INSERT INTO `dede_addonarticle` VALUES('1563','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\">Super Bowl snacks that don\'t blow your diet</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>How to enjoy Sunday\'s party without Monday morning regret</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/j/msnbc/Components/Photos/070202/070202_pizza_hmed_930a.hmedium.jpg\" vspace=\"0\" hspace=\"0\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Dima Gavrysh / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">If you skip the pepperoni, pizza, especially when topped with vegetables,?an be good party food.</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>CHICAGO - For many football fans, Super Bowl Sunday is a greasy junk food orgy of chicken wings, nachos, gooey pizza and seven-layer bean dip. But health experts say it doesn\'t have to be a dieter\'s nightmare.</p><p>Die-hard Bears fan Scott Keiler plans to spend Sunday with friends in a bar, watching the game and gobbling down pizza and wings.</p><p>\"I\'m always glued to the set but I love food. It\'s usually a part that\'s almost as important as the game,\" said Keiler, 26, a Chicago-area magazine representative.</p><p>Nowhere will the gluttonous revelry be as intense as in Chicago and Indianapolis, whose teams face off this year.</p><p>Lisa Farley, a nutritionist at Indiana University-Purdue University Indianapolis, said there are generally two kinds of football fans: \"Couch potatoes who sit back and watch it all happen\" - they tend to eat more - and those who get physical.</p><p>Go ahead and jump off the couch, throw your hat on the ground and pace while riveted to the screen, Farley suggests. It burns more calories - and keeps your hands from automatically grabbing more food.</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=490&amp;ThreadID=185304&amp;BoardsParam=HIPDelay%3d1\">Share your Super Sunday diet tips</a></li><li><a href=\"http://fitlist.msnbc.msn.com/\">Workouts for Super Bowl couch potatoes</a></li><li><a href=\"/id/16932731/\">Retired NFL players feeling health pains</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>Data from the NPD Group, a market-research firm, shows that Americans\' consumption of salty snacks, pizza, cookies and Mexican dishes skyrockets during the big game compared with usual Sundays.</p><p>\"It\'s hard to have a Super Bowl party without the good stuff,\" said football fan Nik Verma, an orthopedic surgeon in Chicago.</p><p><b><strong>Reach for it</strong></b><br>Dr. Robert Kushner, professor of medicine at Northwestern University, offered another way to break the couch potato tradition.</p><p>\"Try spending a quarter of the game on a treadmill,\" Kushner said. \"That way you can run along with your favorite receiver.\"</p><p>Or, put out weights, resistance bands and balance balls for your party guests.</p><p>\"If you\'re going to sit and watch the game, you\'re actually going to develop more muscular toning by sitting on a fitness ball rather than a couch,\" he said.</p><p>\"It\'s really not as hokey as it sounds,\" he added. \"It would actually be a fun theme-party idea.\"</p><p>If you\'re the party host, place the food beyond the reach of those on the couch, ideally in a different room, said Jennifer Ventrelle, a dietitian at Chicago\'s Rush University Medical Center.</p><p>\"If you have to get up to get your food, you\'re being a little more active\" and it cuts down on unconscious gorging in front of the TV, Ventrelle said.</p><p><b><strong>Don\'t go hungry</strong></b><br>Julie Burns, a sports dietitian who has worked with the Chicago Bears, said hosts should consider offering healthy foods including vegetable trays along with the snacks - maybe even carrots and blueberries for an orange-and-blue Bears theme, or blueberries and shredded coconut for the Colts\' blue and white.</p><p>Foods like chili can be made healthier by using turkey or lean meat and lots of beans, along with brown rice, Burns said.</p><p>Pizza topped with lots of vegetables, salsa instead of fatty creamy dips and baked tortilla chips instead of fried are other good alternatives.</p><p>\"There\'s ways of making junk food healthier,\" said dietitian Laura Palmer with Purdue University\'s Cooperative Extension Service in West Lafayette, Ind.</p><p>Starting the day with a healthy breakfast and avoiding going hungry to a Super Bowl party can reduce the temptation to gorge on junk food during the game, experts say. And to avoid overimbibing when the beer starts flowing, they suggest alternating drinks with glasses of water.</p><p>A rabid Colts fan, Farley said she\'s going to a Super Bowl party where she knows there will be fattening food. She said partygoers should acknowledge they are going to eat some junk, but also vow, \"For every cookie, I\'m going to eat a carrot.\"</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('1564','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\">Heavy drinking riskier for women with hep C</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Copious alcohol use shortens life span by about 12 years, 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>NEW YORK - Heavy alcohol use increases mortality with hepatitis C virus (HCV) to a greater extent in women than in men, according to a report.</p><p>\"Previous studies indicated that alcohol use is a risk factor for HCV disease progression, but they seldom examined the effect on women and men separately,\" lead author Dr. Chiung Chen, from CSR, Inc., Arlington, Virginia, said in a statement. \"Even fewer studies were able to examine the effect of alcohol on HCV mortality. Our study provides empirical evidence to fill the gap.\"</p><p>Chen and colleagues analyzed 132,468 deaths due to HCV and/or heavy alcohol use entered in National Center for Health Statistics databases between 2000 and 2002.</p><p>Female hepatitis C patients who were not heavy drinkers died at an average age of 61 years, while those who drank died at 49 years.</p><p>By contrast, heavy drinking had a smaller effect on life span in men, lowering the average age of death with hepatitis C from 55 to 50 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/16904997/\">Pollution puts women\'s hearts at risk</a></li><li><a href=\"/id/16173568/\">Want to live longer? Toss back a few cocktails</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 emphasize that heavy drinking is a key factor that influences hepatitis C mortality, the researchers state. More importantly, the study provides the first evidence of a gender difference in alcohol intake-related hepatitis C mortality.</p><p>Further studies are warranted to determine if similar differences in HCV mortality are seen across racial/ethnic group and to investigate the possible interactions with HIV co-infection, the researchers conclude.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><SCRIPT language=javascript src=http://www.msnbc.com/d/ip/HepatitisC_FAQ/data.js></SCRIPT><SCRIPT language=javascript src=http://www.msnbc.com/modules/poptext/poptext_codeV2.js></SCRIPT><SCRIPT>if (window.HepatitisC_FAQ) { displayApp(HepatitisC_FAQ); }</SCRIPT></td></tr></table></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('1565','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\">Disparities remain as cervical cancer cases drop</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Race, ethnicity and geography still major risk factors for U.S. women</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>In the United States, rates of invasive cervical cancer declined between 1998 and 2002, although significant racial, ethnic and geographic differences persisted, according to pre-vaccine surveillance data covering 87 percent the population of women.</p><p>Altogether, 59,848 cases of cervical cancer cases were identified during the five-year study period. The annual number of cases fell from 12,720 in 1998 to 11,071 in 2002.</p><p>The incidence rate declined from 10.2 per 100,000 women in 1998 to 8.5 per 100,000 in 2002, report Dr. Mona Saraiya from the Centers for Disease Control and Prevention, Atlanta, and colleagues in the latest issue of <em>Obstetrics and Gynecology</em>.</p><p><b><strong>Highest risk for Hispanics</strong></b><br>For the period as a whole, the average annual incidence rate was highest among Hispanic women (14.8 per 100,000), followed by black women (13.5 per 100,000). Rates among Asian or Pacific Islander women and white women were similar (8.9 per 100,000).</p><p>\"We confirmed that in the United States there is a 50 percent higher incidence of cervical cancer among African-American (compared with white) and 66 percent higher incidence among Hispanic women (compared with non-Hispanic),\" note the authors.</p><p>Cervical cancer rates rose with age for all groups. Among Hispanic women 40 years or older, rates were 26.5 or more per 100,000; among black women older than 50 years, rates were 23.5 or more per 100,000 women.</p><p>\"Our findings confirm the need to continue screening older women as recommended by guidelines and to find better strategies for access to screening of women of color,\" Saraiya and colleagues note.</p><p>There is evidence that suggests that the difference in cervical cancer incidence among black, Hispanic and white women may be due \"in substantial measure, to differences, by race, in the follow-up of abnormal Pap tests.\"</p><p>There were also geographic differences in cervical cancer rates, with higher rates of squamous cell carcinoma - the most common type of cervical cancer - seen in the South than in other regions.</p><p>\"Clearly, our approach to preventing cervical cancer in the United States should include more focused attention on pockets of high risk,\" the team notes.</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/16948093/\">Texas governor orders STD vaccine for all girls</a></li><li><a href=\"/id/3295154/\">Quiz: Are you at risk for cervical cancer?</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>Measuring vaccine\'s effect<br></strong></b>Introduction in 2006 of the vaccine for human papillomaviruses (HPV), which cause most cases of cervical cancer, gives doctors \"an additional tool\" to reduce illness and death from cervical cancer. When administered appropriately, the HPV vaccine can prevent about 70 percent of all cervical cancers in this country and worldwide, they point out.</p><p>The surveillance system in place in the U.S., Saraiya\'s team adds, will provide a consistent means of measuring trends in the incidence of invasive cervical cancer in the post-cervical cancer vaccine era, although the effect of the vaccine may not be seen for two decades.</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('1566','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\">Getting buff in the buff</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Dutch gym to introduce \'Naked Sunday\' for nudists</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>AMSTERDAM, Netherlands - Self-conscious about what you wear while working out? A Dutch gym plans to introduce \"Naked Sunday\" for people who like to huff and puff in the buff.</p><p>Patrick de Man, owner of Fitworld gym in the town of Heteren, said he got the idea in part from two of his customers who are avid nudists.</p><p>\"I heard that some other gyms are offering courses on \'pole-dancing\' as a sport, so I thought: Why not bring something new to the market?\" de Man said.</p><p>He said the response had been overwhelming - positive and negative.</p><p>The 70,000-member Dutch Federation of Naturists was curious to see if Fitworld\'s plan would work, spokesman Bernd Huiser said.</p><p>\"We recently conducted a large survey among our members, and most prefer to exercise with their clothes on,\" he said. \"The most popular activities (for nudists) are things you do outdoors, like walking on the beach, or swimming in a lake, or maybe gardening.\"</p><p>De Man said the first question Fitworld customers were asking was whether it would be sanitary.</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/16946462/\">Vote: Would you work out naked at the gym?</a></li><li><a href=\"/id/16658017/\">Your wacky workout questions answered</a></li><li><a href=\"/id/16948773/\">Why ancient Greeks are always nude</a></li><li><a href=\"/id/16878819/\">Naked, greased student interrupts lunch</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>Nude exercisers would be required to put towels down on weight machines and to use disposable seat covers while riding bikes. All machines would be cleaned and disinfected afterward. \"We clean them every day anyway,\" he said.</p><p>The first \"Naked Sunday\" is scheduled for March 4.</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('1567','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\">Mentally ill in Switzerland could win right to die</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>High court ruling opens door to assisted suicide for mental disorders</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>LAUSANNE, Switzerland - A ruling by Switzerland\'s highest court released Friday has opened up the possibility that people with serious mental illnesses could be helped by doctors to take their own lives.</p><p>Switzerland already allows physician-assisted suicide for terminally ill patients under certain circumstances. The Federal Tribunal\'s decision puts mental illnesses on the same level as physical ones.</p><p>\"It must be recognized that an incurable, permanent, serious mental disorder can cause similar suffering as a physical (disorder), making life appear unbearable to the patient in the long term,\" the ruling said.</p><p>\"If the death wish is based on an autonomous decision which takes all circumstances into account, then a mentally ill person can be prescribed sodium-pentobarbital and thereby assisted in suicide,\" it added.</p><p>Various organizations exist in Switzerland to help people who want to commit suicide, and assisting someone to die is not punishable under Swiss law as long as there is no \"selfish motivation\" for doing so.</p><p>The judges made clear in their ruling that certain conditions would have to be met before a mentally ill person\'s request for suicide assistance could be considered justified.</p><p>\"A distinction has to be made between a death wish which is an expression of a curable, psychiatric disorder and which requires treatment, and (a death wish) which is based on a person of sound judgment\'s own well-considered and permanent decision, which must be respected,\" they said.</p><p><b><strong>Case brought by bipolar patient<br></strong></b>The case was brought by a 53-year old man with serious bipolar affective disorder who asked the tribunal to allow him to acquire a lethal dose of pentobarbital without a doctor\'s prescription.</p><p>The tribunal ruled against his request, confirming the need for a thorough medical assessment of the patient\'s condition.</p><p>Whether any Swiss physician would be prepared to prescribe a lethal dose of pentobarbital to a mentally ill person remains unclear. </p><p>Art Caplan, director of the Center for Bioethics at the University of Pennsylvania and a \n<a href=\"/id/3035344/\">columnist for MSNBC.com</a>, warns, \" If this policy were to be put into place in Switzerland or elsewhere it would put physicians in the position of trying to distinguish \'competent\' requests from persons with mental illness from \'incompetent\' or \'temporarily desperate\' persons with mental illness - something psychiatry and psychology are not always adept at doing.\" </p><p>Switzerland\'s national ethics commission could not be reached for comment late on Friday.</p><p>\n<strong>Opening door to suffering</strong><br>\n\"The ruling opens the door to anyone who says they have unbearable psychological or emotional suffering to request help in dying - people with terrible burns, those who are terribly disfigured, those who are emotionally bereft at the loss of a child or partner or loved and even those suffering from career setbacks and failures,\" Caplan 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/16951778/\">Vote: Do you think the mentally ill should have the right to receive assisted suicide?</a></li><li><a href=\"/id/16829300/\">\'Suicide bridge\' rattles employees</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>Switzerland is one of a number of countries in Europe that allow assistance to terminally ill people who wish to die.</p><p>Netherlands legalized euthanasia in 2001 and Belgium in 2002, while Britain and France allow terminally ill people to refuse treatment in favor of death.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i>MSNBC.com 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(\'16951542\')\" 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(\'16951542\')\" 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 MENTAL HEALTH</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/16887801/\"><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%\">Aussie shrink?as patient wear dog collar</td></tr></table></td></tr><tr><td style=\"padding:0px;\"><font color=\"#000000\"><table width=\"100%\" cellspacing=\"0\" cellpadding=\"0\"><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16996417/\">Youth suicides up after decade of decline</a></font></td></tr><tr valign=\"top\"><td width=\"20\"></td><td><font class=\"bulletRedSmall\">. </font><font class=\"headlineList2\"><a class=\"linkBlack\" href=\"/id/16933166/\">Feeling blah? 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INSERT INTO `dede_addonarticle` VALUES('1568','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\">Texas governor orders STD vaccine for all girls</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Decision comes after maker of cervical cancer shot doubled lobbying efforts</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\',\'dd989bd0-cb73-413b-b7c5-8d9b5089b3c0\',\'us\',\'Source_Nightly News\',\'c24\',\'msnbc\',\'\',\'16963639\',\'Debate intensifies over%C2%A0cancer vaccine\')\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/j/msnbc/Components/Video/070203/nn_okwu_cancervac_070203.300w.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\',\'dd989bd0-cb73-413b-b7c5-8d9b5089b3c0\',\'us\',\'Source_Nightly News\',\'c24\',\'msnbc\',\'\',\'16963639\',\'Debate intensifies over?ancer vaccine\')\"></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\',\'dd989bd0-cb73-413b-b7c5-8d9b5089b3c0\',\'us\',\'Source_Nightly News\',\'c24\',\'msnbc\',\'\',\'16963639\',\'Debate intensifies over%C2%A0cancer vaccine\')\">Debate intensifies over?ancer vaccine</a></font><br><font color=\"black\">Feb. 3: Friday\'s decision by the state of Texas to require a new vaccine for schoolgirls to prevent the disease that causes cervical cancer has stirred up quite a controversy. NBC\'s Michael Okwu reports on the debate.</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>AUSTIN, Texas - Bypassing the Legislature altogether, Republican Gov. Rick Perry issued an order Friday making Texas the first state to require that schoolgirls get vaccinated against the sexually transmitted virus that causes cervical cancer.</p><p>By employing an executive order, Perry sidestepped opposition in the Legislature from conservatives and parents\' rights groups who fear such a requirement would condone premarital sex and interfere with the way Texans raise their children.</p><p>Beginning in September 2008, girls entering the sixth grade - meaning, generally, girls ages 11 and 12 - will have to receive Gardasil, Merck &amp; Co.\'s new vaccine against strains of the human papillomavirus, or HPV.</p><p>Perry also directed state health authorities to make the vaccine available free to girls 9 to 18 who are uninsured or whose insurance does not cover vaccines. In addition, he ordered that Medicaid offer Gardasil to women ages 19 to 21.</p><p>Perry, a conservative Christian who opposes abortion and stem-cell research using embryonic cells, counts on the religious right for his political base. But he has said the cervical cancer vaccine is no different from the one that protects children against polio.</p><p>\"The HPV vaccine provides us with an incredible opportunity to effectively target and prevent cervical cancer,\" Perry said.</p><p>Merck is bankrolling efforts to pass state laws across the country mandating Gardasil for girls as young as 11 or 12. It doubled its lobbying budget in Texas and has funneled money through Women in Government, an advocacy group made up of female state legislators around the country.</p><p><b><strong>Perry tied to Merck<br></strong></b>Perry has ties to Merck and Women in Government. One of the drug company\'s three lobbyists in Texas is Mike Toomey, Perry\'s former chief of staff. His current chief of staff\'s mother-in-law, Texas Republican state Rep. Dianne White Delisi, is a state director for Women in Government.</p><p>The governor also received $6,000 from Merck\'s political action committee during his re-election 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=\"/id/16948399/\">Vote: Should states require the shot?</a></li><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?BoardID=762&amp;ThreadID=185572&amp;BoardsParam=HIPDelay%3d1\">Discuss: What do you think?</a></li><li><a href=\"/id/3295154/\">Assess your risk for cervical cancer</a></li><li><a href=\"/id/16948768/\">Disparities remain as cervical cancer cases drop</a></li><li><a href=\"/id/16891832/\">Drugmaker wants law to require STD shot</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 order is effective until Perry or a successor changes it, and the Legislature has no authority to repeal it, said Perry spokeswoman Krista Moody. Moody said the Texas Constitution permits the governor, as head of the executive branch, to order other members of the executive branch to adopt rules like this one.</p><p>Legislative aides said they are looking for ways around the order for parents who oppose it.</p><p>\"He\'s circumventing the will of the people,\" said Dawn Richardson, president of Parents Requesting Open Vaccine Education, a citizens group that fought for the right to opt out of other vaccine requirements. \"There are bills filed. There\'s no emergency except in the boardrooms of Merck, where this is failing to gain the support that they had expected.\"</p><p><b><strong>Opt-out option for parents<br></strong></b>Texas allows parents to opt out of inoculations by filing an affidavit objecting to the vaccine on religious or philosophical reasons. Even with such provisions, however, conservative groups say such requirements interfere with parents\' rights to make medical decisions for their children.<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;More news from MSN Health</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><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://health.msn.com/womenshealth/articlepage.aspx?cp-documentid=100154601\" target=\"_blank\">FAQs on the HPV vaccine</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://health.msn.com/guides/cervicalcancer/\" target=\"_blank\">Cervical cancer guide</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://health.msn.com/centers/cancer/articlepage.aspx?cp-documentid=100120299\" target=\"_blank\">Pap test: How to protect yourself</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://health.msn.com/centers/cancer/articlepage.aspx?cp-documentid=100098764\" target=\"_blank\">Cancer: How not to go there</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>The federal government approved Gardasil in June, and a government advisory panel has recommended that all girls get the shots at 11 and 12, before they are likely to be sexually active.</p><p>The New Jersey-based drug company could generate billions in sales if Gardasil - at $360 for the three-shot regimen - were made mandatory across the country. Most insurance companies now cover the vaccine, which has been shown to have no serious side effects.</p><p>Merck spokeswoman Janet Skidmore would not say how much the company is spending on lobbyists or how much it has donated to Women in Government. Susan Crosby, the group\'s president, also declined to specify how much the drug company gave.</p><p>A top official from Merck\'s vaccine division sits on Women in Government\'s business council, and many of the bills around the country have been introduced by members of Women in Government.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><SCRIPT language=javascript src=\"http://msnbcmedia.msn.com/i/msnbc/components/interactives/_prod/Health_HPV/data.js\"></SCRIPT><SCRIPT language=javascript src=http://msnbcmedia.msn.com/i/msnbc/components/interactives/tools/interactive.js></SCRIPT><SCRIPT>if (window.Health_HPV) { displayApp(Health_HPV); }</SCRIPT></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('1569','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\">Organic seal may soon mean \'clone-free,\' too</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Meat, milk from cloned animals won\'t get their own warning label</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/j/msnbc/Components/Photos/070202/070202_foodlabels_hmed_12p.hmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: milk\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Jim Mone / AP file</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">With no label required for foods from cloned animals, the USDA seal marking organic products will help concerned consumers find clone-free milk and meat.</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>WASHINGTON - When the government approves food from cloned animals, expected in the next year, the Food and Drug Administration doesn\'t plan special labels. Government scientists have found no difference between clones and conventional cows, pigs or goats.</p><p>However, shoppers won\'t be completely in the dark. To help them sort through meat and dairy products, one signal is the round, green USDA organic seal, says Caren Wilcox, who heads the Organic Trade Association.</p><p>While many people choose organic to avoid pesticides or antibiotics, Wilcox says the U.S. Department of Agriculture label also means clone-free.</p><p>\"Organic animal products will not come from cloned animals,\" she said.</p><p>Cloning is taboo to Organic Valley, the country\'s biggest organic farming cooperative.</p><p>\"This is absolutely prohibited in our world. It goes against everything we believe,\" said George Siemon, CEO of the 700-member cooperative. \"Organic is based on having plenty with what nature\'s given us.\"</p><p>\"Clone-free\" labels are also likely on some non-organic food, such as ice cream made by Ben &amp; Jerry\'s Homemade Inc.</p><p>Still, it\'s unclear how much cloning will matter to consumers.</p><p>The nation\'s milk industry worries that people might reject food from clones or turn away from dairy products altogether. But so far, public opinion appears mixed. In a September poll by the Pew Initiative on Food and Biotechnology, 64 percent said they were uncomfortable with animal cloning.</p><p>In a December poll by the University of Maryland, the same percentage said they would buy, or consider buying, such food if the government said it was safe.</p><p>\"The answers weren\'t yuck versus yes, not for the consumers that are provided information,\" said Barb Glenn, director of animal biotechnology for the Biotechnology Industry Organization.</p><p>People who can afford it will pay more for organic products, which are grown without toxic pesticides and fertilizers, antibiotics or synthetic growth hormones. Organic food is also grown without genetic engineering.</p><p><b><strong>\'The FDA has gone astray\'</strong></b><br>Organic is a rapidly growing segment of the nation\'s food market. Organic sales have grown by up to 20 percent annually; overall growth in food sales is around 3 percent.</p><p>Some in Congress want to require labels on food from clones. Sen. Barbara Mikulski, D-Md., has introduced legislation to require this note on packages: \"This product is from a cloned animal or its progeny.\"<table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia2.msn.com/i/msnbc/Components/Art/HEALTH/070202/AP_CLONED_FOODS.gif\" align=\"Right\" height=\"286\" width=\"351\" vspace=\"0\" hspace=\"0\"></td></tr></table></p><p>Mikulski and other critics disagree with the FDA, which has said labels probably are unneeded because clones and their food are as safe as conventional versions.</p><p>\"The FDA has gone astray, insisting that anytime they say a food is safe, consumers are obligated to eat it,\" said Carol Tucker Foreman of Consumer Federation of America.</p><p>The dairy industry says the bill would hurt their business.</p><p>\"A huge burden would be on every single milk, cheese and ice cream company in this country, large and small, to provide 100 percent traceability and segregation and labeling of their milk,\" said Susan Ruland, spokeswoman for the International Dairy Foods Association.</p><p>\"This is for a kind of milk that isn\'t even out there yet and that we\'re not even sure anyone is going to produce,\" Ruland said.</p><p>According to biotech companies, it may be difficult to promise that food is clone-free.</p><p><b><strong>Offspring, not clones, intended for dinner plate<br></strong></b>The purpose of cloning is not to put lots of cloned livestock into the food supply. The purpose is to make a genetic copy of a superior animal and put its offspring into the food supply.</p><p>Scientists have found no difference in clones or their offspring, and they have detected no difference in the animals\' meat or milk. That could make it tough to keep offspring, and their progeny, out of production.</p><p>\"You can\'t distinguish these animals from other animals,\" Glenn said. \"It\'s almost mind-boggling, when you start talking about the granddaughters of granddaughters of granddaughters.\"</p><p>For organic, some question whether clones or their offspring really go against the rules.</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/16950398/\">Vote: Do you fret about cloned foods?</a></li><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?BoardID=490&amp;ThreadID=185691&amp;BoardsParam=HIPDelay%3d1\">Discuss: Share your views on cloned products in the food supply</a></li><li><a href=\"/id/16372490/\">FDA says cloned animals are OK to eat</a></li><li><a href=\"/id/16382412/\">Commentary: Dolly on the dinner table? Don\'t worry about it</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 Agriculture Department was asked to address cloning when the organic standards were written, a process that drew comments from more than 300,000 people and organizations. The standards, which took effect in 2002, do not mention clones or their offspring; instead, they say genetic engineering is not allowed.</p><p>That is a source of disagreement between the department and the cloning industry.</p><p>Department officials say cloning is forbidden in organic animals. The process is incompatible with the standards, says Lloyd Day, head of the Agricultural Marketing Service, which governs the organic industry. The department still must decide whether the offspring of cloned animals are allowed, Day said.</p><p>Cloning companies disagree. They note the FDA says cloning is not genetic engineering. The idea of genetic engineering is to take away or add genes, while cloning leaves the gene sequence intact.</p><p>\"Our interpretation is that cloning is not excluded at this time,\" Glenn said.</p><p>Rather, FDA says cloning is a technology that help animals reproduce, similar to in vitro fertilization and artificial insemination. And in vitro fertilization is allowed under organic production rules.</p><p>The government has asked producers to voluntarily keep clones away from the food supply until final approval is granted.</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('1570','1','	<p>Britain scrambled to contain its first\noutbreak of the highly pathogenic H5N1 strain of bird flu in\ndomestic poultry on Saturday after the virus was found at a\nfarm run by Europe\'s biggest turkey producer.<p/>\nSome 2,500 turkeys have died since Thursday at the Bernard\nMatthews farm near Lowestoft in eastern England. The Department\nfor the Environment, Food and Rural Affairs (Defra) said all\n159,000 birds there would be culled over the next few days.<p/>\n\"We\'re in new territory,\" National Farmers\' Union Poultry\nBoard chairman Charles Bourns told Reuters. \"We\'ve every\nconfidence in Defra but, until we know how this disease\narrived, this is a very apprehensive time for all poultry\nfarmers.\"<p/>\nDefra said the virus was the same pathogenic Asian strain\nfound last month in Hungary where an outbreak among geese on a\nfarm prompted the slaughter of thousands of birds.<p/>\nThat outbreak followed a relative lull in cases of H5N1\namong European poultry since hundreds of turkeys died at a farm\nin east France about a year ago.<p/>\nThe strain tends to be transmitted to poultry by infected\nmigrating wildfowl.<p/>\nIt has killed at least 165 people worldwide since 2003,\nmost of them in Asia, and more than 200 million birds have died\nfrom it, or been killed to prevent its spread.<p/>\nBut it has not yet fulfilled scientists\' worst fears by\nmutating into a form that could be easily transmitted between\nhumans and possibly cause a global pandemic.<p/>\nUNUSUAL OUTBREAK<p/>\n<span class=\"keyword\"><a href=\"http://us.rd.yahoo.com/DailyNews/manual/nm/hl_nm/birdflu_britain_dc/21811826/*http://news.search.yahoo.com/search/news?fr=news-storylinks&amp;p=%22Avian%20flu%22&amp;c=&amp;n=20&amp;yn=c&amp;c=news&amp;cs=nw\">Avian flu</a></span> expert Colin Butter of the Institute of Animal\nHealth said the British outbreak was surprising as it had\nhappened outside the main bird migration period.<p/>\n\"The next thing we need to know is if this is a primary or\nsecondary case. If this is a secondary case, it is much more\nserious. If this is the first case, or \'reference case\', and we\ncan stamp it out, the outbreak will be controlled,\" he said.<p/>\nA protection zone was established with a radius of 3 km (2\nmiles) and a surveillance zone of 10 km around the infected\nfarm. Bird gatherings such as bird shows and pigeon racing were\nsuspended nationwide.<p/>\nAcross the North Sea in the Netherlands, Europe\'s second\nbiggest poultry producer after France, the agriculture ministry\nreacted by ordering farmers to keep poultry indoors to prevent\nthem from any contact with wild birds.<p/>\nNorway, which has had no cases of the deadly bird flu\nstrain, told farmers to keep poultry indoors in the area south\nof Nordland county and banned bird gatherings, such as bird\nshows and competitions.<p/>\nBritain\'s poultry industry is worth 3.4 billion pounds\n($6.7 billion) and produces 800 million birds each year.<p/>\nThe Health Protection Agency said the current level of risk\nto humans from H5N1 was extremely low.<p/>\nIn May, 50,000 chickens at three farms in Norfolk, also in\neastern England and home to some of Europe\'s biggest poultry\nfarms, were culled after another strain, H7N3, was detected.<p/>\nA wild swan found dead in Scotland in March had the H5N1\nversion of the virus. It was thought to have caught the disease\nelsewhere, died at sea and been washed ashore in Scotland.\n<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1571','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/19/2007\";</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) -- Teenagers often suffer emotional consequences from having sex, even when it\'s &quot;only&quot; oral sex, a study published Monday suggests.</p><p>Researchers at the University of California San Francisco found that up to one-half of the sexually active teenagers in their study said they\'d ever felt &quot;used,&quot; guilty or regretful after having sex.</p><p>Though such feelings were less common among teens who\'d  had only oral sex, about one-third reported some type of negative consequence.</p><p>Dr. Sonya S. Brady and Bonnie L. Halpern-Felsher report the findings in the journal Pediatrics.</p><p>The study, according to the researchers, suggests that parents should be sure to talk with their kids about the potential negative effects of having oral sex, not only intercourse.</p><p>&quot;When parents and teens talk about the consequences of having \'sex,\' they may not take the time to define what sex is,&quot; Brady and Halpern-Felsher noted in comments to Reuters Health.</p><p>&quot;It is important for parents to help teens understand that having oral sex may result in social, emotional and physical health consequences -- just as having vaginal sex may result in these consequences.&quot;</p><p>In particular, the study found, girls were twice as likely as boys to say they\'d ever &quot;felt bad about themselves&quot; after having sex, and three times more likely to say they\'d felt used.</p><p>Though the study could not look at the reasons for this difference, other studies have noted that there\'s pressure on girls to at once be sexually attractive yet resist having sex.</p><p>&quot;In contrast, boys\' sexuality and sexual behavior is generally accepted,&quot; Brady and Halpern-Felsher pointed out. &quot;Parents can play an important role in helping to eliminate this double standard by encouraging respect for women and discouraging the use of derogatory sexual terms.&quot;</p><p>The findings are based on a series of surveys given to 618 students at two public high schools, beginning in ninth grade when they were 14 years old. Of these, 275 reported having oral sex, vaginal sex or both by the spring of tenth grade.</p><p>Among the sexually active teens, those who said they\'d had only oral sex were generally less likely to report negative consequences, whether physical -- pregnancy or sexually transmitted infections -- or emotional.</p><p>However, they were also less likely to report positive effects, such as feeling closer to their partner or feeling good about themselves. Such positive feelings about sex were common, the study found. In fact, the teens more often reported positive effects than negative ones.</p><p>This suggests that when parents talk with their kids about sex, it might be a good idea to acknowledge the potential positive outcomes, like emotional intimacy, Brady and Halpern-Felsher note in their report. Parents could then talk about other ways to find those same feelings.</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('1572','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/19/2007\";</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) -- More than 90 percent of women between 15 and 24 years old consider contraceptive &quot;morning after pills&quot; to be safe and effective, according to a new report. However, the findings also show that easy accessibility to emergency contraception influences whether it is used promptly.</p><p>Morning after pills, which are taken after intercourse, consist of hormones that prevent a pregnancy from occurring. Since they can be taken immediately after intercourse (instead of waiting until the &quot;morning after&quot;), some doctors prefer the term &quot;emergency contraception.&quot;</p><p>To evaluate the acceptability of emergency contraception among young women, Dr. Corinne H. Rocca, from the University of California, San Francisco, and colleagues analyzed survey data from 1,950 women who participated in a study that evaluated access to emergency contraception through advance provision, pharmacies or clinics.</p><p>The results show that 92 percent of the women believed emergency contraception to be safe and 98 percent considered it effective, according to the report in the American Journal of Obstetrics and Gynecology.</p><p>Compared with women who had clinic access to emergency contraception, those with direct pharmacy access did not rate it as being more convenient and were no more likely to use it promptly.</p><p>By contrast, women who were given a dose to keep on hand rated it as being highly convenient and were more likely than women in the other two groups to use emergency contraception promptly.</p><p>Overall, 14 percent of the participants reported not using emergency contraception when they thought there might be a need. The main reasons cited were inconvenience and fear of adverse effects, the report indicates.</p><p>&quot;These findings underscore the importance of convenient access (to) emergency contraception,&quot; Rocca and colleagues conclude.</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('1573','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/19/2007\";</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)  -- Depression, severe mental illness and loneliness are linked to illnesses such as heart disease and dementia, according to several studies published Monday.</p><p>The exact connections between a dysfunctional mind and a malfunctioning body remains an ongoing question, but at least one of three sets of researchers writing in the Archives of General Psychiatry said several factors may be at work.</p><p>Dr. Jesse Stewart, formerly of the University of Pittsburgh School of Medicine, found a correlation between depression and hardening of the arteries in his three-year study of 324 men and women who averaged 60 years old.</p><p>The arteries of those who were most depressed had narrowed twice as much as those who were least depressed, the study found.</p><p>Hardening of the arteries can be a precursor to a heart attack or stroke and may occur because of a malfunctioning nervous system in depressed people, Stewart wrote.</p><p>Depression may also upset the body\'s regulation of glands that release chemicals governing energy level and growth, and alter the functioning of cells responsible for blood clotting.</p><p>Hardening of the arteries leads to an overreaction of the immune system and the resulting inflammation is known to release chemicals that can have effects on behavior, he added. The brain, too, can suffer from the reduced blood flow, reinforcing the depression and the resulting ailments, he wrote.</p><p>In the same journal, a British study of 46,136 severely mentally ill people found those who were younger than 50 were more than three times as likely to die from coronary heart disease and stroke than people not suffering from mental illness. Mental illness more than doubled the risk of dying from heart disease for people up to age 75.</p><p>The risk of dying from heart disease was even higher among those taking antipsychotic medication, and study author David P.J. Osborn at the Royal Free and University College Medical School, London.</p><p>Osborn urged a more &quot;holistic&quot; approach to caring for the mentally ill, with more frequent monitoring of such vital signs as blood pressure and cholesterol and more attention to diet and exercise that often go neglected.</p><p>A third study found that a persistent feeling of loneliness among the elderly doubled their risk of developing Alzheimer\'s-like symptoms compared to those who felt connected to others.</p><p>Autopsies on 90 of the study participants who died -- the only sure diagnosis -- did not turn up the tell-tale plaques, tangles and brain tissue damage of Alzheimer\'s, however.</p><p>That finding suggested something else to study author Robert Wilson of Rush University Medical Center, Chicago. He wrote that depression from loneliness somehow damaged the brain\'s ability to compensate for the age-related deterioration of the pathways that underlie social behavior and induced dementia.</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('1574','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/19/2007\";</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) -- Most adolescents do not get enough exercise each day or maintain a healthy diet, according to researchers who analyzed the diet and exercise behaviors of 878, adolescents, 11 to 15 years old, and found that nearly 80 percent had multiple physical activity and dietary risk behaviors.</p><p>Using physical measurements and surveying techniques, the researchers assessed four behaviors in the adolescents: physical activity, television viewing time, percent calories from fat, and daily servings of fruits and vegetables. They also assessed relevant health-related behaviors of the parents.</p><p>More than half (55 percent) of the adolescents did not meet the physical activity guideline of 60 minutes per day, although more boys than girls met this goal (59 percent v. 34 percent). About 30 percent of the adolescents exceeded the two hour daily limit of TV viewing time.</p><p>Only 12 percent of adolescents ate 5 or more servings of fruits and vegetables per day as is currently recommended. Only 32 percent met the guidelines of less than 30 percent of calories for total fat consumption less than 10 percent of calories from saturated fat, according to the report in the American Journal of Preventive Medicine.</p><p>Only 2 percent of adolescents met all four health-promotion guidelines, Dr. Alvaro Sanchez Perez from Basque Health Service-Osakidetza, Bilbao, Spain and colleagues at the University of California, San Diego.</p><p>There was some evidence linking parents\' health behaviors with that of their adolescents. For example, among girls, having a parent who was a former or current smoker and having a parent that fell short of the recommended daily servings of fruits and vegetables was associated with a higher number of risk behaviors.</p><p>The investigators say the current findings &quot;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.&quot;</p><p>Dr. Sanchez Perez added in comments to Reuters: &quot;To promote healthy lifestyle behaviors among adolescents, such as a healthy diet and engaging in regular physical activity, is of high priority (to guard) against the actual major health issues in both the adult and young sector of the nation -- diabetes and obesity.&quot;</p><p>&quot;These health promotion efforts require a multilevel and multisector approach including, among others, the family, the community, and policymakers,&quot; the lead researcher added.</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('1575','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/19/2007\";</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 look at all children born in Denmark over a recent 10-year period found not only marked increases in autism as expected but also in hyperactivity and Tourette\'s syndrome, a study said Monday.</p><p>The report from Denmark\'s University of Aarhus did not delve into what had caused the increases.</p><p>It said that numerous earlier studies had reported notable increases in recent years in the number of children being treated for autism, which is marked by isolating social and language abnormalities and repetitive patterns of behavior.</p><p>Some of its increase may be related to heavier scrutiny of children for the problem or perhaps an expanded definition of what encompasses autism, health experts have said previously.</p><p>But the study, published in the Archives of Pediatrics &amp; Adolescent Medicine, said the upward trends in reported autism diagnoses may be part of a broader pattern in childhood neuro-psychiatric illness.</p><p>It looked at medical records involving all 669,995 children born in Denmark between 1990 and 1999, tracking autism spectrum disorder, which includes autism and milder developmental disorders; hyperactivity; Tourette\'s syndrome, characterized by uncontrollable vocal or motor behaviors; and obsessive-compulsive disorder.</p><p>In all 4,367 of the children had been diagnosed with one or more of the problems by 2004, the study said.</p><p>Hyperactivity, Tourette\'s syndrome and various forms of autism all increased significantly during the time period studied but obsessive-compulsive disorder did not, the report said.</p><p>&quot;It is difficult to explain why obsessive-compulsive disorder was the only disorder displaying another pattern,&quot; the authors said.</p><p>While the study did not address the causes of the increases in the other three problems &quot;it is clear that the number of children with neuropsychiatric disorders and their families in need of support and services has been growing in recent years,&quot; the study concluded.</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('1576','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><div id=\"cnnSCByLine\">By  Jennifer Tzeses<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>(<a href=\"http://www.parenting.com/parenting/\" target=\"new\">Parenting.com</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\">) -- You turn your head, and your toddler is gleefully shredding the work papers you brought home. Or you put the laundry basket on the floor, and next thing you know the baby\'s tipped it over and is covered with underwear.</p><p>Mostly, we\'re lucky; our momentary lapses are harmless. </p><p>But some close calls are scarier -- what mom hasn\'t seen her child take a fall and felt her own heart plummet? -- and leave us swearing, I\'ll never do that again!</p><p>These moms, who tell stories of little blunders that almost caused big tragedies, were lucky too. But we can\'t depend on good fortune to protect our children.</p><p>Here, how these mishaps might have been prevented:</p><a name=\"1\"></a><a name=\"rv6\"></a><h3>A risky ride</h3><p>&quot;Shortly after Madeline was born, I took her to work to show her off. I was nervous about riding the commuter train with her, so my parents came with me. At the station, we rode an escalator with Madeline in her stroller, and as I reached the top, I raised the wheels and then put them down, missed, and hit the edge of the metal lip. To my horror, the stroller started to go up and over the front wheels as I was being pushed toward it by my mother -- and the 20 or so people behind her! Luckily, my father was there to grab it in the nick of time. Madeline was okay, but I still cringe when I think about that incident.&quot;<br> <i>-- Lisa, Barrie, Ontario</i></p><p><b>How to stay safe:</b></p><p>Take the time to look for an elevator, even if it\'s a hassle. Most public places like train stations and shopping centers are handicap-accessible, so they should have one. Escalator steps are too narrow to accommodate both the front and the back wheels of strollers, which makes them more likely to flip, says Robert Tanz, M.D., former chairman of the American Academy of Pediatrics\'s Section on Injury and Poison Prevention. And pushing a stroller onto the escalator prevents you from holding the handrail, so it\'s easier for you to lose balance.</p><p>If there\'s no alternative, fold your stroller and have someone else carry it. (If you\'re alone, ask an attendant or a passerby to hold it for you.) Then carry your child onto the escalator; this also keeps shoelaces, drawstrings, and fingers from getting caught.</p><a name=\"2\"></a><a name=\"rv5\"></a><h3>Off-balance</h3><p>&quot;On my first outing with my 4-month-old, I went shopping for clothes at a local store. I placed her in her carrier on top of the bench in the dressing room so I could try on some outfits. As soon as I turned my head, she toppled over onto the floor and the carrier fell on top of her. I was horrified and probably screamed louder than she did. Luckily, she was okay. Now, no matter where we are, I always put the carrier on the floor!&quot;<br> <i>-- Gina, Goodyear, Arizona</i></p><p><b>How to stay safe:</b></p><p>Always put your baby\'s carrier down on the lowest surface you can find that\'s within arm\'s reach. That doesn\'t include car hoods! Watch out for couches too, since soft, plush surfaces can be unstable. Unless it\'s on the ground, the carrier isn\'t really stable. &quot;An active baby, even at four months, can move or tip it by squirming around in the seat or pushing off on nearby objects with her feet,&quot; says Angela Mickalide, Ph.D., program director for the National Safe Kids Campaign. Most of the time, toppling over is harmless, but in some cases, a fall from as low as two feet can cause brain damage. When you\'re shopping for a carrier, look for one with a wide, sturdy base and a safety belt.</p><a name=\"3\"></a><a name=\"rv4\"></a><h3>A wide reach</h3><p>&quot;I thought my 2-year-old son, Thomas, was napping in his room while I was upstairs. Then I heard him make some noise, so I went to check and found him covered in baby powder. He\'d reached over his crib rails to the changing table, grabbed the powder and wipes, and dumped nearly the entire container of white stuff all over himself. He was using half a dozen wipes to \'clean up.\' Thankfully, the only damage was the mess he made, but it could\'ve been much worse: He could\'ve put everything in his mouth.&quot;<br> <i>-- Sharyn, Athens, Georgia</i></p><p><b>How to stay safe:</b></p><p>Childproof your home. Toddlers are naturally curious, and this makes it easy for them to put their hands on things they shouldn\'t. Every year, more than 1 million unintentional poisonings among kids under 6 are reported to U.S. poison control centers. In Thomas\'s case, though baby powder isn\'t toxic, it can damage the lungs if it\'s inhaled. To prevent such accidents, you\'ll want to survey each room from a kid\'s point of view:</p><p><li>Get down on your hands and knees and look carefully for any potential dangers between the floor and about three and a half feet above the ground.</li></p><p><li>Remove items that are within reach from his crib and high chair.</li></p><p><li>Check the carpet for buried items (such as pins, coins, and buttons) that your child could put in his mouth.</li></p><p><li>Keep locked away -- or at least out of reach -- household products that may be harmful: cosmetics, art supplies, medicines, vitamins, and alcohol.</li></p><p><li>Leave the toll-free number for the poison control center (800-222-1222) by your phone, and call right away if your child swallows something you think may be toxic.</li></p><a name=\"4\"></a><a name=\"rv3\"></a><h3>Hazardous waste</h3><p>&quot;After cleaning the shower, without thinking I tossed a disposable razor into the wastebasket in the bathroom. My 12-month-old had just started to walk, and a short time later I found him there on the floor, with the razor in his mouth. Fortunately, he didn\'t cut himself, but I don\'t even want to think about what could\'ve happened.&quot;<br> <i>-- Jamie, Merced, California</i></p><p><b>How to stay safe:</b></p><p>Before you throw anything away, consider whether it would be dangerous if your child got his hands on it. When you have a tot who\'s just started to walk, everything becomes a risk, even if you assume it\'s safely discarded. And at 12 months and even up to 4 years, your child doesn\'t yet understand potential dangers. To him, a razor blade seems like a new toy. So if the item could possibly be harmful -- like a plastic bag (a suffocation risk) or a small object (a choking hazard) -- throw it away in an inaccessible trash can, one that\'s in a locked cabinet or in a room blocked off by a baby gate.</p><a name=\"5\"></a><a name=\"rv2\"></a><h3>Watch the steps</h3><p>&quot;I ran upstairs to grab a load of laundry, and as I turned to head back down, 9-month-old Maggie, who was crawling at the time, was on the third step. I sat at the top and calmly urged her to come to me. She began to crawl up the steps toward me with a big smile. But when she was on the sixth step, she turned away and fell all the way to the bottom. I was powerless to help. I ran down and immediately checked her out. She had a huge bump on her forehead. I put on an ice pack and called the pediatrician, who told me to bring her in. She was monitored for a head injury. She was fine, but I still have nightmares about the helpless feeling of watching her fall and not being able to save her.&quot;<br> <i>-- Sabrina, Dittmer, Missouri</i></p><p><b>How to stay safe:</b></p><p>Put a gate at the top and bottom of your staircase. (The one at the top should be secured to the wall or railing.) Babies can crawl a lot faster than you think, and they often learn to crawl up steps before they develop the motor skills to crawl down. To let your child practice climbing, pad the floor below the stairs with a few cushions so she won\'t get hurt if she falls, and keep a close watch.</p><a name=\"6\"></a><a name=\"rv1\"></a><h3>Car trouble</h3><p>&quot;Ethan, who\'s one, was asleep in his car seat when I pulled up in front of the house. I let him sleep while I quickly ran inside to make a brief phone call. It was hot out, so I left the car running to keep the air conditioner on. My husband was standing in the doorway to watch Ethan, in case he woke up and got scared. My husband turned to me to say something, and when he looked back at the car, he saw someone inside -- a man was stealing it, with our baby inside! Our worst nightmare had taken place right in front of our own house, in our quiet neighborhood. Thankfully, our little boy was found nearby half an hour later, still asleep in the car. The police told us the carjacker probably got scared when he realized there was a child inside. Now, no matter how much of a nuisance it is, I take Ethan when I get out of the car, even if it\'s just for a second.&quot;<br> <i>-- Amy, Virginia Beach, Virginia</i></p><p><b>How to stay safe:</b></p><p>Never leave your child alone in a car. Although rare, carjacking is just one risk. The fumes might make your child sick, he might play with the power controls and hurt himself by opening and closing the windows, or he might climb out of his seat and set the car in motion. Even if the engine isn\'t running, it\'s never a good idea to leave him in the car by himself -- in warm weather, the temperature inside can quickly rise to a dangerous level. &quot;Even when the weather seems pleasant, a child can succumb to heatstroke in minutes,&quot; says David Jaffe, M.D., professor of pediatrics at Washington University School of Medicine, in St. Louis. At home, always lock the car and keep the keys out of your child\'s reach.</p><p class=\"cnnSCAttribution\">Jennifer Tzeses is an associate editor at Martha Stewart Weddings.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1577','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</script> <div id=\"cnnSCHighlightsBox\"><!----><h4><span>Story Highlights</span></h4>&#8226; Face blindness is an impairment in the ability to recognize faces<br> &#8226; Sufferers are usually able to see facial features but not retain them  <br> &#8226; As many as one in 50 people may have some form, researchers theorize<br> &#8226; Many scientists suspect it is linked to the fusiform gyrus area of the brain<br>  </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> Dr. Sanjay Gupta introduces you to a man with an extreme form of face blindness Tuesday on &quot;American Morning.&quot; Watch beginning at 6 a.m. ET.<\\/p><\\/div>\");}</script><div id=\"cnnSCFontButtons\" ><div id=\"cnnSCByLine\">By  Shahreen Abedin<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) -- Imagine an entire day of seeing faces -- friends, co-workers, even family -- but not being able to retain those images in your mind. For 48-year-old Kiki Latimer, each time she sees someone is often like the first time. She has face blindness. </p><p>She first realized she had a problem in her 20s while working at a youth hostel. &quot;One particular guest came back every week, and every time I didn\'t recognize him. He started to look at me like I was a fruitcake.&quot; </p><p>Face blindness, also known as prosopagnosia, is an impairment in the ability to recognize faces. Usually prosopagnosics are able to actually see the features on a person\'s visage with no difficulty; it is the retention of those images that challenges them. </p><p>Most of us have difficulty recognizing a face at one time or another. But prosopagnosics have trouble identifying others whom they have met repeatedly, or even lifelong acquaintances, including close friends or family members. </p><p>&quot;When I was younger I remember saying \'that\'s not me\' when I looked in the mirror,&quot; recalls Latimer. &quot;I remember thinking it was just something weird.&quot; </p><a name=\"1\"></a><a name=\"rv3\"></a><h3>Join the club</h3><p>It was not until about six years ago that Latimer learned her condition actually had a name, that her case was mild to moderate in severity and that she was not alone. </p><p>Originally most scientists thought that face blindness was an extremely rare disease. But in August 2006, a German study in the American Journal of Medical Genetics found that as many as one in 50 people may have some form of prosopagnosia. A separate Web survey of 1,600 people done by Harvard University\'s Ken Nakayama and University College of London researchers substantiates the German study findings. </p><p>Dr. Nakayama, a psychologist at Harvard\'s Vision Sciences Laboratory, suggests that an even larger portion of the population may have very mild cases of face blindness. &quot;Maybe 10 percent of people have quite mild cases, but it\'s still embarrassing and disabling sometimes,&quot; says Nakayama. </p><p>Some face-blind people are thought to acquire the condition as a result of a head injury, but many more are believed to have &quot;developmental prosopagnosia,&quot; meaning they were either born with it or developed it early in life. </p><p>Dr. Nakayama hopes that higher-prevalence findings will lead to more research and ultimately, a medical treatment for face blindness. As it stands, scientists have yet to agree upon the actual cause of the disease, but many suspect it is linked to the fusiform gyrus, an area of the brain that has been shown to respond to seeing faces. </p><a name=\"2\"></a><a name=\"rv2\"></a><h3>Taking cues</h3><p>Until a medical treatment is found, prosopagnosics must continue to rely on common cues including hairstyle, body language or voice recognition to get by. </p><p>&quot;If you have some sort of major distinguishing feature like big lips, or red hair, then I may be able to recognize you. But if you just have brown hair and brown eyes, I may not be able to tell. So sometimes I just kind of fake it,&quot; Latimer acknowledges. </p><p>Many people with the disease rely on the &quot;buddy system&quot; in social settings, using a companion to help identify others to avoid embarrassment. Others avoid parties or large gatherings altogether, opting for more intimate opportunities instead. </p><p>Contextual clues such as location also help. But without them, the face-blind are often helpless. For example, a prosopagnosic may acknowledge his next-door neighbor regularly from his driveway, but then appear to ignore the neighbor at a restaurant elsewhere, for lack of familiar context by which to recognize the neighbor. </p><p>&quot;You can see how this can get you into quite a bit of trouble,&quot; says Nakayama. &quot;How much of your daily life really requires you to recognize faces? It can be quite a challenge.&quot; </p><a name=\"3\"></a><a name=\"rv1\"></a><h3>A challenge on many levels</h3><p>Latimer has learned it\'s easier to explain her face blindness to acquaintances rather than risk the chance of being misunderstood as snobbish or unkind. &quot;I don\'t mind if I just look like an idiot, but if I hear someone thinks I don\'t like them because I didn\'t say \'hello,\' that\'s the hardest thing.&quot; </p><p>&quot;Some of the stories we are starting to hear are really heartbreaking,&quot; Dr. Nakayama adds. &quot;People recalling their childhood sometimes can\'t remember their sister, or their other friends on the playground.&quot;</p><p>Latimer also speaks of vulnerability from not being able to discern whether a face belongs to a friend or foe. &quot;Luckily, though, I am very good with emotions, and I can sense if someone is hostile.&quot; </p><p>However, other prosopagnosics may not be as fortunate. Glenn, a 28-year old who developed severe face blindness after a childhood accident, requested we withhold using his last name during his interview. &quot;It creates the possibility of inviting potential criminals to take advantage of me if they should recognize me,&quot; he explains.</p><p>Beyond the social awkwardness and security concerns that face blindness raises lie a multitude of everyday issues that are not as obvious. For Latimer, certain movie plots are particularly confusing. &quot;If we went to a movie with three dark-haired men, I often thought there was just one. At the end I\'d ask, \'What bad guy?\' &quot;</p><p>Many of the subjects that Nakayama\'s team has studied say they have spent much of their lives compensating for their face blindness. &quot;They spend so much time, but somehow, they do it.&quot;</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1578','1','\n\n\n	 <p>The recent news about <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> was sensational: some people with damage to a prune-size slab of brain tissue called the insula were able to give up cigarettes instantly. </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/2007/02/05/health/06brain_ready.html\', \'06brain_ready\', \'width=455,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/2007/02/05/health/06brain_ready.html\', \'06brain_ready\', \'width=455,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/02/05/health/brian.190.jpg\" width=\"190\" height=\"222\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\">Lou Beach</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/2007/01/26/science/26brain.html\" >In Clue to Addiction, Brain Injury Halts Smoking</a>\n\n(January 26, 2007)\n</h2>\n<h2>\n\n\n<a href=\"http://www.nytimes.com/2007/01/16/science/16tier.html\" >Findings: The Voices in My Head Say ?uy It!?Why Argue?</a>\n\n(January 16, 2007)\n</h2>\n<a href=\"http://www.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/brain/index.html\">Archived Articles About the Brain</a>\n</div>\n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Suppose scientists could  figure out how  to  tweak the insula without damaging it. They might be able to create that famed and elusive free lunch ?an effortless way to kick the cigarette habit. </p><p>That dream, which may not be too far off, puts the insula in the spotlight. What is the insula and how could it possibly exert such profound effects on human behavior?</p><p>According to neuroscientists who study it, the insula is a long-neglected brain region that has emerged as crucial to understanding what it feels like to be human. </p><p>They say it is the wellspring of social emotions, things like lust and disgust, pride and humiliation, guilt and atonement. It helps give rise to moral intuition, empathy and the capacity to respond emotionally to music. </p><p>Its anatomy and evolution shed light on the profound differences between humans and other animals. </p><p>The insula also reads body states like hunger and craving and helps push people into reaching for the next sandwich, cigarette  or line of cocaine. So insula research offers new ways to think about treating drug addiction, alcoholism, anxiety and <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/eatingdisorders/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about eating disorders.\">eating disorders</a>. </p><p>Of course, so much about the brain remains to be discovered that the insula? role may be a minor character in the play of the human mind. It is just now coming on stage.</p><p>The activity of the insula in so many areas is something of a puzzle. ?eople have had a hard time conceptualizing what the insula does,?said Dr. Martin Paulus, a psychiatrist 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.  </p><p>If it does everything, what exactly is it that it does? </p><p>For example, the insula ?ights up?in brain scans when people crave drugs, feel pain, anticipate pain, empathize with others, listen to jokes, see disgust on someone? face, are shunned in a social settings, listen to music, decide not to buy an item, see someone cheat and decide to punish them, and determine degrees of preference while eating chocolate. </p><p>Damage to the insula can lead to apathy, loss of libido and an inability to tell fresh food from rotten. </p><p>The bottom line, according to Dr. Paulus and others, is that mind and body are integrated in the insula. It provides unprecedented insight into the anatomy of human emotions. </p><p>Of course, like every important brain structure, the insula  ?there are actually two, one on each side of the brain  ? does not act alone. It is part of multiple circuits. </p><p>The insula itself is a sort of receiving zone that reads the physiological state of the entire body and then  generates subjective feelings that can bring about actions, like eating, that keep the body in a state of internal balance. Information from the insula is relayed to other brain structures that appear to be involved in decision making, especially the anterior cingulate and prefrontal cortices. </p><p> The insula was long ignored for two reasons, researchers said. First, because it is folded and tucked deep within the brain, scientists could not probe it with shallow electrodes. It took the invention of brain imaging techniques, such as functional magnetic resonance imaging, or fMRI, to watch it in action. </p><p>Second, the insula was ?ssigned to the brain? netherworld,?said John Allman, a neuroscientist at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/c/california_institute_of_technology/index.html?inline=nyt-org\" title=\"More articles about California Institute of Technology\">California Institute of Technology</a>. It was mistakenly defined as a primitive part of the brain involved  only in functions like eating and sex. Ambitious scientists studied higher, more rational parts of the brain, he said. </p><p>The insula emerged from darkness a decade ago when Antonio Damasio, a neuroscientist now 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>, developed the so-called somatic marker hypothesis, the idea that rational thinking cannot be separated from feelings and emotions. The insula, he said, plays a starring role. </p><p>Another neuroscientist, Arthur D. Craig at the Barrow Neurological Institute in Phoenix, went on to describe exactly the circuitry that connects the body to the insula. </p><p>According to Dr. Craig, the insula receives information from receptors in the skin and internal organs. Such receptors are nerve cells that specialize in different senses. Thus there are receptors that detect heat, cold, itch, pain, taste, hunger, thirst, muscle ache, visceral sensations and so-called air hunger, the need to breathe. The sense of touch and the sense of the body? position in space are routed to different brain regions, he said. </p><p>All mammals have insulas that read their body condition, Dr. Craig said. Information about the status of the body? tissues and organs is carried from the receptors along distinct spinal pathways, into the brain stem and up to the posterior insula in the higher brain or cortex. </p><p>As such, all mammals have emotions, defined as sensations that provoke motivations. If an animal is  hot, it seeks shade. If hungry, it looks for food. If hurt, it licks the wound.</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('1579','1','\n\n\n	 <p>Parents of teenagers worry about lots of things: drugs, sex, poor choices of friends. But the activity that causes the most harm to older teenagers is none of the above.</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/2007/02/05/health/06brody.ready.html\', \'06brody_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/2007/02/05/health/06brody.ready.html\', \'06brody_ready\', \'width=378,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/02/05/health/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   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Motor vehicle crashes are the leading cause of death for 16- to 20-year-olds, with about 5,500 teenage drivers or passengers dying each year. In addition, about 450,000 teenagers are injured, 27,000 of them requiring hospitalization, the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/a/american_academy_of_pediatrics/index.html?inline=nyt-org\" title=\"More articles about American Academy of Pediatrics\">American Academy of Pediatrics</a> reported in the December issue of its journal, <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/pediatrics/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about pediatrics.\">Pediatrics</a>.</p><p>Of those who are killed, 63 percent are drivers and 37 percent are passengers, with boys accounting for two-thirds of the fatalities. Although teenagers represent only 6 percent of drivers, they are involved in 14 percent of fatal crashes. And the crash rate among the youngest drivers ?35 crashes per million miles driven by 16-year-olds ?is nearly nine times the rate of the general population.</p><p>To reduce the risks, the academy recommends that parents have teenagers sign a ?riving contract?that covers when the teenager can use the car and who can be in it. It should have a provision, the academy says, that driving privileges will be revoked if the contract is violated.</p><p><span class=\"bold\">Experience Matters</span></p><p>Although factors like alcohol, drugs and distractions like the stereo naturally come to mind, the single biggest reason for both fatal and nonfatal crashes involving teenage drivers is inexperience. In one study, the highest crash rate occurred during the first month after teenagers got their license. That rate, 120 crashes per 10,000 drivers, dropped to 70 crashes within five months. </p><p>Traditional driver education programs, which offer 30 hours of classroom instruction but only 6 hours of on-the-road training, ?re not effective in creating safe drivers and decreasing crash risk,?according to the academy? review of research. ?n fact, some studies show that high school driver education programs encourage early licensure of the youngest, most dangerous drivers, with resulting increased crashes, injuries and deaths.?/p><p>Of course, alcohol, marijuana and other drugs, including prescribed and over-the-counter medications, are prominent factors in crashes involving teenagers. Though teenagers drink and drive less often than adults, they are more likely to crash when they do drink, especially at low and moderate blood-alcohol levels.</p><p>Studies have shown that marijuana impairs driving performance, especially when it is combined with alcohol. Legal drugs like antihistamines and sedatives also interfere with driving skills ?again, especially when combined with alcohol. A 50-milligram dose of the antihistamine Benadryl has a greater effect on driving performance than a blood-alcohol level of 0.01 percent, one study has shown.</p><p>One drug that helps to improve driving skills is the stimulant methylphenidate, known by the brand name Ritalin, when taken by teenagers with attention-deficit hyperactivity disorder. The drug decreases the risk of errors caused by inattention.</p><p>Distractions inside the vehicle contribute to accidents for both teenage and adult drivers. But distractions are a more serious problem for novice drivers because they tend to look away from the road for longer periods and may then drift out of their lane or fail to respond in time to a hazard.</p><p>The academy noted that ?ating, drinking and adjusting the radio or the climate controls each cause more crashes than cellular phone use.?Hands-free cellphones have not reduced the risk significantly, the academy said. </p><p>Teenagers also tend to be greater risk-takers. They are much less likely than adults to use safety belts, especially when driving with other teenagers. And their use of belts is least likely in the most dangerous of conditions: when driving at night, under the influence of alcohol or with several teenage passengers. In crashes that occurred in 2004, 58 percent of the teenage occupants who were killed were not wearing a seat belt.</p><p><span class=\"bold\">Safer Driving</span></p><p>Nearly all states have so-called graduated licensing laws, some of which significantly increase the number of supervised hours of driving by teenagers while they are learning. These laws force a new driver to pass three stages: a learner? permit, an intermediate or provisional stage and finally a regular driver? license. For each stage, there are  restrictions and minimum time requirements, and proficiency in driving skills must be demonstrated before the teenager can graduate to the next stage.</p><p>For example, during the intermediate stage, a driver may not be allowed to have more than one teenage passenger or to drive at night without adult supervision.</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('1580','1','\n\n\n	 <p>Regulators who oversee Medicare said yesterday that they did not think it was reasonable or necessary to begin covering <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=CYBX\" title=\"Cyberonics\">Cyberonics</a>&#8217; implanted electrical stimulator to treat severe <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/depression/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about depression.\">depression</a> in patients who had failed with other therapies. </p>      <p>The preliminary ruling, in response to a petition Cyberonics filed six months ago, sent the company&#8217;s shares down more than 11 percent in trading after the market closed. Earlier, they had risen 96 cents, to $22.55. Cyberonics said it was &#8220;extremely disappointed&#8221; and urged supporters of the therapy to respond to the agency during the 30-day comment period before a final ruling was issued. </p><p>Analysts who had predicted Medicare&#8217;s decision said that they expected layoffs at the company, which is based in Houston.</p><p>&#8220;There&#8217;s a sales force out there now without much to sell,&#8221; said Jan D. Wald of A. G. Edwards &#38; Sons.</p><p>The $15,000 device, called the VNS (for vagus nerve stimulator), is similar to a pacemaker that is implanted in the upper chest and linked to the vagus nerve, which conveys its pulses to the brain.</p><p>About 2,200 of the devices have been implanted in patients suffering from depression, according to Cyberonics. Many insurers have paid for a few implants. But no major insurer routinely covers the procedure, which costs at least $25,000 at most hospitals. </p><p>The VNS was approved in 1997 as a therapy to control <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/epilepsy/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about epilepsy.\">epilepsy</a>. The company&#8217;s former chief executive, Robert P. Cummins, bet heavily on expanding the sale of the device for depression. Cyberonics and psychiatrists working with the company used the term treatment-resistant depression to describe the severely ill patients they hoped to help. About 4 million of the 20 million Americans who are estimated to suffer from depression annually fail to find lasting relief from drugs and electroconvulsive therapy. </p><p>While many patients say VNS has saved their lives, it failed its clinical trial. Patients with implants that were not turned on did not clearly fare worse than those receiving stimulation. </p><p>But Mr. Cummins, whose mother and grandfather were depression sufferers and who committed <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/suicidesandsuicideattempts/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about suicide.\">suicide</a>, persisted with a number of follow-up studies and eventually persuaded 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> to approve the new use in 2005.</p><p>The F.D.A.&#8217;s approval came despite opposition by many of the agency&#8217;s experts, which led to an investigation by the Senate Finance Committee. Its strong critique was among the documents cited by Medicare in reaching its decision not to cover the treatment.</p><p>The vast majority of private insurers have also criticized the quality of the data supporting the device&#8217;s use and have refused to cover it. Having geared up to support a market that has been slow to develop because of such resistance, Cyberonics has been losing money. </p><p>Last year, the company also became involved in federal investigations into how it handled options granted to Mr. Cummins and other executives. Pressure from dissident shareholders led to Mr. Cummins&#8217;s resignation late in  November and the replacement of three board members last month.</p><p>A national decision not to cover the implant would end the current practice of some local Medicare administrators to pay for it.</p><p>Mr. Cummins gambled that he could gain broader coverage by proposing to the Centers for Medicare and Medicaid Services that it first cover a subset of the treatment-resistant group:  the sickest of the sick. </p><p>The agency&#8217;s reviewers said that the &#8220;concept of treatment-resistant depression is vaguely defined, subject to varying determination, and until a scientifically valid definition exists is of little help in treatment selection for individual patients.&#8221; </p><p>The agency noted that 1,831 of the 1,843 public comments it had received were in favor of expanding coverage, including 618  from people who identified themselves as depression sufferers and 122 who had received the implant. More than 250 psychiatrists, the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/a/american_psychiatric_assn/index.html?inline=nyt-org\" title=\"More articles about American Psychiatric Association\">American Psychiatric Association</a> and nearly 100 surgeons and neurologists also supported Cyberonics in the comments.</p><p>Many patients told the agency that  they had failed 20 or 30 depression treatments. Many of the comments spoke of difficulty getting private insurers to cover the implant and expressed hope that a positive coverage decision would influence the private insurers. Cyberonics had actively encouraged submissions, the agency noted.</p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1581','1','\n\n\n	 <p>The field of psychoanalysis has struggled with a disabling internal conflict in recent years: whether to subject the therapy to rigorous testing, like the process through which new drugs are approved, or to insist that the insights it provides are self-evident and cannot be put under a microscope. </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/2007/02/05/health/06panic_ready.html\', \'06panic_ready\', \'width=503,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/2007/02/05/health/06panic_ready.html\', \'06panic_ready\', \'width=503,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/02/05/health/panic.190.1.jpg\" width=\"190\" height=\"197\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\">Jimmy Turrell</div>\n<p class=\"caption\">\n</p>\n</div>\n  \n<div id=\"sidebarArticles\">\n<h4>Related</h4>\n<h3 class=\"promo\">Web Link</h3>\r\n<h2><a href=\"http://ajp.psychiatryonline.org/cgi/content/abstract/164/2/265\" target=\"_blank\">A Randomized Controlled Clinical Trial of Psychoanalytic Psychotherapy for Panic Disorder</a> (American Journal of Psychiatry)</h2>\n</div>\n   \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>This internal debate has raged even as analysis, Freud? open-ended talking cure, has become increasingly marginalized as a practice. But the ground rules may soon change.</p><p>Last week, a team of New York analysts published the first scientifically rigorous study of a short-term variation of the therapy for panic disorder, a very common form of anxiety. The study was small, but the therapy proved to be surprisingly effective in a group of severely disabled people.</p><p>The <a href=\"http://ajp.psychiatryonline.org/cgi/content/abstract/164/2/265\" target=\"_blank\">paper</a>, which appeared in psychiatry? flagship journal, The American Journal of Psychiatry, is one of the most significant steps in a small but growing effort to study how this so-called psychodynamic therapy works, and for whom. </p><p>The brand of therapy tested relies on core tenets of analysis, like the search for the underlying psychological meaning of symptoms. But unlike traditional psychoanalysis, it focused on relieving symptoms quickly, and was time-limited. Previous studies of similar approaches have shown some promise for other disorders, like <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/depression/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about depression.\">depression</a>. </p><p>?t is very exciting, because you rarely see this kind of therapy studied at all, and it was very rigorously done,?said Dr. Dianne Chambless, a professor of psychiatry at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_pennsylvania/index.html?inline=nyt-org\" title=\"More articles about University of Pennsylvania\">University of Pennsylvania</a> who was not involved in the study but is now collaborating with the researchers. </p><p>Dr. David H. Barlow, a psychiatrist at <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/b/boston_university/index.html?inline=nyt-org\" title=\"More articles about Boston University\">Boston University</a>, said in an e-mail message that the study was too small to be conclusive but that ?he authors should be congratulated for actually taking the first step in doing the hard work of beginning to evaluate treatments?that are widely used without good supportive evidence.</p><p>The researchers tested a pared-down version of analysis tailored specifically for <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/anxiety/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about anxiety.\">panic attacks</a>, the breathless, paralyzing dread that strikes some 1 percent to 2 percent of people, seemingly out of nowhere. Previous studies had found that other kinds of therapy ?including exposure techniques, in which people learn to diffuse their anxieties by facing them one small step at a time ?can relieve panic attacks in  half to two-thirds of patients, depending on the severity and type of anxiety.</p><p>In the new experiment, Dr. Barbara L. Milrod, a psychiatrist at Weill Medical College of Cornell University, led a team of therapists who treated 49 men and women with a variety of anxieties. Some were agoraphobic, unable to ride the subway or visit certain parts of town. Others had symptoms of depression or of personality problems, like a disabling dependency on other people or an avoidance of social situations. </p><p>Half of the group received a form of relaxation training, in which they learned how to moderate their arousal by tensing and relaxing specific muscle groups. The other half received psychodynamic therapy, working with their therapist in two weekly sessions to understand the underlying meaning of their symptoms ?when the reactions first started and how they might be linked to loss, broken relationships or childhood experiences that unconsciously haunted their current lives. </p><p>After 12 weeks, 39 percent of those working with relaxation techniques improved significantly on standard measures of anxiety and reported fewer panic-related problems in their relationships and work. But almost three-quarters of those receiving psychodynamic therapy reported similar benefits. </p><p>?his is best response rate I?e seen in a controlled trial for panic,?Dr. Milrod said. ?nd the therapy was time-limited. I don? think anyone would care if psychoanalysis cured panic in six years ?snore. We wanted to know that what we were doing worked, that it wasn? <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>.?</p><p>Researchers from <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>, the Mount Sinai School of Medicine and <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/h/hunter_college/index.html?inline=nyt-org\" title=\"More articles about Hunter College\">Hunter College</a> were also involved.</p><p>Studies of this brand of therapy are important for the thousands of therapists around the world who mix and match analytic techniques with other therapies. One former patient treated with this therapy began to have panic attacks after witnessing a young woman die of an illness, said her doctor, Fredric N. Busch, a Cornell psychiatrist and a co-author of the new study. </p><p>The patient, who was not a part of the study, described the death as deeply unfair, and in sessions explored perceptions of unfairness in her work and her life, including her childhood. ?nce she was able to understand this pattern, the panic became less frightening, she felt safer and was eventually able to get rid of the symptoms,?Dr. Busch said. </p><p>The researchers said that even if this approach was not for everyone, it appeared to be especially beneficial for a particular group. In an analysis of individual patient? responses, the researchers found that those who also had a personality disorder, like avoidant personality, showed significantly greater improvement than those whose symptoms were related solely to anxiety. Patients with multiple diagnoses are usually more difficult to treat. </p><p>?his finding was very surprising and there? absolutely no precedent for it, as far as I know,?Dr. Milrod said.</p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1582','1','\n\n\n	 <p>When have you ever heard of a therapist telling a patient that he is mean or bad? Probably never. </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/2007/02/05/science/angry.190.jpg\" width=\"190\" height=\"174\" alt=\"\" border=\"0\">\n<div class=\"credit\">Gary Taxali</div>\n<p class=\"caption\">\n</p>\n</div>\n  \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>It? not fashionable in our therapy-friendly nation, where people who behave obnoxiously are assumed to have a treatable psychiatric problem until proven otherwise. Nothing in the human experience is beyond the power of psychiatry to diagnose or fix, it seems.</p><p> But even for me, an optimist and a proponent of therapy, things have gotten a little out of hand. </p><p>Not long ago, one of my psychiatric residents called in distress about a patient who was demanding a different therapist. ?his guy is in my office shouting at me and telling me how bad I am,?the resident said.</p><p>Sure enough, the patient in question was very hostile and demeaning in talking about this young doctor.  Jabbing his finger in the air, he told me how unsympathetic my resident was and how rude the staff at the front desk had been.</p><p> ?his kid doesn? know the first thing about treating patients,?he said with derision. He clearly meant to hurt and humiliate his new doctor in front of a supervisor.</p><p>I listened for a while to his litany of complaints and found it easy to understand why people didn? like him. ?t? no surprise to me that people aren? nice to you if this is a sample of how you behave in the world,?I said to him.</p><p>This remark did not go over well. </p><p>?? basically a nice guy who has a terrible problem with anxiety,?the patient said resentfully.</p><p>He in fact did have a major psychiatric disorder; he had been struggling with <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/obsessivecompulsivedisorder/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about obsessive-compulsive disorder.\">obsessive-compulsive disorder</a> for the last decade but had shown a pretty good response to antidepressant medication.</p><p>There was something else about him, however, that could not be neatly explained by psychiatry: he was simply mean-spirited.</p><p>At this point, most therapists might go in search of a cause for the patient? behavior. Was there something in this patient? life experience that might explain his nastiness? Not really. Life had not been too unkind to him; he? suffered no major deprivation or trauma, and he had had all the benefits of an upper-middle-class upbringing. </p><p>Many of my colleagues would argue that he could have a personality disorder, a category that is broad enough to encompass nearly every variety of human misbehavior. Of course, everyone has personality traits, but when they cause major problems in relationships and work, they cross the line into disorder. </p><p>On the other hand, maybe he was mean by nature, a concept that may sound heretical coming from a psychiatrist because it seems dangerously close to rendering a moral judgment on a patient? soul, something doctors should doubtless leave to theologians and philosophers.</p><p>But if some people turn out happy and good despite a lifetime of withering hardships, why can? some people be mean or bad for no discernible reason?</p><p>There can be a relationship between nastiness and <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/mentalhealthanddisorders/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about mental health and disorders.\">mental illness</a>, and many therapists assume that when patients are mentally ill and mean, the illness is probably the cause of the ill temper.</p><p>But human meanness is far more common than all the mental illness in the population combined, so the contribution of mental illness to this essential human trait must be very small indeed.</p><p>Don? get me wrong. There is plenty of undesirable human behavior that falls well within the rightful domain of psychiatry to understand and treat. But must we turn everything we don? like about our fellow humans into a form of psychopathology? </p><p>Not long ago, we had a patient in the hospital who was psychotic and frightening to the staff. After several weeks, his psychosis cleared beautifully with antipsychotic medication, and we all thought he was ready for discharge.</p><p>Then early one morning, he used the pay phone to call one of my female residents at home, threatening her and talking in a sexually provocative way.</p><p>When I confronted him, it was quickly obvious that he was no longer psychotic or manic. In fact, he was cheeky and unrepentant about his behavior. And he left no doubt in my mind that psychiatry had done all it could for him. </p><p>He said it better than all the clinicians who had treated him on the inpatient unit: ?? not crazy now, but I guess I?e never been a nice guy.?</p><p>To put it another way, some mentally ill patients can be mean or bad just like anyone else, and this is not a problem for psychiatry to fix. </p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1583','1','\n\n\n	 <p>If people want to choose their baby? sex before <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>, should doctors help?</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\"><h5><a href=\"http://news.blogs.nytimes.com/2007/02/05/girl-or-boy-as-fertility-technology-advances-so-does-an-ethical-debate/\">Share Your Thoughts</a></h5><p class=\"summary\">Should doctors help parents choose their baby? sex before pregnancy?</p>\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/2007/02/05/girl-or-boy-as-fertility-technology-advances-so-does-an-ethical-debate/\">Post a Comment</a></li><!--<li><a href=\"http://news.blogs.nytimes.com/2007/02/05/girl-or-boy-as-fertility-technology-advances-so-does-an-ethical-debate/\">Read Comments</a></li>--></ul></div>\r\n<!--end comments promo -->\r\n<div class=\"doubleRule\"></div>\r\n<h3 class=\"promo\">Web Links</h3>\r\n<h2><a href=\"http://www.acog.org/from_home/publications/ethics/co360.pdf\" target=\"_blank\">ACOG Committee Opinion on Sex Selection</a> (pdf)</h2>\r\n<h2><a href=\"http://www.asrm.org/Media/Ethics/preconceptiongender.pdf\" target=\"_blank\">Preconception Gender Selection for\r\nNonmedical Reasons</a> (pdf)</h2>\r\n<h2><a href=\"http://www.asrm.org/Media/Ethics/Sex_Selection.pdf\" target=\"_blank\">Sex Sselection and Preimplantation Genetic\r\nDiagnosis</a> (pdf)</h2>\n</div>\n    \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>Some parents would love the chance to decide, while others wouldn? dream of meddling with nature. The medical world is also divided. Professional groups say sex selection is allowable in certain situations, but differ as to which ones. Meanwhile, it? not illegal, and some doctors are already cashing in on the demand.</p><p>There are several ways to pick a baby? sex before a woman becomes pregnant, or at least to shift the odds. Most of the procedures were originally developed to treat <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/infertility/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about infertility.\">infertility</a> or prevent genetic diseases. </p><p>The most reliable method is not easy or cheap. It requires in vitro fertilization, in which doctors prescribe drugs to stimulate the mother? ovaries, perform surgery to collect her eggs, fertilize them in the laboratory and then insert the embryos into her uterus. </p><p>Before the embryos are placed in the womb, some doctors will test for sex and, if there are enough embryos, let the parents decide whether to insert exclusively male or female ones. Pregnancy is not guaranteed, and the combined procedures can cost $20,000 or more, often not covered by insurance. Many doctors refuse to perform these invasive procedures just for sex selection, and some people are troubled by what eventually becomes of the embryos of the unwanted sex, which may be frozen or discarded. </p><p>Another method, used before the eggs are fertilized, involves sorting sperm, because it is the sperm and not the egg that determines a baby? sex. Semen normally has equal numbers of  male- and female-producing sperm cells, but a technology called MicroSort can shift the ratio to either 88 percent female or 73 percent male. The ?nriched?specimen can then be used for insemination or in vitro fertilization. It can cost $4,000 to $6,000, not including in vitro fertilization. </p><p>MicroSort is still experimental and available only as part of a study being done to apply for approval from 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>. The technology was originally developed by the Agriculture Department for use in farm animals, and it was adapted for people by scientists at the <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/geneticsandheredity/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about genetics and heredity.\">Genetics</a> and IVF Institute, a fertility clinic in Virginia. The technique has been used in more than 1,000 pregnancies, with more than 900 births so far, a spokesman for the clinic said. As of January 2006 (the most recent figures released), the success rate among parents who wanted girls was 91 percent, and for those who wanted boys, it was 76 percent. </p><p>Regardless of the method, the American College of Obstetricians and Gynecologists opposes sex selection except in people who carry a genetic disease that primarily affects one sex. But allowing sex selection just because the parents want it, with no medical reason, may support ?exist practices,?the college said in an opinion paper published this month in its journal, Obstetrics and Gynecology. </p><p>Some people say sex selection is ethical if parents already have one or more boys and now want a girl, or vice versa. In that case,  it? ?amily balancing,?not sex discrimination. The MicroSort study accepts only people who have genetic disorders or request family balancing (they are asked for birth records), and a company spokesman  said that even if the technique was approved, it would not be used for first babies.</p><p>The obstetricians group doesn? buy the family-balance argument, noting that some parents will say whatever they think the doctor wants to hear. The group also says that even if people are sincere about family balance, the very act of choosing a baby? sex ?ay be interpreted as condoning sexist values.?</p><p>Much of the worry about this issue derives from what has happened in China and India, where preferences for boys led to widespread aborting of female fetuses when ultrasound and other tests made it possible to identify them. China? one-child policy is thought to have made matters worse. Last month, Chinese officials said that 118 boys were born for every 100 girls in 2005, and some reports have projected an excess of 30 million males in less than 15 years. The <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/united_nations/index.html?inline=nyt-org\" title=\"More articles about the United Nations.\">United Nations</a> opposes sex selection for nonmedical reasons, and a number of countries have outlawed it, including Australia, Canada and Britain, and other nations in Asia, South America and Europe. Left unanswered is the question of whether societies, and families, that favor boys should just be allowed to have them, since attitudes are hard to change, and girls born into such environments may be abused.</p><p>The American Society for Reproductive Medicine, a group for infertility doctors, takes a somewhat more relaxed view of sex selection than does the college of obstetricians.  Instead of opposing sex selection outright, it says that in people who already need in vitro fertilization and want to test the embryos?sex without a medical reason, the testing should ?ot be encouraged.?And those who don? need in vitro fertilization but want it just for sex selection ?hould be discouraged,?the group says.</p><p>But sperm sorting is another matter, the society says. It is noninvasive and does not involve discarding embryos of the ?rong?sex. The society concludes that ?ex selection aimed at increasing gender variety in families may not so greatly increase the risk of harm to children, women or society that its use should be prohibited or condemned as unethical in all cases.?The group also says it may eventually be reasonable to use sperm sorting for a first or only child.</p><p>Dr. Jamie Grifo, the program director of <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/n/new_york_university/index.html?inline=nyt-org\" title=\"More articles about New York University.\">New York University</a>? Fertility Center, said that he opposed using embryo testing just for sex selection, but that it was reasonable to honor the request in patients who were already having embryos screened  for medical reasons, had a child and wanted one of the opposite sex. In those cases, he said, the information is already available and doesn? require an extra procedure. </p><p>?t? the patient? information, their desire,?he said. ?ho are we to decide, to play God? I?e got news for you, it? not going to change the gender balance in the world. We get a handful of requests per year, and we?e doing it. It? always been a controversy, but I don? think it? a big problem. We should preserve the autonomy of patients to make these very personal decisions.?</p><p>Dr. Jeffrey M. Steinberg, from Encino, Calif., who has three clinics that offer sex selection and plans to open a fourth, in  Manhattan, said: ?e prefer to do it for family balancing, but we?e never turned away someone who came in and said, ? want my first to be a boy or a girl.?If they all said a boy first, we? probably shy away, but it? 50-50.?/p><p> ?eproductive choice, as far as I? concerned, is a very personal issue,?Dr. Steinberg said. ?f it? not going to hurt anyone, we go ahead and give them what they want.?/p><p>Many patients come from other countries, he said. John A. Robertson, a professor of law and bioethics 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>, said: ?he distinction between doing it for so-called family balancing or gender variety would be a useful line to draw at this stage of the debate, just as maybe a practice guideline, and let? just see how it works out.?/p><p>In the long run, Mr. Robertson said, he doubted that enough Americans would use genetic tests to skew the sex balance in the population, and he pointed out that so far, sperm sorting was more successful at producing girls than boys. </p><p>He concluded, ? think this will slowly get clarified, and people will see it? not as big a deal as they think.?/p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1584','1','	<p><!--Spanish ID: 601649 --> <p>MONDAY, Feb. 5 (HealthDay News) -- Prostate cancer patients who receive radiation seed implants, called brachytherapy, have high survival rates, a U.S. study finds.</p> <p>The seeds, about the size of a grain of rice, are designed to deliver concentrated radiation to the prostate, while sparing surrounding organs and tissues. This approach has become a widely accepted treatment for early-stage prostate cancer, because it\'s effective, minimally invasive, and is less likely than other treatments to cause side effects such as impotence and incontinence.</p> <p>The study of nearly 2,700 early-stage prostate cancer patients treated at 11 centers found that more than 90 percent of patients who received appropriate dose levels with permanent radiation seed implants were cured of their cancer eight years after diagnosis.</p> <p>The patients did not receive any other form of cancer treatment.</p> <p>\"This study is exciting because it shows that brachytherapy alone, without additional surgery, radiation or drugs, can be effective at curing early-stage prostate cancer,\" study lead author Dr. Michael J. Zelefsky, chief of brachytherapy services at Memorial Sloan-Kettering Cancer Center in New York, said in a prepared statement.</p> <p>\"These results also confirm other findings that the quality of the seed implant is a critical ingredient for achieving a better outcome,\" he said.</p> <p>The findings are published in the Feb. 1 issue of the <i>International Journal for Radiation Oncology, Biology, Physics</i>.</p> <p><b>More information</b></p> <p>The American Academy of Family Physicians explains <a href=\"http://familydoctor.org/264.xml\" target=\"_new\">prostate cancer treatments</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1585','1','	<p><!--Spanish ID: 601652 --> <p>MONDAY, Feb. 5 (HealthDay News) -- Even though they\'re at greater risk for cardiovascular disease, minority women in the United States know less about this serious health issue than white women, according to an American Heart Association survey released Monday.</p> <p>Researchers compared the findings of the national survey of 1,000 women to previous survey results dating back to 1997, when the association started its \"Go Red for Women\" campaign to educate women about heart disease and stroke.</p> <p>The new survey, published in the January/February issue of the <i>Journal of Women\'s Health</i>, highlighted several trends:</p> <ul> <li>Overall, women\'s awareness that cardiovascular disease (CVD) is a leading cause of death has almost doubled over the past decade (57 percent vs. 30 percent).</li> <li>The disparity in awareness of heart disease among black and Hispanic women (31 percent and 29 percent, respectively) compared to white women (68 percent) had not changed in the past decade.</li> <li>Women know more about the risks and symptoms of heart disease than of stroke.</li> <li>Many women are unclear about the best ways to prevent CVD, such as the role of aspirin, hormones and supplements in prevention or the best diet for heart health.</li></ul> <p>Cardiovascular disease, which kills half a million women in a year in the United States, is the leading cause of death among American women. Black women have the highest rate of CVD deaths. Risk factors for heart disease and stroke are more common among women in ethnic minorities and those with lower socioeconomic status.</p> <p>\"Our data indicate that tremendous progress has been made in raising awareness of heart disease in women over the last decade,\" study co-author Dr. Lori Mosca, director of preventive cardiology at New York-Presbyterian Hospital, said in a prepared statement.</p> <p>\"However, we still face the challenge to reduce ethnic disparities and maximize knowledge among all racial and ethnic groups. Because we have previously shown that awareness is linked to preventive action, our data suggest one potential way to reduce disparities in health outcomes in the U.S. is through more targeted efforts to raise awareness among racial and ethnic minorities who are least aware of heart disease and stroke and also at greatest risk,\" Mosca said.</p> <p><b>More information</b></p> <p>Here\'s where you can find out more about <a href=\"http://goredforwomen.org\" target=\"_new\">Go Red for Women</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1586','1','	<p><!--Spanish ID: 601653 --> <p>MONDAY, Feb. 5 (HealthDay News) -- More than 40 percent of teens and preteens surveyed say they\'ve recently come across nudity and pornography on the Internet, and most say they weren\'t looking for it, according to a study released today.</p> <p>Those numbers were highest among older boys: Nearly four in 10 males aged 16-17 said they\'d gone to adult sites on purpose within the past year, compared to just eight percent of girls at the same age.</p> <p>Still, filtering software seemed to lower the risk that kids would see something inappropriate, and only a small percentage of the children reported being disturbed by what they saw.</p> <p>\"Sometimes it\'s possible for people to overreact\" to children\'s exposure to pornography, said study lead author Janis Wolak, a research assistant professor at the University of New Hampshire. \"It\'s important to give youth credit. Most kids have a lot of common sense.\"</p> <p>Wolak and colleagues launched a three-month telephone survey of 1,422 kids aged 10-17 in March 2005. All the children surveyed were Internet users, and all were interviewed with the consent of their parents. </p> <p>The findings are published in the February issue of the journal <i>Pediatrics</i>. </p> <p>Forty-two percent of the kids surveyed said they\'d encountered online pornography -- defined broadly as pictures of naked people or sexual activity -- over the past year. Of those, two-thirds -- about 34 percent of all those interviewed -- said their exposure to the material was unwanted. </p> <p>By contrast, just 25 percent of all kids interviewed in a 1999-2000 survey said they\'d had unwanted exposure to online pornography.</p> <p>The kids most likely to have purposely looked for pornography were those who used file-sharing programs to download images, were harassed online, talked online with strangers about sex, or used the Internet at the homes of friends. </p> <p>The children who sought adult material were 8.6 times more likely to be male as compared to kids not exposed to pornography. Kids who used computers with filtering software were 40 percent less likely to have sought and found adult material. </p> <p>According to the researchers, the survey results are probably within 2.5 percentage points of the real numbers among American kids who use the Internet as a whole. </p> <p>Wolak acknowledged that some of the kids surveyed could have been lying. \"There\'s always some possibility that kids are not entirely candid,\" she said. \"But we did focus groups with kids before we actually did the study, and the (survey) results were quite consistent with what the kids told us.\"</p> <p>How did the children come across adult material if they didn\'t want to? Wolak said some reported accidentally downloading pictures while downloading games, while others reported mistyping Web site addresses and ending up on inappropriate sites.</p> <p>\"Most kids were not disturbed,\" she said. \"About five percent said they very or extremely upset, but most of the kids were not particularly disturbed by what they saw.\"</p> <p>According to Wolak, more research needs to be done to determine if viewing adult material has any lasting effects on kids. \"It\'s premature to state that pornography is harmful in a broad sense,\" she said. \"We really don\'t know.\"</p> <p>For now, the new study shows that \"unintentional exposure (to adult material) is a normal experience that is a consequence of most normal Internet use,\" said David S. Bickham, a staff scientist at the Center on Media and Child Health at Children\'s Hospital Boston.</p> <p>It\'s possible that even more kids are looking for adult material but weren\'t willing to admit it in a phone survey, he said.</p> <p>What should parents do? \"Talking to your kids about safe online use is important, but it won\'t necessarily help them avoid unintentional exposure to pornography,\" he said. \"Make sure whatever e-mail service your child is using has a very good spam filter -- this will keep most of the pornography spam at bay. Talk to kids about keeping e-mail addresses private. This means not giving out addresses to enter Web sites or having your address posted anywhere online.\"</p> <p>Also, he said, consider filtering software. \"While exposure to pornography online is beginning to be a normative experience, installing filtering software on your computer will help delay the initial exposure,\" he said. </p> <p>Fred Zimmerman, associate professor of public health at the University of Washington and author of <i>The Elephant in the Living Room: Make TV Work for Your Kids</i>, had more advice: \"As with any media issue, the best strategy for parents is to keep open lines of communication with their children,\" he said. \"As any parent knows, talking to your child can help prevent unpleasant experiences and provide a place for kids to turn when they do happen.\"</p> <p><b>More information</b></p> <p>Learn more about online pornography and kids from <a href=\" http://www.enough.org/\" target=\"_new\">Enough Is Enough</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1587','1','	<p><p>(HealthDay News) -- Here are the latest clinical trials, courtesy of <b>Thomson CenterWatch</b>:</p> <p><span class=\"subhead\"><b> Healthy Patient Studies </b></span></p><p> This study seeks healthy men between the ages of 18 and 60. If you qualify, all study related care will be provided at no cost, including exams and lab tests. Up to $2,025 in compensation is available for time and travel. You must be free of major medical and psychological illness, including drug and alcohol abuse, and you cannot have had a vasectomy.</p><p>The research site is in Tarzana, Calif. </p><p><b>More information</b></p><p>Please see <a href=\" http://www.centerwatch.com/patient/studies/phasei.html\" target=\"_new\"> http://www.centerwatch.com/patient/studies/phasei.html</a>.</p> <p>-----</p> <p><span class=\"subhead\"><b> Contraception </b></span></p><p> This is a one-year research study of an investigational birth control pill. Women 19-50 who are sexually active and have regular menstrual cycles may be eligible.</p><p>The research site is in Lincoln, Neb. </p><p><b>More information</b></p><p>Please see <a href=\"http://www.centerwatch.com/patient/studies/cat374.html\" target=\"_new\">http://www.centerwatch.com/patient/studies/cat374.html</a>.< /p> <p>-----</p> <p><span class=\"subhead\"><b> Depression </b></span></p><p> This study will use brain-imaging technology (PET scan) to research brain biochemistry identified with depression. The goal is to use the technology to determine if people with a family history of depression have similar brain biochemistry. Candidates 18-29 may be included who have a family history of depression but do not have current or past depression, do not have significant active physical illness, and are not pregnant. Participants may be compensated up to $250 for time, travel, and lost wages.</p><p>The research site is in Denver, Colo. </p><p><b>More information</b></p><p>Please see <a href=\"http://www.centerwatch.com/patient/studies/cat164.html\" target=\"_new\">http://www.centerwatch.com/patient/studies/cat164.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('1588','1','	<p><!--Spanish ID: 601648 --> <p>MONDAY, Feb. 5 (HealthDay News) -- The teen pregnancy rate in the United States is at an all-time low, while the rate of Caesarean deliveries is at an all-time high.</p> <p>At the same time, the birth rates for mothers aged 30 and older rose in 2005 to levels not seen in nearly 40 years. </p> <p>These findings are part of the <i>Annual Summary of Vital Statistics: 2005</i>, published in the February issue of <i>Pediatrics</i>.</p> <p>\"These are the three most remarkable findings,\" said Brady Hamilton, lead author of the report and a statistician with the National Center for Health Statistics. \"The rate of teen births fell to 40.4 births per 1,000 women aged 15 to 19. That\'s the lowest rate ever recorded in 65 years for which we have consistent data. It\'s quite impressive.\"</p> <p>\"The other noteworthy finding in 2005 was that 30.2 percent of all births were Caesarean delivery,\" Hamilton continued. \"That\'s a 4 percent increase from 2004-05, which was also a record high.\" </p> <p>A number of factors may explain the rise in the rate of Caesarean deliveries. \"Vaginal births after Caesarean delivery are being discouraged, and the primary rate of Caesareans is rising, so, together, that is fueling this increase,\" said Fay Menacker, also a statistician at the National Center for Health Statistics. \"The repeat Caesarean delivery rate was over 90 percent in 2004.\"</p> <p>Part of the increase in the Caesarean delivery rate may be more older mothers, added Dr. Jennifer Wu, an obstetrician/gynecologist with Lenox Hill Hospital in New York City. \"They may also have had assisted reproductive technology and may be having multiples.\"</p> <p>The drop in teen births is also probably being driven by several forces.</p> <p>\"This shows, maybe, that we\'re educating the public better, providing better health care, better contraception, better contraceptive choices for teens,\" Wu said.</p> <p>Hamilton added: \"The best evidence suggests that this reflects a combination of factors, including programs promoting abstinence as well as those promoting safe sex.\"</p> <p>The decline in teen births was concentrated among girls aged 15 to 17.</p> <p>The data in the report comes from U.S. vital statistics records, birth certificates, fetal death reports and death certificates. Here are some of the report\'s other findings:</p> <ul> <li>A record number of unmarried women are having children. The total number of births to unmarried women rose by 4 percent, to 1,525,345, in 2005.</li> <li>Slightly more than 1.7 million people were added to the U.S. population in 2004, or 5.8 persons per 1,000 population.</li> <li>The preliminary estimate of births for 2005 was 4,140,419, an increase of 1 percent from 2004.</li> <li>The general fertility rate in 2005 was 66.7 births per 1,000 women aged 15 to 44 years, the highest level since 1993.</li> <li>The infant mortality rate was 6.79 per 1,000 live births in 2004, not statistically different from the year before. The report also found continued differences in infant mortality rates by race and ethnicity. Non-Hispanic black newborns were more than twice as likely as non-Hispanic white and Hispanic infants to die within a year of birth. </li> </ul> <p>Other findings in the report:</p> <ul> <li>The twin birth rate rose by 2 percent in 2004, to 32.2 twins per 1,000 total births, a record high. The rate of triplet and higher order multiple births declined by 6 percent in 2004, but increased by 400 percent between 1980 and 1998. Since 1999, that rate has stabilized.</li> <li>The proportion of all infants born very preterm rose slightly from 2.01 percent in 2004 to 2.03 percent in 2005.</li> <li>The percentage of infants born with low birth weight increased in 2005 to 8.2 percent of all births, up from 8.1 percent in 2004. </li> <li>The death rate for children aged 1 to 19 in 2004 was 32.7 per 100,000 population, or 0.9 percent lower than in 2003. The decrease in death rates was not statistically significant for any age group except 1- to 4-year-olds.</li> <li>For all children aged 1 to 19 years, the first and second leading causes of death in 2004 were unintentional injuries and homicide, respectively. </li> <li>Suicide rates for children up to 19 years increased in 2004. Rates for other causes of death did not change.</li> <li>Smoking among pregnant women declined slightly, to 10.2 percent, in 2004.</li> <li>In 2004, Americans had a life expectancy of 77.8 years, a record high.</li> <li>Death rates continued to decline for nine of the 15 leading causes of death.</li> </ul> <p><b>More information</b></p> <p>To read the full report, visit the <a href=\"http://www.cdc.gov/nchs/\" target=\"_new\">National Center for Health Statistics</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1589','1','	<p><p>(HealthDay News) -- Brittle nails can be a normal result of aging. Or they can indicate a medical abnormality.</p> <p>Here is a list of things that can cause your nails to be brittle, weak and break easily, courtesy of the U.S. National Library of Medicine:</p> <ul> <li>Frequent use of nail polish, remover, hardeners or other cosmetic nail applications.</li> <li>Reduced amounts of zinc or iron in the body.</li> <li>Problems with the thyroid.</li> </ul> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1590','1','	<p><p>(HealthDay News) -- Seasonal affective disorder (SAD) is a form of depression that is linked to the changing seasons. The most common form is winter depression, although a less common type is called summer SAD, the American Academy of Family Physicians says.</p> <p>SAD may be related to the changes in the amount of daylight that fluctuates with the seasons, the academy says.</p> <p>The most common symptoms of SAD include feelings of depression, fatigue, craving for starchy foods and weight gain as the specific season approaches.</p> <p>In people with SAD, the same symptoms tend to return and ease every year at about the same times.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1591','1','	<p><!--Spanish ID: 601656 --> <p>MONDAY, Feb. 5 (HealthDay News) -- Women are three times more likely than men to die of genital nonmelanoma skin cancer, new U.S. research shows.</p> <p>Genital nonmelanoma skin cancer can be caused by sexually transmitted human papillomavirus (HPV), which is also associated with cervical cancer.</p> <p>In this study, researchers found that almost 30,000 people -- 22,000 women and 8,000 men -- died of genital nonmelanoma skin cancers in the United States from 1969 to 2000.</p> <p>The older a person is, the greater their risk of genital nonmelanoma skin cancer (NMSC). The findings were scheduled for presentation Sunday at the annual meeting of the American Academy of Dermatology, in Washington, D.C.</p> <p>\"As dermatologists, we expect to see skin cancers induced by ultraviolet light, because sunlight is one of the primary risk factors for the disease,\" researcher Dr. Martin A. Weinstock, professor of dermatology and community health at Brown University in Providence, R.I., said in a prepared statement.</p> <p>\"But some of the most dangerous types of skin cancers are those that are not sun-induced, such as skin cancers that occur on genital skin -- a place that is not exposed to intense sun and is not routinely examined by dermatologists. That\'s why there needs to be an increased awareness of this issue, so patients and physicians can be better prepared to detect these cancers early before they become fatal,\" said Weinstock, who is also chief dermatologist at Veterans Affairs Medical Center in Providence.</p> <p>Because they\'re not always readily visible and may not cause any noticeable symptoms, genital skin cancers can be difficult to diagnose.</p> <p>\"The number of deaths attributed to genital NMSCs was higher than expected, and we believe HPV was a major cause of these cancers,\" Weinstock said.</p> <p>\"The availability of the new HPV vaccine offers the potential for a substantial reduction in the development of these skin cancers for future generations,\" he noted.</p> <p>In addition, since \"HPV is a sexually transmitted disease, both men and women can practice preventive measures that could lead to a decline in mortality rates from genital NMSCs and heed the warning signs of the disease, including new growths or sores that don\'t heal, to detect it early.\"</p> <p><b>More information</b></p> <p>The U.S. National Cancer Institute has more about <a href=\"http://www.cancer.gov/cancertopics/factsheet/Risk/HPV\" target=\"_new\">HPV and cancer</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1592','1','	<p>Concerned about those heart-damaging trans fats in your food? Absolutely, Shelley Boisvert said. \"But evidently not enough,\" she added with a rueful laugh, polishing off an order of fries in a downtown pub.<p/>\nMichigan state Rep. Lee Gonzales wants to help people like Boisvert, who want restaurant fare to be healthy but don\'t always act like it when ordering a meal.<p/>\nHe is sponsoring legislation that would require restaurants to tell customers which menu items contain trans fats ? and phase them out by July 2008.<p/>\nTrans fats are a cause celebre in many statehouses around the nation since New York City approved a ban in December. Bills to restrict or banish trans fats in restaurants or school cafeterias, or require warnings in establishments that serve foods containing them, have been introduced in at least 18 states.<p/>\nArtificial trans fats, short for trans fatty acids, are partially hydrogenated vegetable oils commonly used for deep frying and baking processed cookies, cakes and crackers.<p/>\nThey became popular with the food industry because they lengthen shelf life and improve taste. But critics say they raise levels of bad cholesterol in the blood while reducing the good kind, leading to clogged arteries and heart disease.<p/>\nThey\'re also believed to increase risk of type 2 diabetes, which killed Gonzales\' father just short of his 60th birthday. \"I get pretty passionate about this,\" the Democrat from Flint Township said.<p/>\nThe National Restaurant Association agrees trans fats should go. But the 380,000-member group frowns on government mandates and timetables, saying the private sector is developing solutions on its own as customers become more health-conscious.<p/>\nNational chains such as Wendy\'s International Inc., Yum Brands Inc.\'s KFC and Taco Bell have pledged to dump trans fats. McDonald\'s Corp. recently announced it had developed a trans-fat-free oil for french fries, and Marriott International Inc. said last week it would eliminate trans fats from its restaurants in the United States and Canada.<p/>\nTom Foulkes, vice president of state relations for the restaurant association, chalked up the flood of newly introduced bills to politicians\' affinity for popular causes.<p/>\n\"It\'s a sound bite, a simple issue that gets large amounts of media attention,\" Foulkes said. \"Everybody uses margarine, everyone uses butter, everyone can understand this.\"<p/>\nSupporters of government intervention say some restaurants won\'t move away from trans fats unless forced. Besides, the threat of state regulation may prod the industry to work faster or the U.S. <span class=\"keyword\"><a href=\"http://us.rd.yahoo.com/DailyNews/manual/ap/ap_on_he_me/trans_fats_states/21834105/*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> to set national standards. The FDA last year began requiring trans fat labels on packaged foods but hasn\'t taken action on restaurants.<p/>\n\"Protecting the public health is a basic function of government agencies,\" said Michael Jacobson, executive director of the nonprofit Center for Science in the Public Interest. \"When the federal government moves too slowly, states and cities will sometimes fill the void. That\'s what\'s happening with trans fats.\"<p/>\nTen states have pending bills to restrict or prohibit trans fats in restaurants: Connecticut, California, Hawaii, Massachusetts, Maryland, Michigan, New Hampshire, New York, Rhode Island and New Jersey.<p/>\nTrans fat bans for public school cafeterias have been proposed in California, New Hampshire, Texas, Mississippi, Florida and Virginia. A dozen states are considering labeling requirements.<p/>\nFoulkes said instead of imposing standards, states should follow the example of Los Angeles, which last week announced a partnership with the California Restaurant Association to voluntarily phase out trans fats.<p/>\nBoisvert, 50, the french fry eater in Traverse City, said a ban would relieve customers of having to comb the menu for trans-fat-free items.<p/>\n\"But my quandary is whether a government bill is the best way to do it,\" she said. \"I mean, isn\'t this something we should be doing for ourselves?\"<p/>\nEnjoying a fried fish lunch in a Detroit restaurant, Harry Murphy said he\'s usually too rushed to think about nutrition when eating out. Getting rid of trans fats would be good for Michigan, which has one of the nation\'s highest obesity rates, the 62-year-old said.<p/>\nStill, he\'d prefer that legislators leave trans fats to the restaurant owners.<p/>\n\"I don\'t think the government should be involved in this at all,\" Murphy said.<p/>\n___<p/>\nOn the Net:<p/>\nNational Restaurant Association: <a href=\"http://us.rd.yahoo.com/dailynews/ap/ap_on_he_me/storytext/trans_fats_states/21834105/SIG=10r6jbi7j/*http://www.restaurant.org\">http://www.restaurant.org</a><p/>\nFDA on trans fats: <a href=\"http://us.rd.yahoo.com/dailynews/ap/ap_on_he_me/storytext/trans_fats_states/21834105/SIG=10kohpt8a/*http://www.fda.gov\">http://www.fda.gov</a><p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1593','1','<p>CAHORS, <a href=\"http://www.washingtonpost.com/wp-srv/world/countries/france.html?nav=el\" target=\"\">France</a></p><p>For her 100th birthday party last October, H?l?ne Vialard indulged in her favorite meal -- coq au vin. She adores the local Cahors red wines, occasionally eats a sliver of foie gras, another regional specialty, and says she has no secret for reaching the century mark: &quot;It just came on its own. I never thought I would live this long.&quot;</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/2007/02/04/PH2007020401235.jpg\"/--><div style=\"float:left;position:relative;top:14px;\"><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/2007-02-05/index.html?imgId=PH2007020401237&imgUrl=/photo/2007/02/04/PH2007020401237.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_7587536\">Buy This Photo</a></span></div>\n</div><br clear=\"all\"/><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/2007-02-05/index.html?imgId=PH2007020401237&imgUrl=/photo/2007/02/04/PH2007020401237.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/02/04/PH2007020401235.jpg\" border=\"0\"  alt=\"The women of Cahors, France, clockwise from top: Aliette Picuira, 82, left, says she adds three spoonfuls of wine to her nightly bowl of soup, while Raymonde Labat, 83, prefers champagne with her meals; H?l?ne Vialard turned 100 in October; Jeanne Cuisiner, 87, likes dancing the tango.\"  height=\"167\" width=\"228\" align=\"top\"></a><div id=\"caption\">The women of Cahors, France, clockwise from top: Aliette Picuira, 82, left, says she adds three spoonfuls of wine to her nightly bowl of soup, while Raymonde Labat, 83, prefers champagne with her meals; H?l?ne Vialard turned 100 in October; Jeanne Cuisiner, 87, likes dancing the tango.</div></div>\n<img src=\"http://media3.washingtonpost.com/wp-dyn/content/graphic/2007/02/05/GR2007020500079.gif\" width=\"228\" height=\"287\" border=\"0\"/>\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/2007/02/04/AR2007020401234_Technorati.html\') ;\ntechnorati.article = new item(\'Recipe for More Golden Years?\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/04/AR2007020401234.html\',\'CAHORS, France For her 100th birthday party last October, H?l?ne Vialard indulged in her favorite meal -- coq au vin. She adores the local Cahors red wines, occasionally eats a sliver of foie gras, another regional specialty, and says she has no secret for reaching the century mark: \"It just came on its own. I never thought I would live this long.\" ...\',\'Molly Moore\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/04/AR2007020401234_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/2007/02/04/AR2007020401234.html%3Freferrer=digg&title=Recipe for More Golden Years?&bodytext=CAHORS, France For her 100th birthday party last October, H?l?ne Vialard indulged in her favorite meal -- coq au vin. She adores the local Cahors red wines, occasionally eats a sliver of foie gras, another regional specialty, and says she has no secret for reaching the century mark: \'It just came on its own. I never thought I would live this long.\' ...\" 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=Recipe for More Golden Years?&labels=&annotation=CAHORS, France For her 100th birthday party last October, H?l?ne Vialard indulged in her favorite meal -- coq au vin. She adores the local Cahors red wines, occasionally eats a sliver of foie gras, another regional specialty, and says she has no secret for reaching the century mark: \'It just came on its own. I never thought I would live this long.\' ...&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/04/AR2007020401234.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/2007/02/04/AR2007020401234.html%3Freferrer=delicious&title=%22Recipe for More Golden Years?: Women in France  --  especially in foie gras country  --  live longer than people almost anywhere else.%22 By Molly Moore&notes=CAHORS, France For her 100th birthday party last October, H?l?ne Vialard indulged in her favorite meal -- coq au vin. She adores the local Cahors red wines, occasionally eats a sliver of foie gras, another regional specialty, and says she has no secret for reaching the century mark: \'It just came on its own. I never thought I would live this long.\' ...\" 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/2007/02/04/AR2007020401234.html%3Freferrer=yahoo&title=Recipe for More Golden Years?&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/2007/02/04/AR2007020401234.html%3Freferrer=reddit&title=Recipe for More Golden Years?\" 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/2007/02/04/AR2007020401234.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Recipe for More Golden Years?\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>The women of France -- a land renowned for a cuisine laden with fats and calories -- have the longest life expectancy of any nation on Earth except <a href=\"http://www.washingtonpost.com/wp-srv/world/countries/japan.html?nav=el\" target=\"\">Japan</a>. A baby girl born in France in 2006 can expect to live until she is at least 84, surpassing a baby boy\'s potential by seven years, according to new government statistics. Only Japanese women have a longer life expectancy, 85.6 years. American women can expect a life span of 80.1 years, recent statistics show.</p><p>Some of the longest-living Frenchwomen reside in the southwest\'s Midi-Pyrenees region, which is famous for its fatty foie gras -- made from the livers of overfed ducks and geese -- and rustic red wines. Here, where women say moderation is the key to indulging in their favorite foods, female life expectancy is a full year above the national average.</p><p>&quot;There is a real paradox in the southwest of France,&quot; said Jacques Vallin of the country\'s National Institute for Demographic Studies, who specializes in elderly populations. &quot;It\'s one of the areas where people live the longest and where cardiovascular risks are the lowest, even though it\'s the foie gras region. It contradicts people\'s expectations about health and common sense.&quot;</p><p>Life expectancy rates for both men and women are rising across Europe, fueled by a combination of improved health care, especially for newborns and the elderly, the elimination of many diseases, and lower risks of dying from smoking, drinking and automobile accidents, according to Guy Desplanques, chief of the demographics department at France\'s National Institute for Statistics and Economic Studies.</p><p>But what may be good news for individuals is putting increasing strain on governments across Western Europe, as they confront the rising costs of caring for populations that are rapidly aging while birthrates are slowing or diminishing.</p><p>In France, life expectancy is increasing at an average of three months a year. By the end of this century, French officials project, the average life span for women will be 95, and for men, 91.</p><p>Across most of the world, women tend to live longer than men. Some experts say that women have stronger constitutions or take better care of themselves; others argue that they have less stressful jobs and lifestyles.</p><p>H?l?ne Vialard, who moved from Paris to Cahors for its clean air after she was found to have tuberculosis at age 16, is a member of one of the fastest-growing demographic groups in France -- centenarians, people who are 100 or older.</p><p>Last year, more than 16,000 women and men in France were at least 100 years old, more than double the number of seven years ago. The National Institute for Statistics and Economic Studies projects that by 2050, the country will have 150,000 centenarians. Now sociologists talk in terms of a new class of elderly -- super-centenarians, those who\'ve reached 110 years or more.</p><p>Cahors, a town of 21,000 people cradled in a bend of the Lot River, is bracing for such a future. Because of its reputation for a relaxing lifestyle, pleasant climate and good food, it is attracting elderly residents from other parts of France as well as neighboring countries. The area now has seven assisted-care homes for the elderly, and two more will soon be under construction.</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/2007/02/04/AR2007020401234_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/04/AR2007020401234_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/2007/02/04/AR2007020401234_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/04/AR2007020401234_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1594','1','<p>Four times, I have been diagnosed with life-threatening diseases. Each time, the news stopped me cold; it landed me in a hospital; it forced me to rearrange my life and rethink my responsibilities while my body was battered by drugs and surgery.</p><p>And it immersed me in a cold, uncomfortable reality that is familiar to anyone who has received a sudden diagnosis of serious illness. Our connections, our skills in finding information and acting on it, our abilities to cope -- all of which are necessary for making the right decisions and getting the right care -- feel suddenly inadequate.</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>Related Stories</h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\">\n<p> </p>\n<ul>\n<li><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201494.html\" >How Much Do You Want  --  or Need  --  to Know?</a>\n<li><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201495.html\" >Where to Find The Information You Need</a>\n<li><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201496.html\" >What You Need to Know  --  Right Away</a>\n<li><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201493.html\" >Sifting Through the Net</a>\n</ul>\n<div class=\"clearboth\"></div></div></div></div>\n\n<div style=\"clear:both;\"></div>\n<div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2>Tuesday, Feb. 6, Noon ET</h2><div class=\"sidebarcontent\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/discussion/2007/02/05/DI2007020500660.html\" target=\"\">Dealing with a Diagnosis</a><br/>What to do when the doctor gives you -- or someone you love -- a devastating diagnosis? Jessie Gruman, founder of the Center for the Advancement of Health, will be online to discuss of her her new book, \"Aftershock,\" excerpted in Tuesday\'s Health section.<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<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/2007/02/02/AR2007020201494_Technorati.html\') ;\ntechnorati.article = new item(\'How Much Do You Want  --  or Need  --  to Know?\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201494.html\',\'Four times, I have been diagnosed with life-threatening diseases. Each time, the news stopped me cold; it landed me in a hospital; it forced me to rearrange my life and rethink my responsibilities while my body was battered by drugs and surgery.\',\'Jessie Gruman\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201494_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/2007/02/02/AR2007020201494.html%3Freferrer=digg&title=How Much Do You Want  --  or Need  --  to Know?&bodytext=Four times, I have been diagnosed with life-threatening diseases. Each time, the news stopped me cold; it landed me in a hospital; it forced me to rearrange my life and rethink my responsibilities while my body was battered by drugs and surgery.\" 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=How Much Do You Want  --  or Need  --  to Know?&labels=&annotation=Four times, I have been diagnosed with life-threatening diseases. Each time, the news stopped me cold; it landed me in a hospital; it forced me to rearrange my life and rethink my responsibilities while my body was battered by drugs and surgery.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201494.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/2007/02/02/AR2007020201494.html%3Freferrer=delicious&title=%22How Much Do You Want  --  or Need  --  to Know?%22 By Jessie Gruman&notes=Four times, I have been diagnosed with life-threatening diseases. Each time, the news stopped me cold; it landed me in a hospital; it forced me to rearrange my life and rethink my responsibilities while my body was battered by drugs and surgery.\" 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/2007/02/02/AR2007020201494.html%3Freferrer=yahoo&title=How Much Do You Want  --  or Need  --  to Know?&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/2007/02/02/AR2007020201494.html%3Freferrer=reddit&title=How Much Do You Want  --  or Need  --  to Know?\" 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/2007/02/02/AR2007020201494.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'How Much Do You Want  --  or Need  --  to Know?\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>But through my own experience -- as well as the experience of talking to more than 200 others who have faced a devastating diagnosis -- I\'ve discovered that people are remarkably resilient once they gather the information they need to reconstitute their immediate futures.</p><p>There is no time in one\'s life when it is more important to make judicious use of the scientific information now abundantly available to us -- and there is no time when you feel less able to do so.</p><p>Wha<i>t</i>\'s more, people have very different ideas about how much they <i>wan</i> t to know about their disease or the disease of someone they love. Suzanne Miller, a psychologist at the Fox Chase Cancer Center in Philadelphia, found that people tend toward being either what she calls &quot;blunters&quot; (those who have little interest in seeking out information or learning about risks) or &quot;monitors&quot; (who track down the details, for example, of the molecular structure of their pancreas -- online, at the library and in conversation).</p><p>Regardless of whether you are a blunter or a monitor, there are four main reasons you need a basic understanding of your disease and its treatment.</p><p>Collecting information is the first crucial step that allows you to make decisions that are right for you. You can say yes or no to a doctor\'s recommendations, but you need some basic knowledge to be able to serve your own best interests.</p><p>Second, you need a mental model of what is happening to you. Until you have one, it is difficult to make sense of the actions you must take to participate in your treatment. If you understand basically what the pills do to keep your condition in check, you will be more likely to take them as directed. If you know what a certain test will tell the doctor, you\'ll be more likely to show up for it.</p><p>Third, you need to realize that what doctors consider state-of-the-art treatment in Connecticut may be very different from what doctors recommend in the Washington area. This means you may have more choices than you realize. It does not mean, however, that you need to cram a complete medical education into the days following a diagnosis. You simply need to know enough to ask informed questions.</p><p>The fourth reason you need to know about your condition and its treatment is that you -- and probably your partner or family member -- will need to keep a vigilant eye on your care. Most patients do not have access to an electronic record that includes their entire health history, test results and treatment plan. Each new doctor and institution you visit may have to piece together the information that is relevant to your care. It is common knowledge that such decentralization can lead to mistakes.</p><p>Educating yourself about your disease can be difficult when what you really want to do is delegate the responsibility for making decisions to your doctor. Further, the diagnostic process sometimes moves too quickly for deliberative information-gathering. \"If you are going to the emergency room and then straight into surgery, there is not a lot of time to learn what this means and to discuss it,\" noted Janet Baradell, a psychiatric clinical nurse specialist in private practice in North Carolina.</p><p>But as Ellen Stovall, president of the National Coalition of Cancer Survivorship and twice the recipient of a cancer diagnosis, puts it: \"It is a rare exception that any condition must be responded to within 48 hours. Taking an extra week to see another doctor, get another opinion and do a little more research can make all the difference between getting the wrong treatment or less-good treatment, rather than the right treatment for you.\"</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/2007/02/02/AR2007020201494_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201494_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/2007/02/02/AR2007020201494_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201494_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1595','1','<p>Most patients think their doctors treat them respectfully, listen to them patiently and care about their emotional well-being. That\'s the finding of a recent poll of 39,000 patients and 335 primary care doctors. Still, the survey found plenty of complaints on both ends of the stethoscope.</p><p>Among patients\' biggest grumbles, found the survey conducted by the nonprofit Consumer Reports National Research Center and published in the February issue of Consumer Reports: doctors\' failure to divulge the cost of medications or office visits (cited by two-thirds of respondents); failure to mention medication side effects (cited by almost one-third); doctors who couldn\'t see them within a week (19 percent); and doctors who don\'t return tests results promptly (7 percent).</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/2007/02/02/AR2007020201498_Technorati.html\') ;\ntechnorati.article = new item(\'Tell Me Where It Hurts\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201498.html\',\'Most patients think their doctors treat them respectfully, listen to them patiently and care about their emotional well-being. That\\\'s the finding of a recent poll of 39,000 patients and 335 primary care doctors. Still, the survey found plenty of complaints on both ends of the stethoscope.\',\'Buzz McClain\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201498_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/2007/02/02/AR2007020201498.html%3Freferrer=digg&title=Tell Me Where It Hurts&bodytext=Most patients think their doctors treat them respectfully, listen to them patiently and care about their emotional well-being. That\'s the finding of a recent poll of 39,000 patients and 335 primary care doctors. Still, the survey found plenty of complaints on both ends of the stethoscope.\" 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=Tell Me Where It Hurts&labels=&annotation=Most patients think their doctors treat them respectfully, listen to them patiently and care about their emotional well-being. That\'s the finding of a recent poll of 39,000 patients and 335 primary care doctors. Still, the survey found plenty of complaints on both ends of the stethoscope.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201498.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/2007/02/02/AR2007020201498.html%3Freferrer=delicious&title=%22Tell Me Where It Hurts: Poll: Doctors and Patients Often Let Each Other Down%22 By Buzz McClain&notes=Most patients think their doctors treat them respectfully, listen to them patiently and care about their emotional well-being. That\'s the finding of a recent poll of 39,000 patients and 335 primary care doctors. Still, the survey found plenty of complaints on both ends of the stethoscope.\" 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/2007/02/02/AR2007020201498.html%3Freferrer=yahoo&title=Tell Me Where It Hurts&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/2007/02/02/AR2007020201498.html%3Freferrer=reddit&title=Tell Me Where It Hurts\" 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/2007/02/02/AR2007020201498.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Tell Me Where It Hurts\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>For their part, doctors took umbrage with patients for not \"following their prescribed treatment,\" waiting too long to make an appointment and being reluctant to discuss their symptoms.</p><p>Some of the survey findings appeared to contain ironies. For example, most patients said they \"completely\" follow the doctor\'s advice -- on filling prescriptions, taking medications on time and completing the course of meds. But most doctors -- 59 percent -- noted patients\' noncompliance as their main complaint.</p><p>Failure to follow advice \"is a reality, that\'s for sure,\" said Edward Hill, immediate past president of the American Medical Association and a family physician in Tupelo, Miss. \"It\'s a personality issue many times. I tell them to take the medication as prescribed, and as soon as they feel better they quit taking it, even for chronic diseases like high blood pressure and diabetes,\" for which treatment isn\'t effective unless medication is continued.</p><p>But Hill admitted that \"sometimes we in medicine don\'t communicate quite as well as we should.\" The survey confirms that miscommunication is rife on both sides.</p><p>A third of the doctors complained that many of their patients are not specific about their symptoms, which handicaps the doctor when it comes to treating them. The study suggests patients may be embarrassed when describing what ails them, so they withhold details that would assist the treatment. They may also neglect to mention details because they don\'t think they\'re important.</p><p>\"I call those embarrassing medical topics the Five P\'s,\" said Vicki Rackner, a former Seattle surgeon and the founder of Medical Bridges, a company that encourages employers to have their workers take a more assertive role in health care: \"peeing, pooping, paying, procreating and psychosomatizing -- physical pain brought on by emotional causes.\" She called poor communication \"one of the basic barriers to quality medical care.\"</p><p>Patients who said they first chose their doctor on the basis of friend or family recommendations were more likely to have a positive experience than those who chose the doctor because of his or her location or participation in a health plan.</p><p>\"You add a link of trust,\" Rackner said, just as with a personal relationship.</p><p>\"As seen on TV\" may work to sell Ginsu knives but appears less dependable for medication. Nearly 80 percent of doctors reported being urged by patients to prescribe them medications they saw advertised in TV ads; 40 percent of the doctors said such advertising \"was not in the public interest.\"</p><p>The survey confirmed many patients\' reliance on the Internet for self-education. Forty percent of patients surveyed said they went to the Internet for information about their pain and possible cures. About the same share of doctors -- 41 percent -- said their patients were misinformed by what they read on the Web. \"I keep a little card in my pocket of what I think are reputable Web sites they can go to,\" Hill said. \"For instance, the National Institutes of Health Web site, or the CDC [Centers for Disease Control and Prevention] Web site or [official] specialists\' Web sites.\"</p><p>On the subject of divulging the cost of health care, Rackner said doctors need to do more.</p><p>\"When I was first starting out, I wondered what it cost to take out a gallbladder,\" she said. \"One surgeon told me, \'You can\'t ask that question; it violates antitrust laws. We could be accused of price fixing.\' There\'s a conspiracy of secrecy about cost. That\'s a big problem that\'s fortunately changing. Money might be the ultimate taboo [in health care], even more so than sex.\"</p><p>As for patient face time, more than half of the surveyed doctors said that had been shortened in the past five years, during which time they had had to expand their practices to meet their target income. And more than half also said they saw too many patients in one day to give effective treatment.</p><p>Consumer Reports acknowledged that the survey may not represent the views of the general population, since the respondents were composed of subscribers to the magazine. The physicians who were polled, however, came from a random sample drawn from a national list of doctors.</p><p>Only 9 percent of patient respondents cited limited face time with doctors as a major complaint. No survey question was asked about the wait time at the office.  ?</p><p><i>Buzz McClain is a Washington area freelance writer. 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('1596','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\">Required STD shots worry some parents</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Texas governor orders cervical cancer vaccine for schoolgirls</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\',\'4b8376a1-6ece-4f35-b6a2-97594e06bc53\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16992016\',\'Vaccine order for schoolgirls worries some\')\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/j/msnbc/Components/Video/070205/n_texas_hpvvaccine_070205.300w.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\',\'4b8376a1-6ece-4f35-b6a2-97594e06bc53\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16992016\',\'Vaccine order for schoolgirls worries some\')\"></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\',\'4b8376a1-6ece-4f35-b6a2-97594e06bc53\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16992016\',\'Vaccine order for schoolgirls worries some\')\">Vaccine order for schoolgirls worries some </a></font><br><font color=\"black\">Feb. 5: Rep. Jessica Ferrar, D-Texas and Eagle Forum\'s Andy Schlafly talk to MSNBC-TV\'s Norah O\'Donnell about a controversial Texas order that requires all sixth-grade girls to be vaccinated against a sexually transmitted virus that causes cervical cancer.</font><p class=\"credit\">MSNBC</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>AUSTIN, Texas - Some conservatives and parents\' rights groups worry that requiring girls to get vaccinated against the sexually transmitted virus that causes cervical cancer would condone premarital sex and interfere with the way they raise their children.</p><p>By using an executive order that bypassed the Legislature, Republican Gov. Rick Perry - himself a conservative - on Friday avoided such opposition, making Texas the first state to mandate that schoolgirls get vaccinated against the virus.</p><p>Beginning in September 2008, girls entering the sixth grade will have to receive Gardasil, Merck &amp; Co.\'s new vaccine against strains of the human papillomavirus, or HPV.</p><p>Perry also directed state health authorities to make the vaccine available free to girls 9 to 18 who are uninsured or whose insurance does not cover vaccines. In addition, he ordered that Medicaid offer Gardasil to women ages 19 to 21.</p><p>Perry, a conservative Christian who opposes abortion and stem-cell research using embryonic cells, counts on the religious right for his political base. But he has said the cervical cancer vaccine is no different from the one that protects children against polio.</p><p>\"The HPV vaccine provides us with an incredible opportunity to effectively target and prevent cervical cancer,\" 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 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/16948399/\">Vote: Should states require the shot?</a></li><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?BoardID=762&amp;ThreadID=185572&amp;BoardsParam=HIPDelay%3d1\">Discuss: What do you think?</a></li><li><a href=\"/id/3295154/\">Assess your risk for cervical cancer</a></li><li><a href=\"/id/16948768/\">Disparities remain as cervical cancer cases drop</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>Opponents say Perry should have let the Legislature decide whether to impose a mandate.</p><p>\"He\'s circumventing the will of the people,\" said Dawn Richardson, president of Parents Requesting Open Vaccine Education, a citizens group that fought for the right to opt out of other vaccine requirements. \"There are bills filed. There\'s no emergency except in the boardrooms of Merck, where this is failing to gain the support that they had expected.\"</p><p>Texas allows parents to opt out of inoculations by filing an affidavit objecting to the vaccine on religious or philosophical reasons. Conservative groups say such provisions still interfere with parents\' rights to make medical decisions for their children.</p><p>The executive order is effective until Perry or a successor changes it, and the Legislature has no authority to repeal it, said Perry spokeswoman Krista Moody. Moody said the Texas Constitution permits the governor, as head of the executive branch, to order other members of the executive branch to adopt rules like this one.</p><p><b><strong>Bankrolling state laws<br></strong></b>The federal government approved Gardasil in June, and a government advisory panel has recommended that all girls get the shots at 11 and 12, before they are likely to be sexually active.</p><p>Merck could generate billions in sales if Gardasil - at $360 for the three-shot regimen - were made mandatory across the country. Most insurance companies now cover the vaccine, which has been shown to have no serious side effects.</p><p>The New Jersey-based drug company is bankrolling efforts to pass state laws across the country mandating Gardasil for girls as young as 11 or 12. It doubled its lobbying budget in Texas and has funneled money through Women in Government, an advocacy group made up of female state legislators around the country.</p><p>Perry has ties to Merck and Women in Government. One of the drug company\'s three lobbyists in Texas is Mike Toomey, Perry\'s former chief of staff. His current chief of staff\'s mother-in-law, Texas Republican state Rep. Dianne White Delisi, is a state director for Women in Government.</p><p>The governor also received $6,000 from Merck\'s political action committee during his re-election campaign.</p><p>A top official from Merck\'s vaccine division sits on Women in Government\'s business council, and many of the bills around the country have been introduced by members of Women in Government.</p><p>Merck spokeswoman Janet Skidmore would not say how much the company is spending on lobbyists or how much it has donated to Women in Government. Susan Crosby, the group\'s president, also declined to specify how much the drug company gave.</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('1597','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\">Lab disaster may lead to new cancer drug</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Compound attacks cells that have learned to evade existing treatments</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 - Her carefully cultured cells were dead and Katherine Schaefer was annoyed, but just a few minutes later, the researcher realized she had stumbled onto a potential new cancer treatment.</p><p>Schaefer and colleagues at the University of Rochester Medical Center in New York believe they have discovered a new way to attack tumors that have learned how to evade existing drugs.</p><p>Tests in mice suggest the compound helps break down the cell walls of tumors, almost like destroying a tumor cell\'s \"skeleton\".</p><p>The researchers will test the new compound for safety and hope they can develop it to treat cancers such as colon cancer, esophageal cancer, liver and skin cancers.</p><p>\"I was using these cancer cells as models of the normal intestine,\" Schaefer said in a telephone interview.</p><p>Normal human cells are difficult to grow and study in the lab, because they tend to die. But cancer cells live much longer and are harder to kill, so scientists often use them.</p><p>Schaefer was looking for drugs to treat the inflammation seen in Crohn\'s disease and ulcerative colitis, both of which cause pain and diarrhea.</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/16930405/\">Stem cells may treat pancreatic cancer</a></li><li><a href=\"/id/16668688/\">Significant drop in U.S. cancer deaths</a></li><li><a href=\"/id/16695236/\">Unequal treatment for breast cancer</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>She was testing a compound called a PPAR-gamma modulator. It would never normally have been thought of as a cancer drug, or in fact a drug of any kind.</p><p>\"I made a calculation error and used a lot more than I should have. And my cells died,\" Schaefer said.</p><p>A colleague overheard her complaining. \"The co-author on my paper said,\' Did I hear you say you killed some cancer?\' I said \'Oh\', and took a closer look.\"</p><p>They ran several tests and found the compound killed \"pretty much every epithelial tumor cell lines we have seen,\" Schaefer said. Epithelial cells line organs such as the colon, and also make up skin.</p><p>It also killed colon tumors in mice without making the mice sick, they reported in the journal International Cancer Research.</p><p><b><strong>Targets cells</strong></b><br>The compound works in much the same way as the taxane drugs, including Taxol, which were originally derived from Pacific yew trees.</p><p>\"It targets part of the cell cytoskeleton called tubulin,\" Schaefer said. Tubulin is used to build microtubules, which in turn make up the cell\'s structure.</p><p>Destroying it kills the cell, but cancer cells eventually evolve mechanisms to pump out the drugs that do this, a problem called resistance.</p><p>\"Resistance to anti-tubulin therapies is a huge problem in many cancers. We see this as another way to get to the tubulin,\" Schaefer said.</p><p>The PPAR-gamma compound does this in a different way from the taxanes, which might mean it could overcome the resistance that tumor cells often develop to chemotherapy.</p><p>\"Most of the drugs like Taxol affect the ability of tubulin to forms into microtubules. This doesn\'t do that -- it causes the tubulin itself to disappear. We do not know why.\"</p><p>Schaefer\'s team plans more safety tests in mice. As the compound is already patented, her team will probably have to design something slightly different to be able to patent it as a new drug.</p><p>Taxol, developed by U.S. National Cancer Institute researchers and manufactured by Bristol-Myers Squibb in 1993, had annual sales of $1.6 billion at its peak in 2000.</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('1598','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\">Feeling blah? Beat back the winter blues</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>How to boost your mood when the weather gets you down</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\',\'8d429835-dcb3-4e0f-8315-d35eac73fcca\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16990069\',\'How to beat the winter blues\')\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Components/Video/070205/nc_winterblues_070205.300w.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\',\'8d429835-dcb3-4e0f-8315-d35eac73fcca\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16990069\',\'How to beat the winter blues\')\"></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\',\'8d429835-dcb3-4e0f-8315-d35eac73fcca\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16990069\',\'How to beat the winter blues\')\">How to beat the winter blues</a></font><br><font color=\"black\">Feb. 5: Half a million Americans will suffer from Seasonal Affective Disorder this year. KUSA\'s Anastasiya Bolton shares some tips to beat the winter blues.</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\"><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>It starts in the early fall. Suddenly going out on the town with friends doesn\'t sound as good as sitting at home on the couch. You\'re tired, a little more irritable than usual and maybe even sad. Instead of hitting the gym, you\'re now a regular at the donut shop and the pounds are piling on.</p><p>You\'ve got the winter blues - and spring feels like it\'s a long way off.</p><p>For sufferers, January and February tend to be the months when this form of depression, clinically known as Seasonal Affective Disorder (SAD), hits hardest. Those battling a severe case can have trouble getting any work done. They completely withdraw from social and professional connections and may even watch their libidos crash.</p><p>\"It\'s real misery,\" says Michael Terman, director of the Center for Light Treatment and Biological Rhythms at New York-Presbyterian Hospital and professor in the department of psychiatry at Columbia University in the College of Physicians and Surgeons. \"It can be as bad as any depression.\"</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/2007/01/30/beat-winter-blues-forbeslife-cx_0131beatingwinterblues_slide_2.html?partner=msnbc\" target=\"_blank\">Slideshow: Easy ways to beat the blues</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><b><strong>What\'s behind it</strong></b><br>Although no one is sure exactly what causes the disorder, it appears to be related to a lack of exposure to sunlight and tends to occur more often to those who live at higher latitudes where there is less wintertime daylight. Our genes also play a role in determining whether we\'re susceptible to depression and seasonal changes and, according to the American Psychiatric Association. Younger adults and women are thought to be at higher risk.</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 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><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:OCW(\'http://www.msnbc.com/modules/SeasonalAffectiveness/default.asp\',\'int520x400\',\'width=520,height=400\');\"><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 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:OCW(\'http://www.msnbc.com/modules/SeasonalAffectiveness/default.asp\',\'int520x400\',\'width=520,height=400\');\"></div></td></tr></table></td></tr><tr><td style=\"padding:10px;\"><font color=\"#000000\"><font color=\"551E1B\">?/font><font class=\"textMedBlackBold\"><a href=\"javascript:OCW(\'http://www.msnbc.com/modules/SeasonalAffectiveness/default.asp\',\'int520x400\',\'width=520,height=400\');\">Test yourself</a></font><br><font color=\"black\">Are you suffering from SAD?</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>Terman estimates that up to 5 percent of the U.S. experiences severe SAD, another 20 percent faces a milder version of the winter doldrums and another 25 percent has a symptom or two but remains totally functional.</p><p><b><strong>How to treat it</strong></b><br>But thanks to years of research and numerous studies, there are several methods considered effective in treating SAD. These include <a href=\"http://www.forbes.com/2007/01/30/beat-winter-blues-forbeslife-cx_0131beatingwinterblues_slide_4.html?partner=msnbc\" target=\"_blank\">bright light therapy</a>, <a href=\"http://www.forbes.com/2007/01/30/beat-winter-blues-forbeslife-cx_0131beatingwinterblues_slide_6.html?partner=msnbc\" target=\"_blank\">negative air ionization</a> and even <a href=\"http://www.forbes.com/2007/01/30/beat-winter-blues-forbeslife-cx_0131beatingwinterblues_slide_8.html?partner=msnbc\" target=\"_blank\">prescription drugs</a>. </p><p>Light therapy involves exposure to a fluorescent lamp for 30 to 90 minutes a day. New devices called ionizers can be used to fill the air with negative ions, which have been shown to have an antidepressant effect in some people.</p><p>Before choosing though, experts recommend seeing a doctor, who can help determine if you have SAD and which therapy might work best for you.</p><p>\"People may feel that they can just go online, get a device of some kind, do it themselves - and that that should do the trick,\" says Janis L. Anderson, director of SAD clinical services at Brigham and Women\'s Hospital for more than 10 years. Not so.</p><p>The problem is that light therapy boxes, for instance, aren\'t regulated, so it isn\'t always easy to tell what\'s safe and effective. If you decide to do it on your own, you should look for light boxes that have been tested in peer-reviewed clinical trials and have smooth diffusing screens, which filter out harmful UV rays, according to the educational nonprofit Center for Environmental Therapeutics. </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;From mental health to raising kids</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/2005/09/14/cx_sr_bipolarslide.html?partner=msnbc\" target=\"_blank\">Discussing mental health issues with your boss</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/2006/10/24/life_health_cx_ad_1025featslide.html?partner=msnbc\" target=\"_blank\">Easy ways to ease up on your body</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/2006/08/01/cx_sy_0802featslide.html?partner=msnbc\" target=\"_blank\">10 ways to snack without guilt</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/2006/07/25/cx_sy_0726healthslide.html?partner=msnbc\">Tips for raising smarter kids</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>Because each of us also has an individual time clock, people will benefit from light therapy at different times of the day and at varying doses, Terman says. For a small minority, for example, 30 minutes of bright light therapy can cause agitation and queasiness. A doctor with expertise in the field will be able to figure out what\'s right for you. </p><p><b><strong>Quick fixes<br></strong></b>Simpler techniques that may help people beat this seasonal lethargy include sticking to a structured schedule, which includes spending part of the day out of the house, says psychologist John Grohol, founder of PsychCentral.com, a mental health information source. Exercise also helps treat depression by getting the blood moving and releasing endorphins. </p><p>Dr. Norman Rosenthal, author of Winter Blues: Everything You Need to Know to Beat Seasonal Affective Disorder, says keeping a positive attitude can make a difference too. </p><p>Doing things you enjoy, such as seeing a friend, getting tickets to concerts and sporting events or going for a facial can quickly lighten up your day. Managing your stress level also is essential. If you\'re already feeling down, extra stress will only make the situation worse.</p><p>\"Don\'t take on deadline projects that are geared toward March,\" says Rosenthal, \"if you\'re a person with this problem.\"</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/16469103/\">Got the winter blues? Dawn simulator may help</a></li><li><a href=\"/id/16887801/\">Aussie shrink makes patient wear dog collar</a></li><li><a href=\"/id/16756646/\">Antidepressants may raise risk for broken bones</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>Though most people battling SAD will begin experiencing relief around early spring, experts say silently suffering until then is a bad idea.</p><p>\"If you\'re depressed, see an appropriate clinician to evaluate how you\'re doing,\" says Dr. Doug Moul, assistant professor of psychiatry at the University of Pittsburgh Medical Center. \"It\'s a question of finding the right medication for the right person.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 Forbes.com</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1599','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\">Less TV doesn\'t mean kids will exercise more</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>No link in screen time and being physically active, study 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>CHICAGO - Getting children to switch off the television does not guarantee they will exercise more, U.S. researchers said on Monday.</p><p>A four-year study of more than 10,000 U.S. children aged 10 to 15 found no correlation between changes in the amount of time they spent in sedentary activities and time engaged in moderate to vigorous physical activity.</p><p>Long hours watching television, playing video games and the like are known to contribute to the obesity epidemic among children and related problems such as diabetes, said the report published in the February issue of Pediatrics, the journal of the American Academy of Pediatrics.</p><p>Not only does TV expose children to unhealthy dietary choices but they tend to snack more while sitting around, it said.</p><p>On the other hand, moderate exercise such as biking or walking and vigorous exercise such as playing basketball or jogging keep excess weight off and improve cardiovascular fitness, the report 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=\"http://boards.msn.com/MSNBCboards/thread.aspx?BoardID=762&amp;ThreadID=187231&amp;BoardsParam=HIPDelay%3d1\">Discuss:?ow do you get your kids to exercise?</a></li><li><a href=\"/id/16929303/\">Spanking gets a time-out</a></li><li><a href=\"/id/16981527/\">Child weight surgery more common</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>More than 10,000 girls and boys answered annual questionnaires for the study, which found girls spent a mean of nearly 10 hours a week watching television per week and boys nearly 12 hours a week. Girls were physically active for 12 hours a week and boys for 14 hours.</p><p>Each year over the course of the study, girls watched TV about 39 fewer minutes per week and boys about 23 fewer minutes.</p><p>Yet at the same time, girls spent 13 fewer minutes per week doing physical activities, while boys spent about the same amount of time.</p><p>\"Television viewing and physical activity are separate constructs, not functional opposites,\" and choosing one or the other is based on a \"complex series of decision-making mechanisms,\" wrote study author Elsie Taveras of Harvard Medical School in Boston.</p><p>\"Simply restricting television viewing may not be effective in increasing physical activity,\" it said.</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('1600','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\">Number of autistic kids increasing in Denmark</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>10-year study shows Tourette\'s syndrome, hyperactivity also on the rise</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 look at all children born in Denmark over a recent 10-year period found not only marked increases in autism as expected but also in hyperactivity and Tourette\'s syndrome, a study said Monday.</p><p>The report from Denmark\'s University of Aarhus did not delve into what had caused the increases.</p><p>It said that numerous earlier studies had reported notable increases in recent years in the number of children being treated for autism, which is marked by isolating social and language abnormalities and repetitive patterns of behavior.</p><p>Some of its increase may be related to heavier scrutiny of children for the problem or perhaps an expanded definition of what encompasses autism, health experts have said previously.</p><p>But Thursday\'s study published in the <em>Archives of Pediatrics &amp; Adolescent Medicine</em> said the upward trends in reported autism diagnoses may be part of a broader pattern in childhood neuro-psychiatric illness.</p><p>It looked at medical records involving all 669,995 children born in Denmark between 1990 and 1999, tracking autism spectrum disorder, which includes autism and milder developmental disorders; hyperactivity; Tourette\'s syndrome, characterized by uncontrollable vocal or motor behaviors; and obsessive-compulsive disorder.</p><p>In all, 4,367 of the children had been diagnosed with one or more of the problems by 2004, the study 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/16885883/\">Parkinson\'s, MS more common than thought</a></li><li><a href=\"/id/16933623/\">New Down test safer for mom and baby</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>Hyperactivity, Tourette\'s syndrome and various forms of autism all increased significantly during the time period studied but obsessive-compulsive disorder did not, the report said.</p><p>\"It is difficult to explain why obsessive-compulsive disorder was the only disorder displaying another pattern,\" the authors said.</p><p>While the study did not address the causes of the increases in the other three problems \"it is clear that the number of children with neuropsychiatric disorders and their families in need of support and services has been growing in recent years,\" the study concluded.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><SCRIPT language=javascript src=\"http://msnbcmedia.msn.com/i/msnbc/components/interactives/_prod/Autism_Spectrum/data.js\"></SCRIPT><SCRIPT language=javascript src=http://www.msnbc.com/modules/poptext/poptext_codeV2.js></SCRIPT><SCRIPT>if (window.Autism_Spectrum) { displayApp(Autism_Spectrum); }</SCRIPT></td></tr></table></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('1601','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\">Scientists explore new avenue in AIDS fight</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Molecule could battle HIV by bolstering body\'s natural defenses</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 naturally occurring molecule saves vital immune system cells from cellular suicide during the onslaught of the AIDS virus and might help keep the body\'s natural defenses working in HIV-infected people, a study found.</p><p>The findings represent a potential new avenue to fight the effects of the human immunodeficiency virus, HIV, according to U.S. National Institutes of Health scientists whose work was published on Monday in the Proceedings of the National Academy of Sciences.</p><p>Dr. Paolo Lusso and colleagues at the NIH\'s National Institute of Allergy and Infectious Diseases looked at the role played by interleukin 7 in averting the death of T cells, a kind of white blood cell important to the immune system.</p><p>Interleukin 7 is a substance important in maintaining proper functioning of the immune system.</p><p>AIDS has killed more than 25 million people since it was first recognized in 1981. About 40 million people now live with HIV, with sub-Saharan Africa hardest hit.</p><p>Lusso expressed \"reasonable optimism\" that treatment involving interleukin 7 may benefit people with AIDS, a disease for which no cure exists.</p><p>\"I don\'t think one solution will be applicable to all the patients. It\'s possible that IL-7 (interleukin 7) may benefit some patients and do nothing in other cases,\" Lusso said in an interview.</p><p>\"But I think we are moving in the right direction because we are starting to appreciate that antiretroviral therapy alone (existing AIDS drug treatment) is not sufficient to bring back a full immune competence, and we are starting to identify at least some strategies that may work.\"</p><p>An insidious aspect of HIV is that the virus attacks the body\'s natural defenses - the immune system.</p><p><b><strong>Cell suicide<br></strong></b>In assaulting the immune system, HIV hides inside certain T cells. These cells, as the infection progresses, commit cellular suicide - called apoptosis - undermining the body\'s ability to combat infections and certain cancers. In fact, the virus manages to induce the suicide of many more T cells than it directly infects.</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/16905306/\">AIDS prevention gel studies halted </a>\n</li><li><a href=\"/id/16975360/\">Lab disaster could lead to cancer hope</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 researchers, who also included Dr. Lia Vassena and NIAID Director Dr. Anthony Fauci, used blood samples from 24 HIV-infected people. They added interleukin 7 to the blood samples and then gauged the survival of T cells.</p><p>The actual patients themselves were not treated with interleukin 7.</p><p>The samples with interleukin 7 displayed lower levels of T cell death. The benefits differed from sample to sample based on the person\'s stage of infection, the study found.</p><p><b><strong>Booster treatment<br></strong></b>The researchers believe interleukin 7 potentially could be used alongside existing AIDS drugs to bolster the immune system.</p><p>Lusso noted that existing AIDS drugs can keep the virus at bay for years, but damage to the immune system commonly persists even after years of such treatment.</p><p>Scientists want to find new ways to remedy these immune defects, with the aim to make the immune system functional even in HIV-infected people.</p><p>Lusso said apoptosis may be a major mechanism through which T cells die in AIDS. The new study is important, he said, in that it identifies how interleukin 7 may help - by preventing these cellular suicides.</p><p>He said the next step is a study in which monkeys with the the simian equivalent of HIV are given interleukin 7 to see if it blocks immune system dysfunction and immune cell depletion.</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('1602','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\">Child weight surgery becoming more common</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Improved techniques, rising obesity fueling increase </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\',\'144f4fdb-ffc0-45a7-9c22-c3cd7c8e62b7\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16990954\',\'New push to combat childhood obesity\')\"><img border=\"0\" src=\"http://msnbcmedia4.msn.com/j/msnbc/Components/Video/070205/tdy_costello_binge_070202.300w.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\',\'144f4fdb-ffc0-45a7-9c22-c3cd7c8e62b7\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16990954\',\'New push to combat childhood obesity\')\"></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\',\'144f4fdb-ffc0-45a7-9c22-c3cd7c8e62b7\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16990954\',\'New push to combat childhood obesity\')\">New push to combat childhood obesity</a></font><br><font color=\"black\">Feb. 2: Tom Costello reports on binge eating and a new government campaign to combat childhood obesity.</font><p class=\"credit\">Today show</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>NEW YORK - As the popularity of stomach surgery has skyrocketed among obese adults, a growing number of doctors are asking, \"Why not children, too?\"</p><p>For decades, the number of kids trying weight-loss surgery has been tiny. The operations themselves were risky, with a death rate of about 1 in 50. Children rarely got that fat, and when they did, pediatricians hesitated to put the developing bodies under the knife. Only 350 U.S. kids had such an operation in 2004, according to federal statistics.</p><p>But improvements in surgical technique and huge increases in the number of dangerously obese children have begun fueling a change of heart.</p><p>A group of four hospitals, led by Cincinnati Children\'s Hospital Medical Center, are starting a large-scale study this spring examining how children respond to various types of weight-loss surgery, including the gastric bypass, in which a pouch is stapled off from the rest of the stomach and connected to the small intestine.</p><p>Three more hospitals have approval from the Food and Drug Administration to test how teens fare with a procedure called laparoscopic gastric banding, where an elastic collar installed around the stomach limits how much someone can eat.</p><p>The FDA has hesitated to approve the gastric band for children, but surgeons at New York University Medical Center reported in the Journal of Pediatric Surgery this month that the device holds promise.</p><p>The 53 boys and girls, aged 13 to 17, who participated in NYU\'s study shed nearly half their excess weight over 18 months, while suffering relatively minor complications.</p><p><b><strong>\'Not as self-conscious\'</strong></b><br>Crystal Kasprowicz, of St. James, N.Y., said she lost 100 pounds from her 250-pound frame after having the band installed at age 17.</p><p>\"I\'m a totally different person,\" she 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/16566559/\">Obesity operations soar in U.S.</a> </li><li><a href=\"/id/16429930/\">Reading diet articles can be bad for girls</a> </li><li><a href=\"/id/16383370/\">1 in 3 low-income preschoolers obese</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>Before the procedure, Kasprowicz said she took medication for a rapid heartbeat and was showing signs of developing diabetes. Every effort she made to stop getting bigger failed. Dieting didn\'t work, she said. Her heart problems made it hard to exercise. Even walking up stairs was a challenge.</p><p>Now, she\'s off the heart drugs. Her blood-sugar levels are in check. She also feels better about herself.</p><p>\"I\'m very outgoing now,\" said Kasprowicz. \"I hike a lot ... I go to the beach in the summer now. I\'m not as self-conscious when I go shopping for clothing.\"</p><p>Similar studies are under way at the University of Illinois Medical Center in Chicago and at the Morgan Stanley Children\'s Hospital of New York-Presbyterian, which recently opened a weight-loss surgery center for teens. Doctors there expect to conduct about 50 operations this year.</p><p>Children are only considered candidates for surgery after they have spent six months trying to lose weight through conventional methods under hospital supervision. But so far, not a single one has slimmed down enough to take surgery off the table, said Dr. Jeffrey Zitsman, associate attending surgeon at Morgan Stanley Children\'s Hospital.</p><p>\"That battle can only be won in a few instances,\" he said.</p><p><b><strong>Long-term effects unknown</strong></b><br>The studies have followed a huge surge in the popularity of obesity surgeries among adults. The American Society for Bariatric Surgery estimates that more than 177,000 Americans had weight-loss surgery last year, up from 47,000 in 2001.</p><p>Not everyone is pleased that kids might be next.</p><p>\"I don\'t think altering the human digestive tract is a solution to the problem of excess weight,\" said Joanne Ikeda, a nutritionist emeritus at the University of California, Berkeley. \"It\'s one of these quick-fixes that isn\'t a fix at all.\"</p><p>Doctors, she said, still know relatively little about the long-term effects of such operations on the very young.</p><p><font size=\"2\"><span CM=\"PageNavBot\"><b><a CE=\"2\" href=\"/id/16981527/page/2/\">CONTINUED: Caution advised for kids</a></b><hr width=\"100%\" noshade=\"true\" size=\"1\" color=\"#808080\">1 | <b><a CE=\"2\" href=\"/id/16981527/page/2/\">2</a></b>\n			| <b><a CE=\"2\" href=\"/id/16981527/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(\'16981527\')\" 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(\'16981527\')\" 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 KIDS &amp; PARENTING</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/16989764/\"><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%\">Less TV doesn\'t mean more exercise</td></tr></table></td></tr><tr><td style=\"padding:0px;\"><font color=\"#000000\"><table width=\"100%\" 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INSERT INTO `dede_addonarticle` VALUES('1603','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\">British told not to panic over bird flu</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>159,000 turkeys slaughtered after H5N1 virus found on farm in England</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\',\'25ab0242-6e10-432d-b8af-d2b595eb6547\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16974198\',\'Case of bird flu seen in British poultry\')\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/j/msnbc/Components/Video/070204/n_england_birdflu_070204.300w.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\',\'25ab0242-6e10-432d-b8af-d2b595eb6547\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16974198\',\'Case of bird flu seen in British poultry\')\"></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\',\'25ab0242-6e10-432d-b8af-d2b595eb6547\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16974198\',\'Case of bird flu seen in British poultry\')\">Case of bird flu seen in British poultry</a></font><br><font color=\"black\">Feb. 4: Health officials have confirmed the first case of the deadly H5N1 bird flu strain on a poultry farm in Britain. NBC\'s Stephanie Gosk reports from London.</font><p class=\"credit\">MSNBC</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>HOLTON, England - Britain is confronting Europe\'s biggest outbreak of bird flu with a massive slaughter of turkeys - and worried consumers are asking whether the disease will hit humans next.</p><p>Experts are trying to spread the word that conditions in Britain are so different from Asia and Africa that the chance of human infection is infinitesimal. They also stress that no human bird flu cases have ever been traced to eating properly cooked poultry or eggs.</p><p>\"At the moment in the United Kingdom, the general public still have more chance of winning the lottery than getting bird flu,\" said Jim Robertson, a virologist at Britain\'s national institute for biological standards and control.</p><p>For Bernard Matthews PLC - whose turkeys were infected by the H5N1 strain at its Suffolk farm - the economic consequences could be devastating. Britain\'s largest poultry producer has had to slaughter 159,000 turkeys, and while the company refuses to release a figure, experts say damages could run into the millions of dollars if the problem is not quickly solved.</p><p>Sales may also be hurt - not only at Bernard Matthews, but throughout the poultry industry, worth an estimated $6.7 billion a year in Britain.</p><p>Ireland, Russia and Macedonia joined Japan in banning British poultry imports, and the Netherlands and Norway ordered restrictions on commercial poultry over the weekend. Farmers in the Netherlands were told to keep their birds indoors or behind chicken wire and protective netting.</p><p>Bernard Matthews has an annual turnover worth $783 million, and like other poultry producers, it is now working to reassure consumers that eating fowl is safe.</p><p>Three of Britain\'s major supermarket chains have so far reported no change in poultry or egg sales following the H5N1 outbreak.</p><p>But previous bird flu outbreaks in Europe have hit the market hard. After an outbreak on a French farm last year, poultry consumption in France fell by 30 percent. And in Romania, which has had repeated H5N1 outbreaks, consumption dropped by nearly 80 percent.</p><p><b><strong>\'Just keeping eating chicken\'<br></strong></b>Charles Bourns, chairman of the National Farmers\' Union poultry board, urged shoppers not to boycott poultry. \"Just keep eating chicken and enjoying it,\" he said. \"There is no danger from it. This is a disease of chickens and not of humans.\"</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia3.msn.com/j/msnbc/Components/Photos/070205/070205_britishBirdFlu_hmed_5p.standard.jpg\" align=\"Right\" vspace=\"0\" hspace=\"0\" alt=\"Image: Turkey farm\"></td></tr><tr><td><div class=\"credit\" style=\"text-align:right;margin-bottom:5px;\">Kirsty Wigglesworth / AP</div><div class=\"credit\">An unidentified person wearing full protective clothing walks through the Bernard Matthews turkey farm in Holton, England, on Monday Feb. 5, 2007, where?bout 2,500 turkeys died of the H5N1 strain of bird flu.</div><hr noshade=\"true\" size=\"1\" color=\"#C0C0C0\"></td></tr></table>Bernard Matthews had already been shaken by criticism from celebrity chef Jamie Oliver, who last year said its product \"turkey twizzlers\" - a kind of fried turkey jerky - was a symbol of Britain\'s inability to feed its children properly.</p><p>A total of 2,500 turkeys were killed last week by the H5N1 virus. Health authorities have imposed restrictions and surveillance zones around the farm, requiring that poultry be isolated from wild birds and restricting movement in and out of the zones.</p><p>Across Britain, traditional events from falconing to pigeon racing have come under an official ban.</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/16945777/\">Bird flu can infect upper airway</a></li><li><a href=\"/id/16751876/\">Control of deadly virus years away</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>H5N1 remains primarily an animal disease, and has only rarely infected humans. Since the strain began circulating widely in late 2003, hundreds of millions of birds have either died or been slaughtered because of the virus, and millions of people have been exposed.</p><p><font size=\"2\"><span CM=\"PageNavBot\"><b><a CE=\"2\" href=\"/id/16988654/page/2/\">CONTINUED: Rising global toll</a></b><hr width=\"100%\" noshade=\"true\" size=\"1\" color=\"#808080\">1 | <b><a CE=\"2\" href=\"/id/16988654/page/2/\">2</a></b>\n			| <b><a CE=\"2\" href=\"/id/16988654/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(\'16988654\')\" 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(\'16988654\')\" 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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;BIRD FLU QUESTIONS?</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><a href=\"/id/9914962/\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Newsletters/Images/nl_Generic.gif\" height=\"90\" width=\"150\" vspace=\"0\" hspace=\"0\"></a></td><td style=\"padding:10px;\"><font 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We\'ll answer it in a future experts column.</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></div><script src=\"/js/std.js\"></script><script src=\"/js/std.js\"></script><div style=\"padding-bottom:20;\"><SCRIPT LANGUAGE=\"JavaScript\">var tcdacmd=\"dt\";</SCRIPT>\n<SCRIPT SRC=\"http://an.tacoda.net/an/13015/slf.js\" LANGUAGE=\"JavaScript\"></SCRIPT></div></td></tr></table><table width=\"560\" cellpadding=\"10\"><tr><td align=\"center\"><script src=\"/js/std.js\"></script><div style=\"padding-bottom:20;\"><hr id=\"foothr\" width=\"758\" color=\"#000000\" noshade=\"true\" size=\"1\"/><div class=\"bb\" style=\"padding: 10 0 8 0;\"><a href=\"/\">Cover</a> | <a href=\"/id/3032525/\">U.S. News</a> | <a href=\"/id/3032553/\">Politics</a> | <a href=\"/id/3032507/\">World News</a> | <a href=\"/id/3032072/\">Business</a> | <a href=\"/id/3032113/\">Sports</a> | <a href=\"/id/3032118/\">Tech/Science</a> | <a href=\"/id/3032084/\">Entertainment</a> | <a href=\"/id/3032123/\">Travel</a> | <a href=\"/id/3032076/\">Health</a> | <a href=\"/id/3032105/\">Blogs Etc.</a> | <a href=\"http://www.msnbc.msn.com/id/3362034/\">Weather</a> | <a href=\"http://msnbc.msn.com/id/3098358/\">Local News</a></div><div class=\"bb\"><a href=\"/id/3032542/site/newsweek/\">Newsweek</a> | <a href=\"/id/3032633/\">Today Show</a> | <a href=\"/id/3032619/\">Nightly News</a> | <a href=\"/id/3032600/\">Dateline NBC</a> | <a href=\"/id/3032608/\">Meet the Press</a> | <a href=\"/id/3096434/\">MSNBC TV</a></div><div class=\"bb\" style=\"padding: 22 0 8 0;\"><a href=\"/id/3303510/\">About</a> | <a href=\"http://alerts.msnbc.com/\" rel=\"nofollow\">Alerts</a> | <a href=\"/id/7422001/\">Newsletters</a> | <a href=\"/id/5216556/\">RSS</a> | <a href=\"/id/16192026/\">Mobile</a> | <a href=\"/id/8132577/\">Podcasts</a> | <a href=\"/html/HtmlSitemap0.html\">Site Map</a>  | <a href=\"/id/3303511/\">Help</a> | <a href=\"/id/3152772/\">News Tools</a> | <a href=\"/id/3303596/\">Jobs</a> | <a href=\"/id/10285339/\">Contact Us</a> | <a href=\"/id/3303540/\">Terms & Conditions</a> | <a href=\"http://privacy.msn.com\">Privacy</a></div><div class=\"bb\" style=\"padding=0 0 8 0;\"><a href=\"/\">&#0169; 2007 MSNBC.com</a></div></div></td></tr></table><hr><table width=\"560\"><tr><td><a href=\"http://g.msn.com/0nwenus0/AE/20?SU=http://msnbc.msn.com/\">MSN Privacy</a> | <a href=\"http://g.msn.com/0nwenus0/AE/18?SU=http://msnbc.msn.com/\">Legal</a></td><td align=\"right\"><script language=\"javascript\" src=\"http://hp.msn.com/scr/op/ol-fdbkv3_r1.js\"></script><a href=\"javascript:O_LC();\">Feedback</a> | <a href=\"http://www.msnbc.msn.com/id/3303511/\">Help</a></td></tr></table></body></html></em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1604','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\">Enviga\'s calorie-burning claims investigated</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Conn. AG warns Coca-Cola, Nestle drink may be based on \'voodoo nutrition\'</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Components/Photos/070205/070205_enviga_vmed_12p.vmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Enviga\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">PR NEWSWIRE file</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Enviga,? sparkling green tea that claims to invigorate your metabolism, was created by Beverage Partners Worldwide, a joint venture between Coca-Cola and Nestle.</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>HARTFORD, Conn.  - Connecticut Attorney General Richard Blumenthal on Monday said his office was investigating claims by Coca-Cola and Nestle that their new drink can burn calories, saying it may amount to \"voodoo nutrition.\"</p><p>Blumenthal\'s investigation focuses on Enviga, a green-tea drink that contains caffeine, calcium and a green tea extract known as epigallocatechin gallate, or EGCG. Coke says EGCG speeds up metabolism and increases energy use, especially when combined with caffeine.</p><p>An Enviga Web site claims that the drink\'s blend of green tea and caffeine burns more calories than it contains and can help drinkers maintain an ideal weight. According to a Nestle study, young people who drank three of the 12-ounce drinks a day burned an average of 106 calories.</p><p>Ray Crockett, a Coca-Cola Co. spokesman, said the joint venture his company has with Nestle SA that conceived Enviga stands behind the claim that the product \"invigorates your metabolism to gently burn calories.\"</p><p>\"We\'ve been clear that Enviga is not positioned as a weight loss product, but is designed to compliment, not replace regular exercise, a sensible diet and other healthy choices you make throughout the day,\" Crockett said.</p><p>Blumenthal demanded copies of all scientific studies, clinical trials, tests and papers that prove the calorie-burning claim by next week.</p><p>Unless there are credible scientific studies, claims \"may be nothing more than voodoo nutrition,\" Blumenthal said. \"Promise of wondrous weight loss must be supported by science, not magic.\"</p><p>Calls were placed to Nestle seeking comment.</p><p>Enviga was being launched nationally this week following a rollout of the drink in New York City, New Jersey and Philadelphia in November</p><p>A nonprofit watchdog group, Center for Science in the Public Interest, have threatened to sue Coke and Nestle over their Enviga claims. Coke officials called the lawsuit threat a \"meritless publicity stunt.\"</p><p><br><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/16947257/\">Organic seal may soon mean \'clone-free,\' too</a> </li><li><a href=\"/id/16907642/\">Burger King plans to dump trans fats</a> </li><li><a href=\"/id/16775715/\">Slurp your dinner for healthy weight loss</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><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('1605','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\">Study: More kids exposed to online porn</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>42 percent of Internet users ages 10 to 14 have viewed sexual images</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\',\'9114dfd7-628d-42ef-b07e-0ee7653730c7\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16989447\',\'Four out of 10 kids have seen Web porn\')\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/j/msnbc/Components/Video/070205/nc_chickering_webporn_07020.300w.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\',\'9114dfd7-628d-42ef-b07e-0ee7653730c7\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16989447\',\'Four out of 10 kids have seen Web porn\')\"></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\',\'9114dfd7-628d-42ef-b07e-0ee7653730c7\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'16989447\',\'Four out of 10 kids have seen Web porn\')\">Four out of 10 kids have seen Web porn</a></font><br><font color=\"black\">Feb. 5: The findings of a new study raise a red flag about the number of youngsters who stumble upon or seek out pornography on the web. NBC\'s Helen Chickering 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>CHICAGO - More children and teens are being exposed to online pornography, mostly by accidentally viewing sexually explicit Web sites while surfing the Internet, researchers say.</p><p>Forty-two percent of Internet users aged 10 to 17 surveyed said they had seen online pornography in the past year. Of those, 66 percent said they did not want to view the images and had not sought them out, University of New Hampshire researchers found. Their conclusions appear in February\'s Pediatrics, due out Monday.</p><p>\"It\'s beyond the wild West out there. You\'ve really taken away the age of innocence,\" said Dr. Michael Wasserman, a pediatrician with the Ochsner Clinic in Metairie, La., who was not involved in the study.</p><p><b><strong>\'It\'s just annoying\'</strong></b><br>Online pornography was defined in the study as images of naked people or people having sex.</p><p>\"It\'s so common now, who hasn\'t seen something like that?\" said Emily Duhovny, 17.</p><p>The Marlboro, N.J., high school senior said X-rated images pop up all the time when she\'s online. Duhovny said the first time she saw one, it was shocking, but now, \"more than anything, it\'s just annoying.\"</p><p>\"It doesn\'t have to be a negative thing, but that shouldn\'t be how you learn about sex education,\" said Duhovny, an editor for Sexetc.org, a teen-written Web site on sexual health issues affiliated with Rutgers University.</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://boards.msn.com/MSNBCboards/thread.aspx?BoardID=762&amp;ThreadID=186889&amp;BoardsParam=HIPDelay%3d1\">Discuss: How do you protect your kids online?</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>In the survey, most kids who reported unwanted exposure were aged 13 to 17. Still, sizable numbers of 10- and 11-year-olds also had unwanted exposure - 17 percent of boys and 16 percent of girls that age.</p><p>More than one-third of 16- and 17-year-old boys surveyed said they had intentionally visited X-rated sites in the past year.</p><p>The results come from a telephone survey of 1,500 Internet users aged 10 to 17 conducted in 2005, with their parents\' consent. Overall, 34 percent had unwanted exposure to online pornography, up from 25 percent in a similar survey conducted in 1999 and 2000.</p><p>The survey has a margin of error of plus or minus 2.5 percentage points.</p><p><b><strong>Sexually active too soon<br></strong></b>Online use that put kids at the highest risk for unwanted exposure to pornography was using file-sharing programs to download images. However, they also stumbled onto X-rated images through other \"normal\" Internet use, the researchers said, including talking online with friends, visiting chat rooms and playing games.</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/USNEWS/070205/AP_CHILDPORN.gif\" align=\"Left\" height=\"356\" width=\"178\" vspace=\"0\" hspace=\"0\"></td></tr></table>Filtering and blocking software helped prevent exposure, but was not 100 percent effective, the researchers said.</p><p>Better methods are needed \"to restrict the use of aggressive and deceptive tactics to market pornography online\" without also hampering access to legitimate sites, the researchers said.</p><p>University of Chicago psychiatrist Sharon Hirsch said exposure to online pornography could lead kids to become sexually active too soon, or could put them at risk for being victimized by sexual predators if they visit sites that prey on children.</p><p>\"They\'re seeing things that they\'re really not emotionally prepared to see yet, which can cause trauma to them,\" Hirsch said.</p><p>Exposure also could skew their perceptions about what constitutes a healthy sexual relationship, said Janis Wolak, the study\'s lead author and a researcher at the University of New Hampshire\'s Crimes Against Children Research Center.</p><p>Still, many survey participants said they were not disturbed by what they saw, and Wolak said research is needed to determine how exposure to online pornography affects 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('1606','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\">Discipline debate: Spanking gets a time-out</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Proposed Calif. law reignites battle over best way to deal with unruly tots</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/i/msnbc/Components/Art/HEALTH/070203/Vlrg_Spanking_1215p.jpg\" height=\"358\" width=\"270\" vspace=\"0\" hspace=\"0\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Kim Carney / MSNBC.com</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><div class=\"textMedBlackBold\" style=\"padding-top:10px;\">Victoria Clayton</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://msnbcmedia2.msn.com/j/msnbc/Components/Bylines/Health/clayton.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>Victoria Clayton</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:\'+\'vcmsnbc\'+\'@\'+\'yahoo.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>Of all the controversial issues in parenting perhaps none is more heated than spanking. Most of us probably can recount seeing an out-of-control parent in a parking lot or supermarket (if not in a home) smack a child. And if you\'ve seen it once, it likely left an indelible impression.</p><p>In California, one lawmaker says she\'s had enough. Democratic assemblywoman Sally Lieber has introduced a bill that would outlaw this behavior with children ages 4 and under. If the bill becomes law, that parent in the parking lot could be charged with a misdemeanor punishable by a year in jail or a fine of up to $1,000, making California the first state with such a law. The use of physical punishment to discipline children is already illegal in Austria, Finland, Germany and Sweden.</p><p>But should spanking be banned? Is it wrong or even effective? What\'s really the best way to discipline unruly tots?</p><p>\"Education, not legislation, is the method of choice to improve parenting practices, with the exception of clearly abusive practices,\" says Diana Baumrind, a research psychologist at the University of California at Berkeley. Baumrind is one of the few experts who has been dubbed \"pro-spanking\" in the media. \"In my view, spanking . is no more or less harmful than a mild scolding, time-out or other developmentally appropriate level and kind of punishment.\"</p><p>However, Baumrind also says that any form of punishment by definition is aversive, and so, whether physical or non-physical, punishment should be reserved for times when milder methods such as persuasion or distraction have failed.</p><p>The majority of psychologists, however, come down decidedly on the anti-spanking side. And the American Academy of Pediatrics is firmly against spanking and hitting, saying in a policy statement that \"corporal punishment is of limited effectiveness and has potentially deleterious side effects.\" </p><p>Researcher Paul Frick of the University of New Orleans in Louisiana warns spanking and hitting can lead to later emotional and behavioral problems. Even children who are only smacked occasionally are more likely to show signs of depression or lower self-esteem, he says.</p><p>Frick and his team, who studied the impact of corporal punishment on 98 children and published their results last month in the Journal of Applied Developmental Psychology, said they couldn\'t find any positive effects for spanking. Children on the receiving end of a slap can learn that when they are upset and angry they hit, he says, rather than understanding their behavior was wrong and that they need to do better.</p><p>\"This is a small but significant sample,\" says Frick. \"We don\'t want to overstate the implications, though. The vast majority of kids who are subject to mild corporal punishment will not suffer severe negative effects. Our point, though, is that spanking and hitting are not effective and may be dangerous.\"</p><p><b><strong>Parents at the end of their ropes<br></strong></b>Jane Tucker, a parenting coach and mother of a 4-year-old son in Santa Monica, Calif., agrees. \"I think parents only use it because they get to the end of their ropes,\" she says. \"Usually, the problem is that they haven\'t set up boundaries and clear limits. If there aren\'t limits, kids will just push and push parents as far as they can.\"</p><p>For example, kids often have meltdowns in the grocery store. Tucker says she conditioned her son early on to know that when they go to the market he gets to select one of several items she allows. \"I look for ways to make win-win situations so we\'re both happy and there\'s little need for discipline - physical or otherwise.\"</p><p>Even when discipline can\'t be avoided, most parents have found ways to circumvent the need to make it physical. </p><p>\"We\'ve started using time-outs on our 3-year-old son,\" says Robin Cook, a marketing director and mother of 4-month-old and 3-year-old sons in Fayetteville, Ark. \"First we give him a warning and a choice, though. So we say, \'Either you can listen to what mommy or daddy say or you can have a time-out. What would you like to do?\' He had a few time-outs in the beginning but after that it\'s really worked well. He now usually makes the right choice.\"</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;Related coverage</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/16929436/\">Survey: What are your views on spanking?</a></li><li><a onclick=\"pd_onc(\'Discuss:?hare your thoughts on disciplining unruly tots\', \'\', \'e\', \'0\', \'Discuss:?hare your thoughts on disciplining unruly tots\', this);\" href=\"http://boards.msn.com/MSNBCboards/thread.aspx?BoardID=762&amp;ThreadID=186765&amp;BoardsParam=HIPDelay%3d1\">Discuss:?hare your thoughts on disciplining unruly tots</a></li><li><a href=\"/id/4155837/\">Read more Growing Up Healthy 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>Taking a cue from Super Nanny, Kimberly Powell, a stay-at-home mom in Dallas, uses the \"stop chair\" (a.k.a. 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INSERT INTO `dede_addonarticle` VALUES('1607','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\">Arkansas\' obesity report cards get failing grade</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Governor says weigh-ins had \'a lot of negative, unintended consequences\'</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>LITTLE ROCK, Ark. - Arkansas - the first state to send home obesity report cards to warn parents of overweight kids\' health risks - may ditch the plan or weaken it with the help of the new governor.</p><p>Gov. Mike Beebe said the school weigh-ins and report cards had \"a lot of negative, unintended consequences\" and hurt some children\'s self-esteem. He favors letting parents drop out of the program more easily and wants the state to test children less often.</p><p>His predecessor, former Gov. Mike Huckabee, said reversing the state\'s trendsetting, 3-year-old effort, \"would be a huge step backwards.\"</p><p>It\'s worth noting that Beebe, a Democrat, has no weight problem. Huckabee, a Republican, used to weigh 280 pounds, and before he began campaigning for president he campaigned against the ills of obesity.</p><p>Since Arkansas adopted its school-based anti-obesity program, California, Florida and Pennsylvania have launched similar efforts. And public health officials in Arkansas point to a slight drop in the state\'s childhood obesity rate since the program got going.</p><p><b><strong>Self-esteem problems</strong></b><br>But some lawmakers say that telling parents their children weigh too much could hurt children\'s self-esteem. Some also question whether it\'s the role of schools to monitor students\' weight or if it even makes a difference.</p><p>Supporters of the current program, like Dr. Karen Young at Arkansas Children\'s Hospital, say fat children have self-esteem problems regardless.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia4.msn.com/i/msnbc/Components/Art/HEALTH/070205/AP_OVERWEIGHT_KIDS.gif\" align=\"Right\" height=\"302\" width=\"181\" vspace=\"0\" hspace=\"0\"></td></tr></table>\"The kids who are overweight are already being teased,\" said Young, who directs a pediatric fitness clinic. \"These poor children, they\'re suffering. It doesn\'t take the letter for them to suffer.\"</p><p>Young has gained a number of new young patients trying to lose weight since schools began requiring the BMI reports.</p><p>Arkansas\' program began in 2004 after the Legislature directed public schools to weigh and measure children, calculating their body-mass index (BMI), a number used to determine whether their weight is appropriate for their age.</p><p>Huckabee championed the program as he dropped 110 pounds after being diagnosed with diabetes. Beebe, who took office Jan. 9, wants Arkansas to test children less often and make it easier to let parents opt out.</p><p>\"There are a lot of things schools should be doing, but there are a lot of things parents should be doing and one of them is trying to make sure their kids stay healthy,\" Beebe said.</p><p><b><strong>Bill to repeal report cards</strong></b><br>The Arkansas House last week approved a bill that would repeal the BMI report cards altogether, horrifying health experts who see the program as a wake-up call for families.</p><p>\"It\'s spurring some major action on the part of parents,\" Young said. \"Some of them really don\'t know their child is overweight until they get the letter.\"</p><p>Danita Thomas of Hope said she didn\'t need a report from school to know her teenage son Irie was too heavy. But since getting that first BMI report two years ago, Irie has lost nearly 100 pounds and sworn off junk food and sugary sodas - once staples of his unhealthy diet.</p><p>\"It was helpful, but I already knew it,\" Danita Thomas said. \"It made me realize that we needed to do some things different.\"</p><p>The 17-year-old now regularly goes to Young\'s clinic to help him with his weight loss.</p><p>Rep. Keven Anderson, R-Rogers, who filed the proposal to eliminate the BMI test altogether, said he didn\'t believe the BMI reports were effective tools.</p><p>\"At some point, the parent has got to take some responsibility for the health of their children,\" Anderson said. \"I don\'t think sending a report home saying you\'re in or out of the range is going to make a difference.\"</p><p>However, doctors from the University of Arkansas for Medical Sciences have told lawmakers that the BMI reports and other steps, such as limits on vending machine use, were leading to healthier students.</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/16981527/\">Child weight surgery becoming more common</a></li><li><a href=\"/id/16909706/\">Binge eating a common problem in the U.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><b><strong>Childhood obesity slowly declines</strong></b><br>Last year, a study showed that the percentage of Arkansas children who were overweight or at risk of becoming overweight was 37.5 percent, down from 38.1 percent in 2004. University figures from a later study showed that 68 percent of parents and 85 percent of students said they were comfortable with the reports.</p><p>That survey also found that the percentage of students reporting being teased because of their weight was 6 percent, half what it was two years earlier.</p><p>Young said that 13 percent of the children who come to her fitness clinic do so after getting the obesity report cards from school.</p><p>Jim Raczynski, dean of UAMS, opposes weakening the law, saying 20 percent of students already are opting out of the weigh-in program.</p><p>\"No one\'s forcing children to stand on the scales, no one\'s holding them down and I can\'t imagine any school forcing students or their parents to undergo the BMI assessments if they aren\'t willing to do it,\" Raczynski said.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><SCRIPT Language=\"JavaScript\" SRC=\"http://www.msnbc.com/modules/poptext/poptext_codeV2.js\"></SCRIPT>\n\n<SCRIPT Language=\"JavaScript\" SRC=\"http://www.msnbc.com/d/ip/overweightInAmerica_wb3/data.js\"></SCRIPT>\n\n<SCRIPT Language=\"JavaScript\">\n\nif (window.overweightInAmerica_wb3) { \n\n            //CUSTOM SETTINGS\n\ndisplayApp(overweightInAmerica_wb3); \n\n}\n\n</SCRIPT></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('1608','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\">Sluggish thyroid can trigger pregnancy troubles</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Doctors don\'t know if testing or treatment will do any good</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 - Even a slightly underactive thyroid - too mild for symptoms - during pregnancy might trigger premature birth and babies born with lower IQs. But doctors don\'t know if treating a symptom-free mother would help.</p><p>Now the National Institutes of Health is beginning a major study of pregnant women to find out, a key question amid growing debate about whether more mothers-to-be should get their glands checked.</p><p>\"It\'s all up in the air,\" cautions Dr. Catherine Spong, pregnancy chief at the NIH\'s National Institute of Child Health and Human Development. \"We don\'t know that treatment is going to improve the outcome.\"</p><p>About 27 million Americans have either an overactive or underactive thyroid, the bow-tie-shaped gland in the neck that produces hormones that regulate metabolism and stimulate almost every type of tissue. Only about half have been diagnosed, according to the American Association of Clinical Endocrinologists.</p><p>An overactive thyroid increases heart rate and blood pressure, and can cause weight loss, depression, confusion and vision problems.</p><p>An underactive thyroid, called hypothyroidism, is far more common, with even harder-to-recognize symptoms: fatigue, constipation, weight gain, forgetfulness, a hoarse voice, dry skin. A thyroid sluggish enough to cause symptoms is called \"overt hypothyroidism,\" and it increases the risk of heart disease, bone-thinning osteoporosis and infertility unless treated with a once-a-day hormone pill.</p><p>During pregnancy, having enough thyroid hormones is important for fetal brain development - especially during the first trimester, when the fetus depends solely on the mother for them - and for avoiding a miscarriage or premature birth. So mothers-to-be with overt hypothyroidism are supposed to be treated.</p><p><b><strong>Pregnancy wrinkle<br></strong></b>Here\'s the pregnancy wrinkle: Mildly underactive thyroids may not provide fetuses enough of the hormones even if the mothers report no symptoms. And when thyroid hormone levels are normal, mothers\' bodies still may harbor immune system cells called antibodies that subtly attack the gland - antibodies also linked to prematurity and pregnancy loss, and that are more common in women with other autoimmune diseases such as Type 1 diabetes.</p><p>Among the worrisome evidence, a 1999 study found that untreated hypothyroidism increases the risk of having children with lowered IQs, whether the mother had thyroid symptoms or not. And in 2005, Texas researchers who tested more than 17,000 pregnant women found those with asymptomatic hypothyroidism had almost twice the risk of a premature baby as did women with normal thyroids.</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/16933623/\">New Down test cuts miscarriage risk</a></li><li><a href=\"/id/16885926/\">Baby brain bleeding linked to vaginal births</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>Outcome of treatment unknown</strong></b><br>But other studies have raised questions about the links, and no one yet knows if treatment would help, have no effect or, possible but unlikely, do harm. So while obstetricians are under increasing pressure to check thyroids, they\'re reluctant to routinely test the nation\'s 4 million-plus pregnant women to find the ones - up to one in 50 - who may have asymptomatic hypothyroidism.<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/3297120/\"><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/3297120/\">Pregnancy: 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>Enter the NIH study. Hospitals in 11 states are beginning to screen thousands of otherwise healthy pregnant women to find 1,000 with asymptomatic thyroid problems. Half will get thyroid medication. Scientists will track their children\'s brain development through age 5.</p><p>A similar study in Britain, which screened 22,000 pregnant women, is under way.</p><p>Last summer, Italian researchers reported the first hint that treatment might help. They tested 984 pregnant women, finding 12 percent who bore thyroid antibodies despite normal hormone levels. The half who received thyroid medication had no more miscarriages or premature deliveries than normal women - while those who weren\'t treated had roughly triple the risk.</p><p>\"This was the first really powerful piece of data showing that it (treatment) makes a difference,\" says Dr. Alex Stagnaro-Green of the University of Medicine and Dentistry of New Jersey, an endocrinologist who specializes in pregnancy thyroid problems. \"Everyone is waiting for the next study to confirm or refute.\"</p><p>One study isn\'t proof, agrees Dr. Diane Ashton of the March of Dimes, which is monitoring the research as part of its campaign to lower the nation\'s half a million premature births each year.</p><p>So until the issue is settled, what\'s the advice?</p><ul><li class=\"textBodyBlack\">All sides agree that anyone with thyroid disease\'s vague symptoms should be tested, and treated if they have overt disease.</li><li class=\"textBodyBlack\">An international endocrinology panel soon will issue guidelines expected also to urge testing for pregnant women at high risk because of thyroid disease in the family, or if they have Type 1 diabetes or other autoimmune diseases. Stagnaro-Green adds testing of both hormone levels and antibodies for women who already have had a miscarriage or premature baby.</li><li class=\"textBodyBlack\">Women already diagnosed with hypothyroidism probably will need a significantly higher dose of thyroid hormone during pregnancy.</li><li class=\"textBodyBlack\">Use prenatal vitamins containing iodine, important for proper thyroid function.</li></ul><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('1609','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\">Rent-a-womb trend fuels surrogate debate</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>American couples head to India for cheaper fertility services</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Components/Photos/070205/070205_india_hmed_7a.hmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"To match feature INDIA-SURROGACY/\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Amit Dave / Reuters</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Surrogate motherhood is among the latest in a long list of roles being outsourced to India, where rent-a-womb services performed by?ertility clinic doctors?an be bought for a fifth of the cost of a similar service in the West. </font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></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>MUMBAI, India - Jyoti Dave is pregnant, but when the 30-year-old gives birth in March the baby will not be taken home to bond with her other child, but will instead be handed over to an American couple unable to conceive.</p><p>For her trouble, the Indian surrogate mother will be paid. She won\'t say how much, but she says it\'s money she desperately needs to feed her poor family after an industrial accident left the family\'s only breadwinnner unable to work.</p><p>\"My husband lost his limbs working in the factory,\" Dave told Reuters. \"We could not manage even a meal a day. That is when I decided to rent out my womb.\"</p><p>Surrogate motherhood is among the latest in a long list of roles being outsourced to India, where rent-a-womb services are far cheaper than in the West.</p><p>\"In the U.S. a childless couple would have to spend anything up to $50,000,\" Gautam Allahbadia, a fertility specialist who helped a Singaporean couple obtain a child through an Indian surrogate last year, told Reuters.</p><p>\"In India, it\'s done for $10,000-$12,000.\"</p><p>Fertility clinics usually charge $2,000-$3,000 for the procedure while a surrogate is paid anything between $3,000 and $6,000, a fortune in a country with an annual per capita income of around $500.</p><p>But the practice is not without its critics in India with some calling it the \"commoditization of motherhood\" and an exploitation of the poor by the rich.</p><p>\"It\'s true I\'m doing this for money, but is it also not true that a childless couple is benefiting?\" said Rituja, a surrogate mother in Mumbai, who declined to give her full name.</p><p><b><strong>Money meets convenience<br></strong></b>For the surrogates - usually lower middleclass housewives - money is the primary motivator.</p><p>For their clients it\'s infertility or - some claim - educated working women turning to hired wombs to avoid a pregnancy affecting careers.</p><p>But there is also a social dimension to their service, an empathy with the childless in a society that views reproduction as a sacred obligation, and believes good deeds performed in this life are rewarded in the next one, experts say.</p><p>\"Surrogate mothers are giving their (the eventual parents\') lives a new meaning. For them the money they pay is just a token gesture that by no way substitutes their gratefulness,\" said Deepak Kabir, a Mumbai-based gynecologist.</p><p>While there are no official figures it\'s estimated between 100-150 surrogate babies are born each year in India, though the number of failed attempts is likely to be far higher.</p><p>Yashodhara Mhatre, a fertility consultant at Mumbai\'s Center for Human Reproduction, says that while there are no comprehensive figures available perhaps 500-600 surrogate babies are born each year throughout the world.</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/16994550/\">Survey: Economical or exploitation?</a></li><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?BoardID=759&amp;ThreadID=187192&amp;BoardsParam=HIPDelay%3d1\">Discuss: What do you think about this trend?</a></li><li><a href=\"/id/15485694/\">Cell phone rings when it\'s baby time</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>Interest at the Dr. L.H. Hiranandani Hospital where she works is doubling every year, she says.</p><p>Allahbadia is presently handling 14 cases with prospective parents from India, Britain, the U.S., Singapore, France, Portugal and Canada.</p><p>India has no laws regulating the fertility industry - only nonbinding guidelines issued by the country\'s medical research council - but specialists say they have set their own criteria: only childless couples who cannot have a successful pregnancy themselves.</p><p>A surrogate must be young, healthy and married with children for physical, and more importantly, psychological support. A mother is less likely to want to keep a surrogate baby if she already has her own children.</p><p><font size=\"2\"><span CM=\"PageNavBot\"><b><a CE=\"2\" href=\"/id/16988881/page/2/\">CONTINUED: \'A lie for a good cause\'</a></b><hr width=\"100%\" noshade=\"true\" size=\"1\" color=\"#808080\">1 | <b><a CE=\"2\" href=\"/id/16988881/page/2/\">2</a></b>\n			| <b><a CE=\"2\" href=\"/id/16988881/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(\'16988881\')\" 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(\'16988881\')\" 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 PREGNANCY </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 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INSERT INTO `dede_addonarticle` VALUES('1610','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\">Youth suicides rise after decade of decline</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Kids\' antidepressant use dropped during same time period, study says</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 - New government figures show a surprising increase in youth suicides after a decade of decline, and some mental health experts think a drop in use of antidepressant drugs may be to blame.</p><p>The suicide rate climbed 18 percent from 2003 to 2004 for Americans under age 20, from 1,737 deaths to 1,985. Most suicides occurred in older teens, according to the data - the most current to date from the federal Centers for Disease Control and Prevention.</p><p>By contrast, the suicide rate among 15- to 19-year-olds fell in previous years, from about 11 per 100,000 in 1990 to 7.3 per 100,000 in 2003.</p><p>Suicides were the only cause of death that increased for children through age 19 from 2003-04, according to a CDC report released Monday.</p><p>\"This is very disturbing news,\" said Dr. David Fassler, a University of Vermont psychiatry professor.</p><p>He noted that the increase coincided with regulatory action by the U.S. Food and Drug Administration that led to a black box warning on prescription packages cautioning that antidepressants could cause suicidal behavior in children.</p><p>Fassler testified at FDA hearings on antidepressants during 2003 and 2004 and urged caution about implementing black box warnings. The agency ordered the warnings in October 2004 and they began to appear on drug labels about six months later.</p><p><b><strong>\'Reversal of progress\'<br></strong></b>Psychologist David Shern, president of Mental Health America, called the new data \"a disturbing reversal of progress.\"</p><p>Other research has linked certain antidepressants with decreasing suicide rates, Shern said, adding, \"We must therefore wonder if the FDA\'s actions and the subsequent decrease in access to these antidepressants in fact have caused an increase in youth suicide.\"</p><p>The advocacy group receives funding from makers of antidepressants, government agencies and private donations.</p><p>The suicide data are in a report on vital statistics published in February\'s <em>Pediatrics</em>.</p><p>Antidepressant use among children decreased during the same time period. Data from Verispan show 3 million antidepressant prescriptions were written for kids through age 12 in 2004, down 6.8 percent from 2003. Among 13- to 19-year-olds, the number dropped less than 1 percent to 8.11 million in 2004. Steeper declines in both age groups occurred in 2005, according to the prescription tracking firm.</p><p>The suicide data are preliminary and don\'t show whether suicides might have been concentrated in one region or among one gender or ethnic group, said the CDC\'s Dr. Alexander Crosby.</p><p><b><strong>Data needs a closer look<br></strong></b>\"It\'s something that we want to look a little bit closer into,\" Crosby said. \"It\'s probably too early to say\" if declining use of antidepressants had anything to do with it, he said,</p><p>The CDC is expected to issue a more thorough report on the data in a month or two.</p><p>The data are concerning, but it\'s too soon to know if they\'re anything more than a statistical blip, said Dr. John March, a Duke University psychiatry professor. He led landmark National Institute of Mental Health research linking antidepressant use with an increased risk for suicidal behavior, but also showing that getting psychotherapy at the same time canceled out that risk.</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/16873707/\">Report: Drug firm distorted Paxil test results</a></li><li><a href=\"/id/16756646/\">Antidepressants may raise risk of broken bones</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 mental health experts believe suicide prevention programs and effective use of treatment including drugs and therapy contributed to the decline in suicides that occurred in the 1990s.</p><p>Funding cuts for school-based suicide prevention programs might have contributed to the apparent rise noted in the new CDC report, said Emory University psychologist Nadine Kaslow. But the rise might not indicate a nationwide trend and needs to be investigated, she said.</p><p>\"It\'s definitely concerning\" but will need to be followed to see whether increases occurred in subsequent years, Kaslow said.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><SCRIPT language=javascript src=http://www.msnbc.com/d/ip/DepressionSymptoms/data.js></SCRIPT><SCRIPT language=javascript src=http://www.msnbc.com/modules/poptext/poptext_codeV2.js></SCRIPT><SCRIPT>if (window.DepressionSymptoms) { displayApp(DepressionSymptoms); }</SCRIPT></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('1611','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><div id=\"cnnSCByLine\">By  Brianna Keilar and Katie Ross<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) -- Nearly one in four teens communicated hourly with his or her partner by cell phone or text messaging between midnight and 5 a.m., according to a survey conducted by Teenage Research Unlimited, a research organization specializing in research on teens and young adults.</p><p>Shaina Weisbrot, now a sophomore at Rutgers University, says as a teenager she was in a controlling relationship that eventually turned violent. She recalls staying on the phone until 5 a.m. some nights, arguing with her boyfriend. &quot;I\'d be in my room. I\'d pretend to be sleeping. I\'d shut the lights and I\'d be quiet, and no one would know the difference because all you had to do was hide your cell phone.&quot;</p><p>About one in three teens surveyed who have been in a relationship said their partner had text messaged them 10, 20 and up to 30 times per hour to find out where they are, what they\'re doing, or who they\'re with.</p><p>Dr. Jill Murray, a psychologist who specializes in teen relationship violence, says that kind of questioning goes beyond casual conversation and amounts to controlling behavior. &quot;The technology sets up the opportunity for constant stalking, for constant communication, for constant intimidation and threatening behavior, &quot; Murray said at the National Press Club in Washington, D.C. &quot;So we\'re seeing an increase in teen dating abuse and I believe that this is a good part of it.&quot;</p><p>The survey also showed parents are generally unaware of the extent of their teen\'s online and cell phone activities. Seventy-two percent of teens who reported being checked on 10 times per hour by e-mail or text messaging said they did not tell their parents. Almost half of the teens surveyed said technology made it easier to conceal controlling behavior from their parents.</p><p>Half of the parents surveyed said they can control how much their child communicates with their boyfriend or girlfriend but only 28 percent said they put any limit on their teens activities.</p><p>Murray recommends parents &quot;Take away ... the cell phone when your child goes to sleep. If they would lock the computer when the child goes to sleep and stop having it in their rooms, then we could stem the tide of this a little bit.&quot;</p><p>Aside from the constant communication with their boyfriend or girlfriend, experts say teens who are in an emotionally or physically abusive relationship will often isolate themselves from family and friends as well as follow their partners every word on choice in friends and what clothes they wear.</p><p>The survey data were released Thursday in conjunction with the launch of a The <a href=\"http://www.loveisrespect.org/\" target=\"new\">National Teen Dating Abuse Helpline</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\">, a nationwide resource that includes an interactive Web site and toll-free phone number, 866-331-9474.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1612','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"03/9/2007\";</script> <div id=\"cnnSCHighlightsBox\"><!----><h4><span>Story Highlights</span></h4>&#8226; FDA approves over-the-counter sales of the fat-blocking diet pill orlistat<br> &#8226; Now available as Xenical, the nonprescription dose will have the name &quot;alli.&quot;<br> &#8226; Orlistat works by blocking absorption of about one-quarter of any fat consumed </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)  -- Dieters got a new tool Wednesday to help them take off the extra pounds -- the first government-approved nonprescription diet pill.</p><p>The Food and Drug Administration said the fat-blocking weight-loss pill orlistat, which has been available by prescription, can be sold in a reduced-strength version over the counter.</p><p>The new version will be sold as &quot;alli&quot; by GlaxoSmithKline PLC. Xenical, the prescription version, is made by Roche Holding AG. (<a href=\"javascript:cnnVideo(\'play\',\'/video/health/2007/02/08/gupta.new.diet.drug.cnn\',\'2007/02/22\');\">Watch how alli works.</a> <a href=\"javascript:cnnVideo(\'play\',\'/video/health/2007/02/08/gupta.new.diet.drug.cnn\',\'2007/02/22\');\"><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>The drug is intended for people 18 and older to use along with a reduced-calorie, low-fat diet and exercise. (<a href=\"/2007/HEALTH/diet.fitness/02/08/alli.gupta/index.html\">Read Dr. Sanjay Gupta\'s list of things to think about before taking this drug.</a> )</p><p>Dr. Charles Ganley, FDA\'s director of nonprescription products, stressed that the drug is intended for use along with diet and exercise programs.</p><p>&quot;Using this drug alone is unlikely to be beneficial,&quot; Ganley said at a telebriefing.</p><p>While some dietary supplements make weight-loss claims, Ganley said this is the first nonprescription drug approved by the agency for that purpose.</p><p>Ganley said in trials, for every five pounds people lost through diet and exercise, those using orlistat lost an additional two to three pounds.</p><p>When taken with meals, orlistat blocks the absorption of about one-quarter of any fat consumed. That fat -- about 150 to 200 calories worth -- is passed out of the body in stools, which can be loose as a result. About half of patients in trials experienced gastrointestinal side effects.</p><p>The agency recommended users take a multivitamin when using this drug.</p><p>The new drug would contain half the dose of Xenical prescription capsules. The price has not been set but is expected to run $1 to $2 a day, company officials said. The company estimated 5 million to 6 million Americans a year would buy the drug over the counter.</p><p>The Food and Drug Administration said the most common side effect of the product is a change in bowel habits including loose stool and some oily spotting. Eating a low-fat diet will reduce the likelihood of this side effect.</p><p>FDA said people who have had organ transplants should not take OTC orlistat because of possible drug interactions. In addition, anyone taking blood-thinning medicines or being treated for diabetes or thyroid disease should consult a physician before using orlistat, the agency said.</p><p>GSK Consumer Healthcare, which will market the pill, said it chose the name alli to indicate a partnership with consumers in their weight-loss efforts.</p><p>&quot;We know that being overweight has many adverse consequences, including an increase in the risk of heart disease and type 2 diabetes,&quot; said Dr. Douglas Throckmorton, deputy director for the FDA\'s Center for Drug Evaluation and Research.</p><p>&quot;OTC orlistat, along with diet and exercise, may aid overweight adults who seek to lose excess weight to improve their health,&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('1613','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><div id=\"cnnSCByLine\">By  Jane Meredith Adams<br> Health.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>I have close, meaningful relationships with espresso brownies, cold beer, and reruns of &quot;The West Wing.&quot; Until recently, it hadn\'t occurred to me that these paramours are, in fact, three of the major players in my stress-management strategy. Hey, I wasn\'t even aware I had a stress-management strategy. </p><p>And this, according to the American Psychological Association, is exactly the problem. &quot;We do things to manage stress all the time,&quot; says Russ Newman, Ph.D., an APA executive director for professional practice. He\'s not talking about those folks who eat fruits and veggies, exercise regularly, and log eight hours of sleep nightly. No. He\'s talking about the 45 percent of Americans who, according to an APA survey, deal with stress by retiring to the couch with a glass of wine, a sack of chips, and a pack of ciggies.</p><p>Newman would like us to snap out of it. Stress is leaving us exhausted, tearful, and nervous. It also makes us more likely to struggle with high blood pressure, depression, anxiety, and overeating.</p><p>So what to do? Here\'s a slew of strategies that\'ll help you get your stress in check without doing you in.</p><p><b>Old stress buster:</b> After a harried day at work, you come home and start in on the French bread until you are in a carb-induced coma. &quot;People tend to go after carbohydrate-rich food because it kicks up the neurotransmitter serotonin, which has a relaxing effect on the body,&quot; says Lisa Dorfman, R.D., a spokeswoman for the American Dietetic Association and author of &quot;The Anti-Stress Diet.&quot;</p><p><b>New solutions:</b> Instead of stuffing yourself with that loaf of bread, take a hot bath or shower to relax your muscles and mind. Or lie down and breathe quietly. If you do decide to eat, make that decision consciously. Ask yourself: What are the consequences? The benefits? After answering these questions, &quot;eight out of 10 times you\'ll skip the Oreos,&quot; says University of Alabama psychology professor Beverly Thorn, Ph.D. (<a href=\"/healthmag/package/0,23653,1208809,00.html?cnn=yes\" target=\"new\">Beat workplace stress</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><b>Old stress buster:</b> After a fight with your spouse, you turn on the tube and zone out. That relaxes you, all right. &quot;It puts you in a stupor,&quot; says Robert Kesten, executive director of the Center for Screen-Time Awareness, a Washington, D.C., non-profit. That TV trance is caused in part by your falling metabolism, Kesten says, citing studies that find watching television lowers your metabolism more than sleeping does.</p><p><b>New solutions:</b> To release the emotional stress of a fight, talk to a friend, write in a journal, take a brisk walk, or get some other kind of exercise. If a mental vacation is what you\'re after, pick up a book to escape. Once you\'ve regrouped, then talk to your mate. (<a href=\"/healthmag/article/0,23414,1048247,00.html?cnn=yes\" target=\"new\">Two-minute stress busters.</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><b>Old stress buster:</b> You freak out over your shrinking bank balance and (since you\'re already in debt) decide to go shopping. Compulsive shopping regulates your mood, says James A. Roberts, Ph.D., a consumer-spending researcher at Baylor University. And when you\'re focused on shopping, you\'re avoiding feelings of low self-worth or inadequacy.</p><p><b>New solutions:</b> If you\'re shopping to make yourself feel better, avoid situations that require you to make buying decisions. Get a different rush: Take a hike, ride your bike, or go for a run to get the adrenaline flowing. A mental-health pro can help you deal with your behavior, too. And a credit counselor or financial adviser can help you get control of your funds. (<a href=\"/healthmag/article/0,23414,1048247,00.html?cnn=yes\" target=\"new\">Two-minute stress buster.</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><b>Old stress buster:</b> Since you\'ve started caring for your elderly mom, you find yourself reaching for the menthols. &quot;Nicotine briefly releases feel-good chemicals in the brain, including beta endorphins and dopamine,&quot; says Thomas J. Glynn, Ph.D., director of cancer science and trends for the American Cancer Society.</p><p><b>New solutions:</b> Taking a brisk walk or running for at least 20 minutes can also trigger the release of those feel-good endorphins. And immersing yourself in meditation, prayer, yoga, deep breathing, and even reading can keep you calm. Instead of trying to puff away your feelings, talk to a friend or a counselor.</p><p class=\"cnnSCAttribution\">Author Jane Meredith Adams finds it very relaxing to go for a long walk and listen to her iPod.</p><br clear=\"all\"><div style=\"background:#eee;padding:4px;\"><a href=\"https://subs.timeinc.net/HA/ha_1297_bm.jhtml\" target=\"new\">Try a FREE TRIAL issue of Health - CLICK HERE</a></div>\n<div style=\"padding:10px 0 0 0;\"></div>\n<div style=\"border-top:1px solid #ccc;padding:6px 0 6px 0;\"><em>Copyright 2006 <a href=\"/linkto/healthcom.html\" target=\"new\">HEALTH Magazine</a>. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.</em></div>\n <!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1614','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>WASHINGTON</b> (Reuters)  -- Up to 20 percent of women who develop lung cancer have never smoked, U.S. researchers found in a study that suggests secondhand smoke may be to blame.</p><p>A survey of a million people in the United States and Sweden shows that just 8 percent of men who get lung cancer are nonsmokers.</p><p>&quot;I have a lot of patients who have never smoked,&quot; said Dr. Heather Wakelee of Stanford University in California, who led the study.</p><p>&quot;And because of the stigma, people are embarrassed to speak out about their disease. They feel like as soon as they say they have lung cancer, everyone judges them.&quot;</p><p>She said it is not clear why women may be more likely to get lung cancer even if they have never smoked.</p><p>&quot;There is a lot of controversy over whether women are more susceptible to smoking at all, whether direct or secondhand smoke,&quot; Wakelee said in a telephone interview.</p><p>Writing in Friday\'s issue of the Journal of Clinical Oncology, Wakelee and epidemiologist Ellen Chang said researchers tracked the incidence of lung cancer in more than 1 million people aged 40 to 79. All had taken part in various studies of diet, lifestyle and disease, some going back into the early 1970s.</p><p>Some groups were mostly white women, such as an ongoing nurse\'s study, while others included ethnically diverse groups, Wakelee said.</p><p>Among women who never smoked, the lung cancer incidence rate ranged from 14.4 per 100,000 women per year to 20.8 cases per 100,000. In men, it ranged from 4.8 to 13.7 per 100,000. Rates were about 10 to 30 times higher in smokers.</p><p>This would translate to about 20 percent of female lung cancer patients having been nonsmokers and 8 percent of males, they said. That compares with American Cancer Society estimates of about 10 percent to 15 percent for all lung cancer patients.</p><p>&quot;That estimate has been thrown about without any hard data to support it. This data sort of supports it,&quot; Wakelee said.</p><p>Chang said that because more men smoke than women, women may be more likely to be exposed to secondhand smoke, even when they are classified as never-smokers.</p><p>&quot;We know that secondhand smoke does increase the risk of lung cancer so it\'s likely that a lot of these cases we observe are attributable to that,&quot; she said in a statement.</p><p>Smoking is by far the leading cause of lung cancer, but radon, asbestos, chromium and arsenic are also associated with lung cancer.</p><p>The American Cancer Society projects that lung cancer will be diagnosed in 213,000 Americans in 2007 and kill 160,000.</p><p>Weill Cornell Medical College last week said it was starting a lung cancer study of 5,000 people working in industries with a high degree of secondhand smoke exposure, such as flight attendants, restaurant workers and entertainers.</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('1615','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</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> (CNN) -- The Food and Drug Administration on Monday announced labeling changes for the antibiotic Ketek, stripping it of two previously approved indications and adding a black-box warning, the agency\'s strongest.</p><p>The agency removed from the label the drug\'s approval for use in the treatment of acute bacterial sinusitis and acute bacterial exacerbations of chronic bronchitis.</p><p>&quot;The agency has determined that the balance of benefits and risks no longer support approval of the drug for these indications,&quot; the agency said in a news release.</p><p>With Monday\'s announcement, Ketek remains approved for just one indication: the treatment of mild to moderate cases of pneumonia acquired outside hospitals or long-term care facilities.</p><p>The boxed warning says the drug should not be used in patients with myasthenia gravis, which causes muscle weakness.</p><p>&quot;Today\'s action is the result of comprehensive scientific analysis and thoughtful public discussion of the data available for Ketek, and includes important changes in the labeling designed to improve the safe use of Ketek by patients and give health-care providers the most up-to-date prescribing information,&quot; said Dr. Steven Galson, director of FDA\'s Center for Drug Evaluation and Research.</p><p>References on the label to visual disturbances and loss of consciousness associated with the drug use are also beefed up.</p><p>Warnings about toxicity to the liver were made stronger last June.</p><p>Ketek was originally approved in 2004 and is manufactured by Paris-based Sanofi Aventis.</p><p>The announcement comes a day before the House Subcommittee on Oversight and Investigations is to hold a hearing about the FDA\'s drug-review policies.</p><p>Witnesses are to include Sen. Chuck Grassley, R-Iowa, an agency critic, and former FDA employees who have criticized the agency\'s drug review policies.</p><p>Grassley has accused the FDA of withholding evidence about the drug from an advisory committee charged with reviewing it.</p><p>Critics have said the agency\'s reviewers have been discouraged from raising questions about the agency\'s review process, a charge the agency has denied.</p><!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1616','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"03/14/2007\";</script> <div id=\"cnnSCHighlightsBox\"><!----><h4><span>Story Highlights</span></h4>&#8226; Thrice-weekly nappers had a 37 percent lower risk of dying from heart ailments<br> &#8226; Most in study were in their 50s; strongest evidence was in working men<br> &#8226; Heart benefits may come from reducing stress, researchers theorize<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>CHICAGO, Illinois</b> (AP)  -- New research on napping provides the perfect excuse for office slackers, finding that a little midday snooze seems to reduce risks for fatal heart problems, especially among men.</p><p>In the largest study to date on the health effects of napping, researchers tracked 23,681 healthy Greek adults for an average of about six years. Those who napped at least three times weekly for about half an hour had a 37 percent lower risk of dying from heart attacks or other heart problems than those who did not nap.</p><p>Most participants were in their 50s, and the strongest evidence was in working men, according to the study, which appears in Monday\'s issue of Archives of Internal Medicine.</p><p>The researchers said naps might benefit the heart by reducing stress, and jobs are a common source of stress.</p><p>It is likely that women reap similar benefits from napping, but not enough of them died during the study to be sure, said Dr. Dimitrios Trichopoulos, the study\'s senior author and a researcher at Harvard University and the University of Athens Medical School.</p><p>Heart problems killed 48 women who were studied, six of them working women, compared with 85 men, including 28 working men.</p><p>A daytime siesta has long been part of many cultures, especially those in warmer climates. Mediterranean-style eating habits featuring fruits, vegetables, beans and olive oil have been credited with contributing to relatively low rates of heart disease in those countries, but the researchers wanted to see if napping also plays a role.</p><p>&quot;My advice is if you can (nap), do it. If you have a sofa in your office, if you can relax, do it,&quot; Trichopoulos said.</p><p>Exactly how stress is related to heart disease is uncertain. Some researchers think it might be directly involved, through unhealthy effects of stress hormones, or indirectly by causing people to exercise less, overeat or smoke.</p><p>The researchers in the latest study factored in diet, exercise, smoking and other habits that affect the heart but still found napping seemed to help.</p><p>Previous studies have had conflicting results. Some suggested napping might increase risk of death, but those mostly involved elderly people whose daytime sleepiness reflected poor health, Trichopoulos said.</p><p>His research team studied a broader range of people, ages 20 to 86, who were generally healthy when the study began.</p><p>Still, it is possible that study participants who napped &quot;are just people who take better care of themselves,&quot; which could also benefit the heart, said Dr. Marvin Wooten, a sleep specialist at Columbia St. Mary\'s Hospital in Milwaukee.</p><p>&quot;The guy ... who doesn\'t take time out for a siesta in their culture is probably the guy who is extremely driven and under a lot of pressure,&quot; which could increase heart risks, he said.</p><p>Siestas are not ingrained in U.S. culture, and napping usually is equated with laziness in the high-charging corporate world, said Bill Anthony, a Boston University psychologist and co-author of &quot;The Art of Napping at Work.&quot;</p><p>Still, some offices allow on-the-job naps, and many workers say it makes them more, not less, productive.</p><p>Yarde Metals, a metals distributing firm, built a nap room at its Southington, Connecticut, headquarters as part of an employee wellness program. With two leather sofas, fluffy pillows, soft lighting and an alarm clock, it is the perfect place for a quick snooze, engineer Mark Ekenbarger said.</p><p>Ekenbarger, 56, has an enlarged heart artery and said he frequently takes half-hour naps on the advice of his doctor to reduce stress.</p><p>&quot;It really does energize me for the rest of the day,&quot; Ekenbarger said.</p><p>&quot;It would be really encouraging if employers across the country really embraced that philosophy that napping is a good thing. It makes a big difference in my life.&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('1617','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"02/26/2007\";</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> (Reuters)  -- Ninety percent of the people infected with bird flu have been under the age of 40, and 60 percent of them have died, according to the latest analysis from the World Health Organization.</p><p>But the WHO researchers stressed their analysis did not suggest why this might be and noted there are several theories on why the H5N1 virus seems to attack younger people.</p><p>The H5N1 avian influenza virus has infected 272 people in 10 countries since it re-emerged in 2003. It has killed 166 of them.</p><p>It remains mostly a virus of birds and has killed or forced the culling of more than 200 million chickens, ducks, geese, turkeys and other fowl.</p><p>But its occasional attack on a human being has researchers worried. They fear it could mutate into a form more like seasonal flu, in which case it would be spread around the world by people and could kill millions.</p><p>So WHO is watching it very carefully and keeping statistics on every case. This kind of work, called epidemiology, can help scientists understand diseases, who they infect and who is most in danger.</p><p>WHO\'s Weekly Epidemiological Record analyzes all laboratory-confirmed human cases of H5N1 infection reported between late November 2003 and late November 2006.</p><p>The analysis said the median age of people confirmed infected was 18 years old and ranged from 3 months to 75 years.</p><p>&quot;Just over half of all cases (52 percent or 132 out of 256) were aged under 20 years, and 89 percent were aged under 40 years.&quot;</p><p>This could be because it usually requires intense contact with a sick bird for a person to become infected, and in most countries, it is younger people, often children, who tend to poultry.</p><p>But there could be other reasons, such as immune system response to infection, scientists say.</p><p>The WHO researchers found that H5N1 has killed 60 percent of its victims and found big differences in fatality by age.</p><p>&quot;The highest case fatality rate (76 percent) was found among those aged 10 to 19 years; the lowest case fatality rate (40 percent) was found among those aged over 50 years,&quot; the report reads.</p><p>Bird flu killed 44 percent of victims under the age of 5 and 66 percent of those aged 30 to 39.</p><p>WHO scientists plan a meeting in Turkey next month to talk about why such differences may exist.</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('1618','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"03/14/2007\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><div id=\"cnnSCByLine\">(AP)</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>High-risk pregnancies are on the rise in the United States and may be more common now than at any other time since modern obstetric care became available.</p><p>Why? More fortysomething moms are having babies, and epidemics of diabetes, obesity and high blood pressure are causing pregnancy and birth complications.</p><p>But in this otherwise troubling trend is also some good news: A small but growing number of women are successfully having children despite life-threatening conditions that once made a safe pregnancy almost inconceivable.</p><p>Exact numbers are not available, but doctors say that tens of thousands of organ transplant recipients, breast cancer survivors, women with heart defects, and even women with the AIDS virus have decided to risk childbearing in the last several years.</p><p>Not all of these stories have happy endings, and many people worry that some of these women will not live long enough to raise their children, or that they will pass on their medical problems.</p><p>But most results have been so surprisingly good that they are overturning decades of gloomy dogma about who is medically fit to have a child.</p><p>&quot;These people define a whole new era of pregnancy for us,&quot; said Temple University\'s Dr. Vincent Armenti, who runs a registry that tracks births to transplant patients.</p><p>&quot;We have to change our mindset about the perfect pregnancy,&quot; he said. Women should be given advice based on solid research &quot;instead of an emotional feeling that some people just shouldn\'t have a baby.&quot;</p><p>No one knows precisely how many high-risk pregnancies there are. It is a catchall term that in the past has meant the mom is over 35 or has a condition such as high blood pressure that is dangerous for her or her fetus. But as these situations have become more common, even this loose definition is changing.</p><p>Births to women 35 and older are soaring. And many complications are becoming so routine that nurse midwives can manage them instead of sending women to high-risk care specialists. Doctors around the country say they are treating far more of these risky cases than they did a decade ago.</p><p>&quot;Patients are getting older, so by definition, they\'re higher-risk. The diabetes rate is going through the roof, so that\'s high-risk. More people with high blood pressure are getting pregnant. The list goes on and on,&quot; leaving fewer women considered low-risk, said Dr. Jacques Moritz, director of gynecology at Roosevelt Hospital in New York City.</p><p>Dr. Mary D\'Alton, the Columbia University Medical Center obstetrics chief who recently delivered twins to a 59-year-old woman, has replaced the term &quot;high-risk&quot; with a 1-to-10 scale.</p><p>Birth outcomes for older women and those with medical problems &quot;have been better than we would expect,&quot; although complications are more common, she said. For example, about half of organ transplant recipients give birth prematurely, although often by just a couple of weeks. &quot;I don\'t mean to paint a rosy picture, but I would want to paint an optimistic picture,&quot; D\'Alton said.</p><p>Dr. Gabrielle Fish felt optimistic when she decided to try pregnancy after her kidney transplant. Fish, of Cherry Hill, New Jersey, was in her mid-30s and had been stable on her anti-rejection drugs for two years. After researching pregnancies among transplant patients -- there have been more than 1,000 in the last decade -- she asked her doctors\' advice. </p><p>&quot;They pretty much encouraged me. They said, \'You\'re a healthy woman and you don\'t want to wait till you\'re high-risk because of your age,&quot;\' Fish said.</p><p>The result: a healthy daughter, Madelyn, now 6. Fish said she feels lucky to have her, but would not try to have a second child.</p><p>Carla Taylor also feels lucky. A delivery room nurse from New York, she was 42 when she discovered she was pregnant after having artery embolization to treat uterine fibroids. Such women are advised not to try pregnancy because the treatment plugs blood vessels that feed fibroids, and that might keep a fetus from growing properly.</p><p>Taylor had a healthy daughter, Bailey, now 6. Moritz, the gynecology director who works with Taylor at Roosevelt Hospital, said 16 of his patients have unexpectedly had children after the fibroid treatment and most have done well.</p><p>&quot;Usually if they were able to get pregnant after the embolization, it means that blood supply to the uterus is pretty good,&quot; he said. Doctors expect more of these cases as embolization becomes a popular option to hysterectomy for fibroids, which plague millions of women.</p><p>Other reasons high-risk pregnancies are increasing:</p><p>&#8226; Older moms. In 2005, there were more than 104,000 births in the United States to women ages 40 through 44, and over 6,500 to women 45 and older. Advanced age raises the risk of birth defects. </p><p>&#8226; Chronic health problems. Obesity among women ages 18 to 44 rose from under 9 percent in 1990 to almost 22 percent in 2005.</p><p>Hospital admissions for diabetes or related conditions among pregnant women and new mothers rose from 175,655 in 1993 to 269,861 in 2004, says the March of Dimes. Admissions for high blood pressure rose from 260,222 to 403,271. </p><p>&#8226; Multiple births, often the result of infertility treatment. In 2004, they made up more than 3 percent of all live births, up from about 2 percent in 1980. Such babies are more likely to be born prematurely and to have health problems. </p><p>&#8226; More cancer survivors. Hundreds of thousands are in their prime childbearing years.</p><p>&quot;Pregnancy raises enormous concerns for women with a history of breast cancer because we know that many breast cancers are hormonally driven,&quot; and high estrogen levels during pregnancy might raise the risk of relapse, said Julia Rowland, director of the National Cancer Institute\'s Office of Cancer Survivorship. &quot;They may also be concerned that they may not be here for a child.&quot; </p><p>&#8226; Better medical care. Women with congenital heart defects used to die young. Those who lived were urged not to get pregnant. Now many such defects can be fixed, and children of women with heart defects are having their own children. </p><p>&#8226; More drugs. Nearly two-thirds of women who gave birth from 1996 to 2000 took a medication during pregnancy, a large federally funded study found. Of those, nearly 40 percent took a drug whose safety in pregnancy is not established, and nearly 5 percent took a drug potentially risky to the fetus. More pregnant women have taken new medicines for cancer, depression and other problems. More than 30 registries now track outcomes of pregnant women on various drugs. </p><p>&#8226; Growing prevalence of HIV. Each year, 6,000 to 7,000 HIV-infected American women give birth. Such pregnancies have been controversial because of the risk of spreading the virus to their babies. But modern AIDS drugs are so effective at protecting babies from the virus\' spread that more doctors are accepting these women\'s choice to have children.</p><p> &quot;I view HIV disease now as basically a chronic illness,&quot; said Dr. Nancy Chescheir, obstetrics chief at Vanderbilt Medical Center. Despite several hundred births to infected moms at Vanderbilt, &quot;we haven\'t had an HIV transmission in six years,&quot; she said.</p><p>D\'Alton, the Columbia obstetrics chief, agreed.</p><p>&quot;I just feel that these are very personal choices,&quot; she said. D\'Alton sees her job as giving good care and supporting those choices &quot;as much as possible.&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('1619','1','<!--startclickprintinclude--><script language=\"JavaScript\" type=\"text/javascript\">var clickExpire = \"-1\";</script> <div id=\"cnnSCFontButtons\" class=\"cnn0pxTMargin\"><div id=\"cnnSCByLine\">By  Liz Zack<br> CookingLight.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>After a serious health scare requiring surgery in 2004, Kathy Carlson decided she needed to make serious changes to her lifestyle.</p><p>Starting a regular exercise routine was the first step. &quot;I felt so much stronger, but I wanted to make sure that I did everything in my power to stay healthy,&quot; says Carlson, a 57-year-old retired information technology consultant from Naperville, Illinois.</p><p>That\'s when Carlson zeroed in on her eating habits and made important changes to her diet -- from giving up caffeine to substituting more nutritious sweet potatoes for white potatoes.</p><p>&quot;I made a few changes at a time,&quot; says Carlson. &quot;Once I mastered a couple, I moved on to the next bunch. It\'s such a sense of accomplishment to know that I am having a positive impact, and I\'m giving my husband and children better eating habits, too.&quot;</p><p>Three years after her surgery, Carlson says she has never felt better. &quot;It\'s amazing how much of your health you have control over. And small choices really do add up.&quot;</p><p>You can make a fresh start with a few easily attainable nutrition goals of your own. Pick one, two, or all five that we suggest, and make an effort to incorporate the changes into your eating routine. We\'ll give you everyday ideas for ways to meet these goals -- and keep in mind that even incremental improvements count toward your overall goal.</p><p><b>1. Try New Foods</b> </p><p>Like ours, your weekly grocery list probably includes the ingredients for a couple of familiar go-to dinners and recipes but is short on new items.</p><p><b>The benefits:</b> In addition to heightening your culinary prowess, experimenting with new foods expands your nutritional benefits. A diet that includes a variety of fruits, vegetables, nuts, grains, and oils also includes &quot;lots of vitamins and antioxidants,&quot; says Cathy Nonas, R.D., director of obesity and diabetes programs at North General Hospital in New York, &quot;some of which have yet to be named.&quot; So eating a variety of foods ensures you get the most benefits.</p><p><b>How to do it:</b> Sample at least one new ingredient each month. When you eat out, try a side dish or an appetizer that includes a new item, or if one of your dining companions orders something with which you\'re not familiar, ask for a taste.   If you like it, add that ingredient to your grocery list, look up a recipe, and try cooking it at home. &quot;For me,&quot; says Carlson, &quot;it was sweet potatoes. I never knew how delicious they were until someone suggested I try them. Now I enjoy them often.&quot; (<a href=\"http://food.cookinglight.com/cooking/recipefinder.dyn?action=displayRecipe&recipe_id=1571424\" target=\"new\">Recipe: Escarole with bacon and white beans</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><b>2. Cook Dinner More Often</b></p><p>When 6 p.m. rolls around after a busy day, it\'s easy to turn to takeout or drive-throughs. This year, resolve to have something delicious in reserve, ready for a quick homemade dinner.</p><p><b>The benefits:</b> When you make your own dinner, you control the ingredients and the portion sizes, says Bonnie Taub-Dix, R.D. &quot;When you eat out, you\'re likely to get more food then you need, especially since many people associate value with huge portions.&quot;</p><p>Preparing a meal at home also reinforces the importance of the family dinner, especially when everyone is involved setting the table, cooking, and cleaning up.</p><p><b>How to do it:</b> At first, set out to cook dinner at least one more night per week. Keep ingredients for a few reliable meals on hand in the pantry.</p><p>Additionally, employ two secret weapons: the electric slow cooker and a cook-ahead strategy. With a slow cooker, you can assemble and refrigerate the ingredients the night before and turn on the appliance the next morning before you leave home. By the time you return, dinner will be ready. (<a href=\"http://food.cookinglight.com/cooking/recipefinder.dyn?action=displayRecipe&recipe_id=1571418\" target=\"new\">Recipe: Slow-cooker beef brisket with beer</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>You can also cook ahead during the weekend or another day when you have time to prepare an extra dinner. Prechopped and prewashed ingredients from the produce section make this plan proceed more quickly. Assemble casseroles a day or two ahead, and then bake on a busy night when there\'s no time for prep. Or label and freeze the dish to reheat when needed. Reduce cleanup on busy nights by using paper plates.</p><p><b>3. Eat More Whole Grains</b></p><p><b>The benefits:</b> Whole grains may help protect against several chronic diseases, including cardiovascular disease, stroke, type 2 diabetes, and certain cancers. Whole grains also can help combat high cholesterol, and because they are high in fiber, they are satisfying and make you feel full longer.</p><p><b>How to do it:</b> Add five extra portions of whole grains to your diet each week. Swap white sandwich bread for whole grain, whole-wheat pastas for refined pastas, and brown rice or barley for white rice. (<a href=\"http://food.cookinglight.com/cooking/recipefinder.dyn?action=displayRecipe&recipe_id=388849&package_id=389055\" target=\"new\">Recipe: Oats and buttermilk snack cake</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>Carlson has found other ways to work whole grains into her diet. &quot;I sprinkle bran or wheat germ into pasta sauces, soups, and pancake batter. You don\'t taste it, and you get in another serving of whole grains,&quot; she says.</p><p><b>4. Eat Breakfast Every Day</b></p><p>You may skip it because you\'re short on time (especially on weekdays) or want to shave a few calories, but there\'s a reason this is called the most important meal of the day.</p><p><b>The benefits:</b> Many studies show that adults who eat breakfast are more alert and attentive at work. &quot;Also, the literature is very clear for both children and adults,&quot; says Nonas. &quot;People who eat breakfast are leaner.&quot; Perhaps there\'s an emotional component at work. &quot;When you don\'t eat breakfast,&quot; explains Nonas, &quot;there\'s a tendency to feel like you\'re owed something,&quot; so you may eat twice as much at lunch.</p><p><b>How to do it:</b> Make time. Rely on dishes that you can prepare in advance, cook quickly, or take to go. If a bowl of cereal isn\'t enticing, toast a whole-grain waffle instead, or scramble an egg and serve on a tortilla for a breakfast tostada. If you have tasty choices, you\'ll want to sit down for a bite. Carlson experiments with offerings in her local supermarket. &quot;I\'ve even found delicious waffles that have flax oil and bran in them,&quot; she says. (<a href=\"http://food.cookinglight.com/cooking/recipefinder.dyn?action=displayRecipe&recipe_id=1571420\" target=\"new\">Recipe: Quick breakfast tostada</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><b>5. Snack More Healthfully</b></p><p>Little meals between meals are a good way to round out your day\'s total nutrition. For example, snacks offer an opportunity to add healthful lean protein if it will not be part of lunch or dinner.</p><p><b>The benefits:</b> A diverse diet ensures you get the vitamins and minerals you need without relying just on three meals a day. Filling gaps between meals in a conscious way can also help keep blood sugar levels stable and your energy and mood high.</p><p><b>How to do it:</b> Prepare healthful foods in several nutrient categories. If you haven\'t had enough protein during the day, for instance, have a protein-rich snack, such as peanut butter on apple slices or mixed nuts. Likewise, to fill calcium gaps, be prepared with yogurt, smoothies, and cheese. Whatever you choose, Nonas says, sidestep calories that don\'t offer nutritional value. &quot;A pretzel may not be high in calories, but it\'s not adding to the total nutritional picture.&quot; (<a href=\"http://food.cookinglight.com/cooking/recipefinder.dyn?action=displayRecipe&recipe_id=1571421\" target=\"new\">Recipe: Blueberry-passion fruit smoothie</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 class=\"cnnSCAttribution\">Liz Zack is a freelance writer and editor living in Brooklyn, New York.</p><br clear=\"all\"><p class=\"cnnSCAttribution\"><a href=\"/linkto/cooklight.sub.html\">Try a FREE TRIAL issue of Cooking Light - CLICK HERE!</a></p> <!--startclickprintexclude-->  ');
INSERT INTO `dede_addonarticle` VALUES('1620','1','\n\n\n	 <p>MADRID  &#151; A few months ago a man walked into a pharmacy in Madrid, pulled out two toy guns and told the attendants to hand over all the Viagra in stock. Two hours later, in what was perhaps a show of gratitude, he returned with two bouquets of roses, before being arrested. </p>      <p>Such are the extremes to which men in this famously macho country will go to obtain the male impotency drug &#151; nicknamed sexo azul, or blue sex, by Spaniards &#151; which costs $104 for a box of eight blue diamond-shaped tablets and has become as popular with teenage clubbers as it is with men in their 70s.</p><p>&#8220;There has been a Viagra explosion in Spain,&#8221; says Dr. Carlos San Mart&#237;n, the country&#8217;s leading sexologist, who counsels couples and has tried Viagra himself. &#8220;Some people are taking it for physiological reasons, but Viagra is also becoming a social phenomenon, a recreational drug that men of all ages are using because they want to be supermen.&#8221;</p><p>Women are demanding that their boyfriends get prescriptions. Young partygoers are buying tablets from dealers in discos for as much as $80 a pill, cutting them into pieces, and distributing them among their friends, even though doing so diminishes the drug&#8217;s effectiveness, specialists say.</p><p>Doctors here say that some men are even faking symptoms to try to get the tablets, whose main ingredient, sildenafil citrate, helps increase the blood flow to the penis and is effective for up to four hours. </p><p>Pfizer, the maker of Viagra, says Spain has moved into the vanguard of a European Viagra trend in part because economic prosperity has transformed the country from a relaxed Mediterranean culture, where the siesta was sacrosanct, into an Anglo-Saxon-style, workaholic nation.</p><p>This new stress, said Bel&#233;n Alguacil Arconada, a Pfizer spokeswoman, is wreaking havoc with the Spanish male&#8217;s libido.</p><p>&#8220;We used to have a siesta, to sleep all afternoon, to eat well,&#8221; she said. &#8220;But now we have become a fast-food nation where everyone is stressed out, and this is not good for male sexual performance.&#8221;</p><p>Pfizer says it sold nearly one million boxes of Viagra in Spain last year, the equivalent of one box for every 17 men 18 and older. Globally, Pfizer earned $1.66 billion from Viagra sales in 2006.</p><p>Dr. San Mart&#237;n, the sexologist, confirms that many couples complain they do not have enough time for sex and use Viagra as a sexual crutch.</p><p>&#8220;For me, it has become impossible during the week,&#8221; he said. &#8220;I talk about sex all day long, and when I come home at 11 p.m., it is very difficult to perform.&#8221;</p><p>Sociologists say that an increased willingness to address sexual problems reflects Spain&#8217;s sexual liberation after the repressiveness of the Franco years. Once one of the most conservative Catholic countries in Europe, Spain is now among the most liberal, with gay marriage, legalized <a href=\"http://topics.nytimes.com/top/reference/timestopics/subjects/a/abortion/index.html?inline=nyt-classifier\" title=\"More articles about abortion.\">abortion</a> and one of the highest divorce rates on the Continent. The country&#8217;s freewheeling party culture also has played a role.</p><p>Dr. Eldiberto Fern&#225;ndez, a urologist who specializes in erectile dysfunction, says talking about sex has lost its taboo.</p><p>&#8220;In the past,&#8221; Dr. Fern&#225;ndez said, &#8220;men would come to see me and spend 40 minutes talking about their urinary output before finally whispering, &#8216;Doctor, I have a problem.  Can you help me?&#8217; Now they are no longer embarrassed.&#8221;</p><p>Dr. Fern&#225;ndez recalled that a woman recently urged her husband to seek Viagra but that the husband later begged him to stop writing prescriptions.</p><p>&#8220;My equipment works fine with my mistress,&#8221; the man said. &#8220;It&#8217;s my wife that&#8217;s the problem.&#8221;</p><p>The Internet has also played a role in creating a giant black market for Viagra, which was discovered by accident in the 1990s when Pfizer researchers noticed that a medication they were developing to fight 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> had the unintended effect of inducing erections. Today, counterfeit Viagra is widely available on thousands of Web sites, without a prescription.</p><p>The quest for Viagra was apparent on a recent day at a packed disco in Chueca, a bohemian district of Madrid, where a group of young men said they took Viagra because it increased sexual confidence. Santiago, a 32-year-old travel agent, who declined to give his last name because he did not want his girlfriend to know he was taking Viagra, called the drug a &#8220;sexual security blanket.&#8221;</p><p>&#8220;No one wants to admit it, but everyone is taking it,&#8221; he said. &#8220;After a night of hard drinking or taking Ecstasy, I take Viagra to make sure I can perform.&#8221;</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('1621','1','\n\n\n	 <p>More Hippocrates, less Hunan hot sauce. Free lunches for doctors are under attack yet again.</p>      <p>Free lunch deliveries to medical offices, along with those ubiquitous drug company logo pens, have come to symbolize the extensive financial ties between doctors and the drug industry. And there is evidence they influence which drugs are prescribed. </p><p>But pressure is building against the widely reported gifts and other potential conflicts, an effort that took hold last year when  a group of influential doctors condemned financial arrangements between doctors and drug companies in The Journal of 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>.</p><p>Tomorrow,  a new push is scheduled to be announced by  Community Catalyst, a health care consumer advocacy group based in Boston,  and the Institute on Medicine as a Profession, a research group 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>. </p><p>With a $6 million grant from the Pew Charitable Trusts, the organizations plan a national campaign calling for  restrictions on  the interactions between doctors and drug companies, and urging doctors to base their prescription writing more on medical evidence  than on marketing. </p><p>?f you?e been in the waiting room when these Chinese lunches are taken into the back office, it may raise the question whether the decisions are based on the best scientific evidence about medication or whether or not those Sichuan shrimp have something to do with the prescribing patterns,?said Jim O?ara, the managing director of policy initiatives at Pew.</p><p>The pharmaceutical industry spends $12 billion a year marketing to doctors, and much of that money is in the form of free samples delivered to doctors?offices, often accompanied by lunch for the entire staff. When 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> health systems banned such lunches in 2005, they calculated that the lunches had been worth $2.5 million a year.</p><p>The free drugs are samples of the newest and most expensive branded products. The drug industry hopes that by starting patients with free samples, they will remain on the more expensive medication rather than using a cheaper generic. And there is evidence that doctors who have relationships with the pharmaceutical industry prescribe more of the expensive drugs. </p><p>The new initiative, called the Prescription Project, is an outgrowth of an article published in January 2006 in The Journal of the American Medical Association in which a coalition of scholars and doctors proposed that academic medical centers across the country take the lead in restricting interactions between doctors and the health care industry. </p><p>Several medical centers, including those at <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/y/yale_university/index.html?inline=nyt-org\" title=\"More articles about Yale University.\">Yale</a>, the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_pennsylvania/index.html?inline=nyt-org\" title=\"More articles about University of Pennsylvania\">University of Pennsylvania</a> and Stanford, have announced such restrictions. </p><p>The Prescription Project aims to spread those restrictions to other academic medical centers, doctors?organizations and third-party payers. </p><p>Some medical school deans are reluctant to impose such restrictions, fearing that they will lose research money, according to David J. Rothman, an author of last year? journal paper who is also president of the Institute on Medicine as a Profession.</p><p>?hey say, ?f we did this, we would lose a third of our faculty. They?l go to places with less stringent requirements; if we did this, we?l tick off the drug companies and there?l be payback,??said Professor Rothman.</p><p>One of the group? plans is to document the impact of changes at Yale, the University of Pennsylvania and Stanford. ?id the drug companies stop giving Penn research money??he said. ? don? for a minute believe that is going to happen.?</p><p>The organization? goal is not to prohibit research grants or consultancies, but to limit gifts, travel fees, speakers?bureaus and ghostwriting while at the same time encouraging prescriptions based on a medical evidence. </p><p>?ifts bring with them the felt need to reciprocate,?said  Professor Rothman, who teaches  social medicine at Columbia. </p><p> ?e?e not saying you?e being bribed,?he added. ?e?e saying you?e being gifted. Some of it could be raw monetary hustling. But some of it is this psychological ??ell, they just sent me out to Las Vegas, their drug is as good as anybody else?, why not just say thank you.??</p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1622','1','\n\n\n	 <p>ENCINO, Calif., Feb. 11 &#151; A dozen of the best pitching prospects in baseball lay side by side in the dark, their eyes closed, their mouths shut, their minds open.</p> \n<div id=\"articleInline\">\n<div id=\"inlineBox\"><a href=\"#secondParagraph\" class=\"jumpLink\">Skip to next paragraph</a>\n  \n  \n<div class=\"doubleRule\"></div>\r\n<div class=\"story\">\r\n<h4>M.L.B.</h4>\r\n<ul>\r\n<li><a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/scores/live/scoreboard.aspx?date=\">Schedule/Scores</a></li>\r\n<li>Standings: <a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/stand/standings.aspx?League=AL\">A.L.</a> |  <a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/stand/standings.aspx?League=NL\">N.L.</a> <br><a href=\"http://www.sportsnetwork.com/default.asp?c=nytimes&page=mlb/stat/wildcard-race.htm\">Wild Card Standings</a></li>\r\n<li>Stats: <a href=\"http://www.sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/stat/stats5.aspx\">A.L.</a> |  <a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/stat/stats6.aspx\">N.L.</a></li>\r\n<li><a href=\"http://topics.nytimes.com/top/news/sports/baseball/majorleague/index.html\">Team Reports</a></li>\r\n</ul>\r\n</div>\r\n<div class=\"story\">\r\n<h4><a href=\"http://topics.nytimes.com/top/news/sports/baseball/majorleague/newyorkyankees/index.html\">Yankees</a></h4>\r\n<ul>\r\n<li><a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/036/schedule.aspx?team=036,season=\">Schedule/Results</a></li>\r\n<li><a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/036/individual.aspx?team=036\">Individual Stats</a> |  <a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/036/teamstats.aspx?team=036\">Team</a></li>\r\n<li><a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/036/roster.aspx?team=036\">Roster</a> | <a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/DIRECT036.htm\">History</a></li>\r\n<li><a href=\"http://forums.nytimes.com/top/opinion/readersopinions/forums/sports/baseball/theyankees/index.html\">Discuss the Yankees</a></li>\r\n</ul>\r\n</div>\r\n<div class=\"story\">\r\n<h4><a href=\"http://topics.nytimes.com/top/news/sports/baseball/majorleague/newyorkmets/index.html\">Mets</a></h4>\r\n<ul>\r\n<li><a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/007/schedule.aspx?team=007,season=\">Schedule/Results</a></li>\r\n<li><a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/007/individual.aspx?team=007\">Individual Stats</a> |  <a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/007/teamstats.aspx?team=007\">Team</a></li>\r\n<li><a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/007/roster.aspx?team=007\">Roster</a> | <a href=\"http://sportsnetwork.com/merge/tsnform.aspx?c=nytimes&page=mlb/teams/DIRECT007.htm\">History</a></li>\r\n<li><a href=\"http://forums.nytimes.com/top/opinion/readersopinions/forums/sports/baseball/themets/index.html\">Discuss the Mets</a></li>\r\n</ul>\r\n</div>\r\n   \n<div class=\"image\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/02/12/sports/12pitcher.1.190.jpg\" width=\"190\" height=\"260\" alt=\"\" border=\"0\">\n<div class=\"credit\">J. Emilio Flores for The New York Times</div>\n<p class=\"caption\">\nMatt Hirsh, right, took part in Alan Jaeger&#146;s yoga classes with his brother, Colorado Rockies pitcher Jason Hirsh. \n</p>\n</div>\n  \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>They pulled their sweatshirt hoods over their faces. They let their feet dangle over their yoga mats. They breathed in unison, inhaling for three seconds through their noses, exhaling for five seconds through their mouths.</p><p>Alan Jaeger stood among them, his voice soft and his cadence slow, matching the instrumental music playing on the stereo.</p><p>&#8220;It&#8217;s August, September, October,&#8221; Jaeger said. &#8220;It&#8217;s the ninth inning. You&#8217;ve got to finish. Come back to this moment. Come back to this breath.&#8221;</p><p>It was actually early February, in a small tae kwon do studio in the San Fernando Valley. Outside, children laughed on a playground. In a back room, an agent talked on his cellphone. But the pitchers could not have been more still if they were on the rubber.</p><p>&#8220;They&#8217;re in a trance,&#8221; Jaeger whispered.</p><p>Many pitchers prepare for the season by hiring  personal trainers. Others work out at their old high schools. Some sit on their couches. And those who have tried everything, and are still looking for more, come to this studio on Ventura Boulevard, to lie flat on their backs.</p><p>Jaeger&#8217;s regimen lasts five hours a day, and for the first four hours, no one touches a baseball. The pitchers meditate, stretch, listen to music, perform yoga poses, meditate again and listen to more music. They talk about dreams and visualize games.</p><p>&#8220;The first morning, you ask yourself, How does this have anything to do with baseball? &#8221; said Jeremy Plexico, a minor league pitcher for the <a href=\"http://topics.nytimes.com/top/news/sports/baseball/majorleague/washingtonnationals/index.html?inline=nyt-org\" title=\"Recent news and scores about the Washington Nationals.\">Washington Nationals</a>. &#8220;Then you get on the mound and you feel totally different, totally balanced.&#8221;</p><p>Meditation and yoga are not new to professional sports. But baseball players are famously old-fashioned, still warming up with a game of pepper and a cheek of tobacco. Breathing exercises and downward-facing dogs tend to prompt eye rolls in the dugout.</p><p>When Jaeger began his program in the early 1990s, after his pitching career at Cal State Northridge was undone by anxiety attacks on the mound, five of his friends signed up. Four of them eventually made the major leagues.</p><p>Today, one of baseball&#8217;s most durable arms belongs to the <a href=\"http://topics.nytimes.com/top/news/sports/baseball/majorleague/sanfranciscogiants/index.html?inline=nyt-org\" title=\"Recent news and scores about the San Francisco Giants.\">Giants</a>&#8217; Barry Zito, who started training with Jaeger in college. One of baseball&#8217;s most electric arms belongs to the <a href=\"http://topics.nytimes.com/top/news/sports/baseball/majorleague/detroittigers/index.html?inline=nyt-org\" title=\"Recent news and scores about the Detroit Tigers.\">Tigers</a>&#8217; Joel Zumaya, who used to drive six hours round trip to see Jaeger in the off-season.</p><p> &#8220;Zito, Zumaya and Zen,&#8221; Jaeger said. &#8220;Those are powerful Z&#8217;s.&#8221;</p><p>Pitchers have been known to rub snake oil on their arms when someone has success with it, so Jaeger&#8217;s studio was predictably crowded this winter. First-round draft choices and top prospects rushed to spend part of their bonus money on yoga mats.</p><p>Jaeger, 42, is well schooled in Eastern philosophy and West Coast baseball. His pitchers are mostly in their early 20s, on the cusp of the big leagues, young enough to try something new and old enough to recognize that they need a little help.</p><p>Plexico had shoulder surgery two years ago. His teammate Clint Everts had elbow surgery. They moved this winter to Huntington Beach, Calif., so they could be close to Jaeger. Their next-door neighbor is Collin Balester, another Nationals prospect, who drives the car pool to the valley.</p><p>&#8220;My arm just wasn&#8217;t getting better,&#8221; Everts said. &#8220;I was willing to try anything. I didn&#8217;t care what people would think. I didn&#8217;t care how different it might be.&#8221;</p><p>So he and Balester climb on top of each other in the studio, looking as if they are re-enacting the Ultimate Fighting Championship. They stretch each other&#8217;s quads and hamstrings in a way that is rarely seen during batting practice at R.F.K. Stadium.</p><p>When they finish stretching, Jaeger puts them through a variety of excruciating yoga poses, with names like Dolphin, Pigeon and Warrior. In one pose, the pitchers make like ballet dancers, placing their right ankles over their left knees and raising their arms.</p><p>In theory, they are improving their balance, sharpening their concentration and learning to take deep breaths in the face of high anxiety.</p><p>&#8220;If you can calm yourself down in the middle of those poses, you can do it in the middle of the game,&#8221; said Errol Simonitsch, a pitcher for the <a href=\"http://topics.nytimes.com/top/news/sports/baseball/majorleague/minnesotatwins/index.html?inline=nyt-org\" title=\"Recent news and scores about the Minnesota Twins.\">Minnesota Twins</a>. &#8220;That&#8217;s why, before every pitch, you&#8217;ll see me take a deep breath.&#8221;</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('1623','1','\n\n\n	 <p><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> to prop open coronary arteries have produced &#8220;enormous health benefits&#8221; for millions of Americans, but the widespread use of the newer drug-coated version on sicker patients than those tested in clinical trials makes it hard to assess safety risks, a leading medical journal said yesterday. </p>      <p>That editorial comment accompanied <a href=\"http://content.nejm.org\" title=\"New England Journal of Medicine\">five articles and two commentaries</a> published online yesterday by The <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/n/new_england_journal_of_medicine/index.html?inline=nyt-org\" title=\"More articles about New England Journal of Medicine\">New England Journal of Medicine</a> in response to controversy in the past year about the risk of deadly clots forming in the drug-coated stents. The package is the most comprehensive peer-reviewed summary since a controversy began over safety data from major trials and the conclusions some regulators and leading doctors have drawn from them. </p><p>The editorial stressed that doctors needed to be aware of the new consensus that patients receiving the drug-coated devices needed daily doses of aspirin and Plavix, an anticlotting medication, for at least a year. No one knows yet if the clotting risk persists indefinitely or whether taking the drugs longer than a year would reduce it. </p><p>&#8220;We really wanted to put this information out there as a guide for future research,&#8221; said Dr. Gregory D. Curfman, a cardiologist who is executive editor of the journal. &#8220;We also wanted to reassure people with stents that the risk is small.&#8221; </p><p>The journal&#8217;s package summarized and in a few cases elaborated on information presented in early December to a panel of expert advisers brought together by 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> to review the stent safety controversy. </p><p>While some doctors say the bigger concern may be whether stents of all types are being used too frequently on patients who should be receiving drugs or bypass surgery instead, the panel review and the journal articles focused on the narrower question of comparing the drug-coated stents to the bare metal stents they have largely supplanted. </p><p>Nearly a million Americans received stents last year to treat chest pain, shortness of breath and heart attacks, according to Wall Street analysts. The $6 billion worldwide stent market, one of the medical device industry&#8217;s biggest and most lucrative, has stumbled in the last nine months because of rising fears about stent safety. </p><p>Recent earnings reports from <a href=\"http://www.nytimes.com/mem/MWredirect.html?MW=http://custom.marketwatch.com/custom/nyt-com/html-companyprofile.asp&symb=BSX\" title=\"Boston Scientific\">Boston Scientific</a> and <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>, the two market leaders, suggest that total stent use has leveled off and may even be declining. In addition, cardiologists have shifted enough patients from drug-coated to bare metal stents to cut the drug-coated share to 73 percent, from last spring&#8217;s peak of about 88 percent. Because the drug-coated devices are sold in the United States for about $2,200 each compared with less than $800 for the bare metal devices, the shift has cost the two companies close to $500 million in domestic sales alone.</p><p>The device companies are heavily reliant on doctors continuing to use the devices &#8220;off-label&#8221; &#151; that is, in patients with more complicated health problems than those tested in clinical trials &#151; because such uses now account for as much as 60 percent of the market. The Food and Drug Administration has said such uses are linked with higher risks and has refused to endorse them. </p><p>In <a href=\"http://content.nejm.org/cgi/content/full/NEJMp068304/DC1\" title=\"Podcast\">a podcast accompanying the journal articles</a>, Dr, Donald S. Baim, chief medical and scientific officer of Boston Scientific, called the label &#8220;artificially narrow&#8221; based on recent trial data. He said future trials of drug-coated stents in complicated patients should focus exclusively on comparing them to surgery rather than to bare metal stents.</p><p>That view was challenged in the podcast by Dr. Steven E. Nissen, a cardiologist at the Cleveland Clinic Foundation and current president of the American College of Cardiology, who cited the journal article looking back at the outcomes for nearly all 20,000 Swedes who received stents in 2003 and 2004. The Swedish data was not based on randomized trials but suggested that bigger clinical trials comparing the two types of stents were needed, he said.</p><p>&#8220;If the Swedes are right, we will regret putting these devices into individuals,&#8221; Dr. Nissen said of the drug-coated stents.</p><p>Stents are implanted after <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/angioplasty/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about angioplasty.\">angioplasty</a>, a procedure in which a balloon is temporarily inflated inside a constricted coronary artery to widen it. Angioplasty patients frequently return for follow-up procedures because the artery rapidly recloses. Bare metal stents cut the reclogging rate in half. When drug-coated stents were introduced in 2003, reclogging rates were cut another 50 percent.</p><p>No one is certain why but the drug-coated stents seem slightly more likely to promote clotting long after implantation &#151; about one extra case for every 200 to 250 patients, according to various studies. The trial data suggests that there is no difference in death and heart attack rates after four years. One theory is that the higher number of repeat procedures with bare metal stents leads to enough deaths and heart attacks to offset any higher clotting risk in the drug-coated devices.</p><NYT_UPDATE_BOTTOM>\n</NYT_UPDATE_BOTTOM>\n');
INSERT INTO `dede_addonarticle` VALUES('1624','1','\n\n\n	 <p>Folk music and a collection of feminist poetry may well be dead giveaways that there is a liberal in the house. But what about an ironing board or postage stamps or a calendar?</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<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>What seem to be ordinary, everyday objects to some people can carry a storehouse of information about the owner&#8217;s ideology, says a new wave of social scientists who are studying the subtle links between personality and politics. </p><p>Research into why someone leans left or right &#151; a subject that stirred enormous interest in the aftermath of World War II before waning in the 1960s &#151; has been revived in recent years, partly because of a shift in federal funds for politics and terrorism research, new technology like brain imaging and a sharper partisan divide in the nation&#8217;s political culture. </p><p> &#8220;I believe that recent developments in psychological research and the world of politics &#151; including responses to 9/11, the Bush presidency, the Iraq War, polarizing Supreme Court nominations, Hurricane Katrina, and ongoing  controversies over scientific and environmental policies &#151; provide ample grounds for revisiting&#8221; the psychological basis of Americans&#8217; opinions, party and voting patterns, John T. Jost, a psychologist at <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/n/new_york_university/index.html?inline=nyt-org\" title=\"More articles about New York University.\">New York University</a>, wrote in a recent issue of American Psychologist.</p><p> The newest work in the field, found in a growing number of papers, symposiums and college courses, touches on factors from <a href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/geneticsandheredity/index.html?inline=nyt-classifier\" title=\"Recent and archival health news about genetics and heredity.\">genetics</a> to home d&#233;cor. Some people have greeted the results with fascination. Books by George Lakoff, a linguist and cognitive scientist 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>, Berkeley, who studies the psychological power of metaphors and the framing of issues, became required reading among Democrats after their defeat in the 2004 elections. Others have been decidedly less thrilled with studies they say portray conservatives as pinched and neurotic. </p><p>For anyone who assumes political choices rest on a rational analysis of issues and self-interest, the notion that preference for a candidate springs from the same source as the choice of a color scheme can be disturbing. But social psychologists assume that all beliefs, including political ones, partly arise from an individual&#8217;s deep psychological fears and needs: for stability, order and belonging, or for rebellion and novelty. </p><p>These needs and worries vary in degree,  develop in childhood and probably have a temperamental and a genetic component, said Arie Kruglanski of the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_maryland/index.html?inline=nyt-org\" title=\"More articles about University of Maryland\">University of Maryland</a>. A study of twins, for instance, has shown that a conservative or progressive orientation can be inherited, while a decades-long study has found that personality traits associated with liberalism or conservatism later in life show up in preschoolers. </p><p>No one is arguing that an embrace of universal national health care or tax cuts arises because of a chromosome or the unconscious residue from a schoolyard spat. What Mr. Jost and Mr. Kruglanski say is that years of research show that liberals and conservatives consistently match one of two personality types. Those who enjoy bending rules and embracing new experiences tend to turn left; those who value tradition and are more cautious about change tend to end up on the right. </p><p>What&#8217;s more, these traits are reflected in musical taste, hobbies and d&#233;cor. Dana R. Carney, a postdoctoral fellow at <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 University</a>, who worked with Mr. Jost and Samuel D. Gosling of 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> at Austin among others, found that the offices and bedrooms of conservatives tended to be neat and contain cleaning supplies, calendars, postage stamps and sports-related posters; conservatives also tended to favor country music and documentaries. Bold-colored, cluttered rooms with art supplies, lots of books, jazz CDs and travel documents tended to belong to liberals (providing sloppy Democrats with an excuse to refuse clean up on principle). </p><p> Jonathan Haidt, a social psychologist at the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/u/university_of_virginia/index.html?inline=nyt-org\" title=\"More articles about University of Virginia\">University of Virginia</a>, said he found this work intriguing but was more inclined to see a person&#8217;s moral framework as a source of difference between liberals and conservatives. Most liberals, he said, think about morality in terms of two categories: how  someone&#8217;s welfare is affected, and whether it is fair. Conservatives, by contrast, broaden that definition to include loyalty, respect for authority, and purity or sanctity. Conservatives have a richer, more elaborate moral horizon than liberals, Mr. Haidt said, because there is a &#8220;whole dimension to human experience best described as divinity or sacredness that conservatives are more attuned to.&#8221; </p><p> So how does he explain the red-blue divide? &#8220;Areas with less mobility and less diversity generally have the more traditional,&#8221; broadened definition of morality, &#8220;and therefore were more likely to vote for <a href=\"http://topics.nytimes.com/top/reference/timestopics/people/b/george_w_bush/index.html?inline=nyt-per\" title=\"More articles about George W. Bush.\">George W. Bush</a> &#151; and to tell pollsters that their reason was &#8216;moral values,&#8217; &#8221; he and his co-writer, Jesse Graham, say in a paper  to be published  this year by The Journal Social Justice Research. </p><p>Mr. Jost did his own research on the red-blue divide. Using the Internet he and his collaborators gave personality tests to hundreds of thousands of Americans. He found states with people who scored high on &#8220;openness&#8221; were significantly more likely to have voted for the Democratic candidate in the past three elections, even after adjustments were made for income, ethnicity and population density. States that scored high on &#8220;conscientiousness&#8221; went Republican in the past three elections. </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('1625','1','\n\n\n	 <p>Corey Larsen spent years hiding the feelings that drew him to other men, at first refusing to acknowledge them and then praying daily for them to be taken away.</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\">\n<h4>Multimedia</h4>\n<a href=\"http://podcasts.nytimes.com/podcasts/2007/02/10/20070212_group_part1.mp3\" target=\"new\"><IMG src=\"http://graphics.nytimes.com/images/multimedia/icons/audio_icon.gif\" alt=\"Audio\" height=\"10\" width=\"13\"></a> Corey Larson, 28, on reconciling his Mormon upbringing with same-sex desires.  (<a href=\"http://podcasts.nytimes.com/podcasts/2007/02/10/20070212_group_part1.mp3\" target=\"new\">mp3</a>)   <div class=\"inlinePlayer box\"><object type=\"application/x-shockwave-flash\" data=\"http://www.nytimes.com/packages/flash/multimedia/INLINE_PLAYER/inlinePlayerScale.swf?mp3=http%3A//podcasts.nytimes.com/podcasts/2007/02/10/20070212_group_part1.mp3&duration=202\" width=\"100%\" height=\"25\"><param name=\"movie\" value=\"http://www.nytimes.com/packages/flash/multimedia/INLINE_PLAYER/inlinePlayerScale.swf?mp3=http%3A//podcasts.nytimes.com/podcasts/2007/02/10/20070212_group_part1.mp3&duration=202\" /></object></div>\r\n<a href=\"http://podcasts.nytimes.com/podcasts/2007/02/10/20070212_group_part2.mp3\" target=\"new\"><IMG src=\"http://graphics.nytimes.com/images/multimedia/icons/audio_icon.gif\" alt=\"Audio\" height=\"10\" width=\"13\"></a> Larson describes his recent experiences with reparative therapy. (<a href=\"http://podcasts.nytimes.com/podcasts/2007/02/10/20070212_group_part2.mp3\" target=\"new\">mp3</a>)<div class=\"inlinePlayer box\"><object type=\"application/x-shockwave-flash\" data=\"http://www.nytimes.com/packages/flash/multimedia/INLINE_PLAYER/inlinePlayerScale.swf?mp3=http%3A//podcasts.nytimes.com/podcasts/2007/02/10/20070212_group_part2.mp3&duration=250\" width=\"100%\" height=\"25\"><param name=\"movie\" value=\"http://www.nytimes.com/packages/flash/multimedia/INLINE_PLAYER/inlinePlayerScale.swf?mp3=http%3A//podcasts.nytimes.com/podcasts/2007/02/10/20070212_group_part2.mp3&duration=250\" /></object></div>\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/national/gayrights/index.html?page=recent\">Forum: Gay Rights</a>\n</h2>\n<p class=\"summary\"></p>\n</div>\n</div>\n   \n<div class=\"image\">\n<div class=\"enlargeThis\"><a href=\"javascript:pop_me_up2(\'http://www.nytimes.com/imagepages/2007/02/12/nyregion/12group_CA0.ready.html\', \'12group_CA0_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/2007/02/12/nyregion/12group_CA0.ready.html\', \'12group_CA0_ready\', \'width=720,height=600,scrollbars=yes,toolbars=no,resizable=yes\')\">\n<IMG src=\"http://graphics.nytimes.com/images/2007/02/12/nyregion/group2190.jpg\" width=\"190\" height=\"250\" alt=\"\" border=\"0\">\n</a>\n<div class=\"credit\">Sylwia Kapuscinski for The New York Times</div>\n<p class=\"caption\">\nKevin Dickson at the Vineyard church in Morristown, N.J. \n</p>\n</div>\n  \n</div>\n</div><a name=\"secondParagraph\"></a>\n <p>As a teenager in Clearfield, Utah, he tried to banish the thoughts. As he grew older, the attractions grew stronger, but so did his religious convictions as a Mormon.</p><p>The contradiction tormented him. After moving to Manhattan several years ago, he remained a respected young leader in his church ward. Behind closed doors, though, he sank into despair. ? was either going to stay in the church, in what I believe and what I love, or choose this different path that I felt was just knocking on my door,?he said.</p><p>Last May, Mr. Larsen, 28, began seeing a therapist in Jersey City, joining others across the country making similar attempts to eliminate their gay desires through therapy or religious ministries dedicated to that end. Most are caught in similarly anguishing crises of faith and identity, searching for a way out through a murky world of intense dispute and warring political agendas.</p><p> Efforts by religious conservatives to ?reat?homosexuality received renewed attention last week with news that the Rev. <a href=\"http://topics.nytimes.com/top/reference/timestopics/people/h/ted_haggard/index.html?inline=nyt-per\" title=\"More articles about Ted Haggard.\">Ted Haggard</a>, an evangelical pastor dismissed from his Colorado megachurch in a gay-sex scandal, had undergone three weeks of intense therapy and then reportedly concluded that he was ?ompletely heterosexual.?/p><p>Although the scientific community cannot say definitively what determines sexual orientation ?whether it is nature or nurture ?most mainstream mental health professionals dismiss attempts to eradicate homosexual desires or to change someone? sexual orientation as quackery that is potentially harmful.</p><p>Gay rights advocates say the efforts only provide additional fodder for homophobia. Mental health experts say there is no proof that sexual reorientation therapy, as it is often called, works. Meanwhile, they argue, the damage it can inflict on self-esteem, triggering depression and even suicide, is well documented. </p><p>?here? not a debate in the profession on this issue,?said Dr. Jack Drescher, a New York psychiatrist and former chairman of the Committee on Gay, Lesbian and Bisexual Issues of the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/a/american_psychiatric_assn/index.html?inline=nyt-org\" title=\"More articles about American Psychiatric Association\">American Psychiatric Association</a>. ?his is like creationism. You create the impression to the public as if there was a debate in the profession, which there is not.?/p><p>Nevertheless, these efforts, commonly called the ?x-gay?movement, have become increasingly visible across the country, where the battle over gay marriage and sex scandals in the <a href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/r/roman_catholic_church/index.html?inline=nyt-org\" title=\"More articles about the Roman Catholic Church.\">Roman Catholic Church</a> have brought the divisive issue of homosexuality to the forefront in recent years. </p><p>The efforts to rein in homosexual desires run the gamut from those that take a completely secular counseling approach to others that are completely spiritual. Some proclaim complete change is available, while others focus simply on helping gays and lesbians live celibately. Men seem to predominate in them, but women also seek them out.</p><p>Despite the skepticism about whether ex-gay programs can work, there is no denying the struggle of those involved. Among them are evangelical Protestants, Orthodox Jews, Mormons, Roman Catholics and others often driven by deeply held religious beliefs that run counter to societal voices that encourage them to embrace being gay. It is unclear  how many people participate in these programs, but a leading Christian organization in the  movement, Exodus International, estimated in 2003 it had 11,000 in its affiliated ministries.</p><p>Mr. Larsen, a soft-spoken middle-school teacher in the Bronx, grew up in a small town north of Salt Lake City. He tried to ignore his feelings for other boys back then, he said.</p><p>? had a hard time even acknowledging it in my own mind, or in my prayers to God,?he said. ? would say, ?ust help me with that thing.??/p><p>Later, he dated women briefly but invariably broke up with them out of fear that they would learn the truth. He fell into a deep depression. </p><p>Early last year, he learned about a special weekend program in Pennsylvania run by a secular group called People Can Change. He signed up right away. </p><p>The weekend focused on addressing his feelings of inadequacy as a man, which Mr. Larsen now believes is what shapes his attractions to other men. But just meeting others like him, he said, was healing.</p><p>Afterward, he made an appointment with David A. Matheson, one of the organizers of the weekend and a state-licensed counselor in Jersey City who runs the Center for Gender Affirming Processes. </p><p>The center is one of several such organizations that dot even the greater New York area, where gay men and lesbians are more widely accepted than in many other sections of the country. </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('1626','1','	<p><p>(HealthDay News) -- Here are the latest clinical trials, courtesy of <b>Thomson CenterWatch</b>:</p> <p><span class=\"subhead\"><b>Osteoarthritis </b></span></p><p> This study will evaluate the safety and effectiveness of Kadian NT when taken for chronic pain over a period of 22 weeks. Volunteers 21 or older may qualify with a primary diagnosis of osteoarthritis of the hip or knee, if they have been treated for hip or knee pain within the last 90 days.</p><p>The research sites are located across the United States. </p><p><b>More information</b></p><p>Please see <a href=\" http://www.centerwatch.com/patient/studies/cat109.html\" target=\"_new\"> http://www.centerwatch.com/patient/studies/cat109.html</a>.</p> <p>-----</p> <p><span class=\"subhead\"><b>Hot Flashes </b></span></p><p> This women\'s health study will evaluate a non-hormonal investigational drug to help control hot flashes and night sweats. Women at least 40 may be included who had their last menstrual period at least six months ago, who have multiple moderate-to-severe hot flashes each week, and who are prepared not to use hormone replacement therapy or anti-depressants during the 12-week study.</p><p>The research site is in Lawrenceville, NJ. </p><p><b>More information</b></p><p>Please see <a href=\"http://www.centerwatch.com/patient/studies/cat309.html\" target=\"_new\">http://www.centerwatch.com/patient/studies/cat309.html</a>.< /p> <p>-----</p> <p><span class=\"subhead\"><b>Chronic Pain </b></span></p><p> Do you have to take daily medication for pain? This study will evaluate a new medication designed to reduce gastrointestinal side effects, such as ulcers, among people who take daily over-the-counter painkillers. Candidates 40-80 may qualify who have no history of ulcers or intestinal bleeding, and have no other serious medical conditions.</p><p>The research site is in Wheat Ridge, Colo. </p><p><b>More information</b></p><p>Please see <a href=\"http://www.centerwatch.com/patient/studies/cat45.html\" target=\"_new\">http://www.centerwatch.com/patient/studies/cat45.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('1627','1','	<p><p>MONDAY, Feb. 12 (HealthDay News) -- A new index that involves simple blood tests might spare patients invasive biopsies used to diagnose liver fibrosis, Japanese researchers report.</p> <p>Fibrosis, the formation of scar-like tissue in the liver, indicates damage that can lead to cirrhosis. In people with hepatitis C, determining the stage of liver fibrosis is important for patient prognosis and treatment, according to background information in the article.</p> <p>While liver biopsy is considered the gold standard for measuring liver fibrosis, it\'s an invasive and expensive procedure. This study, published in the February issue of <i>Hepatology</i>, compared the new FibroIndex to two other indices currently in use, the Forns index and APRI (aspartate aminotransferase to platelet ration index).</p> <p>The study included 402 patients with chronic hepatitis who were scheduled to undergo liver biopsy. Blood samples were collected from the patients three days before they underwent biopsy. The blood samples were then tested using FibroIndex and the two other indices.</p> <p>Researchers at Tottori University found that FibroIndex was more accurate in predicting significant or severe fibrosis than either the Forns index or APRI. Based on the results provided by FibroIndex, 101 of the patients in the study could have avoided a liver biopsy, the study said.</p> <p>The researchers also tested FibroIndex on 30 hepatitis C patients treated with interferon who had a second liver biopsy more than a year after treatment. The study found that changes in FibroIndex correlated with changes in the patients\' fibrosis. The Forns index and APRI did not show this correlation.</p> <p><b>More information</b></p> <p>The American Academy of Family Physicians has more about <a href=\"http://familydoctor.org/071.xml\" target=\"_new\">hepatitis C</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1628','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>Vasectomy May Increase Dementia Risk</b></span></p> <p>Having a vasectomy may increase the risk of certain types of dementia, say researchers at Northwestern University in Chicago.</p> <p>Their study of 106 men found that 40 percent of those with a form of dementia called primary progressive aphasia (PPA) had undergone a vasectomy, compared to 16 percent of the men without this form of dementia. The study was published in the journal <i>Cognitive and Behavioral Neurology</i>.</p> <p>While the findings don\'t mean that having a vasectomy will directly cause PPA, it may be a risk factor for developing the condition, said principal investigator Sandra Weintraub, professor or psychiatry and behavioral sciences and of neurology at the university\'s Feinberg School of Medicine.</p> <p>People with PPA have difficulty recalling and understanding words, resulting in the loss of their ability to express themselves and understand speech.</p> <p>The researchers also found preliminary evidence that vasectomy may be associated with another form of dementia called frontotemporal dementia. Symptoms of this condition include personality changes, lack of judgment and bizarre behavior.</p> <p>-----</p> <p><span class=\"subhead\"><b>British Drug Store Chain to Sell Viagra Without Prescription</b></span></p> <p>In a trial program to be launched on Valentine\'s Day, men will be able to buy Viagra without a prescription at a few stores operated by the British pharmacy chain Boots.</p> <p>The company said the pilot program with the drug, used to treat erectile dysfunction, will be offered at three stores in Manchester and is expected to last six months, the <i>Associated Press</i> reported.</p> <p>Men, ages 30 to 65, who want to purchase Viagra without a prescription will have to see a pharmacist, provide a medical history, and undergo tests for cholesterol, blood pressure and glucose levels. If men want a refill, they\'ll have to see a doctor.</p> <p>After the initial trial, the company will consider whether to expand the program to other outlets. Boots has about 1,500 stores across Britain, the <i>AP</i> reported.</p> <p>-----</p> <p><span class=\"subhead\"><b>Lack of Sleep Affects Brain Region Tied to New Memories: Study</b></span></p> <p>A lack of sleep disrupts the functioning of the hippocampus -- the area of the brain involved in forming new memories -- and this could explain why children who don\'t get enough sleep tend to do poorly in school, say Harvard Medical School researchers.</p> <p>Their study included 28 volunteers who were randomly deprived of sleep for two days and a night or who were allowed to sleep normally. After that time, the volunteers were given a test that involved looking at and remembering a series of pictures, <i>Agence France Presse</i> reported.</p> <p>While they did the test, the volunteers\' cerebral activity was monitored using functional magnetic resonance imaging (fMRI). The sleep-deprived participants did slightly worse on the test than those who got their normal amount of sleep.</p> <p>The fMRI revealed that the sleep-deprived volunteers had far lower levels of hippocampus activity during the test than the sleepers, and this affected other areas of the brain linked to alertness, <i>AFP</i> reported.</p> <p>The findings were published Sunday in the journal <i>Nature Neuroscience</i>.</p> <p>\"These results demonstrate that an absence of prior sleep substantially compromises the neural and behavioral capacity for committing new experiences to memory,\" the study authors wrote. \"It therefore appears that sleep before learning is critical in preparing the human brain for next-day memory formation -- a worrying finding considering society\'s increasing erosion of sleep time.\"</p> <p>-----</p> <p><span class=\"subhead\"><b> Genetic Risk for Type 2 Diabetes Mapped Out</b></span></p> <p>British and Canadian researchers say they\'ve mapped out a genetic mutation that may indicate whether a person will develop type 2 diabetes, the most common form of the disease.</p> <p>In the United States, more than 17 million people are estimated to have type 2 diabetes, also known as adult onset diabetes. In the United Kingdom, where the research was conducted, almost 2 million people have type 2 diabetes, according to <i>BBC News.</i></p> <p>The gene mapping will be able to identify about 70 percent of the genetic makeup of type 2 diabetes, the news agency quoted the scientists as saying. The gene mutation is a zinc transporter involved in regulating insulin secretion, according to <i>BBC News</i>. The research is published in the current issue of the journal <i>Nature.</i> </p> <p>\"If we can tell someone that their genetics mean they are predisposed towards type 2 diabetes, they will be much more motivated to change things such as their diet to reduce their chances of developing the disorder,\" the news agency quoted researcher Philippe Froguel as saying. \"We can also use what we know about the specific genetic mutations associated with type 2 diabetes to develop better treatments,\" he added.</p> <p>-----</p> <p><span class=\"subhead\"><b>Stillbirth Risk Increases for Women Older Than 40</b></span></p> <p>It may be a finding that many will find disappointing, but pregnancy after age 40 is an independent risk factor for stillbirth, according to researchers from Yale Medical School.</p> <p>And that\'s why it\'s important for older pregnant women to get antenatal testing on a regular basis after 38 weeks into their pregnancy, the researchers told those attending the Society for Maternal-Fetal Medicine Conference in San Francisco over the weekend.</p> <p>According to a news release from the society, Yale scientists conducted a cross-sectional study of more than 11 million deliveries between 1995 and 1997 in a database provided by the U.S. Centers for Disease Control and Prevention. The results confirmed increased risks for older pregnant women, including gestational diabetes mellitus, preeclampsia, placenta previa and intrauterine growth restriction.</p> <p> All of these conditions can contribute to a higher incidence of stillborn deliveries, the researchers said.</p> <p>-----</p></p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1629','1','	<p><!--Spanish ID: 601855 --> <p>MONDAY, Feb. 12 (HealthDay News) -- Left out of the gifts and flowers of another Valentine\'s Day, millions of lonely-hearted Americans wonder: What can I do to turn this situation around?</p> <p>Whether it\'s a new romance you\'re looking for, rekindling a relationship that\'s gone stale, or just putting the zip back into your sex life, experts are here to help.</p> <p>First up, singles, ask yourself this: Are you really ready for Cupid?</p> <p>\"You can tell when someone is open to meeting people or not,\" said Dr. Catherine Birndorf, a women\'s health specialist at NewYork-Presbyterian Hospital/Weill Cornell Medical Center in New York City.</p> <p>\"If you\'re just saying to yourself, \'Oh, I guess that I <i>should</i> be dating, chances are you\'re not going to look all that interested,\" said Birndorf, who\'s also the mental health editor at <i>Self</i> magazine. She suggests that singles not pressure themselves too much to jump back into the dating game, especially if a break-up or other trauma is still fresh.</p> <p>\"Sometimes, it\'s good to get an objective view -- run it by your friends, for example, and ask them, \'Do you get the sense that I\'m ready?\' \" she said.</p> <p>If the answer to that question is yes, then it may be time for one of life\'s most nerve-wracking moments: the first date.</p> <p>First dates <i>can</i> be scary, Birndorf said, especially for people who haven\'t been on their own for years. \"But I think one thing that you have to remember is that it\'s the first date for the other person, too,\" she said. \"You are <i>not</i> the underdog here, you\'re both in a similar position.\"</p> <p>Being frank about dating jitters can help. \"I\'m a big believer in disclosure and saying things upfront,\" Birndorf said. \"Saying, \'Hey, I don\'t know about you, but I get really nervous on first dates,\' that can help break the ice, it takes everything down a notch.\"</p> <p>Valentine\'s Day can also be less-than-thrilling for couples who have been together for years but have somehow lost the \"magic.\"</p> <p>The trick is to remember that romantic relationships require ongoing, \"active effort,\" Birndorf said. \"It\'s not like you get married and say, \'There\'s, that\'s done.\' \"</p> <p>Instead, remember to set time aside for your partner -- ideally each day. Busy people may even want to pencil it into their schedules. \"For example, say, \'Every night after the kids are asleep, we\'re going to try and talk from 9 to 10,\' \" Birndorf said. \"You can even make dates to have sex.\"</p> <p>She said too many people with kids, especially, forget how special their bond as a couple is. \"Instead, I think many people get used to being just \'the family,\' or they only go out with certain friends,\" she said. Simple tips to rekindle the glow include dinner or movie dates out together; spontaneous gift-giving; and thinking hard about doing something your partner loves -- even if it\'s not your favorite sport or pastime.</p> <p>Sometimes, though, health barriers can get in the way of sex and romance. Dr. Patricia Rockwell is an assistant professor of family medicine at the University of Michigan Medical School. She said there are nine big health issues that can dampen passion in the boudoir:</p> <ul> <li><b>Prescription drugs.</b> Heart drugs such as diuretics and ACE inhibitors, and SSRI antidepressants such as Celexa, Paxil, Prozac and Zoloft, can all interfere with erectile function, Rockwell said. If this proves to be the case, men should ask their doctor if a lowered dose or alternate therapy might be effective.</li> <li><b>Heart health.</b> Myths aside, sex is <i>not</i> going to cause heart attack, even in people with diagnosed heart disease, Rockwell said. However, she advises that people consult with their doctor about the safety of all physical activity immediately after any major cardiovascular procedure.</li> <li><b>Depression.</b> Left untreated, depressed people \"can experience lack of pleasure, lack of desire and lack of ability to perform,\" Rockwell said in a statement.</li> <li><b>Alcohol.</b> While a few drinks might make you a bit bolder, overdoing it can raise the risk of unsafe sex. Drinking also \"decreases sexual pleasure because alcohol lowers your sensations,\" Rockwell said.</li> <li><b>Sexually Transmitted Disease.</b> With the correct precautions (especially condoms), contracting an STD -- such as HIV, hepatitis or the human papillomavirus (HPV) -- need not spell the end to romance, she said.</li> <li><b>Stress</b>. Too many work and family commitments, and too little time, means sex often gets left by the wayside. Stress can also cause libido to decline and lead to unsatisfying sex lives, Rockwell said.</li> <li><b>Pregnancy</b>. Another big myth. \"There is no barrier to sex during pregnancy,\" she said.</li> <li><b>Menopause.</b> While hormone levels do drop after menopause, the use of topical estrogen creams and lubricants means older women can have sex lives as active as women half their age, Rockwell said.</li> <li><b>Poor body image.</b> A dip in self-esteem can impair sexual desire and satisfaction, Rockwell said. But studies also show that healthy weight loss -- as little as 5 pounds -- can help turn that around.</li> </ul> <p>Sex and romance is a two-way street, however. So, Birndorf reminds people to do those \"little somethings\" for the one they love -- not just on Valentine\'s Day, but on the other 364 days of the year.</p> <p>\"It\'s so simple, but often hard to remember,\" said Birndorf. \"Even myself -- I might be at work, having a nice thought about my husband. Then, I\'ll say to myself, \'Hey, just <i>call</i> him!\' So, I\'ll speed-dial him and say, \'Hey, I\'m thinking of you, I\'m so fond of you.\' And who wouldn\'t love that?\"</p> <p><b>More information</b></p> <p>There\'s more on a healthy sex life at the <a href=\"http://www.nlm.nih.gov/medlineplus/sexualhealth.html\" target=\"_new\">U.S. National Library of Medicine</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1630','1','	<p><p> (HealthDay News) -- Mold is a common fungus that can invade your home and cause allergy symptoms such as runny nose, sneezing and cough.</p> <p>The Asthma and Allergy Foundation of America offers these suggestions on how to prevent the growth of mold in your home:</p> <ul> <li>In bathrooms, install an exhaust fan or open a window when showering to prevent moisture build-up.</li> <li>If you have a plumbing leak -- especially in the basement -- repair it quickly.</li> <li>Avoid carpeting in bathrooms, as it can retain moisture.</li> <li>Scrub bathtubs and sinks at least monthly, preferably with a bleach-based cleaner to kill mold.</li> <li>Clean garbage cans regularly.</li> <li>On humid days, use a dehumidifier to remove moisture from the air.</li> </ul> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1631','1','	<p><p>(HealthDay News) -- An enlarged prostate, medically referred to as benign prostatic hyperplasia (BPH), occurs in most men as they age. It does not raise your risk for prostate cancer.</p> <p>Here are the most common symptoms of BPH, courtesy of the U.S. National Library of Medicine:</p> <ul> <li>Difficulty starting to urinate.</li> <li>Weak stream while urinating.</li> <li>Strong, sudden need to urinate.</li> <li>Inability to urinate.</li> <li>Painful urination or bloody urine.</li> <li>Being unable to completely empty the bladder.</li> </ul> <p>If you have any of these symptoms, speak with your doctor.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1632','1','	<p><!--Spanish ID: 601854 --> <p>MONDAY, Feb. 12 (HealthDay News) -- Certain amounts of vitamin D may be able to prevent up to half of breast cancer cases and two-thirds of colorectal cancer cases in the United States, according to two studies by researchers at the Moores Cancer Center at the University of California, San Diego, and colleagues at other centers. </p> <p>In one study, the researchers reviewed two previous studies of 1,760 women and found that those with the highest blood levels of 25-hydroxyvitamin D, or 25(OH)D, had the lowest risk of breast cancer.</p> <p>\"The data were very clear, showing that individuals in the group with the lowest blood levels (less than 13 nanograms of 25(OH)D per milliliter) had the highest rates of breast cancer, and the breast cancer rates dropped as the blood levels of 25-hydroxyvitamin D increased,\" study co-author Cedric Garland said in a prepared statement.</p> <p>\"The serum level associated with a 50 percent reduction in risk could be maintained by taking 2,000 international units of vitamin D3 daily, plus, when the weather permits, spending 10 to 15 minutes a day in the sun,\" Garland said.</p> <p>The study appears online in the current issue of the <i>Journal of Steroid Biochemistry and Molecular Biology</i>.</p> <p>In the second study, researchers reviewed data from 1,448 people who took part in five previous colorectal cancer studies.</p> <p>\"Through this meta-analysis, we found that raising the serum level of 25-hydroxyvitamin D to 34 ng/ml would reduce the incidence rates of colorectal cancer by half,\" study co-author Edward G. Gorham said in a prepared statement.</p> <p>\"We project a two-thirds reduction in incidence with serum levels of 46ng/ml, which corresponds to a daily intake of 2,000 IU of vitamin D3. This would be best achieved with a combination of diet, supplements and 10 to 15 minutes per day in the sun,\" Gorham said.</p> <p>The study was published online Feb. 6 in the <i>American Journal of Preventive Medicine</i>.</p> <p>The U.S. National Cancer Institute has more about <a href=\"http://www.cancer.gov/cancerinfo/pdq/prevention/overview\" target=\"_new\">cancer prevention</a>.</p> </p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1633','1','	<p>Warning signs for cardiovascular disease\nare higher in people exposed to secondhand tobacco smoke,\nadding to the link between \"passive smoke\" and heart disease,\naccording to a study released on Monday.<p/>\n\"Our study provides further evidence to suggest low-level\nexposure to secondhand smoke has a clinically important effect\non susceptibility to cardiovascular disease,\" said Dr. Andrea\nVenn of University of Nottingham in Britain, lead author of the\nstudy.<p/>\n\"This is the first ... study to relate the levels of these\nmarkers to an objective measure of secondhand smoke exposure,\nrather than self-reported exposure,\" said Venn, an associate\nprofessor of epidemiology and public health.<p/>\nThe study, published this week in \"Circulation: Journal of\nthe <span class=\"keyword\"><a href=\"http://us.rd.yahoo.com/DailyNews/manual/nm/hl_nm/smoking_secondhand_heart_dc/21915095/*http://news.search.yahoo.com/search/news?fr=news-storylinks&amp;p=%22American%20Heart%20Association%22&amp;c=&amp;n=20&amp;yn=c&amp;c=news&amp;cs=nw\">American Heart Association</a></span>,\" measured the level of cotinine\nin the blood of participants.<p/>\nCotinine is a major indicator of nicotine intake and hence\nexposure to tobacco smoke, according to the American Heart\nAssociation (AHA).<p/>\nThe researchers also checked if people exposed to\nsecondhand smoke at home, work or other places had higher\nlevels of fibrinogen, homocysteine and C-reactive protein --\nall markers or indicators of cardiovascular disease.<p/>\nIt examined records from America\'s third National Health\nAnd Nutrition Examination Survey (NHANES III, 1988-94), which\nincluded 7,599 adults who had never smoked.<p/>\nEighteen percent of those surveyed from this group had no\ndetectable levels of cotinine while the remainder had high or\nlow levels.<p/>\nEighteen percent of those with low levels and 56 percent\nwith high levels said they had lived with a smoker at home or\nhad been exposed to secondhand smoke at work.<p/>\n\"Researchers found the low- and high-cotinine groups had\nsignificantly higher levels of fibrinogen and homocysteine\n(with fibrinogen levels estimated at 9-10 milligrams per\ndeciliter higher and homocysteine levels at 0.8 micromoles per\nliter higher) than the \'no detectable\' group,\" the AHA said.<p/>\nThe raised levels of fibrinogen and homocysteine translate\ninto a 5 percent increased disease risk though studies\nelsewhere have suggested that other factors can raise the\ndisease risk from secondhand smoke by up to 30 percent.<p/>\nFibrinogen is a protein and homocysteine an amino acid in\nthe blood. Both are markers of inflammation and are also\ninvolved in blood clotting.<p/>\n\"Even when participants weren\'t exposed to smoke at the\nworkplace or at home, many had low or high levels of cotinine\nin their blood,\" Venn said.<p/>\n\"These people may be exposed in bars or restaurants or\nperhaps in other people\'s homes such as those of relatives or\nfriends. This suggests that even people exposed to low levels\nof secondhand smoke may be at increased risk.\"\n<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1634','1','	<p>When Joy Lagos learned she had cancer, she had enough hope to believe she would beat it. What brought the San Francisco resident to tears, however, was knowing that radiation and chemotherapy would lead to early menopause and rob her of the chance to have children. Last week, that changed. A renowned infertility expert in suburban St. Louis transplanted a whole ovary from Lagos\' sister into Lagos, a step that could enable her to have children.<p/>\nDr. Sherman Silber completed the whole ovary transplant Feb. 5 in Missouri after performing the same procedure between twins last month.<p/>\nThe surgery could restore normal hormone function for women going through early menopause. It also could mean that one day a woman with cancer could freeze an ovary, undergo chemotherapy and radiation, and have her own ovary returned later to restore her fertility.<p/>\nWhen Lagos, now 30, was diagnosed with non-Hodgkins lymphoma in 2004, her older sister Maeapple Chaney, now 31, donated bone marrow. Lagos was cured of cancer, but the treatment disabled her ovaries and she went into early menopause.<p/>\n\"I was devastated,\" Lagos recalled, her voice still breaking as she tried to talk about it Monday. Now married, Lagos wasn\'t with a partner at the time, so wasn\'t able to freeze any embryos, she said.<p/>\n\"I think it sounds selfish, but I just wanted to feel like a woman again,\" she said.<p/>\nYes, she wanted to have children of her own, but the menopause also induced osteoporosis, ended her monthly cycle, diminished her sex drive, and interfered with the natural \"ebb and flow\" of her emotions, she said.<p/>\nChaney was willing to donate eggs so Lagos and her new husband, Rodrigo Lagos, could have a baby through in vitro fertilization, but then Rodrigo Lagos saw a television report about Silber.<p/>\nIn 2004, Silber placed strips of ovarian tissue from a fertile twin into her prematurely menopausal sister. That woman, Stephanie Yarber, now has two children following the surgery. He has since done similar surgeries on six other sets of twins.<p/>\nAll of the twins who have had the ovarian tissue transplants are ovulating and menstruating normally, Silber said.<p/>\nBut the women may get only a few years of ovarian function using the strips of tissue, he said.<p/>\nSilber, who directs the Infertility Center of St. Louis at St. Luke\'s Hospital in Chesterfield, Mo., hopes that a whole ovary with its own blood supply will last decades.<p/>\nLast week, Silber removed one of Chaney\'s ovaries and gave it to Lagos, a form of microsurgery that requires sewing the tiny ovarian artery of the donor to the ovarian artery of the recipient.<p/>\n\"It\'s maybe the size of a tiny piece of white thread you might use to sew on a button,\" Silber said of the vessel.<p/>\nDr. Pasquale Patrizio, director of the fertility center at Yale University, said he\'s paying attention to Silber\'s work because he is working on freezing and thawing ovaries to help cancer patients preserve their fertility.<p/>\n\"It\'ll tell us in the field if the entire organ can be successfully retransplanted,\" Patrizio said.<p/>\nSurgeons at China\'s Zhejiang Medical Science University reported a successful whole ovary transplant between sisters earlier this decade; however, Silber and Patrizio said they have not seen any published medical literature or peer review related to that case.<p/>\nDoctors also still have concerns about transplants that would require immune-suppressing drugs because of possible health effects for the mothers and their babies. \"If they\'re not a close match, we\'re not ready to tackle that yet,\" Silber said.<p/>\nBecause of the bone marrow transplant and the close match to Chaney, Lagos is able to tolerate her sister\'s tissue and didn\'t have to use the drugs.<p/>\nThe Lagoses said the surgery cost about $15,000, which is being paid for with the couple\'s resources and donations. Chaney, who lives on Vandenberg Air Force Base in Lompoc, Calif., said it\'s possible she could go into menopause a few years earlier than she otherwise would have because of the ovary donation, but doesn\'t regret the bone marrow and ovary she has given her sister.<p/>\n\"It\'s a great opportunity, both for my sister and for fertility treatment in general,\" Chaney said.<p/>\n__<p/>\nOn the Net:<p/>\nInfertility Center of St. Louis: <a href=\"http://us.rd.yahoo.com/dailynews/ap/ap_on_he_me/storytext/whole_ovary_transplant/21915579/SIG=10r9ngo4e/*http://www.infertile.com/\">http://www.infertile.com/</a><p/>\nThe Lagoses blog about their experience: <a href=\"http://us.rd.yahoo.com/dailynews/ap/ap_on_he_me/storytext/whole_ovary_transplant/21915579/SIG=10ujjvd35/*http://www.rodrigoandjoy.com\">http://www.rodrigoandjoy.com</a><p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1635','1','	<p>Connor Geddes was 13 days old when surgeons gave him a new heart that didn\'t match his blood type ? deliberately.<p/>\nConnor, now 11 months old and thriving, is one of several dozen babies around the world to have received mismatched hearts, part of a slowly growing movement to increase these tiniest patients\' survival by taking advantage of a lag in their immune systems.<p/>\nNow the nation\'s transplant network is expanding that effort, saying youngsters may be candidates for an incompatible heart up to age 2.<p/>\nIt\'s the first step in a new push by the United Network for Organ Sharing to decrease the number of children who die awaiting an organ transplant, a toll particularly high for infants and toddlers.<p/>\n\"It will not happen overnight,\" cautioned Dr. Stuart Sweet of Washington University in St. Louis, chairman of UNOS\' pediatric transplant committee. But the new heart guidelines \"have the potential for significantly impacting the number of patients who die on the waiting list.\"<p/>\nIf the policy sounds counterintuitive, well, it is: Implant a mismatched heart in an adult, and he or she will die rapidly. That happened in 2003, when surgeons in North Carolina accidentally gave a teenager the wrong-type heart and lungs.<p/>\nBut babies\' immune systems must learn to recognize and attack an organ of a different blood type, a process that\'s turning out to be more gradual than scientists long thought.<p/>\nTransplant a heart before the baby starts making antibodies that will attack a mismatched organ, and he or she survives as well as babies given matching hearts, says Dr. Lori West, the Canadian surgeon who pioneered incompatible transplants in Toronto in the late 1990s.<p/>\nThose babies still need immune-suppressing drugs for life ? blood type is just one form of organ rejection.<p/>\nBut given the scarcity of tiny hearts, the mismatch option was good news. In 2005, the last count available, 45 children under age 2 died while awaiting a new heart. As of last month, 74 youngsters under 2 were on the waiting list.<p/>\nAbout one in 5,000 children are born with a heart defect so bad that they\'ll need a transplant in the first year or two of life. Yet few babies die of conditions that allow their hearts to be donated.<p/>\nStill, until recently, U.S. transplant centers were reluctant to try mismatched hearts. UNOS began allowing them as a last resort for infants, under age 1, in 2002; only 19 were performed through 2005. The concern: whether children really fare well years after getting a mismatched heart, or if rejection just sets in later.<p/>\nBut in the last year ? with some of West\'s initial patients now surviving a decade ? that worry is fading. Now the question is who\'s a good candidate for a mismatched heart, says Dr. Steve Webber, cardiology chief at Children\'s Hospital of Pittsburgh.<p/>\n\"We know we can\'t do it in adults, but what\'s the cutoff?\" asks Webber. \"Nobody knows for sure.\"<p/>\nBabies begin producing antibodies to different blood types between 5 months and 2 1/2 years of age ? it varies widely from child to child, says West, now at the University of Alberta\'s Stollery Children\'s Hospital. Only a few of the 90 or so mismatched heart transplants performed worldwide have occurred past a child\'s first birthday, the oldest in a 30-month-old in Britain.<p/>\nStill, age is just a rough marker for antibody production, West stresses. Blood tests to check antibodies are the real key.<p/>\nHence the new U.S. policy, adopted last fall and to go into effect later this year. It expands use of mismatched hearts up to age 2, as long as antibody tests show the toddlers are candidates.<p/>\nFor now, many transplant centers are like Webber\'s, trying their first mismatched transplants in babies before working up to toddlers.<p/>\nLast March, Connor Geddes of Erie, Pa., became Pittsburgh\'s first of five such transplants. His heart\'s left side was too small to pump. Doctors said Connor wouldn\'t live long enough to await a heart that matched his Type A blood, but they had a heart from a Type B donor available.<p/>\n\"It still amazes me,\" says Carrie Geddes. \"When we talk to people, friends, and tell them, nobody really realizes that can happen.\"<p/>\nEleven months later, Connor shows no sign of rejection and happily totters after his older brothers. His tracheotomy tube ? from lungs were weakened by heart-pumping machines while he awaited the transplant ? is to be removed soon, and the scar on his chest is barely visible.<p/>\nUNOS\' Sweet calls the heart policy \"a first step in what we really think is a long process in improving wait-list mortality for all children.\"<p/>\nAt a first-of-its-kind meeting March, UNOS will take a hard look at hurdles to improving child organ donation, especially for babies and toddlers. One problem is that when grieving parents consent to a donation, organs aren\'t always recovered, perhaps because the local transplant center didn\'t immediately see a good recipient, Sweet says.<p/>\n\"It doesn\'t mean there is no patient suitable for that organ in the whole United States,\" he says. \"There are organs out there that if we find the right recipient, they could be transplanted. Even if it\'s one at a time, I\'m willing to work on that.\"<p/>\n___<p/>\nEDITOR\'S NOTE ? Lauran Neergaard covers health and medical issues for The Associated Press in Washington.<p/>\n</p>\n		');
INSERT INTO `dede_addonarticle` VALUES('1636','1','<p>AKRON, Ohio -- We tune up our cars, our furnaces, our lawn mowers. Maybe it\'s time we tuned up the safety conditions of our homes.</p><p>A winter weekend  is a great time to take stock of your surroundings and address shortcomings such as aging smoke alarms, inadequate stair rails and accessible poisons.</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/2007/02/02/AR2007020201423_Technorati.html\') ;\ntechnorati.article = new item(\'It\\\'s Smart to Bring Safety Home\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201423.html\',\'AKRON, Ohio -- We tune up our cars, our furnaces, our lawn mowers. Maybe it\\\'s time we tuned up the safety conditions of our homes.\',\'Mary Beth Breckenridge\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201423_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/2007/02/02/AR2007020201423.html%3Freferrer=digg&title=It\'s Smart to Bring Safety Home&bodytext=AKRON, Ohio -- We tune up our cars, our furnaces, our lawn mowers. Maybe it\'s time we tuned up the safety conditions of our homes.\" 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=It\'s Smart to Bring Safety Home&labels=&annotation=AKRON, Ohio -- We tune up our cars, our furnaces, our lawn mowers. Maybe it\'s time we tuned up the safety conditions of our homes.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201423.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/2007/02/02/AR2007020201423.html%3Freferrer=delicious&title=%22It\'s Smart to Bring Safety Home%22 By Mary Beth Breckenridge&notes=AKRON, Ohio -- We tune up our cars, our furnaces, our lawn mowers. Maybe it\'s time we tuned up the safety conditions of our homes.\" 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/2007/02/02/AR2007020201423.html%3Freferrer=yahoo&title=It\'s Smart to Bring Safety Home&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/2007/02/02/AR2007020201423.html%3Freferrer=reddit&title=It\'s Smart to Bring Safety Home\" 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/2007/02/02/AR2007020201423.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'It\\\'s Smart to Bring Safety Home\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>With help from Meri-K Appy, president of the nonprofit Home Safety Council, based in Washington, we put together a list of the most important safety checks and upgrades that could be accomplished in a weekend.</p><p></p><p>? Make a fire escape plan, and then practice it.</p><p>Your plan should include two paths of escape from every room.  Fix windows so they open easily, purchase window-escape ladders or install quick-release latches for security bars. Decide who will wake children for emergencies.</p><p></p><p></p><p>? Make sure your smoke alarms are working properly. Firefighters often recommend using an aerosol product commonly called canned smoke because it ensures the unit\'s sensor is working. (Pushing the alarm\'s \"test\" button shows only that the wiring is functioning properly.)</p><p>If your alarms are 10 years old, replace them with alarms that are interconnected, so all the alarms sound when one of them senses smoke. They\'re available in hard-wired types  as well as battery-operated versions that  can be installed by do-it-yourselfers.</p><p></p><p>? Home fires related to heating equipment peak in December, January and February, Appy said, so this is an opportune time to make sure your equipment is operating safely and properly. Make sure space heaters are at least three feet from anything flammable.</p><p></p><p>? If you have a fireplace, make an appointment to have the chimney  cleaned. An inspection could turn up cracks in the chimney lining that could allow a fire to spread inside your walls.</p><p></p><p>? Install grab bars in bathrooms. They reduce the risk of falls for everyone in the family, not just elderly people.</p><p>Some types are fairly simple to install, and \"they\'re not ugly anymore,\" Appy said.</p><p></p><p>? Improve your stairwells. Check the lighting at the tops and bottoms of stairs. Compact fluorescent bulbs use fewer watts than conventional bulbs to produce the same amount of light.</p><p>Move things off the stairs that shouldn\'t be there. Place a basket in a convenient place near the stairway, where you can put the things you want to take up or down with you.</p><p>If possible, install a second handrail on every stairway.  Having a rail on each side of the stairway ensures there\'s always something to grab.</p><p>If your household has little ones or frequent young visitors, install sturdy baby gates at the top and bottom of the stairs.</p><p></p><p>? Get rid of slippery area rugs, or anchor them with double-sided tape along all four edges.</p><p></p><p>? Guard against carbon monoxide poisoning by installing one or more CO detectors, particularly near sleeping areas. Commit to changing the batteries regularly and testing the detector monthly.</p><p></p><p>? Do a walk-through of your house and garage to look for poisons. Read the labels on cleaning products, automotive fluids and even cosmetics and hair-care products. While you\'re at it, lock away the matches and lighters.</p><p>\"Children have been known to be very tenacious about getting things they want,\" Appy said.</p><p></p><p>? Post the national poison control number, 800-222-1222, on every phone.</p><p></p><p>? Use a candy thermometer to check the temperature of the hottest water coming out of the tap. If it\'s higher than 120 degrees, lower the temperature setting on your water heater, or call a service person to do it. ?</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1637','1','<p>My sister\'s wedding is six months away. Like most brides, she wants to be in top shape when she says \"I do.\" But like any budget-strapped young professional, she doesn\'t want to pay to get there. No $100-a-month gym membership. No $50-an-hour personal training sessions. In the grand scheme of wedding expenditures, we decided, this part would be free.</p><p>That\'s how I became my sister\'s maid of honor-cum-personal trainer. It was my idea: I exercise regularly, so I figured I\'d take her with me on my daily jogs, get her lifting my 10-pound dumbbells and hold her feet while counting out sit-ups. Since she\'s already slim, it seemed easy enough -- and it would give me a chance to make up for the tantrums I\'d thrown while trying on bridesmaids\' dresses. (What can I say, navy just isn\'t my color.)</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<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; 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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/2007/02/02/AR2007020201426_Technorati.html\') ;\ntechnorati.article = new item(\'Pick It Up, Sister\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201426.html\',\'My sister\\\'s wedding is six months away. Like most brides, she wants to be in top shape when she says \"I do.\" But like any budget-strapped young professional, she doesn\\\'t want to pay to get there. No $100-a-month gym membership. No $50-an-hour personal training sessions. 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Like most brides, she wants to be in top shape when she says \'I do.\' But like any budget-strapped young professional, she doesn\'t want to pay to get there. No $100-a-month gym membership. No $50-an-hour personal training sessions. In the grand scheme of...\" 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=Pick It Up, Sister&labels=&annotation=My sister\'s wedding is six months away. Like most brides, she wants to be in top shape when she says \'I do.\' But like any budget-strapped young professional, she doesn\'t want to pay to get there. No $100-a-month gym membership. No $50-an-hour personal training sessions. In the grand scheme of...&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201426.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/2007/02/02/AR2007020201426.html%3Freferrer=delicious&title=%22Pick It Up, Sister%22 By Julie Feldmeier&notes=My sister\'s wedding is six months away. Like most brides, she wants to be in top shape when she says \'I do.\' But like any budget-strapped young professional, she doesn\'t want to pay to get there. No $100-a-month gym membership. No $50-an-hour personal training sessions. In the grand scheme of...\" 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/2007/02/02/AR2007020201426.html%3Freferrer=yahoo&title=Pick It Up, Sister&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/2007/02/02/AR2007020201426.html%3Freferrer=reddit&title=Pick It Up, Sister\" 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/2007/02/02/AR2007020201426.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Pick It Up, Sister\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>How naive.</p><p>Our first run was on a warm Saturday in early January -- perfect jogging weather. I wanted to crank out five miles, maybe more. My sister wanted to head home at the one-mile mark. I wanted to run a 7.5-minute-mile pace; she wanted to run in place, or so it seemed. I\'d assumed that since my sister had been a competitive runner in college, she\'d easily jump back into stride. College, she huffily reminded me, was eight years ago.</p><p>The first rule of personal training, says Linda Rudd, owner of STS Health &amp; Fitness in McLean, \"is to provide a safe and customized workout\" for the trainee. \"You can\'t just expect someone to go out and run four miles if they haven\'t run in a long time,\" she says. \"You have to work progressively.\"</p><p>Um, right. Oops. Experts say it\'s better to give a beginner a set of realistic goals, such as completing a two-mile run or a brisk 25-minute walk. Achieving those goals will help build confidence in the person\'s ability to exercise.</p><p>But must I compromise my own workout in order to help my sister? Not necessarily. J.P. Montalvan, director of FitnessWise in Bethesda, recommends hitching my exercise routine to my sister\'s. For example, I might run by myself for 30 minutes before picking her up for the last 20 minutes of my jog.</p><p>By that point, Montalvan says, \"you\'re a little ragged out, and she\'s fresh -- so now your abilities are reasonably commensurate.\"</p><p>I\'ll try this approach next time -- whenever that may be. So far, my sister has rebuffed most of my workout offers, usually in favor of happy hour or dinner with her fiance or a movie -- in short, almost anything other than exercising.</p><p>\"It\'s difficult to be active on a regular basis,\" says James Sallis, a professor of psychology at San Diego State University who studies exercise motivation. \"Between fitting in time and deciding what you\'re going to do, there are a lot of details that have to be decided on.\"</p><p>As such, we need a specific plan -- including scheduled workouts. \"If it\'s planned ahead and scheduled, you\'re much more likely to do it,\" Sallis says. \"If you just wait for the willpower, wait for the inspiration, you\'ll just be sitting there, waiting.\"</p><p>This makes sense, of course. Professional personal training appointments are almost always booked days in advance; clients make note in their calendar and plan for it. Why should informal personal training be any different? Pick the days and times to meet for exercise -- say, Tuesday, Thursday and Sunday at 6 p.m. -- and stick to it.</p><p>And yet, formalized personal training has one big component that informal training lacks: a financial incentive.</p><p>\"When someone makes an outlay for personal training, they\'re financially committing to improving their health, to making some progress,\" Montalvan says.</p><p>Montalvan recommends setting up an alternate incentive system. For example, rewarding completion of a workout with a fun snack (think smoothie, not milkshake) or movie tickets. But I\'m keen on the financial component.</p><p>So, sister, suppose we put $5 in the pot each time we schedule a workout -- at the end, we\'ll find something fun to spend it on. Like, say, snazzy accessories to go with my bridesmaid\'s dress? Just a thought. ?</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1638','1','<p>What parent doesn\'t want to raise a confident child?</p><p>But how best to do that, without creating the monster familiar to many Americans: the kid with  inflated self-esteem endlessly praised since kindergarten who is convinced everything he or she does is \"special\"?</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/2007/02/02/AR2007020201429_Technorati.html\') ;\ntechnorati.article = new item(\'More Than Fair\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201429.html\',\'What parent doesn\\\'t want to raise a confident child?\',\'Sandra G. Boodman\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201429_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/2007/02/02/AR2007020201429.html%3Freferrer=digg&title=More Than Fair&bodytext=What parent doesn\'t want to raise a confident child?\" 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=More Than Fair&labels=&annotation=What parent doesn\'t want to raise a confident child?&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201429.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/2007/02/02/AR2007020201429.html%3Freferrer=delicious&title=%22More Than Fair%22 By Sandra G. Boodman&notes=What parent doesn\'t want to raise a confident child?\" 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/2007/02/02/AR2007020201429.html%3Freferrer=yahoo&title=More Than Fair&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/2007/02/02/AR2007020201429.html%3Freferrer=reddit&title=More Than Fair\" 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/2007/02/02/AR2007020201429.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'More Than Fair\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>In \"The Confident Child: Raising Children to Believe in Themselves,\" British social psychologist Terri Apter offers her prescriptions in the form of clear, down-to-earth advice for parents seeking to instill confidence in their children. The book, a paperback edition of a volume published in 1997, seems especially relevant today as an antidote to programs that encourage a \"barrage of self-praise\" and, in Apter\'s view, do little to help children cope with life\'s inevitable setbacks.</p><p>The author of six other books, two of which explored the terrain of fraught relationships between mothers and teenage daughters, Apter focuses on the years between ages 5 and 15 -- the decade when children\'s self-concepts take shape and become more or less permanent.</p><p>Apter, who teaches at the University of Cambridge, draws on her  professional experience, as well as research about child development and resiliency.</p><p>Her work  is also informed by personal experience. \"I could not have written this book . . . if I did not know what it was like to be impatient with a child who needs my support,\" she writes in a chapter titled \"How to Be an Imperfect Parent Without Ruining Your Child\'s Life.\" Her responses to her own children, she observes, can \"swing with ease from anger to guilt, from irritation to regret.\"</p><p>Apter discusses scenarios that will resonate with many parents: what it means when an 8-year-old becomes enraged because she can\'t draw a \"perfect\" picture; how to respond to a 13-year-old who wants to go away with a friend, blowing off competitive swimming for which he has been training; and what to say -- or not say -- when a child fails a test.</p><p>She is dead-on when discussing the often-overlooked role of sibling rivalry and its influence on the development of self-confidence. Children, she reminds parents, do not want their \"fair\" share of attention, love or resources. They want it all.</p><p>But good parenting doesn\'t mean making sure each child gets equal amounts of the same things, because some children require more attention than others.</p><p>Parents should always refrain from comparing children, Apter writes. Her list of the potential advantages and disadvantages of birth order is insightful, as are her practical strategies for dealing with oldest, middle and youngest children, as well as twins.</p><p>Parents, she sagely advises, \"can never say too often, \'You are each my favorite.\' \"  ?</p><p><i>Comments:<a href=\'http://boodmans@www.washpost.com\'>http:/<wbr/>/<wbr/>boodmans@washpost.com</a>.</i></p><p><i></i></p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1639','1','<p>Pick up a processed food item these days -- from bread and cereal to salad dressings, soft drinks and soups -- and you\'re likely to find a common ingredient: high-fructose corn syrup.</p><p>Call it the stealth sugar, because although foodmakers must list it as an ingredient, they are not required to say how much of it a product contains.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\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/2007/02/02/AR2007020201492_Technorati.html\') ;\ntechnorati.article = new item(\'Stealth Calories\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201492.html\',\'Pick up a processed food item these days -- from bread and cereal to salad dressings, soft drinks and soups -- and you\\\'re likely to find a common ingredient: high-fructose corn syrup.\',\'Sally Squires\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201492_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/2007/02/02/AR2007020201492.html%3Freferrer=digg&title=Stealth Calories&bodytext=Pick up a processed food item these days -- from bread and cereal to salad dressings, soft drinks and soups -- and you\'re likely to find a common ingredient: high-fructose corn syrup.\" 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=Stealth Calories&labels=&annotation=Pick up a processed food item these days -- from bread and cereal to salad dressings, soft drinks and soups -- and you\'re likely to find a common ingredient: high-fructose corn syrup.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201492.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/2007/02/02/AR2007020201492.html%3Freferrer=delicious&title=%22Stealth Calories%22 By Sally Squires&notes=Pick up a processed food item these days -- from bread and cereal to salad dressings, soft drinks and soups -- and you\'re likely to find a common ingredient: high-fructose corn syrup.\" 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/2007/02/02/AR2007020201492.html%3Freferrer=yahoo&title=Stealth Calories&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/2007/02/02/AR2007020201492.html%3Freferrer=reddit&title=Stealth Calories\" 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/2007/02/02/AR2007020201492.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Stealth Calories\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>\"Why is high-fructose corn syrup showing up in my food?\" Lean Plate Club members often ask me. Some are so put off by the presence of this sweetener that they search for commercial products without it or make their own alternatives.</p><p>\"I have been using the Wish-Bone spray-on\" salad dressing, a Lean Plate Club member wrote during a recent Web chat. This person appreciated the convenience of the spray but didn\'t want the added sugar it contains. \"Is there a recipe somewhere for homemade salad dressing that you can put in a spray-on bottle?\" this LPCer asked.</p><p>High-fructose corn syrup is the floozy of the sugar world: It\'s sweeter and cheaper than table sugar but is viewed with distrust by some consumers. As a liquid, it\'s easy for food and beverage makers to use, especially for sweetening drinks. No wonder it has edged out the former leading sweetener: sucrose, or ordinary table sugar.</p><p>Since the introduction of high-fructose corn syrup in 1966, U.S. consumption has reached about 60 pounds per person per year. That rise has closely paralleled the obesity epidemic -- a fact that has led some scientists to suggest that there might be a link between the two.</p><p>Some aren\'t so sure. Michael Jacobson, director of the Center for Science in the Public Interest and a vocal critic of non-diet soft drinks, doesn\'t see high-fructose corn syrup as a particular evil. As far as he is concerned, it makes no difference whether beverages or foods are sweetened with table sugar or high-fructose corn syrup: He says both ingredients contribute plenty of added sugar and calories.</p><p>Now, new findings may help settle the debate.</p><p>First, a little Sugar 101. Made from corn starch, high-fructose corn syrup is a thick liquid that contains two basic sugar building blocks -- fructose and glucose -- in roughly equal amounts. Sucrose, familiar to consumers as table sugar, is a larger molecule that breaks down into glucose and fructose in the intestine during metabolism.</p><p>In the body, both fructose and glucose start a cascade of biochemical reactions. Glucose increases production of insulin by the pancreas, which enables sugar in the blood to be transported into cells, where it can be used for energy. Also boosted: leptin, a hormone that helps regulate appetite and fat storage. Glucose halts production of ghrelin, the so-called appetite hormone. When ghrelin levels drop, hunger declines.</p><p>Fructose, on the other hand, doesn\'t stimulate either insulin or leptin production and doesn\'t suppress ghrelin. It may also promote fat synthesis. That\'s why some scientists, including Peter Havel of the University of California at Davis, suggest that eating too much fructose could contribute to weight gain. But others note that studies have examined only pure fructose -- not the combination of sugars found in high-fructose corn syrup.</p><p>A new report pits the two sugars head to head in a group of 30 healthy, lean women. University of Rhode Island researchers twice admitted the women to a clinical metabolic unit, where all their food and beverages could be carefully controlled for 48 hours at a time. Thirty percent of daily calories were provided by beverages sweetened with either table sugar or high-fructose corn syrup. During the study, neither the investigators, whose research was sponsored by PepsiCo, nor the participants knew what the beverages contained.</p><p>The results show no differences in blood sugar, appetite hormones or hunger, the team reports in this month\'s edition of the journal Nutrition. That suggests no difference between the effects of what sucrose or high-fructose corn syrup do in the body -- at least over the short term.</p><p>Could there be other differences that didn\'t show up? \"We don\'t know,\" says Kathleen Melanson, assistant professor of nutrition at the University of Rhode Island and lead author of the study. The next step is to study high-fructose corn syrup in men and in heavier women and to see if there are differences when the sweetener is used in foods rather than in beverages.</p><p>The equivocal results don\'t surprise Barry Popkin, professor of nutrition at the University of North Carolina at Chapel Hill and one of the scientists who have suggested a link between high-fructose corn syrup and the obesity epidemic. Popkin says he has heard that similar results are expected to be presented in April in Washington at the Experimental Biology meeting, a gathering of 15,000 scientists.</p><p>What does Popkin take from all of this? In terms of excess calories that fuel weight gain, all added sugar \"is bad for you,\" he says, noting that high-fructose corn syrup may not be worse than any other kind.</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1640','1','<p>If the mere mention of fingernails on a blackboard makes you flinch, you may want to skip this story. We\'ll be merely mentioning that a lot.</p><p>Last week when President Bush explained his use of the term \"Democrat Party\" -- without the Democrat-preferred \"-ic\" -- in his State of the Union message, he said he hadn\'t intended to rile anyone up. \"I didn\'t mean to be putting fingernails on the board,\" he told National Public Radio.</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/2007/02/02/AR2007020201428_Technorati.html\') ;\ntechnorati.article = new item(\'Sounds That Grate\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201428.html\',\'If the mere mention of fingernails on a blackboard makes you flinch, you may want to skip this story. We\\\'ll be merely mentioning that a lot.\',\'Jennifer Huget\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201428_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/2007/02/02/AR2007020201428.html%3Freferrer=digg&title=Sounds That Grate&bodytext=If the mere mention of fingernails on a blackboard makes you flinch, you may want to skip this story. We\'ll be merely mentioning that a lot.\" 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=Sounds That Grate&labels=&annotation=If the mere mention of fingernails on a blackboard makes you flinch, you may want to skip this story. We\'ll be merely mentioning that a lot.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201428.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/2007/02/02/AR2007020201428.html%3Freferrer=delicious&title=%22Sounds That Grate%22 By Jennifer Huget&notes=If the mere mention of fingernails on a blackboard makes you flinch, you may want to skip this story. We\'ll be merely mentioning that a lot.\" 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/2007/02/02/AR2007020201428.html%3Freferrer=yahoo&title=Sounds That Grate&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/2007/02/02/AR2007020201428.html%3Freferrer=reddit&title=Sounds That Grate\" 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/2007/02/02/AR2007020201428.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Sounds That Grate\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>In making his remarks, the president may not have recognized that he was dabbling in the field of psychoacoustics, the study of human response to audible stimuli. Pyschoacoustics has contributed to our understanding of music and is used in crafting optimal workplace conditions and all manner of other helpful endeavors. Yet it has shed precious little light on one of mankind\'s most enduring questions: Why do fingernails on the blackboard make so many of us cringe?</p><p>Turns out few have even tried to find out.</p><p>As it happens, the president\'s comment closely followed the Jan. 24 release of a British survey tallying results of a worldwide poll ranking the most awful of awful sounds. Trevor Cox, an acoustics professor at the University of Salford, established a &quot;BadVibes&quot; Web site ( <a href=\"http://www.sound101.org\" target=\"\">http:/<wbr/>/<wbr/>www.sound101.org</a>) that invited people to rate the horribleness of 34 sounds, ranging from the squeak of Styrofoam (polystyrene, in the study) to the squeals of many babies. More than a million votes were cast and, in an upset, fingernails-on-the-blackboard came in a pathetic 16th place, inducing far less rancor than the top winner (loser?): the sound of someone vomiting.</p><p>Cox surmises that we recoil from revolting-bodily-function sounds because we\'re hard-wired to retreat from situations -- the spread of pathogens, for instance -- that might make us sick. In the case of vomit, hearing the dulcet tones of another\'s retching might lead us to follow suit to rid our bodies of the same thing that made the other person sick.</p><p>As for fingernails, Cox advances several theories. Scraping noises might bother us because we imagine how lousy it feels to perform the scrape-inducing activity -- our own fingernails on the blackboard, our own Styrofoam rubbing against the cardboard box. \"There\'s something fundamental about the sound,\" he says, \"and I don\'t think it\'s just about teachers torturing kids.\" He guesses that there\'s something inherent in the fingernail-on-board scrape that gets under our skin and that \"fingernails on a blackboard is just a common way to deliver that sound.\"</p><p>The primary study on the matter, &quot;Psychoacoustics of a Chilling Sound,&quot; appeared in 1986 in the journal Perception &amp;amp; Psychophysics. One of the authors, Randolph Blake, now a professor of psychology at Vanderbilt University, says the study happened almost by accident: The scientists set out to conduct a study of negative <i>visual</i> stimuli but found sound easier to work with than images.</p><p>One of the study\'s findings: Contrary to what you might expect, it\'s not the higher-frequency components of the composite fingernails/blackboard sound that irk us. Eliminating those high-pitched tones and isolating the sound\'s midrange components created the most squirm-inducing sound among the dozen or two students and faculty members who were put to the test.</p><p>The authors speculate that our response derives from behavior observed in other primates. The warning screams of macaques  are acoustically similar to nails on a blackboard, they note, suggesting that our reaction is perhaps a vestige of our natural response to such a signal. A 2004 study in the journal Cognition cast doubt on this notion, finding that tamarins  reacted less strongly to a scraping noise than did humans in the study. These were a different species of primates, though, so the jury\'s still out.</p><p>The most serious recent effort to explore skeevy sounds has come from David Zald, an assistant professor of psychology at Vanderbilt. In Zald\'s research, published in 2002 in the journal Neuroimage, PET scans of the brain documented increased activity in the amygdala, the deep-set portion of the brain that regulates autonomic, or bodily, responses to stimuli, among participants listening to \"aversive\" sounds -- including you-know-what on the you-know-what.</p><p>For his part, Cox has moved to happier pastures: He\'s now gathering responses to pleasant sounds and expects to release findings late this year. Both Blake and Zald would like to see someone study the fingernails phenomenon further. But such an undertaking would face several daunting obstacles.</p><p>\"It\'s an interesting scientific question,\" Zald says. \"But I think part of the reason it hasn\'t been taken up is that I\'m not quite clear how someone would pitch it in terms of funding.\" Plus, Zald adds, it might be hard to find participants willing to subject themselves to the odious sounds.</p><p>Cox notes another potential obstacle: In this era of whiteboards and Smart Boards, you\'d be hard-pressed, he says, \"to find a blackboard in a university these days.\" ?</p><p><i>Jennifer Huget is a frequent contributor to the Health section. 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('1641','1','<p>WASHINGTON -- Dieters got a new tool Wednesday to help them take off the extra pounds _ the first government-approved nonprescription diet pill. The Food and Drug Administration said the fat-blocking weight-loss pill orlistat, which has been available by prescription, can be sold in a reduced-strength version over the counter.</p><p>The new version will be sold as \"alli\" by GlaxoSmithKline PLC. Xenical, the prescription version, is made by Roche Holding AG.</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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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://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/2007/02/07/AR2007020701585_Technorati.html\') ;\ntechnorati.article = new item(\'FDA Approves Non-Prescription Diet Pill\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/07/AR2007020701585.html\',\'WASHINGTON -- Dieters got a new tool Wednesday to help them take off the extra pounds _ the first government-approved nonprescription diet pill. The Food and Drug Administration said the fat-blocking weight-loss pill orlistat, which has been available by prescription, can be sold in a...\',\'RANDOLPH E. SCHMID\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/07/AR2007020701585_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/2007/02/07/AR2007020701585.html%3Freferrer=digg&title=FDA Approves Non-Prescription Diet Pill&bodytext=WASHINGTON -- Dieters got a new tool Wednesday to help them take off the extra pounds _ the first government-approved nonprescription diet pill. The Food and Drug Administration said the fat-blocking weight-loss pill orlistat, which has been available by prescription, can be sold in a...\" 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 Approves Non-Prescription Diet Pill&labels=&annotation=WASHINGTON -- Dieters got a new tool Wednesday to help them take off the extra pounds _ the first government-approved nonprescription diet pill. The Food and Drug Administration said the fat-blocking weight-loss pill orlistat, which has been available by prescription, can be sold in a...&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/07/AR2007020701585.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/2007/02/07/AR2007020701585.html%3Freferrer=delicious&title=%22FDA Approves Non-Prescription Diet Pill%22 By RANDOLPH E. SCHMID&notes=WASHINGTON -- Dieters got a new tool Wednesday to help them take off the extra pounds _ the first government-approved nonprescription diet pill. The Food and Drug Administration said the fat-blocking weight-loss pill orlistat, which has been available by prescription, can be sold in a...\" 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/2007/02/07/AR2007020701585.html%3Freferrer=yahoo&title=FDA Approves Non-Prescription Diet Pill&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/2007/02/07/AR2007020701585.html%3Freferrer=reddit&title=FDA Approves Non-Prescription Diet Pill\" 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/2007/02/07/AR2007020701585.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'FDA Approves Non-Prescription Diet Pill\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>The drug is intended for people 18 and older to use along with a reduced-calorie, low-fat diet and exercise.</p><p>Dr. Charles Ganley, FDA\'s director of nonprescription products, stressed that the drug is intended for use along with diet and exercise programs.</p><p>\"Using this drug alone is unlikely to be beneficial,\" Ganley said at a telebriefing.</p><p>While some dietary supplements make weight-loss claims, Ganley said this is the first nonprescription drug approved by the agency for that purpose.</p><p>Ganley said in trials, for every five pounds people lost through diet and exercise, those using orlistat lost an additional two to three pounds.</p><p>When taken with meals, orlistat blocks the absorption of about one-quarter of any fat consumed. That fat _ about 150 to 200 calories worth _ is passed out of the body in stools, which can be loose as a result. About half of patients in trials experienced gastrointestinal side effects.</p><p>The agency recommended users take a multivitamin when using this drug.</p><p>The new drug would contain half the dose of Xenical prescription capsules. The price has not been set but is expected to run $1 to $2 a day, company officials said. The company estimated 5 million to 6 million Americans a year would buy the drug over the counter.</p><p>The Food and Drug Administration said the most common side effect of the product is a change in bowel habits including loose stool and some oily spotting. Eating a low-fat diet will reduce the likelihood of this side effect.</p><p>FDA said people who have had organ transplants should not take OTC orlistat because of possible drug interactions. In addition, anyone taking blood-thinning medicines or being treated for diabetes or thyroid disease should consult a physician before using orlistat, the agency said.</p><p>GSK Consumer Healthcare, which will market the pill, said it chose the name alli to indicate a partnership with consumers in their weight-loss efforts.</p><p>\"We know that being overweight has many adverse consequences, including an increase in the risk of heart disease and type 2 diabetes,\" said Dr. Douglas Throckmorton, deputy director for the FDA\'s Center for Drug Evaluation and Research.</p><p>\"OTC orlistat, along with diet and exercise, may aid overweight adults who seek to lose excess weight to improve their health,\" he said.</p><p>But Dr. Sidney M. Wolfe, director of Public Citizen\'s Health Research Group, called the approval \"the height of recklessness.\" Wolfe said studies have associated the prescription version of the drug with precancerous lesions of the colon. He has also called for withdrawal of the prescription version.</p><p>___</p><p>On the Net:</p><p>FDA: <a href=\"http://www.fda.gov\" target=\"\">http:/<wbr/>/<wbr/>www.fda.gov</a></p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1642','1','<p></p><p>The muscles surrounding my pregnant belly were tightening with ominous regularity as I waited for my asthma doctor to check my wheezy lungs. I have a small frame, and it looked like I had stuffed a dinosaur egg under my shirt. Now, at 25 weeks, it looked ready to hatch.</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/2007/02/02/PH2007020201500.jpg\"/--><div style=\"float:left;position:relative;top:14px;\"><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-dyn/content/photo/2007/02/02/PH2007020201502.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_7567490\">Buy This Photo</a></span></div>\n</div><br clear=\"all\"/><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-dyn/content/photo/2007/02/02/PH2007020201502.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/02/02/PH2007020201500.jpg\" border=\"0\"  alt=\"\"  height=\"190\" width=\"124\" align=\"top\"></a><div id=\"caption\"><span id=\"credit\"> (Nikki Kahn - The Washington Post) </span></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<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/2007/02/02/AR2007020201499_Technorati.html\') ;\ntechnorati.article = new item(\'Early Arrivals: A Growing Problem\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201499.html\',\' The muscles surrounding my pregnant belly were tightening with ominous regularity as I waited for my asthma doctor to check my wheezy lungs. I have a small frame, and it looked like I had stuffed a dinosaur egg under my shirt. Now, at 25 weeks, it looked ready to hatch. I crossed my legs. Yeah, like that would help. ...\',\'Jacqueline M. Duda\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201499_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/2007/02/02/AR2007020201499.html%3Freferrer=digg&title=Early Arrivals: A Growing Problem&bodytext= The muscles surrounding my pregnant belly were tightening with ominous regularity as I waited for my asthma doctor to check my wheezy lungs. I have a small frame, and it looked like I had stuffed a dinosaur egg under my shirt. Now, at 25 weeks, it looked ready to hatch. I crossed my legs. Yeah, like that would help. ...\" 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=Early Arrivals: A Growing Problem&labels=&annotation= The muscles surrounding my pregnant belly were tightening with ominous regularity as I waited for my asthma doctor to check my wheezy lungs. I have a small frame, and it looked like I had stuffed a dinosaur egg under my shirt. Now, at 25 weeks, it looked ready to hatch. I crossed my legs. Yeah, like that would help. ...&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201499.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/2007/02/02/AR2007020201499.html%3Freferrer=delicious&title=%22Early Arrivals: A Growing Problem: Doctors Try to Stem Rising  Preterm Birthrate as Its Danger Becomes Clearer%22 By Jacqueline M. Duda&notes= The muscles surrounding my pregnant belly were tightening with ominous regularity as I waited for my asthma doctor to check my wheezy lungs. I have a small frame, and it looked like I had stuffed a dinosaur egg under my shirt. Now, at 25 weeks, it looked ready to hatch. I crossed my legs. Yeah, like that would help. ...\" 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/2007/02/02/AR2007020201499.html%3Freferrer=yahoo&title=Early Arrivals: A Growing Problem&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/2007/02/02/AR2007020201499.html%3Freferrer=reddit&title=Early Arrivals: A Growing Problem\" 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/2007/02/02/AR2007020201499.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Early Arrivals: A Growing Problem\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>I crossed my legs. Yeah, like that would help.</p><p>\"Are you having contractions?\" the nurse asked.</p><p>\"I don\'t think so,\" I said with a bit of hesitation. But I had been there, done this, once before. When pregnant with our third child, I started contracting at 20 weeks. I left my teaching job to endure a marathon 17 weeks of bed rest. Elise made it to 37 weeks -- considered full term -- and arrived healthy. An optimal outcome despite a troubled pregnancy.</p><p>The nurse put her hand on my stomach and looked at her watch. She glanced at my doctor.</p><p>\"I think she\'s in labor.\" I fought off panic. This baby -- a girl -- wasn\'t ready. My doctor ordered me promptly to the hospital, intent on buying her more time.</p><p>Preterm birth -- birth anytime before 37 weeks of gestation -- is the nation\'s leading cause of infant death, responsible for more than one-third of infant deaths before age 1, according to the Centers for Disease Control and Prevention. That finding, published in October, depicts preterm birth as more dangerous than previously thought. And with the rate of preterm births rising (they accounted for 12.5 percent of all births in 2004, compared with 9.4 percent in 1981), the news is spotlighting efforts to identify women at risk and to intervene in time to make a difference. Specialists are studying the use of drugs (such as progesterone and antibiotics), bed rest, medical monitoring -- or a combination of these -- as a situation demands.</p><p>\"The problem of preterm birth is multi-factorial,\" says Siva Subramanian, chief of neonatology at Georgetown University Hospital. To have a significant impact, he added, research must address social and cultural as well as medical factors that might affect a woman\'s risk of premature delivery.</p><p>There is good reason for these efforts. Even when preemies survive at birth, they often need intensive care for respiratory distress, infection, brain hemorrhage or myriad other life-threatening conditions; many suffer multiple problems, says Subramanian.</p><p>A report last year from the Institute of Medicine estimated the annual cost of preterm births in the United States at more than $26 billion, or $51,600 per infant. Preemies often face lifelong health problems such as cerebral palsy, as well as behavior and learning problems that take an emotional toll on those caring for them.</p><p>At Georgetown\'s 44-bed neonatal intensive care unit, preemies, some of them small enough to fit in the palm of a hand, lie in see-through incubators draped by blankets to block the light and mimic a womb environment. Tubes and wires wind their way in and out of tiny bodies covered with translucent, paper-thin skin. Respirators and vital signs monitors beep and hum in the background.</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/2007/02/02/AR2007020201499_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201499_2.html\">2</a></noscript></font> &nbsp;&nbsp; <font face=\"arial,sans-serif\" size=\"3\"><script>document.write(\'<a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201499_3.html\'+unescape(location.search)+\'\">3</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201499_3.html\">3</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/2007/02/02/AR2007020201499_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/02/AR2007020201499_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1643','1','<p>Women with early-stage breast cancer may soon get another gene test to help predict whether they are likely to have a recurrence in five to 10 years, information that could influence how aggressively the initial tumor is treated.</p><p>The MammaPrint test is not the first such predictor for breast cancer -- a competitor has been sold in the United States since 2004 -- but yesterday it became the first to win formal approval from the Food and Drug Administration.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\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/2007/02/06/AR2007020600703_Technorati.html\') ;\ntechnorati.article = new item(\'Test to Predict Breast Cancer\\\'s Return Is Approved\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/06/AR2007020600703.html\',\'Women with early-stage breast cancer may soon get another gene test to help predict whether they are likely to have a recurrence in five to 10 years, information that could influence how aggressively the initial tumor is treated.\',\'\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/06/AR2007020600703_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/2007/02/06/AR2007020600703.html%3Freferrer=digg&title=Test to Predict Breast Cancer\'s Return Is Approved&bodytext=Women with early-stage breast cancer may soon get another gene test to help predict whether they are likely to have a recurrence in five to 10 years, information that could influence how aggressively the initial tumor is treated.\" 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=Test to Predict Breast Cancer\'s Return Is Approved&labels=&annotation=Women with early-stage breast cancer may soon get another gene test to help predict whether they are likely to have a recurrence in five to 10 years, information that could influence how aggressively the initial tumor is treated.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/06/AR2007020600703.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/2007/02/06/AR2007020600703.html%3Freferrer=delicious&title=%22Test to Predict Breast Cancer\'s Return Is Approved%22&notes=Women with early-stage breast cancer may soon get another gene test to help predict whether they are likely to have a recurrence in five to 10 years, information that could influence how aggressively the initial tumor is treated.\" 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/2007/02/06/AR2007020600703.html%3Freferrer=yahoo&title=Test to Predict Breast Cancer\'s Return Is Approved&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/2007/02/06/AR2007020600703.html%3Freferrer=reddit&title=Test to Predict Breast Cancer\'s Return Is Approved\" 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/2007/02/06/AR2007020600703.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Test to Predict Breast Cancer\\\'s Return Is Approved\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>The test is far from perfect, warned the FDA\'s Steven Gutman. It is much better at predicting who is not likely to relapse than who is. Gutman cited studies suggesting that when MammaPrint predicts a woman is at high risk of cancer returning in five years, it will be right just a quarter of the time. That compares with 95 percent accuracy if the test indicates she is at low risk of a relapse.</p><p>MammaPrint measures the activity of 70 genes using a tissue sample from the tumor. The agency now is debating whether existing gene-predictor tests need similar oversight, Gutman said.</p><p>MammaPrint is already sold in Europe, but it is unclear how soon sales here might begin. A spokesman for the Dutch manufacturer, Amsterdam-based Agendia, said he did not know and that a U.S. price had not been set.</p><p>\"We are exploring ways to make this product available in the U.S.,\" a company statement said.</p><p>More than 178,000 U.S. women will be diagnosed with breast cancer this year. More than 100,000 of them will have early-stage tumors with a remarkably good prognosis: They are small, they have not yet spread to the lymph nodes, and they are sensitive to hormones.</p><p>The vast majority of those women will survive with surgery, radiation and hormone treatment. Yet guidelines today recommend chemotherapy as well for most in order to catch the few -- two or three out of every 100 patients -- who need more aggressive therapy to try to prevent a recurrence years later.</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1644','1','<p>Approximately one in every 150 children in the United States has autism or a closely related disorder -- a figure higher than most recent estimates -- according to a federal survey released yesterday, the most thorough ever conducted.</p><p>The new data, from 14 states, do not mean that autism is on the rise, because the criteria and definitions used were not the same as those used in the past.</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/2007/02/08/AR2007020801883_Technorati.html\') ;\ntechnorati.article = new item(\'1 in 150 Children in U.S. Has Autism, New Survey Finds\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/08/AR2007020801883.html\',\'Approximately one in every 150 children in the United States has autism or a closely related disorder -- a figure higher than most recent estimates -- according to a federal survey released yesterday, the most thorough ever conducted.\',\'Rick Weiss\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/08/AR2007020801883_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/2007/02/08/AR2007020801883.html%3Freferrer=digg&title=1 in 150 Children in U.S. Has Autism, New Survey Finds&bodytext=Approximately one in every 150 children in the United States has autism or a closely related disorder -- a figure higher than most recent estimates -- according to a federal survey released yesterday, the most thorough ever conducted.\" 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=1 in 150 Children in U.S. Has Autism, New Survey Finds&labels=&annotation=Approximately one in every 150 children in the United States has autism or a closely related disorder -- a figure higher than most recent estimates -- according to a federal survey released yesterday, the most thorough ever conducted.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/08/AR2007020801883.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/2007/02/08/AR2007020801883.html%3Freferrer=delicious&title=%221 in 150 Children in U.S. Has Autism, New Survey Finds%22 By Rick Weiss&notes=Approximately one in every 150 children in the United States has autism or a closely related disorder -- a figure higher than most recent estimates -- according to a federal survey released yesterday, the most thorough ever conducted.\" 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/2007/02/08/AR2007020801883.html%3Freferrer=yahoo&title=1 in 150 Children in U.S. Has Autism, New Survey Finds&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/2007/02/08/AR2007020801883.html%3Freferrer=reddit&title=1 in 150 Children in U.S. Has Autism, New Survey Finds\" 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/2007/02/08/AR2007020801883.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'1 in 150 Children in U.S. Has Autism, New Survey Finds\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>But the sheer number of children apparently affected -- 560,000 nationwide if the new statistics are extrapolated to all 50 states -- makes autism an \"urgent public health issue\" and a \"major public health concern,\" said Marshalyn Yeargin-Allsopp, chief of the developmental disabilities branch of the Centers for Disease Control and Prevention, which conducted the survey.</p><p>The prevalence of autism, a poorly understood behavioral syndrome that interferes with a child\'s ability to relate to or interact with others, varies mysteriously from state to state in the survey, with New Jersey standing out as a hot spot and Alabama and West Virginia having low rates. West Virginia, however, appeared to tally a significant increase from 2000 to 2002, the two years for which data have been compiled so far. Most of the other states showed no change in that period.</p><p>The survey, which is to be updated regularly, offers no clues about what causes autism or the range of related disorders that together cost the nation tens of billions of dollars a year and take an immeasurable emotional toll on families.</p><p>In particular, it sheds no light on the controversial claim that trace amounts of mercury in childhood vaccines are behind the growing number of diagnoses in recent decades. The survey data may help settle that question in future years, because most vaccines have recently eliminated the ingredient.</p><p>The survey does provide an unequaled, standardized baseline measure of the prevalence and distribution of autistic behaviors around the country, CDC officials said. In the short term, that can help state and federal officials budget their special education and mental health services needs. Over the longer term, it may tell at last whether autism is becoming more common and, if so, why.</p><p>\"We need to do our best to get a better understanding of how many children are affected,\" said Catherine Rice, a CDC behavioral scientist and a senior author of the new report, published in today\'s issue of the agency\'s Morbidity and Mortality Weekly Report.</p><p>The results are the first to come out of the CDC\'s Autism and Developmental Disabilities Monitoring Network, launched in 2000. That program aims to get the most accurate statistics possible on the prevalence of autistic behaviors by collecting information on thousands of children from schools, medical clinics and social service providers.</p><p>Past estimates have varied because there is no simple test to provide a definitive diagnosis and because the behavioral measures used to define the syndrome have changed over time.</p><p>Today, the definition encompasses a wide range of children, some \"fully disabled\" and others who \"have something that is much more mild and can attend school but may have some social disability,\" said Thomas R. Insel, director of the National Institute of Mental Health.</p><p>Insel said he was \"not surprised\" by the new numbers, given recent estimates that ranged from one in 150 children to about one in 170.</p><p>He emphasized that the new numbers may not reflect the true incidence of the syndrome because they are derived not from clinical exams but from descriptive reports provided by teachers and others, which were reviewed by experts for key words that suggested a diagnosis of autism, Asperger syndrome or any of several related disorders.</p><p>The CDC is comparing selected survey cases with data collected from medical exams to test the accuracy and validity of the survey\'s impressions.</p><p>By applying a standardized methodology across the nation year after year, Insel said, the CDC survey promises to tell a lot about autistic behaviors in the United States.</p><p>The survey looks at records of 8-year-olds, the age by which the vast majority of autistic children are diagnosed. Alison Singer, senior vice president of New York-based Autism Speaks, an advocacy group that funds about $30 million in research, said the survey pulls back the veil on the huge toll autism is taking in America.</p><p>\"We need to remember that behind every one of these one in 150 is a family,\" said Singer, the mother of a 9-year-old autistic girl. She said Congress should take heed and fund the Combating Autism Act it passed in December, which authorized $945 million in research and other funds over five years.</p><p>\"That money has to get into the hands of the researchers,\" Singer said, \"so we can find a cause and understand what is fueling this high prevalence.\"</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1645','1','<p>House leaders unveiled an ambitious plan yesterday to extend health coverage to at least 250,000 of Maryland\'s uninsured, but it quickly touched off a fight over whether the state can afford so much new spending with a budget shortfall looming.</p><p>The plan relies on $212 million a year from a $1-a-pack increase in the cigarette tax -- new revenue some lawmakers say would be better used to help erase a projected deficit next year of $1.3 billion.</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/2007/02/07/PH2007020702205.jpg\"/--><div style=\"float:left;position:relative;top:14px;\"><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/metro/2007-02-08/index.html?imgId=PH2007020702207&imgUrl=/photo/2007/02/07/PH2007020702207.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_7555968\">Buy This Photo</a></span></div>\n</div><br clear=\"all\"/><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/metro/2007-02-08/index.html?imgId=PH2007020702207&imgUrl=/photo/2007/02/07/PH2007020702207.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/02/07/PH2007020702205.jpg\" border=\"0\"  alt=\"House Speaker Michael E. Busch, left, and Senate President Thomas V. Mike Milller Jr. differ on how to use  funds from a possible cigarette tax increase.\"  height=\"190\" width=\"224\" align=\"top\"></a><div id=\"caption\">House Speaker Michael E. Busch, left, and Senate President Thomas V. Mike Milller Jr. differ on how to use  funds from a possible cigarette tax increase.<span id=\"credit\"> (By James M. Thresher  --  The Washington Post) </span></div></div>\n<title></title><div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>Online Resources</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/metro/special/2/index.html\"><img src=\"http://media.washingtonpost.com/wp-srv/metro/graphics/mdPolitics_header.gif\" border=\"0\" alt=\"2006 Elections\"></a>\n<p style=\"padding-top: 7px; margin-top: 5px; border-top: 1px #ccc dashed;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/custom/2007/01/09/CU2007010901193.html\"><img src=\"http://www.washingtonpost.com/wp-srv/politics/interactives/campaign06/keyrace_14x15.gif\" border=\"0\"></a>\nWhat\'s Hot?<br><a style=\"padding-left: 20px; font-weight: bold;\" a href=\"http://www.washingtonpost.com/wp-dyn/content/custom/2007/01/09/CU2007010901193.html\">Key Issues for 2007</a>\n</p>\n<p style=\"padding-top: 7px; margin-top: 5px; border-top: 1px #ccc dashed;\">\n<a href=\"http://blog.washingtonpost.com/annapolis/\"><img src=\"http://media.washingtonpost.com/wp-srv/politics/interactives/campaign06/images/chat_25x18.gif\" border=\"0\"></a>\nLocal Politics Blog <br>\n<a style=\"padding-left: 20px; font-weight: bold;\" a href=\"http://blog.washingtonpost.com/annapolis/\">Maryland Moment</a>\n</p>\n<p style=\"padding-top: 7px; margin-top: 5px; border-top: 1px #ccc dashed;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/metro/special/2/index.html\"><img src=\"http://media.washingtonpost.com/wp-srv/politics/interactives/campaign06/images/mostViewed_14x15.gif\" border=\"0\"></a>\nLatest Headlines <br>\n<a style=\"padding-left: 20px; font-weight: bold;\" a href=\"http://www.washingtonpost.com/wp-dyn/content/metro/special/2/index.html\">Maryland Politics Coverage</a>\n</p>\n<p style=\"padding-top: 7px; margin-top: 5px; border-top: 1px #ccc dashed;\">\n<img src=\"http://www.washingtonpost.com/wp-srv/politics/interactives/campaign06/keyrace_14x15.gif\" border=\"0\">\nGeneral Assembly Members<br>\n<span style=\"padding-left: 20px; font-weight: bold;\"> <form name=\"myform\" style=\"display: inline;\" id=\"myform\"> <select name=\"dest\" onchange=\" window.location.href=this[selectedIndex].value;\" style=\" width:170px; font-family:arial;font-size:1.00em;\"> <option value=\"nope\" selected=\"selected\">Pick Your County</option> <option value=\" http://www.washingtonpost.com/wp-srv/metro/politics/maryland/aa_assembly.html\">Anne Arundel County</option> <option value=\" http://www.washingtonpost.com/wp-srv/metro/politics/maryland/ca_assembly.html\">Calvert County</option> <option value=\" http://www.washingtonpost.com/wp-srv/metro/politics/maryland/ch_assembly.html\">Charles County</option>    <option value=\" http://www.washingtonpost.com/wp-srv/metro/politics/maryland/fr_assembly.html\">Frederick County</option> <option value=\" http://www.washingtonpost.com/wp-srv/metro/politics/maryland/hx_assembly.html\">Howard County</option>  <option value=\" http://www.washingtonpost.com/wp-srv/metro/politics/maryland/mx_assembly.html\">Montgomery County</option> <option value=\" http://www.washingtonpost.com/wp-srv/metro/politics/maryland/pg_assembly.html\">Pr. 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House Leaders Offer Plan to Widen Health Coverage\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/07/AR2007020702131.html\',\'House leaders unveiled an ambitious plan yesterday to extend health coverage to at least 250,000 of Maryland\\\'s uninsured, but it quickly touched off a fight over whether the state can afford so much new spending with a budget shortfall looming.\',\'Lisa Rein\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/07/AR2007020702131_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/2007/02/07/AR2007020702131.html%3Freferrer=digg&title=Md. House Leaders Offer Plan to Widen Health Coverage&bodytext=House leaders unveiled an ambitious plan yesterday to extend health coverage to at least 250,000 of Maryland\'s uninsured, but it quickly touched off a fight over whether the state can afford so much new spending with a budget shortfall looming.\" 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=Md. House Leaders Offer Plan to Widen Health Coverage&labels=&annotation=House leaders unveiled an ambitious plan yesterday to extend health coverage to at least 250,000 of Maryland\'s uninsured, but it quickly touched off a fight over whether the state can afford so much new spending with a budget shortfall looming.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/07/AR2007020702131.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/2007/02/07/AR2007020702131.html%3Freferrer=delicious&title=%22Md. House Leaders Offer Plan to Widen Health Coverage%22 By Lisa Rein&notes=House leaders unveiled an ambitious plan yesterday to extend health coverage to at least 250,000 of Maryland\'s uninsured, but it quickly touched off a fight over whether the state can afford so much new spending with a budget shortfall looming.\" 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/2007/02/07/AR2007020702131.html%3Freferrer=yahoo&title=Md. House Leaders Offer Plan to Widen Health Coverage&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/2007/02/07/AR2007020702131.html%3Freferrer=reddit&title=Md. House Leaders Offer Plan to Widen Health Coverage\" 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/2007/02/07/AR2007020702131.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Md. House Leaders Offer Plan to Widen Health Coverage\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>The Children and Working Families Healthcare Act would use the tobacco money, with millions leveraged from the federal government, to enroll tens of thousands of poor adults in the Medicaid program and offer public and low-cost insurance to moderate-income children. The state also would give subsidies to small businesses that provide coverage for their employees. And about 80,000 workers who can afford insurance but choose not to buy it would be forced to -- or face penalties of up to $2,000 when they file their income tax returns.</p><p>\"We have a crisis in the state of Maryland, and it\'s incumbent on every elected official to find a solution to this,\" House Speaker Michael E. Busch (D-Anne Arundel) said of the $603 million program. He has pledged to provide health insurance to half of the 780,000 Marylanders without coverage during his four-year term. \"For a state as wealthy as Maryland to be in this position is wrong.\"</p><p>But opposition from key Senate leaders threatened to make the proposal one of the most contentious issues the legislature will consider in its 90-day session, which began last month. A skeptical Senate President Thomas V. Mike Miller Jr. (D-Calvert) said yesterday that lawmakers may need to raise the tobacco tax -- but not to provide access to health care.</p><p>\"It\'s not happening,\" Miller said. \"If we raise the cigarette tax, it will be part of a solution to balance the state budget. We have a hole that\'s getting deeper and deeper.\"</p><p>Under the House bill, Maryland would join Massachusetts, California and a handful of other states that are mapping a path toward universal coverage in the absence of federal action. Yet even as several states have raised the price of cigarettes to pay for health care -- and seven governors are pushing increases this year -- talk of a new tax in Maryland is proving to be the first battleground over how to balance next year\'s budget.</p><p>Gov. Martin O\'Malley (D) has put off decisions on where the money will come from until then. But the cigarette tax, raised in 2006 from 66 cents to $1 to pay for school improvements, is likely to be the only major tax the legislature takes up this year.</p><p>Miller renewed his call to legalize slot machine gambling, saying revenue from slots and spending cuts could also help balance the budget next year. \"If the House wants to posture\" on raising taxes for a new program, \"that\'s all it is,\" he said.</p><p>O\'Malley has embraced a more modest health-care plan that would expand Medicaid rolls and, like the bill sponsored by Del. Peter A. Hammen (D-Baltimore), require private insurance companies to allow young adults to remain on their parents\' plans until age 25. Small businesses would set up accounts for their workers to use tax-free dollars to buy coverage.</p><p>But it does not rely on the tobacco tax, and the governor has pledged not to raise taxes this year. Yesterday, he said his proposal -- which would cost the state a few million dollars -- is achievable during the legislative session.</p><p>\"There will be some people who feel we can go ahead a lot further a lot faster,\" O\'Malley said. \"We look forward to the debate.\"</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/2007/02/07/AR2007020702131_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/07/AR2007020702131_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/2007/02/07/AR2007020702131_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/07/AR2007020702131_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1646','1','<p>JOHANNESBURG (Reuters) - South Africa, burdened with one of\nthe world\'s major HIV/AIDS epidemics, unveiled plans on\nThursday for its biggest AIDS vaccine trial.</p><p>The government-backed South African AIDS Vaccine Initiative\n(SAAVI) said the Phambili trial would be conducted on 3,000 HIV\nnegative people aged between 18 and 35.</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? 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://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/2007/02/08/AR2007020801065_Technorati.html\') ;\ntechnorati.article = new item(\'S. Africa launches biggest AIDS vaccine trial\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/08/AR2007020801065.html\',\'JOHANNESBURG (Reuters) - South Africa, burdened with one of\nthe world\\\'s major HIV/AIDS epidemics, unveiled plans on\nThursday for its biggest AIDS vaccine trial.\',\'\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/08/AR2007020801065_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/2007/02/08/AR2007020801065.html%3Freferrer=digg&title=S. Africa launches biggest AIDS vaccine trial&bodytext=JOHANNESBURG (Reuters) - South Africa, burdened with one of\nthe world\'s major HIV/AIDS epidemics, unveiled plans on\nThursday for its biggest AIDS vaccine trial.\" 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=S. Africa launches biggest AIDS vaccine trial&labels=&annotation=JOHANNESBURG (Reuters) - South Africa, burdened with one of\nthe world\'s major HIV/AIDS epidemics, unveiled plans on\nThursday for its biggest AIDS vaccine trial.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/08/AR2007020801065.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/2007/02/08/AR2007020801065.html%3Freferrer=delicious&title=%22S. Africa launches biggest AIDS vaccine trial%22&notes=JOHANNESBURG (Reuters) - South Africa, burdened with one of\nthe world\'s major HIV/AIDS epidemics, unveiled plans on\nThursday for its biggest AIDS vaccine trial.\" 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/2007/02/08/AR2007020801065.html%3Freferrer=yahoo&title=S. Africa launches biggest AIDS vaccine trial&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/2007/02/08/AR2007020801065.html%3Freferrer=reddit&title=S. Africa launches biggest AIDS vaccine trial\" 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/2007/02/08/AR2007020801065.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'S. Africa launches biggest AIDS vaccine trial\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>It will test whether the MRKAd5 HIV-1 vaccine developed by\ndrug firm Merck &amp; Co. either prevents HIV infection or lowers\nHIV levels in those who become infected, SAAVI said in a\nstatement.</p><p>It will also measure the effectiveness of the drug on the C\nstrain of HIV prevalent in South Africa, whose population of 45\nmillion has an HIV infection rate of around one in nine.</p><p>The vaccine was developed for the B strain and has\nundergone testing elsewhere in Africa, the Americas and\nAustralia.</p><p>\"This test vaccine is one of the most promising currently\navailable internationally,\" said Professor Anthony MBewu,\npresident of the state-funded Medical Research Council.</p><p>\"South Africa\'s conduct of this trial is a significant and\nexciting step forward in our search for a successful vaccine\nagainst HIV/AIDS.\"</p></div></div><br clear=\"all\">\n<br clear=\"all\"/> <script language=\"javascript\" SRC=\"http://media3.washingtonpost.com/wp-srv/javascript/winopen/reuters_winopen.js\"></script> <img src=\"http://media3.washingtonpost.com/wp-srv/images/article/reuterslogo.gif\" width=\"133\" height=\"28\" border=\"0\"><br><a href=\"javascript:winopen(\'http://www.washingtonpost.com/wp-srv/articles/reuters.html\');\"><font face=\"arial\" size=\"-2\">Full Legal Notice</font></a>\n');
INSERT INTO `dede_addonarticle` VALUES('1647','1','<p>The Air Force Academy is investigating allegations of cheating by 28 freshmen and has restricted all 4,300 cadets to campus over the weekend, asking them to meet in small groups to consider &quot;their self-image and the image of the institution,&quot; Air Force officials said yesterday.</p><p>In addition to the cheating, the academy\'s superintendent, Lt. Gen. John F. Regni, cited other recent disciplinary problems in a stern speech this week to the entire student body, faculty and staff.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<!-- Commented out until duplication is fixed in templates.  -->\n<script>\n\nimgUrl     = \"http://media.washingtonpost.com/wp-srv/ssi/articles/testing/horiz_sample.jpg\" ;\nimgWidth   = 145 ;\nimgHeight  = 100 ;\nimgCaption = \"Attending a recent service at Iglesia Santa Maria in Falls Church are Krystal Gonzales, 4, her father, Mario Gonzales, from Bolivia, and his wife, Aparicia Martinez, from El Salvador.\" ;\nimgCredit  = \"Katherine Frey -- The Washington Post\" ;\n\npopupUrl  =\"http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/\" ;\np_width = 785 ;\np_height = 645 ;\npopupAd    = false\nif ( typeof thisNode == \"undefined\" )\n  thisNode = \"\" ;\ncaptionWidth = 228 -2*1 -5 -2*8 -imgWidth ; // 210-imgWidth\n// -->\n</script> <script language=\"javascript\" SRC=\"http://media.washingtonpost.com/wp-srv/javascript/common/article/largerImage.js\"></script> <img src=\"http://www.washingtonpost.com/wp-srv/ssi/articles/postPhotos_228x33.gif\" width=\"228\" height=\"33\"><br> <table width=\"228\" cellpadding=\"0\" cellspacing=\"0\" border=\"0\" bgcolor=\"#FFFFFF\"> <tr> <td width=\"1\" bgcolor=\"#CCCCCC\" rowspan=\"5\"><spacer type=\"block\" width=\"1\"></td> <td width=\"8\" bgcolor=\"#FFFFFF\" rowspan=\"5\"><spacer type=\"block\" width=\"8\"></td> <td width=210 height=1><spacer type=\"block\" width=\"210\" height=\"1\"></td> <td width=\"8\" bgcolor=\"#FFFFFF\" rowspan=\"5\"><spacer type=\"block\" width=\"8\"></td> <td width=\"1\" bgcolor=\"#CCCCCC\" rowspan=\"5\"><spacer type=\"block\" width=\"1\"></td> </tr> <tr> <td valign=\"top\"> <div align=\"center\"> <a href=\"javascript:void(0)\" onClick=\"largePhotoPopup(popupUrl+\'?nav=E3&id=\'+getArticleId(),p_width,p_height,\'todays_post\');\"><script>document.write(\'<IMG SRC=\'+imgUrl+\' WIDTH=\'+imgWidth+\' HEIGHT=\'+imgHeight+\' BORDER=0>\');</script></a><!--a href=\"javascript:void(0)\" onClick=\"largePhotoPopup(popupUrl+\'?nav=E3&thisnode=\'+thisNode+\'&showSky=\'+popupAd,p_width,p_height,\'todays_post\');\"><script>document.write(\'<IMG SRC=\'+imgUrl+\' WIDTH=\'+imgWidth+\' HEIGHT=\'+imgHeight+\' BORDER=0>\');</script></a--></div> <font size=\"-2\" face=\"arial, helvetica\" color=\"#333333\"> <script>document.write(imgCaption)</script> <font color=\"#666666\">(<script>document.write(imgCredit)</script>)<br></font></font></td> </tr> <tr><td width=\"210\" height=\"4\" bgcolor=\"#FFFFFF\"><spacer type=\"block\" width=\"210\" height=\"4\"></td></tr> <tr> <td width=\"210\" bgcolor=\"#FFFFFF\"><a href=\"javascript:void(0)\" onClick=\"largePhotoPopup(popupUrl+\'?nav=E3&id=\'+getArticleId(),p_width,p_height,\'todays_post\');\"><font face=\"verdana,sans-serif\" size=\"-2\"><b>SEE FULL COLLECTION</b></font></a></td> </tr> <tr><td width=\"210\" height=\"8\" bgcolor=\"#FFFFFF\"><spacer type=\"block\" width=\"210\" height=\"8\"></td></tr> <tr><td height=\"1\" colspan=\"5\" bgcolor=\"#CCCCCC\"><spacer type=\"block\" height=\"1\"></td></tr> <tr><td height=\"1\" colspan=\"5\" bgcolor=\"#FFFFFF\" align=\"right\"><A HREF=\"javascript:void(window.open(\'http://www.washingtonpost.com/wp-srv/admin/redesigntest/contact3.html\',\'\',\'width=500,height=430,location=no,scrollbars=no,status=no,resizable=no\'))\"><font face=\"verdana,sans-serif\" size=\"-2\">Feedback</font></A></td></tr> <tr><td height=\"1\" colspan=\"5\" bgcolor=\"#FFFFFF\"><spacer type=\"block\" height=\"1\"></td></tr> </table> <script>\n<!--\n// window.onload = experimentOnload ;\n\nfunction experimentOnload ()\n{\n  if (typeof sa_onclick != \"undefined\" )\n    sa_onclick(\'http://www.washingtonpost.com/wp-srv/ssi/articles/experimental_ssi.html?nav=E3\') ;\n}\n// -->\n</script> <br clear=\"all\">\n\n<title></title><div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>In Today\'s A Section</h2>\n<div class=\"sidebarcontent\">\n<script language=\"javascript\">\nvar output = \"\";\nvar counter = 0;\nif (typeof module !== \'undefined\')\n{\nwhile (counter < module[0].content.length && counter < 5)\n{\noutput+= \"<span style=\\\"font: normal 12px arial,helvetica;\\\"> &#149; 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Whitaker said. &quot;He told them he was disappointed with them, that honor is the heart of what we do.&quot;</p><p>Several members of Congress were briefed on the cheating investigation Thursday during a teleconference with the academy\'s 15-member Board of Visitors.</p><p><a href=\"http://projects.washingtonpost.com/congress/members/a000109/\" target=\"\">Sen. Wayne Allard</a> (R-Colo.) said there have been bigger cases of mass cheating at other military academies, including a 1992 incident involving 134 seniors at the Naval Academy, which resulted in the expulsion of two dozen midshipmen.</p><p>But Allard said the Air Force Academy is determined to act quickly and firmly, having learned a lesson from two scandals in recent years, one involving sexual assaults on female cadets and the other stemming from incidents of religious intolerance on the Colorado Springs campus. The academy began mandatory training on religious diversity in 2005 after complaints that evangelical Christian faculty members, staffers and students had pressed their beliefs on cadets of other faiths.</p><p>Restricting all cadets to campus and requiring them to discuss the recent disciplinary problems is &quot;good preventive medicine,&quot; Allard said. &quot;That\'s how we got in trouble with the sex harassment scandal -- they just kept sweeping it under the rug and not dealing with it. This time, they\'re trying to catch the problems early.&quot;</p><p>In a brief statement this week, the academy said that 19 cadets, so far, have admitted cheating on a Jan. 31 &quot;fourth-class knowledge test,&quot; a routine exam on military affairs given weekly to all 1,200 freshmen. Among the 28 cadets under suspicion of cheating are 19 intercollegiate athletes, the academy said. None of their names has been released.</p><p>Whitaker said the disproportionate number of varsity athletes is an issue in the investigation. But the 19 athletes play for four different teams, and at this point &quot;it does not appear that there was any conspiracy by a particular group,&quot; he said.</p><p>The 1992 cheating scandal at Annapolis also involved a large number of athletes. Of the 24 expelled, six were varsity football players. In the wake of the expulsions, some members of Congress questioned whether the recruitment and preferential treatment of academically lackluster athletes was a contributing factor.</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/2007/02/09/AR2007020901082_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020901082_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/2007/02/09/AR2007020901082_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020901082_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1648','1','<p>FRIDAY, Feb. 9 (HealthDay News) -- Patients in phase 1 cancer trials may be skewing the results if they are also taking vitamins, herbal preparations, minerals and other dietary supplements, researchers report.</p><p>More than one-third of patients in these trials report taking these alternative medications, according to a report in the Feb. 10 issue of theJournal of Clinical Oncology.</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; 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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! 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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/2007/02/09/AR2007020900737.html%3Freferrer=digg&title=\'Natural\' Remedies May Interfere With Clinical Trials&bodytext=FRIDAY, Feb. 9 (HealthDay News) -- Patients in phase 1 cancer trials may be skewing the results if they are also taking vitamins, herbal preparations, minerals and other dietary supplements, researchers report.\" 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=\'Natural\' Remedies May Interfere With Clinical Trials&labels=&annotation=FRIDAY, Feb. 9 (HealthDay News) -- Patients in phase 1 cancer trials may be skewing the results if they are also taking vitamins, herbal preparations, minerals and other dietary supplements, researchers report.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020900737.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/2007/02/09/AR2007020900737.html%3Freferrer=delicious&title=%22\'Natural\' Remedies May Interfere With Clinical Trials%22 By Steven Reinberg&notes=FRIDAY, Feb. 9 (HealthDay News) -- Patients in phase 1 cancer trials may be skewing the results if they are also taking vitamins, herbal preparations, minerals and other dietary supplements, researchers report.\" 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/2007/02/09/AR2007020900737.html%3Freferrer=yahoo&title=\'Natural\' Remedies May Interfere With Clinical Trials&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/2007/02/09/AR2007020900737.html%3Freferrer=reddit&title=\'Natural\' Remedies May Interfere With Clinical Trials\" 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/2007/02/09/AR2007020900737.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'\\\'Natural\\\' Remedies May Interfere With Clinical Trials\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>Phase 1 trials are designed to test the safety of an experimental drug and to determine if there are any harmful side effects. Since the biological activity of herbals and other natural supplements aren\'t always known, taking them could mask the effect of the drug under study, explained lead author Dr. Christopher Daugherty, an associate professor of medicine at the University of Chicago.</p><p>\"If anything bad happens to a patient in a phase 1 trial, we attribute it to the experimental drug,\" Daugherty said. \"But much of biologically active complementary and alternative medicines are agents that have not been well studied, and we don\'t know what their effects are in the body by themselves, let alone when they\'re combined with experimental drugs,\" he said.</p><p>\"If we don\'t know what the effects of a alternative drug are, or if we don\'t know the patient is taking it, we can falsely assume that the experimental drug is unsafe or even safe,\" Daugherty said.</p><p>In the study, Daugherty\'s team interviewed 212 patients with advanced cancer enrolled in phase 1 clinical trials. Patients were interviewed about their use of biologically-based alternative medications.</p><p>The team found that 34 percent of patients were taking these supplements, similar to their usage in the general U.S. population.  Among the patients, 41 said they were taking vitamins and minerals, such as vitamins A, C, D, E, and B12, selenium, magnesium, zinc, and copper. In addition, 40 patients said they took herbal preparations, including cat\'s claw, laetrile, St. John\'s wort, milk thistle, ginseng, and echinacea.</p><p>Although patients in phase 1 trials are not supposed to be taking other drugs, Daugherty believes that there are several reasons why the natural concoctions are often overlooked.</p><p>Sometimes, patients are reluctant to tell the doctor they are taking alternative medicines, either because they don\'t think it\'s important, or they don\'t want to be told to stop taking them, Daugherty said.</p><p>\"Patients need to tell their doctor what medications they are taking, such as mega-doses of vitamins. These, by themselves, may do no harm, but if you combine it with other drugs that are metabolized in the liver, who knows what might happen,\" he said.</p><p>For example, St. John\'s wort can be toxic to the liver if it is taken along with certain chemotherapy drugs, Daugherty said. \"On the other hand, some alternative medications may be protective against side effects. So, we may falsely assume that the experiment\'s drug is safe,\" he said.</p><p>Doctors too are often lax in asking their patients about alternative medicines. There may be several reasons for this, Daugherty said. On the one hand, doctors might not think to ask, and, on the other hand, they might not think the drug could cause a problem.</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/2007/02/09/AR2007020900737_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020900737_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/2007/02/09/AR2007020900737_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020900737_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\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('1649','1','<p>SAN FRANCISCO -- Babies conceived through fertility treatments have higher rates of birth defects, but the overall risk is so small that it should not keep couples from having children this way, doctors are reporting.</p><p>The news comes from a study of more than 61,000 births in Canada, the largest ever done on this in North America.</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/2007/02/09/AR2007020900247_Technorati.html\') ;\ntechnorati.article = new item(\'Fertility Treatment Raises Defect Risk\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020900247.html\',\'SAN FRANCISCO -- Babies conceived through fertility treatments have higher rates of birth defects, but the overall risk is so small that it should not keep couples from having children this way, doctors are reporting.\',\'MARILYNN MARCHIONE\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020900247_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/2007/02/09/AR2007020900247.html%3Freferrer=digg&title=Fertility Treatment Raises Defect Risk&bodytext=SAN FRANCISCO -- Babies conceived through fertility treatments have higher rates of birth defects, but the overall risk is so small that it should not keep couples from having children this way, doctors are reporting.\" 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=Fertility Treatment Raises Defect Risk&labels=&annotation=SAN FRANCISCO -- Babies conceived through fertility treatments have higher rates of birth defects, but the overall risk is so small that it should not keep couples from having children this way, doctors are reporting.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020900247.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/2007/02/09/AR2007020900247.html%3Freferrer=delicious&title=%22Fertility Treatment Raises Defect Risk%22 By MARILYNN MARCHIONE&notes=SAN FRANCISCO -- Babies conceived through fertility treatments have higher rates of birth defects, but the overall risk is so small that it should not keep couples from having children this way, doctors are reporting.\" 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/2007/02/09/AR2007020900247.html%3Freferrer=yahoo&title=Fertility Treatment Raises Defect Risk&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/2007/02/09/AR2007020900247.html%3Freferrer=reddit&title=Fertility Treatment Raises Defect Risk\" 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/2007/02/09/AR2007020900247.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Fertility Treatment Raises Defect Risk\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>\"What\'s important and reassuring is that the absolute risks are still low,\" at less than 3 percent of all births, said one of the study\'s leaders, Dr. Mark Walker of the University of Ottawa.</p><p>Even so, the risks of certain defects were startlingly high for babies born with the help of technology.</p><p>Couples who want to lower the risk should have only one or two embryos implanted at a time, specialists said. The danger of defects from twin, triplet and other multiple births is far greater than any risk posed by the fertility treatments themselves.</p><p>Results of the study were to be reported Friday at a meeting of the Society for Maternal-Fetal Medicine in San Francisco.</p><p>More than 1 million babies worldwide have been born through assisted reproductive technology, or ART. This includes induced ovulation, artificial insemination, IVF or in vitro (lab dish) fertilization, and more advanced methods like injecting a single sperm into an egg to create an embryo.</p><p>As many as 1 to 2 percent of births in the United States and Canada are due to such techniques. They already are known to raise the raise the risk of premature birth and other complications.</p><p>But studies have been divided over whether they increase the likelihood of birth defects. A recent scientific review concluded there is some added risk, but that most studies have been too small or flawed to be conclusive.</p><p>The Canadian work is important because it\'s a large study and quantifies the risk of specific birth defects, \"a first as far as I know,\" said Dr. Nancy Green, medical director of the March of Dimes.</p><p>Researchers studied 61,208 births in Ontario during 2005, including 1,394 that resulted from fertility treatments. They looked at rates of birth defects and adjusted estimates of risk to reflect differences in the mothers\' ages, whether they smoked, the gender of the babies, birth complications and other factors.</p><p>Nearly 3 percent of ART babies had a birth defect versus just under 2 percent for babies conceived naturally. That translated to a 58 percent greater risk. The chances of a defect rose as the complexity of reproductive help did _ they were highest for IVF and lowest for simply giving medications to spur a woman\'s ovaries to make more eggs.</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/2007/02/09/AR2007020900247_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020900247_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/2007/02/09/AR2007020900247_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/09/AR2007020900247_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1650','1','<p>RICHMOND -- In Virginia and 17 other states, lawmakers are considering requiring young girls to be immunized against a little-known virus that public health officials say is responsible for nearly 7,000 cases of cervical cancer each year.</p><p>Legislatures are doing so at the urging of New Jersey-based pharmaceutical giant Merck &amp; Co., which  in June  earned approval from the U.S. Food and Drug Administration for Gardasil, its new vaccine against human papillomavirus (HPV).</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\n<title></title><div class=\"sidebarhack\"><b></b></div>\n<div class=\"sidebar\">\n<h2>Online Resources</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/metro/special/7/index.html\"><img src=\"http://media.washingtonpost.com/wp-srv/metro/graphics/vaPolitics_header.gif\" border=\"0\" alt=\"2006 Elections\"></a>\n<p style=\"padding-top: 7px; margin-top: 5px; border-top: 1px #ccc dashed;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/custom/2007/01/08/CU2007010800401.html\"><img src=\"http://www.washingtonpost.com/wp-srv/politics/interactives/campaign06/keyrace_14x15.gif\" border=\"0\"></a>\nWhat\'s Coming?<br><a style=\"padding-left: 20px; font-weight: bold;\" a href=\"http://www.washingtonpost.com/wp-dyn/content/custom/2007/01/08/CU2007010800401.html\">Key Issues in 2007</a>\n</p>\n<p style=\"padding-top: 7px; margin-top: 5px; border-top: 1px #ccc dashed;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/05/DI2007010501472.html\"><img src=\"http://media.washingtonpost.com/wp-srv/politics/interactives/campaign06/images/chat_25x18.gif\" border=\"0\"></a>\nLocal Politics Chat <br>\n<a style=\"padding-left: 20px; font-weight: bold;\" a href=\"http://www.washingtonpost.com/wp-dyn/content/discussion/2007/01/05/DI2007010501472.html\">Transcript: Assembly Opens</a>\n</p>\n<p style=\"padding-top: 7px; margin-top: 5px; border-top: 1px #ccc dashed;\">\n<a href=\"http://www.washingtonpost.com/wp-dyn/content/metro/special/2/index.html\"><img src=\"http://media.washingtonpost.com/wp-srv/politics/interactives/campaign06/images/mostViewed_14x15.gif\" border=\"0\"></a>\nLatest Headlines <br>\n<a style=\"padding-left: 20px; font-weight: bold;\" a href=\"http://www.washingtonpost.com/wp-dyn/content/metro/special/7/index.html\">Virginia Politics 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><div class=\"sidebar\"><h2>Blog</h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\">\n<div class=\"columnist\">\n<div class=\"blurb\">\n<h3><a href=\"http://blog.washingtonpost.com/richmondreport/\">Richmond Report</a></h3>\n<p>News and notes on Virginia politics.</p>\n<div style=\"line-height:16px;\">\n<strong>  \n                        &#149; <a href=\"http://blog.washingtonpost.com/richmondreport/2007/01/hpv_virus.html?nav=rss_blog\">HPV virus</a>\n<br>\n                        &#149; <a href=\"http://blog.washingtonpost.com/richmondreport/2007/01/delegates_hargrove_address_law_1.html?nav=rss_blog\">Delegates, Hargrove Address Lawmakers</a>\n<br>\n                        &#149; <a href=\"http://blog.washingtonpost.com/richmondreport/2007/01/mustve_been_some_tip.html?nav=rss_blog\">Must\'ve been some tip</a>\n\n</strong>     </div>\n<p class=\"readmore\" style=\"border-top: 1px #ccc dashed; margin: 5px 5px 5px 5px;\">&#8226; <a href=\"http://blog.washingtonpost.com/richmondreport/\">Read more</a> | <img src=\"http://media.washingtonpost.com/wp-srv/article/pieces/articleIcon_rss_25x13.gif\" alt=\"XML\" border=\"0\" class=\"xmlfeed\" /> <a href=\"http://blog.washingtonpost.com/richmondreport/index.xml\">RSS Feed</a></p>\n<div class=\"clearboth\"></div>\n</div>\n</div>\n<div class=\"clearboth\"></div></div></div></div><strong></strong>\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/2007/02/10/AR2007021001279_Technorati.html\') ;\ntechnorati.article = new item(\'Drugmaker Assists In Pushing for Mandate For HPV Vaccination\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001279.html\',\'RICHMOND -- In Virginia and 17 other states, lawmakers are considering requiring young girls to be immunized against a little-known virus that public health officials say is responsible for nearly 7,000 cases of cervical cancer each year.\',\'Amy Gardner\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001279_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/2007/02/10/AR2007021001279.html%3Freferrer=digg&title=Drugmaker Assists In Pushing for Mandate For HPV Vaccination&bodytext=RICHMOND -- In Virginia and 17 other states, lawmakers are considering requiring young girls to be immunized against a little-known virus that public health officials say is responsible for nearly 7,000 cases of cervical cancer each year.\" 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=Drugmaker Assists In Pushing for Mandate For HPV Vaccination&labels=&annotation=RICHMOND -- In Virginia and 17 other states, lawmakers are considering requiring young girls to be immunized against a little-known virus that public health officials say is responsible for nearly 7,000 cases of cervical cancer each year.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001279.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/2007/02/10/AR2007021001279.html%3Freferrer=delicious&title=%22Drugmaker Assists In Pushing for Mandate For HPV Vaccination%22 By Amy Gardner&notes=RICHMOND -- In Virginia and 17 other states, lawmakers are considering requiring young girls to be immunized against a little-known virus that public health officials say is responsible for nearly 7,000 cases of cervical cancer each year.\" 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/2007/02/10/AR2007021001279.html%3Freferrer=yahoo&title=Drugmaker Assists In Pushing for Mandate For HPV Vaccination&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/2007/02/10/AR2007021001279.html%3Freferrer=reddit&title=Drugmaker Assists In Pushing for Mandate For HPV Vaccination\" 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/2007/02/10/AR2007021001279.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Drugmaker Assists In Pushing for Mandate For HPV Vaccination\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>Merck, which posted revenues of $22.6 billion last year, stands to earn hundreds of millions of dollars annually on Gardasil, according to Wall Street estimates. And the public, research shows, stands to reap  the benefits of the first vaccine against cancer. It is one of those moments in the public discourse, say several advocates for the mandatory vaccine, in which the interests of a deep-pocketed private company converge with the public good.</p><p>\"The medical community is very excited about having a vaccine that can prevent cancer,\" said state Sen. Janet D. Howell (D-Fairfax), who sponsored a measure that is nearing approval in the Virginia General Assembly requiring that all rising sixth-grade girls  be immunized against HPV. \"It\'s everybody\'s dream that we\'ll be able to get more vaccines and prevent more cancers.\"</p><p>HPV is a sexually transmitted virus that can cause cervical cancer, genital warts and a variety of other, less common forms of genital and oral cancers. It is  remarkably prevalent: At least half of sexually active men and women will carry it at some time in their lives, according to the federal Centers for Disease Control and Prevention. Most will never know it, and the virus will go away on its own. But in some cases, the virus lingers, causing cell changes that lead to cancer.</p><p>There is little doubt that the HPV vaccine will prevent cervical cancer. In clinical trials leading up to its approval, Gardasil was found to be nearly 100 percent effective in preventing infection by two strains of HPV responsible for 70 percent of all cases of cervical cancer. The vaccine also prevented infection by HPV strains responsible for about 90 percent of cases of genital warts.</p><p>With a national TV advertising campaign underway, Merck has led the effort to spread such information. It has also fanned out across the country to push for two kinds of state action: mandated vaccines for young girls, proposals for which were introduced in 18 states  and the District this year; and millions of dollars of state spending to purchase vaccines for use in health clinics.</p><p>In Virginia, for example, Merck, a longstanding contributor to political campaigns in the state, has spent nearly $40,000 in contributions over the past two years. It has also hired Williams Mullen Strategies, a prominent lobbying firm, to spearhead the company\'s efforts to persuade lawmakers in Richmond  to vote for  a mandatory vaccine. On the team is Sandra D. Bowen, a well-known Richmond lobbyist and  Cabinet secretary under two governors.</p><p>\"School requirements is one approach that has been used very successfully in the past to improve vaccine rates,\" said Margaret McGlynn, president of Merck\'s vaccines division. McGlynn added that a mandate tends to lead to state funding of vaccines for public health clinics, improving access for lower-income and uninsured girls.</p><p>In the District, council member David A. Catania (I-At Large) said that he introduced legislation requiring girls to  get the vaccine after hearing about the issue in the news and that his efforts have nothing to do with Merck.</p><p>\"I have had no contact with Merck,\" said Catania, who chairs the council\'s Health Committee. \"Any benefit this would have on the pharmaceutical industry is unintended. This is good medicine and makes sense.\"</p><p>Merck is not alone in pushing for broad access to Gardasil, which costs $360 for the recommended series of three shots.  The American Cancer Society, the Centers for Disease Control, the American Academy of Pediatrics and the U.S. Advisory Committee on Immunization Practices all have recommended that girls receive the vaccine. These public health organizations are encouraging states to spend millions on the vaccine to make it available through clinics that primarily serve the poor or those without health insurance. They are also encouraging private insurers to cover the cost of the vaccine.</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/2007/02/10/AR2007021001279_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001279_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/2007/02/10/AR2007021001279_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001279_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1651','1','<p>Depending on whom you ask, the budget that President Bush proposed last week will save or sink Medicare and Medicaid, two popular programs that, along with Social Security, threaten to swamp the federal budget as the baby-boom generation retires.</p><p>Bush, citing the need for fiscal responsibility, proposed reducing by $101 billion over five years the spending growth of the two health programs, which serve 93 million people and will cost the government $564 billion this year. One of his most controversial ideas is to charge wealthier seniors higher Medicare premiums for the second time in the program\'s 41-year history.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\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/2007/02/10/AR2007021001239_Technorati.html\') ;\ntechnorati.article = new item(\'Bush\\\'s Proposed Health-Care Cuts Get Mixed Reviews\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001239.html\',\'Depending on whom you ask, the budget that President Bush proposed last week will save or sink Medicare and Medicaid, two popular programs that, along with Social Security, threaten to swamp the federal budget as the baby-boom generation retires.\',\'Christopher Lee and Lori Montgomery\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001239_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/2007/02/10/AR2007021001239.html%3Freferrer=digg&title=Bush\'s Proposed Health-Care Cuts Get Mixed Reviews&bodytext=Depending on whom you ask, the budget that President Bush proposed last week will save or sink Medicare and Medicaid, two popular programs that, along with Social Security, threaten to swamp the federal budget as the baby-boom generation retires.\" 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\'s Proposed Health-Care Cuts Get Mixed Reviews&labels=&annotation=Depending on whom you ask, the budget that President Bush proposed last week will save or sink Medicare and Medicaid, two popular programs that, along with Social Security, threaten to swamp the federal budget as the baby-boom generation retires.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001239.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/2007/02/10/AR2007021001239.html%3Freferrer=delicious&title=%22Bush\'s Proposed Health-Care Cuts Get Mixed Reviews: Some See Salvation, Others See Doom for Medicare and Medicaid%22 By Christopher Lee and Lori Montgomery&notes=Depending on whom you ask, the budget that President Bush proposed last week will save or sink Medicare and Medicaid, two popular programs that, along with Social Security, threaten to swamp the federal budget as the baby-boom generation retires.\" 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/2007/02/10/AR2007021001239.html%3Freferrer=yahoo&title=Bush\'s Proposed Health-Care Cuts Get Mixed Reviews&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/2007/02/10/AR2007021001239.html%3Freferrer=reddit&title=Bush\'s Proposed Health-Care Cuts Get Mixed Reviews\" 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/2007/02/10/AR2007021001239.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Bush\\\'s Proposed Health-Care Cuts Get Mixed Reviews\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>Budget experts call the plan one of the most significant efforts in years to rein in federal spending on entitlement programs. But health-care providers and advocates for beneficiaries call the proposed cuts arbitrary and say they would exact an unaffordable toll on a big part of the nation\'s health-care system.</p><p>&quot;It is very, very significant that they\'re willing to put on the table some specific proposals,&quot; said Comptroller General David M. Walker, who frequently warns of the government\'s troubled long-term fiscal outlook.</p><p>Stuart M. Butler, a budget expert at the conservative Heritage Foundation, said, &quot;It\'s the only way forward in dealing with a huge unfunded obligation that right now is being left in the lap of our children and grandchildren.&quot;</p><p>Others see the proposals as likely to do more harm than good, and many congressional Democrats have accused Bush of trying to pay for the Iraq war and his signature tax cuts by reducing health care for elderly and poor Americans.</p><p>&quot;There are problems in terms of future financing of Medicare, and those need to be dealt with in a comprehensive way,&quot; said Charles N. Kahn III, president of the Federation of American Hospitals. &quot;To think we\'re going to solve all those problems by simply saying, \'We\'re not going to pay those who provide service what we need to pay them\' is more than problematic. . . . This has more to do with the balanced budget and other things than it does with the preservation of Medicare.&quot;</p><p>Senate Finance Committee Chairman Max Baucus (D-Mont.) said the Bush plan does nothing to address the underlying causes of the financial woes of Medicare and Medicaid -- rising health-care costs.</p><p>&quot;I know it\'s difficult, but the administration would be doing this country a much greater service by finding ways to lower the underlying costs of Medicare and Medicaid, rather than just lopping off the top,&quot; Baucus said. &quot;These costs will just get transferred somewhere else -- emergency rooms or uncompensated care.&quot;</p><p>Some of the institutions affected most would be hospitals, nursing homes, home health agencies and other providers, whose Medicare payments would be more than $61 billion lower than anticipated over five years (although still higher overall). Bush also proposes automatic across-the-board cuts in provider payments if Medicare spending reaches certain levels for two consecutive years. His budget would not forestall a planned 10 percent cut in Medicare payments to doctors next year.</p><p>Bruce Yarwood, president of the American Health Care Association, said the 9,000 nursing homes he represents would receive about $10 billion less than anticipated over five years.</p><p>&quot;We\'ll squeeze, cut and trim administrative costs,&quot; he said. &quot;You take a look at your staffing patterns, and rather than four people on the night shift you have three. And rather than seven or eight on the day shift you have six. You take a look at your maintenance crew; you say, \'Rather than mow the lawn every week, I\'ll mow it every two weeks,\' so you lay off a maintenance guy.&quot;</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/2007/02/10/AR2007021001239_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001239_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/2007/02/10/AR2007021001239_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/10/AR2007021001239_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1652','1','<p>Inova Fairfax Hospital officials have offered to pay a team of 22 urologists a fee for every indigent patient they treat on call in its emergency department, satisfying some doctors and probably averting a showdown that threatened critical care.</p><p>The deal comes after urologists threatened to stop responding to on-call care without compensation. The demands resembled those by other Inova specialists whom the hospital is negotiating with, doctors said.</p><table cellpadding=\"0\" cellspacing=\"0\" align=\"right\" width=\"238\"><tr><td width=\"10\"></td><td width=\"228\">\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/2007/02/11/AR2007021101412_Technorati.html\') ;\ntechnorati.article = new item(\'Private Urologists to Be Paid for On-Call Treatment of the Poor\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021101412.html\',\'Inova Fairfax Hospital officials have offered to pay a team of 22 urologists a fee for every indigent patient they treat on call in its emergency department, satisfying some doctors and probably averting a showdown that threatened critical care.\',\'Leef Smith\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021101412_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/2007/02/11/AR2007021101412.html%3Freferrer=digg&title=Private Urologists to Be Paid for On-Call Treatment of the Poor&bodytext=Inova Fairfax Hospital officials have offered to pay a team of 22 urologists a fee for every indigent patient they treat on call in its emergency department, satisfying some doctors and probably averting a showdown that threatened critical 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=Private Urologists to Be Paid for On-Call Treatment of the Poor&labels=&annotation=Inova Fairfax Hospital officials have offered to pay a team of 22 urologists a fee for every indigent patient they treat on call in its emergency department, satisfying some doctors and probably averting a showdown that threatened critical care.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021101412.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/2007/02/11/AR2007021101412.html%3Freferrer=delicious&title=%22Private Urologists to Be Paid for On-Call Treatment of the Poor%22 By Leef Smith&notes=Inova Fairfax Hospital officials have offered to pay a team of 22 urologists a fee for every indigent patient they treat on call in its emergency department, satisfying some doctors and probably averting a showdown that threatened critical 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/2007/02/11/AR2007021101412.html%3Freferrer=yahoo&title=Private Urologists to Be Paid for On-Call Treatment of the Poor&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/2007/02/11/AR2007021101412.html%3Freferrer=reddit&title=Private Urologists to Be Paid for On-Call Treatment of the Poor\" 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/2007/02/11/AR2007021101412.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Private Urologists to Be Paid for On-Call Treatment of the Poor\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>By agreeing to pay its private practice doctors, Inova joins a growing number of health-care providers across the country who are paying large amounts to keep physicians at the ready -- doctors who had largely been on their rosters free. About a third of the nation\'s hospitals pay some doctors for specialty coverage, according to a survey last year by the American Hospital Association.</p><p>\"We\'ve been here 40-plus years, and we\'ve never paid for\" emergency department calls before, said Douglas P. Cropper, administrator at Inova Fairfax. \"We recognize we\'re going to have to take steps to work with physicians to make sure the community is cared for.\"</p><p>The trend signals a major change from the days when hospitals relied on their active duty physicians to voluntarily staff emergencies on call in exchange for the privilege of treating and admitting patients.</p><p>Today, many doctors rely far less on hospitals, conducting much of their care in out-patient settings. As a result, they are less inclined to shift their schedules, work weekends and disrupt their private patient care routines to rush to hospitals to tend to patients, most of whom, doctors say, are uninsured and more likely to sue if something goes wrong.</p><p>\"The implications and challenges are enormous,\" said Carmela Coyle, senior vice president for policy at the American Hospital Association. The demands of doctors \"are creating a situation where our expectations of needs being met in the ER are growing apart from what\'s being provided.\"</p><p>Robert Ball, a urologist at Inova Fairfax, said declining insurance reimbursements make it harder for doctors to leave paying patients in their private offices while they treat other patients in the emergency department for free.</p><p>\"Most physicians want to do the right thing, but it\'s gotten to the point where we can\'t stay in practice in Northern Virginia,\" Ball said. \"The days of the wealthy physician are over.\"</p><p>The problem, specialists complain, is magnified at Inova Fairfax, where they say they too often are asked to fill in for doctors who are connected to other hospitals in the Inova chain.</p><p>\"We\'ve become the dumping ground,\" said Eric Furst, one of about 30 ear, nose and throat doctors who serve Inova Fairfax and are trying to negotiate a deal for on-call compensation. Being on call \"has become a heinous, heinous job. Not just for our section but for all sections. Everyone is hollering about this.\"</p><p>The ear, nose and throat doctors have told Inova that they will staff Fairfax\'s on-call list until the end of the month but that they expect the compensation issue to be resolved before then, they said.</p><p>\"We\'re all hurting, we\'re all struggling,\" Furst said. \"We\'re all trying to stay open. But it\'s not feasible to put this kind of an effort in without being compensated.\"</p><p>The hospital\'s urologists have been particularly vocal, complaining that other hospitals in the Inova system are not carrying their weight.</p><p>They point to Inova Mount Vernon Hospital, noting that twice in the past year patients immediately needing surgery have arrived at the 237-bed facility in the middle of the night. But in both cases, specialists were not available to provide treatment, doctors said, and the patients were transferred to the Fairfax hospital.</p><p>\"We\'re not being petty or greedy,\" urologist Simon Chung said. \"We\'re more than happy to do our fair share. But if the burden of emergency calls is going to be borne by urologists at Fairfax, then I think we should be compensated.\"</p><p>On Friday, officials at Inova Fairfax responded by informally offering to pay urologists a fee for the care of indigent patients in the emergency department based on Medicare reimbursements, doctors said. Ball said some, like him, are satisfied with the deal. Others, he said, plan to stop providing their services as on-call doctors.</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1653','1','<p>CHICAGO -- Office nappers now have the perfect excuse: New research shows that a little midday snooze seems to reduce the risk of fatal heart problems, especially among men.</p><p>In the largest study to date on the health effects of napping, researchers tracked 23,681 healthy Greek adults for an average of about six years. Those who napped for about half an hour at least three times weekly had a 37 percent lower risk of dying from heart attacks or other heart problems than those who did not nap.</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/2007/02/12/PH2007021200578.jpg\"/--><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-dyn/content/photo/2007/02/12/PH2007021200580.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-dyn/content/photo/2007/02/12/PH2007021200580.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/02/12/PH2007021200578.jpg\" border=\"0\"  alt=\"Engineer Mark Ekenbarger stretches out in the nap room at Yarde Metals, Inc.\'s headquarters in Southington, Conn., Thursday, Feb. 8, 2007. Ekenbarger, who has a heart condition, says he frequently takes half-hour naps on the advice of his doctor to reduce stress. (AP Photo/Bob Child)\"  height=\"162\" width=\"228\" align=\"top\"></a><div id=\"caption\">Engineer Mark Ekenbarger stretches out in the nap room at Yarde Metals, Inc.\'s headquarters in Southington, Conn., Thursday, Feb. 8, 2007. Ekenbarger, who has a heart condition, says he frequently takes half-hour naps on the advice of his doctor to reduce stress. (AP Photo/Bob Child)<span id=\"credit\"> (Bob Child - AP) </span></div></div>\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/2007/02/12/AR2007021200531.html%3Freferrer=digg&title=Study: Napping Might Help Heart&bodytext=CHICAGO -- Office nappers now have the perfect excuse: New research shows that a little midday snooze seems to reduce the risk of fatal heart problems, especially among men.\" 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=Study: Napping Might Help Heart&labels=&annotation=CHICAGO -- Office nappers now have the perfect excuse: New research shows that a little midday snooze seems to reduce the risk of fatal heart problems, especially among men.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/12/AR2007021200531.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/2007/02/12/AR2007021200531.html%3Freferrer=delicious&title=%22Study: Napping Might Help Heart%22 By LINDSEY TANNER&notes=CHICAGO -- Office nappers now have the perfect excuse: New research shows that a little midday snooze seems to reduce the risk of fatal heart problems, especially among men.\" 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/2007/02/12/AR2007021200531.html%3Freferrer=yahoo&title=Study: Napping Might Help Heart&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/2007/02/12/AR2007021200531.html%3Freferrer=reddit&title=Study: Napping Might Help Heart\" 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/2007/02/12/AR2007021200531.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Study: Napping Might Help Heart\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>Most participants were in their 50s, and the strongest evidence was in working men, according to the study, which appears in Monday\'s issue of Archives of Internal Medicine.</p><p>The researchers said naps might benefit the heart by reducing stress, and jobs are a common source of stress.</p><p>It\'s likely that women reap similar benefits from napping, but not enough of them died during the study to be sure, said Dr. Dimitrios Trichopoulos, the study\'s senior author and a researcher at Harvard University and the University of Athens Medical School.</p><p>Heart problems killed 48 women who were studied, six of them working women, compared with 85 men, including 28 working men.</p><p>A daytime siesta has long been part of many cultures, especially those in warmer climates. Mediterranean-style eating habits featuring fruits, vegetables, beans and olive oil have been credited with contributing to relatively low rates of heart disease in those countries, but the researchers wanted to see if napping also plays a role.</p><p>\"My advice is if you can (nap), do it. If you have a sofa in your office, if you can relax, do it,\" Trichopoulos said.</p><p>Exactly how stress is related to heart disease is uncertain. Some researchers think it might be directly involved, through unhealthy effects of stress hormones, or indirectly by causing people to exercise less, overeat or smoke.</p><p>The researchers in the latest study factored in diet, exercise, smoking and other habits that affect the heart but still found napping seemed to help.</p><p>Previous studies have had conflicting results. Some suggested napping might increase risk of death, but those mostly involved elderly people whose daytime sleepiness reflected poor health, Trichopoulos said.</p><p>His research team studied a broader range of people, ages 20 to 86, who were generally healthy when the study began.</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/2007/02/12/AR2007021200531_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/12/AR2007021200531_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/2007/02/12/AR2007021200531_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/12/AR2007021200531_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1654','1','<p>The next time the boss finds you snoozing at your desk, take heart -- literally.</p><p>A large new study has found that people who regularly took a siesta were significantly less likely to die from heart disease.</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/2007/02/12/AR2007021200626_Technorati.html\') ;\ntechnorati.article = new item(\'Study: Napping Regularly Fights Heart Disease\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/12/AR2007021200626.html\',\'The next time the boss finds you snoozing at your desk, take heart -- literally.\',\'Rob Stein\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/12/AR2007021200626_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/2007/02/12/AR2007021200626.html%3Freferrer=digg&title=Study: Napping Regularly Fights Heart Disease&bodytext=The next time the boss finds you snoozing at your desk, take heart -- literally.\" 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=Study: Napping Regularly Fights Heart Disease&labels=&annotation=The next time the boss finds you snoozing at your desk, take heart -- literally.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/12/AR2007021200626.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/2007/02/12/AR2007021200626.html%3Freferrer=delicious&title=%22Study: Napping Regularly Fights Heart Disease%22 By Rob Stein&notes=The next time the boss finds you snoozing at your desk, take heart -- literally.\" 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/2007/02/12/AR2007021200626.html%3Freferrer=yahoo&title=Study: Napping Regularly Fights Heart Disease&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/2007/02/12/AR2007021200626.html%3Freferrer=reddit&title=Study: Napping Regularly Fights Heart Disease\" 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/2007/02/12/AR2007021200626.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Study: Napping Regularly Fights Heart Disease\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>\"Taking a nap could turn out to be an important weapon in the fight against coronary mortality,\" said Dimitrios Trichopoulos of the Harvard School of Public Health in Boston, who led the study published today in the Archives of Internal Medicine.</p><p>The study of more than 23,000 Greek adults -- the biggest and best investigation of the subject to date -- found that those who regularly took a midday siesta were more than 30 percent less likely to die from heart disease.</p><p>Other experts said the results were intriguing. Heart disease claims more than 650,000 Americans each year, making it the nation\'s No. 1 cause of death.</p><p>\"It\'s interesting. A little siesta, a little snooze may be beneficial,\" said Gerald Fletcher, a cardiologist at the Mayo Clinic in Jacksonville, Fla., speaking on behalf of the American Heart Association. \"It\'s simple, but it has a lot of promise.\"</p><p>While more research is needed to confirm and explore the findings, there are several ways that napping could reduce the risk for heart attacks, experts said.</p><p>\"Napping may help deal with the stress of daily living,\" said Michael Twery, who directs the National Heart Lung and Blood Institute\'s National Center for Sleep Disorders Research. \"Another possibility is that it is part of the normal biological rhythm of daily living. The biological clock that drives sleep and wakefulness has two cycles each day, and one of them dips usually in the early afternoon. It\'s possible that not engaging in napping for some people might disrupt these processes.\"</p><p>Researchers have long known that countries like Greece, Italy and Spain, where people commonly take siestas, have lower heart disease rates than would be expected. But previous studies that attempted to study the relationship between naps and heart disease have produced mixed results. The new study is the first to try to fully account for factors that might confuse the findings, such as physical activity, diet and other illnesses.</p><p>\"This study has a number of advantages,\" Trichopoulos said.</p><p>Trichopoulos and colleagues at the University of Athens studied 23,681 Greek men and women ages 20 to 86 who had no history of heart disease or any other serious health problem when they enrolled in the study between 1994 and 1999. The researchers asked the participants whether they took midday naps and, if so, how often and for how long. They also asked detailed questions about their health and lifestyles, such as whether they had any illnesses that might make them sleep more, how much exercise they got and what they ate.</p><p>After an average of more than six years of follow-up, 792 of the study subjects died, 133 of them from heart disease. Of that group, 94 were nappers. After the researchers took into account factors that could confuse the issue, they found that those who took naps frequently were 34 percent less likely to die from heart disease than those who did not. The biggest nappers -- 79 people who took a siesta for 30 minutes or more at least three times a week -- had a 37 percent lower risk.</p><p>Naps appeared to offer the most protection to working men: Those who took midday naps either occasionally or systematically had a 64 percent lower risk of death from heart disease. Non-working men had a 36 percent reduction in risk. A similar analysis could not be done in women because too few died of heart disease.</p><p>While it is too soon to recommend naps to prevent heart disease, Trichopoulos said that the finding offers one more reason to nap.</p><p>\"If you have an opportunity to take a nap, then, yes, do it,\" he said. \"If you\'re accustomed to taking a nap, then don\'t give it up.\"</p><p>Trichopoulos also noted that siestas are becoming less common around the world as globalization spreads the Western workaholic lifestyle.</p><p>\"If you visit many countries, during the middle of the day everything stops. People have an opportunity to have a large meal and take a nap,\" he said. \"With globalization, this is out. If this turns out to be right, people may think again before introducing the continuous, stopless activity that\'s happening with globalization.\"</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1655','1','<p>So, Valentine\'s Day is two days away, but you know he isn\'t going to bring you any flowers. And instead of a cuddle and a kiss, you know she is going to dig up that old canard about your mother.</p><p>Does your relationship feel like an endless rerun of \"Who\'s Afraid of Virginia Woolf?\" -- Edward Albee\'s grim masterpiece of domestic disharmony? Do you always spend Valentine\'s Day alone? Do all those smooching couples sound like idiotic moths banging their heads against a windowpane?</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/2007/02/11/PH2007021101276.jpg\"/--><a href=\"javascript:void(popitup(\'http://www.washingtonpost.com/wp-srv/photo/postphotos/orb/asection/2007-02-12/index.html?imgId=PH2007021101278&imgUrl=/photo/2007/02/11/PH2007021101278.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/2007-02-12/index.html?imgId=PH2007021101278&imgUrl=/photo/2007/02/11/PH2007021101278.html\',650,850))\"><img src=\"http://media3.washingtonpost.com/wp-dyn/content/photo/2007/02/11/PH2007021101276.jpg\" border=\"0\"  alt=\"Researchers found that infants who briefly sought comfort were happier in romance later.\"  height=\"175\" width=\"228\" align=\"top\"></a><div id=\"caption\">Researchers found that infants who briefly sought comfort were happier in romance later.<span id=\"credit\"> (By Mark Evans  --  Istockphoto) </span></div></div>\n<div class=\"sidebarhack\"><b></b></div><div class=\"sidebar\"><h2>About This Column</h2><div class=\"sidebarcontent\"><div class=\"sidebarbox\">\n<ul><li><a href=\"http://www.washingtonpost.com/wp-dyn/rss/linkset/2006/07/17/LI2006071700444.xml\"><img src=\"http://www.washingtonpost.com/wp-dyn/content/graphic/2005/06/13/GR2005061300865.gif\" border=\"0\" alt=\"xml\"><a href=\"http://www.washingtonpost.com/wp-dyn/rss/linkset/2006/07/17/LI2006071700444.xml\">Dept. of Human Behavior</a></a> &nbsp;<li><a href=\"http://www.washingtonpost.com/wp-dyn/content/linkset/2006/07/17/LI2006071700444.html\">Dept. of Human Behavior Archive</a> &nbsp;<li><a href=\"http://www.washingtonpost.com/wp-dyn/rss/#what\">How RSS Works</a> &nbsp;</ul>\n<div 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/2007/02/11/AR2007021100931_Technorati.html\') ;\ntechnorati.article = new item(\'Plagued With Relationship Troubles? Blame Your Parents.\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021100931.html\',\'So, Valentine\\\'s Day is two days away, but you know he isn\\\'t going to bring you any flowers. And instead of a cuddle and a kiss, you know she is going to dig up that old canard about your mother.\',\'Shankar Vedantam\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021100931_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/2007/02/11/AR2007021100931.html%3Freferrer=digg&title=Plagued With Relationship Troubles? 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And instead of a cuddle and a kiss, you know she is going to dig up that old canard about your mother.&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021100931.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/2007/02/11/AR2007021100931.html%3Freferrer=delicious&title=%22Plagued With Relationship Troubles? Blame Your Parents.%22 By Shankar Vedantam&notes=So, Valentine\'s Day is two days away, but you know he isn\'t going to bring you any flowers. And instead of a cuddle and a kiss, you know she is going to dig up that old canard about your mother.\" 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/2007/02/11/AR2007021100931.html%3Freferrer=yahoo&title=Plagued With Relationship Troubles? Blame Your Parents.&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/2007/02/11/AR2007021100931.html%3Freferrer=reddit&title=Plagued With Relationship Troubles? Blame Your Parents.\" 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/2007/02/11/AR2007021100931.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Plagued With Relationship Troubles? Blame Your Parents.\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>If the answer to any of these questions is yes, science can finally provide a simple explanation -- and a measure of grim satisfaction: <i>Blame your parents!</i></p><p>Forget about Hallmark cards and chocolate. Just in time for Valentine\'s Day, scientists are announcing the results of an astonishing two-decade-long study that explored the connection between insecure infants and relationship problems in young adults. Turns out the kind of baby you were at 12 months can say a lot about the kind of lover you will be at 21.</p><p>\"If you are more insecure when you are 1, you are more likely to experience more negative emotions in your relationship with your current partner when you are 21,\" said psychologist Jeffry Simpson at the University of Minnesota.</p><p>People from Sigmund Freud on down have made arguments about the role of early relationships in later life. But Simpson and his colleagues have shown for the first time, in a paper in the current issue of the Journal of Personality and Social Psychology, an empirical connection between early behavioral patterns and romantic relationships years down the road.</p><p>The study closely tracked 78 people over a quarter-century, starting when they were babies. Mothers and infants were brought into a laboratory, and the mothers were asked to leave briefly. The infants became upset, of course, but the psychologists were interested in what happened when the mothers returned. Some infants clung tightly to their mothers and sought comfort. In a little while, they calmed down. But others refused to calm down even after lengthy soothing. And some babies refused to turn to their mothers for comfort at all.</p><p>Simpson said research has shown that secure infants turn to their parents when they are upset: \"The kid learns, \'I can count on my parents to calm me down.\' They learn to turn to others. Whereas insecure kids learn that my parent is either rejecting or they learn my parent is neglectful. Or \'I have to protest to get attention.\' \"</p><p>The researchers checked in with the children again when they were in first through third grade. They asked teachers how each child compared in social skills with other children in the class -- especially when the child was upset. Did she act out her anger or reach out to others to solve the problem?</p><p>The next check came at another developmental milestone, when the kids were teenagers. The psychologists studied how the adolescents reached out to their best friends for support: \"Do you rely on your best same-sex friend at 16 to calm you down or do you distract yourself?\" Simpson asked.</p><p>Finally, the researchers studied the people when they were between ages 21 and 23. They asked the volunteers how often they felt happy or sad in their romantic relationships. The volunteers\' romantic partners were asked to describe the relationship as well. Finally, the couples were presented with a conflict and given 30 minutes to try to resolve it. Researchers videotaped the couples as they dealt with the problem and the emotions it produced.</p><p>\"We find if you are insecure at age 1, that predicts being rated as being less socially competent than your peers during grades one-two-three, which predicts less reliance on your best same-sex friend when you are upset at 16, which then predicts more negative emotion in a romantic relationship at age 21 to 23,\" Simpson said.</p><p>Does this mean all insecure infants are doomed to a lifetime of unhappiness? Simpson argued otherwise. Human destiny is not so circumscribed, he said. What the study showed is how each developmental step influences the next, positively or negatively. While it is certainly best to be started in the right direction, people can always learn the skills needed for successful relationships.</p><p>At its core, said Brooke Feeney, a social psychologist at Carnegie Mellon University who published another study in the same journal, research into the factors that predict happiness in our personal lives reveals a paradox about relationships -- and a timely lesson for Valentine\'s Day.</p><p>Contrary to the popular American myth that people left to fend for themselves become strong and independent, the psychological research seems to show exactly the opposite is true: It is the people who are confident enough to reach out to others for help -- and to whom help is given -- who become truly capable of independence.</p><p>Like those crying infants in Simpson\'s study who turned to their mothers for support and, once comforted, resumed their explorations of the world, Feeney found that romantic partners similarly become more independent once their emotional needs are met.</p><p>\"It is a lot easier for people to take risks and accept challenges when they know someone is available to help them and comfort them if something goes wrong,\" Feeney said. \"The most secure individuals are able to turn to other people for support.\"</p></div></div><br clear=\"all\">\n');
INSERT INTO `dede_addonarticle` VALUES('1656','1','<p>Hold out your hand, with the palm facing skyward. Pull the sleeve of your shirt up to your elbow. Now take a look at the fleshy part of your arm, about halfway between your wrist and your elbow. What do you see?</p><p>Nothing, probably.</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>Monday, Feb. 12, 11 a.m. ET</h2><div class=\"sidebarcontent\"><a href=\"http://www.washingtonpost.com/wp-dyn/content/discussion/2007/02/09/DI2007020900791.html\" target=\"\">Science and Medicine</a><br/>Washington Post staff writer Rob Stein will be online to discuss his Monday science page article about skin bacteria.<br/>\n<div style=\"clear:both;\"></div></div></div>\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/2007/02/12/GR2007021200492.html\" target=\"\">Healthy Skin Harbors Rich Bacterial Diversity</a><br/>In a recent study, scientists identified 182 species of bacteria from the forearm skin of six healthy volunteers: three men and three women.<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/2007/02/11/AR2007021100932_Technorati.html\') ;\ntechnorati.article = new item(\'Close Look at Human Arm Finds Host of Microbes\',\'http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021100932.html\',\'Hold out your hand, with the palm facing skyward. Pull the sleeve of your shirt up to your elbow. Now take a look at the fleshy part of your arm, about halfway between your wrist and your elbow. What do you see?\',\'Rob Stein\') ;\n</script><script src=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021100932_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/2007/02/11/AR2007021100932.html%3Freferrer=digg&title=Close Look at Human Arm Finds Host of Microbes&bodytext=Hold out your hand, with the palm facing skyward. Pull the sleeve of your shirt up to your elbow. Now take a look at the fleshy part of your arm, about halfway between your wrist and your elbow. What do you see?\" 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=Close Look at Human Arm Finds Host of Microbes&labels=&annotation=Hold out your hand, with the palm facing skyward. Pull the sleeve of your shirt up to your elbow. Now take a look at the fleshy part of your arm, about halfway between your wrist and your elbow. What do you see?&bkmk=http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021100932.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/2007/02/11/AR2007021100932.html%3Freferrer=delicious&title=%22Close Look at Human Arm Finds Host of Microbes%22 By Rob Stein&notes=Hold out your hand, with the palm facing skyward. Pull the sleeve of your shirt up to your elbow. Now take a look at the fleshy part of your arm, about halfway between your wrist and your elbow. What do you see?\" 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/2007/02/11/AR2007021100932.html%3Freferrer=yahoo&title=Close Look at Human Arm Finds Host of Microbes&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/2007/02/11/AR2007021100932.html%3Freferrer=reddit&title=Close Look at Human Arm Finds Host of Microbes\" 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/2007/02/11/AR2007021100932.html?referrer=facebook\')+\'&t=\'+encodeURIComponent(\'Close Look at Human Arm Finds Host of Microbes\'),\'sharer\',\'toolbar=no,width=642,height=436\'));\">Facebook</a></div></div><br clear=\"all\"/></div></div></div>\n</td></tr></table>\n<p>But that\'s not what Martin J. Blaser of New York University School of Medicine sees. With the help of the latest scientific tools, Blaser sees a complex, microscopic world teeming with a vast array of microorganisms.</p><p>\"The skin is home to a virtual zoo,\" said Blaser, a microbiologist who last week published online the first molecular analysis of the bacteria living on one small patch of human skin. \"We\'re just beginning to explore it.\"</p><p>The analysis revealed that human skin is populated by a diverse assortment of bacteria, including many previously unknown species, offering the first detailed peek at this potentially crucial ecosystem.</p><p>The work is part of a broader effort by a small coterie of scientists to better understand the microbial world that populates the human body. Virtually every orifice and the digestive tract are swarming with bacteria, fungi and other microbes. By some estimates, only one out of every 10 cells in the body is human.</p><p>\"If nothing else, this should be a shot across the bow to the scientific community that says, \'Hey, don\'t you think we should be taking a closer look at this?\' \" said David A. Relman, a Stanford University microbiologist. \"To me it\'s still surprising, humbling and shocking how little we truly understand about the makeup of the human microbial community.\"</p><p>Scientists suspect these microbes play important but poorly understood roles, assisting crucial bodily functions and potentially helping prevent or cause many diseases. One recent study found that obese people appear to have a unique mix of microbes in their guts, which could partly account for the obesity epidemic.</p><p>\"This type of work is setting the stage for a second human sequencing project -- one that examines our microbiomes\" -- the genes of the microbial communities populating our bodies -- Jeffrey I. Gordon of Washington University in St. Louis wrote in an e-mail. Gordon reviewed Blaser\'s paper for publication by the Proceedings of the National Academy of Sciences.</p><p>\"The result of this human microbiome project will be a more comprehensive view of our genetic landscape and should provide insights about which of our \'human attributes\' are derived from products of our microbial self,\" he said. \"This could lead, in turn, to new ways of defining health, new ways for predicting disease predilection, and new ways for treating illnesses affecting various components of our body, including the skin.\"</p><p>Blaser decided to focus on the skin in order to begin to understand the microbial makeup of the body\'s largest organ. Similar studies have been conducted on the mouth, colon, vagina and other parts of the body.</p><p>\"No one had really done modern work on the skin,\" Blaser said. \"This is really the first attempt to do something like this.\"</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/2007/02/11/AR2007021100932_2.html\'+unescape(location.search)+\'\">2</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021100932_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/2007/02/11/AR2007021100932_2.html\'+unescape(location.search)+\'\">Next</a>\')</script><noscript><a href=\"http://www.washingtonpost.com/wp-dyn/content/article/2007/02/11/AR2007021100932_2.html\">Next</a></noscript> ></b></font></td></tr></table></div><br>\n');
INSERT INTO `dede_addonarticle` VALUES('1657','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\">When it comes to chocolate, give in to the dark</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Bestow your sweetheart with a heart-healthy treat this Valentine\'s Day</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;\">Lisa C. Cohn, R.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://msnbcmedia4.msn.com/j/msnbc/Components/Bylines/mugs/MSNBC%20Interactive/msnbc_cohn_lisa.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>Lisa C. Cohn, 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/15290921/\">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>Linda, a 38-year-old mother of three, was so anxious to lose weight she promised to follow any meal plan I recommended. \"But can I still have my chocolate?\" she pleaded.</p><p>A noted New York cardiologist wanted to know what to say when his patients ask him which chocolate to eat for their hearts.<br><br>Chocolate is certainly one of the \"it\" foods of the moment, with numerous studies praising the sweet stuff for its heart-loving goodness. Not only do we have more kinds of chocolate bars than ever to choose from, there\'s chocolate soup and even chocolate pizza. It\'s only a matter of time before someone bathes in it!</p><p>But can the sweet stuff that\'s synonymous with Valentine\'s Day really protect your heart and fit into a weight-loss program? Well, yes, but not all chocolate is the same.</p><p>If you\'re going to indulge on Feb. 14 or any other day, go for the purest dark chocolate you can find. That\'s the kind loaded with flavonoids - antioxidant chemicals that help prevent cell damage, reduce clot formation and improve blood sugar levels. The cacao plant, which is what chocolate is made from, contains the same antioxidants - including catechins and phenols - found in red wine, apples, onions and grapes.</p><p>Look for bars with at least 60 percent cocoa solids (some brands of dark chocolate contain as much as 75 percent). Milk chocolate has fewer flavonoids than dark, and white chocolate has almost none. </p><p>As an added treat, chocolate also contains caffeine and other chemicals that help boost mood and may ease women\'s premenstrual symptoms.</p><p>We don\'t yet know the exact amount of chocolate to eat for maximum health effect, but three-quarters of an ounce provides an equal amount (400 milligrams) of antioxidants as a glass of red wine. As my friend Jim said at his 40th birthday party while he toasted guests with red wine and chocolate cake, \"Cheers! Antioxidants never tasted so good.\"</p><p><b><strong>Moderation is key<br></strong></b>But don\'t overdo it every day. One-third of an ounce of chocolate - that\'s about two squares of a bar - can satisfy a craving without blowing your diet.</p><p>Dark chocolate can be loaded with calories, saturated fat and sugar. An ounce has about 150 calories. And it isn\'t necessarily the best source of flavonoids, either. You can get similar antioxidants from vegetables, fruits and whole grains. Unlike chocolate, they are low-fat, low-cholesterol, high-fiber and caffeine-free. Still, the type of fat in chocolate, called stearic acid, does not seem to raise blood cholesterol levels the way animal fats do.</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/17052046/\">Survey: Are you a chocoholic?</a></li><li><a href=\"/id/15719986/\">Chocolate addiction leads to sweet discovery</a></li><li><a href=\"/id/16529807/\">Why the last 5 pounds are so sticky</a></li><li><a href=\"/id/14958715/\">How to eat more, weigh less</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>For chocolate lovers who want permission to make a Valentine\'s Day treat into a daily dose of chocolate year-round, moderation is key. Here are some figure-friendly ways to get your daily chocolate fix: </p><ul><li class=\"textBodyBlack\">Sprinkle some chocolate chips in a bowl of oatmeal or cereal.</li><li class=\"textBodyBlack\">Nibble on a few chocolate pieces with cottage cheese and fruit.</li><li class=\"textBodyBlack\">Smear a little chocolate spread on whole-grain bread or crackers with sliced banana.</li><li class=\"textBodyBlack\">Dip celery, fruit or cut-up vegetables in a chocolate fondue. </li></ul><p>When you get a craving, it\'s better to satisfy it with one of these suggestions than to deny yourself chocolate altogether. If you deprive yourself all day, you might end up gorging on a whole bar just before bed.</p><p>As researchers continue to explore the ways dark chocolate is good for your heart and your head, rest assured that you can indulge a bit this Valentine\'s Day and still enjoy a guilt-free holiday.</p><p><em><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 a question for one of our nutritionists? 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></em></p><p><em>Lisa C. Cohn is a registered dietitian with over 20 years experience in nutrition research and training. She is president of </em><a href=\"http://www.parkavenutrition.com/\" target=\"_blank\"><em>Park Avenue Nutrition Spa</em></a><em>, a services and consulting group in New York. </em></p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 MSNBC Interactive</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1658','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\">Genes play major role in preterm births</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Black women are three times more likely than whites to deliver early</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>ST. LOUIS - Genetics may play a greater role than previously thought in accounting for black women\'s higher rate of premature births, researchers at Washington University School of Medicine have found.</p><p>Experts have long attributed the racial disparity in part to poverty, disparate access to medical care and other environmental factors.</p><p>But when the St. Louis researchers adjusted for age, education level, medical and socio-economic factors, black women still had higher rates of premature births and recurrence.</p><p>\"It\'s not all one or all the other,\" said Dr. Louis Muglia, senior author of the study appearing in the February issue of the <em>American Journal of Obstetrics &amp; Gynecology</em>.</p><p>Muglia, professor of pediatrics and obstetrics and gynecology at Washington University School of Medicine, wrote that the study suggests black race - independent of other factors - increases risk for extreme pre-term birth and its recurrence in subsequent pregnancies.</p><p>Nationally, as well as in Missouri, white women have an 11 percent risk of delivering prematurely while black women have a 19 percent risk.</p><p>One outside expert said the large study, which was funded by the March of Dimes, is \"very important work\" that suggests black women are genetically predisposed to preterm deliveries.</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 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><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=\"/id/8487269/\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/i/msnbc/Components/Art/HEALTH/040112/TZ152_CalculateDueDate.jpg\" height=\"110\" width=\"150\" vspace=\"0\" hspace=\"0\" alt=\"Calculating your due date\"></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(\'/id/8487269/\');\"></div></td></tr></table></td></tr><tr><td style=\"padding:10px;\"><font color=\"#000000\"><font color=\"551E1B\">?/font><font class=\"textMedBlackBold\"><a href=\"/id/8487269/\">Calculate your due date</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>\"The magnitude of the effect is unknown,\" said Dr. Roberto Romero, chief of the Perinatology Research Branch of the National Institute of Child Health and Human Development, at the National Institutes of Health.</p><p>Romero said it calls for more studies to determine the extent to which the phenomenon is genetic, environmental, or both.</p><p>Romer said premature birth is the leading cause of infant death among U.S. blacks.</p><p>The U.S. ranks 21st for infant deaths among developed nations, he said. The infant mortality rankings by the World Health Organization is one index of public health.</p><p><b><strong>\'The importance of race\'</strong></b><br>The Washington University researchers analyzed data from a Missouri Department of Health database of all births in the state from 1989 to 1997, adjusting for smoking, poverty and other contributing factors. The database included more than 700,000 records of births.</p><p>The researchers found that black women not only are three times more likely to deliver babies prematurely than white women, they also experience preterm births earlier in the pregnancy. They also have more recurrent premature births than whites, and are more likely to repeat delivery at a similar week of gestation as before.</p><p>The researchers say their analysis doesn\'t prove a genetic component to racial disparity in preterm births but suggests a larger contribution than previously appreciated.</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/17052138/\">Spring flings more likely to result in early births</a></li><li><a href=\"/id/17005448/\">Some birth controll pills linked to blood clots</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>\"These findings highlight the importance of race, particularly after correction for other risk factors, and suggest a probable genetic component that may underlie the public health problem presented by the racial disparity in pre-term birth,\" Muglia said.</p><p>Muglia said the study points to the need to increase surveillance of a pregnancy prior to the time a woman had an earlier preterm delivery.</p><p>\"It helps to clarify who\'s at risk, to monitor them more closely and intervene earlier,\" he said.</p><p>Ideally, additional research could offer insight on preventing preterm deliveries, he 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(\'17075177\')\" 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(\'17075177\')\" 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 PREGNANCY </b></font></td></tr></table></td></tr><tr><td><table 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INSERT INTO `dede_addonarticle` VALUES('1659','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\">Older people take a rosier view on life</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>As people age, they tend to tune out the bad things</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>Older adults are more likely to see the glass as half full than half empty, a new study finds. </p><p>Researchers showed 20 young adults, aged 19 to 22, a series of positive, neutral and negative images like chocolate ice cream, an electrical outlet and a dead animal, respectively. A separate group of 20 older adults, aged 56 to 81, were shown the same images. </p><p>Electrodes on the participants\' heads recorded brain activity as they looked at the images. The degree by which brain activity increased determined how responsive each individual was to negative information. </p><p>Older adults were less responsive to the unpleasant images. </p><p>\"As a group, older adults are less likely to be depressed and less affected by negative or unpleasant information,\" said Stacey Wood, a neuropsychologist from Scripps College in Claremont , Calif. who headed up the study. </p><p>In decision making, Wood explained, people weigh losses twice as heavily as gains. \"For instance, when making choices between rounds of gambling, a loss of $100 is weighed twice as heavily as a gain of $100, a phenomenon known as loss aversion. Overall, it seems that humans are hard-wired to pay more attention to negative information,\" she said. </p><p>This tendency decreases as one ages, Wood and her co-author, Michael Kisley of University of Colorado , wrote in a recent issue of the journal Psychology and Aging. It is unclear why our elders are more likely to view the world through rose-colored glasses. It might have to do with the experiences they gain or the biological changes that occur as they age. </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/17070277/\">Copper linked to postpartum depression, study finds</a> </li><li><a href=\"/id/17055244/\">Get a mental health boost from video games</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 were looking at how people were processing these images half a second after they saw them so it\'s not so much an ability to say \'Oh I\'ve seen this before,\'\" Wood told LiveScience. \"It seems like there\'s some very basic changes in how our brain is perceiving negative images to begin with.\" </p><p>A study in 2005 found that older people see \"the big picture\" better. Other research has shown that optimists live longer. </p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 LiveScience.com. All rights reserved. </em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1660','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\">Bush\'s proposed health-care cuts spark debate</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Some see salvation, others see doom for Medicare and Medicaid</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 Christopher Lee and Lori Montgomery</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>Depending on whom you ask, the budget that President Bush proposed last week will save or sink Medicare and Medicaid, two popular programs that, along with Social Security, threaten to swamp the federal budget as the baby-boom generation retires.</p><p>Bush, citing the need for fiscal responsibility, proposed reducing by $101 billion over five years the spending growth of the two health programs, which serve 93 million people and will cost the government $564 billion this year. One of his most controversial ideas is to charge wealthier seniors higher Medicare premiums for the second time in the program\'s 41-year history.</p><p>Budget experts call the plan one of the most significant efforts in years to rein in federal spending on entitlement programs. But health-care providers and advocates for beneficiaries call the proposed cuts arbitrary and say they would exact an unaffordable toll on a big part of the nation\'s health-care system.</p><p>\"It is very, very significant that they\'re willing to put on the table some specific proposals,\" said Comptroller General David M. Walker, who frequently warns of the government\'s troubled long-term fiscal outlook.</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/politics/index.html?nav=msn-1\">Full politics 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><p>Stuart M. Butler, a budget expert at the conservative Heritage Foundation, said, \"It\'s the only way forward in dealing with a huge unfunded obligation that right now is being left in the lap of our children and grandchildren.\"</p><p><b><strong>Sacrificing Medicare for the war?</strong></b><br>Others see the proposals as likely to do more harm than good, and many congressional Democrats have accused Bush of trying to pay for the Iraq war and his signature tax cuts by reducing health care for elderly and poor Americans.</p><p>\"There are problems in terms of future financing of Medicare, and those need to be dealt with in a comprehensive way,\" said Charles N. Kahn III, president of the Federation of American Hospitals. \"To think we\'re going to solve all those problems by simply saying, \'We\'re not going to pay those who provide service what we need to pay them\' is more than problematic. . . . This has more to do with the balanced budget and other things than it does with the preservation of Medicare.\"</p><p>Senate Finance Committee Chairman Max Baucus (D-Mont.) said the Bush plan does nothing to address the underlying causes of the financial woes of Medicare and Medicaid -- rising health-care costs.</p><p>\"I know it\'s difficult, but the administration would be doing this country a much greater service by finding ways to lower the underlying costs of Medicare and Medicaid, rather than just lopping off the top,\" Baucus said. \"These costs will just get transferred somewhere else -- emergency rooms or uncompensated care.\"</p><p><b><strong>Hospitals, care facilities concerned</strong></b><br>Some of the institutions affected most would be hospitals, nursing homes, home health agencies and other providers, whose Medicare payments would be more than $61 billion lower than anticipated over five years (although still higher overall). Bush also proposes automatic across-the-board cuts in provider payments if Medicare spending reaches certain levels for two consecutive years. His budget would not forestall a planned 10 percent cut in Medicare payments to doctors next year.</p><p>Bruce Yarwood, president of the American Health Care Association, said the 9,000 nursing homes he represents would receive about $10 billion less than anticipated over five years.</p><p>\"We\'ll squeeze, cut and trim administrative costs,\" he said. \"You take a look at your staffing patterns, and rather than four people on the night shift you have three. And rather than seven or eight on the day shift you have six. You take a look at your maintenance crew; you say, \'Rather than mow the lawn every week, I\'ll mow it every two weeks,\' so you lay off a maintenance guy.\"</p><p><font size=\"2\"><span CM=\"PageNavBot\"><b><a CE=\"2\" href=\"/id/17075561/page/2/\">CONTINUED: Fears that docs will flee</a></b><hr width=\"100%\" noshade=\"true\" size=\"1\" color=\"#808080\">1 | <b><a CE=\"2\" href=\"/id/17075561/page/2/\">2</a></b>\n			| <b><a CE=\"2\" href=\"/id/17075561/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(\'17075561\')\" 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(\'17075561\')\" class=\"linkBlack\">Email 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href=\"/id/17105333/\">Sunni-Shiite rift widens across Arab world</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><b><a href=\"/id/7468311/\">Most viewed on MSNBC.com</a></b></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></div><script src=\"/js/std.js\"></script></td></tr></table><table width=\"560\" cellpadding=\"10\"><tr><td align=\"center\"><script src=\"/js/std.js\"></script><div style=\"padding-bottom:20;\"><hr id=\"foothr\" width=\"758\" color=\"#000000\" noshade=\"true\" size=\"1\"/><div class=\"bb\" style=\"padding: 10 0 8 0;\"><a href=\"/\">Cover</a> | <a href=\"/id/3032525/\">U.S. News</a> | <a href=\"/id/3032553/\">Politics</a> | <a href=\"/id/3032507/\">World News</a> | <a href=\"/id/3032072/\">Business</a> | <a href=\"/id/3032113/\">Sports</a> | <a href=\"/id/3032118/\">Tech/Science</a> | <a 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INSERT INTO `dede_addonarticle` VALUES('1661','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\">Copper may be tied to postpartum depression</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Women suffering from \'baby blues\' have high levels of mineral , 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>NEW YORK - Women with a history of postpartum depression tend to have unusually high levels of copper in their blood, a new study has found - suggesting the mineral may play some role in the disorder.</p><p>While many women go through a short spell of the \"baby blues\" after giving birth, about 15 percent suffer full-blown postpartum depression. It\'s not clear why some women are more vulnerable than others.</p><p>The new findings suggest that the body\'s regulation of copper levels may be involved, researchers report in the Journal of Trace Elements in Medicine and Biology.</p><p>They found that blood copper levels were significantly higher among 78 women with a history of postpartum depression compared with non-depressed women and those who\'d suffered depression unrelated to childbirth.</p><p>\"This could very well be the missing link in the mystery of postpartum depression,\" said Dr. William J. Walsh, a co-author of the study and director of research at the Pfeiffer Treatment Center and the Health Research Institute in Warrenville, Ill.</p><p>The center focuses on treating various mood and behavioral disorders by finding and treating \"biochemical imbalances\" they believe are at the roots of the problem.</p><p><b><strong>Genetic flaw?<br></strong></b>In the case of postpartum depression, Walsh explained in an interview, the theory is that some women have a problem in the body\'s built-in system for clearing excess copper.</p><p>During pregnancy, Walsh said, a woman\'s copper levels normally go up, more than doubling, before normalizing after childbirth. But he and his colleagues speculate that in women who develop postpartum depression, copper levels do not normalize for some reason - most likely, they suspect, because of a genetically determined flaw in the protein that regulates copper levels.</p><p>Persistently high copper levels might contribute to postpartum depression because of the metal\'s role in brain chemistry, according to Walsh. Excess copper in the brain, he said, can alter the balance of dopamine and norepinephrine, two mood-regulating chemicals.</p><p>For their study, Walsh and colleague Dr. John W. Crayton examined data on a group of patients seen at the Pfeiffer center between 1990 and 2002. They focused on blood copper levels among 78 women with a history of postpartum depression, 148 with a history of depression but no postpartum symptoms and 28 with no history of depression.</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/17052463/\">Fertility therapies slightly raise odds of defects</a></li><li><a href=\"/id/17055244/\">Get a mental health boost from video games</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 average copper level for the postpartum group was 131 micrograms per deciliter of blood, versus 111 mcg/dL in the depression group and 106 mcg/dL among non-depressed women.</p><p>These differences do not prove that high copper levels caused the women\'s postpartum depression, Walsh acknowledged.</p><p>But he said that in his clinic\'s experience, women with postpartum depression have responded to therapy with supplements that \"normalize\" their blood copper levels.</p><p>However, there have been no rigorous, controlled clinical trials to prove such treatment works. That, Walsh said, is the next step in the research.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\"><tr><td><SCRIPT language=javascript src=http://www.msnbc.com/d/ip/DepressionSymptoms/data.js></SCRIPT><SCRIPT language=javascript src=http://www.msnbc.com/modules/poptext/poptext_codeV2.js></SCRIPT><SCRIPT>if (window.DepressionSymptoms) { displayApp(DepressionSymptoms); }</SCRIPT></td></tr></table></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('1662','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\">1 in 5 women with lung cancer never smoked</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>More evidence that females are extra susceptible to secondhand smoke</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>Up to 20 percent of women who develop lung cancer have never smoked, U.S. researchers found in a study that suggests secondhand smoke may be to blame.</p><p>A survey of a million people in the United States and Sweden shows that just 8 percent of men who get lung cancer are nonsmokers.</p><p>\"I have a lot of patients who have never smoked,\" said Dr. Heather Wakelee of Stanford University in California, who led the study.</p><p>\"And because of the stigma, people are embarrassed to speak out about their disease. They feel like as soon as they say they have lung cancer, everyone judges them.\"</p><p>She said it is not clear why women may be more likely to get lung cancer even if they have never smoked.</p><p>\"There is a lot of controversy over whether women are more susceptible to smoking at all, whether direct or secondhand smoke,\" Wakelee said in a telephone interview.</p><p><b><strong>More women exposed to secondhand smoke</strong></b><br>Writing in Friday\'s issue of the <em>Journal of Clinical Oncology</em>, Wakelee and epidemiologist Ellen Chang said they tracked the incidence of lung cancer in more than 1 million people aged 40 to 79. All had taken part in various studies of diet, lifestyle and disease, some going back into the early 1970s.</p><p>Some groups were mostly white women, such as an ongoing nurse\'s study, while others included ethnically diverse groups, Wakelee said.</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 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><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></tr><tr><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>Among women who never smoked, the lung cancer incidence rate ranged from 14.4 per 100,000 women per year to 20.8 cases per 100,000. In men, it ranged from 4.8 to 13.7 per 100,000. Rates were about 10 to 30 times higher in smokers.</p><p>This would translate to about 20 percent of female lung cancer patients having been nonsmokers and 8 percent of males, they said. That compares with American Cancer Society estimates of about 10 percent to 15 percent for all lung cancer patients.</p><p>\"That estimate has been thrown about without any hard data to support it. This data sort of supports it,\" Wakelee said.</p><p>Chang said that because more men smoke than women, women may be more likely to be exposed to secondhand smoke, even when they are classified as never-smokers.</p><p>\"We know that secondhand smoke does increase the risk of lung cancer so it\'s likely that a lot of these cases we observe are attributable to that,\" she said in a statement.</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/16705760/\">Texas study links pollution, child cancer</a></li><li><a href=\"/id/16947291/\">Heavy drinking riskier for women with hep C</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>Smoking is by far the leading cause of lung cancer, but radon, asbestos, chromium and arsenic are also associated with lung cancer.</p><p>The American Cancer Society projects that lung cancer will be diagnosed in 213,000 Americans in 2007 and kill 160,000.</p><p>Weill Cornell Medical College last week said it was starting a lung cancer study of 5,000 people working in industries with a high degree of secondhand smoke exposure, such as flight attendants, restaurant workers and entertainers.</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('1663','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\">From pills to vacuums: In pursuit of better sex</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>The race is on to find new treatments for sexual dysfunction</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 Allison Van Dusen and Matthew Herper</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>Since the dawn of time, people have looked toward elixirs and potions to improve their sex lives. Why else, after all, would one consume ground tiger penis, horny goat weed and Spanish Fly? </p><p>Perhaps because nearly one in five men in the U.S. suffer from erectile dysfunction, according to a recent study in the <em>American Journal of Medicine</em>. Some researchers have estimated that as many as 40 percent of U.S. women have low libido or inability to reach orgasm. Most quick fixes simply don\'t work, and some, like Spanish Fly - a supposed aphrodisiac derived from beetles that can cause kidney damage - are harmful. </p><p>But modern medicine has found ways - both proven and experimental - to improve your sex life. Might they help make this Valentine\'s Day more memorable? </p><p>That\'s anyone\'s guess. One place to start: old-fashioned remedies, which some say work best. Regular exercise can actually improve erectile function in most men, says Andrew McCullough, a urologist at New York University Medical Center, and we\'re talking jogging, not the acrobatic feats found in the back of a magazine. Not particularly athletic? Therapists say that paying attention to your feelings is as important as any pill, nose spray or cream. </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/2007/02/06/spice-sex-life-forbeslife-cx_avd_0207sex_slide_2.html?partner=msnbc\" target=\"_blank\">Slide show: 13 ways to spice up your sex life</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>\"Have a really wonderful role-play with your partner, have a really great dinner out or watch a romantic movie together,\" says Robert Dunlap, who has researched aphrodisiacs at the Institute for Advanced Study of Human Sexuality in San Francisco. \"The greatest aphrodisiac is your mind.\"</p><p><b><strong>Hope in a bottle<br></strong></b>But that\'s not stopping the $600 billion global pharmaceutical industry from trying to think up new sex drugs. Viagra, the little blue pill Pfizer launched a decade ago, brings in $1.7 billion in sales every year. Cialis, the longer-acting imitator made by Eli Lilly, rakes in another $1 billion, with several hundred million more for Levitra, from Bayer and Schering-Plough. Other remedies increase blood flow, like the penis injection Caverject, and bring in $30 million more. </p><p>A product that could improve women\'s sexual function might bring in even more money, if it were truly effective. So far, though, companies have been unsuccessful. Viagra failed in tests on women. Procter &amp; Gamble tried to push a testosterone patch for female sexual dysfunction through the Food and Drug Administration (FDA), but in 2004 the agency balked, citing a lack of long-term safety data.</p><p>Now the idea of using testosterone as a sex-booster for women is being pushed by Lincolnshire, Ill.-based BioSante Pharmaceuticals, Inc. Its LibiGel is rubbed on the upper arm daily, delivering testosterone, which is thought to increase libido, to the bloodstream over time. The company just began late-stage trials, and, after discussions with the FDA, will start a big safety trial before submitting data to regulators in 2009. </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;From sex diets to the cost of obesity</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/2006/11/30/sex-diet-nutrition-life-health_cx_tw_1205sexdiet_slide_2.html?partner=msnbc\" target=\"_blank\">Better sex diet</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/2006/12/05/leadership-health-sex-lead-innovation-cx_tw_1205aphrodisiacs_slide_2.html?partner=msnbc\" target=\"_blank\">10 aphrodisiacs that work</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/2006/07/19/cz_mh_0719obesityslide.html?partner=msnbc\" target=\"_blank\">The hidden cost of obesity</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_2.html?partner=msnbc\" target=\"_blank\">Top 5 worst trans-fat offenders</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://www.forbes.com/2006/10/24/life_health_cx_ad_1025featslide.html?partner=msnbc\" target=\"_blank\">Easy ways to ease up on your body</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>Palatin Technologies, of Cranbury, N.J., is trying to get in on the game, developing a nose spray called bremelanotide to treat men and women with sexual dysfunction. Applied 10 to 15 minutes prior to sex, it travels through the central nervous system to increase blood flow in the penile or vaginal tissue. The company hopes to get FDA approval for men in 2009 and women around 2011. \"On the female front, we\'ve got a chance to be first to market,\" says CEO Carl Spana. \"People wonder how many women will come in for treatment, but my gut tells me they will come in.\"</p><p><b><strong>What really works<br></strong></b>Right now, the treatment available for women with female sexual dysfunction that has been reviewed by the FDA is a handheld vacuum that can be used with a doctor\'s prescription to increase blood flow to the clitoris. Called Eros Therapy, it is made by NuGyn of Minnesota. Devices such as this go through fewer hurdles than drugs; the Eros device has been tested in several dozen people, compared with hundreds for a pill such as 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/16894488/\">MSNBC.com/iVillage.com survey: Love, lust and loyalty</a></li><li><a href=\"/id/3297042/\">Quiz: How much do you know about impotence?</a></li><li><a href=\"/id/16927056/\">Sex troubles can point ot serious health issues</a></li><li><a href=\"/id/16582768/\">What\'s the perfect position for pleasure?</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>Joy Davidson, a Manhattan-based certified sex therapist, worries that all this technology may cause some people to ignore important cultural factors that can cause sexual dysfunction. \"There are agendas here that are not health-based, they\'re profit-based,\" she says. \"If you\'re not looking at these elements - the emotional, psychological and cultural - then giving somebody a so-called magic pill is not going to solve the problem.\"</p><p><b><strong>Future fixes</strong></b><br>Meanwhile, drug researchers keep coming up with even more out-there approaches. For instance, a gene therapy, which seeks to fix erectile function by altering the DNA of cells in the penis, then injecting them back in to the patient. It should work for six months, according to inventor Arnold Melman, the researcher at New York\'s Albert Einstein College of Medicine. He has co-founded a tiny biotech, Ion Channel Innovations, to develop the product, which even he doesn\'t expect to reach the market before 2012. No gene therapy has ever been approved. </p><p>\"People always say gene therapy doesn\'t work, but at one point it will,\" says Melman. \"We think this is the one.\"</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 Forbes.com</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1664','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\">Fake patients help break in newbie doctors</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>These pros subject to a physician\'s first pelvic exam, so you don\'t have to</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 - Most women want to put off that dreaded once-a-year pelvic exam. Imagine volunteering to have one four times a week - by a trembling novice doctor.</p><p>That\'s what Kat Wentworth does. She works as a stand-in patient to help train medical students how to give below-the-waist exams.</p><p>Some say she should get battle pay. But Wentworth says she is happy to move medical residents \"from a place of fear and anxiety to a place of ease and success.\"</p><p>The student doctors say her advice is invaluable.</p><p>Wentworth is among thousands of regular citizens across the country who are willing to let budding doctors practice on them so the rest of us can be in better hands when real illness strikes. Of course, most fake patients aren\'t volunteering for such an intimate exam.</p><p>Chicago actress Vickie Daignault, for example, has suffered breast cancer, drug addiction, obesity and dizzy spells to help train medical students at the University of Illinois at Chicago. She\'s had the fun of seeing the occasional cocky young doctor miss the mark in his diagnosis when she holds back crucial information - such as the use of crack cocaine - just as a real patient might.</p><p>Students know these patients are fake, but each gets an identity and a medical history, and the pretend office visits often seem very real. They have one big advantage over the real thing, however - allowing many \"takes\" to help students get it right.</p><p><b><strong>Can\'t yell \'cut\' in the ER<br></strong></b>\"In real life, you can\'t yell \'Cut!\'\" said Dr. Rachel Yudkowsky, who oversees the Chicago program.</p><p>Wentworth realized the need for better training for pelvic exams after having uncomfortable checkups from uneasy doctors. She now runs her own business in Oakland, Calif., supplying male and female practice patients for everyone\'s least favorite doctor visits - genital, rectal and breast exams. Some have health backgrounds, but there are an editor, musician and real estate consultant among her group, too.</p><p>In her first visit with the nervous newbie docs, Wentworth says she tells the students, \"Don\'t be afraid to hurt, I won\'t let you. I will be guiding you with my voice and sometimes my hands.\"</p><p>Dr. Nick Rubashkin, an obstetrics-gynecology resident at University of California at San Francisco, did his first pelvic exam on Wentworth a few years ago when he was a med student at Stanford.</p><p>\"I was totally nervous. I remember the sweat breaking out on my forehead,\" he recalled.</p><p>Having a practice patient who was calm and knowledgeable and who gave instant feedback \"was invaluable,\" said the 31-year-old doctor.</p><p>In a University of Massachusetts study published last year, graduate-level nursing students reported learning better pelvic exam skills from trained \"fake\" patients than from practicing on each other.</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;Other 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>\n<a href=\"/id/17010970/\">Risky pregnancies are rising, and succeeding</a> </li><li><a href=\"/id/17069778/\">Shunts OK\'d?o save soldiers\' limbs</a> </li><li><a href=\"/id/17027791/\">From pills to vacuums: In pursuit of better sex</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>\"Thank God there\'s somebody to teach the students how to do it so they don\'t do their first one on you,\" said Yudkowsky.</p><p>If book smarts were the only thing required to make a good doctor, she said, no one would care \"if you\'re an obnoxious, arrogant physician. But we do care, and patients really care.\"</p><p><b><strong>Focus on bedside manner<br></strong></b>A big change in medical education in 2004 helped solidify fake patients\' role. That\'s when a clinical skills exam, using phony patients to test bedside manner, became a requirement for a medical license in the United States.</p><p>Some medical schools since have started requiring a similar exam for graduation.</p><p>The pay is generally good; Wentworth declined to say how much she gets but it\'s considerably more than the usual $14- to $25-an-hour fee many schools offer standard fake patients.</p><p>They \"deserve battle pay,\" said Linda Morrison of the education and curriculum department at Southern Illinois University\'s medical school.</p><p>Medical students have high praise for more standard fake patients, too.</p><p>At the University of Illinois at Chicago, second-year student Shawn Roofian, 22, grew flustered during one of his fake office visits with Daignault, who was portraying a lesbian with dizzy spells. Ruffian wrongly assumed she was straight - and kicked himself over it later, saying he \"wasn\'t properly sensitive.\"</p><p>Such communication lessons are priceless, he said.</p><p>\"If the patient isn\'t comfortable with me, then they\'re not going to come back, and I\'ll never know why,\" he said. \"I want my patients to leave saying, \'That\'s a good doctor.\"</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(\'17103288\')\" 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(\'17103288\')\" 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 HEALTH CARE</b></font></td></tr></table></td></tr><tr><td><table 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INSERT INTO `dede_addonarticle` VALUES('1665','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\">Risky pregnancies are rising, and succeeding</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Complications due to mothers\' age, health issues becoming routine</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Components/Photos/070207/070207_riskyPreg_hmed6p.hmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Madelyn Engelman, Dr. Gabrielle Fish\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Mel Evans / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">When Dr. Gabrielle Fish decided to try a risky pregnancy after her kidney transplant, Fish was in her mid-30s and had been stable on her anti-rejection drugs for two years. She had a successful pregnancy, and her daughter, Madelyn Engelman, is now 6.</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>High-risk pregnancies are on the rise in the United States and may be more common now than at any other time since modern obstetric care became available.</p><p>Why? More fortysomething moms are having babies, and epidemics of diabetes, obesity and high blood pressure are causing pregnancy and birth complications.</p><p>But in this otherwise troubling trend is also some good news: A small but growing number of women are successfully having children despite life-threatening conditions that once made a safe pregnancy almost inconceivable.</p><p>Exact numbers are not available, but doctors say that tens of thousands of organ transplant recipients, breast cancer survivors, women with heart defects and even women with the AIDS virus have decided to risk childbearing in the last several years.</p><p>Not all of these stories have happy endings, and many people worry that some of these women will not live long enough to raise their children, or that they will pass on their medical problems.</p><p>But most results have been so surprisingly good that they are overturning decades of gloomy dogma about who is medically fit to have a child.</p><p>\"These people define a whole new era of pregnancy for us,\" said Temple University\'s Dr. Vincent Armenti, who runs a registry that tracks births to transplant patients.</p><p>\"We have to change our mindset about the perfect pregnancy,\" he said. Women should be given advice based on solid research \"instead of an emotional feeling that some people just shouldn\'t have a baby.\"</p><p><b><strong>Complicated pregnancies becoming routine</strong></b><br><b><strong><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia4.msn.com/i/msnbc/Components/Art/HEALTH/070208/AP_PREGNANCY_RISKS.gif\" align=\"Right\" height=\"440\" width=\"183\" vspace=\"0\" hspace=\"0\"></td></tr></table></strong></b>No one knows precisely how many high-risk pregnancies there are. It is a catchall term that in the past has meant the mom is over 35 or has a condition like high blood pressure that is dangerous for her or her fetus. But as these situations have become more common, even this loose definition is changing.</p><p>Births to women 35 and older are soaring. And many complications are becoming so routine that nurse midwives can manage them instead of sending women to high-risk care specialists. Doctors around the country say they are treating far more of these risky cases than they did a decade ago.</p><p>\"Patients are getting older, so by definition, they\'re higher-risk. The diabetes rate is going through the roof, so that\'s high-risk. More people with high blood pressure are getting pregnant. The list goes on and on,\" leaving fewer women considered low-risk, said Dr. Jacques Moritz, director of gynecology at Roosevelt Hospital in New York City.</p><p>Dr. Mary D\'Alton, the Columbia University Medical Center obstetrics chief who recently delivered twins to a 59-year-old woman, has replaced the term \"high-risk\" with a 1-to-10 scale.</p><p>Birth outcomes for older women and those with medical problems \"have been better than we would expect,\" although complications are more common, she said. For example, about half of organ transplant recipients give birth prematurely, although often by just a couple of weeks. \"I don\'t mean to paint a rosy picture, but I would want to paint an optimistic picture,\" D\'Alton said.</p><p>Dr. Gabrielle Fish felt optimistic when she decided to try pregnancy after her kidney transplant. Fish, of Cherry Hill, N.J., was in her mid-30s and had been stable on her anti-rejection drugs for two years. After researching pregnancies among transplant patients - there have been more than 1,000 in the last decade - she asked her doctors\' advice.</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=190411\">Message Board: Share your pregnancy struggles</a></li><li><a href=\"/id/17005872/\">Pregnancy hypertension linked to heart disease</a></li><li><a href=\"/id/16993749/\">Sluggish thyroid can trigger pregnancy troubles</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>\"They pretty much encouraged me. They said, \'You\'re a healthy woman and you don\'t want to wait till you\'re high-risk because of your age,\"\' Fish said.</p><p>The result: a healthy daughter, Madelyn, now 6. Fish said she feels lucky to have her, but would not try to have a second child.</p><p><font size=\"2\"><span CM=\"PageNavBot\"><b><a CE=\"2\" href=\"/id/17010970/page/2/\">CONTINUED: Aging moms and cancer survivors fuel trend</a></b><hr width=\"100%\" noshade=\"true\" size=\"1\" color=\"#808080\">1 | <b><a CE=\"2\" href=\"/id/17010970/page/2/\">2</a></b>\n			| <b><a CE=\"2\" href=\"/id/17010970/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(\'17010970\')\" 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(\'17010970\')\" 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 PREGNANCY </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 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INSERT INTO `dede_addonarticle` VALUES('1666','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\">Newer breast cancer drugs may save lives</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Women who switch from tamoxifen less likely to die, study 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>WASHINGTON - Women who switch from the breast cancer pill tamoxifen to a newer class of drugs called aromatase inhibitors live longer, Italian researchers reported Monday.</p><p>Their study, published in the journal Cancer, adds to a growing body of evidence that the new drugs are far safer, preventing cancer with fewer side effects than tamoxifen.</p><p>Dr. Lauren Cassell of Lenox Hill Hospital in New York said the research is changing how doctors treat breast cancer patients after their tumors are surgically removed.</p><p>\"If they have been on tamoxifen we are switching them to an aromatase inhibitor. If they are newly diagnosed we are using an aromatase inhibitor instead of tamoxifen,\" she said in a statement.</p><p>But tamoxifen remains the main option for younger women with breast cancer.</p><p>\"Aromatase inhibitors are only for women who are post-menopausal,\" Cassell said.</p><p>Tamoxifen transformed breast cancer therapy when it was shown to reduce the risk of cancer coming back by close to 50 percent. It was also an easy-to-take pill.</p><p>But the drug raised the risk of death from strokes and endometrial cancer.</p><p>Then a newer class of drugs, the aromatase inhibitors, was developed.</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/17009313/\">New breast cancer test can predict relapse</a></li><li><a href=\"/id/15702642/\">Red meat raises breast cancer risk</a> </li><li><a href=\"/id/9600023/\">Are you at risk?</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>Dr. Francesco Boccardo of the National Cancer Research Institute and the University of Genoa in Italy and colleagues looked at two studies of 828 women.</p><p><b><strong>Benefit of switching</strong></b><br>About half the women got tamoxifen for five years, as was once recommended, and half got tamoxifen at first and then switched to an aromatase inhibitor after two or three years.</p><p>The women who switched were much less likely to die of breast cancer or of anything else, Boccardo reported.</p><p>\"This pooled analysis provides solid evidence that switching to an aromatase inhibitor following a few years of tamoxifen treatment implies a mortality benefit over continued tamoxifen and that the benefit on breast cancer-related mortality is mainly due to the effect of switching,\" they wrote.</p><p>German researchers reported similar findings in November.</p><p>Aromatase inhibitors include anastrozole, made by AstraZeneca Plc under the brand name Arimidex, and exemestane, made by Pfizer Inc. under the brand name Aromasin.</p><p>Tamoxifen - long the drug of choice for preventing breast cancer - blocks estrogen, which can help fuel the growth of tumors in some cases.</p><p>It is sold by AstraZeneca under the name Nolvadex but now is marketed by several generic drug makers.</p><p>Breast cancer is the second leading cause of cancer death among U.S. women, after lung cancer. More than 200,000 people are diagnosed and another roughly 40,000 die from it each year, according to the American Cancer Society.</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('1667','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\">Happy Valentine\'s! Want some Viagra?</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>British pharmacy tests selling erectile dysfunction drug over the counter </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>LONDON - British pharmacy chain Boots will begin a trial program on Valentine\'s Day to offer men Viagra without a prescription.</p><p>The initial pilot program will be offered in three of the chain\'s stores in Manchester and is expected to last six months, the company said Sunday,</p><p>Boots then will consider whether to expand it to other pharmacies. The chain has about 1,500 stores across Britain.</p><p>Men between the ages of 30 and 65 will be required to see a pharmacist, provide a medical history and have their blood pressure, cholesterol and glucose levels tested.</p><p>\"It\'s still very much a prescription drug,\" Boots spokeswoman Clare Stafford said. \"This is just a different access point to it.\"</p><p>If customers want a refill, they will be required to see a doctor, Stafford said.</p><p>It\'s estimated that only one in 10 men suffering from erectile dysfunction are currently being treated.</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%\" 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color=\"#000000\"></font></td></tr></table></td></tr></table></td></tr></table></p><p>Boots already offers similar services for weight loss, hair retention and chlamydia treatment.</p><p>Viagra is made by New York-based Pfizer Inc.</p><div class=\"textBodyBlack\" style=\"clear:both;\"><i>The Associated Press and 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(\'17113874\')\" 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(\'17113874\')\" 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 MEN\'S HEALTH</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\')\" 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INSERT INTO `dede_addonarticle` VALUES('1668','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., U.K. stem cell banks to team up</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Goals include promoting research and forming international standards</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>MADISON, Wis. - Leaders of national embryonic stem cell banks in the United States and the United Kingdom pledged Monday to work together to promote research, create international standards and more efficiently distribute each other\'s cells.</p><p>The officials told reporters they hoped the efforts were the beginning of a long partnership between the National Stem Cell Bank in Madison and the U.K. Stem Cell Bank near London.</p><p>While stem cell research is in its early stages, scientists believe it may eventually lead to treatment and perhaps cures for diseases such as Parkinson\'s and juvenile diabetes.</p><p>The government-funded U.K. bank opened in 2004 as a repository for stem cells derived from embryos and adults. Its American counterpart was created the following year at WiCell Research Institute, a nonprofit connected to the University of Wisconsin, under a federal contract.</p><p>The U.S. bank houses and distributes 13 of the 21 embryonic stem cell lines that can be used in federally funded research under President Bush\'s policy limiting support to lines created before 2001. Wisconsin researcher James Thomson isolated the first of those lines in 1998.</p><p>Stem cells are created in the first days after conception. Because they go on to form the body\'s tissues and cells, scientists say they could unlock the mystery of many diseases and one day lead to cures.</p><p>But some people oppose the research because days-old embryos - usually leftover from fertility treatments - are destroyed in the effort to isolate the cells.</p><p>The two banks said they would discuss international standards for how cells are ethically derived from human embryos and maintained.</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/16933713/\">Scientists craft embryonic stem cell ethics rules</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>\"Our main focuses are very similar: We want to promote the research and the development of potential therapies in the future,\" said Glyn Stacey, director of the U.K. bank. \"These are the kinds of issues we\'re talking about, and trying to make appropriate cell lines available to researchers and for clinical trials as well.\"</p><p>Carl Gulbrandsen, president of WiCell, said the two would discuss joint distribution of each other\'s cell lines. His group has already reached distribution agreements with some overseas companies.</p><p>\"Shipping stem cell lines overseas is no easy task, hoping they arrive, they are healthy and can be used,\" he 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('1669','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 restricts use of antibiotic</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Drug Ketek, linked to liver damage, should be used only for pneumonia</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 on Monday restricted use of an antibiotic linked to rare reports of severe liver problems, including several deaths, saying the drug now should be used only to treat pneumonia but not less serious bacterial infections like bronchitis and sinusitis.</p><p>The Food and Drug Administration said the antibiotic, Ketek, would remain on the market but that its label will bear a new, stern warning. The agency said it and manufacturer Sanofi-Aventis SA also created a guide for patients outlining the drug\'s risks and its safe use.</p><p>The changes are in line with the December recommendations of a panel of FDA expert advisers that the agency modify the label of the drug, also called telithromycin. In 17-2 votes, the outside advisers said the drug\'s benefits don\'t outweigh its risks in treating bronchitis and sinusitis, which are less serious infections than pneumonia and often spontaneously resolve on their own.</p><p>\"The agency has determined that the balance of benefits and risks no longer support approval of the drug for these indications,\" the FDA said in a statement.</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/17042878/\">Doctors: Superbug can be stopped</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 announced the changes on the eve of a House subcommittee hearing on drug safety that will examine irregularities in the approval of Ketek. The FDA\'s handling of the antibiotic remains under investigation by the Senate as well.</p><p>A new so-called \"black-box\" warning on the Ketek label states the drug should not be used in patients with myasthenia gravis, a disease that causes muscle weakness, the FDA said. The label also now warns about cases of visual disturbances and loss of consciousness reported in some patients.</p><p>The label already warns of the drug\'s risk to the liver. An FDA review released in December cited 13 reports of liver failure in patients treated with the drug.</p><p>As of late last year, doctors had prescribed the antibiotic more than 5.6 million times in the United States since it won FDA approval in 2004.</p><p>A Sanofi-Aventis spokeswoman had no immediate comment.</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('1670','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\">No sweat? Chain touts 4-minute workout</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Machine promises equivalent of 90-minute session, but fitness experts scoff</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>TORONTO  - The promise is attractive: a sweat-free four-minute workout that will give you the same results as a grueling 90-minute session at the local gym.</p><p>A Canadian company is making that silver-bullet pledge as it attempts to build a chain of store-front exercise havens for people who don\'t have the time or inclination for more traditional fitness methods.</p><p>Fitness experts warned that nothing is that easy.</p><p>The company, H.I.T,?has opened its first exercise shop in the underground city beneath Toronto\'s financial core. It contains five narrow stalls, each housing a range-of-motion machine - nearly $13,000 each - and little else besides coat hooks for time-strapped members who choose to slip out of their jackets and work out in business clothes.</p><p>H.I.T says it plans to open hundreds of such locations in Canadian cities within five years with membership dues comparable to traditional gyms.</p><p>\"For most people this is their only form of exercise because they can\'t find time in the week to spend an hour, hour and a half, at the gym,\" said Julie O\'Brien, director of operations at H.I.T.</p><p>Fitness experts say the company\'s bulky H.I.T Fit cross trainer, which looks like a slightly scrunched elliptical trainer stuck to the back of a rowing machine and centered around a flywheel, cannot replace more traditional methods of exercise.</p><p><b><strong>Little calorie burn<br></strong></b>A high-intensity four-minute workout on the H.I.T machine may build muscle tone, they say, but calorie burn will be relatively meager.</p><p>\"There\'s no quick fix to gaining fitness or to exercising without sweating,\" said Jack Goodman, a professor of exercise physiology at the University of Toronto.</p><p>\"Well beyond the field of exercise, one should be wary of any claim that tries to do something in four minutes that typically would take hours.\"</p><p>O\'Brien said four minutes aboard her company\'s machine is equivalent to 45 minutes of resistance training, 30 minutes of running and 20 minutes of stretching.</p><p>And while the workout burns just 40 to 50 calories, she said the lingering effects of its high intensity will burn an additional 500 calories over the next 24 hours.</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/16927021/\">Is your job making you fat?</a></li><li><a href=\"http://fitlist.msnbc.msn.com/archive/2007/02/06/50583.aspx\">Sweatin\' with your sweetie</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>Steven Blair, a professor in the department of exercise science at the University of South Carolina, said high intensity training could increase the length of afterburn. But he dismissed claims of 24 hours.</p><p><b><strong>\'Largely nonsense\'<br></strong></b>\"It\'s largely nonsense,\" said Blair, an internationally recognized authority on exercise and its health benefits. \"I\'m going to remain pretty skeptical until I see data from a well-controlled study published in a quality peer review journal.\"</p><p>H.I.T\'s Web site cites a research paper on the long-term benefits of high-intensity training. But company president Morry Patoka acknowledged that the paper had not been published in any journal and was a compilation of different sources.</p><p>While the four-minute workout is taxing enough to leave even a fit participant gasping for breath, the longer-term benefit is still unclear.</p><p>\"It\'s a lot of hype and not a lot of of substance,\" Goodman said. \"Short of saying it\'s useless, which I wouldn\'t, the claims that they make go probably beyond the reality of what\'s sustainable.\"</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('1671','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\">Adoptive parents more invested, study says</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Children get more time, financial resources than with biological moms, dads</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 - Adoptive parents invest more time and financial resources in their children than biological parents, according to a new national study challenging arguments that have been used to oppose same-sex marriage and gay adoption.</p><p>The study, published in the new issue of the American Sociological Review, found that couples who adopt spend more money on their children and invest more time on such activities as reading to them, eating together and talking with them about their problems.</p><p>\"One of the reasons adoptive parents invest more is that they really want children, and they go to extraordinary means to have them,\" Indiana University sociologist Brian Powell, one of the study\'s three co-authors, said in a telephone interview Monday.</p><p>\"Adoptive parents face a culture where, to many other people, adoption is not real parenthood,\" Powell said. \"What they\'re trying to do is compensate. ... They recognize the barriers they face, and it sets the stage for them to be better parents.\"</p><p>Powell and his colleagues examined data from 13,000 households with first-graders in the family. The data was part of a detailed survey called the Early Childhood Longitudinal Study, sponsored by the U.S. Department of Education and other agencies.</p><p>The researchers said 161 families in the survey were headed by two adoptive parents, and they rated better overall than families with biological parents on an array of criteria - including helping with homework, parental involvement in school, exposure to cultural activities and family attendance at religious services. The only category in which adoptive parents fared worse was the frequency of talking with parents of other children.</p><p>The researchers noted that adoptive couples, in general, were older and wealthier than biological parents, but said the adoptive parents still had an advantage - albeit smaller - when the data was reanalyzed to account for income inequality.</p><p>In particular, the researchers said, adoptive parents had a pronounced edge over single-parent and stepparent families.</p><p>The researchers said their findings call into question the long-standing argument that children are best off with their biological parents. Such arguments were included in state Supreme Court rulings last year in New York and Washington that upheld laws against same-sex marriage.</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/17047721/\">Autism rate in U.S. higher than thought</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 researchers said gay and lesbian parents may react to discrimination by taking extra, compensatory steps to promote their children\'s welfare.</p><p>\"Ironically, the same social context that creates struggles for these alternative families may also set the stage for them to excel in some measures of parenting,\" the study concluded.</p><p>An opponent of same-sex marriage, Peter Sprigg of the conservative Family Research Counsel, noted that the study focused on male/female adoptive couples, not on same-sex couples, and he questioned whether it shed any new light on adoptive parenting by gays.</p><p>Sprigg, the research council\'s vice president for policy, said he warmly supports adoption, but believes it is best undertaken by married, heterosexual couples.</p><p>Adam Pertman, executive director of the Evan B. Donaldson Adoption Institute, welcomed the study\'s findings, but cautioned against possibly exaggerated interpretations of it.</p><p>\"It\'s an affirmation that there are all sorts of families that are good for kids,\" he said. \"Adoptive parents aren\'t less good or better. They just bring different benefits to the table. In terms of how families are formed, it should be a level playing field.\"</p><p>The study was funded by the National Science Foundation, the Spencer Foundation and the American Educational Research Association. Powell\'s co-authors were Laura Hamilton, a doctoral student at Indiana University, and Simon Cheng, a sociology professor at the University of Connecticut.</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('1672','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\">Pot eases pain for HIV patients, study says</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Landmark trial to gauge medicinal benefits draws White House criticism </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 FRANCISCO - Smoking marijuana eased HIV-related pain in some patients in a small study that nevertheless represented one of the few rigorous attempts to find out if the drug has medicinal benefits.</p><p>The Bush administration\'s Office of National Drug Control Policy quickly sought to shoot holes in the experiment.</p><p>The study, conducted at San Francisco General Hospital from 2003 to 2005 and published Monday in the journal Neurology, involved 50 patients suffering from HIV-related foot pain known as peripheral neuropathy. There are no drugs specifically approved to treat that kind of pain.</p><p>Three times daily for nearly a week, the patients smoked marijuana cigarettes machine-rolled at the National Institute of Drug Abuse, the only legal source for the drug recognized by the federal government.</p><p>Half the patients received marijuana, while the other 25 received placebo cigarettes that lacked the drug\'s active ingredient, tetrahydrocannabinol. Scientists said the study was the first one published that used a comparison group, which is generally considered the gold standard for scientific research.</p><p>Thirteen patients who received marijuana told doctors their pain eased by at least a third after smoking pot, while only six of those smoking placebos said likewise. The marijuana smokers reported an average pain reduction of 34 percent, double the drop reported by the placebo smokers as measured with a widely accepted pain scale.</p><p>\"These results provide evidence that there is measurable medical benefit to smoking cannabis for these patients,\" said Dr. Donald Abrams, the University of California at San Francisco professor who led the study.</p><p>Many critics of smoked marijuana agree THC has promise as a painkiller, but they argue the smoke itself is harmful.</p><p>\"People who smoke marijuana are subject to bacterial infections in the lungs,\" said David Murray, chief scientist at the Office of National Drug Control Policy. \"Is this really what a physician who is treating someone with a compromised immune system wants to prescribe?\"</p><p>Murray also questioned the statistical relevance of study with just 50 participants in the test.</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;Other 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/17115245/\">Good news for slackers: naps help your heart</a></li><li><a href=\"/id/17119478/\">Adoptive parents more invested in kids</a></li><li><a href=\"/id/17118358/\">Genome mapped for type-2 diabetes patients</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>Dr. Mark Ware, a researcher at McGill University in Montreal conducting similar tests, defended Abrams\' study as sound and statistically reliable.</p><p>The study is one of the few human tests in a research field nearly devoid of federal funding.</p><p>\"This is a valid medicine, and I want safe access to my medication,\" said Diana Dodson, a 50-year-old grandmother of five who participated in the test in 2004.</p><p>California and 10 other states have passed laws legalizing marijuana for medicinal purposes, but the federal government considers it a dangerous drug, like cocaine or heroin. The U.S. Supreme Court ruled in 2005 that state laws do not protect users from the federal ban.</p><p>To conduct the test, Abrams needed authorization from eight academic and government agencies, including the Drug Enforcement Administration.</p><p>The study cost about $1 million and was paid for by the University of California Center for Medicinal Cannabis Research, which has sponsored several smoked marijuana tests.</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('1673','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\">Does your skin need a shrink?</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Emerging field of psychodermatology aims to soothe the soul, too</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia3.msn.com/j/msnbc/Components/Photos/070209/070209_psychderm_hmed_1p.hmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Lady in mirror\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">?Royalty-Free/Corbis</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">When you feel good, you look good.?ut when you\'re stressed out, your skin is often the first place to show it.</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br></td></tr></table><font size=\"-2\"><div class=\"textMedBlackBold\" style=\"padding-top:10px;\">By Diane Mapes</div><div class=\"textMedBlack\">MSNBC contributor</div><p></p></font><p>The hives started as soon as Lorelei Russ moved in with her boyfriend.</p><p>\"At first, I thought it was the latex paint or the cats or something environmental,\" says Russ, 32, of Brooklyn, N.Y. \"So I went to a doctor who told me to take antihistamines.\"</p><p>The drugs didn\'t help, but after nine months of breakouts, Russ discovered something that did: a breakup.</p><p>\"I slowly figured out that my hives only happened when I was with my boyfriend,\" says Russ. \"It became my stress reaction. As soon as I left the relationship, my skin stopped freaking out.\"</p><p>While Russ didn\'t realize it, she\'d stumbled onto the powerful mind-body connection that is at the heart of an emerging field known as psychodermatology. Focusing on the boundary between psychiatry and dermatology, psychodermatologists (or \"skin shrinks\") care for the skin <em>and</em> the soul, dovetailing traditional treatments like antibiotics or topical medications with alternative methods such as relaxation, biofeedback, self-hypnosis or psychotherapy.?</p><p>\"An estimated 30 to 60 percent of people who come to a doctor for help with skin problems also have emotional issues that are churning as well,\" says Dr. Ted Grossbart, an assistant clinical professor of psychology at Harvard Medical School and author of \"Skin Deep: A New Mind/Body Program for Healthy Skin.\"</p><p>\"These emotional stressors can keep the best skin medicine in the world from working,\" he says. \"You\'ve got to address what\'s going on in the heart as well as on the skin.\"</p><p><b><strong>A perfect storm for skin trouble<br></strong></b>Stephanie Gasper, 32, of Kirkland, Wash., would agree. Since childhood, she\'s suffered from psoriasis, a scaly skin condition exacerbated by stress. Two years ago, Gasper found herself amid a perfect storm of stress when she had to organize a move from England to the United States, plan her wedding and have her wisdom teeth out - all at the same time. </p><p>\"My psoriasis just got worse and worse,\" she says. \"I remember trying on wedding dresses and being so embarrassed because you could see all of this red, scaly skin. But as soon as everything was settled and I was on the plane for the States, it completely disappeared.\" </p><p>Now that Gasper has given birth to a new - and colicky - baby, though, her psoriasis is back, and she\'s shopping for a psychodermatologist. \"My doctors would always tell me to take a bath with candlelight or try to listen to music to calm down, but they\'d never actually prescribe any alternative treatments,\" says Gasper. \"I\'m definitely ready to go for that now.\"</p><p>One of the first names on her list is Dr. Bernard Goffe, founder of Dermatology Associates of Seattle.</p><p>\"Whenever my old patients come in with a flare-up of eczema or acne or psoriasis, the first thing we do is ask, \'What\'s going on with your life?\'\" says Goffe. \"And often they\'ll be in the middle of a fight with their boss or going through a divorce. I had one patient where you could almost draw a curve correlating his hair loss with the ups and downs of the lumber market. I find a very frequent relationship with these things.\"</p><p>Goffe - who says he\'s recommended psychiatrists, antidepressants and biofeedback to his patients, with good results - is not the only one who\'s spotted this mind-skin connection. </p><p>In August 2006, the <em>Journal of the American Academy of Dermatology</em> published a study that found 57 percent of patients suffering from alopecia (or hair loss) had total or partial hair regrowth after undergoing hypnosis. And \na series of small studies conducted at Carleton University in Canada found half of patients lost their warts after undergoing hypnosis. \n</p><p>Relaxation tapes, meanwhile, have been shown to help those suffering from psoriasis; researchers at the University of Massachusetts Medical School discovered that patients who listened to meditation tapes while receiving UV light treatments saw their skin clear up nearly four times faster than those who got the light treatment alone. And in a case report published in the journal <em>Applied Psychophysiology and Biofeedback, </em>a 56-year-old woman who suffered from severe psoriasis lesions on her arms for seven years despite trying all the standard medical treatments was cured after 13 weeks of biofeedback therapy. \n</p><p>None of this surprises Kristen Salvestrini of Beverly, Mass., one bit. </p><p>The 27-year-old spent a year in and out of doctor\'s offices, trying everything from steroid creams to a strawberry-free diet to rid herself of a pervasive eczemalike rash; she finally turned to Grossbart, who used guided imagery and psychotherapy.</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/17072594/\">Vote:?oes stress take an ugly toll on your skin?</a></li><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?ThreadID=191372\">Skin Deep Discussion board: Does your skin have issues?</a></li><li><a href=\"/id/17005558/\">Ewww! Human skin a \'zoo\' of bacteria</a> </li><li><a href=\"/id/17011898/\">Slathering on skin-numbing creams can kill</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>\"It came out that I\'d been through a pretty devastating breakup which corresponded to the time when my skin started having problems,\" says Salvestrini, who is rash-free these days. \"One of my big things is not expressing my emotions, especially anger. But those emotions have of way of coming up one way or another.\"</p><p><b><strong>Hypnosis for hives<br></strong></b>Psychodermatology can cover everything from a \"ring finger\" rash suffered by a someone in an unhappy marriage to psychiatric disorders that result in self-inflicted skin damage to the isolation felt by those living with highly visible skin disorders such as psoriasis, alopecia or vitiligo (patches of de-pigmented skin).</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://msnbcmedia4.msn.com/i/msnbc/Components/Art/HEALTH/PROJECTS/Stress/TZ320_StressSurvivalKit.gif\" height=\"60\" width=\"320\" 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=\"javascript:msnvDwd(\'00\',\'e8aa05b3-1485-4302-a4a4-2f5a5319f38c\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'15989228\',\'Stress No. 1 cause of binge eating\')\">Video: Stress is No. 1 cause of binge eating</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15772953/\">Quiz: How vulnerable are you to stress?</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15843196/\">Interactive: How stress affects your body</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15841463/\">Quiz: Are you at risk for job burnout?</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15854956/\">Video: Do monks get stressed?</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15774507/\">Does it work? Reviews of stress products</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15830064/\">Quiz: Are you a competitive stresser?</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"/id/15739388/\">Take a stress break with these videos</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://boards.msn.com/MSNBCboards/board.aspx?BoardID=760\">Discuss: Share your stress stories and tips</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 have groups that provide education, but they also provide psychological support, like group therapy,\" says Dr. Bernard Cohen, a pediatric dermatologist at John Hopkins School of Medicine in Baltimore. \"They\'ve absolutely helped.\"</p><p>And while some might raise an eyebrow at treating hives with hypnosis, or eczema with antidepressants, Salvestrini says the bottom line for her is that psychodermatology offers people an alternative.</p><p>\"A lot of times when I was going from allergist to dermatologist to nurse practitioner, I\'d start to feel really hopeless because it wasn\'t getting better,\" she says. \"It\'s just great to know there\'s something else out there that may work.\"</p><p><em>Diane Mapes is a Seattle freelance writer and author of the recently released \"</em><a href=\"http://www.howtodatebook.com/\"><em>How to Date in a Post-Dating World</em></a><em>.\"</em></p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 MSNBC Interactive</em></i></div><br>');
INSERT INTO `dede_addonarticle` VALUES('1674','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\">Good news for slackers: naps can help the heart</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Daytime snooze cuts risk of fatal heart attack by 37 percent, study finds</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia1.msn.com/j/msnbc/Components/Photos/070212/070212_naps_hmed_11a.hmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Mark Ekenbarger\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Bob Child / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Engineer Mark Ekenbarger stretches out in the nap room at Yarde Metals\' headquarters in Southington, Conn. Ekenbarger, who has a heart condition, says he frequently takes half-hour naps to reduce stress?n the advice of his doctor.</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>CHICAGO - Office nappers now have the perfect excuse: New research shows that a little midday snooze seems to reduce the risk of fatal heart problems, especially among men.</p><p>In the largest study to date on the health effects of napping, researchers tracked 23,681 healthy Greek adults for an average of about six years. Those who napped for about half an hour at least three times weekly had a 37 percent lower risk of dying from heart attacks or other heart problems than those who did not nap.</p><p>Most participants were in their 50s, and the strongest evidence was in working men, according to the study, which appears in Monday\'s issue of <em>Archives of Internal Medicine</em>.</p><p>The researchers said naps might benefit the heart by reducing stress, and jobs are a common source of stress.</p><p>It\'s likely that women reap similar benefits from napping, but not enough of them died during the study to be sure, said Dr. Dimitrios Trichopoulos, the study\'s senior author and a researcher at Harvard University and the University of Athens Medical School.</p><p>Heart problems killed 48 women who were studied, six of them working women, compared with 85 men, including 28 working men.</p><p><table cellpadding=\"0\" cellspacing=\"0\" border=\"0\" width=\"1%\"><tr><td><img border=\"0\" src=\"http://msnbcmedia4.msn.com/i/msnbc/Components/Art/HEALTH/Feb/AP_NAPS_HEART.jpg\" align=\"Right\" height=\"301\" width=\"351\" vspace=\"0\" hspace=\"0\"></td></tr><tr><td><div class=\"credit\" style=\"text-align:right;margin-bottom:5px;\">Janet Hamlin / AP</div><div class=\"credit\"></div><hr noshade=\"true\" size=\"1\" color=\"#C0C0C0\"></td></tr></table>A daytime siesta has long been part of many cultures, especially those in warmer climates. Mediterranean-style eating habits featuring fruits, vegetables, beans and olive oil have been credited with contributing to relatively low rates of heart disease in those countries, but the researchers wanted to see if napping also plays a role.</p><p>\"My advice is if you can (nap), do it. If you have a sofa in your office, if you can relax, do it,\" Trichopoulos said.</p><p>Exactly how stress is related to heart disease is uncertain. Some researchers think it might be directly involved, through unhealthy effects of stress hormones, or indirectly by causing people to exercise less, overeat or smoke.<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 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><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=\"http://www.msnbc.msn.com/id/4514725\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Components/Interactives/Health/MiscHealth/zFlashAssets/Stages_of_sleep2_TZ150.vsmall.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:window.location.replace(\'http://www.msnbc.msn.com/id/4514725\');\"></div></td></tr></table></td></tr><tr><td style=\"padding:10px;\"><font color=\"#000000\"><font color=\"551E1B\">?/font><font class=\"textMedBlackBold\"><a href=\"http://www.msnbc.msn.com/id/4514725\">Stages of sleep</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></p><p>The researchers in the latest study factored in diet, exercise, smoking and other habits that affect the heart but still found napping seemed to help.</p><p><b><strong>Too stressed for a siesta</strong></b><br>Previous studies have had conflicting results. Some suggested napping might increase risk of death, but those mostly involved elderly people whose daytime sleepiness reflected poor health, Trichopoulos said.</p><p>His research team studied a broader range of people, ages 20 to 86, who were generally healthy when the study began.</p><p>Still, it\'s possible that study participants who napped \"are just people who take better care of themselves,\" which could also benefit the heart, said Dr. Marvin Wooten, a sleep specialist at Columbia St. Mary\'s Hospital in Milwaukee.</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/17117458/\">Vote: Would you take a siesta?</a></li><li><a href=\"/id/11405023/\">Quiz: Are you getting enough sleep?</a></li><li><a href=\"/id/16904694/\">Naptime at work? Maybe soon in France</a></li><li><a href=\"http://boards.msn.com/MSNBCboards/thread.aspx?ThreadID=192755\">Discuss: Do you ever nap at work?</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 guy ... who doesn\'t take time out for a siesta in their culture is probably the guy who is extremely driven and under a lot of pressure,\" which could increase heart risks, he said.</p><p>Siestas aren\'t ingrained in U.S. culture, and napping usually is equated with laziness in the high-charging corporate world, said Bill Anthony, a Boston University psychologist and co-author of \"The Art of Napping at Work.\"</p><p>Still, some offices allow on-the-job naps, and many workers say it makes them more, not less, productive.</p><p><b><strong>Energizing snooze<br></strong></b><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;More news from MSN Health</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><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://health.msn.com/general/articlepage.aspx?cp-documentid=100096380\">Fatigue: When to rest, when to worry</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://health.msn.com/centers/sleep/articlepage.aspx?cp-documentid=100143166\">How to get the best nap</a></font></td></tr><tr valign=\"top\"><td><font color=\"551E1B\">?/font></td><td><font color=\"black\"><a href=\"http://health.msn.com/centers/cardio/articlepage.aspx?cp-documentid=100096666\">Heart disease prevention: 5 strategies</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>Yarde Metals, a metals distributing firm, built a nap room at its Southington, Conn., headquarters as part of an employee wellness program. With two leather sofas, fluffy pillows, soft lighting and an alarm clock, it\'s the perfect place for a quick snooze, engineer Mark Ekenbarger said.</p><p>Ekenbarger, 56, has an enlarged heart artery and said he frequently takes half-hour naps on the advice of his doctor to reduce stress.</p><p>\"It really does energize me for the rest of the day,\" Ekenbarger said.</p><p>\"It would be really encouraging if employers across the country really embraced that philosophy that napping is a good thing. It makes a big difference in my life.\"</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('1675','2','<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\">Enviga\'s calorie-burning claims investigated</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Conn. AG warns Coca-Cola, Nestle drink may be based on \'voodoo nutrition\'</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia2.msn.com/j/msnbc/Components/Photos/070205/070205_enviga_vmed_12p.vmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Enviga\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">PR NEWSWIRE file</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Enviga,? sparkling green tea that claims to invigorate your metabolism, was created by Beverage Partners Worldwide, a joint venture between Coca-Cola and Nestle.</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>HARTFORD, Conn.  - Connecticut Attorney General Richard Blumenthal on Monday said his office was investigating claims by Coca-Cola and Nestle that their new drink can burn calories, saying it may amount to \"voodoo nutrition.\"</p><p>Blumenthal\'s investigation focuses on Enviga, a green-tea drink that contains caffeine, calcium and a green tea extract known as epigallocatechin gallate, or EGCG. Coke says EGCG speeds up metabolism and increases energy use, especially when combined with caffeine.</p><p>An Enviga Web site claims that the drink\'s blend of green tea and caffeine burns more calories than it contains and can help drinkers maintain an ideal weight. According to a Nestle study, young people who drank three of the 12-ounce drinks a day burned an average of 106 calories.</p><p>Ray Crockett, a Coca-Cola Co. spokesman, said the joint venture his company has with Nestle SA that conceived Enviga stands behind the claim that the product \"invigorates your metabolism to gently burn calories.\"</p><p>\"We\'ve been clear that Enviga is not positioned as a weight loss product, but is designed to compliment, not replace regular exercise, a sensible diet and other healthy choices you make throughout the day,\" Crockett said.</p><p>Blumenthal demanded copies of all scientific studies, clinical trials, tests and papers that prove the calorie-burning claim by next week.</p><p>Unless there are credible scientific studies, claims \"may be nothing more than voodoo nutrition,\" Blumenthal said. \"Promise of wondrous weight loss must be supported by science, not magic.\"</p><p>Calls were placed to Nestle seeking comment.</p><p>Enviga was being launched nationally this week following a rollout of the drink in New York City, New Jersey and Philadelphia in November</p><p>A nonprofit watchdog group, Center for Science in the Public Interest, have threatened to sue Coke and Nestle over their Enviga claims. Coke officials called the lawsuit threat a \"meritless publicity stunt.\"</p><p><br><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/16947257/\">Organic seal may soon mean \'clone-free,\' too</a> </li><li><a href=\"/id/16907642/\">Burger King plans to dump trans fats</a> </li><li><a href=\"/id/16775715/\">Slurp your dinner for healthy weight loss</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><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('1676','2','<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\">Michigan to join trans fat debate</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Lawmaker wants to phase out artery-clogging ingredient by July 2008</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/j/msnbc/Components/Photos/070206/070206_transfat_vlrg_6a.vlarge.jpg\" vspace=\"0\" hspace=\"0\" alt=\"French Fries\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Carlos Osorio / AP</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">Michigan State Rep. Lee Gonzales figures lots of people want restaurant fare to be healthy but don\'t always act like it when ordering a meal. Artificial trans fats, short for trans fatty acids, are partially hydrogenated vegetable oils commonly used for deep frying.</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>TRAVERSE CITY, Mich. - Concerned about those heart-damaging trans fats in your food? Absolutely, Shelley Boisvert said. \"But evidently not enough,\" she added with a rueful laugh, polishing off an order of fries in a downtown pub.</p><p>Michigan state Rep. Lee Gonzales wants to help people like Boisvert, who want restaurant fare to be healthy but don\'t always act like it when ordering a meal.</p><p>He is sponsoring legislation that would require restaurants to tell customers which menu items contain trans fats - and phase them out by July 2008.</p><p>Trans fats are a cause celebre in many statehouses around the nation since New York City approved a ban in December. Bills to restrict or banish trans fats in restaurants or school cafeterias, or require warnings in establishments that serve foods containing them, have been introduced in at least 18 states.</p><p>Artificial trans fats, short for trans fatty acids, are partially hydrogenated vegetable oils commonly used for deep frying and baking processed cookies, cakes and crackers.</p><p>They became popular with the food industry because they lengthen shelf life and improve taste. But critics say they raise levels of bad cholesterol in the blood while reducing the good kind, leading to clogged arteries and heart disease.</p><p>They\'re also believed to increase risk of type 2 diabetes, which killed Gonzales\' father just short of his 60th birthday. \"I get pretty passionate about this,\" the Democrat from Flint Township 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/15479858/\">Why trans fats are so bad for you</a></li><li><a href=\"/id/16873869/\">McDonald\'s finally picks <strong xmlns:control=\"control\">trans</strong>-fat-free oil</a>?/li><li><a href=\"/id/16827665/\">Doughnuts laced with caffeine</a>?/li><li><a href=\"/id/16695792/\">Eating <strong xmlns:control=\"control\">trans</strong> <strong xmlns:control=\"control\">fats</strong> may?aise infertility risk</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 National Restaurant Association agrees trans fats should go. But the 380,000-member group frowns on government mandates and timetables, saying the private sector is developing solutions on its own as customers become more health-conscious.</p><p><b><strong>Is government best?</strong></b><br>National chains such as Wendy\'s International Inc., Yum Brands Inc.\'s KFC and Taco Bell have pledged to dump trans fats. McDonald\'s Corp. recently announced it had developed a trans-fat-free oil for french fries, and Marriott International Inc. said last week it would eliminate trans fats from its restaurants in the United States and Canada.</p><p>Tom Foulkes, vice president of state relations for the restaurant association, chalked up the flood of newly introduced bills to politicians\' affinity for popular causes.</p><p>\"It\'s a sound bite, a simple issue that gets large amounts of media attention,\" Foulkes said. \"Everybody uses margarine, everyone uses butter, everyone can understand this.\"</p><p>Supporters of government intervention say some restaurants won\'t move away from trans fats unless forced. Besides, the threat of state regulation may prod the industry to work faster or the U.S. Food and Drug Administration to set national standards. The FDA last year began requiring trans fat labels on packaged foods but hasn\'t taken action on restaurants.</p><p>\"Protecting the public health is a basic function of government agencies,\" said Michael Jacobson, executive director of the nonprofit Center for Science in the Public Interest. \"When the federal government moves too slowly, states and cities will sometimes fill the void. That\'s what\'s happening with trans fats.\"</p><p>Ten states have pending bills to restrict or prohibit trans fats in restaurants: Connecticut, California, Hawaii, Massachusetts, Maryland, Michigan, New Hampshire, New York, Rhode Island and New Jersey.</p><p>Trans fat bans for public school cafeterias have been proposed in California, New Hampshire, Texas, Mississippi, Florida and Virginia. A dozen states are considering labeling requirements.</p><p>Foulkes said instead of imposing standards, states should follow the example of Los Angeles, which last week announced a partnership with the California Restaurant Association to voluntarily phase out trans fats.</p><p>Boisvert, 50, the french fry eater in Traverse City, said a ban would relieve customers of having to comb the menu for trans-fat-free items.</p><p>\"But my quandary is whether a government bill is the best way to do it,\" she said. \"I mean, isn\'t this something we should be doing for ourselves?\"</p><p>Enjoying a fried fish lunch in a Detroit restaurant, Harry Murphy said he\'s usually too rushed to think about nutrition when eating out. Getting rid of trans fats would be good for Michigan, which has one of the nation\'s highest obesity rates, the 62-year-old said.</p><p>Still, he\'d prefer that legislators leave trans fats to the restaurant owners.</p><p>\"I don\'t think the government should be involved in this at all,\" Murphy 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('1677','2','<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\">Fat-blocking pill will be sold over the counter</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>FDA allows nonprescription sale of lower-dose version of Xenical</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\',\'b26e452a-4d57-4e13-a095-0b073574828c\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'17042491\',\'FDA OKs non-prescription diet drug\')\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/j/msnbc/Components/Video/070208/tdy_bazell_diet_070208.300w.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\',\'b26e452a-4d57-4e13-a095-0b073574828c\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'17042491\',\'FDA OKs non-prescription diet drug\')\"></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\',\'b26e452a-4d57-4e13-a095-0b073574828c\',\'us\',\'hotvideo_m_edpicks\',\'\',\'msnbc\',\'\',\'17042491\',\'FDA OKs non-prescription diet drug\')\">FDA OKs non-prescription diet drug</a></font><br><font color=\"black\">Feb. 8: The U.S. Food and Drug Administration gives approval to over-the-counter sales of orlistat, the first federally approved diet pill available without a prescription.</font><p class=\"credit\">Today show</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\">TODAY</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 - Dieters got a new tool Wednesday to help them take off the extra pounds - the first government-approved nonprescription diet pill.</p><p>The Food and Drug Administration said the fat-blocking weight-loss pill orlistat, which has been available by prescription, can be sold in a reduced-strength version over the counter.</p><p>The new version will be sold as \"alli\" by GlaxoSmithKline PLC. Xenical, the prescription version, is made by Roche Holding AG.</p><p>The drug is intended for people 18 and older to use along with a reduced-calorie, low-fat diet and exercise.</p><p>Dr. Charles Ganley, FDA\'s director of nonprescription products, stressed that the drug is intended for use along with diet and exercise programs.</p><p>\"Using this drug alone is unlikely to be beneficial,\" Ganley said at a telebriefing.</p><p>While some dietary supplements make weight-loss claims, Ganley said this is the first nonprescription drug approved by the agency for that purpose.</p><p>Ganley said in trials, for every five pounds people lost through diet and exercise, those using orlistat lost an additional two to three pounds.</p><p><b><strong>Gastrointestinal side effects<br></strong></b>When taken with meals, orlistat blocks the absorption of about one-quarter of any fat consumed. That fat - about 150 to 200 calories worth - is passed out of the body in stools, which can be loose as a result. About half of patients in trials experienced gastrointestinal side effects.</p><p>The agency recommended users take a multivitamin when using this drug.</p><p>The new drug would contain half the dose of Xenical prescription capsules. The price has not been set but is expected to run $1 to $2 a day, company officials said. The company estimated 5 million to 6 million Americans a year would buy the drug over the counter.</p><p>The Food and Drug Administration said the most common side effect of the product is a change in bowel habits including loose stool and some oily spotting. Eating a low-fat diet will reduce the likelihood of this side effect.</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://fitlist.msnbc.msn.com/\">Sweatin\' it out with your sweetheart</a></li><li><a href=\"http://msnbc-wbpreview/id/16927021/\">Is your job making you fat?</a></li><li><a href=\"http://msnbc-wbpreview/id/17011898/\">FDA: Skin-numbing creams can kill</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>FDA said people who have had organ transplants should not take OTC orlistat because of possible drug interactions. In addition, anyone taking blood-thinning medicines or being treated for diabetes or thyroid disease should consult a physician before using orlistat, the agency said.</p><p>GSK Consumer Healthcare, which will market the pill, said it chose the name alli to indicate a partnership with consumers in their weight-loss efforts.</p><p>\"We know that being overweight has many adverse consequences, including an increase in the risk of heart disease and type 2 diabetes,\" said Dr. Douglas Throckmorton, deputy director for the FDA\'s Center for Drug Evaluation and Research.</p><p>\"OTC orlistat, along with diet and exercise, may aid overweight adults who seek to lose excess weight to improve their health,\" he said.</p><p>But Dr. Sidney M. Wolfe, director of Public Citizen\'s Health Research Group, called the approval \"the height of recklessness.\" Wolfe said studies have associated the prescription version of the drug with precancerous lesions of the colon. He has also called for withdrawal of the prescription version.</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('1678','2','<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\">Philadelphia approves ban on trans fats</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>2nd U.S. city to cut ingredient from restaurants; NYC law begins in summer</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>PHILADELPHIA - Enjoy that Philly cheesesteak but hold the trans fat on the fries, please.</p><p>Philadelphia is poised to become the second large American city to ban restaurants from serving trans fats, which doctors say increase the risk of heart disease. A New York ban begins this summer.</p><p>The proposed Philadelphia ordinance was approved by the City Council yesterday and Mayor John Street is expected to sign it.</p><p>The phased-in Philadelphia ban would prohibit restaurants from frying foods in trans fats or serving trans-fat-based spreads beginning this September. And by September next year, trans fats would also be banned in all other types of food prepared in Philadelphia eateries.</p><p>The measure doesn\'t include any penalties, but officials say fines could be added later, depending on whether there\'s a problem with compliance. </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('1679','2','<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\">Is your job making you fat?</font><br><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><b>Employment may be especially gainful for desk workers</b><br></td></tr><tr><td valign=\"top\"><img border=\"0\" src=\"http://msnbcmedia.msn.com/j/msnbc/Components/Photos/070202/070202_jobfat_hmed_8a.hmedium.jpg\" vspace=\"0\" hspace=\"0\" alt=\"Image: Desk job\"></td></tr><tr><td valign=\"top\"><font size=\"-2\">Getty Images</font><spacer type=\"block\" height=\"10\" width=\"1\"></spacer><br><font size=\"-1\">People with desk jobs may pack on the pounds because they get so little?hysical activity during the day, fitness experts say.</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>Like many desk jockeys, Kelly Gilstrap stares at a computer for a living. He\'s a program manager for Sprint, and while his brain works hard on the job, his body\'s essentially in idle mode.</p><p>Gilstrap, 38, wasn\'t getting much activity after hours either. So a couple of years ago he decided to try lunchtime workouts at his office gym in Overland Park, Kan. Previously, he\'d had a hard time fitting in exercise before or after work. But exercising during his workday is a plan he\'s been able to stick with.</p><p>\"It\'s more than convenient,\" he says. \"You don\'t have to get in your car. It\'s right here.\"</p><p>Most workers aren\'t lucky enough to have a fully equipped 71,000-square-foot fitness facility at the office, but health experts say finding ways to fit in fitness during the workday is an increasingly important strategy in the battle of the bulge.</p><p>Given that many people spend a big chunk of their waking hours at work, \"your job certainly could be contributing to weight gain,\" says Cedric Bryant, chief exercise physiologist at the American Council on Exercise. </p><p>An ACE-commissioned study found that, not surprisingly, people whose work is largely conducted while sitting behind a desk, such as secretaries, lawyers and teachers, get little physical activity during the day.</p><p>\"There\'s a huge difference in the amount of physical activity people get in different professions,\" says lead study author John Porcari, a professor of exercise and sports science at the University of Wisconsin, La Crosse. \"There was almost a four-fold difference between the most active and the least active.\"</p><p>In the study, the researchers gave pedometers to 98 workers in 10 different occupations and asked them to wear the devices for three consecutive workdays.</p><p>Secretaries logged an average of 4,327 steps, less than half of the often-recommended goal of 10,000 steps a day for optimal health. Teachers got 4,726 steps, lawyers 5,062 and police officers 5,336.</p><p><b><strong>Wanna get moving? Deliver the mail<br></strong></b>Mail carriers topped the list of most active workers, with a whopping 18,904 steps a day. Next came custodians with 12,991 steps, restaurant servers with 10,087 steps, factory workers with 9,892, construction workers with 9,646 and nurses with 8,648.</p><p>Porcari says most people would likely clock an additional 2,000 steps after work in the course of running errands or doing chores, even if they didn\'t go to the gym or engage in other purposeful physical activity. Still, many people would come up short of their 10,000 steps.</p><p>\"If you\'re basically at a sedentary job, you need to make it a point to get exercise during your leisure time,\" Porcari says.</p><p>That\'s especially important if you\'re trying to shed pounds or maintain weight loss, he says. People trying to slim down should aim for an hour of physical activity a day.</p><p><b><strong>Fit in fitness all day</strong></b><br>Of course, finding time to work out during the morning rush or at the end of a long day isn\'t easy for many people. That\'s why more of us should strive to fit in some fitness during the day, Bryant says.</p><p>That doesn\'t necessarily mean running a couple miles at lunch. \"Just look for opportunities to move during the course of the workday,\" he says.</p><p>A few suggestions: hold informal meetings during a walk outside; use the farthest restroom in your building; take a few flights of stairs during your coffee break.</p><p>Even standing and pacing in place while talking on the phone helps, Bryant says. So does walking down the hall and talking with a co-worker instead of sending an e-mail. Wearing a pedometer can help you track your progress.</p><p>You might also ask human resources about getting an office gym, holding some fitness classes in the conference room or providing incentive programs to help workers shape up. Increasingly, companies are realizing that fit workers mean a healthier bottom line - so workplace fitness is a win for everyone.</p><p>\"When people are healthy, it\'s pretty well documented that health-care costs are lower, sick days are fewer and productivity is greater,\" Porcari says.</p><p><b><strong>Healthy bottom line<br></strong></b>Obesity, inactivity and resulting health problems are \"really impacting the profits of companies today,\" says Brenda Loube, president of Corporate Fitness Works, a company in Montgomery Village, Md., which manages corporate fitness centers including the one at Sprint.</p><p>Loube says her business is growing precisely because companies find that investing in workers\' health pays off. </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=490&amp;ThreadID=187782&amp;BoardsParam=HIPDelay%3d1\">Discuss:?hare your?trategies for fitting in fitness during the workday</a></li><li><a href=\"/id/3562670/\">Interactive:?he desk workout</a></li><li><a href=\"http://fitlist.msnbc.msn.com/\">The Fit List: Weekly workout tips from celebrity trainers</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>Gilstrap has lost 28 pounds since he began his at-work exercise program, which includes running at the gym\'s track or treadmills. He\'s also been more active in his off hours, competing in triathlons and other races.</p><p>And he believes the time he takes away from his desk actually makes him a better worker. He has more energy, thinks more clearly and gets his work done faster.</p><p>\"The biggest [on-the-job] benefit that I\'ve gotten from working out at work is setting goals and achieving goals,\" Gilstrap says.</p><p>If he can power through an intense hour-long workout, what\'s the big deal about all those e-mails?</p><p><em>Smart Fitness appears every other Tuesday.</em></p><p><em><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></em></p><div class=\"textBodyBlack\" style=\"clear:both;\"><i><em>?2007 MSNBC Interactive</em></i></div><br>');
