Oncology
A Veterans Affairs study found that people treated by doctors being compensated under pay-for-performance arrangements weren"t short-changed and received high-quality care. Health Day News reports that the study, which used data from both medical charts and patients" ratings of their care, "should reassure patients and the doctors who treat them." The study calms concerns that doctors might avoid patients who are very sick because their quality ratings and pay might suffer if they take the time to properly treat people with multiple conditions.
Hackers raided a server at the University of California, Berkeley last fall, stealing everything from Social Security numbers to immunization records in an episode that highlights one danger of moving health information from file cabinets to cyberspace, Forbes reports in a first-person account by one of the 160,000 victims. "Stealing medical data has become more attractive to hackers and identity thieves as banks and individuals have become more sophisticated about protecting credit-building information." One consumer group estimates that as many as 12 percent of digital security breaches target the medical industry.
Capitol News Service reports that an estimated 50,000 additional uninsured children may receive medical coverage from legislation that Gov. Charlie Crist signed Tuesday. "The Kid Care program offers low cost insurance to children up to ages 19. But penalties and a lengthy application process have kept thousand of families out," Capitol News Service reports. "The legislation shortens the waiting time to enroll in the state"s Kid Care program and lessens the penalties for missing a premium payment." Children"s advocates have been pushing for the legislation for three years and call it a good start. The program enrolls 1.5 million children, but a lack of advertising money has hindered its ability to "spread the word" further (Ray, 6/2).
U.S House Majority Leader Steny Hoyer (D-Md.) on Wednesday expressed skepticism that Congress would approve President Obama"s recent request for an additional $2 billion to help fight the H1N1 (swine flu) virus, Reuters/Washington Post reports.
With the U.N. Human Rights Council"s June session coming up, governments have a "chance to prove that they value women"s lives by taking concrete action" to recognize "preventable maternal death as a violation of women"s rights," Mary Robinson and Alicia Yamin, advisory council members of the International Initiative on Maternal Mortality and Human Rights, write in a Boston Globe opinion piece.
The Michigan Department of Community Health recently received approval from state lawmakers to use $3.2 million in private funds to support the state"s AIDS Drug Assistance Program, the AP/Detroit News reports. Michigan"s House and Senate Appropriations Committees also approved requests by other state agencies to shift funds as a means to continue public programs that were affected by budget cuts ordered last month (Eggert, AP/Detroit News, 6/4).
"If Sonia Sotomayor is a radical activist eager to push the law leftward or to rule according to personal whims rather than constitutional commands, she"s done an impressive job of hiding it all these years," Washington Post columnist Ruth Marcus writes, adding that the "amazing thing about the case against Sotomayor is how thin it is." She writes, "If Sotomayor is the judicial radical of conservative imaginings, certainly there ought to be something more in her paper trail."Marcus continues that an "examination of Sotomayor"s decisions shows a careful judge who tends to rule for the government over criminal defendants; who has been skeptical of most civil rights claims that have come before her; and who, to the extent that she has ruled on cases that touch on abortion, has come down against the abortion-rights side." According to Marcus, Sotomayor is "not apt to be David Souter in reverse -- a Democratic pick who turns out to be a close conservative." However, there also is "no evidence that she will be outside the liberal mainstream on the current court," Marcus writes. Marcus notes that Sotomayor "has ruled in favor of abortion protesters who claimed police used excessive force in removing them from outside a clinic," and she "refused to overturn the federal policy barring international family planning funds to organizations that perform or promote abortion," known as the "global gag rule." Marcus concludes, "Perhaps Sotomayor the radical has been biding her time, awaiting the day when the freedom of a Supreme Court seat would liberate her from precedent and moderation," but "the record suggests" that outcome is "unlikely" (Marcus, Washington Post, 6/3).
Heart failure is one of the world"s most frequent causes of death - caused by conditions such as diabetes and obesity. With people who are overweight, the heart has to do more work in order to pump the blood through the circulatory system and this causes an increase in blood pressure. The heart itself becomes enlarged as the myocardial muscle cells increase in mass. To enable the heart to grow there also has to be an increased supply of energy and oxygen. However, the myocardial muscle cells suffer from a lack of oxygen and energy until such time as there are enough blood vessels to support the tissue.
Using McKesson"s Horizon Study Share™ reference case solution, the American College of Radiology (ACR) has made its entire library of ACR Learning File® images and content available online as a Web-hosted archive to ACR members and others in the field. The ACR Learning File® includes a collection of more than 3,600 peer-reviewed cases in 12 subspecialties, with more than 10,000 high-quality images depicting thousands of diagnoses. Key findings and detailed discussions supplement the images, making the library a unique experience for practicing radiologists and members in training. McKesson worked with ACR to transfer the entire ACR Learning File® library from CDs into the Horizon Study Share repository.
GfK Healthcare"s Roper Global Diabetes Program, the definitive global perspective on diabetes, announced today the launch of its enhanced U.S. Diabetes Patient Market Study. Through a modular approach and with tailored reporting, the study offers health care and related companies in the diabetes category access to patient data and market trends from one of the largest surveys of people with diabetes, and the only one projectable to the U.S. population.
The health service is entering a "dark and dangerous period" because of the economic crisis, the Chairman of the BMA"s Consultants Committee warned in a speech. Arguing that public money must not be diverted away from patient care into "the pockets of shareholders", Dr Jonathan Fielden called for private management consultants to be "ditched" from the NHS.
The MP Evan Harris is among a group of leading academics, publishers, journalists, performers, clinicians, and scientists backing science writer Simon Singh in his application to appeal against a libel judgment in the High Court today.
A recent surge in immigration rates has led psychologists to study how these families are coping and thriving in their adopted countries. In a special June issue of the Journal of Family Psychology, published by the American Psychological Association, researchers report that close family ties are crucial for immigrants" successful transition to their new country.
Nearly 1,000 researchers, clinicians and mental health advocates are expected to attend the Eighth International Conference on Bipolar Disorder, June 25 to 27, at the David L. Lawrence Convention Center in Pittsburgh. The event is held only once every two years and is the largest meeting of its kind solely devoted to bipolar disorder, a disease that affects almost six million Americans.
An Australian psychiatrist believes Britain"s stiff upper lip culture, class system and the NHS means we are not supporting the mental health needs of war veterans adequately.
The Honourable Leona Aglukkaq, Minister of Health, is pleased to announce another measure to address the H1N1 flu virus. The Government of Canada will fund a national influenza research network focused on pandemic vaccine evaluation. The network will strengthen Canada"s capacity to evaluate the safety and effectiveness of a pandemic influenza vaccine and vaccination programs.
The Juvenile Diabetes Research Foundation International, the world"s leading charitable funder and advocate of diabetes research, said that it is partnering with Sanford Health, an integrated health care system in South Dakota and the Midwest, in an innovative "cure collaboration" to speed the pace of diabetes research and delivery of cures at the point-of-care.
A new Faculty of Translational Medicine has been launched to increase support for, and enhance collaboration among researchers as they search for new treatments and diagnostic tests for a range of diseases and conditions. The Faculty is based in the National Institute for Health Research Comprehensive Biomedical Research Center at Guy"s and St Thomas" hospitals and King"s College London.
The following summarizes selected women"s health-related blog entries.~ "Dr. Tiller -- A Gynecological Superhero," Frances Irwin, Below the Waist: Kansas abortion provider George Tiller, who was shot to death on Sunday, was "a superhero" who "never failed to serve his patients regardless of the level of property damage, physical injury and intimidation he was subjected to as a result of his service," Irwin, who works for a Wisconsin-based family planning agency, writes. Irwin notes that, for nearly a year, the clinic she works at has been targeted by "pro-life" demonstrators. At various points they"ve carried signs reading, "Family planners promote child promiscuity," "Stop ALL Abortion," "Birth Control Leads to Abortion," and that new signs mention her by name. In the wake of Tiller"s death, Irwin writes that she "realize[s] that I could be intentionally injured by someone who opposes my work." She concludes, "To some extent allowing myself to worry about this feels like cowardice because Dr. Tiller was a superhero. And that"s a lot to aspire to" (Irwin, Below the Waist, 6/4).~ "Let"s Make an Abortion Deal," William Saletan, Slate"s "Human Nature": Some participants in the White House meetings to discuss abortion in the U.S. "aren"t trying hard enough" to find "common ground" and are "refusing the simplest concessions," Saletan writes. Saletan offers four recommendations to advocates on both side of the debate, including removing the distinction between reducing the number of abortions versus reducing the need for abortions. He writes, "No ordinary person sees a difference" between the two,"[s]o let"s focus on reduction through voluntary means and stop quibbling over how it"s described." His other recommendations include antiabortion-rights advocates conceding to increased access to contraception and both sides giving up "extremism." Saletan"s final recommendation is that abortion-rights opponents allow federal funding for reproductive health groups that offer abortion information or services. He writes that a ban on direct funding for abortions is "fine, " but the "indirect funding Obama restored is hardly radical," adding, "You might even discover that the most efficient way to prevent abortions in the long term is to fund the family planning organizations you keep trying to defund" (Saletan, "Human Nature," Slate, 6/4).~ "The ABCs of Antiabortion Activism," Tracy Clark-Flory, Salon"s "Broadsheet": Tiller"s murder "has opened up a Pandora"s box for pro-lifers, giving rise to all sorts of troublesome questions about the culpability of lenient law enforcement and the movement itself," Clark-Flory writes. She continues, "They certainly won"t find salvation from Pandagon"s Amanda Marcotte, who got her mitts on a disturbing antiabortion activist handbook" now online from Justice for All "that lays bare some of the lies, deception and cynical manipulation that might have led to Tiller"s assassination." According to Clark-Flory, "The single justifiable situation for an abortion is ectopic pregnancy, the manual explains," adding, "Deception of that sort is found throughout the handbook." She writes, "Activists are instructed that when confronting targets they are to pretend that they"re A-OK with contraception" so that "their mark will let his or her guard down and think that, you know, there"s actually a rational, fact-based discussion to be had." Clark-Flory continues, "The truth, of course, is that the manual goes on to arm activists with medical misinformation that they can spread about birth control." She concludes that Marcotte "puts this tactical deceit in perfect context: "It shows one face to the initiated and another to the public, especially on the topic of contraception. Once you realize this, the movement"s half-hearted denunciations of Dr. Tiller"s murder, coupled with the enthusiastic return to calling Dr. Tiller a monster, become all the more chilling"" (Clark-Flory, "Broadsheet," Salon, 6/4).~ "Late-Term Abortions: Facts
Keeping Them Honest - The New York Times
Religious leaders, health care workers, community organizations and government agencies in Greater Cincinnati and Northern Kentucky have begun a number of HIV and sexual health awareness efforts that encourage members of the black community, and others, to get tested, the Cincinnati Enquirer reports. To increase the number of people being tested, the Northern Kentucky Health Department is providing HIV testing in people"s homes and the Cincinnati Health Department, along with other organizations, is conducting HIV testing in bars and clubs. Cincinnati also is a pilot site for the Black AIDS Institute"s "Test One Million" campaign. Separately, the Ohio Department of Rehabilitation and Corrections is nearing the end of a two-year pilot program in one prison that is testing inmates for HIV and other sexually transmitted infections upon their release. Other efforts in the states include condom distribution and HIV education (O"Farrell, Cincinnati Enquirer, 6/5).
The CDC has released a fact sheet informing people that there is some risk of transmitting HIV to others through oral sex, even though it is much lower than the risk of transmission from vaginal or anal intercourse, the Lakeland Ledger"s "Robin"s Rx: Medical Blogging in Polk County" reports. According to the CDC, many people believe that oral sex is safe or has no risk of transmitting disease. The CDC fact sheet said that abstaining from any sexual activity or engaging in mutual monogamy where both partners are uninfected are the only ways to completely prevent HIV transmission, but that condoms and other barriers between the mouth and genitals can reduce the risk of transmission through oral sex (Adams, "Robin"s Rx: Medical Blogging in Polk County," Lakeland Ledger, 6/4).
New research led by the University of Cincinnati (UC) suggests that the hunger hormone ghrelin is activated by fats from the foods we eat - not those made in the body - in order to optimize nutrient metabolism and promote the storage of body fat.
Boys who carry a particular variation of the gene Monoamine oxidase A (MAOA), sometimes called the "warrior gene," are more likely not only to join gangs but also to be among the most violent members and to use weapons, according to a new study from The Florida State University that is the first to confirm an MAOA link specifically to gangs and guns.
Screening adults for diabetes could result in significant cost-savings for health care systems compared to the costs of not screening individuals at all.
The Medical Defence Union (MDU) the UK"s largest medical defence organisation has reassured doctors that they are not admitting liability if they apologise when something has gone wrong with their treatment of a patient.
UroToday.com - Since the work of Morales et al. in 1976, BCG therapy has been the standard of care for superficial transitional cell carcinoma. Although it has been shown that BCG instillations triggers Th1-mediated responses in patients, the precise mechanism(s) leading to the observed anti-tumoral response remain(s) unknown. More importantly, there are currently defined biomarkers for monitoring the response to BCG. This is particularly relevant as 30-40% of the patients fail to respond to intravesical therapy or relapse within the 5 years. In our recently published study, we investigated the molecular and cytometric profile of the immune response of 17 patients undergoing BCG therapy, and provide the first systemic evaluation of the innate response to intravesical BCG.
PMSI Settlement Solutions, a leading solutions provider for liability and workers" compensation claims, announced its initiative to address payor concerns regarding the Centers for Medicare and Medicaid Services (CMS) new prescription drug requirement associated with Medicare Set-Asides (MSA"s). As part of this initiative, PMSI Settlement Solutions will work with government affairs experts, industry consultants and other interested payors.
Aspyra, Inc. (AMEX: APY) announced plans to demonstrate the latest release of AccessRAD, their RIS/PACS product at the upcoming Radiology Business Management Association (RBMA) 2009 Radiology Summit held at Lowes Royal Pacific Resort in Orlando, FL, June 7 - 10, 2009, Booth 411.
Avexa Limited (ASX:AVX) announced that the Data Safety Monitoring Board (DSMB) met today to review the 16 week data from Avexa"s apricitabine (ATC) Phase III clinical trial. The DSMB reviewed the data and recommended continuation of the study with the 800mg dose. Patients taking the 1200mg dose will be transitioned to the optimum 800mg dose to continue their therapy.
"Ameritas believes strongly in the importance of preventive care and oral wellness education," said Roxann Brennfoerder, vice president - group customer relations and operations. Using new technology along with conventional visual exams, this simple screening makes it easier for dentists to detect oral cancer sooner, allowing patients to seek treatment sooner.
PolyMedix, Inc. (OTC BB: PYMX), an emerging biotechnology company developing acute care products for infectious diseases and acute cardiovascular disorders, has initiated dosing in a second Phase I clinical trial with its defensin mimetic antibiotic compound, PMX-30063. PolyMedix received a notice of no objection from Health Canada for the Company"s Clinical Trial Application ("CTA") for PMX-30063 on May 21, 2009. PMX-30063 is a defensin mimetic antibiotic compound, the first of an entirely new class of antibiotic drugs that is believed to work in such a way that makes bacterial resistance unlikely to develop.
The decriminalisation of dispensing errors is an issue that has united the profession.
Dietitians of Canada and Kraft Canada have announced the winners of the 12th annual Speaking of Food and Healthy Living Award - an annual competition designed to showcase and encourage collaborative efforts that help Canadians make informed choices about healthy eating and physical activity.
Health professionals need to look no further than their iPhone to support them at the point of care. Wave Medical, who provides clinical decision support applications to general practitioners, nurses, emergency doctors and medical students has recently expanded its mobile platform offering to include the iPhone™ and iPod® Touch. Now all healthcare professionals can easily access any of Wave Medical"s specialty-focused clinical decision support applications through iPhone"s innovative platform.
The National Institute for Health Research Health Technology Assessment (NIHR HTA) programme is expanding the evidence base surrounding the treatment of traumatic brain and head injury (TBI) by commissioning four new research projects. If left untreated many patients with head injury will rapidly develop complications which may lead to death or permanent disability. More than 100,000 people in the UK have long-term effects caused by such injuries. Prompt medical treatment may prevent the worsening of symptoms and lead to a better outcome.
AARP Executive Vice President John Rother issued the
Nine of the top 20 health issues researched on the internet relate to dieting, weight loss and healthy living.
On Wednesday 3 June 2009 the situation in the UK was as follows:
The Lupus Foundation of America (LFA) convened an Expert Panel June 1-2 to address the urgent and unmet need for the development and approval of new, safe, effective, and tolerable medications for people with lupus. It has been more than 50 years since the U.S. Food and Drug Administration (FDA) approved a new drug specifically to treat lupus. Discussions during the two-day meeting in Washington, DC focused on how to better conduct studies of potential new lupus treatments, including clinical endpoints, diagnostic tools, background medications, and clinical trial design.
Results of the long-awaited Rosiglitazone Evaluated for Cardiac Outcomes and Regulation of Glycaemia in Diabetes (RECORD) study were presented here in a symposium at the American Diabetes Association"s 69th Scientific Sessions. The results are being simultaneously published online in The Lancet.
Operating Department Practitioner, Mr Mark McFarlane has been struck off
Amylin Pharmaceuticals, Inc. (Nasdaq: AMLN) and Eli Lilly and Company (NYSE: LLY) announced interim results from a retrospective study including nearly 260,000 patients that showed the risk of acute pancreatitis among patients initiating therapy with BYETTA(R) (exenatide) injection was not increased compared to patients initiating other antidiabetic therapies. These findings were presented at the 69th Annual Scientific Sessions of the American Diabetes Association (ADA) in New Orleans.
Free to Be, a federally-funded organization in California that teaches abstinence-only sex education to students, is at the center of a debate with education officials and others in Sonoma County over whether their curriculum is in compliance with state rules requiring that sexual health education programs in public schools be "balanced" and include information on sexually transmitted infections such as HIV and contraception, the Santa Rosa Press Democrat reports. Sonoma County Office of Education officials in May banned the group from giving any further presentations on public school campuses, citing state law. Free to Be, as well as several school superintendents from around the county, said they are currently reviewing their legal options (Benefield, Santa Rosa Press Democrat, 6/7).
The Cincinnati Enquirer examined how the "success stories" of people living longer with HIV - such as that of former National Basketball Association player Earvin "Magic" Johnson - can "illustrate how well anti-HIV medications work and might be part of the reason the epidemic still rages." The article discussed the efficacy of antiretrovirals, their side effects and the consequences of not taking the medications (O"Farrell [1], Cincinnati Enquirer, 6/5). The Enquirer also featured an overview of the history and science of HIV (O"Farrell [2], Cincinnati Enquirer, 6/5).
Uganda on Saturday launched a three-day polio and measles immunization campaign, Possy Mugyenyi, the country"s immunization manager, said, UGPulse.com reports (Nyanzi, UGPulse.com, 6/5). More than 6 million children are being targeted, IRIN reports (IRIN, 6/5).
BioVex Inc, a company developing next generation biologics for the treatment and prevention of cancer and infectious disease, announced that the results from a Phase I/II combination study in previously untreated patients with head and neck cancer will be presented at the 2009 American Society of Clinical Oncology (ASCO) Annual Meeting, which will take place May 29, 2009 - June 2, 2009 in Orlando, FL.
The recession has increased the number of uninsured Americans and made it more difficult to access health care programs while also placing special burdens on caregivers.
The antiabortion-rights movement"s presence in Wichita, Kan., faces an uncertain future as its leaders re-examine their strategy after the shooting death of Kansas abortion provider George Tiller, the New York Times reports. According to the Times, Wichita has been a center for the antiabortion-rights movement for almost two decades primarily because of the location of Tiller"s clinic, which is one of the few in the U.S. that performs abortions later in pregnancy. Most notably, thousands of protesters converged on the city in the summer of 1991, known as the "Summer of Mercy," and the city is known as a "hot spot" for groups opposed to abortion rights, the Times reports. Antiabortion-rights group Operation Rescue moved its headquarters to Wichita to focus on Tiller"s clinic, and there are five other operations in the city aimed at discouraging women from having abortions. However, many groups are concerned that interest in the antiabortion-rights movement and donations in support of the cause will drop without the presence of Tiller and his patients. Troy Newman, president of Operation Rescue, said that he does not "know what the future holds" and that it is "too early to say what comes next" for the movement. He added that Scott Roeder, the man charged with Tiller"s murder, "did more to damage the pro-life movement than you can imagine."According to the Times, the antiabortion-rights movement is facing increasing backlash related to the murder, with some abortion-rights supporters saying that abortion-rights opponents" inflammatory rhetoric helped incite the violence. Mark Gietzen, president of the Kansas Coalition for Life, said that there also is disagreement among antiabortion-rights groups over whether their leaders should have issued statements condemning the murder. Tiller"s clinic currently is closed, and no patients are being given appointments, although his family said in a recent statement that it would like to continue his work, according to the Times. David Gittrich, development director of Kansans for Life, said that although Tiller"s murder will "change things in the pro-life movement ... until abortion is illegal, unthinkable and unacceptable, there"s going to be plenty of things for pro-lifers to do" (Davey, New York Times, 6/8).Justice Department Launches Federal Probe of Murder Meanwhile, the Department of Justice on Friday began a federal investigation into Tiller"s murder and is seeking to determine whether more than one person was involved in the shooting, the Times reports. Federal officials will review evidence and look into possible violations of the Freedom of Access to Clinic Entrances Act, according to DOJ. The investigation will be conducted alongside Kansas" murder prosecution. A DOJ spokesperson would not comment on whether the investigation would affect the jurisdiction in which Roeder is eventually tried (Cullotta, New York Times, 6/6).Abortion Providers, Advocates Respond to Comments from Suspect In related news, abortion-rights providers and advocates responded to Roeder"s recent comments implying that more violence against abortion providers is planned, the AP/Google.com reports. In an interview with the Associated Press, Roeder said that there are "many other similar events planned around the country as long as abortion remains legal." Roeder refused to elaborate on his statement, and law enforcement officials said that they are not sure if his statement is legitimate. LeRoy Carhart, an abortion provider who practiced at Tiller"s clinic, noted that Tiller was not the first abortion provider to be murdered, adding, "There is more than one lunatic running loose in this country that can be influenced by the religious rhetoric." Nancy Keenan, president of NARAL Pro-Choice America, said she believes it is "imperative for anti-choice groups to tone down that rhetoric and keep the more extreme elements in their movement from copying" Roeder (Hegeman, AP/Google.com, 6/8).NPR Examines FACE Act, Antiabortion ViolenceNPR"s "Morning Edition" on Friday examined th
The Washington Post on Monday examined how antiabortion-rights advocates are pressing state legislatures to approve measures designed to restrict access to abortion and compel women seeking the procedure to reconsider. The Post reports that the election of President Obama, who supports abortion rights, and the Democratic majority in Congress have made it less likely that there will be new federal restrictions on abortion or an overturning of Roe v. Wade. In response, antiabortion-rights groups have pushed to enact more state-level restrictions, such as parental consent for minors and waiting periods. According to the Post, state legislatures in 2008 considered around 400 measures to restrict abortion. Gretchen Borchelt, senior counsel at the National Women"s Law Center, said, "The states are the battlegrounds and certainly the testing grounds of new kinds of restrictions." She added, "State legislatures can be more creative in what they"re trying to push and see what works."The restrictions -- known as Targeted Regulation of Abortion Providers, or TRAP laws -- include measures such as requiring a woman to visit a clinic twice at least 24 hours apart before obtaining an abortion, severely limiting public funding for abortion, mandating consent from both parents or a judge"s signature before minors can obtain abortions and requiring that women view ultrasounds before abortion procedures. The ultrasound laws are aimed at making women reconsider the decision to have an abortion, while the waiting period laws "have the added effect of raising the obstacles and the costs," particularly for low-income and working-class women, who are most likely to have unintended pregnancies, the Post reports.Terri Herring, head of Mississippi"s Pro-Life America Network, said, "We tried every which way, and we were successful in the state way." She added, "All-or-nothing means nothing. Incremental means something." Herring"s next goal is enacting a law in Mississippi requiring clinic staffers to report the identities of the sexual partners of minors. The Post reports that Mississippi, which has some of the most restrictive abortion laws in the country, has become a model for antiabortion-rights groups in other states. According to Herring, the "greater goal, even in legislation, is to influence the culture." Felicia Brown-Williams, a Planned Parenthood staffer in Mississippi, said, "We"ve got a glut of bills we fight every year. We spend the first two months in sheer and utter panic that one of these bills is going to get past us" (Slevin, Washington Post, 6/8).
Prenatal multivitamin supplements are associated with a significantly reduced risk of babies with a low birth weight compared with prenatal iron-folic acid supplementation, found a new study in the Canadian Medical Association Journal (CMAJ).
The Canadian Food Inspection Agency (CFIA) and the United States Department of Agriculture (USDA) today announced revised guidelines for potato cyst nematode (PCN) that will allow continued trade of seed potatoes between the two countries. While PCN does not pose a risk to human health, it is recognized internationally as a destructive plant pest of economic importance and, therefore, a quarantine pest for the United States and Canada.
UCB announced that Cimzia(R) (certolizumab pegol), the only PEGylated anti-TNF (Tumor Necrosis Factor) approved in the U.S. for reducing signs and symptoms of Crohn"s disease and maintaining clinical response in adult patients with moderate to severe active disease who have had an inadequate response to conventional therapy, is now available for self-administration in a prefilled syringe designed in partnership with OXO GOOD GRIPS(R) a company dedicated to providing innovative consumer products that make everyday life easier.
Napping may have a significant influence on young children"s daytime functioning, according to a research abstract presented on Monday, June 8 at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies.
The U.S. Food and Drug Administration announced that Clarcon Biological Chemistry Laboratory Inc. of Roy, Utah, is voluntarily recalling some skin sanitizers and skin protectants marketed under several different brand names because of high levels of disease-causing bacteria found in the product during a recent inspection. The FDA is warning consumers to not use any Clarcon products.
In recognition of World Blood Donor Day on June 14th, the National Anemia Action Council (NAAC) is providing the online tutorial Anemia & Blood Donation to blood donors who have been deferred because of a low blood count.
Alzheimer"s disease and its precursor, mild cognitive impairment, appear to be associated with an increased risk of death among both white and African American older adults according to a new, long-term research study by neurological experts at the Alzheimer"s Disease Center at Rush University Medical Center. The study findings are published in the June issue of Archives of Neurology, one of the JAMA/Archives journals.
The GMC has announced the launch date of a milestone in medical regulation. From 16 November, all doctors will need a licence in order to practise medicine in the UK.
Researchers at Boston University School of Medicine (BUSM), the Naval Medical Research Center and the National Institutes of Health, have solved the structure of thin hair-like fibers called "pili" or "fimbriae" on the surface of bacteria that cause traveler"s diarrhea. The findings, appear in the June issue of the Proceedings of the National Academy of Sciences, and have important implications for creating better therapeutics against diarrheal diseases.
New data presented at the EHA (European
"My wish is simple, but I wouldn"t have given it a second thought this time last year," Joe Castelli said as his eyes welled up with tears. "I want to see my children grow up. I have two daughters who are nine and seven."
New research indicates that natural selection may shape the human genome
CEL-SCI Corporation (NYSE Amex: CVM) announced that it is expanding the pre-clinical testing of its flu vaccine, utilizing its proprietary L.E.A.P.S. technology (Ligand Epitope Antigen Presentation System) to determine its efficacy against the more dangerous and virulent virus strains that may arise during the up coming winter flu season. The Company has begun pre-clinical formulation, evaluation and testing of a new application of its L.E.A.P.S vaccine, which will allow the targeting of "mutated" versions of H1N1 swine and other influenza viruses. It is believed that the influenza virus may mutate and evolve between now and the winter flu season. In conjunction with the testing, CEL-SCI has produced several L.E.A.P.S. flu vaccines that focus on the conserved, non changing epitopes of the different strains of Type A Influenza viruses (H1N1, H5N1, H3N1, etc.), including "swine", "avian or bird", and "Spanish Influenza", in order to minimize the chance of viral "escape by mutations" from immune recognition. CEL-SCI"s L.E.A.P.S. flu vaccine contains epitopes known to be associated with immune protection against influenza in animal models. The Company had previously announced that it had begun pre-clinical testing of swine and H1N1 flu viruses, which were non-mutated versions of the virus.
Results from three placebo controlled studies conducted to assess NT-201 in upper limb post-stroke spasticity, pre-treated cervical dystonia, and treatment-naive cervical dystonia patients represent the second data set presented at the Movement Disorder Society (MDS) 13th Annual International Congress in Paris, France. The studies were sponsored by Merz Pharmaceuticals, which plans to file a Biologic License Application (BLA) for NT-201 in the USA in the near future.
Access To Second-Line Antiretrovirals In India
The Oregon House of Representatives passed two health reform bills that a leading Democratic lawmakers says will help Oregon "fit into whatever happens on the national scale," the Portland Oregonian reports. One bill would tax insurers and hospitals more than $300 million over two years to provide coverage to an additional 115,000 Oregonians. These funds would "leverage nearly $1 billion in federal Medicaid matching money." The second measure would create an Oregon Health Authority to replace an existing Department of Human Services, but with a broader mandate to track health care claims data and harness consolidated purchasing power to "pressure insurers and hospitals to use evidence based care." State officials say the measure "would create an estimated 3,600 high-paying jobs in hospitals, medical clinics and other areas" (Graves, 6/8).
A New York City law that will go into effect in July could make it easier for antiabortion-rights protesters to be arrested for restricting access to abortion clinics or harassing people trying to enter the facilities, the New York Times reports. Current law allows authorities to make arrests only if the person directly affected, such as a woman entering a clinic, is willing to press charges. However, the new law would allow third parties, such as clinic workers, to press charges if they witnessed the activity, the Times reports. New York City"s Dr. Emily"s Women"s Health Center and NARAL Pro-Choice New York spearheaded efforts to pass the legislation in response to antiabortion-rights demonstrators who target women on their way to clinics and attempt to persuade them to carry their pregnancies to term. Clinic workers report that the protesters also have harassed women as they left the subway or surrounded them as they walked to the clinic. New York City Mayor Michael Bloomberg signed the law in April. Joan Malin, president and CEO of Planned Parenthood of New York City, said the group is "not against people demonstrating. But there is a line between freedom of speech and harassment and bullying" (Bosman, New York Times, 6/6).
The following summarizes selected women"s health-related blog entries. ~ "Obama"s True Colors: Appointee Opposes Abortion and Birth Control," Bonnie Erbe, U.S. News & World Report"s "Thomas Jefferson Street": President Obama"s appointment of Alexia Kelley, founder of Catholics in Alliance for the Common Good, as director of the Office of Faith-Based and Community Partnerships at HHS "doesn"t surprise me at all," Erbe writes, adding that Obama is "merely feeling comfortable enough to show his true self, rather than staying true to promises he made to his supporters prior to being elected." Erbe includes an excerpt from Frances Kissling"s Salon opinion piece in which Kissling questions whether Kelley will follow through with the Obama administration"s pledges to implement policies that help prevent teenage pregnancy and reduce the need for abortion. Erbe concludes, "[A]s the evidence mounts that winning re-election is more important to this president than anything else, his supporters should re-examine their votes in 2012" (Erbe, "Thomas Jefferson Street," U.S. News & World Report, 6/8).~ "This Weekend is the International Demonstration Against Birth Control," Cristina Page, Birth Control Watch: "This weekend marks the second year of "The Pill Kills" campaign," which its antiabortion-rights organizers are calling the ""International Demonstration Against Birth Control"" that they say will ""expose the tragic effects"" hormonal contraception has on women, Page writes. She writes that while last year"s campaign focused on convincing women that birth control pills and other common contraceptives "were really abortion methods," this year"s campaign "is trying to scare women" from using birth control "by claiming it will kill them." The campaign "targets the regular birth control pill in particular," Page says, adding that "it appears impossible to find a single instance in which any pro-life group has anything good to say about any birth control method except natural family planning -- a technique most notable for its high failure rate." She notes, "Even the lowly condom disturbs them." According to Page, David Grimes, "one of the world"s leading experts on contraception," said that ""some antiabortion groups describe a subtle blend of fake claims and real, but exaggerated, risks to frighten women,"" and only ""those very knowledgeable can tease out which are which."" Grimes also noted, ""Ironically, the net effect of this campaign to discredit contraception is more unplanned pregnancies and, of course, more abortions."" Page writes, "One can safely say" that the American Life League -- lead organizer of "The Pill Kills" campaign -- has a "desire to ban birth control [that] is equally intense as its campaign against legal abortion." As evidence of this, she cites the group"s efforts to defeat legislation offering contraception coverage for federal employees and its distribution of anti-contraception literature. She adds, "Not only does ALL promote" that "birth control is abortion," but it "also put[s] forth that any attempt to prevent pregnancy during sex is tantamount to having an abortion." Page concludes, "In actuality," efforts by ALL and similar groups "punish people for having the type of sex they define as contrary to God"s wishes. Pregnancy is, according to them, what sex is for" (Page, "Birth Control Watch," 6/5).~ "The Next Generation of Providers: One Doctor Shows the Way," Sheila Bapat, RH Reality Check: The recent murder of Kansas abortion provider George Tiller "brings into sharp relief the gravity" of women"s health care providers" decision to perform abortions, Bapat writes. She profiles an ob-gyn -- a "young woman in her early 30s" -- who holds a faculty position at a university hospital in a southern, conservative state and also is "one of just a handful of abortion providers in the South." Bapat writes that the "low number of abortion providers" in the U.S. is the result of several factors, including fear o
Children who are bullied at school are up to four times more likely than their peers to develop psychotic symptoms, such as hallucinations, delusions and paranoia - and the more severe the bullying the more severe the symptoms.
UroToday.com - At present, no consensus exists on how patients with PSA recurrence after radical prostatectomy (RP) should be treated. Although patients with postoperative PSA recurrence frequently undergo androgen deprivation therapy (ADT) before evidence of metastatic disease, the benefit of this approach is uncertain. As no randomized studies are performed in this clinical setting there is no conclusive evidence that hormone therapy (HT) after RP will prolong survival or reduce morbidity.
Brookdale Care, the specialist provider of care services for
Moms who have used drugs may be doing their teens a favour by admitting to it, University of Alberta research shows.
The General Optical Council (GOC) has launched a consultation on its proposed Welsh Language Scheme. Anyone with an interest in the GOC"s work is encouraged to offer their suggestions and feedback on the draft proposals.
Retirement from some occupations may not provide relief from the potentially devastating health effects of work-related hypertension, according to a new study from UC Davis.
CPD4Health Innovation is facilitating a ground breaking event, The Missing Expertise, which will bring together service users, carers, health technology companies, NHS staff and higher education representatives.
Antibiotics, antimicrobials and antifungals are seeping into the waterways of North America, Europe and East Asia, according to an investigation published in the peer-reviewed journal Environmental Health Perspectives (EHP). Authored by Université de Montréal and Environment Canada researchers, the review found that consumption of anti-infectives for human and agriculture use contributes to their release into the environment and even into drinking water.
Experts from across the country will gather at a conference at De Montfort University (DMU) in Leicester next week to discuss the issue of Sickle Cell and deaths in custody.
Residential childcare and fostering agency, Perpetual Care, and the University of Central Lancashire"s School of Nursing & Caring Sciences are jointly developing an introductory workshop on the ground-breaking Nurtured Heart Approach, which seeks to improve social and educational outcomes for many children and young people. Experts from UCLan and Perpetual are currently designing an awareness workshop, which will provide an overview of the approach, examine existing US research findings and explore its potential role in UK residential childcare and fostering, particularly in the light of revised NICE guidelines relating to children with ADHD. The first session is scheduled at UCLan"s Preston campus in late June this year and should be of interest to registered social workers, local authority placement officers and other social care and health professionals concerned with the well-being of challenging young people.
A research abstract presented on June 9, at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies, is the first demonstration of a specific neurochemical abnormality in adults with primary insomnia (PI), providing greater insight to the limited understanding of the condition"s pathology.
According to a research abstract at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies, students who consider themselves to be evening types (that is someone who feels more alert and does their best work later in the day) have poorer sleep hygiene scores than morning and intermediate types. Sleep hygiene is the group of behaviors linked to good sleep and alertness. Examples include having a regular bedtime routine, a regular wake time, a regular bed time, and sleeping in a comfortable bed. The researchers found that this poor sleep hygiene was related to poorer academic performance and a decline in grade point average (GPA) during the transition from high school to college.
According to a research abstract presented at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies, adolescent obesity is associated with having less sleep. Reduction in sleep could be related to a higher caffeine intake, more hours of technology use and increased symptoms of sleep disorders (such as snoring).
Rutgers researchers have discovered a potential new way to treat childhood epilepsy using a widely available therapeutic drug.
The genes that regulate human circadian rhythm, or "the body clock", are significantly disturbed in individuals with arthritis, according to the results of a new study presented at EULAR 2009, the Annual Congress of the European League Against Rheumatism in Copenhagen, Denmark. Notably, a specific genetic pathway has been identified as responsible for interactions between the genes that regulate the body clock and those that may worsen symptoms of arthritis.
Are the cognitively superior brains of humans, in part, responsible for our higher rates of cancer? That"s a question that has nagged at John McDonald, chair of Georgia Tech"s School of Biology and chief research scientist at the Ovarian Cancer Institute, for a while. Now, after an initial study, it seems that McDonald is on to something. The new study is available online in the journal Medical Hypothesis and will appear in the forthcoming issue of the journal.
In a world-first breakthrough, University of New South Wales (UNSW) medical researchers have used stem cells cultured on a simple contact lens to restore sight to sufferers of blinding corneal disease.
Researchers from the Keck School of Medicine of the University of Southern California (USC) will present new findings and strategies for combating childhood obesity at the 5th Biennial Childhood Obesity Conference being held June 9-12 in Los Angeles.
A new study found that acute and sudden computer-related injuries, a separate category to injuries that take a while to emerge like repetitive
First year to be offered live and online
The most important factors for a successful stay in hospital short-stay units (SSUs) are the types of diagnostic tests performed and whether or not specialty consultations are needed. When hospitalists staff these units, they can ensure that only patients who need readily accessible services are admitted. These are the findings of a study published in the Journal of Hospital Medicine.
Scientists at Weill Cornell Medical College have developed a new mouse model of Parkinson"s disease (PD) that successfully reproduces the impairments of movement and the degenerative brain changes that occur in the human disease. Their research, performed in collaboration with investigators at Columbia University Medical Center, appears in the June 7 issue of the journal Nature Neuroscience.
President Obama on Friday appointed New York City Health Commissioner Thomas Frieden as CDC director, according to Obama administration officials, the New York Times reports. According to the Times, Frieden, an infectious disease specialist, has "cut a high and sometimes contentious profile" in his seven years as health commissioner in New York City, during which time he has advocated for a smoking ban in restaurants and bars, made HIV testing part of routine medical exams and protected a program that distributes 35 million condoms a year. According to the Times, Frieden is expected to take office next month. The Times reports that he will "inherit a host of immediate and long-term problems," including questions surrounding a vaccine for the H1N1 influenza virus, also known as swine flu, health care reform and organizational issues at CDC.The Times reports that a potential advantage for Frieden is a positive relationship with likely FDA Commissioner Margaret Hamburg, who also was New York City health commissioner. Frieden would work with Hamburg to combat the H1N1 flu virus and to re-evaluate the U.S. food safety system (Harris/Hartocollis, New York Times, 5/15).
A new parent questionnaire, developed at the University of Waterloo, will help health practitioners to more accurately gauge the acquisition of language skills in children with autism.
VNUS(R) Medical Technologies, Inc. (Nasdaq: VNUS), a worldwide leader in medical devices for the minimally invasive treatment of venous reflux disease, announced that the Journal of Vascular & Interventional Radiology, the prestigious monthly publication of the Society of Interventional Radiology, has published a study showing the VNUS ClosureFAST(TM) system for radiofrequency (RF) thermal ablation to be "significantly superior" to endovenous laser (EVL) for treating venous reflux, the underlying cause of symptomatic varicose veins.
UNAIDS Executive Director Highlights Latin America, Caribbean Successes In Battle Against HIV/AIDS
Sen. Chris Dodd has taken the reins on health care reform while he juggles other bills and a tough re-election campaign, Roll Call reports.
The White House"s pressure to cut soaring healthcare costs is causing action and concern in high cost Medicare areas, especially South Florida.
Health and Human Services Secretary Kathleen Sebelius and White House Health Czar Nancy Ann DeParle held a discussion of minority health issues at the White House yesterday, where Sebelius "said the Obama administration is committed to addressing the "alarming disparity in the delivery of quality health care"," which she said was necessary to lower costs, the Associated Press reports. The White House also "issued a summary report on minority health care showing that African-Americans are seven times more likely as whites to have HIV/AIDS, that blacks and Hispanics have diabetes rates nearly twice as high as whites, and that black men are 50 percent more likely than whites to have prostate cancer" (Evans, 6/9).
Trust for America"s Health (TFAH) and the Robert Wood Johnson Foundation (RWJF) released a new public opinion survey today which finds that Americans rank prevention as the most important health care reform priority, and overwhelmingly support increasing funding for prevention programs to reduce disease and keep people healthy.
Depression is a major public health problem, and one of the most important challenges for psychiatrists is to determine whether an individual with depression should receive cognitive-behavioral therapy or treatment with antidepressant medication. A study by researchers from Emory University, presented at the Annual Meeting of the Organization for Human Brain Mapping in San Francisco, used brain imaging along with sophisticated statistical techniques to examine the differences in brain function that result from these two different kinds of treatment. Forty individuals with depression were scanned with magnetic resonance imaging after undergoing cognitive behavioral therapy or antidepressant therapy. The researchers found that they could distinguish the brain activity of individuals undergoing the two different treatments, and in particular that the two treatments differently affected the communication of the brain areas that are thought to play a role in depression, including the communication between the prefrontal cortex and the nucleus accumbens, and between the subgenual cingulate and the thalamus. The results provide a basis for future research that will try to predict which individuals will benefit from different treatments for depression.
A genetic analysis of data from three studies suggests that genetically elevated levels of lipoprotein(a) are associated with an increased risk of heart attack, according to a study in the June 10 issue of JAMA.
Jason Karlawish, M.D., associate professor of medicine, University of Pennsylvania, will share the latest information on Alzheimer"s disease at a community lecture at 1 p.m., Wednesday, June 10 at Rodef Shalom Congregation, 4905 Fifth Ave., Shadyside. The event is free and open to the public.
Kansas State University once again is host to a noted microbiology workshop that helps the scientists who test food and other samples for microorganisms. K-State"s 29th annual Rapid Methods and Automation in Microbiology workshop will be June 19-26.
Physician representatives will gather in Copenhagen in September to discuss the health consequences of climate change to ensure that the medical profession"s voice is heard when a new global climate treaty to replace the Kyoto accord is considered two months later.
The Melanoma Research Alliance (MRA) announced the recipients of nearly two million dollars in grants to fund 13 individual scientists pursuing innovative melanoma research proposals. This second round of MRA grants is focused on research that addresses the gap in translational science.
NHLBI Funds Research and Training Centers Aimed at Prevention and Treatment of Chronic Diseases in Developing Countries and Collaborates with UnitedHealth Group"s Chronic Disease Initiative
David Brooks, New York Times: Health care costs have become "the crucial issue of [President Obama"s] whole presidency," Times columnist Brooks writes. According to Brooks, Obama"s original plan was to fund his priorities, including education and energy, with debt that would be paid off with future savings resulting from health care reform. Brooks writes that Obama"s aides have been discussing "game-changers" -- such as health information technology, wellness programs, preventive medicine, comparative effective measures and altering reimbursement policies -- that would result in cost reductions. However, Brooks writes that most experts do not think such efforts would "produce much in the way of cost savings over the next 10 years" and that "nobody is sure" the efforts would "ever produce significant savings." Brooks writes that because "there are deep structural forces, both in Medicare and the private insurance market" that make it "nearly impossible to put together a majority coalition for a bill" challenging those structures, reform efforts this year likely will produce a "medium-size bill that expands coverage to some groups but does relatively little to control costs." Brooks concludes, "Without serious health cost cuts," Obama"s agenda "will hasten fiscal suicide" (Brooks, New York Times, 5/15).
Eisai Limited, the licence holder of Aricept® (donepezil hydrochloride) and Pfizer Limited, its co-promotion partner, have been notified by the National Institute for Health and Clinical Excellence (NICE) of their decision to continue to deny vulnerable patients the use of anti-cholinergic medicines in the treatment of mild Alzheimer"s disease.
If you are pregnant and your mate complains your frequent snoring is rattling the bedroom windows, you may have bigger problems than an annoyed, sleep-deprived partner.
Commenting on the publication of the NHS Confederation report Dealing with the downturn: the greatest ever leadership challenge for the NHS, Dr Peter Carter, Chief Executive & General Secretary of the Royal College of Nursing (RCN), said:
Tamoxifen is a widely used and highly successful drug in the treatment of breast cancer, though resistance to tamoxifen is still a concern in recurrent disease (affecting 25-35% of patients), since therapy resistant metastatic tumor cells are a major cause of death. In a study in this month"s Molecular and Cellular Proteomics, researchers have uncovered a protein profile that may accurately predict whether a cancer will be tamoxifen resistant.
Health and social service professionals who care for adults with depression should not only tackle their clients" physical and mental health, but also detect and prevent possible spillover effects on their children, says a new report from the National Research Council and Institute of Medicine. To achieve this new family-focused model of depression care, federal and state agencies, nonprofits, and the private sector will have to experiment with nontraditional ways of organizing, paying for, and delivering services, said the committee that wrote the report.
Metoclopramide, a drug approved in the U.S. for nausea, vomiting and heartburn poses no significant risks for the fetus according to a large cohort study published in the June 11 issue of the prestigious New England Journal of Medicine, "The Safety of Metoclopramide Use in the First Trimester of Pregnancy" (N Engl J Med 2009;360:24 June 11, 2009).
New Jersey state Sen. Joseph Vitale (D) -- chair of the Senate Health, Human Services and Senior Citizens Committee -- earlier this week proposed a plan to temporarily reduce rebate checks to senior citizens earning $100,000 to $150,000 in an effort to alleviate the effects of possible budget cuts on certain populations, the Newark Star-Ledger reports. Vitale"s proposal also would avert planned $6 to $15 prescription drug copayments for people living with HIV/AIDS in the state (Livio, Newark Star-Ledger, 5/12). The copayments are part of Gov. Jon Corzine"s (D) $29.8 billion spending proposal for the state"s new fiscal year and would collect $1.36 million by creating copayments for HIV/AIDS drugs based on a sliding scale determined by income. The copayments would affect 9,000 people living with HIV/AIDS who have obtained no-cost medicine from the state because they do not qualify for other assistance programs. Advocates said that the copayments will hurt patients who are already struggling because of the poor economy (Kaiser Daily HIV/AIDS Report, 4/23). According to the Star-Ledger, Vitale"s proposal would save the state $15.7 million, including $9.7 million needed to allow 17,000 low-income families to enroll in the state"s health insurance program, FamilyCare. Senate Budget Committee Chair Barbara Buono (D) said that she does not believe it is possible to restore program cuts "given the collapse of revenues." According to the Office of Legislative Services, the current deficit for this year"s budget, which ends June 30, is at least $1.2 billon. Vitale said, "Our convictions are going to be tested as we come to terms with the fact that we simply don"t have enough money to fund all of the state"s priorities." He added, "But unless funding is restored for programs like NJ FamilyCare, Medicaid drug benefits and the AIDS Drug Distribution Program, I will be voting against the" fiscal year 2010 budget (Newark Star-Ledger, 5/12).
The Royal Pharmaceutical Society of Great Britain"s incumbent President, Steve Churton has
Cancer Therapeutics, Inc. (OTCBB: CTHP), an emerging biotechnology business incubator with a specific emphasis on disruptive cancer treatments and nanotechnology, announced its new partner, NanoTherapies, Inc., is utilizing calcium phosphate nanoparticles to detect and treat cancer. These particles are about 350 times smaller than a human cell while providing both a safe and effective way to transport drugs and imaging materials into diseased cells.
A former physical therapy patient from Prince George"s County, Maryland, grateful for the physical therapy he received years after contracting polio, but always wishing he had received it sooner, has made, through his estate, a significant financial gift to the Foundation for Physical Therapy.
The Rt Hon Harriet Harman QC MP, Minister for Women and Equality, will be speaking at the launch of the 2009 RADAR People of the Year (POTY) Awards on Tuesday 16 June at the BT Tower in central London.
- The "Improving Access to Audiology Services in England", document in March 2007 by stated that:
Scientists have discovered exactly how some bacteria act to protect themselves when they are threatened or under attack.
The World Health Organisation (WHO) and European Federation of Allergy and Airways Diseases (EFA) today announced that they are bringing together over 150 international delegates to discuss the growing epidemic of Chronic Respiratory Diseases (CRD) that affects one billion people worldwide1, [2], [3] and is responsible for four million deaths annually1. The conference which will discuss the implementation of a five-year initiative to unite policy makers, providers and patient groups will be hosted by the Italian Ministry of Health in Rome on June 12 and 13.
Low blood glucose
PharmaCom BioVet, Inc.
Hundreds of people gathered at a planned rally on Wednesday at the California State Capitol in Sacramento to protest the proposed $80.1 million in budget cuts to HIV/AIDS programs in the state, which would result in an 80 percent reduction in prevention, testing and counseling programs, as well as significant cuts in programs for people living with HIV, the San Francisco Chronicle reports. According to the Chronicle, the budget plan "faces pushback from the Legislature, where the leaders of both houses have announced their strong opposition," including Sen. Mark Leno (D). At the rally, Leno urged other lawmakers to examine the possible effects of the cuts. Lisa Page, a spokesperson for Gov. Arnold Schwarzenegger (R), said the governor understands the consequences of the cuts but the state is facing a $24.3 billion budget deficit and has limited options. She said, "Many of these cuts the governor would never consider except in a worst-case scenario, and this is the worst-case scenario" (Buchanan, San Francisco Chronicle, 6/11).