gif\" align=\"Right\" height=\"331\" width=\"183\" vspace=\"0\" hspace=\"0\"></td></tr></table>Exactly how many pets have been saved with animal oxygen masks is unclear, too. But the fire department in Prospect, Conn., received two donated sets in 2004, and two days later used one to resuscitate a Yorkshire terrier pulled from a fire.</p><p>\"He was wobbly and he had very shallow breathing,\" said Fire Chief Robert Chatfield. \"The owner held him and we got the mask on him and in about 2?minutes, he was fine.\"</p><p><b><strong>From vet use to rescue tool</strong></b><br>The masks were originally developed for use by veterinarians but have evolved into rescue tools over the past several years, according to Brandi Marks of Smiths Veterinary Medical PM Inc., of Waukesha, Wis., which distributes them.</p><p>More than 2,500 sets have been distributed by Best Friends Pet Care, a kennel company that set up a matching-donation campaign to buy the masks, which cost about $60 per three-mask set.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16444652/\">Alert tabby saves family from fire</a></li><li><a href=\"/id/16791577/\">Pooches in pubs: It could happen</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>The campaign began after a firefighter told Best Friends employees of his frustration watching pets die, according to Debra Bennetts, a Best Friends spokeswoman.</p><p>H.E.L.P. Animals, an Orange City, Fla., nonprofit group, has also distributed the masks.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1374','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Job stress can affect your children</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Working parents often bring a bad day home to their kids</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/j/msnbc/Components/Sources/Art/sourceLiveScience.gif,standard.jpg\" vspace=\"0\" hspace=\"0\"><p></p></font><p>NEW YORK - Working parents might think they leave it at the office, but kids know better. Whether adults realize it or not, their job-related stress affects their children, scientists said here this week at the annual meeting of the American Psychoanalytic Association. </p><p>Over the past 30 years, time spent at the office has jumped 10 hours a week. And one in three employees in the United States reports feeling chronically overworked, said Ellen Galinsky, president of the Families and Work Institute in New York. </p><p>\"By all of our measures, jobs have become much more hectic and demanding,\" Galinsky said. \"People feel like they don\'t have enough time to get everything done.\" And that includes spending time, let alone quality time, with children.</p><p>Even if parents?bring no actual work home, they definitely carry the residual impact of?their day in the office.</p><p>\"If we\'re cooking dinner and looking at our kids\' homework, and we\'re also thinking about a discussion we had with a boss, are we working or not?\"?Galinsky said. </p><p><b><strong>Kids talk</strong></b><br><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#FFFFFF\">&nbsp;Signs of stress</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#a4abc1\" border=\"0\" style=\"border-right:solid 1px #a4abc1;border-bottom:solid 1px #a4abc1;border-left:solid 1px #a4abc1;background-color:#f3f3f6;\" bgcolor=\"#f3f3f6\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\"><tr><td style=\"padding:10px;\"><font color=\"#000000\"><table><tr><td><b>Ask yourself these questions to see if you\'re experiencing symptoms of burnout:</b></td></tr><tr><td><table cellspacing=\"3\" cellpadding=\"0\" border=\"0\" width=\"100%\" ID=\"Table1\"><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Do you find yourself being more cynical, critical and sarcastic at work? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Have you lost the ability to experience joy? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Do you drag yourself into work and have trouble getting started once you arrive? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Have you become more irritable and less patient with co-workers, customers or clients</font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Do you feel that you face insurmountable barriers at work? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Do you feel that you lack the energy to be consistently productive? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Do you no longer feel satisfaction from your achievements? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Do you have a hard time laughing at yourself? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Are you tired of your co-workers asking if you\'re OK? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Do you feel disillusioned about your job? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Are you self-medicating-using food, drugs or alcohol-to feel better or to simply not feel? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Have your sleep habits or appetite changed? </font></td></tr><tr><td><font color=\"black\">-</font></td><td><font color=\"black\">Are you troubled by headaches, neck pain or lower back pain? <br></font></td></tr></table><p class=\"textMed\">Source: Mayo Clinic</p></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr></table>Galinsky studied a nationally representative sample of more than 600 parents and 1,000 children ranging from 3rd to 12th grade. Interviewers asked children what would be their one wish if they could change how a father or mother\'s work affected each child. More than half of parents guessed their children would wish for more parent time. </p><p>Wrong answer. Most children wished their parents would be less stressed from work. </p><p>\"If our parents were less tired and stressed, I think that the kids would be less tired and stressed,\" said one of the children interviewed. </p><p><b><strong>Little detectives</strong></b><br>Unbeknownst to parents, children play detective to snag personal and work information. Galinsky found that some kids would eavesdrop from the top of the stairs or even listen on extensions to private phone conversations, with the \"mute\" key pressed.</p><p>Subtle cues, such as a parent\'s down-turned expression or heavy footsteps, also led kids to easily detect their parents\' moods. </p><p>\"I know when my mom has a bad day because when she picks me up from after school she doesn\'t smile,\" one young girl told interviewers. \"She has a really frustrated look on her face.\" </p><p><b><strong>De-stress</strong></b><br>Quality time at home makes a difference. </p><p>\"It doesn\'t occur to parents that it\'s the emotional climate around working or being at home that have an impact,\" said Jennifer Stuart of New York University Psychoanalytic Institute. </p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?BoardID=760&amp;ThreadID=178562&amp;BoardsParam=HIPDelay%3d1\">Discuss:?ring job stress home? Share coping tips</a></li><li><a href=\"/id/16671368/\">Downsizing hurts staffers\' mental health</a></li><li><a href=\"/id/16469103/\">Got the winter blues? Try fake dawn</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>\"There are a number of things to help people manage their stress,\" Galinsky told LiveScience. For instance, take time out when you get home to unwind with the proverbial warm bubble bath. If all else fails, talk to your children (if they\'re old enough) and let them know you had a bad day at work, Galinsky suggested. The most important piece of information to impart to kids is that your bad mood isn\'t their fault, she said.</p><p>One boy interviewed in Galinsky\'s study offered another idea: \"If you\'re stressed out and tired, take a little nap. But don\'t take a long one.\"</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#FFFFFF\">&nbsp;MSNBC.COM SPECIAL REPORT</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#a4abc1\" border=\"0\" style=\"border-right:solid 1px #a4abc1;border-bottom:solid 1px #a4abc1;border-left:solid 1px #a4abc1;background-color:#f3f3f6;\" bgcolor=\"#f3f3f6\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><a href=\"/id/15772952/\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/i/msnbc/Components/Art/HEALTH/PROJECTS/Stress/TZ300_StressedOut.gif\" height=\"60\" width=\"298\" vspace=\"0\" hspace=\"0\"></a></td></tr><tr><td style=\"padding:10px;\"><font color=\"#000000\"><table><tr><td><table cellspacing=\"3\" cellpadding=\"0\" border=\"0\" width=\"100%\" ID=\"Table1\"><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15814840/\">Part 1: Desk rage: Workers gone wild</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15808494/\">Part 2: Stress-offs: Do you <em>want</em> to win?</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15818153/\">Part 3: Being stressed can have its perks</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15818889/\">Part 4: Can you buy your way out of stress?</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15940563/\">Part 5: Life coach answers reader questions</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15772952/\">Full coverage</a></font></td></tr></table></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr></table></p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 LiveScience.com. All rights reserved. </em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1375','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Fewer women in U.S. are getting mammograms</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Rate has dropped slightly since 2000, may mean thousands of missed cases</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>ATLANTA - The percentage of American women getting mammograms has dropped slightly over the past few years, in what health officials said Thursday is a troubling sign that the battle against breast cancer may be flagging.</p><p>The share of women 40 and older who said they had a mammogram in the previous two years slipped from 76.4 percent to 74.6 percent between 2000 and 2005, according to study released by the Centers for Disease Control and Prevention.</p><p>The rate had risen dramatically over the past two decades, from 29 percent in 1987, according to American Cancer Society statistics.</p><p><b><strong>Women becoming complacent</strong></b><br>The CDC and other researchers said possible explanations for the drop include a shortage of mammography screening centers and specialists, and a lack of health insurance among patients.</p><p>Dr. Len Lichtenfeld, the cancer society\'s deputy chief medical officer, said the decline may also reflect complacency among women.</p><p>\"This is a group of women who have \'grown up\' with mammography as they\'ve aged, they\'ve perhaps had it done many times over the years and they\'ve decided, \'Well, it\'s been OK, maybe I can put it off for a while,\"\' he said.</p><p>He warned that the recently reported declines in breast cancer incidence rates and cancer deaths are at risk if the decline continues. \"If we don\'t pay attention now, we run the risk of seeing some of the gains we\'ve made reversed,\" he said.</p><p><b><strong>Thousands of cases a year might not be diagnosed</strong></b><br>The decline of less than 2 percentage points may seem small, but it could be terribly significant, Lichtenfeld said. But if you consider that about 80 million U.S. women should be getting a mammogram every year, it means more than 1 million fewer women are getting the screening test, he said.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for more women\'s health news</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16637583/\">Hospital plans to offer uterus transplant</a></li><li><a href=\"/id/16790891/\">Less invasive treatment for fibroids can be fine</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>And that may mean thousands of cases of breast cancer may not be diagnosed. Women whose breast cancer is caught early have more treatment options and a better chance of beating the disease.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"120\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/ColorBoxes/Styles/ColorBoxImages_GlobalOnlyPlease/interactive_icon.gif\" height=\"14\" width=\"24\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#FFFFFF\">Test yourself </b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#a4abc1\" border=\"0\" style=\"border-right:solid 1px #a4abc1;border-bottom:solid 1px #a4abc1;border-left:solid 1px #a4abc1;background-color:#f3f3f6;\" bgcolor=\"#f3f3f6\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><a href=\"/id/3296963/\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Art/HEALTH/031107/Quiz_TZ152.jpg\" height=\"110\" width=\"150\" vspace=\"0\" hspace=\"0\"></a></td></tr><tr><td style=\"padding:10px;\"><font color=\"#000000\"><table><tr><td rowspan=\"2\" width=\"15\"><font color=\"551E1B\">?/font></td><td><b><a href=\"/id/3296963/\">Breast cancer: How much do you know</a>?</b></td></tr><tr><td></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr></table></p><p>The decline may also at least partly explain a recent drop in U.S. breast cancer rates: It may be that if fewer women are getting mammograms, fewer cases of breast cancer are being discovered.</p><p>Some researchers instead tied the drop in breast cancer to reduced use of hormones for menopause.</p><p><b><strong>Earlier declines</strong></b><br>The study is being published this week in a CDC publication, Morbidity <em>and Mortality Weekly Report</em>. It was based on a national telephone survey of more than 14,000 women in each of the survey years.</p><p>The study is not the first to spot the decline. The cancer society keeps statistics, derived from a different national survey, that showed a slight decline in mammogram from 2000 to 2003. Another study of HMO patients showed a decline in screening rates from 1999 to 2002.</p><p>Mammography rates increased substantially during the 1990s, so there seems to have been some turning point around 2000.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1376','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">FDA advisers back 5-in-1 childhood vaccine</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>If approved, concoction could eliminate 7 of the jabs kids receive</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>WASHINGTON - A five-in-one vaccine that could reduce the number of jabs children receive is both safe and effective, federal health advisers said Thursday.</p><p>The endorsement makes it more likely the Food and Drug Administration will approve the Sanofi Pasteur vaccine, called Pentacel. The FDA is not required the follow the advice of its outside advisers but usually does.</p><p>The vaccine is meant to prevent diphtheria, tetanus, whooping cough, polio and bacterial infection caused by Haemophilus influenzae type b, or Hib. Hib disease can cause meningitis, pneumonia and arthritis.</p><p>The endorsement came even though several FDA advisers questioned the efficacy of the Hib component of the vaccine. The panel recommended follow-up studies on the vaccine if it wins approval.</p><p>If approved, the vaccine could eliminate seven of the 23 federally recommended injections children now must endure through age 18 months, according to Sanofi Pasteur, the vaccines business of Paris-based Sanofi-Aventis. The vaccine would be given in four doses, at 2 months, 4 months and 6 months and finally at 15 months to 18 months.</p><p>The vaccine was first sold in Canada in 1997 and is now available in eight other countries, the company said.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1377','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Brain damage can curb urge to smoke</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Research inspired by stroke survivor who \'forgot\' his 24-year habit</b><br></td></tr><tr><td valign=\"top\"><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img src=\"/images/icons/video.gif\" width=\"20\" height=\"14\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#ffffff\">FREE VIDEO</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"1\" style=\"border:solid 1px #cccccc;background-color:#eeeeee;background-image:url(\'/images/backgrounds/component_grey.gif\');\" bgcolor=\"#eeeeee\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" bgcolor=\"#cccccc\" background=\"/images/backgrounds/component_dkgrey.gif\" width=\"100%\"><tr valign=\"top\"><td align=\"middle\"><a href=\"javascript:msnvDwd(\'00\',\'b26118c1-ca69-4f40-884d-3f1f54c672f1\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16814203\',\'Turning off smokers\\u2018 addiction\')\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/j/msnbc/Components/Video/070125/nc_smoking_brain_070125.300w.jpg\" vspace=\"0\" hspace=\"0\"></a></td></tr><tr valign=\"top\"><td align=\"middle\"><div class=\"scalAd\"><input type=\"button\" class=\"mbox w77\" value=\"Launch\" title=\"Launch\" onmouseover=\"swapbtn(this, 1)\" onmouseout=\"swapbtn(this, 0)\" onclick=\"javascript:msnvDwd(\'00\',\'b26118c1-ca69-4f40-884d-3f1f54c672f1\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16814203\',\'Turning off smokers\\u2018 addiction\')\"></div></td></tr></table></td></tr><tr><td style=\"padding:10px;\"><font color=\"#000000\"><font color=\"551E1B\">?/font><font class=\"textMedBlackBold\"><a href=\"javascript:msnvDwd(\'00\',\'b26118c1-ca69-4f40-884d-3f1f54c672f1\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16814203\',\'Turning off smokers\\u2018 addiction\')\">Turning off smokers\' addiction</a></font><br><font color=\"black\">Jan. 25: Researchers found damage to a specific area of the brain can erase a smoker\'s urge to smoke. NBC\'s Jinah Kim reports. </font><p class=\"credit\">NBC News Channel</p></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr><tr><td valign=\"top\"><font size=\"-2\"></font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>WASHINGTON - Damage to a silver dollar-sized spot deep in the brain seems to wipe out the urge to smoke, a surprising discovery that may shed important new light on addiction.</p><p>The research was inspired by a stroke survivor who claimed he simply forgot his two-pack-a-day addiction - no cravings, no nicotine patches, not even a conscious desire to quit.</p><p>\"The quitting is like a light switch that went off,\" said Dr. Antoine Bechara of the University of Southern California, who scanned the brains of 69 smokers and ex-smokers to pinpoint the region involved. \"This is very striking.\"<br><br>Clearly brain damage isn\'t a treatment option for people struggling to kick the habit.</p><p>But the finding, reported in Friday\'s edition of the journal <em>Science</em>, does point scientists toward new ways to develop anti-smoking aids by targeting this little-known brain region called the insula. And it sparked excitement among addiction specialists who expect the insula to play a key role in other addictions, too.</p><p>\"It\'s a fantastic paper, it\'s a fantastic finding,\" said Dr. Nora Volkow, director of the National Institute on Drug Abuse and a longtime investigator of the brain\'s addiction pathways.</p><p>\"What this study shows unequivocally is the insula is a key structure in the brain for perceiving the urges to take the drug,\" urges that are \"the backbone of the addiction,\" Volkow added.</p><p>Why? The insula appears to be where the brain turns physical reactions into feelings, such as feeling anxious when your heart speeds up. When those reactions are caused by a particular substance, the insula may act like sort of a headquarters for cravings.</p><p><b><strong>A decline in smokers quitting the habit<br></strong></b>Some 44 million Americans smoke, and the government says more than 400,000 a year die of smoking-related illnesses. Declines in smoking have slowed in recent years, making it unlikely that the nation will reach a public health goal of reducing the rate to 12 percent by 2010.</p><p>Nicotine is one of the most addictive substances known, and it\'s common for smokers to suffer repeated relapses when they try to quit.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16787456/\">Stimulate your brain to fight Alzheimer\'s</a></li><li><a href=\"/id/16788049/\">New drug can help smokers quit, review finds</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>So imagine Bechara\'s surprise at hearing a patient he code-named \"Nathan\" note nonchalantly that \"my body forgot the urge to smoke\" right after his stroke.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia.msn.com/i/msnbc/Components/Art/HEALTH/070125/ap_SMOKING.gif\" align=\"Right\" height=\"368\" width=\"182\" vspace=\"0\" hspace=\"0\"></td></tr></table>At the time, Bechara was at the University of Iowa studying the effects of certain types of brain damage after strokes or other injury. While Nathan was hospitalized, stroke specialists sent his information to that brain registry. He was 38, had smoked since 14, said he enjoyed it and had had no intention to quit. But his last puff was the night before his stroke. His surprised wife said he never even asked for a smoke while in the hospital.</p><p>It\'s not unusual for a health scare to prompt an attempt at quitting. \"That\'s the quitting that\'s not as interesting,\" Bechara said.</p><p>Instead, Nathan experienced what Bechara calls a \"disruption of smoking addiction,\" and he wanted to know why.</p><p><b><strong>Patients quit \"super-easily\"<br></strong></b>Bechara and colleagues culled their brain-damage registry for 69 patients who had smoked regularly before their injuries. Nineteen, including Nathan, had damage to the insula. Thirteen of the insula-damaged patients had quit smoking, 12 of them super-easily: They quit within a day of the brain injury and reported neither smoking nor even feeling the urge since then.</p><p>Of the remaining 50 patients with damage in other brain regions, 19 quit smoking but only four met the broken-addiction criteria.</p><p>If Bechara\'s findings are validated, they suggest that developing drugs that target the insula might help smokers quit. There are nicotine receptors in the insula, meaning it should be possible to create a nicotine-specific drug, Bechara said - albeit years from now.</p><p><b><strong>Altering function of brain regions</strong></b><br><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img src=\"/images/icons/interactive.gif\" width=\"20\" height=\"14\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#ffffff\">INTERACTIVE</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"1\" style=\"border:solid 1px #cccccc;background-color:#eeeeee;background-image:url(\'/images/backgrounds/component_grey.gif\');\" bgcolor=\"#eeeeee\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr valign=\"top\"><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" bgcolor=\"#cccccc\" background=\"/images/backgrounds/component_dkgrey.gif\" width=\"100%\"><tr valign=\"top\"><td align=\"middle\"><a href=\"&#xA;http://www.msnbc.msn.com/id/11030549/ \"><a href=\"javascript:OpenChildWindow(\'http://www.msnbc.com/news/wld/graphics/LUNGcancer.asp\',\'\',\'width=520,height=400\');\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/i/msnbc/Components/Art/HEALTH/031107/TEASES/LungCancer_TZ152.jpg\" height=\"110\" width=\"150\" vspace=\"0\" hspace=\"0\"></a></a></td></tr><tr valign=\"top\"><td align=\"middle\"><div class=\"scalAd\"><input type=\"button\" class=\"mbox w77\" value=\"Launch\" title=\"Launch\" onmouseover=\"swapbtn(this, 1)\" onmouseout=\"swapbtn(this, 0)\" onclick=\"javascript:window.location.replace(\'http://www.msnbc.msn.com/id/11030549/\');\"></div></td></tr></table></td><td style=\"padding:10px;\"><font color=\"#000000\"><font color=\"551E1B\">?/font><font class=\"textMedBlackBold\"><a href=\"&#xA;http://www.msnbc.msn.com/id/11030549/ \">Learn more about lung cancer</a></font><br></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr></table>More immediately, NIDA\'s Volkow wants to try a different experiment: Scientists can temporarily alter function of certain brain regions with pulses of magnetic energy, called \"transcranial magnetic stimulation.\" She wants to see if it\'s possible to focus such magnetic pulses on the insula, and thus verify its role.</p><p>Other neurologic functions are known to be involved with addiction, too, such as the brain\'s \"reward\" or pleasure pathways. The insula discovery doesn\'t contradict that work, but adds another layer to how addiction grips the brain, Bechara said.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1378','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">CT scans in ERs catch only 25 percent of strokes</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>MRIs detect 80 percent and should be new standard of care, doctors advise</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>LONDON - The most common method of diagnosing a stroke in the emergency rooms catches only about one out of every four cases - far fewer than an MRI scan, which also was better at spotting the type of stroke, a U.S. government funded study showed.</p><p>The study led some experts, writing in the medical journal <em>The Lancet</em>, to declare that MRI scans should replace CT X-rays as the standard of care. The journal published the stroke study in Friday\'s issue.</p><p>\"This mantle should now be passed to magnetic resonance imaging,\" wrote Dr. Geoffrey A. Donnan and colleagues at the University of Melbourne in Australia in an accompanying commentary.</p><p>MRI scans should be adopted as the new standard of care, wrote the doctors, while they also criticized governments and health care systems for their poor track record of assessing new technologies.</p><p><b><strong>Time can \"make a big difference\"</strong></b><br>However, others argue it\'s not such a clear-cut choice. MRI results take more time, a delay that can prove deadly to a stroke patient, these doctors contend.</p><p>\"The time delay between MRI and CT may be around 15 to 20 minutes,\" said Dr. Joseph Broderick, chairman of neurology at the University of Cincinnati College of Medicine. \"And in an emergency, 15 to 20 minutes can make a big difference.\"</p><p>Broderick had no role in the study, which was led by Dr. Julio Chalela, of the Medical University of South Carolina. Chalela was with the U.S. National Institutes of Health when the study was conducted.</p><p>Chalela and colleagues examined 356 patients, of whom 217 were ultimately diagnosed with an acute stroke. Patients were scanned both by CT and MRI machines. CT scans are a type of X-ray, whereas magnetic resonance imaging uses powerful magnets instead of radiation to produce an image.</p><p><b><strong>MRIs three times more accurate<br></strong></b>The scans were independently interpreted by four experts, who had no other patient information. Based only on the MRI scans, experts accurately diagnosed acute strokes 83 percent of the time. Using the CT scans, however, they were right just 26 percent of the time.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img src=\"/images/icons/interactive.gif\" width=\"20\" height=\"14\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#ffffff\">INTERACTIVE</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"1\" style=\"border:solid 1px #cccccc;background-color:#eeeeee;background-image:url(\'/images/backgrounds/component_grey.gif\');\" bgcolor=\"#eeeeee\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr valign=\"top\"><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" bgcolor=\"#cccccc\" background=\"/images/backgrounds/component_dkgrey.gif\" width=\"100%\"><tr valign=\"top\"><td align=\"middle\"><a href=\"&#xA;http://www.msnbc.msn.com/id/10711800&#xA;&#xA;\"><a href=\"javascript:OpenChildWindow(\'http://www.msnbc.com/news/wld/graphics/strokes.asp\',\'\',\'width=520,height=405\');\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Art/HEALTH/031107/TEASES/StrokeCauses_TZ152.jpg\" height=\"110\" width=\"150\" vspace=\"0\" hspace=\"0\"></a></a></td></tr><tr valign=\"top\"><td align=\"middle\"><div class=\"scalAd\"><input type=\"button\" class=\"mbox w77\" value=\"Launch\" title=\"Launch\" onmouseover=\"swapbtn(this, 1)\" onmouseout=\"swapbtn(this, 0)\" onclick=\"javascript:window.location.replace(\'http://www.msnbc.msn.com/id/10711800\');\"></div></td></tr></table></td><td style=\"padding:10px;\"><font color=\"#000000\"><font color=\"551E1B\">?/font><font class=\"textMedBlackBold\"><a href=\"&#xA;http://www.msnbc.msn.com/id/10711800&#xA;&#xA;\">How strokes happen</a></font><br><font color=\"black\">An interactive look at the causes and risk factors</font></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr></table>MRI scans were also more precise in spotting the cause of the stroke - a blood clot or bleeding in the brain. The vast majority of strokes are caused by clots. In patients scanned within three hours of symptoms, MRIs detected strokes caused by clots in 41 of 90 patients, while CT scans only picked up 6 of the 90 patients.</p><p>The first few hours following a stroke are critical, since clot-busting drugs must be given within three hours to have a real impact. If they are given to the wrong patients, however, death or severe disability can result.</p><p>Strokes are the second leading cause of death worldwide, and account for approximately 5.5 million deaths each year.</p><p><b><strong>CT scans are cheaper, faster<br></strong></b>Though CT scans may lose out to MRI scans on accuracy, on issues such as time and money, CT scans are far ahead. Widely available in emergency rooms in all developed countries, CT machines are compact pieces of equipment that produce images in as little as two minutes. In comparison, MRI machines are large, coffin-like structures that require patients to lie still for up to 30 minutes. They are also unsuitable for patients with pacemakers, metal objects, or who may be pregnant.</p><p>MRI scans also cost significantly more than CT scans and require specialized technicians to operate them and to read the scans.</p><p>\"The superiority of MRI in detecting stroke in ideal conditions is unquestioned,\" said Dr. Lee Schwamm, an associate professor of neurology at Harvard Medical School. Schwamm was not connected to the study. But combined with a consideration of patient symptoms, he says that CT scans are just as effective in diagnosing patients in emergencies.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16542018/\">Test may pinpoint heart attack, stroke risk</a></li><li><a href=\"/id/16599586/\">DNA strands might predict heart disease</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>MRI scans may offer more detailed information, but such information hasn\'t yet been proven to make a difference in patient outcomes. Experts say studies are needed to determine if MRI scans might save more lives than CT scans in emergencies.</p><p>Schwamm likens the comparison between the two techniques to the difference between FM and AM radio. \"FM radio is better because it\'s high-definition, and is great if you\'re listening to classical music,\" he said. \"But sometimes all you need is the weather and the news, so AM is just fine.\"</p><p>In the same <em>Lancet</em> issue, an all-stroke special, two other studies found that stroke patients treated in a stroke care unit have a better chance of recovery than if they were treated in a conventional hospital ward.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1379','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Policies set for air-travel disease containment </font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>A new manual outlines steps for handling bird flu and other diseases</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>WASHINGTON - Parking an aircraft at a distant gate may help keep potentially infectious travelers away from the general public, according to a manual released Thursday by the U.S. Department of Transportation.</p><p>Airline crews are responsible for spotting and reporting sick passengers who might spread a dangerous illness, the manual noted, but health officials should decide whether to call police to help subdue those unwilling to be isolated.</p><p>The manual also reminds airline staff to make sure passengers have water and access to toilets while they wait to see if they must be isolated after exposure to a sick passenger.</p><p>\"The best way to protect the public is to be prepared for the worst,\" Transportation Secretary Mary Peters said in a statement.</p><p>\"This manual will help airports, airlines, and local officials take steps now to get prepared, save lives, and keep our transportation network running.\"</p><p>The U.S. Centers for Disease Control and Prevention has the authority to decide whether to isolate or quarantine travelers who may have an infectious disease and those they have come into contact with.</p><p>It has not had to invoke that power, but can do so in the case of nine diseases - cholera, diphtheria, communicable tuberculosis, plague, smallpox, yellow fever, viral hemorrhagic fever, severe acute respiratory syndrome or SARS, and avian influenza with pandemic potential.</p><p>Health officials are most worried about H5N1 avian influenza, which is spreading among birds and which has infected at least 269 people and killed 163 of them.</p><p><b><strong>Disruptive diseases</strong></b><br><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/ColorBoxes/Styles/ColorBoxImages_GlobalOnlyPlease/interactive_icon.gif\" height=\"14\" width=\"24\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#FFFFFF\">INTERACTIVE LIBRARY</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#a4abc1\" border=\"0\" style=\"border-right:solid 1px #a4abc1;border-bottom:solid 1px #a4abc1;border-left:solid 1px #a4abc1;background-color:#f3f3f6;\" bgcolor=\"#f3f3f6\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr valign=\"top\"><td></td><td style=\"padding:10px;\"><font color=\"#000000\"><table><tr><td><table cellspacing=\"3\" cellpadding=\"0\" border=\"0\" width=\"100%\" ID=\"Table1\"><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"javascript:OCW(\'http://www.msnbc.com/modules/sars/default.asp\',\'sars\',\'width=520,height=440\');\">SARS: What you need to know</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"javascript:OCW(\'http://www.msnbc.com/modules/sars/new_diseases/default.asp\',\'sars\',\'width=520,height=440\');\">How new diseases emerge</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"javascript:OpenChildWindow(\'http://www.msnbc.com/modules/epidemics/default.asp\',\'\',\'width=520,height=400\');\">Outbreaks around the globe</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"javascript:OpenChildWindow(\'http://www.msnbc.com/news/wld/graphics/virus.asp\',\'\',\'width=520,height=405\');\">Understanding viruses</a></font></td></tr></table></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table></td></tr></table>\"Unfortunately, the more than nine million flights a year that traverse our skies carry the risk of less welcome cargo: infectious diseases with the potential to disrupt our way of life and cause disastrous suffering and loss,\" Peters wrote in a forward to the manual, published on the Internet.</p><p>Among its recommendations and other details:</p><ul><li class=\"textBodyBlack\">\"Park the aircraft at a secure, remote gate.\" That will give unconstrained access to any sick passengers, but could delay passengers in case of a false alarm.</li><li class=\"textBodyBlack\">\"Inadequate ventilation, insufficient bathroom facilities and the potential for deep vein thrombosis from sitting for long periods of time pose health risks for \'well\' passengers and flight crew.\"</li><li class=\"textBodyBlack\">Passengers have cell phones and there will be no way to keep such an incident quiet.</li><li class=\"textBodyBlack\">\"Ill travelers may insist that they are not ill enough to require hospitalization. Should this case arise, CDC Quarantine Station personnel or their authorized representative(s) will: Consult with state and local health authorities and issue a federal isolation order (or) call on local, state, or federal law enforcement to enforce the federal order.\"</li></ul><p>The manual also reminds airlines they should help delayed passengers re-book tickets.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16756634/\">Some TB patients could be forcibly quarantined</a></li><li><a href=\"/id/16751876/\">End to bird flu is years away, WHO official says</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>\"The quarantined passengers and flight crew have just gone through a long ordeal. They may be hounded by the media for details or questioned by friends and families about it,\" the manual adds.</p><p>\"CDC, public information officers, and public health officers should brief them ahead of time to help them cope with these inquiries.\"</p><p>Airlines should also remember to clean the aircraft afterward.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1380','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Most diabetics refuse to exercise</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Study finds high-risk patients ignore doctors\' advice to be active</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>DENVER - Bad news when it comes to diabetics and exercise: Most people with Type 2 diabetes or at risk for it apparently ignore their doctors\' advice to be active.</p><p>Fewer than 40 percent get exercise, a new study found, and the more in danger the patients are, the less likely they are to be active.</p><p>That\'s despite an earlier study that found nearly three-quarters of diabetics said their doctors had advised them to exercise. The patients who got the strongest warnings to get moving were the least likely to listen, according to research being released Friday.</p><p>\"People should exercise more, that story is out,\" said Dr. Elaine Morrato, who led both studies. \"What we\'re saying is, \'Here\'s a high-risk population that can benefit from exercise, and they\'re even less likely to exercise.\"\'</p><p>Without exercise, Type 2 diabetics face complications ranging from nerve damage to high blood pressure.</p><p>Morrato, an assistant professor at the University of Colorado Denver with a doctorate in public health and epidemiology, said researchers surveyed more than 22,000 patients for the new survey. Results of the study appear in the February edition of the American Diabetes Association\'s journal Diabetes Care.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/15652685/\">Lifestyle changes can cut diabetes risk</a></li><li><a href=\"/id/15514025/\">Coffee can help stop diabetes</a></li><li><a href=\"/id/15442873/\">Obesity pill may also help treat diabetes</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>The federal Centers for Disease Control and Prevention estimates more than 20 million Americans have diabetes, about 90 percent of them Type 2, which is linked with obesity.</p><p><b><strong>Don\'t \'blame the victims\'<br></strong></b>Dr. Larry Deeb, president of medicine and science at the American Diabetes Association, said by the time patients have Type 2 diabetes or are at risk of getting it, the deck is stacked against them. They may already have problems with mobility as a result of obesity or foot and circulatory disorders that make exercise difficult.</p><p>\"We have to be careful not to blame the victims,\" he said. \"There\'s a difference between being unable and being unwilling.\"</p><p>Even for the most disabled, there\'s hope, said author and fitness expert Charlotte Hayes, but health professionals must do more.</p><p>Hayes, who wrote \"The I Hate to Exercise Book For People With Diabetes,\" said telling patients to exercise is different from telling them how.</p><p>Every step of exercise is important, she said. For those who can walk, a few steps a day helps. For those who can\'t, there are alternatives.</p><p>\"We take a small-steps approach,\" she said.</p><p><b><strong>Finding the time</strong></b><br>The American Diabetes Association recommends people get at least 30 minutes of aerobic exercise, such as brisk walking, five times a week. But the association says for those who can\'t, there are benefits from even five minutes a day, along with everyday activities such as gardening or walking to work.</p><p>Morrato said she doesn\'t know the answer, only that the results of her study are disappointing.</p><p>\"It is difficult to be optimistic about addressing the twin epidemics of obesity and diabetes without success in increasing physical activity in the population,\" her study concludes. \"The results of this study provide very pessimistic data.\"</p><p>Deeb, who specializes in pediatrics, said the next generation is off to a better start. Children, he said, are taught nutrition and the benefits of physical activity. Now, families, local governments and school boards need to take action, while doctors need to follow up and find out if at-risk patients know where to get help.</p><p>\"When you ask a family what they\'re doing, the answer is all about time. They know what\'s good for their families, but both parents are working, and sometimes the only time they have is to pick up fast food,\" he said. \"They have to understand, your health depends on it.</p><p>\"We will not give up,\" he said. \"We can\'t give up.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1381','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Norway may ease stem cell ban </font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Proposed law would allow research on fertilized embryos</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>OSLO, Norway - Norway\'s government on Friday proposed lifting a national ban on using human embryonic stem cells for research, saying the change might help find cures to a broad range of diseases.</p>\n<p>Embryonic stem cells have the ability to become any tissue in the body, leading scientists to see them as a possible source of medical breakthroughs.</p>\n<p>Current Norwegian law, from 2003, bars use of fertilized eggs or stem cells taken from them in research and requires eggs left over after assisted pregnancies to be destroyed.</p>\n<p>The proposed law would allow research on such eggs under strict legal and ethical limits, including consent from the parents and approval from a national ethics panel, the government proposal said.</p>\n<p>\"The government believes if is important to use the opportunities offered by science to gain knowledge that can be used to treat serious illnesses in the future,\" Minister of Health and Care Services Silvia Brustad said in presenting the legislation.</p>\n<p>She noted that there is hope stem cell research could lead to treatments for a wide range of illnesses, including heart disease, diabetes, AIDS and cancer. Brustad also said a new law would be more in line with those of other European nations.</p>\n<p>U.S. law currently bans federal funding of any research that harms human embryos. In an August 2001 decision, President Bush allowed federal funding for research on the few dozen embryonic stem cell lines that had been created up to that point. But researchers say they need hundreds of lines to move the science forward.</p>\n<p>\n<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16657090/\">Should women sell their eggs for research?</a></li><li><a href=\"/id/16514457/\">Amniotic fluid yields stem cells</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p>\n<p>Norway\'s proposed law would not allow scientists to fertilize eggs for use in research. Instead, they could only use surplus embryos created by in vitro fertilization that are not implanted because of poor quality, or because they have been stored in deep freezer for more than the allowable five years. It would also require the research to be completed within 14 days of fertilization or of the thawing of stored embryos.</p>\n<p>\n<b><strong>Genetic diagnosis</strong></b><br>The Norwegian bill would also ease restrictions on a fertility procedure called pre-implantation genetic diagnosis, or PGD, which is used when parents want to avoid having a child with a lethal or severely debilitating birth defect.</p>\n<p>Under the procedure, embryos created through in vitro fertilization are screened for genetic defects. Only those without defects are implanted.</p>\n<p>The procedure is currently only allowed with special authorization from a government panel. The revision would allow a new board, handling only PGD-type cases, to decide whether the risk of a severe, hereditary ailment was great enough to warrant the screening.</p>\n<p>The three-party coalition government of Labor, the Center Party and the Socialist, has a majority of 87 seats in the 169-seat parliament, or two more votes than needed to pass legislation.</p>\n<p>However, embryonic research is often hotly debated, with opponents arguing that it is wrong to sacrifice human life, even at the embryonic stage, for research. It was not immediately clear whether any members of the ruling coalition would object to the amendment.</p>\n<div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1382','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Most don\'t tell doctors about alternative meds</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>63 percent of Americans age 50 or older use herbal treatments, survey finds</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>NEW YORK - Most Americans age 50 and older use complementary and alternative medicine (CAM), such as herbal products or acupuncture, often unbeknownst to their doctor, according to a survey conducted by AARP and the National Center for Complementary and Alternative Medicine.</p>\n<p>It\'s in patient\'s best interest to tell their doctor about the CAMs they\'re taking, experts say, because some alternative medicines may interfere with over-the-counter medications, prescription drugs, or other conventional medical approaches.</p>\n<p>\"Communication between patients and physicians about CAM and conventional therapies is vital to ensuring safe, integrated use of all health care approaches,\" the report states.</p>\n<p>An open dialogue \"allows patients and physicians the opportunity to identify CAM practices that might be beneficial and also minimizes risks to a patient from potential therapy interactions.\"</p>\n<p>Among a total of 1,559 individuals age 50 and older surveyed in the spring of 2006, 63 percent reported having used one or more CAM therapies.</p>\n<p>People between the ages of 50 and 59 are the most likely to report CAM use, according to the <a href=\"http://www.aarp.org/research/health/prevention/camt2007.html\" target=\"_blank\">survey results</a>.</p>\n<p>\n<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/15387493/\">Ignoring the failures of alternative medicine</a></li><li><a href=\"/id/15353444/\">Could a plant help treat Alzheimer\'s?</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p>\n<p>Forty-five percent of CAM enthusiasts used massage therapy, chiropractic manipulation or other bodywork; 42 percent used herbal or dietary supplements; 15 percent used mind/body practices, including hypnosis and meditation; 14 percent used naturopathy, acupuncture, or homeopathy; and 10 percent had tried energy therapies.</p>\n<p>Sixty-six percent of CAM users said they did so to treat a specific health problem; 65 percent for overall wellness; 45 percent to supplement conventional medicine; and 42 percent to prevent illness.</p>\n<p>Sixty-nine percent of those who reported using CAM had not discussed it with a doctor. Why? Forty-two percent said because their doctor never asked; 30 percent said they did not know they should; 19 percent felt there was not enough time during the office visit; 17 percent didn\'t think the doctor would know about the topic; and 12 percent thought the doctor would be dismissive or tell them not to use CAM.</p>\n<p>Women were more likely than men to have discussed CAM use with their doctor (26 percent vs 16 percent) and those younger than age 65 were more likely to discuss CAM use than were older individuals.</p>\n<p>The bottom line, the report concludes, is that \"patients need to mention CAM use to their physicians and physicians need to ask about it.\"</p>\n<div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1383','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Folic acid can cut risk of cleft lip</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Supplement reduces incidence by up to 40 percent, researchers say</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>LONDON - Women who take folic acid supplements in early pregnancy can reduce the risk of cleft lip in their baby by up to 40 percent, researchers said on Friday.</p>\n<p>Folic acid, a synthetic compound of a B vitamin found in green leafy vegetables, has been recommended to prevent neural tube disorders such as spina bifida. But its impact on cleft clip has been less clear.</p>\n<p>\"Folic acid supplements during early pregnancy seem to reduce the risk of isolated cleft lip (with or without cleft palate) by about a third,\" said Allen Wilcox of the National Institute of Environmental Health Sciences in Durham, North Carolina.</p>\n<p>Cleft lip or palate occurs when the tissues that form the palate, or roof of the mouth, and the upper lip do not join correctly.</p>\n<p>\n<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16824347/\">Moderate caffeine OK for pregnant moms</a></li><li><a href=\"/id/16326865/\">Mom with two wombs gives birth to triplets</a></li><li><a href=\"/id/16326865/\">An epidural may hinder breastfeeding</a></li><li><a href=\"/id/15970604/\">Antidepressant risky during pregnancy</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p>\n<p>Boys are more affected than girls and the disorder is also more common in Asians. Surgery is often carried out to repair the condition.</p>\n<p>In a study published online by the British Medical Journal, the scientists studied the effect of taking folic acid supplements in Norway, which has the highest rate of facial clefts in Europe.</p>\n<p>\n<b><strong>Fruits, vegetables</strong></b><br>They questioned the mothers of 573 children born in Norway with cleft lip or palate from 1996 to 2000 and 763 women with healthy children.</p>\n<p>The mothers were asked whether they took folic acid supplements early in their pregnancy and how much. After adjusting for smoking and other confounding factors, the researchers found that folic acid supplements reduced the risk of cleft lip by 40 percent.</p>\n<p>Eating a diet rich in fruits and vegetables without taking folic acid supplements cut the risk by 25 percent in the women.</p>\n<p>\"If folic acid is able to prevent a major birth defect in addition to neural tube defects, this benefit should be included among the risk and benefits of fortifying food with folic acid,\" Wilcox added.</p>\n<p>The United States started fortifying flour with folic acid several years ago after its role was established in reducing neural tube birth disorders. Other countries including Canada, Australia, Mexico and Chile have followed their example.</p>\n<div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1384','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Double dipping: Doughnuts laced with caffeine</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Scientist creates jolt-laden pastry, but watch out for the trans fats</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/j/msnbc/Components/Sources/Art/sourceLiveScience.gif,standard.jpg\" vspace=\"0\" hspace=\"0\"><p></p></font><p>NEW YORK - Still sleepy after your first three double espressos? Try eating your way to wired. Caffeinated doughnuts could be the next new thing in nutriceutical fast-food to hit your drive-through or walk-up breakfast stop. </p><p>Each pastry, or bagel if you were to prefer this caffeine-delivery system, would contain a jolt worth one to two cups of coffee, thanks to years of experiments and brainstorms performed by molecular biologist Robert Bohannon. </p><p>Make way for the Buzz Donut and the Buzzed Bagel.</p><p><b><strong>Bitter sweet</strong></b><br>The challenge, Bohannon said, was overcoming the bitter taste of coffee beans ground up in the a.m. pastry: No amount of creme filling could cut it.</p><p>\"I eventually worked with some flavoring experts and designed a method to mask the bitterness, which led to successfully adding the caffeine equivalent of one to two cups of coffee to the food item,\" said Bohannon, president of the biotechnology company Onasco, Inc. in North Carolina.</p><p>\"Some people get their caffeine buzz from soda, chocolate and other sources besides coffee,\" Bohannon said. \"The Buzz Donut and the Buzzed Bagel lets them get the caffeine buzz by simply eating a delicious pastry item.\"</p><p><b><strong>Double dose</strong></b><br>The delicious caffeinated doughnut will still likely come chock full of fats, particularly trans fats, and sugars. Trans fats, which behave like saturated fats, are found in many prepared foods, particularly baked goods. As they offer no nutrition and can increase \"bad\" LDL cholesterol, trans fatty acids are the latest targets for nutritional scrutiny. </p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?BoardID=760&amp;ThreadID=178562&amp;BoardsParam=HIPDelay%3d1\">Discuss:?ring job stress home? Share coping tips</a></li><li><a href=\"/id/16671368/\">Downsizing hurts staffers\' mental health</a></li><li><a href=\"/id/16469103/\">Got the winter blues? Try fake dawn</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>In December, New York became the first U.S. city to ban restaurants from using artificial trans fats. Small amounts of trans fats are found naturally in some animal-based products. And Starbucks recently announced it would gradually eliminate trans fats from its baked goods.</p><p>In any case, Bohannon\'s edible wake-me-ups could be right around the corner. He has patented the jolt-laden pastry idea, along with the method that controls the amount of injected caffeine. Now he is shopping around for takers, and has already contacted the usual suspects. </p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 LiveScience.com. All rights reserved. </em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1385','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Up to 3 cups of coffee OK for pregnant moms</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Moderate caffeine doesn\'t negatively affect baby, scientists say</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><a href=\"http://www.reuters.com/\"><a href=\"http://www.reuters.com/\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/i/msnbc/Components/Sources/sourceReuters.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"></a></a><p></p></font><p>LONDON - Drinking moderate amounts of caffeine during pregnancy does not lead to premature births or underweight babies, Danish scientists said on Friday. </p><p>Up to three cups of coffee a day does not seem to have any negative impact on the baby or the pregnancy.</p><p>Earlier studies that looked at the impact of moderate caffeine consumption during pregnancy have produced mixed results. Some showed no difference while others suggested too much caffeine could lower average birth weight by 100-200 grams (3.5-7 ounces).</p><p>\"In our study we found no effect from caffeine,\" said Dr Bodil Hammer Bech, of the Institute of Public Health in Aarhus, Denmark.</p><p>Unlike other research projects in which women who had given birth were asked how much coffee they drank while pregnant, the Danish scientists monitored 1,207 pregnant coffee lovers who were randomly selected to drink either a caffeinated or decaffeinated brew during the second half of the pregnancy.</p><p>The women did not know which group they were in.</p><p>\"We had two groups and we actually found no difference between the average birth weight for moderate intake of caffeine -- about three cups,\" said Bech, whose findings are reported online by the British Medical Journal.</p><p>\"The difference in the weight of the babies between the two groups was 20 grams (0.7 ounce) and there was no difference in the gestational age,\" she told Reuters.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?BoardID=759&amp;ThreadID=179518&amp;BoardsParam=HIPDelay%3d1\">Discuss: Moms, did you drink coffee during pregnancy?</a>?/li><li><a href=\"/id/16326865/\">Mom with two wombs gives birth to triplets</a></li><li><a href=\"/id/16326865/\">An epidural may hinder breastfeeding</a></li><li><a href=\"/id/15970604/\">Antidepressant risky during pregnancy</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>In the caffeinated group, 4.2 percent of babies were born premature compared to 5.2 percent in women drinking decaffeinated coffee. The number of infants who were small for their gestational age were nearly the same in both groups.</p><p>Bech said women who drink a lot of coffee usually smoke and drink more alcohol than other females, which could influence birth weight.</p><p>But because the women were randomised in the study, the other factors that may have an effect on the baby and the pregnancy were equal in the two groups.</p><p>In an earlier study, Bech and her team showed that excessive coffee consumption, eight cups or more, could increase the risk of stillbirth.</p><p>\"About three cups of coffee a day is OK but women with a higher intake should be careful,\" said Bech.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>Copyright 2007 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1386','1','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Whittling away those last 5 stubborn pounds</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>You\'re almost at your goal weight, so why won\'t the scale budge?</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/j/msnbc/Components/Photos/070123/070123_stubborn5lbs_vmed_2p.vmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Last 5 pounds\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">44700.000000 / Getty Images</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Weight loss can slow down as you near your goal because it does not take as many calories to support your smaller size. How can you shake those last 5 pesky pounds?</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><div class=\"textMedBlackBold\" style=\"padding-top:10px;\">Susan Moores, R.D.</div><div class=\"textMedBlack\">MSNBC</div><p></p></font><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"102\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"20\" bgcolor=\"#7788aa\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/i/msnbc/Test-Dev/donna/msnbc10/Launch%20images/byline_msnbc.gif\" height=\"20\" width=\"100\" vspace=\"0\" hspace=\"0\"></td><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#000000\"></b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#666666\" border=\"0\" style=\"border-top:solid 1px #666666;border-bottom:solid 1px #666666;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Components/Bylines/mugs/Health/mug_Moores_Sue_hlth_ChewonThis.thumb.jpg\" vspace=\"0\" hspace=\"0\"></td></tr><tr><td style=\"padding:4px;\"><font color=\"#000000\"><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\"><tr><td><font color=\"black\"><b>Susan Moores, R.D.</b></font></td></tr><tr><td><hr size=\"1\" width=\"85%\" color=\"#cccccc\" noshade=\"1\" align=\"center\"></td></tr><tr><td><font color=\"551E1B\">?/font><font color=\"black\"><a href=\"/id/15330077/\">Profile</a></font></td></tr><tr><td><font color=\"551E1B\">?/font><font color=\"black\"><script language=\"javascript\">document.write(\'<a href=\"mailto:\'+\'health\'+\'@\'+\'msnbc.com\">\')</script>E-mail<script language=\"javascript\">document.write(\'</a>\');</script></font></td></tr></table></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>After all those passed-up treats and careful calorie counting, after all the effort put into losing weight (and lose it you did), those last 5 measly pounds just seem to stick around like an old bagel on a deli tray.</p><p>Plenty of MSNBC.com readers have expressed this frustration, including Sam from Monterey, Calif. She writes, \"I eat really well, but can\'t lose those last 5 pounds. I guess I should cut out wine in the evening, but a girl\'s gotta have some fun.\" </p><p>And right she is. </p><p>Losing weight and keeping it off are about finding the balance between consuming and burning calories. It\'s about adopting healthy lifelong habits that ensure \"fun\" is part of the plan. If you focus too much on deprivation, you\'re <a href=\"/id/16472344/\">setting yourself up for failure</a>.</p><p>There are several reasons why it feels impossible to shake those last 5 pesky pounds.</p><p><b><strong>It takes fewer calories to feed a lighter you.?<br></strong></b>Weight loss can slow down as you near your goal because it does not take as many calories to support your smaller size. For every pound lost, the body needs approximately eight fewer calories a day. That may not sound like much, but if you have lost 25 pounds, then your body may need 200 fewer calories than it did at the start of your weight-loss efforts. If you\'ve downsized, so too must your calories.</p><p><b><strong>No cheating or coasting!<br></strong></b>People learn how to sneak in favorite foods and bend the rules for special occasions, says Bonnie Taub-Dix, a registered dietitian in New York. But as few as 100 extra calories a day can stall progress, she warns.</p><p>At the beginning of a diet people usually make many major adjustments to how they eat. Stick to it. When a weight goal is so close in sight, it\'s not uncommon for people to let their guard down. </p><p>\"Sometimes I\'ll see clients try to lose those last 5 pounds by skipping meals or undoing some of the great habits that have served them so well so far,\" says Taub-Dix.</p><p>When you get toward the end of the diet phase, all that may be needed is an extra tweak or two and a little fine-tuning, says Taub-Dix. Otherwise, \"those 5 pounds may be tough to erase.\" </p><p>For example, if a cup of hot chocolate is a favorite bedtime ritual, switch to a soothing, chamomile or spiced tea. That\'s a quick 100-plus calories saved. If fruit juice is on the breakfast menu, substitute the whole fruit instead. Depending on the fruit, calories can be cut by one-third to one-half.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/15321646/\">Interactive: Check your metabolic rate</a></li><li><a href=\"/id/16566208/\">For weight loss that really counts, count calories</a></li><li><a href=\"/id/16564328/\">Latest dieting trend: Wishful thinking</a></li><li><a href=\"/id/16523298/\">Dieting is more than what you eat</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>So how do you budget the needle on the scale?? </p><p><b><strong>Write it down</strong></b> <br>Successful dieters keep tabs of what they eat, explains Anne Fletcher, a registered dietitian in Mankato, Minn. A food diary can help reveal extra mindless eating, which you can then change. </p><p>\"People told me writing down what they ate helped them see the little things they were doing that they weren\'t aware of,\" says Fletcher, who in her book \"Thin for Life\" interviewed more than 200 people who, on average, lost 64 pounds and kept if off 11 years. \"Eating that handful of nuts before dinner or crust of pizza off their kid\'s plate added up.\" </p><p><b><strong>Try something new<br></strong></b>If you\'re in a rut, stirring the pot a bit may help you re-energize and reinvigorate your efforts - as long as the overall plan stays balanced. </p><p>\"One woman told me she decided to eat only white meats when she hit the dieting wall,\" says Fletcher. \"There was nothing magical about white meat, it simply helped her get re-enthused about dieting.\" </p><p><b><strong>Add more veggies</strong></b><br>Vegetables are a good substitution for other foods. They\'re filling and full of fiber and nutrition, but have relatively few calories. \"It\'s important for people to feel full and satisfied and vegetables can accomplish that,\" says Taub-Dix.</p><p><b><strong>Reflect and refocus</strong></b><br>Sometimes people forget how far they\'ve come. \"Write down where you started and where you are now,\" says Fletcher.?</p><p>It can be helpful to note the obvious changes, such as size, clothes, the number on the scale, but also to jot down what\'s happened in less tangible areas of your life, such as personal satisfaction, energy level, or changes in your relationships and health. Marking those milestones may help you relax, spur you on and take the focus off the scale. </p><p>When the last few pounds finally melt away, then you can really enjoy that glass of wine. </p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><SCRIPT language=\"javascript\" src=\"http://msnbcmedia.msn.com/i/msnbc/components/interactives/tools/mailbag.js\"></SCRIPT><SCRIPT language=\"javascript\"> oMailbag = new Array(); oMailbag.appWidth = 460; oMailbag.BoxStyle = 3053755; oMailbag.appHeader = \"Chew on This\"; oMailbag.appDeck = \"Have trouble losing those last few pounds? Tell us how you did it -- or why you got stuck. Selected e-mails may be published or used for future articles.\"; oMailbag.sSubject = \"Chew on This\"; oMailbag.aRetLink = new Array(\"http://www.msnbc.msn.com/id/3032076/\",\"\"); oMailbag.sMailTo = \"health@msnbc.com\"; oMailbag.bTown = 1;  oMailbag.navsectionID = 3088327; if (window.MailbagWB3) { MailbagWB3(oMailbag); } </SCRIPT></td></tr></table></p><p><em>Susan Moores, R.D., is a nutrition consultant and spokesperson for The American Dietetic Association</em></p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 MSNBC Interactive</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1387','1','	<p><p>FRIDAY, Jan. 26 (HealthDay News) -- A new study offers another compelling reason to get up off the sofa and exercise.</p> <p>The research shows that people with type 2 diabetes, or those at risk for the obesity-linked disease, are less likely to be physically active than those who are not at risk.</p> <p>The benefits of physical activity in preventing diabetes are well-documented, but the message does not seem to be getting through, said study lead author Elaine Morrato.</p> <p>\"People don\'t think of inactivity as abnormal,\" said Morrato, an assistant professor of pediatrics and preventive medicine at the University of Colorado School of Medicine, Denver.</p> <p>Her team published its findings in the February issue of <i>Diabetes Care</i>.</p> <p>An estimated 20 million U.S. children and adults have diabetes, according to the American Diabetes Association, although some are not yet aware they have it. Most -- about 95 percent -- have the obesity-linked type 2 form of the illness, but a minority have type 1 diabetes, an inherited condition in which the body fails to produce enough insulin.</p> <p>In their study, Morrato and her colleagues evaluated data from a nationally representative survey of the U.S. population called the Medical Expenditure Panel Survey, which included more than 23,000 adults. Respondents answered questions about whether they engaged in moderate or vigorous activity 30 minutes or more at least three times a week.</p> <p>Morrato\'s team found that just 39 percent of adults with diabetes were physically active, compared to 58 percent of those without diabetes.</p> <p>Among those who did not have the disease but had risk factors for it, the researchers found that the more the risk factors, the less likely the people were to be active. \"As the number of risk factors [for diabetes] increased, the proportion of people saying they are active decreases,\" Morrato said.</p> <p>Risk factors for developing type 2 diabetes -- in which the body does not properly use insulin, the hormone which allows glucose to enter cells -- include being 45 years of age or older and having a body mass index of BMI of 25 or higher, the threshold for being considered overweight.</p> <p>\"If people had four risk factors, for instance, only 42 percent were active,\" Morrato said.</p> <p>Another expert, Cathy Nonas, director of the obesity and diabetes program at North General Hospital in New York and a spokeswoman for the American Dietetic Association, said she isn\'t surprised by the findings.</p> <p>\"We are a society that doesn\'t move very much,\" she said. \"We\'re not seeing it get any better.\"</p> <p>While consumers, especially those with diabetes or at risk for developing it, need to take charge and become active, Nonas said that health care providers should be more pro-active about encouraging exercise, too.</p> <p>\"We, as clinicians, have to be much more assertive,\" she said. She suggested that health care providers need to question patients more, asking them such things as, \"Are you dancing?\" \"Are you walking?\" \"Are you parking in the back of the parking lot?\"</p> <p><b>More information</b></p> <p>To learn more about diabetes, visit the <a href=\"http://www.diabetes.org/about-diabetes.jsp\" target=\"_new\">American Diabetes Association</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1388','1','	<p><p>(HealthDayNews) -- Here are the latest clinical trials, courtesy of <b>CenterWatch</b>:</p> <p><span class=\"subhead\"><b>Diabetes - Type 2</b></span></p> <p>This study will evaluate an investigational medication for type 2 diabetes. To qualify, you must be 18 to 77 years of age, currently taking Actos only or Avandia only to control your blood sugar, and have inadequate glycemic control.</p> <p>The research site is in Tucson, Ariz.</p> <p><b>More Information</b></p> <p>Please see <a href=\"http://www.centerwatch.com/patient/studies/cat603.htm\" target=\"_new\"> http://www.centerwatch.com/patient/studies/cat603.html</a>.</p> <p>-----</p> <p><span class=\"subhead\"><b>Alzheimer\'s Disease</b></span></p> <p>This study will evaluate the safety and efficacy of an investigational drug in people with mild-to-moderate Alzheimer\'s disease. Participation may last up to 18 weeks. Patients will receive physical examinations and vital sign measurements, and will complete Alzheimer\'s questionnaires. Participants must be ages 50 to 90; additional criteria apply.</p> <p>The research site is in Washington, DC.</p> <p><b>More Information</b></p> <p>Please see <a href=\"http://www.centerwatch.com/patient/studies/cat11.html\" target=\"_new\">http://www.centerwatch.com/patient/studies/cat11.html</a>.</ p> <p>-----</p> <p><span class=\"subhead\"><b>Rheumatoid Arthritis</b></span></p> <p>This study will evaluate the effectiveness of an investigational medication to control symptoms of rheumatoid arthritis, when taken in addition to methotrexate. Study participants must be at least 18, have active rheumatoid arthritis, be taking 10 mg to 25 mg of methotrexate per week, and have at least six tender joints and at least six swollen joints.</p> <p>The research site is in Frederick, Md.</p> <p><b>More Information</b></p> <p>Please see <a href=\"http://www.centerwatch.com/patient/studies/cat132.html\" target=\"_new\">http://www.centerwatch.com/patient/studies/cat132.html</a>.< /p> <p>-----</p> <p>Copyright 2007 <a href=\"http://www.centerwatch.com/patient/trials.html\" target=\"_new\">CenterWatch</a>. All rights reserved.</p></p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1389','1','	<p><p>Here are some of the latest health and medical news developments, compiled by editors of <i>HealthDay:</i></p> <p><span class=\"subhead\"><b>Anemia Drug Boosts Cancer Patient Death Risk</b></span></p> <p>A study concludes that the anemia drug Aransep increased the risk of death in patients with active cancer (not in remission), the drug\'s maker, Amgen, said Thursday.</p> <p>Aransep is currently approved in the United States to treat cancer patients with anemia caused by chemotherapy or radiation treatment, but not anemia caused by cancer itself. Even so, doctors do use it off-label for that purpose, <i>The New York Times</i> reported.</p> <p>This study, which included 1,000 patients with active cancer who were not receiving chemotherapy or radiation treatment, was designed to determine if Aransep could reduce the need for blood transfusions, which are frequently required by people with anemia.</p> <p>The drug did not reduce the need for transfusions and, by the end of 16 weeks, there was a statistically significant increase in the number of deaths among patients taking the drug, <i>The Times</i> reported.</p> <p>In this group of patients the \"risk/benefit ratio for Aransep use is at best neutral and perhaps negative,\" said a news release issued by Amgen. The company did not provide any numerical results from the study.</p> <p>-----</p> <p><span class=\"subhead\"><b>FDA Panel Approves Combination Vaccine for Children</b></span></p> <p>Pentacel, a combination vaccine for five childhood diseases that would reduce the number of shots given to infants, received the approval of a U.S. Food and Drug Administration advisory panel on Thursday.</p> <p>The vaccine, which protects against diphtheria, tetanus, polio, whooping cough and invasive Hib disease, is made by Sanofi-Aventis SA.</p> <p>The 13 to 2 vote in favor of the vaccine was based on studies that showed that four doses of Pentacel protected children from these diseases. Currently, U.S. health officials recommend 23 separate shots for infants. Pentacel would reduce that to 16 shots -- about two fewer at every checkup, <i>Bloomberg News</i> reported.</p> <p>The advisory committee said that Pentacel appeared to work at least as well as individual vaccines designed to protect against the five diseases. They also said that reducing the number of shots may help improve immunization rates.</p> <p>It\'s expected that the FDA will decide by March 9 whether to act on the advisory committees\' recommendation and approve Pentacel, <i>Bloomberg</i> reported. While the FDA isn\'t required to follow its committees\' advice, it usually does so.</p> <p>Currently, the only five-component childhood vaccine available in the U.S. is Pediarix, made by GlaxoSmithKline. It\'s similar to Pentacel, but protects against hepatitis B instead Hib.</p> <p>-----</p> <p><span class=\"subhead\"><b>Extreme Stress During Pregnancy May Harm Fetal Brain</b></span></p> <p>Extreme stress during pregnancy -- such as serious arguments or domestic abuse -- may cause harm to the fetal brain and put babies at increased risk for mental and behavioral problems such as attention deficit hyperactivity (ADHD), say U.K. researchers.</p> <p>This damage is likely caused by high levels of the stress hormone cortisol in the amniotic fluid that surrounds the fetus in the womb, said Professor Vivette Glover of Imperial College London.</p> <p>She found that 18-month-old infants who were exposed to the highest levels of cortisol during development had lower IQs and were more likely to be anxious and fearful than other infants, <i>BBC News</i> reported.</p> <p>The research was presented at a conference of the Royal College of Psychiatrists.</p> <p>Pregnant women should not be \"unduly concerned,\" by the findings, Dr. David Coghill, senior lecturer and honorary consultant in child and adolescent psychiatry at the University of Dundee, told <i>BBC News</i>.</p> <p>He said the harmful effects noted in the study are caused by \"extremely high levels of stress and distress.\"</p> <p>------</p> <p><span class=\"subhead\"><b>Indonesia Reports Sixth Bird Flu Death This Year</b></span></p> <p>Indonesian officials announced Thursday that a young girl has died of bird flu, making her the country\'s sixth victim of the H5N1 virus so far this year and the 63rd since 2005, <i>Agence France Presse</i> reported.</p> <p>The eight-year-old girl from central Java died on January 19. Laboratory tests confirmed she died of infection with the H5N1 strain.</p> <p>Indonesia has been hardest hit by a recent resurgence of bird flu that\'s also seen outbreaks in Vietnam, Thailand, South Korea and Japan, <i>AFP</i> reported.</p> <p>Most of the human cases of bird flu in Indonesia were the result of close contact with infected poultry. Measures being taken by the Indonesian government to fight bird flu include a plan to eventually ban backyard poultry everywhere in the country.</p> <p>Experts fear that the H5N1 virus could mutate into a form that\'s easily transmitted between humans, resulting in a pandemic that could kill millions, <i>AFP</i> reported.</p> <p>-----</p> <p><span class=\"subhead\"><b>Squirrel Hunters in N.J. Town Warned About Lead Threat</b></span></p> <p>Squirrel hunters and others in Ringwood, N.J. should limit their consumption of the animals because they may be contaminated with lead from a toxic waste dump, say state officials.</p> <p>During the 1960s and early 1970s, the Ford Motor Co. dumped toxic waste, including paint sludge, in the area. The company is currently removing tons of waste from a 500-acre former mining property there, the <i>Associated Press</i> reported.</p> <p>Many residents of Ringwood are members of the Ramapough Mountain Indian tribe who hunt and fish in the region.</p> <p>About two months ago, a lead-contaminated squirrel was found in the area. That prompted the state Department of Health and Senior Services and the Department of Environmental Protection to send out warning letters that advise adults to eat squirrel no more than twice a week. Pregnant women and children should eat even less, the <i>AP</i> reported.</p> <p>Lead can damage the kidneys, nervous system, and red blood cell production.</p> <p>-----</p> <p><span class=\"subhead\"><b>Many Dangerous Distractions for Teen Drivers: Study </b></span></p> <p>More and more American teens face driving distractions that contribute to thousands of fatal crashes each year, concludes a study by the Children\'s Hospital of Philadelphia and State Farm Insurance Co.</p> <p>Distractions include cell phones, passengers, fatigue, or worries about grades or relationships, the <i>Associated Press</i> reported.</p> <p>The study, released Thursday, did find that teens are heeding warnings about the dangers of driving while under the influence of alcohol or drugs.</p> <p>Researchers surveyed more than 5,600 high school students in 2006. The teens were asked about the types of unsafe things that happen when their peers drive, the <i>AP</i> reported.</p> <p>The study found that 90 percent of the teens said they rarely or ever drive after using alcohol or drugs. But the same percentage reported seeing peers talk on cell phones while driving and more than 50 percent said they\'d seen peers use hand-held video games, listening devices, or send text messages while driving.</p> <p>In addition, about 75 percent of the teens said they\'d seen peers driving while tired or dealing with strong emotions, such as concerns about relationships or grades, the <i>AP</i> reported. More than 90 percent said they\'d seen other teens speed and about 50 percent said they sometimes drive at least 10 mph over the speed limit.</p> <p>U.S. teens have a traffic fatality rate four times higher than drivers aged 25 to 69, based on miles driven, according to U.S. National Highway Traffic Safety Administration data. In 2005, about 5,600 American teens were killed in traffic crashes and about 7,500 were driving cars involved in fatal crashes.</p> <p>-----</p></p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1390','1','	<p><p>FRIDAY, Jan. 26 (HealthDay News) -- Children growing up alongside freeways risk having their lung development impaired, which can increase the likelihood of serious respiratory diseases later in life, researchers report.</p> <p>Other studies have shown that children living next to highways are more likely to develop respiratory problems, such as asthma. But this is the first study to show that long exposure to car and truck exhaust actually affects the growth of the lungs, and hence their capacity.</p> <p>The report is published in the Jan. 26 online issue of <i>The Lancet</i>.</p> <p>\"Exposure from tailpipe emissions from motor vehicles potentially carries chronic health risks to children\'s lung development,\" said lead researcher W. James Gauderman, an assistant professor in the Department of Preventive Medicine at the University of Southern California, Los Angeles. \"We found that kids who live closer to freeways had significantly less lung capacity, compared with kids who lived further from freeways.\"</p> <p>In the study, Gauderman and his colleagues followed 3,677 children for eight years, tracking their lung development. The children were 10 at the start of the study, and came from 12 southern California communities. The air quality differed in each community.</p> <p>The researchers found that lung growth in children who lived within 500 meters of a freeway (about a quarter of a mile) was significantly less than children who lived 1,500 meters or more from a freeway.</p> <p>Gauderman\'s group also found that exposure to freeways and regional air pollution had negative and independent effects on the growth of lung function. In addition, there was a significant drop in percentage of expected lung function among 18-year-olds who lived within 500 meters of a freeway.</p> <p>Gauderman thinks that these effects on lung development are serious. \"Lung capacity is something that once a child is done growing, that amount of lung capacity they have is carried with them throughout their adult life,\" he explained.</p> <p>Lung capacity is further reduced as people age, Gauderman said. \"Reduced lung capacity is a known risk factor for cardiovascular disease and respiratory diseases, such as emphysema,\" he added.</p> <p>\"What we worry most about are kids who have compromised lung function to start out with,\" Gauderman said. \"When they are older, they will have a significantly increased risk for respiratory diseases.\"</p> <p>One expert thinks that the problem is real, but the solution is elusive, and only changes in neighborhoods or automobile emissions seem likely to have an impact.</p> <p>\"Prior studies and common sense both suggest that breathing in a great deal of automobile exhaust cannot be good for the healthy development of children\'s lungs,\" said Dr. David L. Katz, an associate professor of public health and director of the Prevention Research Center at Yale University School of Medicine.</p> <p>These data show a clear and clinically important association between the proximity of a child\'s home to a major freeway and deficits in lung function by age 18, Katz said. \"The deficits observed in the force and volume of each breath suggests increased risk of asthma and bronchitis, as well as a decreased capacity for physical exertion,\" he said.</p> <p>What these investigators cannot do is fix the problem, Katz said. \"Can we redesign urban neighborhoods so that no home or school is near highway traffic? Can we reduce the volume and/or composition of car exhaust so that highways no longer represent threats to the lungs of growing children?\" he asked.</p> <p><b>More information</b></p> <p>The American Academy of Family Physicians can tell you more about <a href=\"http://familydoctor.org/085.xml\" target=\"_new\"> outdoor air pollution</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1391','1','	<p><p>FRIDAY, Jan. 26 (HealthDay News) -- Most American adolescents have exercise and diet habits that put their health at risk, according to a study in the February issue of the <i>American Journal of Preventive Medicine</i>. </p> <p>Researchers analyzed the habits of nearly 900 children ages 11 to 15 and found that about 80 percent of them had multiple physical activity and dietary risk behaviors.</p> <p>The children were assessed on four behaviors: physical activity, television viewing time, percent of calories from fat, and daily servings of fruits and vegetables.</p> <p>The study found that 55 percent of the children didn\'t meet physical activity guidelines (boys 59 percent and girls 33.6 percent); 30 percent watched more than two hours of television a day; just 32 percent met recommendations for fat consumption; and only 11.9 percent ate enough fruits and vegetables.</p> <p>Overall, only two percent of the children in the study met all four health guidelines.</p> <p>The researchers also found evidence that parents\' health behaviors had an effect on their children. For example, girls with parents who never smoked and ate the recommended amount of fruits and vegetables had fewer health risk behaviors. And the number of risk behaviors in parents was weakly but positively associated with a higher number of risk behaviors in boys.</p> <p>\"These findings contribute to the body of evidence that most adolescents fail to meet multiple diet and physical activity guidelines and continue to be in need of interventions that target multiple behaviors,\" study author Alvaro Sanchez said in a prepared statement.</p> <p>\"Although health promotion programs frequently target multiple behaviors, little is known about the best approaches to stimulating multiple behavior change. Further research is needed to investigate the feasibility and effectiveness of different strategies for promoting multiple behavior change in adolescence,\" Sanchez added.</p> <p><b>More information</b></p> <p>The U.S. National Institute of Diabetes and Digestive and Kidney Diseases offers <a href=\"http://win.niddk.nih.gov/publications/take_charge.htm\" target=\"_new\">health tips for teens</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1392','1','	<p><p>(HealthDay News) -- Raynaud\'s disease is a rare disorder in which the blood vessels occasionally narrow and reduce blood supply to areas like the fingers, toes and lips. If the condition occurs without any known cause, it is known as Raynaud\'s disease. If it occurs as a result of a known cause, it\'s known as Raynaud\'s phenomenon.</p> <p>In both types of Raynaud\'s, the National Heart, Lung, and Blood Institute says, narrowed vessels can be triggered by events like exposure to cold temperatures, stress and other emotions. The areas to which the blood supply is reduced -- most commonly fingers and toes -- may turn white or develop a bluish tinge. Less often, the condition affects the nose, ears, nipples and lips.</p> <p>Once blood flow has returned to normal, the skin on the affected area may turn red, throb or feel numb or tingly.</p> <p>For most people, Raynaud\'s is more of a bother than a dangerous condition, the institute says. But people with severe cases can suffer tissue damage, it adds.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1393','1','	<p><p> (HealthDay News) -- Perimenopause is the term used to describe the time just before your body begins menopause and your menstrual cycle ends. This is the time when your ovaries begin to run out of ova (eggs), and hormones begin to fluctuate due to oncoming menopause.</p> <p>Here is a description of what happens during perimenopause, courtesy of the Society of Obstetricians and Gynaecologists of Canada:</p> <ul> <li>Estrogen and progesterone levels fluctuate during perimenopause, but begin to regulate near the end of this transitional period. Hormone decreases begin to occur more frequently and for longer periods of time.</li> <li>Lower levels of hormone production eventually becomes permanent.</li> <li>The menstrual cycle stops, and menopause begins.</li> </ul> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1394','1','	<p>Greater awareness and more\nresearch dollars need to go toward lung cancer, particularly as\nit affects women, according to a new report.<p/>\nWomen may be more likely to fear breast or ovarian cancer,\nbut more actually die from lung cancer than from breast,\novarian and uterine cancers combined, experts point out in the\nreport, a summary of a recent meeting of top cancer\nspecialists.<p/>\nHistorically, lung cancer was largely a man\'s disease, but\nas women\'s smoking rates climbed, so did their lung cancer\nrisk. In 2000, the lung cancer death rate among U.S. women was\neight times what is was in the 1960s.<p/>\nAnd although smoking rates have declined in recent decades,\nwomen and teenage girls are still about as likely as males to\nsmoke, according to the report authors, led by Dr. Chandra P.\nBelani of the University of Pittsburgh Cancer Institute.<p/>\nWhat\'s more, they say, recent research is showing that\nwomen may be more susceptible than men are to the\ncancer-causing substances in tobacco smoke.<p/>\n\"Reducing the incidence of lung cancer death in women\nrequires renewed efforts toward smoking cessation and\nprevention,\" Belani and her colleagues write in the journal\nLung Cancer.<p/>\nBesides greater public awareness, there is an \"urgent need\"\nfor more research into the sex differences that mark lung\ncancer, according to the panel.<p/>\nA number of studies have found that female smokers seem to\nbe more likely than males to develop lung cancer. And recent\nresearch into the biology of lung tumors suggests that women\nmay be more susceptible to the toxins in tobacco smoke; some\nstudies have found, for example, that women\'s tumors are more\nlikely to have mutations in the p53 gene, which normally\nsuppresses tumor formation.<p/>\nOn the other hand, research also shows that women with lung\ncancer have better survival odds than men. This suggests,\naccording to the report authors, that women may respond better\nto certain chemotherapy drugs.<p/>\nA clinical trial focusing on female lung cancer patients is\nnow underway to see whether a newer form of the cancer drug\npaclitaxel is more effective than standard paclitaxel. It\'s the\nfirst clinical trial, the researchers note, to try to \"take\nadvantage\" of sex differences in lung tumors and improve\ntreatment for one group of patients, in this case women.<p/>\nTraditionally, much of the research on lung cancer, as in\nother diseases, has focused on male patients.<p/>\nThe report calls for continuing research into the\ndifferences between men and women in their susceptibility to\nlung cancer and their treatment responses.<p/>\n\"An urgent need exists to increase awareness and research\nfunding to improve lung cancer care,\" the authors conclude,\n\"particularly in women.\"<p/>\nSOURCE: Lung Cancer, January 2007.\n<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1395','1','	<p>People who are normal-weight\nbut carry a good deal of body fat may be at increased risk of\nheart disease and stroke, a small study suggests.<p/>\nMost people have by now heard of body mass index (BMI), a\nmeasure used to classify people as normal-weight, overweight or\nobese based on their weight and height.<p/>\nHowever, there are people who are technically normal-weight\nbased on their BMI yet have a substantial amount of excess fat,\nand some researchers say this is its own type of \"syndrome.\"<p/>\nIn research published last year, a group of Italian\nresearchers described what they call \"normal-weight obese\" or\nNWO syndrome -- where BMI is normal but body fat makes up more\nthan 30 percent of weight.<p/>\nThe good news for these individuals is that they don\'t have\nthe metabolic conditions that often mark obesity -- such as\nhigh blood pressure, unhealthy cholesterol levels and high\nblood sugar.<p/>\nOn the other hand, the bad news, according to this latest\nstudy, is that people with NWO syndrome may be prone to high\nblood levels of certain inflammation-related proteins. That\nsuggests they are at risk of becoming obese or developing\ncardiovascular disease in the future, the study authors report\nin the American Journal of Clinical Nutrition.<p/>\nDr. Antonino De Lorenzo of the University of Tor Vergata in\nRome led the research team, the same one that first described\nNWO syndrome.<p/>\nThe study included 20 young women who met the definition of\nNWO syndrome, along with 20 normal-weight women and 20 who were\noverweight based on their BMI and had a body fat percentage\ngreater than 30 percent.<p/>\nOverall, the researchers found, the NWO group had higher\nlevels of several inflammatory proteins than normal-weight\nwomen did. The excess body fat in the former group may explain\nthe difference, as research suggests that fat tissue secretes\ninflammatory substances, De Lorenzo and his colleagues note.<p/>\nBecause inflammation has been implicated in the buildup of\nartery-clogging plaques, women who have a normal weight but\nhigh fat mass may be at increased risk of heart disease and\nstroke down the road, according to the researchers.<p/>\nWhat\'s more, they point out, these women are likely to have\na false sense of security about their heart health because\ntheir BMI is normal.]<p/>\nThis means that measuring body fat percentage, and not just\nBMI, could be an important part of preventing obesity-related\nills, the researchers conclude.<p/>\nSOURCE: American Journal of Clinical Nutrition, January\n2007.\n<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1396','1','	<p>People who experience severe,\nrapidly progressing loss of vision should seek immediate\nmedical attention, because this may signal elevated pressure in\nthe brain that could lead to permanent blindness, neurologists\nwarn.<p/>\nIn the journal Neurology this month, Dr. Madhav Thambisetty\nof Emory University in Atlanta and colleagues report on 16\npatients with this condition, known as fulminant idiopathic\nintracranial hypertension (IIH).<p/>\nIIH typically worsens fairly slowly, and rapid progression\nis usually due to a secondary cause such as a blood clot in the\nbrain or meningitis, the researchers explain. But in the 16\npatients they describe, no secondary causes were identified.<p/>\n\"Although fulminant IIH is rare, it affects young,\notherwise healthy women, who often become legally blind over\nthe course of a few days,\" Thambisetty and his team write.<p/>\nAll of the patients in the current report were women, and\ntheir average age was about 24. All of them were obese and all\nhad experienced headaches before seeking treatment, while nine\nhad nausea and vomiting. Nine had ringing in their ears, eight\nhad temporary blurry vision, and five had double vision.<p/>\nEleven of the patients underwent a shunting procedure to\nrelieve pressure on the brain, while optical nerve sheath\nfenestration -- in which \"windows\" are cut into the tissue\nsurrounding the nerve -- was performed in five. While 14 of the\npatients had some visual improvement after treatment, eight\nremained legally blind.<p/>\nThe researchers warn that emergency physicians and\nneurologists will often overlook fulminant IIH as a potential\ncause of headaches, nausea and visual disturbances, but they\nsay aggressive treatment is essential to prevent permanent\nvision loss.<p/>\nAll of the patients in the current report who experienced\nsignificant improvement received surgery within four days,\nThambisetty and colleagues note, while the three patients who\ndelayed surgery -- for 10, 12 and 37 days after evaluation --\nremain legally blind.<p/>\nSOURCE: Neurology, January 2007.\n<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1397','1','	<p><!--Spanish ID:535136--> <p>MONDAY, Sept. 25 (HealthDay News) -- The number of victims in the nationwide <i>E. coli</i> outbreak continued to climb Sunday, even as U.S. health officials began to relax their warnings on fresh spinach.</p> <p>Consumers could safely resume eating some fresh spinach within the next few days, the health officials announced, as long as agriculture industry officials come up with a way to label the products that don\'t come from California\'s Salinas Valley, the suspected center of the bacterial outbreak.</p> <p>&quot;The public can be confident that spinach grown in those non-implicated areas can be consumed, and industry is working to get spinach from these areas back on the market,&quot; Dr. David Acheson, chief medical officer of the U.S. Food and Drug Administration\'s Center for Food Safety and Applied Nutrition, said at a telephone press conference.</p> <p>&quot;I anticipate it will be fast,&quot; he added later of that process, the <i>Associated Press</i> reported. &quot;Whether it will be three days, four days -- I don\'t know. That will be an industry determination.&quot;</p> <p>As of Sunday evening, 173 people in 25 states had been infected with the strain of <i>E. coli</i> O157:H7; 92 had been hospitalized; 28 had developed a type of kidney failure called hemolytic-uremia, and one had died, according to the U.S. Centers for Disease Control and Prevention.</p> <p>One hundred twenty-five (72 percent) were female and 15 (9 percent) were children under 5 years old, the agency said.</p> <p>The CDC also said that Idaho officials were investigating the death of a 2-year-old who died Wednesday, reportedly after she had eaten spinach. And officials are investigating the death of an 86-year-old Maryland woman who died Sept. 13 after becoming infected with <i>E coli</i>. Her family said she\'d eaten fresh spinach before getting sick, the <i>Herald-Mail</i> of Hagerstown, Md., reported.</p> <p>Following a breakthrough New Mexico lab test Wednesday that confirmed the <i>E. coli</i> strain in a partly eaten fresh spinach package from one victim, health authorities had narrowed their search to the greater Salinas Valley, where more than half the country\'s spinach crop is grown. </p> <p>Investigators are looking at at least nine farms and several processing plants in Monterey, San Benito and Santa Clara counties. </p> <p>&quot;All the affected spinach appears to come from that area. We are getting a better handle on where it\'s grown,&quot; the FDA\'s Acheson said Wednesday night.</p> <p>Thursday, the FDA said that other produce grown in the region was not implicated in the outbreak. It also said processed spinach, either frozen or canned, was not suspect.</p> <p>And health officials began talking about what it would take to lift the nationwide embargo and get fresh spinach back to consumers. </p> <p>Meanwhile, tighter regulation of the growing and processing of spinach was being considered, federal officials said.</p> <p>The comments followed criticism earlier Thursday from consumer groups and agriculture experts, who cited what they called lax oversight of the industry itself.</p> <p>&quot;It\'s a very serious problem,&quot; Jean Halloran, director of the food policy initiative for Consumers Union, told the <i>San Jose Mercury News</i>. &quot;Things fall through the cracks, and they can\'t make a coordinated attack on a problem or share information or allocate resources properly.&quot;</p> <p>In the Salinas Valley, 97 percent of irrigation water comes from private wells, but there is no mandatory inspection of them and no requirement that they ever be tested, the <i>Mercury News</i> reported. In addition, the newspaper said, Cal-OSHA is responsible for checking field sanitation, but with thousands of farms in the state, it conducts fewer than 1,200 inspections yearly.</p> <p>And state and federal inspectors generally don\'t visit farms unless there\'s a problem, the newspaper added. The industry follows voluntary rules known as &quot;good agricultural practices,&quot; which range from watering and fertilizing practices to field-hand sanitation and pest control.</p> <p>What Acheson on Wednesday called the &quot;confirmed positive sample&quot; definitely linking the contamination to fresh spinach came from a bag of Dole baby spinach with a &quot;best if used by Aug. 30&quot; date. The source of the spinach was Natural Selection Foods, the California food producer that has been the focus of the investigation.</p> <p>It became the first solid evidence to emerge after almost a week of public-health warnings on fresh spinach products, massive recalls by major spinach producers, and state-by-state reports of growing numbers of sickened people.</p> <p>Acheson said that in November 2005 there had been a small outbreak of <i>E. coli</i> in spinach from the Salinas Valley. &quot;More should have been done,&quot; he added. &quot;We are learning from this outbreak.&quot;</p> <p>In 18 other outbreaks of <i>E. coli</i> since 1995, the FDA has not been able to trace the outbreak to a specific farm, Acheson said.</p> <p>&quot;In this case, the likelihood that we will get it back to a specific farm is good because of the number of cases and because of the UPC codes on the packages,&quot; he noted. However, trying to identify a specific cause on that farm is unlikely, he added.</p> <p>The earliest onset of illness known to be linked to spinach consumption was on Aug. 19.</p> <p>On Thursday, Maryland and Tennessee became the latest states to report their first confirmed cases of <i>E. coli</i>. Also reporting cases have been Arizona, California, Colorado, Connecticut, Idaho, Illinois, Indiana, Kentucky, Maine, Michigan, Minnesota, Nebraska, Nevada, New Mexico, New York, Ohio, Oregon, Pennsylvania, Utah, Virginia, Washington, Wisconsin and Wyoming.</p> <p>Wisconsin has the largest number of reported cases, and the one death.</p> <p>The affected products were also distributed to Canada, Mexico, Taiwan, Hong Kong and Iceland, but no illnesses have been reported from any of those countries, the FDA said.</p> <p>Natural Selection Foods, in San Juan Batista, began recalling all of its prepackaged spinach and its salad mix products that contain spinach on Sept. 16.</p> <p>River Ranch Fresh Foods, which operates in Salinas and El Centro, recalled its brands of mixed salads containing spinach on Sept. 17, after FDA inspectors found that the company had bought spinach from Natural Selection. </p> <p>And RLB Food Distributors, based in West Caldwell, N.J., said it was recalling salad mixes that may contain spinach supplied by Natural Selection, which were distributed on the East Coast with the &quot;Enjoy Thru date of 9/20/06.&quot; </p> <p>Meanwhile, farm growers and processors planned to unveil an industry blueprint to protect their products from future <i>E. coli</i> outbreaks, the <i>AP</i> reported.</p> <p>According to the CDC, <i>E. coli</i> lives in the intestines of cattle and other animals and can be found in undercooked meats; vegetables like spinach, sprouts and lettuce, and unpasteurized milk and juice. </p> <p>The primary symptom of <i>E. coli</i> contamination in humans is diarrhea, often with bloody stools. There are an estimated 73,000 cases of infection, including 61 deaths, each year in the United States, according to CDC statistics.</p> <p><b>More information</b></p> <p>Visit the CDC for more <a href=\"http://www.cdc.gov/foodborne/ecolispinach/current.htm\" target=\"_new\"><i>E. coli</i> outbreak updates</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1398','1','	<p><p>MONDAY, Sept. 25 (HealthDay News) -- Negative and even neutral findings from stroke trials are less likely to be published than positive findings, according to new research.</p> <p>What makes the new study especially noteworthy is that stroke research in general has a more negative track record than other areas of medicine, the researchers noted.</p> <p>&quot;Publication bias is well-demonstrated in other areas of medicine and science,&quot; the lead researcher, Dr. David Liebeskind of the UCLA Stroke Center in Los Angeles, pointed out. &quot;This is the first study showing such bias in stroke research.&quot;</p> <p>Liebeskind\'s team analyzed 182 published and unpublished acute ischemic stroke clinical trials conducted from 1955 to 1999. They found that three out of the four studies not published (75 percent) had produced negative or harmful results, while 94 percent of the published studies had produced positive results.</p> <p>The research, published in the Sept. 26 issue of <i>Neurology</i>, also found that negative studies took longer to be published than positive studies (an average of 2.3 years versus 2.0 years), particularly when they were sponsored by pharmaceutical companies (2.8 years versus 2.1 years). And negative studies were significantly more likely to be published in an abbreviated form.</p> <p>The imbalance suggests that other negative studies never see the light of day, depriving researchers, physicians and patients of potentially valuable information, Liebeskind added. </p> <p> &quot;But it\'s difficult to put a number on it, because what we\'re essentially doing is looking for holes and gaps in the literature,&quot; he said.</p> <p>&quot;There are phase III clinical trials for neuroprotection in acute ischemic stroke that were never published, large studies that never made it, studies that were never presented at scientific meetings because of various influences,&quot; Liebeskind said. &quot;That data is important.&quot;</p> <p>&quot;During the past half-century, we\'ve studied a lot of neuroprotective drugs that failed to help patients with this devastating condition,&quot; he said. &quot;So, when you find a modest degree of bias against publishing negative stroke studies, it\'s a little more striking.&quot;</p> <p>Despite the evidence, Liebeskind said it was difficult to assess whether such publishing bias harmed or benefited patients. &quot;It could go in either direction,&quot; he said, adding, &quot;What publication bias does to patients, the public and the research community is leave us in the dark.&quot;</p> <p>The findings reflect an earlier study published in May in the <i>Journal of the American Medical Association</i>, which showed that clinical trials funded by drug companies and other for-profit entities were more likely to report positive findings than similar trials funded by nonprofit groups.</p> <p>The problem is a research culture that emphasizes &quot;positive and winning&quot; accomplishments, said Adil Shamoo, a professor of biochemistry and bioethics at the University of Maryland in Baltimore, who was not part of the study.</p> <p>&quot;The key reason for publication bias is a lack of incentives,&quot; Shamoo added. &quot;Funding agencies very rarely fund or encourage negative publication. Journals do not want to publish negative results. Finally, no one gets promoted for publishing negative results. Have you seen a researcher win a Nobel Prize for finding that a certain drug does nothing?&quot;</p> <p>&quot;The implications of this study are enormous because of the lost amount of knowledge,&quot; he said. &quot;Because so many resources are lost or wasted, science has to do it again and again.&quot;</p> <p>When negative data are not published or not presented at scientific meetings, that can adversely affect medical practice and patient outcomes because doctors may continue using drugs that are potentially hazardous, Shamoo said. As an example, he said, &quot;Part of the data on Vioxx (the popular arthritis drug that was withdrawn from the market after it was shown to increase the risk of heart attacks) was not published or given to the FDA.&quot;</p> <p>To ensure that research data is preserved for future researchers, Shamoo has long argued that there needs to be a federal repository for all government-sponsored studies.</p> <p>Liebeskind takes that a step further. He supports the registration of all clinical trials -- including corporate-sponsored ones -- in a public trials registry.</p> <p>But even that, Liebeskind said, may not be enough. &quot;I would almost take the radical position that there needs to be a data clearinghouse subsequent to trial completion and that, at a certain point, full data sets are made available to the public,&quot; he said.</p> <p>Even when studies are published, their full data sets, or protocols, often remain confidential. &quot;There\'s a lot of reluctance to share this information because of the feeling that this data is proprietary and belongs to whoever sponsored and paid for the work,&quot; Liebeskind said.</p> <p>&quot;This has to be considered from the patient level,&quot; he said, noting that the research community has a special obligation to the thousands of patients who enroll in the clinical trials. </p> <p><b>More information</b></p> <p>For more on clinical trials, visit the <a href=\"http://clinicaltrials.gov/ct/gui/info/links;jsessionid=62F4484BD5AA6EF3E5CFD7DA07F18CFE\" target=\"_new\">National Institutes of Health</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1399','1','	<p><!--Spanish ID:535166--> <p>TUESDAY, Sept. 26 (HealthDay News) -- A second tainted bag of spinach, found in Utah over the weekend, has helped health officials pinpoint <i>E. coli</i> contamination in one specific batch of fresh spinach in a California processing plant.</p> <p>The <i>Associated Press</i> reported Tuesday that California health officials said the Utah bag of Dole baby spinach and another of the same brand found in New Mexico last week were both processed during the same shift on Aug. 15 at Natural Selection Foods\' San Juan Batista plant in the Salinas Valley.</p> <p>&quot;We are looking very aggressively at what was produced on that date,&quot; Dr. Kevin Reilly, deputy director of prevention services for the California Department of Health Services, said late Monday. &quot;Much of the feedback we got from patients right now was related to Dole packaging.&quot;</p> <p>The investigation of the <i>E. coli O157:H7</i> outbreak that sickened scores of people across the country and left one woman dead has been focused on three counties in the Salinas Valley, where more than half the country\'s spinach crop is grown. </p> <p>In particular, health officials are looking at products from Natural Selection Foods, a major grower that supplies numerous companies.</p> <p>By Tuesday afternoon, the number of people sickened in the month-long outbreak had climbed to 183 in 26 states; 95 people have been hospitalized and 29 have developed a type of kidney failure called hemolytic-uremia, the U.S. Centers for Disease Control and Prevention reported.</p> <p>The Utah Department of Health and the Salt Lake Valley Health Department confirmed Monday that <i>E. coli</i> had been found in a bag of Dole baby spinach purchased in Utah with a use-by-date of Aug. 30, 2006, the FDA said.</p> <p>The discovery followed the Sept. 20 breakthrough New Mexico lab test that confirmed the <i>E. coli</i> strain in a partly eaten fresh spinach package from one victim. </p> <p>On Tuesday, the CDC said <i>E. coli</i> O157 had been isolated by state public health labs in Pennsylvania, Illinois and Ohio from three more opened packages of spinach. The &quot;DNA fingerprint&quot; of the strain isolated in Pennsylvania matches that of the outbreak strain. DNA fingerprinting is under way on the strains isolated in Illinois and Ohio, the agency said.</p> <p>FDA officials said last week that produce other than spinach grown in the Salinas Valley region was not implicated in the <i>E. coli</i> outbreak. They also said processed spinach, either frozen or canned, was not suspect.</p> <p>And late last week, the FDA said consumers could resume eating fresh spinach, as long as agriculture industry officials came up with a way to label the products that didn\'t come from the Salinas Valley.</p> <p>As of Monday night, agriculture industry officials hadn\'t unveiled such a labeling program.</p> <p>The <i>E. coli</i> outbreak has prompted federal officials to consider tighter regulation of the growing and processing of fresh spinach. Some consumer groups and agriculture experts have been critical of the regulatory process, citing what they called lax oversight of the agriculture industry.</p> <p>On Tuesday, three top national environmental organizations -- the Natural Resources Defense Council (NRDC), the Sierra Club and the Environmental Integrity Project -- warned that bacterial pollution from livestock and poultry factory farms poses a major threat to public health. They were to meet with U.S. Environmental Protection Agency officials Tuesday to urge strengthened regulations for farm pollution, according to a statement issued by the three groups.</p> <p>According to the statement, a June 30 report by California\'s Central Coast Water Board found <i>E. coli 0157:H7</i> in five waterways in the Salinas watershed area.</p> <p>&quot;We can\'t ignore the potential connection between factory farms and <i>E. coli</i> in humans, both through drinking water and irrigation of vegetables,&quot; Michele Merkel, an Environmental Integrity Project attorney, said in the statement.</p> <p>The three groups contended, in the statement, that factory farms generate 500 million tons of manure annually and the liquid waste then runs off into streams or underground water supplies, &quot;polluting the water with viruses, bacteria, pesticides, antibiotics, hormones and excessive nutrients.&quot;</p> <p>The earliest onset of illness known to be linked to spinach consumption was on Aug. 19.</p> <p>The 26 affected states are: Arizona, California, Colorado, Connecticut, Idaho, Illinois, Indiana, Kentucky, Maine, Maryland, Michigan, Minnesota, Nebraska, Nevada, New Mexico, New York, Ohio, Oregon, Pennsylvania, Tennessee, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.</p> <p>Wisconsin has the largest number of reported cases, and the one death, a 77-year-old woman. Two other deaths, in Idaho and Maryland, are still under investigation.</p> <p>So far, there have been five major recalls of fresh spinach products, all involving produce supplied by Natural Selections, according to the FDA.</p> <p>Natural Selection itself recalled all of its prepackaged fresh spinach and salad mix products containing spinach on Sept. 16, a recall that covered more than 30 brands, including Dole.</p> <p> River Ranch Fresh Foods, which operates in Salinas and El Centro, Calif., recalled its brands of mixed salads containing spinach on Sept. 17. </p> <p>Last week, RLB Food Distributors, based in West Caldwell, N.J., said it was recalling salad mixes distributed on the East Coast.</p> <p>Over the weekend, Pacific Coast Fruit Company, based in Portland, Ore., recalled salad and pizza mixes that were distributed in Alaska, Oregon, Washington and Idaho.</p> <p>And on Monday, Triple B Corp. in Seattle announced it was recalling some salad products distributed in the Northwest.</p> <p><b>More information</b></p> <p>For the latest <i>E. coli</i> updates, visit the <a href=\"http://www.cdc.gov/foodborne/ecolispinach/\" target=\"_new\">CDC</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1400','1','	<p><p>WEDNESDAY, Sept. 27 (HealthDay News) -- A second tainted bag of spinach, found in Utah over the weekend, has helped health officials pinpoint <i>E. coli</i> contamination in one specific batch of fresh spinach in a California processing plant.</p> <p>The <i>Associated Press</i> reported Tuesday that California health officials said the Utah bag of Dole baby spinach and another of the same brand found in New Mexico last week were both processed during the same shift on Aug. 15 at Natural Selection Foods\' San Juan Batista plant in the Salinas Valley.</p> <p>&quot;We are looking very aggressively at what was produced on that date,&quot; Dr. Kevin Reilly, deputy director of prevention services for the California Department of Health Services, said Monday. &quot;Much of the feedback we got from patients right now was related to Dole packaging.&quot;</p> <p>Meanwhile, four more bags of fresh spinach in three other states have tested positive for <i>E. coli</i> contamination. And the U.S. Food and Drug Administration announced that Canada had confirmed its first case of <i>E. coli O157:H7</i> in a person who ate bagged spinach.</p> <p>On Tuesday, Pennsylvania health officials said that a lab identified the deadly strain in a bag of Dole baby spinach purchased on or around Sept. 8 in the western part of the state, the <i>AP</i> said.</p> <p>Also Tuesday, the U.S. Centers for Disease Control and Prevention said <i>E. coli</i> had been isolated by state public health labs in Illinois and Ohio from three more opened packages of spinach. &quot;DNA fingerprint&quot; testing was under way to see if the strains match the outbreak strain, the agency said.</p> <p>The investigation of the <i>E. coli O157:H7</i> outbreak that sickened scores of people across the country and left one woman dead has been focused on three counties in the Salinas Valley, where more than half the country\'s spinach crop is grown. </p> <p>In particular, health officials are looking at products from Natural Selection Foods, a major grower that supplies numerous companies.</p> <p>By Tuesday evening, the number of people sickened in the month-long outbreak had climbed to 183 in 26 states; 95 people have been hospitalized, and 29 have developed a type of kidney failure called hemolytic-uremia. One hundred thirty-one (72 percent) of the victims were female and 17 (9 percent) were children under 5 years old, the CDC reported. </p> <p>The Utah Department of Health and the Salt Lake Valley Health Department confirmed Monday that <i>E. coli</i> had been found in a bag of Dole baby spinach purchased in Utah with a use-by-date of Aug. 30, 2006, according to the FDA.</p> <p>The discovery followed the Sept. 20 breakthrough New Mexico lab test that confirmed the <i>E. coli</i> strain in a partly eaten fresh spinach package from one victim. </p> <p>FDA officials said last week that produce other than spinach grown in the Salinas Valley region was not implicated in the <i>E. coli</i> outbreak. They also said processed spinach, either frozen or canned, was not suspect.</p> <p>And late last week, the FDA said consumers could resume eating fresh spinach, as long as agriculture industry officials came up with a way to label the products that didn\'t come from the Salinas Valley.</p> <p>As of Tuesday night, agriculture industry officials hadn\'t unveiled such a labeling program.</p> <p>The <i>E. coli</i> outbreak has prompted federal officials to consider tighter regulation of the growing and processing of fresh spinach. Some consumer groups and agriculture experts have been critical of the regulatory process, citing what they called lax oversight of the agriculture industry.</p> <p>On Tuesday, three top national environmental organizations -- the Natural Resources Defense Council (NRDC), the Sierra Club and the Environmental Integrity Project -- warned that bacterial pollution from livestock and poultry factory farms poses a major threat to public health. They were to meet with U.S. Environmental Protection Agency officials Tuesday to urge strengthened regulations for farm pollution, according to a statement issued by the three groups.</p> <p>According to the statement, a June 30 report by California\'s Central Coast Water Board found <i>E. coli 0157:H7</i> in five waterways in the Salinas watershed area.</p> <p>&quot;We can\'t ignore the potential connection between factory farms and <i>E. coli</i> in humans, both through drinking water and irrigation of vegetables,&quot; Michele Merkel, an Environmental Integrity Project attorney, said in the statement.</p> <p>The three groups contended, in the statement, that factory farms generate 500 million tons of manure annually and the liquid waste then runs off into streams or underground water supplies, &quot;polluting the water with viruses, bacteria, pesticides, antibiotics, hormones and excessive nutrients.&quot;</p> <p>The earliest onset of illness known to be linked to spinach consumption was on Aug. 19.</p> <p>The 26 affected states are: Arizona, California, Colorado, Connecticut, Idaho, Illinois, Indiana, Kentucky, Maine, Maryland, Michigan, Minnesota, Nebraska, Nevada, New Mexico, New York, Ohio, Oregon, Pennsylvania, Tennessee, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.</p> <p>Wisconsin has the largest number of reported cases, and the one death, a 77-year-old woman. Two other deaths, in Idaho and Maryland, are still under investigation.</p> <p>So far, there have been five major recalls of fresh spinach products, all involving produce supplied by Natural Selections, according to the FDA.</p> <p>Natural Selection itself recalled all of its prepackaged fresh spinach and salad mix products containing spinach on Sept. 16, a recall that covered more than 30 brands, including Dole.</p> <p> River Ranch Fresh Foods, which operates in Salinas and El Centro, Calif., recalled its brands of mixed salads containing spinach on Sept. 17. </p> <p>Last week, RLB Food Distributors, based in West Caldwell, N.J., said it was recalling salad mixes distributed on the East Coast.</p> <p>Over the weekend, Pacific Coast Fruit Company, based in Portland, Ore., recalled salad and pizza mixes that were distributed in Alaska, Oregon, Washington and Idaho.</p> <p>And on Monday, Triple B Corp. in Seattle announced it was recalling some salad products distributed in the Northwest.</p> <p><b>More information</b></p> <p>For the latest <i>E. coli</i> updates, visit the <a href=\"http://www.cdc.gov/foodborne/ecolispinach/\" target=\"_new\">CDC</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1401','2','\n\n\n	 <p>JUDY McMILLIN used to be a perennial quitter. Every January, gym-going would become her new favorite hobby, and then, poof, she would abandon it. ? just did not grow up exercising or enjoying it,?said Ms. McMillin, 57, a homemaker in Dallas.</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n  \n   \n<div class=\"image\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/25/fashion/25fitness.2.190.jpg\" width=\"190\" height=\"144\" alt=\"\" border=\"0\">\n<div class=\"credit\">Misty Keasler for The New York Times</div>\n<p class=\"caption\">\nJudy McMillin of Dallas overcame gym avoidance with the help of a paid fitness buddy. \n</p>\n</div>\n  \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>If someone had told her that partnering up with a college kid would be the silver bullet, she would have laughed. But having a sidekick accompany her twice a week to strength-training did make the gym less daunting; no longer was she alone in a sea of spandex-clad know-it-alls. </p><p> And she appreciated how her fitness buddy, Sarah Prochaska (an exercise science major paid to encourage members), suggested swimming and Pilates and gave her exactly the push she needed.</p><p>? told her, ? need you to really pump me up and encourage me, call me and brag on me and really help me because this is not my favorite thing to do,??Ms. McMillin said. ?nd she did.?/p><p>This  matchmaking is a come-on where Ms. McMillin exercises, the 7,000-member Baylor Tom Landry Fitness Center in Dallas. Participants pay a $200 deposit; if they attend at least 12 appointments in six weeks, they get their $200 back. As an added incentive, the intern phones them if they don? show up.</p><p> With habitual renouncers like Ms. McMillin in mind, a handful of gym owners and health club managers have devised innovative ways to create brand loyalty as they turn gym dodgers into gym rats. The thinking is basic: members are more likely to show up if they feel  someone cares.</p><p>Personal trainers, the original exercise truant officers, have spawned a whole new level of prodding. Now clubs coddle members  with advisers to help them choose suitable yoga classes, frequent-flyer-type programs that track progress and award prizes, telephone  calls to the lackadaisical to see what? come between them and the stair climber, and even home visits to bring quitters back into the fold. </p><p>?e?e going to see clubs do more hand-holding in the future,?said Pamela Kufahl, the editor of Fitness Business Pro, a publication for health club owners. Only about 16 percent of Americans  belong to a health club, she said, and those people tend to be the already fit. That leaves 80 percent presumably lolling about, ripe for the picking.</p><p>  Health club owners may worry about their customers?bottoms, but are most concerned with their own bottom line. ?hey see there is this huge population out there that? untapped,?Ms. Kufahl said, ?nd they want to bring them in.?/p><p>January is the time to do it, because that? when out-of-shape first-timers or recliner recidivists gather their courage and walk in the door. About 12.5 percent of annual memberships are purchased this month, compared to 7.7 percent in November, according to the International Health, Racquet and Sportsclub Association in Boston. </p><p> While it may seem curious that gyms would go all out to ensure that  members show up (as opposed to those who pay but don?), it makes a lot of sense, said Rick Caro, the president of Management Vision in Manhattan, a consultant to health clubs.</p><p> ?he clubs now realize that if they satisfy that member they can provide additional services and charge more per month in the future,?Mr. Caro said. Also, he added, it? more expensive to acquire a new member than to serve an old one.</p><p>The idea of exercise enforcers  may also seem strange to the more disciplined among us. ?ou?e hiring someone else to make you work,?said Micki McGee, the author of ?elf-Help, Inc.: Makeover Culture in American Life?(Oxford, 2005). ?t follows the same social schematic as hiring a personal coach or job coach  ?it? externalizing the voice of authority. It? a feature of late modernity that this is how we operate.?/p><p>But for the anxious novice, an encouraging voice may make the difference between opting in or opting out. That? why two years ago, Yoga Works, a chain of 15 studios in California and New York, started an adviser program to help  the unenlightened distinguish Iyengar from Ashtanga. </p><p>?eople would come in and be intimidated,?said Phil Swain, the chief executive. ?hey? see some dude with his foot behind his head and get a weird vibe instead of coming in and hearing someone say, ?ello, can I help you???Now  advisers work with students by phone, e-mail or in person to find the right level, style and teacher. </p><div id=\"pageLinks\"><ul id=\"pageNumbers\"><li> 1 </li><li> <a onClick=\"s_code_linktrack(\'Article-MultiPagePageNum2\');\" title=\"Page 2\" href=\"?pagewanted=2&_r=5\">2</a> </li></ul><a class=\"next\" onClick=\"s_code_linktrack(\'Article-MultiPage-Next\');\" \n             title=\"Next Page\"\n             href=\"?pagewanted=2&_r=5\">Next Page &#x00bb;</a></div><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1402','3','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Available soon: The official condom of NYC</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Whether cola or condoms, \'brands work,\' health chief says</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Components/Photos/070125/070125_condoms_vmed_1p.vmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Condoms\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Frank Franklin Ii / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">A basket of condoms is displayed at the Gay Men\'s Health Crisis center in New York.?art of the city\'s strategy for reducing AIDS transmission is the aggressive promotion of free condoms with new New York City branding.</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>NEW YORK - Arriving soon from City Hall: an official New York condom in a jazzy wrapper, perhaps one printed with a colorful subway map or some other city theme.</p><p>New York City hands out 1.5 million free condoms a month in ordinary wrappers, and health officials figure people would be more likely to actually use them if the packaging were more distinctive.</p><p>\"Brands work, and people use branded items more than they use non-branded items, whether it\'s a cola or a medicine, even,\" Health Commissioner Thomas Frieden said.</p><p>The health department, which uses the condom program to fight AIDS and other sexually transmitted diseases, said it still considering package designs. Among the possibilities: a subway theme, with the various lines shown in different colors.</p><p>The 18 million free condoms each year go to hundreds of organizations, which distribute them at health clinics and advocacy groups, bars, restaurants, nightclubs, nail salons and prisons. By comparison, the Los Angeles County health department gives out just over a million condoms per year.</p><p>New York buys the condoms for 4 cents each, or $720,000 annually, health officials said.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16791453/\">Panel: No failure limits on birth control pills</a></li><li><a href=\"/id/11025380/\">The Body Odd podcast: Darling dimples</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>City officials, who conduct an annual health survey, say a memorable package could also help them gauge how often people actually use the city\'s condom.</p><p>\"If they describe our wrapper, then we\'ll know that they would have used our condom,\" Frieden said.</p><p>More than 100,000 New Yorkers have HIV or AIDS, and AIDS is the third-leading cause of death among New Yorkers under 65.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1403','4','	<p><p>WEDNESDAY, Sept. 27 (HealthDay News) -- Using so-called &quot;sentinel node&quot; biopsies to determine if melanoma has started to spread saves some patients the pain of having all their lymph nodes removed, U.S. researchers report.</p> <p>The strategy can also give patients a jump-start on aggressive treatment, they addrf.</p> <p>There are few treatment options for melanoma unless the disease is caught early. As a result, melanoma is one of the deadliest cancers around.</p> <p>However, patients whose lymph nodes tested positive for cancer, and who had all their lymph nodes removed, had a much higher five-year survival rate compared to those who tested positive but delayed node removal.</p> <p>These results should help make sentinel node biopsy standard practice in dealing with this type of malignancy, said lead researcher Dr. Donald L. Morton, medical director and chief of the melanoma program at John Wayne Cancer Institute at Saint Johns Hospital in Santa Monica, Calif.</p> <p>His team published its findings in the Sept. 28 issue of the <i>New England Journal of Medicine</i>.</p> <p>&quot;People had been skeptical that sentinel node biopsy was necessary. This further cements the view that it is,&quot; said Dr. Vijay Trisal, an assistant professor of surgical oncology at City of Hope Cancer Center in Duarte, Calif. &quot;This gives us an idea about the biology of the cancer, and gives us ammunition that this is the right thing to do.&quot;</p> <p>The findings are &quot;not earth-shattering in the sense of treatment, but certainly in terms of prediction,&quot; commented Dr. Donald McCain, a surgical oncologist and member of the melanoma division at Hackensack University Medical Center Cancer Center, in Hackensack, N.J.</p> <p>Melanoma is the most rapidly increasing malignancy in the world today. According to the American Cancer Society, nearly 60,000 Americans will be diagnosed with melanoma this year, and almost 8,000 will die from the disease. </p> <p>About 20 percent of patients with melanomas of intermediate thickness have a microscopic spread of their cancer to the lymph nodes -- meaning the metastasis can\'t be seen or felt. Generally speaking, melanoma that spreads to the lymph nodes has a much poorer prognosis.</p> <p>Still, physicians haven\'t been sure how to approach the issue. Experts have tended to split into two camps: one recommending that all lymph nodes automatically be removed, and the other advocating waiting until the mass can actually be felt in the lymph nodes.</p> <p>&quot;The problem with [the first] approach is that since only 20 percent of patients <i>have</i> nodal metastasis, the other 80 percent have an operation that they can\'t benefit from. They don\'t really need it,&quot; Morton explained. &quot;The question is how to figure who does and who doesn\'t need it.&quot;</p> <p>Enter sentinel node biopsy, a technique developed by Morton and colleagues about 20 years ago. Here, the surgeon tests only one or two lymph nodes, where the cancer is most likely to head to first. If these are positive, the rest of the lymph nodes are tested and removed. If not, the patient is left alone.</p> <p>&quot;We found that about 20 percent of people of this intermediate thickness would have spread to one to two sentinel nodes,&quot; Morton said.</p> <p>This trial, which an accompanying editorial called the &quot;largest and most important trial of sentinel-lymph-node biopsy for melanoma conducted to date,&quot; sought to determine if sentinel node biopsy made any difference in survival. </p> <p>Investigators randomly assigned 1,269 patients with intermediate thickness melanoma (1.2 to 3.5 millimeters) to have a sentinel node biopsy (followed by removal of lymph nodes if they contained cancer) or simply observation. If participants in the observation-only group developed a palpable mass in their lymph area, they also underwent removal of all lymph nodes.</p> <p>Five-year, disease-free survival was similar in both groups: 78.3 percent in the biopsy group and 73.1 percent in the observation group.</p> <p>The difference was in patients with cancer-positive vs. negative lymph nodes. Patients whose sentinel nodes were tumor-negative had a five-year survival rate of 90.2 percent whereas those with tumor-positive sentinel nodes had a survival rate of only 72.3 percent.</p> <p>And for those patients with positive lymph nodes, the five-year survival rate was higher among those who immediately had all their lymph nodes removed (72.3 percent) vs. those who delayed removal (52.4 percent).</p> <p>&quot;As far as I\'m aware, outside of this trial there\'s never been any randomized trial that showed a survival benefit for melanoma with sentinel node biopsy,&quot; Morton said.</p> <p>The technique is used routinely by doctors for breast, lung and colon cancers. &quot;It is a universal principle that in cancers that spread through the lymphatics, if it\'s going to spread, it\'ll be in the sentinel node,&quot; Morton said. &quot;Sentinel node biopsy saves two-thirds of women a radical actuary dissection.&quot;</p> <p>As for melanoma, experts now know there is a survival benefit there, as well. &quot;Those with positive sentinel lymph nodes had worse survival than those who didn\'t,&quot; McCain said. &quot;This separates out those you could treat aggressively vs. those you could leave alone.&quot;</p> <p><b>More information</b></p> <p>To learn more about melanoma, visit the <a href=\"http://www.cancer.org/docroot/lrn/lrn_0.asp\" target=\"_new\">American Cancer Society</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1404','4','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Less invasive treatment for fibroids can be fine</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Study finds that embolization often provides a safe alternative to surgery</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>Women who had less invasive treatment for painful uterine fibroids did about as well as those who had surgery, including hysterectomy, suggests a new study that lays out the options for a troubling condition affecting millions of women.</p><p>Uterine fibroids are common among women of child-bearing age. Nearly 40 percent develop these noncancerous growths in the uterus that often don\'t cause any symptoms. While the most common treatment is surgery to remove tumors that cause extreme pain, some women choose a gentler procedure that allows them to keep their uterus.</p><p>However, the study found there were some trade-offs to the popular procedure known as uterine artery embolization. While embolization patients spent far less time in the hospital, they also were more likely to need a repeat treatment.</p><p>Although the study did not address whether embolization can preserve fertility, it adds to growing evidence that this less drastic approach is a safe alternative to hysterectomy.</p><p>\"For some women, retaining a uterus is much more important than avoiding repeat surgery, particularly for younger women,\" said Dr. James Spies, a Georgetown University radiologist who had no role in the new research. Spies successfully treated Condoleezza Rice, who was then U.S. national security adviser, with fibroid embolization in 2004.</p><p>Fibroids are noncancerous growths of muscle fibers inside the uterus that can range from a quarter inch in size to as large as a cantaloupe. In serious cases, uterine fibroids can cause heavy menstrual bleeding, pelvic soreness and pain during sex.</p><p>For decades, hysterectomy - removal of the uterus - was the only option. Of the roughly 600,000 hysterectomies performed yearly in the United States, about a third are due to fibroids.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia.msn.com/i/msnbc/Components/Art/HEALTH/070124/AP_FIBROID.gif\" align=\"Right\" height=\"454\" width=\"333\" vspace=\"0\" hspace=\"0\"></td></tr></table></p><p>Since the 1990s, the popularity of uterine artery embolization has steadily grown. An estimated 13,000 to 14,000 embolizations are done each year in the U.S., according to the Society of Interventional Radiology.</p><p>The American College of Obstetricians and Gynecologists says that while embolization is an option for women with fibroids, there\'s not enough evidence to show that it\'s safe for women who want to get pregnant.</p><p>The procedure involves making a small nick in the groin and inserting a catheter in the artery. Using real-time imaging, doctors then blast tiny pellets into the uterine artery to cut off the blood supply that feeds the fibroids. Over time, these tumors shrink and die.</p><p>Patients typically stay overnight in the hospital and are usually sedated or under local anesthesia during the procedure. Embolization, which is covered by most major insurers, tends to be cheaper than surgery at the outset. The costs even out during follow-up care, according to various estimates.</p><p>The new study published in Thursday\'s New England Journal of Medicine randomly assigned 106 women to embolization and 51 to surgery. The patients were in 27 hospitals across the United Kingdom. Most in the surgery group had hysterectomies while a few had myomectomies, surgical removal of the fibroids while leaving the uterus intact. Many women can get pregnant after having a myomectomy, but there\'s a chance the fibroids might return.</p><p>Both groups of patients rated pain levels, mental health and recovery process among other factors. After a year of follow-up, researchers found no significant difference in the quality of life for either group.</p><p>However, the embolization group recovered faster, with the median hospital stay one day, compared with five days in the surgery group.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16637583/\">Hospital plans to offer uterus transplant</a></li><li><a href=\"/id/16326865/\">Two wombs, three babies, one mom</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Despite the faster recovery, 13 percent in the embolization group were re-admitted to the hospital after a year, including 10 percent who needed a repeat procedure or hysterectomy because of recurrent symptoms.</p><p>\"The results of our study make clear that the choice between surgery and uterine artery embolization ... involves trade-offs,\" wrote lead author Richard Edwards of Gartnavel Hospital in Glasgow, Scotland.</p><p>The study had some limitations. The hysterectomies performed involved making large incisions in the body that prolonged recovery time. Advanced medicine now allows surgeons to make small cuts during the operation, allowing for faster recuperation.</p><p>The study\'s re-treatment rate was higher than statistics kept by a U.S. national registry.</p><p>The ideal candidate for embolization is a woman who does not plan to get pregnant and whose symptoms make it risky for her to have surgery, said Dr. Michael Miller, a Duke University radiologist who has performed over 200 embolizations.</p><p>Since the safety of embolization and pregnancy is still unknown, the first \"line of treatment\" for women who plan to have children should be myomectomy, Dr. Togas Tulandi, a professor of obstetrics and gynecology at McGill University in Canada, wrote in an editorial accompanying the study.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1405','6','<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"100%\"><tr><td width=\"10\"></td><td width=\"98%\"><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"98%\" valign=\"top\"><tr><td><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"+2\" color=\"551E1B\">Antidepressants may raise risk of broken bones</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Weakened bones in older people may be side effect of popular pills</b><br></td></tr><tr><td valign=\"top\"></td></tr><tr><td valign=\"top\"></td></tr></table><font size=\"-2\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Sources/sourceAP.gif\" height=\"20\" width=\"140\" vspace=\"0\" hspace=\"0\"><p></p></font><p>CHICAGO - The most popular pills for depression might substantially raise the risk for bone breaks in older people, a drawback that should be considered when the drugs are prescribed, Canadian researchers say.</p><p>People aged 50 and older who took antidepressants, including Zoloft, Prozac and other top-sellers, faced double the risk of broken bones during five years of follow-up, compared with those who didn\'t use the drugs, the study found.</p><p>Still, few of 5,008 people studied used the drugs and had fractures. While more rigorous research is needed to prove the link, the study provides the strongest evidence yet tying these drugs to fracture risks, said Dr. David Goltzman, an endocrinologist at McGill University in Montreal and one of the study authors. The study was part of ongoing osteoporosis research funded partly by the Canadian Institutes of Health Research and makers of osteoporosis drugs.</p><p>Antidepressants have been linked with low blood pressure and dizziness leading to falls, which can increase risks for broken bones, but the researchers said they found fracture risks independent of those factors.</p><p><b><strong>Pills may sap strength of bones<br></strong></b>Research in animals suggests that the pills might have a direct effect on bone cells, decreasing bone strength and size, Goltzman and colleagues said.</p><p>The results have important public health implications since millions of people worldwide use the drugs and because osteoporosis, a bone-thinning disease that can lead to broken bones, can be so debilitating for older adults, Goltzman said.</p><p>Still, the researchers said potential fracture risks should be balanced against the drugs\' effectiveness at treating depression, which also can be debilitating.</p><p>Depression affects about 10 percent of U.S. adults, or nearly 30 million people, including about 7 million aged 65 and older. Depression in older adults is often missed and untreated.</p><p>\"If patients need these drugs, they should not be advised against taking them because of the fracture risk. They should however be warned about the risks,\" Goltzman said.</p><p>The study appears in Monday\'s Archives of Internal Medicine.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;More top health stories</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><ul><li><a href=\"/id/16657627/\">Wanna live longer? Win a Nobel prize</a></li><li><a href=\"/id/16740729/\">Raising $1 billion for breast cancer research</a></li><li><a href=\"/id/16740643/\">\'Egg rebate\' cracks open an ethics mess</a></li></ul></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Some previous studies found similar results but did not adequately consider other factors, the researchers said.</p><p><b><strong>Depression itself a possible cause<br></strong></b>Dr. Gregory Asnis, director of an anxiety and depression clinic at Montefiore Medical Center in New York, said depression itself has been linked with low bone density, and it\'s possible the disease rather than the drugs could explain the findings. He said more rigorous research is needed.</p><p>The drugs in question are called SSRIs or selective serotonin reuptake inhibitors. These are generally the favored treatment for depression in many patients and their combined U.S. sales jumped 32 percent from 2000 to 2004, to more than $10.9 billion, the researchers said.</p><p>The study tracked 5,008 Canadians aged 50 and older for five years. They included 137 people who reported using SSRI antidepressants daily. In this smaller group, 18 people or 13.5 percent had bone fractures during the follow-up, compared with 317 people with fractures or 6.5 percent among the 4,871 who didn\'t take the pills.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"460\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#eeeeee\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#eeeeee\"><font size=\"-1\"><b color=\"#666666\">&nbsp;Click for related content</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"0\" style=\"border-top:solid 1px #cccccc;border-bottom:solid 1px #cccccc;background-color:#ffffff;\" bgcolor=\"#ffffff\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"8\"><tr><td style=\"padding:8px;\"><font class=\"bigRedLink\"><p><a href=\"/id/3296469/\">How healthy are your bones?</a></p></font></td></tr></table></td></tr></table></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"\" bordercolor=\"\" border=\"0\" style=\"background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td style=\"\"><font class=\"textSmall\" color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Broken forearms, ankles, feet, hips and ribs were the most common fractures.</p><p>Amy Sousa, a spokeswoman for Prozac maker Eli Lilly and Co., said the drug\'s label lists osteoporosis as a potential but rare side effect. Still, she said the new study was too small to establish any proof that SSRIs might cause fractures.</p><p>Pfizer Inc., maker of Zoloft, issued a statement responding to the study and calling depression \"a serious problem in the elderly that is under-diagnosed and under-treated.\"</p><p>\"SSRIs are an important option for the treatment of depression in this population. As the authors note, the risks must be balanced against the benefits gained by the treatment of depression,\" Pfizer said.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i>Copyright 2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.</i></div><br><table width=\"100%\" style=\"background-color:#ffffee\" cellPadding=\"2\" cellSpacing=\"0\"><tr><td width=\"50%\"><font size=\"1\"><img src=\"/images/msnbc/print02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:printThis(\'16756646\')\" class=\"linkBlack\">Print this</a></font></td><td><font size=\"1\"><img src=\"/images/msnbc/email02.gif\" width=\"25\" height=\"20\" align=\"absmiddle\"> <a href=\"javascript:emThis(\'16756646\')\" class=\"linkBlack\">Email this</a></font></td></tr></table></td><td width=\"10\"></td></tr></table><table cellspacing=\"0\" cellpadding=\"0\" border=\"0\" width=\"100%\"><tr><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\" bgcolor=\"#7788aa\"><tr height=\"20\"><td width=\"98%\" bgcolor=\"#7788aa\"><font size=\"-1\"><b color=\"#ffffff\">&nbsp;MORE FROM AGING</b></font></td></tr></table></td></tr><tr><td><table width=\"100%\" cellspacing=\"5\" cellpadding=\"0\" bordercolor=\"#cccccc\" border=\"1\" style=\"border:solid 1px #cccccc;background-color:#eeeeee;\" bgcolor=\"#eeeeee\"><tr><td><table cellspacing=\"0\" border=\"0\" width=\"100%\" cellpadding=\"0\" class=\"headlineList2\"><tr></tr></table></td></tr><tr valign=\"top\"><td><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr><td><table width=\"100%\" bgcolor=\"#ffffff\" cellspacing=\"0\" cellpadding=\"10\" border=\"0\"><tr valign=\"bottom\"><td style=\"padding:10px;\" width=\"15%\"><a onmouseover=\"swapImage(\'next_links\',\'/images/buttons/next/buttonNextOver.gif\')\" onmouseout=\"swapImage(\'next_links\',\'/images/buttons/next/buttonNext.gif\')\" onmousedown=\"swapImage(\'next_links\',\'/images/buttons/next/buttonNextDown.gif\')\" href=\"/id/16713130/\"><img src=\"/images/buttons/next/buttonNext.gif\" border=\"0\" width=\"53\" height=\"19\" id=\"next_links\"></a></td><td class=\"textMedBlackBold\" style=\"padding:10px;\" width=\"85%\">Boomers\' health mistakes can add up later</td></tr></table></td></tr><tr><td style=\"padding:0px;\"><font color=\"#000000\"><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr valign=\"top\" bgcolor=\"#dddddd\"><td width=\"20\"><img src=\"/images/arrowCurrentStory.gif\" border=\"0\" width=\"16\" height=\"16\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\">Antidepressants linked to broken bones</font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16713130/\">Boomers\' health mistakes can add up later</a></font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16657627/\">Wanna live longer? 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INSERT INTO `dede_addonarticle` VALUES('1406','6','	<p><p>TUESDAY, Sept. 26 (HealthDay News) -- Alcoholics with personality disorders are even more likely to have problems making decisions, according to new research.</p> <p>In a study appearing in the October issue of <i>Alcoholism: Clinical &amp; Experimental Research</i>, researchers from the Alexian Brothers Psychiatric Center in Belgium compared the decision-making abilities of a group of alcoholics with a group of people with no substance-abuse issues.</p> <p>Since alcoholics tend to have impaired decision-making abilities, the researchers wanted to determine if decision-making impairments are specific to addictive disorders, or if other personality disorders play a part.</p> <p>&quot;Normally, we make choices by weighing immediate benefits of different options relative to possible negative consequences in the longer term,&quot; Geert Dom, head of treatment at the center, said in a prepared statement.</p> <p>&quot;When these abilities are impaired, people are less able to cognitively evaluate the longer-term consequences of their choices,&quot; Dom added. &quot;This is reflected in real life by choices that are socially inadequate and/or related to overtly negative outcomes. Substance or polydrug use/abuse is one example.&quot; </p> <p>The researchers found that both alcoholism and antisocial and borderline personality disorders were associated with decision-making impairments. Furthermore, the alcoholics who also had antisocial or borderline personality disorder were particularly impaired.</p> <p><b>More information</b></p> <p>The National Mental Health Association has more about <a href=\"http://www.nmha.org/infoctr/factsheets/91.cfm\" target=\"_new\">personality disorders</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1407','6','	<p><p>THURSDAY, Sept. 28 (HealthDay News) -- While 17 percent of people who suffered strokes went on to develop depression, only a fifth of these patients ever received antidepressant drugs, a new Australian study found.</p> <p>Those results &quot;are a confirmation of things that have been suggested by other studies,&quot; and the same under-treatment almost certainly occurs in the United States, noted Daniel T. Lackland, a professor of epidemiology at the Medical University of South Carolina, a spokesman for the American Heart Association.</p> <p>&quot;Stroke patients suffering from depression have been found to have reduced quality of life and a higher rate of death, so it is important to identify and treat depression after stroke,&quot; study lead author Seana L. Paul, a researcher at the National Stroke Research Unit in Victoria, Australia, said in a statement.</p> <p>Her team published its findings in the journal <i>Stroke</i>.</p> <p>In the study, the Australian group visited 289 men and women in the five years after they had strokes, asking about any symptoms of depression and any medications they were taking.</p> <p>They found that 17 percent of these stroke survivors were, in fact, suffering from depression. However, only 22 percent of those with depression were taking an antidepressant medication. Antidepressant medication provided some relief for 72 percent of those taking the drugs, the researchers found.</p> <p>These medications do more than just lift moods, they added. &quot;We know that stroke survivors who are not depressed live longer, higher-quality lives than those who are depressed,&quot; Paul said. &quot;Consequently, educating physicians, stroke survivors and their families about the risk of depression after stroke may increase identification of depression and lead to improved treatment.&quot;</p> <p>Failure to treat stroke survivors for depression might mean that doctors are not certain that antidepressants are effective and safe, she added. &quot;Another factor may be that depression among stroke patients is not being diagnosed.&quot;</p> <p>The Australian study confirms what is more or less common knowledge, according to Lackland. &quot;One of the major things we know at the primary-care level is that people who have strokes are an at-risk group for depression,&quot; he said.</p> <p>What\'s less clear is why depression so often goes untreated.</p> <p>&quot;It\'s probably a combination of a number of things,&quot; Lackland said. &quot;One is that stroke patients are not being referred to psychiatrists. Probably depression just is not being assessed in the group. Their physicians are more concerned about other aspects of stroke, such as controlling blood pressure or diabetes or other factors.&quot;</p> <p>In addition, someone who suffers a stroke &quot;may be less enthusiastic about living than before,&quot; he said.</p> <p>It is thus &quot;very, very appropriate&quot; for friends or relatives of the stroke patient to be alert for signs of depression and to suggest treatment, Lackland said.</p> <p>The finding suggests the need for a large-scale controlled trial of antidepressant medication after a stroke, Paul said.</p> <p><b>More information</b></p> <p>A fact sheet on stroke and depression is available from the <a href=\"http://www.nimh.nih.gov/publicat/depstroke.cfm\" target=\"_new\">U.S. National Institute of Mental Health</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1408','6','	<p><p>(HealthDay News) -- While stress is an unavoidable part of life, learning how to manage the tension can help ward off stress-related health problems.</p> <p>Here are some stress-busting tips from the Detroit Medical Center:</p> <ul> <li>Do something just for yourself.</li> <li>Discuss your feelings with a friend or family member.</li> <li>Exercise at least three times a week.</li> <li>Avoid overindulging in food, alcohol or over-the-counter medications.</li> <li>Eat at least one hot meal a day.</li> <li>Cut down on drinks that contain caffeine.</li> <li>Learn and use meditation or relaxation exercises.</li> <li>Take up yoga or Tai Chi.</li> <li>Go see a funny movie or rent a comedy from a video store.</li> <li>Have regular physical examinations.</li> </ul> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1409','6','	<p><p>TUESDAY, Sept. 26 (HealthDay News) -- Antibiotics alone offer no effective treatment for trachoma, an infectious eye disease that is the second leading cause of blindness after cataract, a study indicates.</p> <p>Some 600 million people worldwide are vulnerable to trachoma, and 146 million need treatment to preserve their sight, the World Health Organization estimates.</p> <p> The new study, done in Vietnam, found that the benefits of antibiotic treatment were short-lived.</p> <p>&quot;This study found that when we treated children with the antibiotic azithromycin, the rate of infection and of the disease decreased, out to two years, but after two years of the last treatment, there was a rebound phenomenon, with the re-infection rate increasing,&quot; warned researcher Dr. Deborah Dean, a senior scientist at Children\'s Hospital Oakland Research Institute in California.</p> <p>Her team reported the findings in the Sept. 27 issue of the <i>Journal of the American Medical Association.</i> </p> <p>Trachoma is caused by the <i>Chlamydia trachomatis</i> bacterium, which can infect the eyes and genitals. While the disease is most common in children, over several decades of re-infection, the continuing inflammation can force the eyelids to invert. This forces the lashes to abrade the cornea and produces blinding scars.</p> <p>The bacteria are spread by means of hand-to-eye contact and by flies that feed on cow dung and human waste in poor villages. In Africa and Asia, unclean conditions keep the bacteria rampant. Up to 25 percent of older people infected with the microbe eventually will go blind.</p> <p>Antibiotic treatment is one part of a standard WHO health care strategy against trachoma. The three other parts are surgery to prevent eyelids from inverting, facial cleanliness and environmental improvements, such as provision of clean water.</p> <p>In their study, the researchers tracked outcomes for more than 3,000 residents of three Vietnamese communities that got the WHO trachoma program for three years and compared it to outcomes of residents who only received surgery for the illness.</p> <p>Surprisingly, they found that re-infection rates <i>increased</i> substantially in the communities that received the WHO\'s program and declined in the surgery-only communities.</p> <p>The likely reason: Antibiotic treatment interrupts trachoma infection, the researchers said, but does not give the patient\'s immune system enough time to build an adequate defense against re-infection.</p> <p>Other studies have shown that antibiotics can have benefits, however. In a trial done two years ago in Ethiopia, individuals received antibiotics after surgery to prevent eyelid curling.</p> <p>&quot;The antibiotic group had one-third fewer instances of eyelid curling,&quot; noted Emily West, an epidemiologist and assistant professor in the department of ophthalmology at Johns Hopkins Medical Institutes, in Baltimore. She was a member of that research team.</p> <p>Current policy is for a medical team to visit a village once a year and distribute antibiotics to as many residents as possible, West said. &quot;From 85 to 95 percent [of residents] have to be treated to make sure that the disease does not come back,&quot; she said.</p> <p>However, Dean said, &quot;it is unlikely that antibiotics alone will give that kind of control.&quot;</p> <p>She noted that although trachoma may seem a distant menace to Americans, there was a time when it was a common condition for people living under frontier conditions. Better living standards have virtually banished the disease from this country, but it remains a menace to some American Indian tribes, Dean said. </p> <p>&quot;We have to think in terms of long-term strategy, and that is not going to be antibiotics alone,&quot; she said. &quot;Local hygiene, including clean water, is a very important factor.&quot;</p> <p>The ultimate solution would be a vaccine, Dean said. Antibiotics can treat a disease, but &quot;no disease has ever been eliminated by antibiotics,&quot; Dean said. On the other hand, old menaces such as smallpox have effectively been eliminated by vaccines, she said.</p> <p>Several groups, including one in Oakland, are working on trachoma vaccines, Dean said. She estimated the time-frame for the arrival of an effective vaccine at &quot;5 to 10 years, if dreams come true.&quot;</p> <p><b>More information</b></p> <p> To learn more about the fight against trachoma, visit the <a href=\"http://www.trachoma.org\" target=\"_new\">International Trachoma Initiative</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1410','7','	<p> <P>All across the country, impassioned cancer survivors, researchers, and advocates are gearing up and packing their bags to make their voices heard in Washington, DC at the <a href=\"http://www.celebrationonthehill.org/\">Celebration on the Hill</a>. </p> <P>The 2-day event takes place September 19 and 20 and is sponsored by the American Cancer Society\'s sister advocacy organization, the American Cancer Society Cancer Action Network (ACS CAN). It will bring some 4,000 \"Celebration Ambassadors\" -- representing every congressional district in the country -- and thousands of other advocates to Capitol Hill in Washington, DC. Their mission: to tell lawmakers about the importance of adequate funding for cancer research and services, to remember those who have lost the battle with this disease, and to celebrate those who are fighting and surviving it. </p> <P>The goal is to make cancer a national priority, organizers say. It\'s a goal the participants are intensely committed to reaching. </p> <P>\"This is not the time to back down,\" said Joyce Graves, a 2-time <a href=\"http://www.cancer.org/docroot/CRI/CRI_2x.asp?sitearea=LRN&dt=5\">breast cancer</a> survivor from New Mexico. She became a passionate fundraiser with <a href=\"http://www.cancer.org/docroot/PAR/Content/PAR_1_Relay_For_Life.asp\">Relay For Life</a> after her first diagnosis, and became even more committed to the supporting research after her husband, Paul, was diagnosed with <a href=\"http://www.cancer.org/docroot/CRI/CRI_2x.asp?sitearea=&dt=83\">chronic myeloid leukemia</a>. The <a href=\"http://www.cancer.org/docroot/NWS/content/NWS_1_1x_Targeted_Therapies_Aim_for_Cancers_Achilles_Heel.asp\">targeted drug</a> Gleevec has kept him in remission for more than 4 years. Both husband and wife are acting as Ambassadors at Celebration on the Hill. </p> <P>\"Paul is alive because of research,\" Joyce stressed. \"[New discoveries] are coming fast and furious.\"</p> <div class=T8>A Call to Sustain Federal Cancer Funding');
INSERT INTO `dede_addonarticle` VALUES('1411','7','	<p><p>FRIDAY, Sept. 15 (HealthDay News) -- A new test may help identify which breast cancer patients are most likely to benefit from chemotherapy.</p> <p>The test, called OncoPlan, is already commercially available, and it has been shown to predict the aggressiveness of tumors and disease recurrence after surgery in breast, colon and stomach cancers. Now researchers believe it may help predict which breast cancer patients would benefit most from chemotherapy.</p> <p>In a study presented at the first meeting on Molecular Diagnostics in Cancer Therapeutic Development, researchers looked at the two forms of protein measured by OncoPlan in 2,380 women with breast cancer, 717 of whom had undergone chemotherapy.</p> <p>They found that the women who had low levels of one of the proteins and did not receive chemotherapy had very poor outcomes. The same women who did receive chemotherapy, however, had a twofold reduced risk of relapsing and dying from their disease.</p> <p>The women who had high levels of the protein were much more likely to survive their disease, and appeared to derive no additional benefit from chemotherapy.</p> <p>More research is needed to clarify the ability of OncoPlan in predicting outcomes of chemotherapy.</p> <p>&quot;But even at this point, the results are very exciting because, with further validation in clinical trials, OncoPlan, which is already being used to predict disease aggressiveness, will help to ensure that individual patients receive the most beneficial therapies,&quot; study author A. Raymond Frackelton Jr., an associate professor at Brown University and vice president of Research at Catalyst Oncology (the company marketing OncoPlan), said in a prepared statement.</p> <p><b>More information</b></p> <p>The National Cancer Institute has more about <a href=\" http://www.cancer.gov/cancerinfo/types/breast\" target=\"_new\">breast cancer</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1412','7','	<p><p>FRIDAY, Sept. 15 (HealthDay News) -- Younger women who have had their ovaries removed should consider estrogen therapy if they are under the age of 45, a new study suggests.</p> <p>Mayo Clinic researchers found that those who said no to hormone therapy faced a higher death risk than those who said yes.</p> <p>Many women with high-risk family histories have their ovaries removed, a procedure known as an oophorectomy, to help them avoid cancer or other diseases. However, experts said this new data should give them pause when deciding whether to use hormone replacement therapy afterwards.</p> <p>According to one specialist, the study suggests that estrogen may have different risks and benefits, depending on a woman\'s age: protecting health at a younger age, seemingly neutral at menopause, but harmful at an older age.</p> <p>&quot;The study tells us that estrogen for women under 45 is very important to maintain health. Estrogen is a complex hormone in its interactions in the body, and has importance far beyond the reproductive tract,&quot; said Dr. Bobbie Gostout, a Mayo Clinic gynecologic surgeon who was not involved in the research.</p> <p>The findings are published in the Oct. 1 issue of <i>Lancet Oncology</i>.</p> <p>In their study, the researchers developed a statistical model of death due to ovarian cancer, breast cancer, coronary heart disease, hip fracture and stroke. Risks for all of these illnesses have been tied to estrogen levels.</p> <p>&quot;We aimed to investigate survival patterns in a population-based sample of women who had received an oophorectomy, and compare these with women who had not received an oophorectomy,&quot; the researchers wrote.</p> <p>Women who had oophorectomies for reasons other than cancer before menopause were compared with age-matched women in the same population who did not have oophorectomies.</p> <p>There were nearly 1,300 women with unilateral oophorectomy (one ovary removed), nearly 1,100 with bilateral oophorectomy (both ovaries removed), and close to 2,400 controls in the study.</p> <p>The team found that certain younger women who have prophylactic bilateral oophorectomy -- surgical removal of both ovaries -- were at an increased risk of death from all causes.</p> <p>Overall, mortality was not increased in women who had both ovaries removed, but that changed when the researchers broke down the findings by age.</p> <p>For example, mortality was significantly higher in women who had both ovaries removed before the age of 45 years than women with intact ovaries. Furthermore, this increased mortality was seen mainly in women who had not received estrogen supplementation to the age of 45 years.</p> <p>Although having both ovaries removed before age 45 years is associated with increased death risk, it is uncertain whether it helps cause death, or is merely a marker of some other underlying risk, the authors wrote.</p> <p>No increased mortality was recorded in women who had just one ovary removed, regardless of their age, the study found.</p> <p>In the United States, prophylactic oophorectomy prevents about 1,000 cases of ovarian cancer each year. Over the last three decades doctors have been gradually increasing their recommendations that women have ovaries removed at time of hysterectomy to avoid the risk of cancer, &quot;but that wonderful prevention has been at the cost of removing ovaries in 300,000 women per year,&quot; Gostout said.</p> <p>&quot;This 25-year study showed a decreased incidence in ovarian cancer, however that was countered by adverse health impact in other areas,&quot; said Gostout. The increased death risk did not show up for at least a decade, and was 1.7 times greater than normal, the study found.</p> <p>The work is exciting because it fills in part of the information deficit for women in this age bracket, she added.</p> <p>Before this study, people were applying lessons from Women\'s Health Initiative -- a study that focused on women 60 years and older -- to much younger women, recommending that estrogen not be used any longer than five years.</p> <p> &quot;This study shows that could be an error -- that women under the age of 50 face a different risk/benefit scenario than older women,&quot; Gostout said.</p> <p>But whether all women who\'ve had bilateral oophorectomy should receive estrogen therapy isn\'t yet proven, another expert said.</p> <p>The researchers looked at associations in this study, &quot;but don\'t prove cause and effect,&quot; noted Dr. Andrew Berchuck, director of gynecologic oncology at Duke University, and president-elect of the Society of Gynecologic Oncologists. Estrogen replacement after menopause is a &quot;patient-by-patient decision, and physicians and patients must look at individual risk factors and symptoms,&quot; he said.</p> <p>There\'s a long-running debate about what age to remove ovaries, &quot;but there\'s very little science because these studies require long-term follow-up, and that\'s hard to do,&quot; Berchuck said. &quot;This study adds some ammunition to the argument that says \'leave the ovaries in closer to the natural age of menopause\' -- about 50 years -- but it\'s by no means conclusive,&quot; he said.</p> <p>Gostout agreed these decisions are tough, and best left to an individual woman and her doctor. &quot;If a woman is considering hysterectomy, she will probably be invited to make a decision about her ovaries. That decision should be highly individualized,&quot; Gostout cautioned. &quot;No woman should be told that because she\'s having a hysterectomy her ovaries must removed as well.&quot; Rather, the decision is based on age and family risk for breast and ovarian cancer, she said.</p> <p>If a woman needs her ovaries removed because of disease or elects to have them removed, estrogen replacement is recommended until the average age of menopause, age 50, Gostout said.</p> <p>&quot;Don\'t be scared away from estrogen-replacement therapy in the premenopausal age because there are some concerns in the postmenopausal age,&quot; Berchuck added.</p> <p>In the meantime, women who have had their ovaries removed in the past should not be &quot;alarmed or frightened,&quot; Gostout said, since &quot;the increased risk [of illness] for any single woman is very tiny.&quot; She said it might also be reasonable for these women to ask their physicians about &quot;estrogen-replacement therapy if they\'re not already taking it and they\'re less than 50 years of age.&quot;</p> <p><b>More information</b></p> <p>Find out more about hormone-replacement therapy at the <a href=\"http://www.nhlbi.nih.gov/health/women/index.htm&quot; target=\">U.S. National Heart, Lung, and Blood Institute</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1413','7','	<p><p>FRIDAY, Sept. 15 (HealthDay News) -- A key protein may help doctors spot women at hidden risk for developing breast and ovarian cancer, according to new research.</p> <p>Some women do not have mutations in the BRCA1 or BRCA2 genes for breast and ovarian cancer but still have a strong family history of these cancers.</p> <p>&quot;We knew that there must have been something else that we could track genetically,&quot; principal investigator Tanja Pejovic, an associate professor of obstetrics and gynecology at the Oregon Health & Science University School of Medicine, said in a prepared statement.</p> <p>In a study appearing in the Sept. 15 issue of <i>Cancer Research</i>, researchers from the Oregon Health & Science University Cancer Institute examined the ovarian tissue of 22 women.</p> <p>That found that those who had a family history of ovarian cancer but no BRCA mutations had a low level of a protein known as FANCD2, which normally protects DNA and helps repair broken chromosomes. In women with low levels of FANCD2, cells from the ovary were unable to be repaired, putting them at risk of developing cancer-causing mutations.</p> <p>&quot;Basically we have discovered that by testing ovarian cells for chromosome breakage, we may be able to identify many more women at risk for ovarian and breast cancer than by using BRCA1 and BRCA2 mutation testing,&quot; said Pejovic.</p> <p>She believes these findings may lead a cancer screening method that uses minimally invasive surgery to remove a few epithelial cells from the ovary for testing. During tests, doctors would look for signs of chromosomal breakage. </p> <p>&quot;Once this method is fully developed,&quot; she said, &quot;we will be able to tell a young woman who has a family history of ovarian or breast cancer, but who wants to have children, whether she is at risk or not, without removing her ovary.&quot;</p> <p><b>More information</b></p> <p>The National Cancer Institute has more about <a href=\"http://www.cancer.gov/cancertopics/types/breast\" target=\"_new\">breast cancer</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1414','7','	<p><p>TUESDAY, Sept. 26 (HealthDay News) -- Scientists have devised more precise ways to identify individuals who might have gene mutations associated with Lynch syndrome, the most common hereditary form of colorectal cancer.</p> <p>These tools could guide patients and physicians when considering actual testing, treatment and even prevention options.</p> <p>&quot;We\'re asking the question, \'Who should get genetic testing?\' These tests are trying to better predict, so we can focus testing and resources,&quot; said Dr. Jerald D. Wishner, director of colon and rectal surgery at Northern Westchester Hospital Center in Mount Kisco, N.Y. &quot;The significance of a positive genetic test is very real in the clinical world in terms of treatment options.&quot;</p> <p>Added Dr. Jeffrey Weitzel, director of clinical cancer genetics at City of Hope Comprehensive Cancer Center in Duarte, Calif., &quot;Can we develop tools that are more accurate to help us predict who may or may not be a carrier? That would be an adjunct to decisions about testing.&quot;</p> <p>Reports on the new tests were published in the Sept. 27 issue of the <i>Journal of the American Medical Association</i>.</p> <p>Lynch syndrome is the most common form of hereditary colorectal cancer in the West, accounting for 2 percent to 5 percent of all cases of the disease. The condition is mainly associated with mutations in the MLH1 and MSH2 genes, and people with these mutations also often have a higher risk of other cancers, including ovarian, stomach, small bowel and brain tumors.</p> <p>Although genetic screening for the mutations is available, it is not foolproof and is expensive.</p> <p>&quot;It\'s about a $3,000 test,&quot; Wishner said. &quot;Insurance companies don\'t always pay for it.&quot;</p> <p>Other criteria for determining who might be prone to Lynch syndrome also have significant limitations.</p> <p>The first model, PREMM1,2 (Prediction of Mutations in MLH1 and MSH2), incorporates personal and family history variables.</p> <p>&quot;In a more quantitative way, this tells people what their risk is of having the syndrome,&quot; said Dr. Sapna Syngal, senior author of the study and director of the familial GI (gastrointestinal) cancer program at Dana-Farber/Brigham and Women\'s Cancer Center in Boston.</p> <p>People can use the model themselves online. &quot;We\'re hoping that it\'s an easier way to figure out people\'s risk,&quot; Syngal said. &quot;The criteria that existed before was very complicated, and it was hard to know if you were high-risk or not.&quot;</p> <p>The second study, MMRpro, was developed by researchers at Johns Hopkins University. MMRpro estimates probability based on family history of colorectal and endometrial cancer.</p> <p>&quot;This is a model that predicts the Lynch syndrome better than what we already had,&quot; said Sining Chen, lead author of the study and assistant professor of environmental health sciences and biostatistics at Johns Hopkins Bloomberg School of Public Health. &quot;This is a tool that helps identify people who are at high risk. It\'s ready to go. You can download software off of the Web page.&quot;</p> <p>While representing progress, both methods need improvement, experts said.</p> <p>For one thing, both are cumbersome. &quot;The MMRpro requires collecting so much data,&quot; Wishner said. &quot;There\'s more potential for inaccuracies. Clearly, more research needs to be done.&quot;</p> <p>&quot;Almost certainly, there will be a number of people who will go out and use these in clinical practice,&quot; Weitzel added. &quot;None of these models is going to make me not do the test. I don\'t want to miss the true positives. At the end of the day, the most important thing is going to be clinical judgment.&quot;</p> <p><b>More information</b></p> <p>For more on Lynch syndrome, visit the U.S. <a href=\"http://ghr.nlm.nih.gov/condition=hereditarynonpolyposiscolorectalcancer\" target=\"_new\">National Institutes of Health</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1415','7','	<p><p>WEDNESDAY, Sept. 27 (HealthDay News) -- Amgen\'s Vectibix (panitumumab) was approved by the U.S. Food and Drug Administration on Wednesday for people with colorectal cancer that has spread to other body sites.</p> <p>Vectibix -- a type of drug known as a monoclonal antibody -- binds to a protein on certain cancer cells and may slow or stop the growth of some tumors.</p> <p>In clinical testing involving 463 people who had undergone chemotherapy due to metastatic cancer of the colon or rectum, the average time to disease progression or death was 96 days, versus 60 days among people who didn\'t get the drug, the FDA said in a statement. In addition, 8 percent of users experienced a shrinkage in tumor size -- in some cases by more than 50 percent.</p> <p>As a condition of approval, Amgen is required to conduct additional research to find out whether survival will improve among Vectibix users with fewer chemotherapy sessions than participants in previous studies.</p> <p>This year, an estimated 150,000 new cases of colorectal cancer will be diagnosed, causing 55,000 deaths, the agency said.</p> <p><b>More information</b></p> <p>To learn more about colorectal cancer, go to the <a href=\"http://www.cancer.org/docroot/CRI/CRI_2x.asp?sitearea=LRN&dt=10\" target=\"_new\">American Cancer Society</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1416','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/9/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>NEW YORK</b> (Reuters)  -- There is no scientific evidence to back up recent statements by fashion supermodel Gisele Bundchen that unsupportive families can cause the eating disorder anorexia nervosa, experts say.</p><p>Misguided claims that families are responsible for anorexia nervosa -- a disorder characterized by the relentless pursuit of thinness, emaciation and the obsessive fear of gaining weight -- cause harm on a number of levels, warns Dr. Allan S. Kaplan, a specialist in eating disorders at the University of Toronto.</p><p>&quot;By contributing to the stigma, it drives sufferers underground and creates obstacles to seeking help. Such thinking also misinforms third party payors who may not want to pay for the treatment of these biologically based illnesses if they think the primary cause is family dysfunction.&quot;</p><p>A number of recent studies involving identical and non-identical twins have shown &quot;pretty conclusively that genes are very important -- and probably outweigh environment -- in terms of susceptibility to developing anorexia,&quot; Dr. Walter H. Kaye, professor of psychiatry at the University of Pittsburgh, told Reuters.</p><p>&quot;Many people diet but relatively few end up with anorexia nervosa,&quot; Kaye points out. &quot;You really have to have some sort of susceptibility to really be vulnerable to developing anorexia because only a very small percentage of women -- less than half a percent -- develop anorexia.&quot;</p><p>That\'s not to say that societal pressure to be thin isn\'t irrelevant, Kaye added; it may be the environmental trigger that releases a person\'s genetic risk.</p><p>Clues are emerging as to precisely where those genes are and how they are related to behavior and the development of anorexia, he said.</p><p>Kaye and Kaplan are members of an international group of researchers attempting to unravel the genetic underpinnings of anorexia. They are participating in the National Institutes of Mental Health-funded Genetics of Anorexia Nervosa Study, which aims to recruit 400 families with two or more people with anorexia, with the goal of figuring out which genes play a role in anorexia.</p><p>&quot;This study will really substantially advance the field,&quot; Kaye predicted.</p><p>Families in which two or more relatives have had anorexia including siblings, cousins, aunts, uncles, or grandparents, are encouraged to call 1-888-895-3886 or visit the study\'s Web site  (<a href=\"/http://www.wpic.pitt.edu/research/angenetics/\">www.anagenics.org</a>) to find out more about the study.</p><p class=\"cnnSCAttribution\">Copyright 2007 <a href=\"/interactive_legal.html#Reuters\">Reuters</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1417','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><div id=\"cnnSCByLine\">From  Mandy Carranza<br> CNN<br> </div><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>ATLANTA, Georgia</b> (CNN) -- Genetic testing can help predict many diseases and one day may help prevent them, but privacy concerns and fears of abuse could derail the technology\'s potential.</p><p>Genes are the basic building blocks of life. There are more than 20,000 in the human body, which determine everything from gender, to the color of hair and a person\'s height.</p><p>Scientists said they hope genetic information will lead to more advanced treatments in the future.</p><p>&quot;It will make our medicines more effective, reduce the dangerous side effects; it will allow us to be on the lookout for things we need to be on the lookout for,&quot; said David Magnus, a bioethics professor at Stanford University. &quot;It could offer a lot of help for the future.&quot;</p><p>Doctors can test blood or other tissue to check for genetic flaws that could increase the risk of disease such as cystic fibrosis, diabetes and cancer.</p><p>For example, the American Cancer Society said that a woman has a 12 percent chance of developing breast cancer in her lifetime. That risk jumps to between 50 percent and 85 percent if the woman is genetically predisposed to the disease.</p><p>The predictions are not exact, but they could inspire people to make lifestyle changes and other health decisions that could reduce their risks. (<a href=\"javascript:cnnVideo(\'play\',\'/video/health/2007/01/27/carranza.genetics.future.cnn\',\'2007/02/10\');\">Watch why genetic testing offers hope</a> <a href=\"javascript:cnnVideo(\'play\',\'/video/health/2007/01/27/carranza.genetics.future.cnn\',\'2007/02/10\');\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/main/icon_video.gif\" alt=\"Video\" width=\"19\" height=\"12\" vspace=\"1\" hspace=\"0\" border=\"0\" class=\"cnnVideoIcon\"></a>)</p><p>But a negative test does not mean a woman won\'t get the disease, and some experts said a positive test could be traumatizing. </p><p>&quot;If you have a positive test result, some patients feel that\'s a death sentence,&quot; said Selvi Palaniappan, a certified genetics counselor at Northside Hospital in Atlanta.</p><a name=\"1\"></a><a name=\"rv4\"></a><h3>Difficult decision for patients</h3><p>Margaret Scott\'s breast cancer was diagnosed six years ago, and she is now cancer-free. She said she wonders whether the disease runs in her family but has decided not to have a genetic test.</p><p>&quot;Since I am not married and do not have any children yet, I didn\'t feel I wanted that hovering over me,&quot; Scott said.</p><p>Jeffrey Kahn, director of the Center for Bioethics at the University of Minnesota, said the decision to undergo genetic testing can be difficult.</p><p>&quot;If you accept genetic testing information, you may learn something about your family -- some of it good and some of it potentially very troubling and traumatic,&quot; he said. &quot;That needs to be part of the discussion as individuals go forward, or not, with genetic testing.&quot;</p><a name=\"2\"></a><a name=\"rv3\"></a><h3>Debate over so-called genetic discrimination</h3><p>Heidi Williams is an advocate against what she calls genetic discrimination. She said her insurance company refused to cover her children because of genetic test results.</p><p>Williams has a chronic liver deficiency called Alpha-1 that causes her body to kill the air sacs in her lungs.</p><p>Tests on her children found that they were unlikely to develop the disease but had a greater chance of passing it on to their children.</p><p>She said Humana twice denied the health insurance applications before finally extending coverage to her children.</p><p>Humana spokesman Tom Noland said that &quot;it was a misunderstanding, not discrimination. It was a paperwork error that was later discovered and corrected.&quot; (<a href=\"javascript:cnnVideo(\'play\',\'/video/health/2007/01/27/carranza.genetics.controversy.cnn\',\'2007/02/10\');\">Watch why some fear genetic testing</a> <a href=\"javascript:cnnVideo(\'play\',\'/video/health/2007/01/27/carranza.genetics.controversy.cnn\',\'2007/02/10\');\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/main/icon_video.gif\" alt=\"Video\" width=\"19\" height=\"12\" vspace=\"1\" hspace=\"0\" border=\"0\" class=\"cnnVideoIcon\"></a>)</p><p>A spokeswoman for America\'s Health Insurance Plans, which represents almost 1,300 health insurers, said she does not know of any genetic discrimination cases.</p><p>&quot;America\'s Health Insurance Plans believes that genetic testing is important to help guide treatment decisions and options and to improve the quality of care,&quot; Susan Pisano said. &quot;Our understanding is that health insurance plans do not use results from genetic tests for rate setting or underwriting.&quot;</p><p>But in 2001, in what is believed to be the largest reported case, a railroad company agreed to pay $2.2 million to settle a lawsuit alleging that it secretly conducted genetic tests on workers who filed medical claims for carpal tunnel syndrome -- a repetitive-stress injury. </p><p>In settling the case, the Burlington Northern and Santa Fe Railway Co. became one of the first firms to admit conducting genetic tests on its workers.</p><a name=\"3\"></a><a name=\"rv2\"></a><h3>On the regulation front</h3><p>Whatever the uncertainty over genetic discrimination, Americans have become concerned about the possible misuse of genetic information, especially in health insurance and employment. </p><p>A June 2000 Time magazine/CNN poll found that 75 percent of those surveyed wouldn\'t want their insurance company to have information about their genetic codes.</p><p>Some members of Congress have been working since 1996 to pass legislation that would prevent health insurers and employers from requesting or requiring genetic tests and bars insurers from raising premiums based on test results.</p><p>A bill cleared the Senate in 2005 but stalled in the House of Representatives.</p><p>Forty-one states have laws against some forms of genetic discrimination, but Kahn of the University of Minnesota\'s Center for Bioethics said uniform rules are needed across the country.</p><p>&quot;What insurers can do with that information and what employers can do with that information is something we should deal with as a matter of federal policy and not leave it as a state-to-state matter,&quot; Kahn said. <a href=\"javascript:CNN_openPopup(\'/interactive/health/0701/genetics.testing/state.gt.laws/frameset.exclude.html\',\'770x576\',\'toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=no,width=770,height=576\');\">(Interactive: State Genetic Discrimination Laws)</a></p><p>Kahn predicted that patients would one day have all their genetic information encoded on a magnetic strip like a credit card to help doctors customize their treatment. (<a href=\"javascript:CNN_openPopup(\'/interactive/health/0701/genetics.testing/genetic.future/frameset.exclude.html\',\'770x576\',\'toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=no,width=770,height=576\');\">Interactive: The Future of Genetics</a>)</p><a name=\"4\"></a><a name=\"rv1\"></a><h3>Treatment lets parents achieve \'dreams\'</h3><p>In one area of technological advancement, doctors are using genetic testing to help parents with hereditary conditions have healthy babies.</p><p>The Reproductive Genetics Institute, a Chicago, Illinois, fertility clinic, screens embryos for diseases before implanting them in a mother. <a href=\"javascript:cnnVideo(\'play\',\'/video/health/2007/01/27/carranza.genetics.overview.colu\',\'2007/02/10\');\">(Watch how genetic tests are preventing birth defects)</a> <a href=\"javascript:cnnVideo(\'play\',\'/video/health/2007/01/27/carranza.genetics.overview.colu\',\'2007/02/10\');\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/main/icon_video.gif\" alt=\"Video\" width=\"19\" height=\"12\" vspace=\"1\" hspace=\"0\" border=\"0\" class=\"cnnVideoIcon\"></a></p><p>Dana and Mark Matt went to the clinic after their 17-month-old son, Kelsey, died from Zellweger\'s syndrome -- a genetic condition that affects brain development. Kelsey was on a feeding tube his entire short life, had to have a tracheotomy and needed a ventilator for the nine months before his death.</p><p>The Matts said they were determined not to have history repeat itself. </p><p>&quot;There was no way for us to complete our family without the use of the genetics technology that we used,&quot; Dana Matt said.</p><p>Using the process known as pre-implantation diagnosis, the couple now have 5 1/2-month-old twin girls.</p><p>Despite the $28,000 cost of the procedure (including travel expenses), the Matts said they think they made a good decision.</p><p>&quot;It gave us a larger family,&quot; Dana Matt said. &quot;It\'s such a blessing, something we always dreamed of having but thought we never could. It\'s made our dreams come true.&quot;</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1418','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/10/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>TOKYO, Japan</b> (Reuters) -- An outbreak of bird flu at a poultry farm in southwestern Japan was caused by the H5N1 strain, farm ministry officials said on Saturday, confirming the second such case in Japan this month.</p><p>There have been no reported cases of human infection.</p><p>Local officials were in the process of slaughtering all 50,000 birds on the farm after 3,200 of them died of the disease. Another 50,000 at an adjacent farm will also be slaughtered as a precautionary measure, a local official said.</p><p>Earlier tests had shown chickens on the farm in Miyazaki prefecture were infected with an H5 subtype of bird flu virus, but further testing had been needed to determine whether it was the H5N1 strain.</p><p>The World Health Organization says the H5N1 virus has infected 269 people and killed 163 of them worldwide since 2003. Tens of millions of birds have been killed by the disease or culled to stop it spreading.</p><p>Earlier this month, Japan suffered its first outbreak of H5N1 bird flu in poultry in more than three years, also in Miyazaki, which is the country\'s biggest poultry producing region.</p><p>Cases of the disease have flared up across Asia in recent weeks, as in previous winters, killing six people this month in Indonesia and infecting poultry across parts of southern Vietnam.</p><p>A 14-year-old boy in Azerbaijan was sent to hospital as a suspected case this week.</p><p>The first outbreak of bird flu in the European Union this year was confirmed on Wednesday after the H5N1 strain was detected in geese in Hungary.</p><p class=\"cnnSCAttribution\">Copyright 2007 <a href=\"/interactive_legal.html#Reuters\">Reuters</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1419','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/28/2007\";</script> <div id=\"cnnSCHighlightsBox\"><!----><h4><span>Story Highlights</span></h4>&#8226; Army\'s &quot;Center for the Intrepid&quot; opened Monday at Fort Sam Houston, Texas<br> &#8226; Rehab center will serve soldiers with severe burns or amputated limbs<br> &#8226; More than 500 Iraq war vets have lost limbs, many to roadside bombs<br> &#8226; Intrepid Foundation also opening two new &quot;Fisher houses&quot; for patients\' families </div><div id=\"cnnSCFontButtons\" ><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>SAN ANTONIO, Texas</b> (AP) -- The Army opened a $50 million high-tech rehabilitation center Monday that is designed to serve the growing number of soldiers who return from war as amputees or with severe burns.</p><p>Of the roughly 20,000 soldiers injured since the start of the Iraq war, more than 500 have lost a limb -- many of them in roadside bombings.</p><p>The Center for the Intrepid, a privately funded facility, includes a rock-climbing wall, a wave pool and a virtual reality computer system. </p><p>About 3,200 people attended a dedication ceremony, including Gen. Peter Pace, the chairman of the Joint Chiefs of Staff; and 2008 presidential hopefuls Sens. Hillary Rodham Clinton of New York and John McCain of Arizona. (<a href=\"javascript:cnnVideo(\'play\',\'/video/showbiz/2007/01/29/lemon.mellancamp.interview.cnn\',\'2007/02/12\');\">Watch rocker John Mellancamp perform for troops</a> <a href=\"javascript:cnnVideo(\'play\',\'/video/showbiz/2007/01/29/lemon.mellancamp.interview.cnn\',\'2007/02/12\');\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/main/icon_video.gif\" alt=\"Video\" width=\"19\" height=\"12\" vspace=\"1\" hspace=\"0\" border=\"0\" class=\"cnnVideoIcon\"></a>)</p><p>Clinton, a Democrat, said Americans are firmly behind the nation\'s veterans, despite the rancorous national debate over the Iraq war.</p><p>&quot;There is common ground on higher ground, and on that higher ground, we stand to pay in full our debt&quot; to those who were wounded in combat, she said.</p><p>McCain, a Republican former Navy pilot who spent nearly six years as a POW during the Vietnam War, said those maimed in battle can\'t be compensated enough.</p><p>&quot;We can only offer you our humility. You are the best Americans,&quot; said McCain, standing before dozens of soldiers who entered the ceremony on crutches or in wheelchairs.</p><p>The 60,000-square-foot, four-story glass building will allow the Army to move its rehabilitation program out of the Brooke Army Medical Center and into a separate facility.</p><p>&quot;The Center for the Intrepid is going to let us keep advancing what we\'ve been doing,&quot; said Maj. Stewart Campbell, the officer-in-charge of rehabilitation at Brooke. The facility tells soldiers &quot;we\'re going to take care of you for as long as you need us, to get you back to where you want to be,&quot; he said.</p><p>At Brooke, amputees were being treated in offices and facilities carved out of the larger hospital.</p><p>The new center includes a 360-degree virtual reality sphere to help soldiers recover their balance and other basic skills, and a wave pool where they can use wake boards to strengthen their backs and abdominal muscles.</p><p>Staff Sgt. Jon Arnold-Garcia, who lost part of a leg in a grenade attack, got his first look at the rehab center on Sunday.</p><p>&quot;This place is amazing, that the American people donated the money for this,&quot; said the 28-year-old from Sacramento, California. He has been in rehabilitation at Brooke since May, but he was eager to get to work at the center.</p><p>&quot;It doesn\'t look like a hospital,&quot; he said. &quot;It\'s a place I can see myself getting up and being motivated instead of walking hospital hallways with doctors.&quot;</p><p>Prior to the Iraq war, amputees were generally given acute care by the military and then turned over to the Department of Veterans Affairs, said retired Col. Rebecca Hooper, program manager for the Center for the Intrepid.</p><p>But since 2003, the military has kept those patients and made rehabilitation part of its mission.</p><p>Amputee rehab programs are now being run at Brooke, Walter Reed Medical Center and Bethesda Naval Medical Center.</p><p>The center was funded by private donations to the Intrepid Foundation, a charity that has built dozens of houses to shelter families of wounded soldiers while they undergo treatment.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1420','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/28/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>WASHINGTON</b> (AP)  -- Researchers studying a disease that causes people to suddenly drop off to sleep are trying to turn what they have learned into a new way to help insomniacs get some shut-eye.</p><p>They found that blocking brain receptors for orexin, a blood peptide, promoted sleep in rats, dogs and people, according to a paper in Sunday\'s online issue of the journal Nature Medicine.</p><p>Orexin, also known as hypocretin, is important in maintaining wakefulness. It is absent in the brains of people who suffer from narcolepsy, a chronic disorder in which people cannot regulate sleep-wake cycles normally. It is estimated to affect more than 135,000 people in the United States, according to the National Institutes of Health.</p><p>The research team, led by Francois Jenck of the Swiss drug company Actelion Pharmaceuticals, reasoned that they might be able to induce sleep if they could block orexin.</p><p>They developed a drug that can block the receptors in the brain that respond to orexin-hypocretin. The researchers reported successful testing in rodents, dogs and men.</p><p>The first tests were proof of the concept and the drug is now being evaluated to establish the correct dosage, said Roland Haefeli, an Actelion spokesman. Researchers hope to decide this year whether to conduct a Phase-Three study, a detailed assessment of the drug that would be the final step before seeking U.S. government approval for its use. Such studies can take a few years.</p><p>Narcolepsy victims often also experience cataplexy, a condition in which they lose control of muscle tone for a few seconds to minutes. Jenck said in a telephone interview that the drug tests did not prompt indications of cataplexy.</p><p>Dr. Thomas Scammell, an assistant professor of neurology at Harvard University, said the work was &quot;promising, with a certain amount of caution.&quot;</p><p>&quot;I think it may be the beginning of something quite exciting,&quot; said Scammell, who was not part of the research team.</p><p>The drug works differently from other sleep aids that are available and the researchers &quot;provide this very broad perspective, all the way from rodents to humans,&quot; he said in a telephone interview.</p><p>Scammell said the drug may work for people who do not tolerate current sleeping pills well. But he said there are concerns that blocking orexin could cause a problem in the brain that is similar to narcolepsy.</p><p>&quot;Subsequent studies will be important to make sure sleep quality is good,&quot; he said. Also, cataplexy is difficult to study in the lab because it is often triggered by strong emotions, he said.</p><p>Luis de Lecea, an associate professor of psychiatry and behavioral sciences at Stanford University, also sees promise in the research.</p><p>&quot;This new compound may give rise to a new family of sleep aids,&quot; de Lecea said. The advantage of targeting orexin-hypocretin, he said, is that it involves a relatively small number of neurons. Therefore, it can be much more selective than current sleep aid drugs.</p><p>But de Lecea, who was not part of the research team, cautioned that because of the way study was done, it was impossible to determine the sleep quality.</p><p>Jenck\'s research was funded by Actelion.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1421','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/28/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>SAN FRANCISCO, California</b> (AP)  -- In Tara Guber\'s ideal world, American children would meditate in the lotus position and chant in Sanskrit before taking stressful standardized tests.</p><p>But when she asked a public elementary school in Aspen, Colorado, to teach yoga in 2002, Christian fundamentalists and even some secular parents lobbied the school board. They argued that yoga\'s Hindu roots conflicted with Christian teachings and that using it in school might violate the separation of church and state.</p><p>Portrayed as a New Age nut out to brainwash young minds, Guber crafted a new curriculum that eliminated chanting and translated Sanskrit into kid-friendly English. Yogic panting became &quot;bunny breathing,&quot; and &quot;meditation&quot; became &quot;time in.&quot;</p><p>&quot;I stripped every piece of anything that anyone could vaguely construe as spiritual or religious out of the program,&quot; Guber said.</p><p>Now, more than 100 schools in 26 states have adopted Guber\'s &quot;Yoga Ed.&quot; program and more than 300 physical education instructors have been trained in it.</p><p>Countless other public and private schools from California to Massachusetts -- including the Aspen school where Guber clashed with parents -- are teaching yoga.</p><p>Teachers say it helps calm students with attention deficit disorder and may reduce childhood obesity. The federal government gives grants to gym teachers who complete a teacher training course in yoga.</p><p>&quot;I see a lot fewer discipline problems,&quot; said Ruth Reynolds, principal of Coleman Elementary School in San Rafael, California. Her observation of the school\'s six-year-old yoga program is that it helps easily distracted children to focus.</p><p>&quot;If you have children with ADD and focusing issues, often it\'s easy to go from that into a behavior problem,&quot; Reynolds said. &quot;Anything you can do to help children focus will improve their behavior.&quot;</p><p>In 2003, researchers at California State University, Los Angeles, studied test scores at the Accelerated School, a charter school where Guber sits on the board and where students practice yoga almost every day. Researchers found a correlation between yoga and better behavior and grades, and they said young yogis were more fit than the district average from the California Physical Fitness Test.</p><p>Guber, married to former Sony Pictures Entertainment CEO Peter Guber, embraced yoga after moving to California in the 1970s. Their 13-acre Bel-Air estate includes a clifftop garden leading to a Yoga House retreat.</p><p>In 2004, Americans spent almost $3 billion on yoga classes and retreats, books, DVDs, mats, clothing and related items. About 3 million American adults practiced yoga at least twice a week in 2006, more than doubling from 1.3 million in 2001, according to Mediamark Research.</p><p>Despite mainstream acceptance, yoga in public schools remains touchy. Critics say even stripped-down &quot;yoga lite&quot; goads young people into exploring other religions and mysticism.</p><p>Dave Hunt, who has traveled to India to study yoga\'s roots and interview gurus, called the practice &quot;a vital part of the largest missionary program in the world&quot; for Hinduism. The Bend, Oregon, author of &quot;Yoga and the Body of Christ: What Position Should Christians Hold?&quot; said that, like other religions, the practice has no place in public schools.</p><p>&quot;It\'s pretty simple: Yoga is a religious practice in Hinduism. It\'s the way to reach enlightenment. To bring it to the west and bill it as a scientific practice for fitness is dishonest,&quot; said Hunt, 80.</p><p>&quot;I\'ve talked to too many people who got hooked on the spiritual deception of yoga. They come to believe in this and become enamored with Hinduism or eastern mysticism,&quot; he said.</p><p>Concerns about yoga\'s spiritual implications have also fueled a cottage industry of books and videos that offer the purported benefits of yoga -- flexibility, strength and weight loss -- without mentioning the y-word.</p><p>Laurette Willis, 49, wrote an exercise regimen called &quot;PowerMoves Kids Program for Public Schools.&quot; The stretching routine includes pauses for children to contemplate character-building quotes from Martin Luther King Jr., Emily Dickinson, Harriet Tubman and William Shakespeare. Willis, who lives near Tahlequah, Oklahoma, also created an exercise regimen called &quot;PraiseMoves: The Christian Alternative to Yoga.&quot;</p><p>&quot;I\'m not here to say that yoga is necessarily bad, but it is counter to what I think the public education system is for: It should have programs without any form of religious overtones whatsoever,&quot; Willis said.</p><p>The dispute confuses some yogis, particularly Westerners who say that yoga as it\'s practiced in the United States is primarily about fitness and stress relief.</p><p>Baron Baptiste, who owns three studios in the Boston area and practices with his 7-year-old son, loves Guber\'s program. He said his son takes yoga far less seriously than he does.</p><p>&quot;We adults need to be reminded to lighten up, breathe in the joy and have some fun,&quot; he said.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1422','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"03/1/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p><b>FALLS CHURCH, Virginia</b> (AP)  -- Some people call them floaters. Eye doctors call them &quot;vitreous opacities.&quot;</p><p>Emily Flynn called hers &quot;a little fuzzball,&quot; and she flew halfway around the world to have it removed.</p><p>After more than 100 pinpoint zaps from a laser beam during a half-hour visit to a northern Virginia office park, the fuzzball was gone, obliterated within the clear, gelatinous goo that fills the eyeball.</p><p>The surgeon, John Karickhoff, has done the same procedure more than 1,400 times over the past 15 years and claims a success rate of better than 90 percent, with minimal risk of complications. Still, many ophthalmologists have never heard of the procedure -- and most would recommend against it. The procedure has drawn regulatory scrutiny in Florida.</p><p>Nearly everybody has floaters or will develop them at some point in life, especially older and nearsighted people. Sometimes shaped like specks or snakes, they float through a person\'s field of vision, and are most easily seen when you look against a light background like a blue sky or a white wall.</p><p>They are harmless, usually just bits of membrane that have become dislodged from other parts of the eye. Karickhoff estimated that 95 percent of people who have floaters ought to leave them alone. But for that remaining 5 percent, they can be a legitimate problem.</p><p>&quot;I\'ve had musicians who couldn\'t read the sheet music quickly enough because the floater would get in the way,&quot; said Karickhoff, who has tried for years to get the procedure accepted into the medical mainstream. &quot;It can ruin a patient\'s quality of life.&quot;</p><p>Only a handful of doctors in the United States -- perhaps as few as two -- regularly treat floaters with laser surgery.</p><p>Richard Bensinger, a spokesman for the American Academy of Ophthalmology, said most ophthalmologists believe the procedure is unnecessary. He acknowledged the laser treatment is often successful and carries little risk, but most doctors believe any risk is unacceptable for treating a benign condition such as floaters.</p><p>If patients insist on treatment, Bensinger said the laser treatment can be a better choice than the more common alternative, a vitrectomy, which involves removing most or all of the eyeball\'s internal fluid.</p><a name=\"1\"></a><a name=\"rv1\"></a><h3>\'Drove me right up the wall\'</h3><p>Oliver Hill, 60, of Waynesburg, Pennsylvania, said many eye doctors are too dismissive of how irritating a floater can be. He likened it to trying to read a book while holding a pencil directly in front of one of your eyes.</p><p>&quot;It just drove me right up the wall,&quot; said Hill, who had his left eye treated in June 2005 and returned to Karickhoff in November to treat a floater in his right eye.</p><p>In Flynn\'s case, her optometrist in New Zealand told her that floaters were common and not harmful, and that she should learn to live with it. She learned about Karickhoff from his Web site.</p><p>Karickhoff said he knows firsthand that floaters can be troubling -- he had what he called &quot;a whopper&quot; of a floater in his own eye.</p><p>He was skeptical when, on a Florida vacation, he saw a newspaper ad touting laser surgery for floaters. But he sat in on a surgery performed by Fort Myers ophthalmologist Scott Geller and later allowed Geller to operate on his eye. The procedure was a success.</p><p>Not long after, Karickhoff began performing the procedure himself. Both Geller and Karickhoff have since operated on thousands of patients.</p><p>Last year, the Florida Board of Medicine investigated a complaint against Geller filed by a 72-year-old woman who complained that the surgery merely broke up one large floater into a bunch of smaller floaters. But the board dismissed the complaint after hearing testimony from Karickhoff on how the procedure works.</p><p>Karickhoff, who has a clean record with the Virginia medical board, said he can tell by examining the patient\'s eye whether the floater is a serious distraction or a minor annoyance. He declines to treat those &quot;who are making a mountain out of a molehill&quot; because such patients will almost never be satisfied.</p><p>There is little peer-reviewed literature about the procedure. What does exist shows the procedure to be generally safe, but the results about its effectiveness are mixed.</p><p>Karickhoff said studies have not replicated his success rate because they have not fully emulated his technique, which requires a laser beam of a specific intensity, and because they have not always chosen ideal candidates for surgery.</p><p>Karickhoff said there is a theoretical risk of serious complications, including a detached retina, but that he has never seen it happen. He said his own rate of complications is about a tenth of a percent, usually involving increased pressure within the eye.</p><p>He has written a medical book about the procedure and said he received mostly positive feedback when he presented his work in November at the national conference of the American Academy of Ophthalmology. Insurers frequently cover the procedure, he said.</p><p class=\"cnnSCAttribution\">Copyright 2007 The <a href=\"/interactive_legal.html#AP\">Associated Press</a>. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1423','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><div id=\"cnnSCByLine\">By  William Sears, M.D. <br> Parenting.com</div><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p>When Melanie, a happy new mom, and her baby, Jason, recently came into my office for his two-week checkup, she had more worries about her husband than questions about the baby. &quot;I feel so close to Jason, but I\'m afraid Nick doesn\'t,&quot; she said. &quot;How can I help them to bond?&quot; </p><p>It\'s a concern I\'ve heard many times before from new moms, and one that my wife, Martha, and I had when we were just starting out as parents. Almost every dad I\'ve met wants to feel close to his child, but it\'s not always easy for a father to carve out a role in his baby\'s life. </p><p>What can you do to help nurture a deeper connection between your baby and husband? (<a href=\"http://www.parenting.com/parenting/pregnancy/article/0,19840,1096599,00.html?cnn=yes\" target=\"new\">Dad vs. baby: Who wins? Your survey answers.</a><img src=\"http://i.cnn.net/cnn/.element/img/1.3/misc/icon.offsite.gif\" alt=\"external link\" width=\"12\" height=\"9\" vspace=\"1\" hspace=\"0\" border=\"0\" class=\"cnnOffsite\"> ) Here, five moves that will go a long way:</p><p><b>Give them their space</b></p><p> After you\'ve spent nine months carrying your child, and then almost all day (and night) taking care of her, it\'s natural to think Mother Knows Best. About everything. But when a mom like Melanie comes into my office, the first thing I do is remind her that her husband isn\'t just a pinch hitter. Dads have a delightfully different way of relating to their babies -- and their babies enjoy this difference. </p><p>There\'s no need for you to hover around your husband at all times, ready to rescue your baby if she gets fussy in his arms. It may be tempting, especially if he isn\'t up to speed (or doesn\'t think he is). But if you fall into this pattern, you\'re likely to erode his self-confidence, and your baby won\'t get used to being comforted by him -- which will leave you without a moment\'s peace. So let them work things out on their own. You might be surprised at the fuss busters your partner musters up with absolutely no help from Mother.  (<a href=\"http://www.parenting.com/parenting/mom/article/0,19840,648079,00.html?cnn=yes\" target=\"new\">More on how Dad can help at home.</a><img src=\"http://i.cnn.net/cnn/.element/img/1.3/misc/icon.offsite.gif\" alt=\"external link\" width=\"12\" height=\"9\" vspace=\"1\" hspace=\"0\" border=\"0\" class=\"cnnOffsite\"> )</p><p>When given freedom, he may start to develop his own rituals with your baby, like soothing car rides or a special song. The mom of one of my patients shared this scene with me: &quot;One night I woke up to find my husband sitting at his computer listening to rock music, with the baby bouncing along to the beat.&quot; Another mom told me: &quot;My husband was famous for the Daddy Dance. He\'d take our twins downstairs and dance to his favorite CD in the living room. Years later these songs continue to calm them immediately. We call them \'Daddy\'s songs.\'&quot;</p><p><b>Help them get a little closer</b> </p><p>Go shopping together for a sling-type carrier, which puts a baby close to her dad (and doesn\'t have a lot of complicated buckles and straps). Then encourage him to wear your baby in it often. This physical closeness is a very natural way for them to bond, and (bonus) he\'ll have his hands free to help out with the dishes! Baby wearing is especially helpful during the witching hour -- the end of the day, when kids of all ages are prone to fussiness and meltdowns. This is a time when a dad can really shine. He can wear his baby around the neighborhood for some bonding time and exercise, while you take a nap or do something just for yourself.</p><p><b>Have Dad start from the bottom up</b> </p><p>Your child will need thousands of diaper changes during the first few years, so why not make these hours count? Even just changing a few diapers a day is a great opportunity for bonding. Encourage your partner to view diaper changing as fun time with the baby rather than simply a messy chore. But take it from me: You\'ll have more success with this if you don\'t scold him for doing it &quot;wrong.&quot; There may be a few messes at first, but in no time he\'ll get it right.</p><p><b>Share feedings and sleeptime</b> </p><p>If you\'re a combo-feeding family - meaning both breast and bottle - encourage Dad to take bottle duty often. Your baby drinks only formula? Try to split feedings evenly. Then remind him that feeding should not be (or at least shouldn\'t always be) an opportunity to prop the baby and bottle in one arm while reading the paper or changing channels with the other. </p><p>Let him see that a little bit of eye contact and some conversation (even a silly rhyme or some nonsense words) can go a long way. (<a href=\"http://www.parenting.com/parenting/pregnancy/article/0,19840,1150001,00.html?cnn=yes\" target=\"new\">Your baby: What if it\'s not love at first sight?</a><img src=\"http://i.cnn.net/cnn/.element/img/1.3/misc/icon.offsite.gif\" alt=\"external link\" width=\"12\" height=\"9\" vspace=\"1\" hspace=\"0\" border=\"0\" class=\"cnnOffsite\"> )</p><p>Even if your baby is solely breastfed, your husband can get involved by adding the finishing touches. When she\'s done dining, your partner can let the baby go to town on his pinkie finger for a few minutes. Another idea: When she\'s finished nursing and is getting drowsy, ease her off your breast and into Daddy\'s arms. Once she gets used to him putting her to sleep, she\'ll be more likely to accept him comforting her back to sleep when she wakes up -- and, later, when she loses a beloved toy or falls and scrapes her knee.</p><p><b>Put Dad on the night shift</b> </p><p>Let\'s be honest here: No matter how tired you are, it\'s not easy to convince a dad who works days to spend his nights awake with the baby -- especially if you stay home. So try striking a deal, like Martha and I did. If she could comfort the baby without getting out of bed, she did it. (Fortunately for me, this was usually the case.) But if the baby needed to be walked, then I was up. Rosa, a mom of a patient, shared her husband\'s contribution: &quot;After a nighttime feeding, he gets up and uses his \'magic shoulder\' to burp our baby for me.&quot; </p><p>If having him help out at night during the week simply doesn\'t work for your family, try giving him the weekend night shift instead. It\'s worth the effort to find a solution. After all -- and I know this first hand -- the peace and quiet of night-time is a great opportunity for a dad and baby to connect, even if they are both half asleep.</p><p>Two months after I gave Melanie advice in my office, she and baby Jason returned with Nick. As he walked in carrying his baby (yes, in a sling) and beaming with a father\'s pride, Melanie whispered to me, &quot;He\'s hooked!&quot; Clearly, Nick and Jason had made that daddy--baby connection.</p><p class=\"cnnSCAttribution\">William Sears, M.D., is a pediatrician in California. He is the coauthor of &quot;The Healthiest Kid in the Neighborhood.&quot;</p><br clear=\"all\"><p class=\"cnnSCAttribution\"><a href=\"https://subs.timeinc.net/PA/pa_keepsake.jhtml;jsessionid=0VYG4ASLZ12GGQHMGASBHOQ?experience_id=126742&source_id=62&_requestid=56496\" target=\"new\">Try a FREE TRIAL issue of Parenting Magazine - CLICK HERE</a></p>\n\n\n<p class=\"cnnSCAttribution\">Copyright 2006 <a href=\"/linkto/parenting.html\" target=\"new\">PARENTING magazine</a>. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.</p>\n <!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1424','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</script> <div id=\"cnnSCHighlightsBox\"><!----><h4><span>Story Highlights</span></h4>&#8226; University of Baltimore researchers rate states\' anti-obesity efforts<br> &#8226; Six states get grade of A for overall efforts to fight obesity<br> &#8226; Three states get A\'s for focus on childhood obesity </div><script language=\"JavaScript\" type=\"text/javascript\">if ( location.hostname.toLowerCase().indexOf( \"edition.\" ) == -1 ) {document.write(\"<div id=\\\"cnnProgrammingNote\\\"><p><b>More on CNN TV:</b> Elizabeth Cohen brings you more on school districts that send home reports on children\'s BMI. Watch &quot;Paula Zahn Now,&quot; tonight 8 ET.<\\/p><\\/div>\");}</script><div id=\"cnnSCFontButtons\" ><div id=\"cnnSCByLine\">By  Val Wadas-Willingham<br> CNN</div><!--startclickprintexclude--><div id=\"cnnSCFontLabel\">Adjust font size:</div>\n<div id=\"cnnSCFontMinusBtn\" onclick=\"setActiveStyleSheet(\'default\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.minus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Decrease font\" title=\"Decrease font\" class=\"cnnDecreaseFont\"></div>\n<div id=\"cnnSCFontPlusBtn\" onclick=\"setActiveStyleSheet(\'LargeFont\'); return false;\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnIncreaseFont\"><img src=\"http://i.a.cnn.net/cnn/.element/img/1.5/story/misc/icon.plus.dim.gif\" border=\"0\" height=\"12\" width=\"18\" alt=\"Enlarge font\" title=\"Enlarge font\" class=\"cnnDecreaseFont\"></div><!--endclickprintexclude--></div><p>(CNN) -- America is a heavy nation and getting heavier, especially young people. The number of overweight children aged 6-11 more than doubled the past 20 years, according to the Centers for Disease Control and Prevention. Health experts warn that unless we do something to stop it, those numbers will continue to rise. </p><p>Several states and cities are now taking steps to combat obesity, especially in young people. Each year, the University of Baltimore Obesity Initiative grades states on their efforts to pass obesity-reducing legislation. </p><p>This year, for the first time, six states -- California, Illinois, Oklahoma, Pennsylvania, South Carolina and Tennessee -- received A\'s for their legislative and public-policy work to control obesity in children. (<a href=\"http://www.ubalt.edu/experts/obesity/\" target=\"new\">Read the full report.</a><img src=\"http://i.cnn.net/cnn/.element/img/1.3/misc/icon.offsite.gif\" alt=\"external link\" width=\"12\" height=\"9\" vspace=\"1\" hspace=\"0\" border=\"0\" class=\"cnnOffsite\"> )</p><p> Among the measures hailed were bills that: </p><p>&#8226; Set nutrition standards for schools and limited vending machine access in schools </p><p>&#8226; Require measuring and reporting of each student\'s Body Mass Index &#8226; Require recess time and physical education classes </p><p>&#8226; Add obesity-awareness and weight-reduction programs to school curricula </p><p> &#8226;Support obesity research </p><p>&#8226; Support insurance coverage of obesity Establish public obesity commissions</p><p>Only three states -- California, New York and Tennessee -- earned the same grade for their efforts to help all age groups. (Link here to overall obesity map TK Tuesday) Still, the number of states taking steps to control the problem is climbing quickly according to the report, helping to chip away at the $130 billion in direct medical costs caused by obesity each year. (<a href=\"javascript:CNN_openPopup(\'/interactive/health/0701/map.obesity/frameset.exclude.html\',\'770x576\',\'toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=no,width=770,height=576\');\">Click to see how your state ranks.</a>)</p><p>Doctors and researchers are concerned because obesity can cause major health problems, such as heart disease and Type 2 diabetes. Researchers found obese youngsters tend to have at least one additional risk factor for heart problems later in life, such as high blood pressure or high cholesterol. </p><p>Kids who are overweight are also at greater risk for joint problems, poor self-esteem -- even sleep apnea. Taken together, these illnesses shorten life spans, diminish quality of life and put a heavy burden on the public health care system. </p><p>Kenneth Stanton, assistant professor of finance at the Merrick School of Business at the University of Baltimore and chair of the Obesity Initiative, thinks there are parallels between the battle against obesity and the battle against smoking. &quot;The progress reminds me of about 1991 or \'92, in that certain messages about obesity are coming together and gaining traction,&quot; Stanton said. &quot;You can look at New York City\'s decision to ban trans fats as a significant victory, in that it made national news and there was little outcry about it.&quot; </p><p>Stanton says more states will start to include school-based nutrition standards, obesity programs and physical education classes to keep kids fit. And more school lunch rooms will replace sugary drinks with more healthful fare like juices, low-fat milk and bottled water, says Stanton. </p><p>Seven states -- Arkansas, California, Illinois, New York, Pennsylvania, Tennessee and West Virginia -- require BMI or Body Mass Index report cards, informing parents of a child\'s risk of becoming obese. </p><p>In 2003, Arkansas was the first state to enact BMI report cards. In three years, although the number of obese children has not dropped in that state, it has leveled off, which researchers see as a positive sign. Zoltan Acs, co-founder of the Obesity Initiative, says it\'s up to the states to get the job done. &quot;We\'re seeing more of these laws coming out of the states, and some of them are quite effective. A federal solution would be much more difficult,&quot; Acs said. </p><p>&quot;Every state has a different mix of populations, a different outlook on diet and nutrition, and so a one-size-fits-all approach simply would not be feasible.&quot; </p><p>But not everyone thinks the BMI report card is a great idea. Parents have complained the notices are stigmatizing and damaging to a child\'s self-esteem. </p><p>When 8-year-old Jasmine Tallman of Hyannis, Massachusetts, came home with a letter saying she was on the verge of becoming obese, her mother, Vicki Elliott, was not pleased. Not only did she say Jasmine was an active, healthy child who weighed only 66 pounds and had just seen her pediatrician, but she felt it was none of the school\'s business to meddle in her child\'s weight issues. Elliott was also concerned Jasmine would become obsessed with her weight and possibly develop an eating disorder, because the BMI backs up society\'s attitude that thin is in. </p><p>&quot;You go to the newsstand -- skinny women on the front of all the covers,&quot; says Elliott. &quot;I want her to be healthy because it\'s the way to be, not because it means being skinny.&quot; </p><p>On Monday, the Arkansas House of Representatives voted to repeal the BMI-tracking law, citing parental complaints at state intervention and funding issues. The measure now goes to the state Senate.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1425','1','\n\n\n	 <p>A new study suggests that children who grow up within a third of a mile of a freeway may be sustaining permanent respiratory problems.</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/30/science/lung.190.1.jpg\" width=\"190\" height=\"275\" alt=\"\" border=\"0\">\n<div class=\"credit\">Damian Dovarganes/Associated Press</div>\n<p class=\"caption\">\nThe study in California focused on proximity to a freeway, and not just in Los Angeles. \n</p>\n</div>\n  \n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Researchers studied developing lung function in 1,445 children living in 12 Southern California communities for eight years, from age 10 to 18. They found that the closer the children lived to a freeway, the more likely they were to experience reduced growth in lung function as measured by the standard tests.</p><p>?hat living near freeways is a health issue is something we?e known about for a long time,?said Gennet Paauwe, a spokeswoman for the California Air Resources Board, which financed part of the research. ?ll of this points to the fact that California? air pollution control program needs to continue with its aggressive reduction in air pollutants. But I think this would translate to any other part of the U.S. where people are living near heavily trafficked roadways.?/p><p>The findings were published online Friday by the British journal Lancet.</p><p>?ur finding of a larger impact on small lung airways is consistent with what is known about the types of pollutants that are emitted from the tailpipe,?said W. James Gauderman, the lead author and an associate professor of preventive medicine at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_southern_california/index.html?inline=nyt-org\" title=\"More articles about University of Southern California\">University of Southern California</a>. These pollutants, he continued, ?an be inhaled deeply into the lung and may have the largest impact on the smallest lung airways.?/p><p>The study was not restricted to the notoriously smoggy Los Angeles basin. ?ur findings were observed in all of these children, including those living in areas of lower pollution,?Dr. Gauderman said, ?o it suggests that in any urban area where children are living near busy roads, they are likely to have adverse respiratory effects. It? not just L. A.?/p><p>The development of lung function was also lower in nonasthmatic and nonsmoking teenagers living near freeways, suggesting that the highways had an adverse effect on otherwise healthy children. Growth of lung strength and capacity, the researchers write, is largely complete by age 18, and this means that a child with a deficit at that age will probably suffer lifelong diminished lung function.</p><p>?he study is significant in the finding that it isn? just regional air pollution, which policy makers have focused on,?said Frederica Perera, director of the Columbia Center for Children? Environmental Health at the Mailman School of Public Health in New York. ?hese results indicate that it? also important to consider local variations in air pollution.?/p><p>The researchers started with a group of 3,600 children, using questionnaires to gather information on parental income, history of <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/asthma/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about asthma.\">asthma</a>, prenatal exposure to maternal <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/smoking/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about smoking.\">smoking</a> and household exposure to smoking and pets. Then, using yearly questionnaires, they tracked asthma status, personal smoking and exposure to secondhand smoke. They also recorded the distance of each child? home from the nearest limited-access highway and from other major nonfreeway roads.</p><p>To determine lung function, the scientists used standard tests that measure how much air a child can exhale during a forced expiration and how forcefully he can do so. Normally, these numbers gradually increase as children grow. The children were tested an average of six times over the eight years of the study.</p><p>About 11 percent of subjects per year dropped out of the study for various reasons. </p><p>Although the authors controlled the study for socioeconomic status, an editorial with the paper points out that social factors are difficult to define and may affect lung capacity no matter where a child lives. Other studies, for example, have shown that poor children in the Los Angeles area are more likely to attend schools near freeways than those who are more affluent. Also, the study did not examine exposures at ages younger than 10.</p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1426','1','\n\n\n	 <p>The new vaccine against <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/humanpapillomavirushpv/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about human papilloma virus (HPV).\">human papillomavirus</a>, which became available last summer, could potentially prevent thousands of cases of cervical <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/cancer/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about cancer.\">cancer</a>. But doctors hope the vaccine will be able to prevent a less well-known, but potentially fatal, disease in gay men, anal cancer. The same strains of HPV cause both cancers. </p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<div class=\"enlargeThis\"><a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/30/science/30virus_ready.html\', \'30virus_ready\', \'width=720,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">Enlarge This Image</a></div>\n<a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/30/science/30virus_ready.html\', \'30virus_ready\', \'width=720,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/30/science/virus.190.jpg\" width=\"190\" height=\"215\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\">Peter DaSilva for The New York Times</div>\n<p class=\"caption\">\nDr. Jeffrey Klausner at City Clinic, an S.T.D. clinic in San Francisco. \n</p>\n</div>\n  \n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Although anal cancer can affect anyone, it is most common among men with histories of receptive anal intercourse ?an annual rate of about 35 cases per 100,000, and perhaps twice that for those infected with <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/aids/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about AIDS/HIV.\">H.I.V.</a>, which weakens the immune system.</p><p>The <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/f/food_and_drug_administration/index.html?inline=nyt-org\" title=\"More articles about the U.S. Food And Drug Administration.\">Food and Drug Administration</a> approved the HPV vaccine last year for girls and women from 9 to 26 after studies indicated that it was extremely effective against infection by four of the dozens of strains of HPV, including the ones responsible for most cases of cervical and anal cancer, as well as genital and anal warts. </p><p>?he cervix is similar biologically to the anus, so there? plenty of hope that it will work there also,?said Dr. Joel Palefsky,  a professor of medicine at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_california/index.html?inline=nyt-org\" title=\"More articles about the University of California.\">University of California</a>, San Francisco. </p><p>But he  cautioned that its effectiveness against anal cancer remained to be proved. </p><p>The anal cancer rate for gay men is similar to cervical cancer rates before the advent of Pap smears, the test that can detect precancerous cell abnormalities. In recent years, some doctors who treat gay men have advised their patients to undergo anal Pap smears as part of routine preventive care.</p><p>HPV is the most common sexually transmitted infection in the United States, with 6.2 million people infected each year, according to the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/c/centers_for_disease_control_and_prevention/index.html?inline=nyt-org\" title=\"More articles about the Centers for Disease Control and Prevention.\">Centers for Disease Control and Prevention</a>, though many people clear the virus without having symptoms or knowing that they were infected.</p><p> Many gay men do not realize they have an elevated risk of anal cancer. </p><p>David Maxim, an artist in San Francisco, said he had vaguely heard of HPV when he learned that he had anal cancer several years ago. ? had no idea about it because no one ever talked about it, although these days more gay men seem to be aware of it,?said Mr. Maxim, who was successfully treated with <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/radiation/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about radiation.\">radiation</a> and <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/chemotherapy/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about chemotherapy.\">chemotherapy</a>. </p><p>Regulators in Australia and the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/e/european_union/index.html?inline=nyt-org\" title=\"More articles about the European Union.\">European Union</a> have approved the vaccine, called Gardasil and made by Merck, for boys ages 9 to 15. They cited data showing that it produced an immune response in boys, though its effectiveness in preventing  infection in sexually active men has not been proved.</p><p>As with prescription drugs, doctors in the United States can provide the vaccine ?ff label?to anyone. ?he approval is for marketing and distribution, but medical providers can use it in ways they feel is appropriate,?said Dr. Jeffrey Klausner, director of <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/venerealdiseases/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about sexually transmitted diseases (STDs).\">S.T.D.</a> prevention at the San Francisco Department of Public Health.</p><p>Dr. Eliav  Barr, a director of clinical research at Merck, said he had heard that some men were receiving the vaccine, but added that the company was barred from promoting it for men unless the F.D.A. approved it for that use. </p><p>That is unlikely to occur for at least a couple of years. Merck is sponsoring a clinical trial of Gardasil in 4,000 men, including 500 self-identified gay men. The first results are expected toward the end of next year. </p><p>Recruiting gay men has been challenging, researchers said. The vaccine is intended to prevent an initial infection with the virus, but many people become infected soon after becoming sexually active. For the gay arm of the study, Merck has recruited men from 16 to 26 who have had no more than five sexual partners. The difficulty is that many gay men come to accept their sexual orientation only after an experimentation period.</p><p>?hese have to be men who have sex with men but who have not had too much sex with men,?said James Maynard, a program officer at the Fenway Institute, a research organization in Boston that focuses on gay and lesbian health and is a site of the HPV trial. ?he more sex you?e had, the greater the probability you?e been infected with HPV.?</p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1427','1','\n\n\n	 <p>I had run way too far for my level of training, and I knew it. But I had gotten lost, and the fastest way back to my car was to run. The next day, my left forefoot hurt so much I could hardly walk, so I did just what you might expect ?I checked the Internet to see what sort of injury I might have and what to do about it.</p>      <p>My  search was frustrating and unhelpful. But  I ended up getting just the advice I needed from an unexpected source. And I came away with this lesson: These days, when it is oh so easy to order sophisticated medical tests, sometimes the best test, and the best treatment, can be low-tech.</p><p>After I was hurt, I did just what doctors worry that their patients will do. I searched medical Web sites for a diagnosis I could accept. When I did not like the one I found, I tried to convince myself that it had to be  wrong. </p><p>The Web  diagnosis was a stress fracture, a hairline crack in a bone. It sounded bad. It could take months to heal. I might need to immobilize the entire foot and walk around on crutches and then    go through weeks of rehabilitation. </p><p>I told myself that I didn? have a stress fracture, that there were aspects of my injury that did not seem to fit. I kept running, four to six miles every other day. Still, I was not getting better.</p><p>Finally, in December, six weeks after the injury, I gave in and called one of the few orthopedists in my area who accepts my health insurance. The first available appointment was for Jan. 16. I took it.</p><p>Then I wrote about my injury, as part of a longer article for The New York Times about running while hurt. As soon as it appeared, on Jan. 11, I began getting e-mail from readers. A podiatrist told me that I definitely had a stress fracture and had better stop running. A trainer said I had injured a tendon attached to my big toe (he had no way of knowing that the injury was at the base of my third toe).  And Paul A. April, a rheumatologist in Tulsa, Okla., said he thought it was either a stress fracture or something called extensor tendinitis. ?? love to hear what the doctor finds,?he added.</p><p>I looked up extensor tendinitis online:  an inflammation of a tendon that straightens the toe. I hadn? found that injury when I first searched the Web, but it sounded right. </p><p>On Jan. 16, I finally saw the orthopedist and, of course, mentioned extensor tendinitis. All I got was a cursory exam and an X-ray. When the X-ray showed normal bone, the orthopedist said I needed an M.R.I. His office said someone  would call me when my insurer approved it. Then I could schedule it. Then I could return to see the doctor and learn what the scan showed.</p><p>I e-mailed Dr. April in Oklahoma telling him what had happened. ?ratuitous advice may be worth nothing, but here goes,?he replied. ?span class=\"italic\">Hands-on</span> examination should have revealed tenderness in the distal forefoot and even an increase in pain with forced downward pressure on the toes. If that was the case, then a local injection of a corticosteroid in a small amount with lidocaine or something similar into the extensor tendon sheath would produce relief of pain within minutes and hopefully this would last.?/p><p>That sounded great. I could rule out a stress fracture and cure the inflammation all at once. If that did not work, I did not have extensor tendinitis. </p><p>I called the orthopedist to see whether he would give an injection. All I could get was an assistant? voicemail saying not to expect a reply for 48 hours because she was busy and, by the way, she does not work on Fridays. It was a Wednesday. (Thirteen days later, I still have not heard from her.)  I also called my internist to see whether she would give an injection. The answer, her nurse said, was no. </p><p>Finally, I called an orthopedist who does not accept my insurance and asked whether he would inject cortisone into the tendon sheath of my foot. His assistant knew just what I was talking about. </p><p>?ou want to rule out a stress fracture??she asked. </p><p>The doctor would do it, for $277. I said that I would be there the next day and that  I would pay. </p><p>The injection cured me. It also saved my insurer more than $1,000 for an M.R.I. and subsequent doctors?appointments. But how much simpler to do what the Tulsa doctor recommended and the second orthopedist did: carefully examine my foot, ask about the injury, see that my symptoms seemed more like tendinitis than a stress fracture and simply give the injection.</p><p>As for Dr. April, my correspondent in Tulsa, he has learned something, too.</p><p>?he idea of telephone medicine seems to be an easy way to make a living if I were inclined to that,?he wrote. ?n your case, I was intrigued by a simple problem, the solution of which seemed to be stalled. It really was no big deal, but I loved doing it.?/p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1428','1','\n\n\n	 <p><span class=\"bold\"> </span>In July 2005, Jeff Carenza and his girlfriend were enjoying a getaway weekend in Miami when food poisoning landed them both in the hospital. Blood tests showed that Dr. Carenza, then 29, had iron-deficiency <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/anemia/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about anemia.\">anemia</a>. </p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/30/science/cancer.1.190.jpg\" width=\"190\" height=\"199\" alt=\"\" border=\"0\">\n<div class=\"credit\">Nicole Bengiveno/The New York Times</div>\n<p class=\"caption\">\n&#147;Cancer can be the ultimate form of identity theft,&#148; said Lauren Terrazzano. \n</p>\n</div>\n  \n  \n<div class=\"image\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/30/science/cancer.3.190.jpg\" width=\"190\" height=\"252\" alt=\"\" border=\"0\">\n<div class=\"credit\">Dilip Vishwanat for The New York Times</div>\n<p class=\"caption\">\nJeff Carenza of St. Louis learned at age 29 that he had colorectal cancer. \n</p>\n</div>\n  \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>?t? probably nothing,?the doctor told him. ?ut have it checked when you get home.?/p><p>This type of anemia can be caused by blood loss from the intestinal tract. So back in St. Louis, where Dr. Carenza was a radiology resident at Barnes Jewish Hospital, his doctor sent him to a gastroenterologist. </p><p>One possibility was that he had a growth in his colon. But the gastroenterologist was dismissive. ?his is going to be a waste of my time,?he said before performing a colonoscopy. </p><p>Half an hour later, Dr. Carenza received bad news.</p><p>?here? a large <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/tumors/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about tumors.\">tumor</a> in your transverse colon,?the gastroenterologist said. ?t? so big I couldn? even get my scope around it. It? probably been there for some time.?/p><p>Dr. Carenza recalled, ?y stomach and heart were on the floor.?</p><p>The diagnosis, he added, ?ent against what we?e trained to think in medical school??that ?a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/cancer/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about cancer.\">cancer</a> happens to older people.?/p><p>Cancer is indeed less common in adolescents and young adults than in older people. But in some ways it is more alarming. </p><p>The rates of some cancers,  including colorectal, thyroid and testicular,  are rising in people ages 20 to 39, according to the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/a/american_cancer_society/index.html?inline=nyt-org\" title=\"More articles about American Cancer Society\">American Cancer Society</a>. And a report released in August by the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/n/national_cancer_institute/index.html?inline=nyt-org\" title=\"More articles about National Cancer Institute\">National Cancer Institute</a> and <a href=\"http://topics.nytimes.com/top/reference/timestopics/people/a/lance_armstrong/index.html?inline=nyt-per\" title=\"More articles about Lance Armstrong.\">Lance Armstrong</a> Foundation found that even as cancer survival rates continued to improve in adults of middle age and older, the survival rates for people ages 15 to 39 had not risen substantially in more than two decades. </p><p>Cancer is the fourth-leading killer in that age group, behind accidents, <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/suicidesandsuicideattempts/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about suicide.\">suicides</a> and homicides. In 2006, there were approximately 55,200 new cases of cancer in Americans 15 to 39, and 9,300 cancer deaths in that same group, according to the American Cancer Society. </p><p>?ancer in adolescents and young adults presents distinctive issues,?said an author of that report, Dr. Karen Albritton, director of adolescent and young adult oncology at the Dana-Farber Cancer Institute in Boston. ?he gaps in our knowledge are huge.?</p><p>Some experts say more information is needed before devoting extra resources to adolescents and young adults. Dr. Bruce A. Chabner, clinical director of the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/m/massachusetts_general_hospital/index.html?inline=nyt-org\" title=\"More articles about Massachusetts General Hospital\">Massachusetts General Hospital</a> Cancer Center, notes that overall survival rates of young adults are still better than those of older adults, reflecting the differences in tumor types and better tolerance of treatment in younger patients. </p><p>As of 2003, the last year for which statistics were available, the five-year survival rate was 78.5 percent for people ages 20 to 39, and  68 percent for those 40 to 69, according to the American Cancer Society.</p><p>But Dr. Albritton and others say research is needed to learn why some young adults are predisposed to cancer, why the rates of some cancers are rising in this age group and how young people may respond differently to treatment regimens ?many of which have been tested mostly in older adults or in children.</p><p>Young people? tumors may have distinct genetic and biological features, these researchers say. And survivors face unique psychosocial issues ?as they think about future <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/infertility/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about infertility.\">fertility</a>, finishing school or starting a career. </p><p>Dr. Carenza said that looking back, he should have paid more attention to warning signs. An avid runner, he was accustomed to jogging five or six miles several days a week but for months had been unable to do so. He had also grown noticeably pale. </p><p>Still, he recalled, even his mother brushed that aside, saying: ?ell, he? a radiologist. He works in a dark room all day.?</p><p>Dr. David Dietz, the colorectal surgeon at Barnes Jewish Hospital who treated Dr. Carenza, says cancer in younger patients is typically diagnosed at a later stage because neither they nor their doctors expect them to have it. Nor do they receive routine screening, as older people do.</p><p>Dr. Carenza  has no family history of cancer, and tests after the tumor was found were negative for all known hereditary colorectal cancer syndromes.  (He completed <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/chemotherapy/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about chemotherapy.\">chemotherapy</a> last March and has since been in remission, though he  sees an oncologist every three months.) Still, genetic factors may be more likely to play a role when young people get the disease,  Dr. Dietz said, adding, ?hat is something we would like to know more about.?</p><p>Asha Mevlana of Los Angeles had a family history of cancer. She found a lump in her breast at 22, but her cancer was not diagnosed for more than two years.</p><p>Ms. Mevlana received a <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/mammography/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about mammography.\">mammogram</a> early on, but the results were inconclusive, as they sometimes are in younger women whose breast tissue is denser. </p><p>?y doctor said, ?on? worry about that; you?e way too young for <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/breastcancer/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about breast cancer.\">breast cancer</a>,??she said. ?hich is of course what I wanted to hear, so I let it go.?</p><p>But as the lump grew and began to hurt, Ms. Mevlana? mother insisted she go to another doctor and get a biopsy, which confirmed that she had breast cancer. </p><p>?t changes your perspective on everything,?she said. ?ou think: ?ow, I could be dead next year. And there are so many things I haven? done.??/p><p>Ms. Mevlana hoped to begin a career as an electric violinist. And in considering treatment options, one priority was to avoid drugs that cause neuropathy, a numbness and tingling in the hands or feet that is a side effect of some chemotherapy drugs.</p><p>The choices were ?ompletely confusing,?she said. Several doctors suggested different regimens but told her that most of them had not been well studied in younger women. </p><div id=\"pageLinks\"><ul id=\"pageNumbers\"><li> 1 </li><li> <a onClick=\"s_code_linktrack(\'Article-MultiPagePageNum2\');\" title=\"Page 2\" href=\"?pagewanted=2&_r=5\">2</a> </li></ul><a class=\"next\" onClick=\"s_code_linktrack(\'Article-MultiPage-Next\');\" \n             title=\"Next Page\"\n             href=\"?pagewanted=2&_r=5\">Next Page &#x00bb;</a></div><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1429','1','\n\n\n	 <p><span class=\"bold\">THE FACTS</span>  Quick weight gain may be among the birth-control pill? most dreaded side effects. But how much does it really add to your waistline?</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/29/science/real.jpg\" width=\"190\" height=\"224\" alt=\"\" border=\"0\">\n<div class=\"credit\">Leif Parsons</div>\n<p class=\"caption\">\n</p>\n</div>\n  \n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Last year, a group of researchers carried out what may be the most extensive study on the subject to date. Their conclusion: In most women, neither the pill nor the patch seems to add any pounds at all. </p><p>Of 44 previous studies that the researchers combined and analyzed, 3 found no difference between women who took hormonal contraceptives and those who took a placebo. The other studies looked at women taking different types and doses of hormonal contraception, and came to the same  overall conclusion. </p><p>The claim may have had some truth many years ago, when the pill contained high levels of <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/estrogen/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about estrogen.\">estrogen</a>, which can cause water retention and increased appetite. Nowadays, most versions of the pill have only half the amount found in early versions.</p><p>Some studies have shown that while the pill may add a couple of pounds at first from water retention, the added weight disappears as the body adjusts to the <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/hormones/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about hormones.\">hormones</a>. </p><p>Another factor has nothing to do with the pill: most women start birth control as teenagers and continue it through their 20s, a period when women naturally tend to gain weight. </p><p><span class=\"bold\">THE BOTTOM LINE</span>  The link between the pill and weight gain is exaggerated at best.   </p><NYT_TAGLINE>\n<p><i><a href=\"mailto:scitimes@nytimes.com\">scitimes@nytimes.com</a></i></p>\n</NYT_TAGLINE><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1430','1','\n\n\n	 <p>How often have you left a doctor? office wondering just what you were told about your health, or what exactly you were supposed to be doing to relieve or prevent a problem? If you are a typical patient, you remember less than half of what your doctor tries to explain. </p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n   \n<div class=\"image\">\n<div class=\"enlargeThis\"><a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/29/science/30brody_ready.html\', \'30brody_ready\', \'width=646,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">Enlarge This Image</a></div>\n<a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/01/29/science/30brody_ready.html\', \'30brody_ready\', \'width=646,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/01/29/science/brody.190.1.jpg\" width=\"190\" height=\"157\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\">Stuart Bradford</div>\n<p class=\"caption\">\n</p>\n</div>\n  \n<div id=\"sidebarArticles\">\n<h4>Related</h4>\n<h2>\n\n\n<a href=\"http://www.nytimes.com/2007/01/30/health/30brody-chart.html\" >Health Literacy Test</a>\n\n(January 30, 2007)\n</h2>\n</div>\n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Whether you left school at 16 or have a doctorate; whether your annual income is in four figures or six; whether you are black, white, Hispanic, Asian or American Indian, chances are there have been many medical encounters that left you with less than optimal understanding about how you can improve or protect your health.</p><p>National studies have found that ?ealth literacy?is remarkably low, with more than 90 million Americans unable to adequately understand basic health information. The studies show that this obstacle ?ffects people of all ages, races, income and education levels,?Dr. Richard H. Carmona, the United States surgeon general, wrote in the August issue of The Journal of General Internal Medicine, which was devoted to health literacy. </p><p>The fallout is anything but trivial. Researchers have found that poor health literacy, which is especially prevalent among the elderly, results in poor adherence to prescription instructions, infrequent use of preventive medical services, increased hospitalizations and visits to the emergency room and worse control of chronic diseases. </p><p>The consequences are poorer health and greater medical costs. All because doctors fail to speak to patients in plain English (or Spanish or Chinese or any other language) and fail to make sure that patients understand what they are told and what they are supposed to do and why.</p><p>In a study published in the internal medicine journal, conducted among 2,512 elderly men and women living on their own in Memphis and Pittsburgh, those with limited health literacy were nearly twice as likely to die in a five-year period as were those with adequate health literacy. That held true even when age, race, socioeconomic factors, current health conditions, health care access and health-related behaviors were taken into account. </p><p>Another study in the journal among 175 adult <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/asthma/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about asthma.\">asthma</a> patients treated by <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/c/cornell_university/index.html?inline=nyt-org\" title=\"More articles about Cornell University.\">Cornell University</a> doctors found that ?ess health literacy was associated with worse quality of life, worse physical function and more emergency department utilization for asthma over two years.?/p><p>Among the many problems resulting from limited health literacy are misinterpretations of warning labels on prescription drugs. For example, among 251 adults attending a primary care clinic in Shreveport, La., those with low literacy were three times more likely to misunderstand warnings than the more literate. </p><p>When the warning label read ?o Not Chew or Crush, Swallow Whole,?misinterpretations included ?hew it up, so it will dissolve?and ?on? swallow whole or you might choke.?</p><p>When the warning read ?edication Should Be Taken With Plenty of Water,?the mistakes included ?on? take when wet?and ?on? drink hot water.?</p><p>When the warning was ?or External Use Only,?the mistakes included ?edicine will make you feel dizzy?and ?se extreme caution in how you take it.?</p><p><span class=\"bold\">Better Communication</span></p><p> Despite major reports on the need to improve health literacy issued in the last decade by organizations including the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/a/american_medical_association/index.html?inline=nyt-org\" title=\"More articles about American Medical Association\">American Medical Association</a> and the National Academy? <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/i/institute_of_medicine/index.html?inline=nyt-org\" title=\"More articles about Institute of Medicine\">Institute of Medicine</a>, little improvement has been noted in how much patients understand and remember about encounters with health care practitioners. </p><p>A main obstacle has been the decreased time patients can spend with their doctors, dictated largely by managed care and other medical reimbursement plans.</p><p>A second hurdle is the embarrassment that patients with limited health literacy experience when they do not understand what the doctor has said. And, of course, asking for clarification is seriously impeded by the imbalance in power between the white-coated physician and the paper-wrapped patient. Even when conversations are conducted in the doctor? office with a fully clothed patient, patients are often reluctant to ask questions.</p><p>The tools for repairing this problem lie mainly within the realms of medical education and clinical practice. More medical schools, residency programs and continuing education programs for practicing physicians need to include training in clinical communication skills. </p><p>Dr. Sunil Kripalani of the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/e/emory_university/index.html?inline=nyt-org\" title=\"More articles about Emory University\">Emory University</a> School of Medicine in Atlanta and Dr. Barry D. Weiss of the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_arizona/index.html?inline=nyt-org\" title=\"More articles about University of Arizona\">University of Arizona</a> College of Medicine in Tucson suggest these strategies:</p><p>?octors should assess the patient? baseline understanding before providing extensive information: ?efore we go on, could you tell me what you already know about high <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/bloodpressure/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about blood pressure.\">blood pressure</a>??/p><p>?octors should use plain language, not medical jargon, vague terms and words that may have different meanings to a lay person. They should say chest pain instead of <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/angina/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about angina.\">angina</a>, hamburger instead of red meat and, ?ou don? have <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/aids/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about AIDS/HIV.\">H.I.V.</a>?instead of ?our H.I.V. test was negative.?/p><p>?o encourage patients to ask questions, doctors should ask, ?hat questions do you have??rather than, ?o you have any questions??/p><p>?octors should confirm the patient? understanding by saying, ? always ask my patients to repeat things back to make sure I have explained them clearly.?Or, if a new skill like using an inhaler was taught, the doctor should have the patient demonstrate the action.</p><p>?hen, as fail-safe measures, the doctor should provide written instructions and educational material for the patient and family to review at home.</p><p>Dr. Kripalani and Dr. Weiss say none of this should take more than a few minutes. And by tailoring information to a patient? individual needs and limiting it to the most important points, the process can save time in the long run, result in better control of chronic illness and lead to shorter and less frequent office visits.</p><p>Experts on health literacy also encourage doctors to assess patients?health literacy by asking them to read aloud a list of 66 medical terms, each within 5 seconds. Patients are scored on how many words they pronounce correctly. </p><p><span class=\"bold\">Taking the Lead</span></p><p> Do not wait until doctors become better at communicating. If you want the best medical care, you have to take the initiative. If the doctor says something you do not understand, ask that it be repeated in simpler language. If you are given a new set of instructions, repeat them back to the doctor to confirm your understanding. If you are given a new device to use, demonstrate how you think you are to use it.</p><p>Insist that conversations about serious medical matters take place when you are dressed and in the doctor? office. Take notes or take  along an advocate who can take notes for you. Better yet, tape-record the conversation to replay it at home for you and your family or another doctor.</p><p>If you have received a diagnosis of a new problem and want to explore it further on the Internet, be sure to look up reputable sites. Two that can be relied on are <a href=\"http://www.nlm.nih.gov\" target=\"_\">www.nlm.nih.gov</a>, produced by the National Library of Medicine, and www <a href=\"http://.healthfinder.gov\" target=\"_\">.healthfinder.gov</a>, produced by the United States <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/h/health_and_human_services_department/index.html?inline=nyt-org\" title=\"More articles about Health and Human Services Department, U.S.\">Department of Health and Human Services</a>. Many major medical centers also provide useful, accurate information online. </p><p>Avoid anecdotal information posted by patients or patients?relatives, as well as write-ups by commercial organizations that overtly or covertly sell products.</p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1431','1','<p>FRIDAY, Jan. 26 (HealthDay News) -- Taking a daily dose of 400 micrograms or more of folic acid supplements early in pregnancy reduces the risk that a woman will have a baby with cleft lip, a new study finds.</p><p>It was already known that taking folic acid prior to and early in pregnancy reduces the risk of neural tube defects, such as spina bifida, but it wasn\'t clear whether folic acid also lowered the chance of having a baby with cleft lip.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<title></title><div style=\"width:228px;\">\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>In Depth</h2>\n<div class=\"sidebarcontent\" style=\"padding-left: 10px; padding-right: 10px;\">\n<div class=\"sidebarbox\" style=\"color: #333;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/health/special/index.html\"><img src=\"http://media.washingtonpost.com/wp-srv/health/images/healthSpecialReports_206.gif\" border=\"0\" alt=\"Health: Special Reports\"></a>\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px;\">\n<a href=\"http://www.washingtonpost.com/wp-srv/health/lpc/features/2007/index.html\"><img src=\"http://media.washingtonpost.com/wp-dyn/content/photo/2006/12/29/PH2006122901164.jpg\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"Success Stories\"/></a>\n<a href=\"http://www.washingtonpost.com/wp-srv/health/lpc/features/2007/index.html\">Success Stories</a><br />\nGain inspiration from Lean Plate Club readers who have lost weight ... and kept it off.\n<br clear=\"all\" />\n</p>\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2006/01/27/LI2006012700907.html\"><img src=\"http://www.washingtonpost.com/wp-dyn/content/photo/2006/05/30/PH2006053000889.jpg\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"AIDS/HIV\"/></a>\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2006/01/27/LI2006012700907.html\">AIDS/HIV</a><br />\nTwenty-five years after the first diagnosis of the first case of AIDS, the world is waking up to the epidemic.\n<br clear=\"all\" />\n</p>\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px; margin-top: 5px;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2005/10/17/LI2005101700979.html\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2005/08/23/PH2005082300406.jpg\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"Bird Flu\" /></a>\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2005/10/17/LI2005101700979.html\">Focus on Bird Flu</a><br/>Track the latest developments in the spread of the deadly H5N1 influenza virus.\n<br clear=\"all\" />\n</p>\n<!--\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px; margin-top: 5px;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2005/11/08/LI2005110800857.html\"><img src=\"http://www.washingtonpost.com/wp-dyn/content/graphic/2005/11/11/GR2005111101024.gif\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"Medicare\" /></a>\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2005/11/08/LI2005110800857.html\">Medicare Part D</a><br/>An in-depth look at Medicare and its new voluntary prescription drug benefit.\n<br clear=\"all\" />\n</p> -->\n<!--\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px; margin-top: 5px;\">\n<a href=\"http://www.washingtonpost.com/swing\"><img src=\"http://media.washingtonpost.com/wp-dyn/content/photo/2005/04/25/PH2005042500121.jpg\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"Medicare\" /></a>\n<a href=\"http://www.washingtonpost.com/swing\">Regional Golf</a><br/>Find courses, get pointers and look at some of the area\'s most scenic courses.\n<br clear=\"all\" />\n</p> -->\n<!--\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px; margin-top: 5px;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2006/05/29/AR2006052900755.html\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2006/05/26/PH2006052601076.jpg\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" /></a>\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2006/05/29/AR2006052900755.html\">Guns and Children</a><br />\nWhat you think your kids know and what they really know may differ, according to a recent study.\n<br clear=\"all\" />\n</p>\n-->\n<!--\n<p style=\"border-top: 1px dashed #CCC; padding-top: 7px;\">\n<a href=\"http://www.washingtonpost.com/wp-srv/flash/health/caloriecounter/caloriecounter.html\"><img src=\"http://media.washingtonpost.com/wp-dyn/images/I10762-2002May13\" style=\"float: right; margin-left: 7px;\" width=\"80\" height=\"72\" border=\"0\" alt=\"fastfood\"/></a>\n<a href=\"http://www.washingtonpost.com/wp-srv/flash/health/caloriecounter/caloriecounter.html\">Fast Food Calories</a><br />\nHow do your meals add up? 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Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/26/AR2007012600861.html%3Freferrer=digg&title=Folic Acid Supplements Cut Babies\' Risk of Cleft Lip&bodytext=FRIDAY, Jan. 26 (HealthDay News) -- Taking a daily dose of 400 micrograms or more of folic acid supplements early in pregnancy reduces the risk that a woman will have a baby with cleft lip, a new study finds.\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Folic Acid Supplements Cut Babies\' Risk of Cleft Lip&labels=&annotation=FRIDAY, Jan. 26 (HealthDay News) -- Taking a daily dose of 400 micrograms or more of folic acid supplements early in pregnancy reduces the risk that a woman will have a baby with cleft lip, a new study finds.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/26/AR2007012600861.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/26/AR2007012600861.html%3Freferrer=delicious&title=%22Folic Acid Supplements Cut Babies\' Risk of Cleft Lip%22&notes=FRIDAY, Jan. 26 (HealthDay News) -- Taking a daily dose of 400 micrograms or more of folic acid supplements early in pregnancy reduces the risk that a woman will have a baby with cleft lip, a new study finds.\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/26/AR2007012600861.html%3Freferrer=yahoo&title=Folic Acid Supplements Cut Babies\' Risk of Cleft Lip&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/26/AR2007012600861.html%3Freferrer=reddit&title=Folic Acid Supplements Cut Babies\' Risk of Cleft Lip\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/26/AR2007012600861.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Folic Acid Supplements Cut Babies\\\' Risk of Cleft Lip\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>The study,  published online in the Jan. 26British Medical Journal, included the mothers of 377 children in Norway with cleft lip (with or without cleft palate) and 196 with cleft palate only who were born from 1996 to 2000. The study also included a group of mothers of 763 children without cleft lip or cleft palate.</p><p>The mothers were questioned about their diet and use of alcohol, cigarettes and drugs during early pregnancy. They were also asked whether they took multivitamins and folic acid supplements during pregnancy and, if so, when and how often.</p><p>Using this information, the researchers calculated that daily folic acid supplements of 400 micrograms or more reduced the risk of cleft lip with or without cleft palate by 40 percent. Independent of supplements, a diet rich in fruits, vegetables and other foods high in folic acid reduced the risk by 25 percent, the study concluded.</p><p>Overall, the risk was lowest among women who took folic acid supplements and multivitamins and ate a folic acid-rich diet.</p><p>Folic acid did not reduce the risk of cleft palate alone, the study found.</p><p><b>More information</b></p><p>The Nemours Foundation has more about <a href=\"http://kidshealth.org/parent/pregnancy_newborn/pregnancy/folic_acid.html\" target=\"\">folic acid and pregnancy</a>.</p><p>SOURCE:British Medical Journal, news release, Jan. 26, 2007</p></div></div><br clear=\"all\">\n<br clear=\"all\"/><img src=\"http://media3.washingtonpost.com/wp-srv/images/article/healthday_logo.gif\" width=\"170\" height=\"51\" border=\"0\" alt=\"HealthDay\" style=\"margin-bottom:10px\">\n');
INSERT INTO `dede_addonarticle` VALUES('1432','1','<p>NEW ORLEANS, Jan. 28 -- Hundreds of people still without health insurance in areas hit hard by Hurricane Katrina lined up before dawn Sunday for the start of a week-long event offering free medical care.</p><p>Bundled up against the chilly wind, people began arriving at 2 a.m. outside the tents and doublewide trailers offering free care in eastern New Orleans. By the time the first 50 had been called into the registration tent, the crowd numbered in the hundreds.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<div class=\"media_photo\"><!--link rel=\"image_src\" href=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/28/PH2007012801111.jpg\"/--><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/2007-01-29/index.html?imgId=PH2007012801113&imgUrl=/photo/2007/01/28/PH2007012801113.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-srv/photo/largerPhoto/images/enlarge_tab.gif\" width=\"103\" height=\"12\" border=\"0\" align=\"bottom\" alt=\"\"></a><br/><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/2007-01-29/index.html?imgId=PH2007012801113&imgUrl=/photo/2007/01/28/PH2007012801113.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/01/28/PH2007012801111.jpg\" border=\"0\"  alt=\"Volunteers, from left, Mary Schulthels, Kathy Morris, Merri Roussell and Aggie Williams try to keep supplies dry at a health fair in New Orleans.\"  height=\"145\" width=\"228\" align=\"top\"></a><div id=\"caption\">Volunteers, from left, Mary Schulthels, Kathy Morris, Merri Roussell and Aggie Williams try to keep supplies dry at a health fair in New Orleans.<span id=\"credit\"> (By Judi Bottoni  --  Associated Press) </span></div></div>\n<div>\n<div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>Coverage of the Storms</h2>\n<div class=\"sidebarcontent\" style=\"padding-left: 10px; padding-right: 10px;\">\n<div class=\"sidebarbox\" style=\"color: #333;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/nation/special/10/\"><img src=\"http://media.washingtonpost.com/wp-srv/nation/graphics/aDevastatingSeason.gif\" border=\"0\" alt=\"A Devastating Season\"></a>\n<p style=\"margin-top: 0; padding-top: 0;\">\nThe Gulf Coast was hit hard by two massive hurricanes in the fall of 2005.\n</p>\n<p style=\"margin-top: 10; padding-top: 0; font-weight:bold;\">\nINTERACTIVE MAPS<br />\n<span style=\"font-size: 12px;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/custom/2005/09/23/CU2005092301101.html\">Hurricane Rita</a> &nbsp;|&nbsp; <a href=\"http://www.washingtonpost.com/wp-dyn/content/custom/2005/09/01/CU2005090101358.html\">Hurricane Katrina</a>\n</span>\n</p>\n<p style=\"margin-top: 10; padding-top: 0; font-weight:bold;\">\nMULTIMEDIA<br />\n<span style=\"font-size: 12px;\">&#8226; Galleries: <a href=\"javascript:void(window.open(\'http://www.washingtonpost.com/wp-dyn/content/gallery/2005/09/27/GA2005092700049_metaRefresher.htm?startat=1\',\'cwgallery_win\',\'toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=no,copyhistory=no,width=730,height=670,left=0,top=0,screenX=0,screenY=0\'))\">After Rita</a> | <a href=\"javascript:void(window.open(\'http://www.washingtonpost.com/wp-dyn/content/gallery/2005/08/30/GA2005083000006_metaRefresher.htm?startat=1\',\'cwgallery_win\',\'toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=no,resizable=no,copyhistory=no,width=730,height=670,left=0,top=0,screenX=0,screenY=0\'))\">Katrina Hits</a><br />\n&#8226; Video: <a href=\"http://www.washingtonpost.com/wp-dyn/content/video/2005/09/25/VI2005092500311.html\">Rita Ashore</a> | <a href=\"http://www.washingtonpost.com/wp-dyn/content/video/2005/10/06/VI2005100601729.html\">A Jazz Return</a><br />\n&#8226; Panoramas: <a href=\"http://www.washingtonpost.com/wp-dyn/content/panorama/2005/10/03/PA2005100301671.html\">Aerial Views of Ruin</a><br />\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/photo/special/7/index.html\">Complete Multimedia Archive</a></span>\n</p>\n<p style=\"margin-top: 10; padding-top: 0; font-weight:bold;\">\nPOST COVERAGE<br /><span style=\"font-size: 12px;\">\n&#8226; <a href=\"http://www.washingtonpost.com/wp-dyn/content/nation/special/10/\">Complete Special Report</a><br />\n<!-- 			  &#8226; <a href=\"\">Complete Archive From the Storms</a> --></span>\n</p>\n</div>\n</div>\n</div>\n<div class=\"clearboth\"></div>\n</div>\n\n<script src=\"http://media3.washingtonpost.com/wp-srv/technorati/Technorati.js\"></script><script>\nvar technorati = new Technorati() ;\ntechnorati.setProperty(\'url\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/28/AR2007012801074_Technorati.html\') ;\ntechnorati.article = new item(\'Bringing Health Care To Katrina\\\'s Uninsured\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/28/AR2007012801074.html\',\'NEW ORLEANS, Jan. 28 -- Hundreds of people still without health insurance in areas hit hard by Hurricane Katrina lined up before dawn Sunday for the start of a week-long event offering free medical care.\',\'Janet McConnaughey\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/01/28/AR2007012801074_Technorati.js\"></script><script>document.write( technorati.getDisplaySidebar() );</script>\n<link href=\"http://media3.washingtonpost.com/wp-srv/css/bookmarking.css\" rel=\"stylesheet\" media=\"all\"/><div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2><table cellpadding=\"0\" cellspacing=\"right\" border=\"0\" width=\"222\"><tr><td class=\"sb-left\" align=\"left\">Save &amp; Share Article</td><td class=\"sb-right\" align=\"right\"><a href=\"http://www.washingtonpost.com/wp-srv/community/saveandshare.html\">What\'s This?</a></td></tr></table></h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\"><div class=\"bookmark\"><div class=\"generic_bookmark digg_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://digg.com/submit?phase=2&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/28/AR2007012801074.html%3Freferrer=digg&title=Bringing Health Care To Katrina\'s Uninsured&bodytext=NEW ORLEANS, Jan. 28 -- Hundreds of people still without health insurance in areas hit hard by Hurricane Katrina lined up before dawn Sunday for the start of a week-long event offering free medical care.\" target=\"new\">Digg</a></div></div><div class=\"generic_bookmark google_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://www.google.com/bookmarks/mark?op=add&title=Bringing Health Care To Katrina\'s Uninsured&labels=&annotation=NEW ORLEANS, Jan. 28 -- Hundreds of people still without health insurance in areas hit hard by Hurricane Katrina lined up before dawn Sunday for the start of a week-long event offering free medical care.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/28/AR2007012801074.html%3Freferrer=google\" target=\"new\">Google</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark delicious_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://del.icio.us/post?v=4&partner=wpni&noui&jump=close&url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/28/AR2007012801074.html%3Freferrer=delicious&title=%22Bringing Health Care To Katrina\'s Uninsured%22 By Janet McConnaughey&notes=NEW ORLEANS, Jan. 28 -- Hundreds of people still without health insurance in areas hit hard by Hurricane Katrina lined up before dawn Sunday for the start of a week-long event offering free medical care.\" target=\"new\">del.icio.us</a></div></div><div class=\"generic_bookmark yahoo_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://myweb2.search.yahoo.com/myresults/bookmarklet?u=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/28/AR2007012801074.html%3Freferrer=yahoo&title=Bringing Health Care To Katrina\'s Uninsured&popup=true\" target=\"new\">Yahoo!</a></div></div><br clear=\"all\"/><div class=\"generic_bookmark reddit_bookmark\"><div class=\"pad_bookmark\"><a href=\"http://reddit.com/submit?url=http://www.washingtonpost.com/wp-dyn/content/article/2007/01/28/AR2007012801074.html%3Freferrer=reddit&title=Bringing Health Care To Katrina\'s Uninsured\" target=\"new\">Reddit</a></div></div><div class=\"generic_bookmark facebook_bookmark\"><div class=\"pad_bookmark\"><a href=\"javascript:void(0);\" onclick=\"void(window.open(\'http://www.facebook.com/sharer.php?u=\'+encodeURIComponent(\'http://www.washingtonpost.com/wp-dyn/content/article/2007/01/28/AR2007012801074.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Bringing Health Care To Katrina\\\'s Uninsured\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>Penny Anderson, her daughter, and three small grandchildren came to see a dentist. \"My daughter went online to try to get health insurance for me and my husband,\" she said. \"It was $799 a month! That\'s a house note!\"</p><p>The health fair is open to anyone from the New Orleans area but is specifically aimed at those who no longer have insurance, are unemployed or otherwise cannot pay for regular health care. By the end of the week, 10,000 patients are expected to be seen.</p><p>The project is a collaboration by Pat Robertson\'s Operation Blessing International and Remote Area Medical, which organizes volunteer medical treatment in remote parts of the United States and the world.</p><p>While most people wouldn\'t consider New Orleans remote, the city is, \"since Hurricane Katrina, extremely remote from a medical and health-care infrastructure,\" said Karen Wilson, executive director of the Remote Area Medical Foundation.</p><p>More than 400 health-care workers have volunteered for the health fair, including doctors, dentists and specialists. Services include free prescriptions; dental fillings and teeth cleanings; eye exams and glasses; and specialized care, including pediatrics, obstetrics and gynecology, diabetic care and cardiology.</p><p>Claudette Stone, 52, of Chalmette was first in line for most of the morning. She had tried several times to see doctors brought by the same groups about a year ago for her diabetes, high blood pressure and other problems. But she arrived after 8 a.m. and couldn\'t get in.</p><p>Though daily clinics are available, she\'s had trouble getting into those, too, even though she arrived at 4 a.m.</p><p>\"Some days they\'ll see 15 people, some days 10. There would already be that many people lined up,\" she said.</p><p>Farther back in line, Zachary Jackson, 54, and Ray Stringer, 60, said they had come to New Orleans for demolition and rebuilding jobs. Neither had insurance through his employer.</p><p>\"You can\'t put a price on this,\" Jackson said.</p><p>\"There\'s no way,\" Stringer agreed.</p><p></p><p></p></div></div><br clear=\"all\">\n');
