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Thứ Ba, 7 tháng 5, 2013

US has more 'first day' newborn deaths than any other industrialized nation, report says

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In the United States, more babies die on the first day of life than in any other industrialized country, according to a new report.

Each year, about 11,300 U.S. babies die the day they're born, which is 50 percent more deaths than all other industrialized countries combined, according to the report from the charity organization Save the Children.

When the organization ranked countries by the rate of death on the first day of life, the United States placed behind 67 others, including Mexico, Saudi Arabia and Kuwait.

The report ranked 186 countries in all. Somalia has the highest first-day death rate, with 18 deaths per 1,000 live births, while Luxemburg, Singapore and Sweden have among the lowest, with less than 0.5 deaths per 1,000 live births. The rate of first-day death in the United States is 2.6 deaths per 1,000 live births.

The relatively high rate of preterm birth in the United States compared to other industrialized countries contributes to the nation's high rate of first-day deaths, said Carolyn Miles, president and CEO of Save the Children.

And a lack of access to prenatal care for poor women contributes to the high rate of premature birth, Miles said. Women need access to proper prenatal care, in part to understand their risk of preterm birth and other pregnancy complications, Miles said.

Although overall mortality has dropped worldwide for children under 5 years old, from 12 million deaths in 1990 to 7 million yearly deaths today, less progress has been made in reducing newborn deaths. In 2011, 3 million babies died in the first month of life, one-third of whom died on the day they were born, Save the Children says.

Globally, India has the most first-day deaths, with more than 300,000 yearly, followed by Nigeria, with 90,000 a year, the report said.

In developing countries, simple solutions could reduce the rate of first-day deaths. More than 1 million babies could be saved each year with access to four low-tech products, costing between 13 cents and $6, Save the Children says. These products are: resuscitation devices to help babies breathe; the antiseptic chlorhexidine to prevent umbilical cord infections; injectable antibiotics to treat infections; and antenatal steroid injections to help preterm babies' lungs develop.

"It really it's about simple solutions," Miles said.

Copyright 2013 MyHealthNewsDaily, a TechMediaNetwork company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Thứ Sáu, 3 tháng 5, 2013

ER visits tied to Ambien and other sleep aids jump 220 percent

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Emergency room visits related to the sleep medication zolpidem, which is found in drugs like Ambien, increased by nearly 220 percent between 2005 and 2010, Science Daily reported.

A report from the Substance Abuse and Mental Health Services Administration (SAMHSA) showed the number of zolpidem-related ER visits rose from  6,111 in 2005 to 19,487 in 2010. Three-quarters of the patients treated were over the age of 45 and two-thirds were women, the study indicated.

Zolpidem, an FDA-approved medication, is the active ingredient in drugs such as Ambien, Ambien CR, Edluar and Zolpimist, according to Science Daily. The drug is meant to be used as a short-term treatment for insomnia.

In January 2013, the FDA responded to complaints of adverse reactions to zolpidem by requiring manufacturers to slash recommended dosages for women in half. The FDA also suggested that manufacturers reduce the recommended dosages for men, Science Daily reported.

The SAMHSA report indicated that in 2010, half of all emergency department visits related to zolpidem involved its use with other drugs – which may have caused the sedative effects of the drug to be dangerously enhanced.

Adverse reactions to the medication may include daytime drowsiness, dizziness, hallucinations, agitation, sleep-walking and drowsiness while driving, Science Daily said.  

"Although short-term sleeping medications can help patients, it is exceedingly important that they be carefully used and monitored," said Pamela S. Hyde, SAMHSA administrator. "Physicians and patients need to be aware of the potential adverse reactions associated with any medication, and work closely together to prevent or quickly address any problems that may arise."

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Bird flu likely to appear in Europe, other places, expert says

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    A janitor sprays disinfectant at empty chicken cages in a traditional market in New Taipei city April 29, 2013.Reuters

Human cases of a deadly new strain of bird flu that has killed 27 people in China are likely to crop up in Europe and around the world but that should not cause undue alarm, Europe's leading flu expert said on Thursday.

In his first media interview since returning from an international scientific mission to China last week, Professor Angus Nicoll said the H7N9 flu outbreak in humans was one that should be taken extremely seriously and watched closely.

"We are at the start of a very long haul with H7N9," Nicoll told Reuters in a telephone interview from the Stockholm-based European Centre for Disease Prevention and Control (ECDC), where he is head of the influenza and respiratory viruses program.

He said there were many scientific questions to be answered about the new flu strain, which was first detected in patients in China in March having been previously unknown in humans.

The flu has so far infected at least 127 people in China and killed 27 of them, according to latest data from Chinese health authorities and the World Health Organization.

Scientific studies of the virus have established it is being transmitted from birds - probably mostly chickens - to people, making it a so-called zoonotic disease that humans catch from animals rather than from other humans.

Nicoll, who visited Beijing and Shanghai last week with a team of international scientific experts, confirmed what the WHO has repeatedly said - that there is no evidence yet of the virus efficiently passing from person to person - a factor that would make H7N9 a serious pandemic flu threat if it were to evolve.

Nicoll said the "most pressing public health question" for now was to identify the source of the circulating virus - the so-called "reservoir" - that is leading to chickens contracting it and sporadically passing it on to humans. This is likely to take time, with any results unlikely for several months.

"IMPORTED CASES"

In the meantime, Nicoll said the ECDC, which monitors disease in the European Union, and health authorities around the world should expect that "imported cases" of H7N9 flu may well begin to crop up elsewhere.

Just as Taiwan reported its first case on April 24, other countries should expect that business travelers and tourists may occasionally return from China having picked up the infection, he said.

"I'm not sure when that will happen. But the case in Taiwan shows that it can. If that person had got on a different flight and ended up in Paris, then we would have had a scenario that we would expect people to be alarmed at," he said.

"But again we should stress that this thing doesn't seem to be transmissible from human to human, so if we get some sporadic cases appearing in Europe, that doesn't change anything."

Nicoll noted that genetic analysis studies of H7N9 samples taken from patients in China showed the virus had already acquired two genetic mutations that made it more likely to be able to become transmissible between people.

Flu experts speaking at a briefing in London on Wednesday said those mutations, together with evidence that H7N9 is still mutating rapidly and probably spreading almost invisibly among birds because it does not make them obviously sick, meant this new flu was a "serious threat" to world health.

"You can never predict anything about flu, but it is concerning to see those mutations there, Nicoll said. "That's why it's important Europe should take this very seriously."

Nicoll added that he thought the Chinese were doing an "impressive job" handling, reporting, investigating and seeking to contain the outbreak.


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Chủ Nhật, 28 tháng 4, 2013

HISTORIC TURNOUT: Black Voters Surpass Other Minorities, Whites

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    President Barack Obama speaks at the 2013 Planned Parenthood National Conference in Washington, Friday, April 26, 2013. (AP Photo/Charles Dharapak)AP2013

America's blacks voted at a higher rate than other minority groups in 2012 and by most measures surpassed the white turnout for the first time, reflecting a deeply polarized presidential election in which blacks strongly supported Barack Obama while many whites stayed home.

Had people voted last November at the same rates they did in 2004, when black turnout was below its current historic levels, Republican Mitt Romney would have won narrowly, according to an analysis conducted for The Associated Press.

Census data and exit polling show that whites and blacks will remain the two largest racial groups of eligible voters for the next decade. Last year's heavy black turnout came despite concerns about the effect of new voter-identification laws on minority voting, outweighed by the desire to re-elect the first black president.

"The 2012 turnout is a milestone for blacks and a huge potential turning point."

- Andra Gillespie, political science professor at Emory University

William H. Frey, a demographer at the Brookings Institution, analyzed the 2012 elections for the AP using census data on eligible voters and turnout, along with November's exit polling. He estimated total votes for Obama and Romney under a scenario where 2012 turnout rates for all racial groups matched those in 2004. Overall, 2012 voter turnout was roughly 58 percent, down from 62 percent in 2008 and 60 percent in 2004.

The analysis also used population projections to estimate the shares of eligible voters by race group through 2030. The numbers are supplemented with material from the Pew Research Center and George Mason University associate professor Michael McDonald, a leader in the field of voter turnout who separately reviewed aggregate turnout levels across states, as well as AP interviews with the Census Bureau and other experts. The bureau is scheduled to release data on voter turnout in May.

Overall, the findings represent a tipping point for blacks, who for much of America's history were disenfranchised and then effectively barred from voting until passage of the Voting Rights Act in 1965.

But the numbers also offer a cautionary note to both Democrats and Republicans after Obama won in November with a historically low percentage of white supporters. While Latinos are now the biggest driver of U.S. population growth, they still trail whites and blacks in turnout and electoral share, because many of the Hispanics in the country are children or noncitizens.

In recent weeks, Republican leaders have urged a "year-round effort" to engage black and other minority voters, describing a grim future if their party does not expand its core support beyond white males.

The 2012 data suggest Romney was a particularly weak GOP candidate, unable to motivate white voters let alone attract significant black or Latino support. Obama's personal appeal and the slowly improving economy helped overcome doubts and spur record levels of minority voters in a way that may not be easily replicated for Democrats soon.

Romney would have erased Obama's nearly 5 million-vote victory margin and narrowly won the popular vote if voters had turned out as they did in 2004, according to Frey's analysis. Then, white turnout was slightly higher and black voting lower.

More significantly, the battleground states of Ohio, Pennsylvania, Virginia, Florida and Colorado would have tipped in favor of Romney, handing him the presidency if the outcome of other states remained the same.

"The 2012 turnout is a milestone for blacks and a huge potential turning point," said Andra Gillespie, a political science professor at Emory University who has written extensively on black politicians.

 "What it suggests is that there is an `Obama effect' where people were motivated to support Barack Obama. But it also means that black turnout may not always be higher, if future races aren't as salient."

Whit Ayres, a GOP consultant who is advising GOP Sen. Marco Rubio of Florida, a possible 2016 presidential contender, says the last election reaffirmed that the Republican Party needs "a new message, a new messenger and a new tone." Change within the party need not be "lock, stock and barrel," Ayres said, but policy shifts such as GOP support for broad immigration legislation will be important to woo minority voters over the longer term.

"It remains to be seen how successful Democrats are if you don't have Barack Obama at the top of the ticket," he added.

In Ohio, a battleground state where the share of eligible black voters is more than triple that of other minorities, 27-year-old Lauren Howie of Cleveland didn't start out thrilled with Obama in 2012. She felt he didn't deliver on promises to help students reduce college debt, promote women's rights and address climate change, she said. But she became determined to support Obama as she compared him with Romney.

"I got the feeling Mitt Romney couldn't care less about me and my fellow African-Americans," said Howie, an administrative assistant at Case Western Reserve University's medical school who is paying off college debt.

Howie said she saw some Romney comments as insensitive to the needs of the poor. "A white Mormon swimming in money with offshore accounts buying up companies and laying off their employees just doesn't quite fit my idea of a president," she said. "Bottom line, Romney was not someone I was willing to trust with my future."

The numbers show how population growth will translate into changes in who votes over the coming decade:

  --The gap between non-Hispanic white and non-Hispanic black turnout in 2008 was the smallest on record, with voter turnout at 66.1 percent and 65.2 percent, respectively; turnout for Latinos and non-Hispanic Asians trailed at 50 percent and 47 percent. Rough calculations suggest that in 2012, 2 million to 5 million fewer whites voted compared with 2008, even though the pool of eligible white voters had increased.

  --Unlike other minority groups, the rise in voting for the slow-growing black population is due to higher turnout. While blacks make up 12 percent of the share of eligible voters, they represented 13 percent of total 2012 votes cast, according to exit polling. That was a repeat of 2008, when blacks "outperformed" their eligible voter share for the first time on record.

   --Latinos now make up 17 percent of the population but 11 percent of eligible voters, due to a younger median age and lower rates of citizenship and voter registration. Because of lower turnout, they represented just 10 percent of total 2012 votes cast. Despite their fast growth, Latinos aren't projected to surpass the share of eligible black voters until 2024, when each group will be roughly 13 percent. By then, 1 in 3 eligible voters will be nonwhite.

    --In 2026, the total Latino share of voters could jump to as high as 16 percent, if nearly 11 million immigrants here illegally become eligible for U.S. citizenship. Under a proposed bill in the Senate, those immigrants would have a 13-year path to citizenship. The share of eligible white voters could shrink to less than 64 percent in that scenario. An estimated 80 percent of immigrants here illegally, or 8.8 million, are Latino, although not all will meet the additional requirements to become citizens.

"The 2008 election was the first year when the minority vote was important to electing a U.S. president. By 2024, their vote will be essential to victory," Frey said. "Democrats will be looking at a landslide going into 2028 if the new Hispanic voters continue to favor Democrats."

Even with demographics seeming to favor Democrats in the long term, it's unclear whether Obama's coalition will hold if blacks or younger voters become less motivated to vote or decide to switch parties.

Minority turnout tends to drop in midterm congressional elections, contributing to larger GOP victories as happened in 2010, when House control flipped to Republicans.

The economy and policy matter. Exit polling shows that even with Obama's re-election, voter support for a government that does more to solve problems declined from 51 percent in 2008 to 43 percent last year, bolstering the view among Republicans that their core principles of reducing government are sound.

The party's "Growth and Opportunity Project" report released last month by national leaders suggests that Latinos and Asians could become more receptive to GOP policies once comprehensive immigration legislation is passed.

Whether the economy continues its slow recovery also will shape voter opinion, including among blacks, who have the highest rate of unemployment.

Since the election, optimism among nonwhites about the direction of the country and the economy has waned, although support for Obama has held steady. In an October AP-GfK poll, 63 percent of nonwhites said the nation was heading in the right direction; that's dropped to 52 percent in a new AP-GfK poll. Among non-Hispanic whites, however, the numbers are about the same as in October, at 28 percent.

Democrats in Congress merit far lower approval ratings among nonwhites than does the president, with 49 percent approving of congressional Democrats and 74 percent approving of Obama.

William Galston, a former policy adviser to President Bill Clinton, says that in previous elections where an enduring majority of voters came to support one party, the president winning re-election -- William McKinley in 1900, Franklin D. Roosevelt in 1936 and Ronald Reagan in 1984 -- attracted a larger turnout over his original election and also received a higher vote total and a higher share of the popular vote. None of those occurred for Obama in 2012.

Only once in the last 60 years has a political party been successful in holding the presidency more than eight years -- Republicans from 1980-1992.

"This doesn't prove that Obama's presidency won't turn out to be the harbinger of a new political order," Galston says. "But it does warrant some analytical caution."

Early polling suggests that Democrat Hillary Rodham Clinton could come close in 2016 to generating the level of support among nonwhites as Obama did in November, when he won 80 percent of their vote. In a Fox News poll in February, 75 percent of nonwhites said they thought Clinton would make a good president, outpacing the 58 percent who said that about Vice President Joe Biden.

Benjamin Todd Jealous, president of the NAACP, predicts closely fought elections in the near term and worries that GOP-controlled state legislatures will step up efforts to pass voter ID and other restrictions to deter blacks and other minorities from voting. In 2012, African-Americans were able to turn out in large numbers only after a very determined get-out-the-vote effort by the Obama campaign and black groups, he said.

Jealous says the 2014 midterm election will be the real bellwether for black turnout. "Black turnout set records this year despite record attempts to suppress the black vote," he said.


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Chủ Nhật, 24 tháng 2, 2013

Oscars: Brandi Glanville, Olivia Munn and other random stars score invites

So what does it take these days to get invited to the Oscars? It seems not much.

TV stars like Brandi Glanville, Olivia Munn, and Kristin Chenoweth were early guests spotted on the Academy Awards red carpet, leaving some wondering if perhaps they’d tuned in for the Emmys instead of the Oscars.

“Chilling at the ... Oscars... Um yep!,” Glanville tweeted as the red carpet for the show kicked off.

It seemed most of the more random attendees at the show got their invites by taking on hosting gigs for the night—playing reporter alongside veteran newscasters.

Destiny's Child singer Kelly Rowland and Chenoweth teamed up with ABC’s Lara Spencer for their Oscars coverage, while Glanville was critiquing fashion for On the Red Carpet’s online broadcast.

As the ABC red carpet coverage kicked off, Chenoweth gushed about her fellow celebrities fashion choices, as she interviewed stars like Jessica Chastain and Amanda Seyfried. Rowland took on a similar role as she chatted with Channing Tatum.

Apencer and Robin Roberts anchored the network’s red carpet coverage, relying on their years of interviewing experience to balance out the seemingly random team.

Some viewers, however, still didn’t seem to respond well to celebrity reporters.

“Amanda seyfried [with] Kristin Chenoweth: Holy hell was that interview a trainwreck. #oscars,” one viewer tweeted.

“Honestly, what is with Kristin Chenoweth? I have a headache just from watching,” another wrote.

Others seemed to support the famous faces conducting the interviews.

“Kelly Rowland, Kristin Chenoweth, Lara Spencer & Robin Roberts are killing the red carpet! #OscarRedCarpet”


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