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Saturday, October 12, 2013
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Thursday, October 10, 2013
Nev. expert: Mom, baby deaths put TB back on radar
LAS VEGAS (AP) — The winning battle against tuberculosis in the United States may, ironically, be part of the reason why the disease wasn't detected in a young Las Vegas mother and her baby until it was too late, experts said.
A leading cause of death in the early 20th century, the airborne illness most associated with a bad cough has declined in the U.S. to the lowest levels since record-keeping began 60 years ago. Tuberculosis claimed 569 lives in the U.S. in 2010, meaning fewer and fewer doctors have experience treating or recognizing it, especially in otherwise healthy young patients.
"This idea that young people don't get it is wrong," said Dr. Ihsan Azzam, Nevada's state epidemiologist. "It's now on the radar again. We thought this was eliminated in our country, but there's now a resurgence of the disease."
Health officials first learned of a potential outbreak when California officials informed them that a 25-year-old Nevada woman had died in a hospital there in July. She had been sick before and after giving birth to extremely premature twins, according to a Southern Nevada Health District report, but it wasn't until the autopsy that doctors diagnosed her with tuberculosis.
By that time, one of her baby girls was already dead due to respiratory failure and extreme prematurity, the Clark County coroner said. She was never tested for TB. The second twin, who was being housed in Summerlin Hospital's Neonatal Intensive Care Unit, was treated for tuberculosis but ultimately succumbed to the disease Aug. 1.
A first round of testing over the summer screened more than 200 hospital workers and friends and family of the woman. So far, 26 people have tested positive for tuberculosis, although only two of them have the contagious form.
This week, the Southern Nevada Health District expanded the investigation to some 140 babies who were in the NICU when the sick baby was, as well as their family members. Dr. Joe Iser, chief medical officer at the health district, said it's unlikely other babies are affected, but the measure is out of an "abundance of caution."
Handling such a wide exposure amid a group as sensitive as babies in a NICU was so delicate, state officials sought out expert assistance from the federal Centers for Disease Control and Prevention. The health district also issued a "technical bulletin" to doctors on Monday that explains symptoms of TB in children and describes treatment options.
"We have to keep our skills and personnel on the ball, or we'll once again see TB begin to spread," said Dr. William Schaffner, professor of preventive medicine and infectious diseases at Vanderbilt University School of Medicine.
Meanwhile, a grieving family is seeking answers.
Attorney Ryan Dennett, who represents the woman's family, said he plans to investigate which tests were and weren't administered to the young mother during her time in the hospital and is exploring the possibility of filing a lawsuit.
Laboratory testing is still ongoing, Azzam said, but investigators believe the woman contracted TB after eating an unpasteurized dairy product from somewhere in Latin America. The strain she had, mycobacterium bovis, is found in dairy cattle, although it accounts for only about 2.5 percent of total human tuberculosis cases, he said.
That finding has added fuel to state health officials' crusade against unpasteurized dairy products. An existing state law preventing the distribution or transportation of unpasteurized milk helps to mitigate the problem, but word about the infection risks may not be getting to minority communities where foreign-made, raw dairy products are more commonplace.
Azzam said state officials plan to work with the CDC and other agencies to improve outreach and awareness — but after the current threat is under control. He said it appears the worst has passed.
"The expectation was that we may have a wildfire," Azzam said. "Thank heaven for human immunity and our resistance. ... The transmission is less than what we thought it would have been."
Associated PressRelated Topics: Tony Gonzalez Ed Sheeran scarlett johansson red sox elizabeth smart
Monday, August 5, 2013
Governor to launch new purge of Florida voter rolls
TALLAHASSEE -- Gov. Rick Scott will soon launch a new hunt for noncitizens on Florida?s voter roll, a move that?s sure to provoke new cries of a voter ?purge? as Scott ramps up his own re-election effort.
Similar searches a year ago were rife with errors, found few ineligible voters and led to lawsuits by advocacy groups who said it disproportionately targeted Hispanics, Haitians and other minority groups. Those searches were handled clumsily and angered county election supervisors, who lost confidence in the state?s list of names.
?It was sloppy, it was slapdash and it was inaccurate,? said Polk County Supervisor of Elections Lori Edwards. ?They were sending us names of people to remove because they were born in Puerto Rico. It was disgusting.?
Over time, the state?s initial list of suspected non-U.S. citizens shrank from 182,000 to 2,600 to 198 before election supervisors suspended their searches as the presidential election drew near.
?That was embarrassing,? said elections chief Jerry Holland in Jacksonville?s Duval County. ?It has to be a better scrub of names than we had before.?
Election supervisors remain wary of a new removal effort, which the U.S. Supreme Court effectively authorized in June when it struck down the heart of the Voting Rights Act. That ruling nullified a federal lawsuit in Tampa that sought to stop new searches for noncitizen voters, and Scott quickly renewed his call for action.
?If there?s anybody that we think isn?t voting properly, from the standpoint that they didn?t have a right to vote, I think we need to do an investigation,? Scott said the day of the high court decision. Last fall, Scott joined the Republican Party in a fundraising appeal that accused Democrats of defending the right of noncitizens to vote.
Scott?s top elections official, Secretary of State Ken Detzner, is now creating a new list of suspected noncitizen voters by cross-checking state voter data with a federal database managed by the Department of Homeland Security.
Detzner?s director of elections, Maria Matthews, sent a letter to election supervisors Friday, promising ?responsible measures that ensure due process and the integrity of Florida?s voter rolls? and vowing to include them ?in the planning and decision-making.?
Sen. Rene Garcia, R-Hialeah, chairman of the Florida Hispanic Legislative Caucus, said Detzner told him that the state would resume its purge of potential noncitizens within 60 days.
?I?ve been told that they will go slow,? Garcia said. ?I?m completely confident that the process will work.?
Hillsborough County halted its purge last year after several voters on a list of 72 flagged by the state proved their citizenship.
A voter whose citizenship is questioned has the right to provide proof of citizenship in a due process system that includes certified letters and legal notices.
If the next list is anything like the last one, its burden will fall most heavily on urban counties with large Hispanic populations, notably Miami-Dade.
?Ineligible voters will be removed when their ineligibility is substantiated by credible and reliable data,? said Miami-Dade election supervisor Penelope Townsley.
Source: http://www.miamiherald.com/2013/08/04/3538862/governor-to-launch-new-purge-of.html
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Sunday, August 4, 2013
Obama won't name new Fed chairman until fall, advisers say
President Obama 'puts more stock' in private advice than in public advice about who should replace Federal Reserve Chairman Ben Bernanke, say presidential advisers Gene Sperling and Dan Pfeiffer.
By David T. Cook,?Staff writer / August 2, 2013
Gene Sperling (left), director of the National Economic Council and assistant to the president for economic policy, and Dan Pfeiffer, an Obama senior adviser, speak at the St. Regis Hotel on July 31, 2013, in Washington.
Michael Bonfigli /The Christian Science Monitor
EnlargeGene Sperling, head of the National Economic Council, and Dan Pfeiffer, a senior adviser to President Obama, were guests at the July 31 Monitor Breakfast.
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Choosing a successor for Federal Reserve Chairman Ben Bernanke:
Pfeiffer: "The president has not made a decision. I would not expect an announcement until the fall."
The spirited debate over whether Fed official Janet Yellen or former White House aide Lawrence Summers should be the next Fed chair:
Pfeiffer: The president "puts a lot more stock in private advice than public advice."
The White House view of House Republicans' policy prescriptions:
Sperling: "In the House of Representatives ... pro-growth fiscal policy [advocated by the president] is turned on its head. When you just call for these deep cuts ... you are hurting growth in the short term, you are leaving no room to invest in the things that are critical...."
Why Obama has been playing down the Keystone XL pipeline's economic impact:
Pfeiffer: "The core of the Republican jobs package ... is [to] vote to repeal 'Obamacare' for the 40th time and build the Keystone pipeline.... The president's point is that that is not a jobs strategy."
Whether anything significant can be accomplished in these politically polarized times:
Pfeiffer: "I would not rule anything out.... The gridlock of the moment is not predictive of what is going to happen in the future on big issues."
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2014 Ford Edge





Source: http://www.automobilemag.com/capsule_review/ford/edge/2014/capsule_review_2014_ford_edge/index.html
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Source: http://feeds.sciencedaily.com/~r/sciencedaily/strange_science/~3/jpKZOdz3dCs/130802094840.htm
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Jahlil Okafor's AAU coach thinks Duke is the frontrunner for Tyus Jones package deal
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"); } check=false; } else { jQuery("#senderMail1").removeClass("fc-field-error"); jQuery("#errorMail1").remove(); check=true; } if(!recipientsEmail.match("[a-zA-Z0-9!#$%&'*+/=?^_`{|}~-]+(?:\.[a-zA-Z0-9!#$%&'*+/=?^_`{|}~-]+)*@(?:[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])?\.)+[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])")) { jQuery("#recipientsEmail1").addClass("fc-field-error"); if(jQuery("#errorRMail1").lengthPlease enter recipient valid email address.
"); } check=false; } else { jQuery("#recipientsEmail1").removeClass("fc-field-error"); jQuery("#errorRMail1").remove(); check=true; } if(check==true) { jQuery(".shareLayer").append("When it comes to the Tyus Jones sweepstakes, many Gophers fans have started admitting the facts:
- As one of the most highly touted recruits in the nation, with offers from just about every impressive program out there, the odds of Jones choosing to stay home and go to a school without much in the way of facilities, immediate winning potential or tradition, are not good.
- Although new coach Richard Pitino and staff may be flexing their recruiting muscle already, jumping in during the finishing stretch for a?Jones-caliber recruit is, well, tough.
Jones has repeatedly said Minnesota is still in the mix, and the Gophers remain on his short list of seven. But a smart recruit would not eliminate his home state school until the very end anyway, so as to ruffle as few feathers as possible.
Interesting, then, if Jones isn't talking, that someone very close to Jahlil Okafor -- the player Jones has talked about choosing a college with for years -- is. At least according to the @BlueDeviIs twitter account.
Just one man's opinion here, even if that man is Okafor's AAU?coach. It is very far from an official word. But in the absence of any public leanings from either player, interesting nonetheless ...?
Source: http://www.startribune.com/sports/218132321.html
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