Tuesday, September 30, 2014

Discuss risks of radiation imaging: cardiologists

By Kathryn Doyle NEW YORK (Reuters Health) - Cardiologists should discuss with patients the risks and benefits of chest imaging using ionizing radiation before the procedure, according to a new statement endorsed by several medical organizations. Ionizing radiation, which can come from cardiac stress tests, CT scans and certain heart procedures, is tied to increased cancer risk. “There is continuing concern on the part of patients in the area of ionizing radiation,” said Dr. Andrew J. Einstein, an associate professor of medicine in radiology at Columbia University in New York. ...



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US Ebola labs, health equipment arrive in Liberia

An Medecins Sans Frontieres (MSF) employee walks past drying safety boots at MSF's Ebola isolation and treatment center, in Monrovia, Liberia, Monday Sept. 29, 2014. Six months into the world’s worst-ever Ebola outbreak in West Africa authorities are desperately waiting for shipments of aid to help in the fight of this deadly disease. (AP Photo/Jerome Delay) MONROVIA, Liberia (AP) — American mobile Ebola labs should be up and running in Liberia this week, and U.S. troops have broken ground for a field hospital, as the international community races to increase the ability to care for the spiraling number of people infected with the disease.








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Officials confirm first Ebola case diagnosed in US

A man walks up the stairway leading to the Texas Health Presbyterian Hospital in Dallas, Tuesday, Sept. 30, 2014. A patient in the hospital is showing signs of the Ebola virus and is being kept in strict isolation with test results pending, hospital officials said Monday. (AP Photo/LM Otero) DALLAS (AP) — Federal health officials have confirmed that a patient being treated at a Dallas hospital has tested positive for Ebola.








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CDC director says U.S. should be able to contain Ebola spread

(Reuters) - The first patient diagnosed with Ebola in the United States initially sought treatment six days after arriving in the country, potentially exposing a "handful" of family members and others to the virus, a top U.S. health official said on Tuesday. Dr. Thomas Frieden, director of the U.S. Centers for Disease Control and Prevention, said he had no doubt that local and federal health authorities could contain the potential spread of the deadly virus in the country. ...



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When Your Intuition Is Right

Things started to go wrong in the summer of 2011. We had just built a beautiful house by the beach in our coastal town of Westport, Connecticut. I was at culinary school, taking the train in to the city every day, and continuing to write novels that were selling all over the world.I had been diagnosed with ADHD a few months prior, and the...



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Drug and device firms paid $3.5B to care providers

WASHINGTON (AP) — From research grants to travel junkets, drug and medical device companies paid doctors and leading hospitals billions of dollars last year, the government disclosed Tuesday in a new effort to spotlight potential ethical conflicts in medicine.



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Rights body mulls forced sterilization of HIV-positive woman

By Anastasia Moloney BOGOTA (Thomson Reuters Foundation) - The Inter-American Commission on Human Rights will consider its first case of forced sterilization of a person living with HIV in Latin America, a rights group has said. The U.S.-based Center for Reproductive Rights, which brought the case of a Chilean woman before the main human rights body in the Americas, says she was forcibly sterilized because of her HIV-positive status by a doctor, without her consent or knowledge, during the delivery of her baby by Caesarean section in 2002. ...



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Ebola patient in Texas just returned from West Africa: Texas officials

AUSTIN Texas (Reuters) - The patient at a Dallas hospital who tested positive for Ebola is an adult who developed symptoms days after returning to Texas from West Africa, the Texas Department of Health Services said in a news release on Tuesday. The patient, who has not been identified, is being treated in an isolation unit at Texas Health Presbyterian Hospital, it said. (Reporting by Jon Herskovitz and Marice Richter; Editing by Sandra Maler)



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First case of Ebola diagnosed in US: health officials

An awareness poster is presented during a hearing on "Combating the Ebola Threat" at the Rayburn House Office Building in Washington, DC, on August 7, 2014 Washington (AFP) - The United States has diagnosed its first case of the deadly Ebola virus in a man who became infected in Liberia and traveled to Texas, US health officials said Tuesday.








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Officials confirm first Ebola case diagnosed in US

A man walks up the stairway leading to the Texas Health Presbyterian Hospital in Dallas, Tuesday, Sept. 30, 2014. A patient in the hospital is showing signs of the Ebola virus and is being kept in strict isolation with test results pending, hospital officials said Monday. (AP Photo/LM Otero) DALLAS (AP) — A patient being treated at a Dallas hospital has tested positive for Ebola, the first case of the disease to be diagnosed in the United States, federal health officials announced Tuesday.








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Trio of pharma companies jump after CDC confirms U.S. Ebola case

Some of the ultrastructural morphology displayed by an Ebola virus virion is revealed in this undated handout colorized transmission electron micrograph NEW YORK (Reuters) - Several pharmaceutical companies with potential Ebola treatments jumped in extended trade on Tuesday after the U.S. Centers for Disease Control and Prevention confirmed the first case of the virus diagnosed in the country. U.S.-listed shares of Tekmira Pharmaceuticals jumped 20.6 percent to $25.50, BioCryst Pharmaceuticals surged 14.5 percent to $11.20 while Sarepta Therapeutics climbed 8.2 percent to $22.83. (Reporting by Chuck Mikolajczak; Editing by Chris Reese)








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CDC confirms first Ebola case diagnosed in the United States

The Centers for Disease Control sign is seen at its main facility in Atlanta (Reuters) - U.S. health officials said on Tuesday the first patient infected with the deadly Ebola virus had been diagnosed in the country. The U.S. Centers for Disease Control and Prevention confirmed the diagnosis. No additional details were immediately available. Texas Health Presbyterian Hospital of Dallas officials said in a statement on Monday that an unnamed patient was being tested for Ebola and had been placed in "strict isolation" due to the patient's symptoms and recent travel history. U.S. ...








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Divided Chinese eye Hong Kong protests with admiration, anger

By Donny Kwok and Yimou Lee HONG KONG (Reuters) - For some mainland Chinese in Hong Kong, the sight of thousands of people on the streets protesting for greater democracy is an alien one that has prompted comparisons with the relative lack of political freedom back home. Others are less impressed, and see the mass show of defiance as a dangerous tactic that has shut down large parts of the city and raised the risk of serious confrontation with Hong Kong police. "For the first time in my life I feel close to politics," said a Chinese tourist from Beijing who gave only her surname, Yu. ...



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Autistic Girl Finds Art World Success, Parents Shield Her From Spotlight

Iris Grace Halmshaw has sold paintings for thousands of dollars.



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CDC experts to deploy to Texas if patient has Ebola: official

Pedestrians walk past a mural showing the symptoms of the Ebola virus in Monrovia By Marice Richter DALLAS (Reuters) - U.S. health specialists are ready to deploy to Dallas if a patient being evaluated for Ebola is found to be carrying the disease that has killed thousands of people in West Africa, a Dallas County official said on Tuesday. Texas Health Presbyterian Hospital of Dallas officials said in a statement on Monday that an unnamed patient was being tested for Ebola and had been placed in "strict isolation" due to the patient's symptoms and recent travel history. The U.S. ...








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Olympic swimming champ Phelps arrested on drunken driving charge

(Adds background) By Steve Ginsburg WASHINGTON, Sept 30 (Reuters) - American swimmer Michael Phelps, the most decorated Olympian of all time, was arrested for drunken driving early on Tuesday after speeding and then crossing the double-lane lines inside a Baltimore tunnel, police said. Phelps, 29, was clocked by radar around 1:40 a.m. traveling 84 miles per hour (135 kph) in a 45-mph (72-kph) zone, police said. The 18-time Olympic gold medalist was booked and released. Phelps, who has won 22 Olympic medals and appears to be eyeing a spot on the U.S. ...



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Time to Let the Sunshine In

By AARP Executive Vice President Debra Whitman, Ph.D. and AARP Director of Health Services Research Leigh PurvisStarting today, AARP members and consumers of all ages will be able to get a better idea of what may be driving their health care provider's decisions thanks to the Physician Payments Sunshine Act, or Sunshine Act. The Sunshine Act...



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Georgia woman gets 30-year prison term in daughter's malnutrition death

ATLANTA (Reuters) - A suburban Atlanta woman was sentenced to 30 years in prison after pleading guilty on Tuesday to involuntary manslaughter and child cruelty charges in the malnutrition death of her 16-year-old daughter. Ebony Berry, 37, did not withhold food from her daughter, Markea, but failed to seek proper medical care for the teenager, who weighed 43 pounds (19.5 kg) when she died in 2012, prosecutors said. "Had (Ebony Berry) gotten the victim the help she needed, there's a chance Markea would be here today," Cobb County Assistant District Attorney Lindsay Gardner said in a statement. ...



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Ebola outbreaks in Nigeria, Senegal, appear contained: CDC reports

A woman walks at the construction site of an Ebola virus treatment centre at the Samuel K. Doe sports complex in Monrovia By Julie Steenhuysen CHICAGO (Reuters) - Efforts to contain the Ebola outbreaks in Nigeria and Senegal appear to have succeeded, even as the virus continues to spread in the hardest-hit West African countries of Guinea, Liberia and Sierra Leone, U.S. and African health officials said on Tuesday. In Nigeria, no new cases of Ebola have occurred since August 31, "suggesting that the Ebola outbreak in Nigeria might have been contained," according to one of three reports released on Tuesday by the U.S. Centers for Disease Control and Prevention. ...








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Student shot after argument at North Carolina high school

WINSTON-SALEM N.C. (Reuters) - An argument between two male students outside a North Carolina high school early on Tuesday ended with one of them shooting the other, police said. The shooter, who was not identified by officials because he is a juvenile, has been charged with assault with a deadly weapon with intent to kill, said William Halliburton, the police chief in Albemarle, about 40 miles northeast of Charlotte. Police received a call about shots fired at Albemarle High School at 7:40 a.m. EDT and arrived to find a 16-year-old student shot in the hip and abdomen, Halliburton said. ...



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Oklahoma judge rules against Obamacare tax subsidies

Murillo reads a leaflet at a health insurance enrollment event in Cudahy, California By Lawrence Hurley WASHINGTON (Reuters) - A federal judge in Oklahoma ruled on Tuesday that tax subsidies vital to the implementation of President Barack Obama's signature healthcare law are unlawful, giving a boost to opponents of the measure known as Obamacare. U.S. District Judge Ronald White found that the Internal Revenue Service rule that the Obama administration issued to set up tax-credit subsidies to help people afford insurance premiums under Obamacare was "an invalid implementation" of the law based on his interpretation of it. ...








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Hyde Amendment: 38 Year Legacy of Interference With Religious Liberty and Values

Hyde Amendment: 38 Year Legacy of Interference With Religious Liberty and Values As a clergy person who regularly speaks out in support of access to abortion care, people often talk to me about their personal struggles with their day to day life and their faith. Far too often the lessons they heard from the pulpit and the pews have left them feeling unprepared to make healthy decisions about relationships and sex and...








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Medical industry paid billions to U.S. physicians, hospitals in 2013: data

NEW YORK (Reuters) - U.S. doctors and teaching hospitals received $3.5 billion from pharmaceutical companies and medical device makers in the last five months of 2013, according to the most extensive data trove on such payments ever made public. The payments, disclosed by the Centers for Medicare and Medicaid Services (CMS) on Tuesday, include consulting and speaking fees, travel, meals, entertainment and research grants. The names of the recipients of about 40 percent of the payments reported by companies were withheld because CMS had concerns about data inconsistencies. ...



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Accused Pennsylvania stabber rejected by psychiatric unit: judge

By Elizabeth Daley PITTSBURGH (Reuters) - A western Pennsylvania teenager accused of stabbing 21 people at his high school in April was refused admission to a Pittsburgh psychiatric hospital due to safety concerns, a judge confirmed on Tuesday. Alex Hribal has been held in juvenile detention since he was arrested on April 9 at Franklin Regional High School in Murrysville, Pennsylvania, after slashing students and staff with two eight-inch kitchen knives. ...



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5 Habits of Genuinely Happy People

Ever wonder what people do to stay happy? We all want to be happy, it is one of the greatest feelings you can achieve, but maintaining that happiness can be a difficult pursuit. Life is filled with daily stresses and anxieties that can quickly wipe away a smile.Click Here to see the Complete List of Habits of Genuinely Happy PeopleBut, we've...



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Colorado court hears appeal of worker fired for medical marijuana

A marijuana leaf is displayed at Canna Pi medical marijuana dispensary in Seattle By Brendan Pierson (Reuters) - The Colorado Supreme court on Tuesday heard arguments over whether employees can be fired for using medical marijuana, which is legal in the state but illegal under federal law. The case was brought by Brandon Coats, a former customer service representative for Englewood, Colo.-based Dish Network who was fired in 2010 after testing positive for marijuana. Coats is quadriplegic as a result of a car accident and has a license to use marijuana to treat painful muscle spasms. ...








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Novartis ordered to face U.S. lawsuit over doctor kickbacks

A Novartis logo is pictured on its headquarters building in Mumbai By Jonathan Stempel NEW YORK (Reuters) - A federal judge said Novartis AG must face a U.S. government lawsuit accusing the Swiss drugmaker of paying multimillion-dollar kickbacks, including a $9,750 dinner for three at a Japanese restaurant, to induce doctors to prescribe its drugs. U.S. District Judge Paul Gardephe in Manhattan on Tuesday let the government pursue its entire lawsuit, brought under the federal False Claims Act. He also said New York can pursue most of its state law claims in a related lawsuit. ...








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Thousands of children orphaned, rejected as Ebola wrecks families

Police carry out forensic testing for the Ebola virus on a corpse found on a street in Monrovia By David Lewis and Stephanie Nebehay DAKAR/GENEVA (Reuters) - Two days after his mother died of Ebola at a clinic in the Liberian capital Monrovia last month, four-year-old John was put into foster care so he could be monitored for the disease. John's new guardian, an Ebola survivor, was immune to the deadly virus and happy to look after him. But when neighbors heard of the plan, they refused to allow them home fearing the boy might infect them too. ...








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Russia reports first cases of deadly bird flu in two years

PARIS (Reuters) - Russia has reported the first cases of a highly pathogenic bird flu virus in nearly two years in villages in Southern Russia, the World Organization for Animal Health (OIE) said on Tuesday. Domestic chickens, geese and ducks were found infected with the H5N1 serotype of the disease on Sept. 1 in two villages in the Altai Krai region near the border with Kazakhstan, the OIE reported on its website, citing data submitted by the Russian ministry of agriculture. Russia's veterinary service Rosselkhoznadzor was not immediately available to comment. ...



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Face-to-Face With Patients in the Ebola Ward

Dr. Besser became the first journalist to step inside the ELWA2 Ebola ward.



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Olympic U.S. swimming champion Phelps arrested for drunken driving

Swimming: Arena Grand Prix-Prelims WASHINGTON (Reuters) - Olympic swimming champion Michael Phelps was arrested for drunken driving early on Tuesday after speeding and then crossing the double-lane lines inside the Fort McHenry Tunnel in Baltimore, Maryland Transportation Authority Police said. Phelps was clocked by radar at around 1:40 a.m. traveling 84 mph in a 45 mph zone, police said. The 18-time Olympic gold medalist was booked and released. Police said Phelps was "unable to perform satisfactorily a series of standard field sobriety tests," adding that the Baltimore native was cooperative "throughout the process. ...








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OLYMPIC CHAMPION SWIMMER MICHAEL PHELPS ARRESTED FOR DRUNKEN DRIVING IN MARYLAND -POLICE





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Across Africa, Coke is empowering women -- to sell Coke products

Across Africa, Coke is empowering women -- to sell Coke products By Jacob KushnerDAR ES SALAAM, Tanzania -- Last year, Coca-Cola announced a $100 million partnership with the International Finance Corporation to provide business skills training and micro-loans to "empower" women -- those who sell Coca-Cola products, that is.The program has already involved 200,000 women in Nigeria who "touch the Coca-Cola...








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UN Ebola mission head wants significant progress in 60 days

ACCRA (Reuters) - The U.N. Mission for Ebola wants to achieve significant progress in combating the deadly disease within 60 days, including ensuring that 70 percent of cases receive treatment, its new head Tony Banbury said on Tuesday. "Seventy percent of infected people need to be under treatment, 70 percent of burials need to be done in a safe way in order to turn that around and we need to do it in 60 days," Banbury said in the capital of Ghana, the headquarters of the new U.N. mission.



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U.N. Ebola mission head wants significant progress in 60 days

A Doctors Without Borders health worker takes off his protective gear under the surveillance of a colleague at a treatment facility for Ebola victims in Monrovia ACCRA (Reuters) - The U.N. Mission for Ebola wants to achieve significant progress in combating the deadly disease within 60 days, including ensuring that 70 percent of cases receive treatment, its new head Tony Banbury said on Tuesday. "Seventy percent of infected people need to be under treatment, 70 percent of burials need to be done in a safe way in order to turn that around and we need to do it in 60 days," Banbury said in the capital of Ghana, the headquarters of the new U.N. mission. (Reporting by Matthew Mpoke Bigg; Editing by Bate Felix)








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How to Pack the Perfect School Lunch

Skip cafeteria sludge and fill your lunchbox with these balanced meals.



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Heirloom Healthcare for the Poor

Heirloom Healthcare for the Poor This is a guest post by James Nardella, executive director of Lwala Community Alliance, a partner of Segal Family Foundation.You can go to any chain grocery store in the United States or Europe and find conventionally-grown tomatoes year round. They always look the same no matter the season and are available in convenient locations. They are...








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Ebola poses threat to Ivory Coast cocoa output, exporters say

A worker carries a bag of cocoa beans into an Ivorian cocoa cooperative warehouse in the village of Bonon, Ivory Coast By Joe Bavier ABIDJAN (Reuters) - Cocoa exporters in the Ivory Coast are fuelling market fears of potential supply shortages that have driven prices to 3-1/2 year highs, warning output could drop dramatically if the Ebola virus spills into the world's top grower. Despite expectations of a supply surplus this season and a healthy outlook for the coming West African harvest, prices are reflecting the fact that much is unknown about what happens if Ivory Coast is the next country struck by the disease. ...








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Ebola poses threat to Ivory Coast cocoa output, exporters say

People walk past a billboard displaying a government message about Ebola on a street in Abidjan By Joe Bavier ABIDJAN (Reuters) - Cocoa exporters in the Ivory Coast are fuelling market fears of potential supply shortages that have driven prices to 3-1/2 year highs, warning output could drop dramatically if the Ebola virus spills into the world's top grower. Despite expectations of a supply surplus this season and a healthy outlook for the coming West African harvest, prices are reflecting the fact that much is unknown about what happens if Ivory Coast is the next country struck by the disease. ...








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Children of Ebola dead shunned by families: UNICEF

Children walk past a slogan painted on a wall reading "Ebola" in Monrovia on August 31, 2014 Dakar (AFP) - Thousands of children who have lost parents to the west African Ebola epidemic risk are being shunned by frightened and suspicious relatives, the UN children's fund said on Tuesday.








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Energy, manufacturing to lead Obama, Modi talks

Modi waves to supporters after paying homage at the Mahatma Gandhi Statue in front of the Indian Embassy in Washington WASHINGTON (Reuters) - U.S. President Barack Obama and new Indian Prime Minister Narendra Modi on Tuesday plan to discuss issues ranging from manufacturing to sanitation as the two leaders aim to deepen ties. Obama and Modi were scheduled to meet at the White House at 10:55 a.m. (1455 GMT) during Modi's first visit to the United States since taking office in May, part of a larger effort aimed at expanding security partnerships and spurring foreign investment. ...








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New cancer therapy comes of age, cost a "toxic" side effect

By Ben Hirschler MADRID (Reuters) - A raft of new cancer drugs promise better, longer-lasting treatments with fewer adverse side effects -- but their high cost is a growing concern. Drugs that help the body's own immune cells fight tumors are expected to be used in multi-drug cocktails, pushing the price of therapies costing more than $100,000 a year even higher. At the same time, other expensive medicines are being combined to produce impressive results fighting diseases including breast and skin cancer. ...



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UN mission to combat Ebola opens HQ in Ghana

Children sit in from of their home in the St. Paul Bridge neighborhood of Monrovia, Liberia, Sunday Sept. 28, 2014. Six months into the world’s worst-ever Ebola outbreak, and the first to happen in an unprepared West Africa, the gap between what has been sent by other countries and private groups and what is desperately needed is huge. Even as countries try to marshal more resources to close the gap, those needs threaten to become much greater, and possibly even insurmountable. (AP Photo/Jerome Delay) The U.N. mission to combat Ebola opened its headquarters on Monday in Ghana, where it will coordinate international aid to assist West Africa to combat the accelerating crisis.








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France uses tax to put pressure on hepatitis C drug prices

Alton speaks with the media during a news conference in New Delhi By Natalie Huet PARIS (Reuters) - France will tax drugmakers whose costly hepatitis C drugs threaten to throw off course its healthcare budget, the government has said, heaping pressure on pharmaceutical companies like Gilead Sciences to cut their prices. The Socialist government said it had designed a "progressive contribution scheme" ensuring all patients can access new and more effective treatments against the liver-destroying virus, while limiting the burden of these drugs on state finances. ...








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Steroid-fattened cows spark health fears in Bangladesh on Eid

A Bangladeshi workers grooms a cow at the Gabtoli cattle market in Dhaka on September 30, 2014, ahead of Eid-al Adha, the feast of the sacrifice Dhaka (AFP) - Bangladesh sent medical teams on Tuesday to check millions of cows set for slaughter due to fears they have been pumped with banned steroids for fattening ahead of the Eid holiday.








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Athletics-What they say about parkrun

(Refile of story issued Sept. 26 fixing first name of Hugh Brasher (from Chris) in second para) By Mitch Phillips LONDON, Sept 26 (Reuters) - What people have said about parkrun, which celebrates its 10th anniversary on Oct. 4. Hugh Brasher, race director of the London Marathon, which has direct links with parkrun: "We support parkrun because it is about the grass roots of running, it is about encouraging people to start running and also to be more competitive with their running. "I was involved via (sports store and parkrun sponsor) Sweatshop and I'm a director of parkrun now. ...



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NFL TV ratings on the rise despite domestic violence fumble

NFL: Preseason-Baltimore Ravens at Dallas Cowboys By Eric Kelsey LOS ANGELES (Reuters) - Americans are tuning into NFL football in greater numbers than last year, according to early season viewership figures, signaling the league's fumbled handling of domestic violence cases has not dented its overall popularity. Through the first three weeks of the season, audiences watching nationally televised primetime broadcasts have risen and nearly all networks have seen an uptick in viewership so far this season. ...








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India's Modi must resist U.S. pressure on drug patents: MSF

India's Prime Minister Narendra Modi speaks at the Council on Foreign Relations in New York, during his visit to the United States By Nita Bhalla NEW DELHI (Thomson Reuters Foundation) - Indian Prime Minister Narendra Modi must not give in to U.S. pressure to change intellectual property laws which allow India to produce generic medicines poor people can afford, the medical charity Doctors Without Borders (MSF) said. Modi, who is visiting the United States to bolster trade and investment ties, has been meeting senior Congressmen and business leaders. He met President Barack Obama at a White House dinner on Monday and the two will hold further talks on Tuesday. MSF said U.S. ...








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Families wait in agony for word on Ebola patients

In this picture taken Sunday, Sept. 28, 2014, Finda Saah, 28, holds six-week-old Prosper Junior, as 5 year old Alice and 13-year old son Augustin look on, at their St Paul Bridge home in Monrovia, Liberia. Finda lost her husband to the deadly Ebola virus and gave birth three days later. Ebola has killed more than 1800 people in Liberia this year. As the death toll from Ebola soars, crowded clinics are turning over beds as quickly as patients are dying. This leaves social workers and psychologists struggling to keep pace and notify families, who must wait outside for fear of contagion. Also, under a government decree, all Ebola victims must be cremated, leaving families in unbearable pain with no chance for goodbye, no body to bury. (AP Photo/Jerome Delay) MONROVIA, Liberia (AP) — First the ring tone echoed outside the barbed-wire-topped walls of the Ebola clinic. Then came the wails of grief, as news spread that 31-year-old Rose Johnson was dead just days after she was brought here unconscious by relatives.








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No U.S. 'chlorine chicken' in Europe, EU's health nominee says

Health and Food Safety Commissioner-designate Andriukaitis of Lithuania gestures before his address to the European Parliament's Committees on Agriculture and Rural Development and Environment Public Health and Food Safety in Brussels By Robin Emmott BRUSSELS (Reuters) - The EU's nominee for health chief pledged on Tuesday to oppose the import of some U.S. foodstuffs such as chemically-treated meat that Washington hopes to be able to sell to Europe under a planned multi-billion-dollar transatlantic trade deal. In comments at his confirmation hearing in the European Parliament that will delight EU heavyweights France and Germany, Vytenis Andriukaitis also said genetically modified crops posed a "philosophical problem" that threatened Europe's biodiversity. ...








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Rains complicate delivery of Ebola supplies in West Africa

US ambassador to India Nancy addresses media before she presented EOD 9 suits, Helmets and Disruptors to Mumbai Police at a function in the U.S. embassy in New Delhi By Stella Dawson WASHINGTON (Thomson Reuters Foundation) - The rainy season in West Africa is compounding difficulties in getting supplies delivered and new treatment centres built as donors rush to isolate people infected with the deadly Ebola virus and stop its rapid spread, U.S. officials said. Nancy Powell, newly appointed as the U.S. State Department's envoy to coordinate its Ebola response, said the top priority is to isolate as many people as quickly as possible. But that faces significant logistical hurdles. ...








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Gov't to reveal drug company payments to doctors

WASHINGTON (AP) — The Obama administration is planning to release data Tuesday on drug and medical device company payments to tens of thousands of individual doctors.



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Monday, September 29, 2014

Austria reports first MERS case in Saudi national: media

VIENNA (Reuters) - Austria has reported its first case of the Middle East Respiratory Syndrome (MERS) virus in a woman from Saudi Arabia who had recently traveled to the Alpine country, ORF Oe 1 radio reported on Tuesday, citing the health ministry. MERS, thought to originate in camels, causes coughing, fever and pneumonia, and kills about a third of its victims. Understanding how MERS is transmitted has been a quest for doctors trying to quell the outbreak that emerged in the Middle East in 2012 and has infected more than 850 people and killed 333 worldwide. ...



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Sanofi posts positive results for drug in chronic sinusitis

PARIS (Reuters) - Sanofi and its U.S. partner Regeneron on Tuesday unveiled positive mid-stage trial results for their experimental drug dupilumab in patients with chronic sinusitis with nasal polyps. In a Phase IIa trial, the injectable drug met all primary and secondary endpoints in affected patients who did not respond to intranasal corticosteroids, Sanofi said in a statement. Dupilumab is also being tested by the drugmakers against two other allergic conditions - atopic dermatitis and asthma. (Reporting by Natalie Huet; Editing by Blaise Robinson)



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Texas hospital puts possible Ebola patient in isolation

(Reuters) - A Texas hospital said on Monday it has admitted a patient into "strict isolation" to be evaluated for possible infection with the Ebola virus, as health officials battle an epidemic in West Africa that has already killed thousands of people. In a brief statement, Texas Health Presbyterian Hospital Dallas cited the unnamed patient's symptoms and recent travel history as reasons for the isolation. ...



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Long-acting reversible contraceptives best for teens: pediatricians

By Will Boggs MD and Nancy Lapid NEW YORK (Reuters Health) - For adolescents who choose not to abstain from sex, the American Academy of Pediatrics (AAP) favors long-acting reversible contraceptives, such as contraceptive implants and intrauterine devices. All methods of hormonal birth control, including contraceptive pills, are safer than pregnancy, Dr. Mary A. Ott from the Indiana University School of Medicine in Indianapolis, Indiana told Reuters Health by email. ...



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Studies criticize U.S. medical device approval process

By Andrew M. Seaman NEW YORK (Reuters Health) - Information on the safety and effectiveness of medical devices before and after they are cleared by U.S. health regulators can be improved, according to two new studies. One study found many U.S. Food and Drug Administration (FDA)-cleared medical devices meant to be implanted in the body were not backed by publicly available evidence that they are similar to a device already on the market. ...



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Cuff-less blood pressure monitors reach the market

Checkme Health Monitor by Viatom Technology China-based Viatom recently received CE approval for sales of itsCheckme tricorder device in Europe. Check me is a portable, personal device that measures vital signs easily.








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White substance in envelope at Reagan Library causes security scare

LOS ANGELES (Reuters) - A white substance from an envelope opened by a staff member at the Ronald Reagan Library in Simi Valley, California, caused a security scare on Monday, but the substance was later found to be non-toxic, a spokeswoman for the institution said. The staff area where the envelope was opened was closed off for a time, but the library itself remained open to the public, said Melissa Giller, a spokeswoman for the Ronald Reagan Presidential Foundation and Library. ...



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Obesity risk rises if antibiotics given before age two

A US study reveals that kids who get treated with broad-spectrum antibiotics before age two face a higher risk of childhood obesity Washington (AFP) - Kids who get treated with broad-spectrum antibiotics before age two face a higher risk of childhood obesity, said a US study on Monday.








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NFL player Belcher likely had brain damage, post-mortem exam shows

A makeshift memorial for Kansas City Chiefs football player Jovan Belcher is seen outside his mother's home in West Babylon, New York By Steve Ginsburg (Reuters) - A Kansas City Chiefs football player who fatally shot his girlfriend in 2012 before committing suicide showed signs of a degenerative brain condition found in other deceased NFL players, an attorney for the family said on Monday. A post-mortem analysis of Jovan Belcher's brain revealed signs of chronic traumatic encephalopathy (CTE), said Dirk Vandever, who is representing Belcher's young daughter. Belcher, 25, shot and killed girlfriend Kasandra Perkins, the mother of his then-3-month-old daughter Zoey. ...








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Parents of autistic Pennsylvania boy charged in starvation death

By David DeKok HARRISBURG Pa. (Reuters) - Police in Harrisburg, Pennsylvania, charged the parents of a 9-year-old autistic boy with homicide on Monday in their son's starvation death in July. Jarrod Tutko Jr. weighed just 16.9 pounds and measured 42 inches tall at the time of his death, Dauphin County District Attorney Edward Marsico and city police said at a news conference. Jarrod N. Tutko Sr., 38, and Kimberly A. Tutko, 39, were arraigned before District Judge Barbara Pianka on criminal homicide charges. They were denied bail. ...



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Actress Amanda Bynes back in trouble with drug-driving arrest

Actress Amanda Bynes arrives for a court hearing at Manhattan Criminal Court in New York LOS ANGELES (Reuters) - Troubled former teen star Amanda Bynes was arrested over the weekend on a misdemeanor charge of driving under the influence of drugs in Los Angeles, the California Highway Patrol said on Monday. Bynes, 28, who has become known in recent years more for her legal troubles and bizarre public behavior than for her acting, was taken into custody Sunday at 4:10 a.m. (1110 GMT), the CHP said. CHP declined to say what drugs Bynes was suspected of having used. The arrest report said Bynes was arrested "based on the observed driving and her evaluation. ...








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U.S. military to quickly ramp up Ebola mission in Liberia

A Doctors Without Borders health worker takes off his protective gear under the surveillance of a colleague at a treatment facility for Ebola victims in Monrovia By James Giahyue MONROVIA (Reuters) - The United States plans to quickly increase its presence in Liberia, where military personnel are deploying to help the West African nation halt the advance of the worst Ebola epidemic on record, the general in charge of the mission said on Monday. Washington is sending some 3,000 soldiers to the region to build treatment centers and train local medics. Around half will be based in Liberia, with the rest providing logistical support outside the country. "This is about urgency and speed. ...








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Our Health, on Fire: The #UseWhatWeKnow Campaign

Our Health, on Fire: The #UseWhatWeKnow Campaign I was privileged to speak to hundreds of healthcare colleagues at a Lifestyle Medicine summit in Nashville, TN yesterday. I was even more privileged to give the keynote address that closed out the conference, although there are some liabilities attached to being the last thing between a restless audience and their freedom.As the conference...








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ER MAY REVEAL BASIC PROBLEMS IN HOSPITALS

One brief, and as it turned out not too serious visit to the emergency room in one of New York City's biggest and best hospitals this summer proved to be very interesting because it revealed some systemic issues. Perhaps, if the problems seen and encountered there could be better understood and addressed, a trickle effect through the rest of...



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Temporary Paralysis and Other Things You Need to Know About Enterovirus

Temporary Paralysis and Other Things You Need to Know About Enterovirus CDC Is Investigating Symptoms of Enterovirus 68








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Pennsylvania baby shot in head in apparent hunting accident

By Elizabeth Daley (Reuters) - A newborn baby was in critical condition on Monday after being shot in the head in western Pennsylvania while lying on his father's lap at home, an incident that appears to have been a hunting accident, prosecutors say. The infant, identified by local media as Thayne Iverson, was just days old when a stray bullet struck him in the head on Sept. 25 at around 7 p.m., said Dianna Rostis, a spokeswoman for the Indiana County District Attorney's office. She declined to confirm the infant's name or identify the father. ...



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New York City to end solitary confinement for teens at Rikers jail

New York's Mayor Bill de Blasio speaks at Britain's opposition Labour Party's conference in Manchester By Jonathan Allen NEW YORK (Reuters) - New York City plans to end the use of solitary confinement to punish teenage inmates at the troubled Rikers Island jail complex by the end of the year, according to a Department of Correction memorandum. The policy shift comes less than two months after the U.S. Department of Justice said its investigators had found a pattern of abuse of 16- and 17-year-old inmates that breached their constitutional rights. ...








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Texas doctor given 10 years in jail for poisoning lover's coffee

By Amanda Orr HOUSTON (Reuters) - A breast cancer specialist working at a nationally renowned cancer center in Houston was sentenced on Monday to 10 years in prison for lacing the coffee of her lover, a fellow cancer doctor, with a compound used in antifreeze. Dr. Ana Maria Gonzalez-Angulo, 43, an oncologist at the University of Texas MD Anderson Cancer Center, was found guilty last week of putting ethylene glycol into the coffee of Dr. George Blumenschein, 50, in a 2013 incident. She was sentenced to prison by the same jury that convicted her. Prosecutors had been seeking 30 years. ...



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Caffeine-infused weight loss underwear buzzless: FTC

By Diane Bartz WASHINGTON (Reuters) - Bras, girdles and leggings infused with caffeine and sold as weight loss aids were more decaf than espresso, and the companies that sold them have agreed to refund money to customers and pull their ads, U.S. regulators said on Monday. The Federal Trade Commission said Wacoal America and Norm Thompson Outfitters, which owns Sahalie and others, were accused of deceptive advertising that claimed their caffeine-impregnated clothing would cause the wearer to lose weight and have less cellulite. ...



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The age of personal DNA storage has arrived

A GENiSYSS personal DNA storage capsule On Friday, Santa Barbara-based GENiSYSS started an Indiegogo crowd-funding campaign for its thumb-drive-sized capsules to store DNA in a way that's never been available to the public.








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Skirting the Issue: Breast Cancer and Dress Size

Skirting the Issue: Breast Cancer and Dress Size A recent study in the British Medical Journal suggests that skirt size may be the latest diagnostic tool in the war against breast cancer.Breast cancer is the most common cancer among women and the first or second leading cause of cancer death depending on a woman's ethnicity. About 200,000 American women are diagnosed with breast cancer...








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Bill Gates warns Ebola could spread beyond West Africa

Microsoft technology advisor Bill Gates speaks in a news conference in Ethiopia's capital Addis Ababa By Stella Dawson WASHINGTON (Thomson Reuters Foundation) - It is impossible to guess whether world leaders have done enough to bring the Ebola epidemic under control, given the risks that it will spread to countries beyond West Africa, the technology billionaire and philanthropist Bill Gates said on Monday. Countries should get ready to handle a possible outbreak of the deadly hemorrhagic fever in case it spreads further as people from Liberia, Sierra Leone and Guinea move across borders, Gates said at a breakfast meeting sponsored by the newspaper Politico and Bank of America. ...








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Colorado, CDC probing 10 cases of virus-related paralysis in kids

By Julie Steenhuysen CHICAGO (Reuters) - U.S. health officials are investigating at least 10 cases of children in Colorado who developed limb weakness or paralysis after testing positive for a respiratory virus, state health officials said on Monday. Of the 10, four children tested positive for Enterovirus D68 (EV-D68), a virus that is causing severe respiratory infections in 40 U.S. states and the District of Columbia. From mid-August to September 26, 2014, the U.S. ...



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10 Fun Things to Do While on Hold With Your Insurance Company

10 Fun Things to Do While on Hold With Your Insurance Company The time you spend waiting for the insurance company to answer your call can be incredibly frustrating. Here are several activities you can do while waiting for "the next available representative" to assist you:1)Practice the ancient art of origami. (Nothing says "I'm having oodles of fun now!" more than a room filled with paper cranes!)...








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Rains complicate delivery of Ebola supplies in West Africa

Police stand guard as officers test the body of a man for the Ebola virus, which according to police is standard protocol when bodies are discovered, in Monrovia By Stella Dawson WASHINGTON (Thomson Reuters Foundation) - The rainy season in West Africa is compounding difficulties in getting supplies delivered and new treatment centers built as donors rush to isolate people infected with the deadly Ebola virus and stop its rapid spread, U.S. officials said. Nancy Powell, newly appointed as the U.S. State Department's envoy to coordinate its Ebola response, said the top priority is to isolate as many people as quickly as possible. But that faces significant logistical hurdles. ...








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Humana to integrate its health application with Apple's HealthKit

Apple retail store is shown at a shopping mall in San Diego, California (Reuters) - Humana Inc, which manages private Medicare and individual Obamacare insurance plans, said on Monday it has integrated its consumer health application with Apple Inc's HealthKit. The move, the first announced by a major insurer, enables Humana customers to more easily manage fitness data and other personal health goals, the company said in a statement. Humana's wellness program, called HumanaVitality, rewards members for hitting these goals, which include being more active, eating better or losing weight, with items such as movie tickets and fitness equipment. ...








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'Freshman 15' may be oversold: analysis

By Shereen Lehman NEW YORK (Reuters Health) - College students may not gain the much-dreaded "freshman 15" but they do gain weight during their years in school, according to a fresh look at some past research. Young adults gained an average of about 3.5 pounds (about 1.6 kg) over their college careers with a relatively small gain during the first year, researchers found. “Everyone puts so much emphasis on at first year of college,” said Michael Fedewa, the study’s lead author from the University of Georgia in Athens. ...



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New York City Fire captain accused of Los Angeles child sex crime

NEW YORK (Reuters) - A captain with the Fire Department of New York has been charged with sex crimes against children and is awaiting extradition to California, authorities said on Monday. Wilbert Riera is accused in incidents in Los Angeles on Sept. 12 that involved two juveniles, said Officer Liliana Preciado of the Los Angeles Police Department. He has been arrested on charges of sex crimes against children and is awaiting extradition to California, she said. ...



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Up Close With Patients in the Throes of Ebola

"First thing was the headache," a Liberian teen tells me.



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Israeli circumcision device provokes union outcry in South Africa

Initiates pose in a field in Qunu, in the Eastern Cape JOHANNESBURG (Reuters) - South Africa may turn to an Israeli circumcision device to reduce the number of young males who die in botched initiation ceremonies, provoking an outcry from union allies of the ruling party who support sanctions against the Jewish state. Every year, dozens of teenaged South African males die of blood loss or infection in traditional circumcision practices during the initiation ceremonies which are a key rite of passage to manhood, especially among the Xhosa nation. ...








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Study makes the case for letting teenagers sleep in

Study makes the case for letting teenagers sleep in Everyone knows sleep is important for teenagers, but a new study says that ensuring they get enough of it could call for a later start to the school day.








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Israeli circumcision device provokes union outcry in South Africa

JOHANNESBURG (Reuters) - South Africa may turn to an Israeli circumcision device to reduce the number of young males who die in botched initiation ceremonies, provoking an outcry from union allies of the ruling party who support sanctions against the Jewish state. Every year, dozens of teenaged South African males die of blood loss or infection in traditional circumcision practices during the initiation ceremonies which are a key rite of passage to manhood, especially among the Xhosa nation. ...



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Modi orders Indian officials to clean loos on Gandhi's birthday

India's Prime Minister Modi gestures while speaking at Madison Square Garden in New York By Manoj Kumar NEW DELHI (Reuters) - India's new Prime Minister Narendra Modi has ordered government officers to work on Mahatma Gandhi's birthday, a national holiday, to clean ministries - including toilets - in a nationwide cleanliness drive. Modi plans to honor the independence hero by launching on Thursday the Clean India campaign, which aims to solve the country's sanitation and rubbish problems within five years to mark the 150th anniversary of Gandhi's Oct 2 birthday. ...








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Former Washington Post editor Ben Bradlee in hospice care: wife

Ben Bradlee, a former Washington Post executive editor discusses about the Watergate Hotel burglary and stories for the Post at the Richard Nixon Presidential Library in Yorba Linda WASHINGTON (Reuters) - Former Washington Post Executive Editor Ben Bradlee, who oversaw the newspaper's coverage of the Watergate scandal in the 1970s, is in hospice care, his wife said. Bradlee, 93, is suffering from Alzheimer's disease and sleeps much of the day, Sally Quinn told C-Span in an interview aired late on Sunday. "He does know who I am, yes. We actually called in hospice care this week," said Quinn, a religion columnist for the Post. Hospice care provides specialized medical treatment for terminally or seriously ill patients. ...








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Roche, GSK melanoma pill combinations look similar in showdown

The logo of Swiss pharmaceutical company Roche is seen outside the Shanghai Roche Pharmaceutical Co. Ltd. headquarters in Shanghai By Ben Hirschler MADRID (Reuters) - Rival two-pill combinations for melanoma from Roche and GlaxoSmithKline had similarly good results in separate clinical trials, leaving doctors with little to choose between the two skin cancer courses. The latest findings will fuel a wider debate about the optimal treatment of melanoma as a new generation of immune-stimulating injections offers an alternative way to fight the deadliest form of skin cancer. ...








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Kamada extends emphysema drug deal with Baxter through 2017

JERUSALEM (Reuters) - Israeli drugmaker Kamada said on Monday it extended an agreement with Baxter International to supply a drug to treat emphysema through 2017. Under the extended agreement, Kamada said it will receive $26 million in additional revenues of Glassia, a proprietary drug to treat clinically evident emphysema in adults due to severe alpha-1-antitrypsin (AAT) deficiency. ...



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UN mission to combat Ebola opens HQ in Ghana

Children sit in from of their home in the St. Paul Bridge neighborhood of Monrovia, Liberia, Sunday Sept. 28, 2014. Six months into the world’s worst-ever Ebola outbreak, and the first to happen in an unprepared West Africa, the gap between what has been sent by other countries and private groups and what is desperately needed is huge. Even as countries try to marshal more resources to close the gap, those needs threaten to become much greater, and possibly even insurmountable. (AP Photo/Jerome Delay) DAKAR, Senegal (AP) — The U.N. mission to combat Ebola is opening its headquarters in Ghana, where it will coordinate aid for the West African crisis.








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Ebola clinics fill up as Liberia awaits aid

Local workers look on as a team or U.S. Navy engineers prepares the ground for a 25-beds medical facility they are building next to the airport in Monrovia, Liberia, Saturday Sept. 27, 2014. Six months into the world’s worst-ever Ebola outbreak, and the first to happen in an unprepared West Africa, the gap between what has been sent by other countries and private groups and what is desperately needed is huge. Even as countries try to marshal more resources to close the gap, those needs threaten to become much greater, and possibly even insurmountable. (AP Photo/Jerome Delay) MONROVIA, Liberia (AP) — Doctors are in short supply. So are beds for patients. Six months after the Ebola outbreak emerged for the first time in an unprepared West Africa and eventually became the worst-ever outbreak, the gap between what has been sent by other countries and private groups and what is needed is huge.








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Seattle Genetics, Takeda's cancer drug meets main goal in trial

The logo of Japanese Takeda Pharmaceutical Co is seen at an office building in Glattbrugg (Reuters) - Seattle Genetics Inc and Takeda Pharmaceutical Co Ltd said their approved cancer drug was successfully used as a consolidation therapy in a late-stage trial for patients with a type of lymphatic cancer. Consolidation therapy is given to cancer patients who have undergone initial therapy and kills any cancer cells that may be left in the body. ...








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Tonix Pharma's pain drug fails mid-stage study

(Reuters) - Tonix Pharmaceuticals Holding Corp said its lead pain drug had failed the main goal of a mid-stage study testing if it reduced pain experienced by patients by the 12th week of the trial. The drug, TNX-102, is being tested to treat fibromyalgia, a chronic syndrome characterized by widespread pain and lack of sleep. The treatment, however, improved sleep quality in patients, one of the key secondary goals of the trial, Tonix said. The company said it planned to discuss the trial results and the design for a late-stage trial of the drug with the U.S. Food and Drug Administration. ...



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Puma Biotechnology cancer drug shows positive mid-stage results

(Reuters) - Puma Biotechnology Inc said its experimental lung cancer drug was safe to be administered with an already approved treatment for the disease in a mid-stage study. The time where a patient's disease did not progress increased to four months when given a combination of Puma's PB272 and temsirolimus, compared to about three months when given only PB272, according to data from the study. All the patients in the study were given a high dose of the drug loperamide to prevent diarrhea related to PB272. There were no severe diarrhea events seen in the trial, the company said. ...



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Full plates fight prejudice in Hungary restaurant

Guests sit in Izlelo, a restaurant in Szekszard By Gergely Szakacs SZEKSZARD Hungary (Reuters) - Waitress Maria Kecskemeti says working with people is a daily challenge, requiring much skill and empathy. She also admits to initially being somewhat scared of how guests would react when she took the first orders from her wheelchair. Kecskemeti works at Izlelo, a restaurant set up in 2007 by a local foundation to help handicapped people find employment. She is one of 15 employees, most of whom have some type of disability like deafness or a learning disability. ...








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Hundreds of firms join global hunt for copycat biotech drugs

By Ben Hirschler (Reuters) - Hundreds of companies around the world are chasing an emerging market for cheaper copies of costly biotech drugs, with more than 700 so-called biosimilars now in development or already approved, according to a major study of the sector. Biotech medicines - made from proteins and other large molecules - account for six of the 10 biggest-selling drugs in the world today, led by AbbVie's $12 billion-a-year rheumatoid arthritis injection Humira. ...



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India's Jaitley in isolation ward, may skip U.S. trip

By Manoj Kumar NEW DELHI (Reuters) - India's Finance Minister Arun Jaitley may have to cancel a trip to the United States in October after he was moved to an isolation ward of a government-run hospital to help him recover from an infection that followed a stomach operation to treat diabetes. Jaitley is due to attend a World Bank meeting on Oct. 10-12 in Washington, where he is also expected to meet senior government officials. He was due to leave on Oct. 8. "It seem doubtful that he would be able to take stress for the long journey to the U.S. ...



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CORRECTION: Smartphone attachment eliminates doctor visits to diagnose ear infections

CellScope Oto enables at-home ear infection diagnoses If you can't imagine an otoscope smartphone attachment, it's probably because the only time you've ever seen one was at the doctor's office. It's here: an otoscope that enables you to view and capture images of the ear canal and eardrum on the smartphone's screen, and a corresponding app that lets you snap a picture and send it to your doctor for diagnosis.








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Merck immunotherapy drug shows promise in bladder cancer

MADRID (Reuters) - Merck & Co's new immune system drug Keytruda has produced encouraging results in early tests against bladder cancer, according to a company-sponsored study, prompting the firm to prepare a clinical trial later this year. Keytruda is the first in a new wave of immune-boosting medicines to be approved for treating melanomas in the United States, but it also has potential in a range of other cancers. ...



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Walking is the superfood of fitness, experts say

Women walk together up a hill as they participate in some morning exercise during a visit to Torrey Pines State Park in San Diego By Dorene Internicola NEW YORK (Reuters) - Walking may never become as trendy as CrossFit, as sexy as mud runs or as ego-boosting as Ironman races but for fitness experts who stress daily movement over workouts and an active lifestyle over weekends of warrior games, walking is a super star. For author and scientist Katy Bowman, walking is a biological imperative like eating. In her book, “Move Your DNA: Restore Your Health Through Natural Movement," she suggests there are movement nutrients, just like dietary nutrients, that the body needs. “Walking is a superfood. ...








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New types of health care delivery are improving the 'patient experience'

Commentary: eliminating role of insurers could improve health care delivery.



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Bristol immune drug shows strong effect in melanoma study

By Ben Hirschler MADRID (Reuters) - Bristol-Myers Squibb's immunotherapy drug Opdivo produced markedly improved response rates with fewer toxic side effects compared to chemotherapy in a major melanoma study, underscoring its potential as a new treatment option. The data has been keenly awaited since this is the first presentation of results from a pivotal Phase III clinical trial of a promising new class of drugs designed to help the body's own immune system fight cancer. ...



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Sunday, September 28, 2014

Boston couple brings fitness to the masses

Boston GlobeBoston couple brings fitness to the massesBoston Globecould be considered the first couple of the Boston fitness community. Goldie's classes at Back Bay Yoga boast lines out the door, and Brogan is the high-energy cofounder of November Project, a free fitness movement that has spread to 17 cities. The ...

Rossi ignores doctor, checks himself out of hospital

Yamaha MotoGP rider Valentino Rossi of Italy cups his ears in the box during the second free practice of the Aragon Motorcycling Grand Prix at Motorland race track in Alcaniz (Reuters) - Valentino Rossi has checked himself out of hospital in defiance of doctor's advice to continue his recovery from concussion in his own motorhome. The 35-year-old Yamaha rider, nine-times a world champion in all categories, was taken to hospital after falling heavily early in Sunday's race at the Motorland Aragon circuit won by Spaniard Jorge Lorenzo. Rossi tweeted a picture of himself saying he was fine apart from the "head ache". "Valentino is progressing very well. ...








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