Clinton calls for overhaul of Syrian opposition

























ZAGREB (Reuters) – The United States called on Wednesday for an overhaul of Syria‘s opposition leadership, saying it was time to move beyond the Syrian National Council and bring in those “in the front lines fighting and dying”.


Secretary of State Hillary Clinton, signaling a more active stance by Washington in attempts to form a credible political opposition to Syrian President Bashar al-Assad, said a meeting next week in Qatar would be an opportunity to broaden the coalition against him.





















“This cannot be an opposition represented by people who have many good attributes but who, in many instances, have not been inside Syria for 20, 30, 40 years,” she said during a visit to Croatia.


“There has to be a representation of those who are in the front lines fighting and dying today to obtain their freedom.”


Clinton’s comments represented a clear break with the Syrian National Council (SNC), a largely foreign-based group which has been among the most vocal proponents of international intervention in the Syrian conflict.


U.S. officials have privately expressed frustration with the SNC’s inability to come together with a coherent plan and with its lack of traction with the disparate internal groups which have waged the 19-month uprising against Assad’s government.


Senior members of the SNC, Free Syrian Army (FSA) and other rebel groups ended a meeting in Turkey on Wednesday and pledged to unite behind a transitional government in coming months.


“It’s been our divisions that have allowed the Assad forces to reach this point,” Ammar al-Wawi, a rebel commander, told Reuters after the talks outside Istanbul.


“We are united on toppling Assad. Everyone, including all the rebels, will gather under the transitional government.”


Mohammad Al-Haj Ali, a senior Syrian military defector, told a news conference after the meeting: “We are still facing some difficulties between the politicians and different opposition groups and the leaders of the Free Syrian Army on the ground.”


Clinton said it was important that the next rulers of Syria were both inclusive and committed to rejecting extremism.


“There needs to be an opposition that can speak to every segment and every geographic part of Syria. And we also need an opposition that will be on record strongly resisting the efforts by extremists to hijack the Syrian revolution,” she said.


Syria’s revolt has killed an estimated 32,000. A bomb near a Shi’ite shrine in a suburb of Damascus killed at least six more people on Wednesday, state media and opposition activists said.


NEW LEADERSHIP


The meeting next week in Qatar’s capital Doha represents a chance to forge a new leadership, Clinton said, adding the United States had helped to “smuggle out” representatives of internal Syrian opposition groups to a meeting in New York last month to argue their case for inclusion.


“We have recommended names and organizations that we believe should be included in any leadership structure,” she told a news conference.


“We’ve made it clear that the SNC can no longer be viewed as the visible leader of the opposition. They can be part of a larger opposition, but that opposition must include people from inside Syria and others who have a legitimate voice which must be heard.”


The United States and its allies have struggled for months to craft a credible opposition coalition.


U.S. President Barack Obama’s administration has said it is not providing arms to internal opponents of Assad and is limiting its aid to non-lethal humanitarian assistance.


It concedes, however, that some of its allies are providing lethal assistance – a fact that Assad’s chief backer Russia says shows western powers are intent on determining Syria’s future.


Russia and China have blocked three U.N. Security Council resolutions aimed at increasing pressure on the Assad government, leading the United States and its allies to say they could move beyond U.N. structures for their next steps.


Clinton said she regretted but was not surprised by the failure of the latest attempted ceasefire, called by international mediator Lakhdar Brahimi last Friday. Each side blamed the other for breaking the truce.


“The Assad regime did not suspend its use of advanced weaponry against the Syrian people for even one day,” she said.


“While we urge Special Envoy Brahimi to do whatever he can in Moscow and Beijing to convince them to change course and support a stronger U.N. action we cannot and will not wait for that.”


Clinton said the United States would continue to work with partners to increase sanctions on the Assad government and provide humanitarian assistance to those hit by the conflict.


(Additional reporting by Ayla Jean Yackley; editing by Andrew Roche)


World News Headlines – Yahoo! News



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Disney unlikely to change ‘Star Wars’ brand

























LOS ANGELES (AP) — Naysayers would have you believe Disney‘s purchase of Lucasfilm can only mean one thing: Bambi and Mickey Mouse are sure to appear in future “Star Wars” movies taking up lightsabers against the dark side of the Force.


Not so, say experts who’ve watched Disney’s recent acquisition strategy closely. If anything, The Walt Disney Co. has earned credibility with diehard fans by keeping its fingerprints off important film franchises like those produced by its Marvel Entertainment and Pixar divisions.





















“They’ve been pretty clearly hands-off in terms of letting the creative minds of those companies do what they do best,” says Todd Juenger, an analyst with Bernstein Research. “Universally, people think they pulled it off.”


Though the Walt Disney Co. built its reputation on squeaky clean family entertainment, its brand today is multifaceted. Disney, of course, started as an animation studio in 1923 with characters such as Oswald the Lucky Rabbit, Steamboat Willie and Mickey Mouse. Over the years, the company ventured into live action movies, opened theme parks, launched a fleet of cruise ships and debuted shows on TV.


By way of acquisitions over the last few decades, it has ballooned into a company with $ 40.9 billion in annual revenue and a market value of $ 88 billion. Disney bought Capital Cities/ABC in 1995 for $ 19 billion, Pixar for $ 7.4 billion in 2006, Marvel for $ 4.2 billion in 2009 and this week, it said it will purchase Lucasfilm and the “Star Wars” franchise for $ 4.05 billion.


Disney’s acquisition of Marvel Entertainment in 2009 offers the best example of how it might treat Lucasfilm and the “Star Wars” universe.


Marvel was in the midst of a storyline that would span several films following the smash hit success of its first self-produced movie, “Iron Man,” in 2008. When Disney bought it a year later, it continued reading from the comic book giant’s playbook, releasing in subsequent years “Iron Man 2,” ”Thor,” ”Captain America” and then this year, “The Avengers,” which brought heroes from those movies together in one giant film that grossed $ 1.5 billion at the box office.


Now, “Avengers” director Joss Whedon is working on the sequel and developing a Marvel-based TV series for Disney-owned ABC.


Rick Marshall, a journalist and blogger who writes about the comic book and movie industries, was skeptical when Disney bought Marvel. But his doubts quickly melted when it was clear Disney wouldn’t taint the Marvel universe by getting too involved.


“I was the first one to say there’s going to be a Goofy-Wolverine crossover,” Marshall said. “We haven’t seen that… Disney was able to step away.”


Recent history ought to assuage “Star Wars” fans who fear the Disney empire. But that hasn’t stopped many of them from posting an array of video and pictorial mash-ups and jokes online as they poke fun at their darkest fears: Luke Skywalker staring into the distance at a mouse-eared sun and Darth Vader telling Donald Duck that he’s his father.


What Disney did with Marvel was merely amplify its presence in theme parks, stores and theaters, observers say.


Disney’s formula for success with Marvel was not to tamper with storylines, but to bring the existing franchise under its corporate umbrella.


Before it was acquired, Marvel paid Paramount Pictures a percentage of movie ticket sales to advertise its movies, make film prints and get them into theaters. Disney has those capabilities, so now that money doesn’t go out the door. Disney also has a worldwide network of staff that help put Marvel toys on store shelves, expanding their reach and saving the money that Marvel used to pay third-party merchandise middlemen.


Owning Marvel also gives Disney a steady flow of super hero cartoons for its pay TV channel, Disney XD. These kind of logistical savings allow Disney to profit from ownership while not interfering in the creative process.


“Marvel does seem like it’s running pretty independently and staying pretty close to its roots,” said Janney Capital Markets analyst Tony Wible.


Disney’s recent acquisitions have also filled gaps in its creative portfolio. CEO Bob Iger has said the company’s $ 7.4 billion purchase of Pixar in 2006 was partly an investment in talent and a way to “grow and improve Disney animation.” The deal brought John Lasseter, a former Disneyland employee, back into the fold as its chief creative officer of both Disney and Pixar’s animation studios.


The purchase of Marvel helped Disney add characters that would resonate with boys at a time when the company was becoming known more for princesses, fairies and its fictional teenage rock star Hannah Montana.


The “Star Wars” franchise fills a hole in Disney’s live-action portfolio, which suffered an embarrassing $ 200 million loss on the sci-fi flick “John Carter” earlier this year. The box-office bomb caused an executive shuffle at the studio that brought in former Warner Bros. president Alan Horn, who oversaw the hugely successful runs of “Harry Potter” and “The Dark Knight” movies.


It’s in Disney’s best interest to maintain the integrity of film franchises that come with a built-in fan base. Disney chief Iger has said the plan is for “Star Wars” live-action movies to replace others that may be in development, and to keep its production slate at a modest 7 to 10 movies per year.


“I think Disney’s intention is that it just doesn’t want to get in the way of a great asset,” said Morningstar analyst Michael Corty.


In a conference call explaining the acquisition, Iger told analysts that “Disney respects and understands, probably better than just about anyone else, the importance of iconic characters and what it takes to protect and leverage them effectively.”


When “Star Wars Episode 7″ hits theaters in 2015, millions of fans will surely hold Iger to his word.


Entertainment News Headlines – Yahoo! News



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Many women stop their asthma meds while pregnant

























NEW YORK (Reuters Health) – Almost a third of women on asthma control medications stop using them during the first few months of pregnancy – despite advice that a mother’s uncontrolled asthma is more dangerous to the developing fetus than the drugs, according to a new study from the Netherlands.


The researchers could not determine why moms-to-be stop taking their asthma meds, or whether it led to any negative health effects, but the findings are concerning, said Lucie Blais, a pharmacy professor at the University of Montreal, who was not involved in the study.





















“Some studies show that uncontrolled asthma is bad for the fetus. You can have babies that will be small for their gestational age or low birth weight,” Blais told Reuters Health.


Both the Global Initiative for Asthma (GINA) and the U.S. National Asthma Education and Prevention Program recommend that women continue taking asthma medications throughout pregnancy, because the risks of exacerbated asthma are greater than the risks of the medication.


A lack of oxygen during development, known as hypoxemia, is one of the dangers to a fetus when its mother has uncontrolled asthma.


According to the GINA guidelines, there is not much evidence showing that asthma medications are harmful to the fetus, and “using medications to obtain control of asthma is justified even when their safety in pregnancy has not been unequivocally proven.”


To see how well pregnant mothers stick to their prescriptions, Priscilla Zetstra-van der Woude at the University of Groningen and her colleagues used information on more than 25,000 pregnancies from a prescription database in The Netherlands.


More than 2,000 of those pregnant women (about 8 percent) received a prescription for an asthma medication at least once during the study period, from 1994 to 2009.


Between 1994 and 2003, the women’s rate of asthma control medication prescriptions held steady before, during and after pregnancy.


From 2004 to 2009, however, the researchers saw a drop of 30 percent in the rate of asthma prescriptions filled in the first three months of pregnancy, compared to a woman’s pattern in the months before becoming pregnant.


When Zetstra-van der Woude’s group looked at the types of medications that women were cutting out, they saw that long-acting bronchodilators and combinations of these drugs with inhaled corticosteroids – used to keep moderate to severe asthma under control – were less popular during pregnancy than shortly before.


Prescriptions for these drugs declined by about 50 percent during the first trimester, from roughly 1.2 percent of pregnancies in the database down to 0.6 percent.


“Long-acting bronchodilators are usually prescribed for patients with more severe asthma, and discontinuation could lead to severe symptoms of respiratory distress,” the authors wrote in their report in the Journal of Allergy and Clinical Immunology.


Zetstra-van der Woude’s study could not say whether the drop off in asthma medications had any negative effects on the mother or baby, and it’s possible that women did not have any worsening of symptoms.


“The course of asthma often changes during pregnancy and some women may experience a relief of asthma symptoms, and as a consequence can do with less or with no medication at all. This is no problem as long as the asthma is under control,” Zetstra-van der Woude said in an email to Reuters Health.


“Doctors as well as women themselves should be informed about the importance of adequate asthma control during pregnancy and about the risks of poorly controlled asthma…for the unborn child,” said Zetstra-van der Woude.


Blais said asthma patients are not especially good at sticking to their medications to begin with, and pregnancy could add an extra hurdle because women might be afraid of taking any drugs during pregnancy.


On the other hand, pregnancy could serve as an opportunity to get women to become more adherent to their prescriptions if it means keeping their asthma in check.


“Maybe pregnancy could be a period in a woman’s life where she might listen more to the recommendations because it’s about her health, but also the fetus’s health,” she said.


SOURCE: http://tinyurl.com/9uuelcy The Journal of Allergy and Clinical Immunology, online October 15, 2012.


Diseases/Conditions News Headlines – Yahoo! News



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Changing channels; Sony, Sharp in turnaround battle

TOKYO (Reuters) - Sony Corp is likely to say it returned to an operating profit for July-September after it sold a chemicals business, but investors still aren't sure a consumer electronics revamp will deliver the profit growth the group seeks.


Sony shares, valued at less than $12 billion, have dropped 16 percent since end-June and its 5-year credit default swaps - the cost of insuring against debt default - have jumped by almost 60 percent. The benchmark Nikkei average is down by less than 1 percent.


The maker of Bravia TVs, Vaio laptops and PlayStation game consoles, battling weak demand and tough competition, is expected to say it earned operating profit of 33.8 billion yen ($424.7 million) in its second-quarter, after losing 1.6 billion yen a year ago, according to an average estimate from five analysts on Thomson Reuters I/B/E/S.


Sony has sold a chemicals unit to state-backed Development Bank of Japan for 58 billion yen, and other asset sales may further inflate operating profit this business year. The Japanese group, which blazed a trail in the early 1980s with its Walkman portable music players, is closing the Shinagawa Technology Center, a 31-storey Tokyo office built in 1998 and may even sell the 37-storey Sony Tower, the New York headquarters of its U.S. business, according to media reports.


Sony has said it expects to reduce its global workforce by 10,000 people by end-March, around 6 percent of its total, as it seeks to lop 30 billion yen off its costs.


HIGH-RISK


Kazuo Hirai, who took over as CEO in April, has pledged to rebuild Sony around gaming, digital imaging and mobile devices, and nurture new businesses such as medical devices, as the TV business shrinks - Sony has lost close to $9 billion in TVs over the past 8 years. In late-September, Sony agreed to pay 50 billion yen to become the biggest shareholder in Olympus Corp, a world leader in medical endoscopes.


"The areas in which Sony is continuing to focus are of course high-risk, high-return markets," said JP Morgan analyst Yoshiharu Izumi in a recent report. "Although we expect (full-year) margin improvement in the electronics segment, we think it's too early to appraise a sustained recovery."


While battling weak demand for its products, fierce competition from Apple Inc and Samsung Electronics and others, Sony is also up against a strong yen and a depressed global economy.


Panasonic Corp, a rival Japanese TV maker, said on Wednesday it will lose almost $10 billion this business year as it cleans its house of risky assets - writing down billions of dollars of goodwill and assets in its mobile and energy units and preparing for more restructuring that is likely to see it shift away from money-losing TVs and other consumer electronics.


OUTLOOK DIMMER


In August, Sony cut its full-year operating profit forecast by more than a quarter to 130 billion yen, still some way above the average forecast by 19 analysts for 107 billion yen. At a net level, Sony sees annual profit of 20 billion yen, while the market prediction is for around a third of that.


"It's unclear if Sony will cut its full-year operating profit guidance, but we see considerable potential for second-half shortfalls, mainly in smartphones and games," Goldman Sachs analyst Takashi Watanabe said in a client note.


Sales of Sony's handsets, including its Xperia smartphones, are expected to have slid by more than a fifth in July-September, to below 8 million devices, a Reuters poll showed last month. [ID:nL6E8LAL10] For next year, it's forecast to sell 34.4 million mobiles, about the same as Samsung shifts each month.


The South Korean firm and Apple are also encroaching on Sony's gaming business, and Hirai has cut the forecast for annual sales of the hand-held Vita and PSP consoles to 12 million from 16 million.


After four straight years of net losses, Hirai is also hampered by weakened finances. At end-June, Sony's shareholder equity ratio fell to below 15 percent - a rate of 20 percent is generally considered a healthy minimum.


While selling off non-core assets, Sony has also spent to bolster its business portfolio - laying out $1.8 billion in four months on the Olympus stake, a cloud gaming firm and a website for doctors, but this has prompted both Moody's and Standard & Poor's to lower their long-term debt rating on the company to the second-lowest investment grade.


SHARP DOWNTURN


At rival Japanese TV maker Sharp Corp, which also announces quarterly earnings on Thursday, the need to return to profit is more urgent.


The maker of Aquos TVs has secured a $4.6 billion bank bailout, and has pledged to axe 10,000 jobs, sell assets, and return to profit. At end-June, Sharp's shareholder equity ratio was 18.7 percent.


After adding restructuring charges, valuation losses on stocks of LCD display panels and other costs, Sharp is expected to post a 400 billion yen net loss for April-September, almost double the company's estimate, the Nikkei business daily reported last week.


In front-loading those costs, and taking the hit now, Sharp may be better placed to return to profit in the current second half of the year, allowing lenders to justify the bailout.


Sharp is said to be increasing production capacity for its high-definition power-saving IGZO screens, which it hopes to sell to makers of ultrabook computers, including Lenovo Group, Dell Inc and Hewlett-Packard, Japanese media have reported.


For the second quarter, Sharp is expected to have made a 50.4 billion yen operating loss, according to the average of six analysts on Thomson Reuters I/B/E/S.


Both Sharp and Sony may also have felt the impact of a recent dispute with China over ownership of islands in the East China Sea, which triggered sometimes violent protests against Japanese products. Sharp had almost a fifth of its revenues in China, while Sony has around 8 percent of its business there.


Sharp shares have more than halved since end-June, to record lows below 150 yen. Five years ago, the stock traded at above 2,440 yen. Its market value has slumped to below $2.4 billion.


($1 = 79.5800 Japanese yen)


(Additional reporting by Reiji Murai; Editing by Ian Geoghegan)

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With Christie, Obama vows, ‘We will not quit until this is done’

President Barack Obama hugs North Point Marina owner Donna Vanzant as he tours the damage in Brigantine, N.J. At …Just six days before the election, President Barack Obama toured storm-ravaged areas with New Jersey Gov. Chris Christie. He told Garden State residents struggling in the superstorm's aftermath that all of America shares their pain—and their government is there to help.


"The main message I wanted to send is the entire country has been watching what's been happening," Obama said Wednesday during a visit to the Brigantine Beach Community Center. "Everybody knows how hard Jersey's been hit."


("Except my boss," shouted Michael Henshaw, 32, a Brigantine resident who works at an insurance company. "Well, except your boss. If you need me to call, you let me know," Obama replied, drawing laughter from the room. That exchange, and many of the details in this post, are from pool reporter Reid Epstein of Politico.)


The White House told reporters that during the worst of the storm's devastation 200 people were sleeping in the center's gym, though that number has dropped to 50. The center still serves as a spot for people to get meals and take hot showers.


Obama traveled to New Jersey, which bore the brunt of the storm's wrath, with Federal Emergency Management Agency chief Craig Fugate. The president and Christie—an outspoken Mitt Romney backer—traded praise over the response to the devastating storm.


"I want to just let you know that your governor is working overtime to make sure that as soon as possible everybody can get back to normal," said Obama. "We are going to be here for the long haul. We're going to not tolerate any red tape. We're not going to tolerate any bureaucracy."


Christie, wearing a blue polar fleece jacket with "CHRIS CHRISTIE GOVERNOR" in white letters over his heart, echoed Obama's message.


"I just want to tell all of you exactly what the president just said. I know he means it," Christie said. "I want to thank the president for coming here today. It's really important to have the president of the United States acknowledge all the suffering that's going on here in New Jersey, and I appreciate it very much. We're going to work together to make sure we get ourselves through this crisis and get everything back to normal. Thank you for coming, sir."President Barack Obama and New Jersey Gov. Chris Christie (Pablo Martinez Monsivais/AP)


Aides say the president is focused on doing his job, not on the election, but the governor's praise and the seemingly smooth federal response to the storm could help him in his neck-and-neck race with Romney.


Obama and Christie took an aerial tour of some of the destruction aboard the president's Marine One helicopter before the visit to Brigantine.


In brief public remarks afterward, the governor had said of the president, "He has sprung into action immediately to help. He has worked incredibly closely with me since before the storm hit.


"It's been a great working relationship to make sure that we're doing the jobs that people elected us to do, and I cannot thank the president enough for his personal concern and compassion for our state and the people of our state."


(He also joked about those who ignored his "admonition to get the hell out of here. You are forgiven this time, but not for much longer.")


Obama returned the praise, saying Christie had been "responsive" and "aggressive" even before "this incredible storm. ... The people of New Jersey recognize that he has put his heart and soul into making sure that the people of New Jersey bounce back even stronger than before. So I just want to thank him for his extraordinary leadership and partnership."


The president added that "because of some good preparation, the loss of life was kept lower than it might have been."


He then offered his "thoughts and prayers" to those who lost loved ones. "I speak for the whole country," he said.


Both men cited the urgent need to restore power to the vast areas that lost it during the storm.



Obama, who canceled campaign events on Monday, Tuesday and Wednesday to take charge of the federal response, said he had instituted a "15-minute rule" for returning telephone calls from governors and mayors. "If they need something, we'll figure out a way to say 'yes,'" the president said.


"We will not quit until this is done," he promised.


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Hurricane’s death toll rises to 65 in Caribbean

























PORT-AU-PRINCE, Haiti (AP) — As Americans braced Sunday for Hurricane Sandy, Haiti was still suffering.


Officials raised the storm-related death toll across the Caribbean to 65, with 51 of those coming in Haiti, which was pelted by three days of constant rains that ended only on Friday.





















As the rains stopped and rivers began to recede, authorities were getting a fuller idea of how much damage Sandy brought on Haiti. Bridges collapsed. Banana crops were ruined. Homes were underwater. Officials said the death toll might still rise.


“This is a disaster of major proportions,” Prime Minister Laurent Lamothe told The Associated Press, adding with a touch of hyperbole, “The whole south is under water.”


The country’s ramshackle housing and denuded hillsides are especially vulnerable to flooding. The bulk of the deaths were in the southern part of the country and the area around Port-au-Prince, the capital, which holds most of the 370,000 Haitians who are still living in flimsy shelters as a result of the devastating 2010 earthquake.


Santos Alexis, mayor of the southern city of Leogane, said Sunday that the rivers were receding and that people were beginning to dry their belongings in the sun.


“Things are back to being a little quiet,” Alexis said by telephone. “We have seen the end.”


Sandy also killed 11 in Cuba, where officials said it destroyed or damaged tens of thousands of houses. Deaths were also reported in Jamaica, the Bahamas and Puerto Rico. Authorities in the Dominican Republic said the storm destroyed several bridges and isolated at least 130 communities while damaging an estimated 3,500 homes.


Jamaica’s emergency management office on Sunday was airlifting supplies to marooned communities in remote areas of four badly impacted parishes.


In the Bahamas, Wolf Seyfert, operations director at local airline Western Air, said the domestic terminal of Grand Bahamas‘ airport received “substantial damage” from Sandy’s battering storm surge and would need to be rebuilt.


Latin America News Headlines – Yahoo! News



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NBC sets premiere dates for “1600 Penn,” Eva Longoria series

























LOS ANGELES, Oct 30 (TheWrap.com) – NBC announced midseason premiere dates Tuesday for three new series, including the Bill Pullman presidential comedy “1600 Penn” and the new Eva Longoria relationship series “Ready for Love.”


The network also announced the premiere date for the drama “Deception,” which was formerly known as “Infamous.”





















In addition to the series premieres, the network announced return dates for several shows, including the on-the-bubble comedy “Community,” which will return to its previous Thursday night timeslot.


“Deception,” a dark family mystery starring Meagan Good and Victor Garber, premieres on Monday, January 7 at 10 p.m. It will follow “The Biggest Loser,” which starts its new season with a two-night premiere on January 6 and 7.


“1600 Penn,” starring Bill Pullman as the president in a comedy about the First Family, premieres Thursday, January 10 at 9:30. The series, which also stars Jenna Elfman and Josh Gad, was co-created by “Modern Family” director Jason Winer. It will join a slightly altered Thursday lineup.


“Parks and Recreation” moves to 8:30 on January 17, and “Community,” returns to 8 p.m. on February 7.


“Ready for Love,” a reality show executive produced by former “Desperate Housewives” star Eva Longoria, will premiere Sunday, March 31 at 8 p.m.


(Editing By Zorianna Kit)


TV News Headlines – Yahoo! News



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Medications for Normal Aging Driving Up Prescription Drug Expenses

























People talk a lot these days about the cost of prescription medications. The issue has been at the heart of discussions about healthcare reform and funding for Medicare. But what if many of the medications that are driving high healthcare costs weren’t even necessary?


That question may become the focus of attention based on new statistics released Tuesday which show the cost impact of optional medications used for conditions that, traditionally, have been considered a normal part of aging — such as sexual dysfunction, menopause, urinary symptoms and insomnia.





















Between 2007 and 2011, utilization of drugs to treat these conditions rose 32 percent among Medicare beneficiaries and 8.5 percent among people who have private insurance. These age-related medications are now so popular they rank third in cost impact only behind diabetes and cholesterol medications among commercially insured patients.


“The trend we observed was surprising,” Reethi N. Iyengar, senior manager of health services research at Express Scripts, told Take Part. “There has been no empirical evidence on the cost impact of these medications. We hope, with this study, people will now see what has been happening over the past five years.”


RELATED: Americans Struggling to Pay for Prescription Drugs


The study was conducted by Express Scripts using pharmacy claims data from its  nationally representative sample. The analysis focused on people ages 65 and older, both privately insured and Medicare members.


Iyengar’s analysis showed diabetes medications for privately insured patients in 2011 cost, per member,  an average of $ 81.12 per person compared to $ 78.38 for cholesterol medications and $ 73.33 for aging-related conditions. Drugs for high blood pressure and heart disease ranked fourth at $ 62.84.


The $ 73.33 spent per member, per year “might not sound like much,” Iyengar notes. “But if you look at how much is spent compared to chronic conditions, it’s a high amount. People are spending more on these medications for conditions that are considering to be a normal part of aging.”


Other conditions considered age-related were mental alertness/memory issues, skin aging and hair loss. Among people on Medicare, medications for non-infection urinary symptoms, insomnia and hormone replacement therapy produced the highest expenditures in the category.


RELATED: Quick Study: More Americans Skipping Doctor Visits


 Among privately insured people, drugs for mental alertness/memory issues, non-infection urinary symptoms and hormone replacement therapy where the top three conditions for total spending.


The rising popularity of these medications will continue to weigh heavily on the nation’s overall healthcare expenditures. More than 88 million Americans will be over age 65 by 2050, Iyengar notes. The increased spending on normal aging processes could squeeze dollars available for other healthcare needs, such as immunizations and anti-obesity treatments that impact public health.


Moreover, over-spending could result in a reduction in benefits for everyone. Insurers and the federal government may need to opt for cost-containment strategies of optional, age-related medications going forward, she said.


RELATED: 5 Big Questions About Obama’s Healthcare Plan


“Prescription benefit managers are always looking to contain cost,” she says. “What this study calls for is better management of cost of utilization while insuring much-needed access to medication for patients.”


The study also hints at the Baby Boomers’ views of aging. Some people may feel the treatment of erectile dysfunction or skin wrinkles is important to quality of life while others say such therapies “medicalize” normal aging.


“It can definitely be argued that these medications enhance quality of life, some more than others,” Iyengar says. “What we think is important is that we should be monitoring this trend, not necessarily limiting these medications or limiting access.”


Question: Should insurers limit coverage for elective, age-related medications in order to hold down costs? Tell us what you think in the comments.



Shari Roan is an award-winning health writer based in Southern California. She is the author of three books on health and science subjects.


Medications/Drugs News Headlines – Yahoo! News



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Hurricane Sandy disrupts Northeast U.S. telecom networks

NEW YORK (Reuters) - Power outages and flooding caused by Hurricane Sandy disrupted telecommunications services in Northeastern states on Tuesday, resulting in spotty coverage for cellphones, television, home telephones and Internet services.


While all the region's telecom service providers were having problems, Verizon Communications, which serves many of the states in the hurricane's path, may have suffered some of the worst damage from the storm to its wireline network.


About 25 percent of the region's wireless cell towers were out of action after the storm and some 911 emergency call centers were not working, according to Julius Genachowski, chairman of the Federal Communications Commission.


"Our assumption is that communications outages could get worse before they get better," Genachowski told reporters on a conference call, noting that the storm had not ended.


Also power outages could disrupt more cell sites if they run out of back-up power before commercial electricity services are up and running again.


People lined up at pay-phones in at least one New York neighborhood, the Lower East Side, today as their phones had either lost coverage or they had run out of battery power because there was nowhere to charge their phones in the neighborhood which had lost commercial power.


New York-based Verizon said the storm caused flooding at three Verizon central offices that hold telecom equipment in Lower Manhattan as well as sites in Queens and Long Island.


Its downtown headquarters, which was put out of action 11 years ago by the September 11 attacks, had three feet of water in the lobby at one point. Because of flooding, all its telecom equipment at that office, which serves much of Wall Street and downtown consumers, was knocked out of service.


The company said it was working on pumping out the water in the hope that it could restart its back-up power generators in the facility as commercial power services were not yet restored the morning after the big storm hit.


"The bullseye of the impact is the metro area," said spokesman William Kula, adding that restoring service for the city's financial district was a top priority for Verizon.


Telecom disruptions affect electronic trading as well as corporate operators. The chief operating officer of the New York Stock Exchange, which is expected to open Wednesday, said "lots of telecom infrastructure is down" and that the NYSE was working with big firms to ensure they were doing testing of their systems.


Verizon did not give an estimate as to how many businesses and consumers were affected. Two of three Manhattan central offices were partially flooded and operating minimal services.


Customers served by the damaged central offices will experience "a loss of all services" including TV, Internet, and traditional telephone services, Kula said. Some customers may experience intermittent busy signals for non-emergency calls.


Verizon said its engineers were working on assessing the damage from the early hours. Outside of New York, the company warned that it was also having some trouble.


"Verizon is discovering that many poles and power lines/Verizon cables are down throughout the region due to heavy winds and falling trees," the company said in a statement.


Verizon Wireless, AT&T Inc, Sprint Nextel, and T-Mobile USA said they were dealing with wireless service problems in the hurricane region. Cable operators Cablevision Systems Corp, Comcast Corp and Time Warner Cable also said they were having service problems.


"I think everybody's equipment's going to be damaged, including cellphone towers," Stifel Nicolaus analyst Christopher King said from his Verizon Wireless cellphone in Baltimore.


"Particularly for Verizon, they're clearly going to have the most damage on the wireline side because its pretty much all of their territory (where the storm hit)," King said.


Sprint Nextel, the No. 3 U.S. mobile provider said it was seeing outages at some cell sites because of the power outages across all the states in Sandy's path including New York, New Jersey, Connecticut, Pennsylvania, Washington DC, Maryland, North Virginia and New England.


"(Repair crews) have started on some critical areas but they haven't been able to get to everywhere they need to be," spokeswoman Crystal Davis said. She noted that 80 of the company's stores would reopen at noon. Sprint had closed about 180 stores ahead of the storm.


T-Mobile USA said that "customers may be experiencing service disruptions or an inability to access service in some areas, especially those that were hardest hit by the storm."


People complained of outages to their cable telephone, Internet and television services from providers including Comcast, Cablevision and Verizon in New Jersey, Connecticut, and New York.


Cablevision said it was experiencing widespread service interruptions primarily related to loss of power. The company said it is working to restore services.


Comcast, whose headquarters is in Philadelphia and serves East Coast states, said that for the majority of customers, "Comcast service should be restored as power comes back on to their homes."


Cellphone service was spotty for top wireless providers Verizon Wireless, AT&T Inc and T-Mobile USA, a unit of Deutsche Telekom, according to some customers.


Verizon Wireless, a venture of Verizon Communications and Vodafone Group, said on Tuesday afternoon that customers may be experiencing service issues and that about 94 percent of its cell sites were up and running.


AT&T said it was experiencing some issues in areas heavily affected by the storm. By Tuesday morning, spokesman Mark Siegel said AT&T was in the initial stages of on-the-ground assessment and that it expected "crews will be working around the clock to restore service."


Several Time Warner Cable customers in Brooklyn said that their Internet, television and phone services stopped working Monday night but were back again by Tuesday morning.


Time Warner Cable said that while it has not seen any major damage to its infrastructure, its customers who do not have electricity do not have cable services.


Millions of people in the eastern United States awoke on Tuesday to flooded homes, fallen trees and widespread power outages caused by Sandy, which swamped New York City's subway system and submerged streets in Manhattan's financial district.


At least 30 people were reported killed in the United States by one of the biggest storms to ever hit the country. Sandy dropped just below hurricane status before making landfall on Monday night in New Jersey.


(Additional reporting by Jennifer Saba, Liana Baker, Katya Wachtel in New York, Dian Bartz in Washington DC and many other Reuters reporters around the hurricane region; Editing by Chizu Nomiyama and Andrea Ricci)


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Dozens killed, millions without power in Sandy's wake

PITTSBURGH (AP) — The most devastating storm in decades to hit the country's most densely populated region upended man and nature as it rolled back the clock on 21st-century lives, cutting off modern communication and leaving millions without power Tuesday as thousands who fled their water-menaced homes wondered when — if — life would return to normal.

A weakening Sandy, the hurricane turned fearsome superstorm, killed at least 50 people, many hit by falling trees, and still wasn't finished. It inched inland across Pennsylvania, ready to bank toward western New York to dump more of its water and likely cause more havoc Tuesday night.  Behind it: a dazed, inundated New York City, a waterlogged Atlantic Coast and a moonscape of disarray and debris — from unmoored shore-town boardwalks to submerged mass-transit systems to delicate presidential politics.

"Nature," said New York City Mayor Michael Bloomberg, assessing the damage to his city, "is an awful lot more powerful than we are."

More than 8.2 million households were without power in 17 states as far west as Michigan. Nearly 2 million of those were in New York, where large swaths of lower Manhattan lost electricity and entire streets ended up under water — as did seven subway tunnels between Manhattan and Brooklyn at one point, the Metropolitan Transportation Authority said. The New York Stock Exchange was closed for a second day from weather, the first time that has happened since a blizzard in 1888. The city's subway system, the lifeblood of more than 5 million residents, was damaged like never before and closed indefinitely, and Consolidated Edison said electricity in and around New York could take a week to restore.

"Everybody knew it was coming. Unfortunately, it was everything they said it was," said Sal Novello, a construction executive who rode out the storm with his wife, Lori, in the Long Island town of Lindenhurst, and ended up with 7 feet of water in the basement.

The scope of the storm's damage wasn't known yet. Though early predictions of river flooding in Sandy's inland path were petering out, colder temperatures made snow the main product of Sandy's slow march from the sea. Parts of the West Virginia mountains were blanketed with 2 feet of snow by Tuesday afternoon, and drifts 4 feet deep were reported at Great Smoky Mountains National Park on the Tennessee-North Carolina border.

With Election Day a week away, the storm also threatened to affect the presidential campaign. Federal disaster response, always a dicey political issue, has become even thornier since government mismanagement of Hurricane Katrina in 2005. And poll access and voter turnout, both of which hinge upon how people are impacted by the storm, could help shift the outcome in an extremely close race.

As organized civilization came roaring back Tuesday in the form of emergency response, recharged cellphones and the reassurance of daylight, harrowing stories and pastiches emerged from Maryland north to Rhode Island in the hours after Sandy's howling winds and tidal surges shoved water over seaside barriers, into low-lying streets and up from coastal storm drains.

Images from around the storm-affected areas depicted scenes reminiscent of big-budget disaster movies. In Atlantic City, N.J., a gaping hole remained where once a stretch of boardwalk sat by the sea. In Queens, N.Y., rubble from a fire that destroyed as many as 100 houses in an evacuated beachfront neighborhood jutted into the air at ugly angles against a gray sky. In heavily flooded Hoboken, N.J., across the Hudson River from Manhattan, dozens of yellow cabs sat parked in rows, submerged in murky water to their windshields. At the ground zero construction site in lower Manhattan, sea water rushed into a gaping hole under harsh floodlights.

One of the most dramatic tales came from lower Manhattan, where a failed backup generator forced New York University's Tisch Hospital to relocate more than 200 patients, including 20 babies from neonatal intensive care. Dozens of ambulances lined up in the rainy night and the tiny patients were gingerly moved out, some attached to battery-powered respirators as gusts of wind blew their blankets.

In Moonachie, N.J., 10 miles north of Manhattan, water rose to 5 feet within 45 minutes and trapped residents who thought the worst of the storm had passed. Mobile-home park resident Juan Allen said water overflowed a 2-foot wall along a nearby creek, filling the area with 2 to 3 feet of water within 15 minutes. "I saw trees not just knocked down but ripped right out of the ground," he said. "I watched a tree crush a guy's house like a wet sponge."

In a measure of its massive size, waves on southern Lake Michigan rose to a record-tying 20.3 feet. High winds spinning off Sandy's edges clobbered the Cleveland area early Tuesday, uprooting trees, closing schools and flooding major roads along Lake Erie.

Most along the East Coast, though, grappled with an experience like Bertha Weismann of Bridgeport, Conn.— frightening, inconvenient and financially problematic but, overall, endurable. Her garage was flooded and she lost power, but she was grateful. "I feel like we are blessed," she said. "It could have been worse."

The presidential candidates' campaign maneuverings Tuesday revealed the delicacy of the need to look presidential in a crisis without appearing to capitalize on a disaster. President Barack Obama canceled a third straight day of campaigning, scratching events scheduled for Wednesday in swing-state Ohio, in Sandy's path. Republican Mitt Romney resumed his campaign with plans for an Ohio rally billed as a "storm relief event."

And the weather posed challenges a week out for how to get everyone out to vote. On the hard-hit New Jersey coastline, a county elections chief said some polling places on barrier islands will be unusable and have to be moved.

 "This is the biggest challenge we've ever had," said George R. Gilmore, chairman of the Ocean County Board of Elections.

By Tuesday afternoon, there were still only hints of the economic impact of the storm. Airports remained closed across the East Coast and far beyond as tens of thousands of travelers found they couldn't get where they were going.

Forecasting firm IHS Global Insight predicted the storm will end up causing about $20 billion in damages and $10 billion to $30 billion in lost business. Another firm, AIR Worldwide, estimated losses up to $15 billion — big numbers probably offset by reconstruction and repairs that will contribute to longer-term growth.

"The biggest problem is not the first few days but the coming months," said Alan Rubin, an expert in nature disaster recovery.

Sandy began in the Atlantic and knocked around the Caribbean — killing nearly 70 people — and strengthened into a hurricane as it chugged across the southeastern coast of the United States. By Tuesday night it had ebbed in strength but was joining up with another, more wintry storm — an expected confluence of weather systems that earned it nicknames like "superstorm" and, on Halloween eve, "Frankenstorm."

It became, pretty much everyone agreed Tuesday, the weather event of a lifetime — and one shared vigorously on social media by people in Sandy's path who took eye-popping photographs as the storm blew through, then shared them with the world by the blue light of their smartphones. 

On Twitter , Facebook and the photo-sharing service Instagram, people tried to connect, reassure relatives and make sense of what was happening — and, in many cases, work to authenticate reports of destruction and storm surges. They posted and passed around images and real-time updates at a dizzying rate, wishing each other well and gaping, virtually, at scenes of calamity moments after they unfolded. Among the top terms on Facebook through the night and well into Tuesday, according to the social network: "we are OK," ''made it" and "fine."

Around midday Tuesday, Sandy was about 120 miles east of Pittsburgh, pushing westward with winds of 45 mph, and was expected to turn toward New York State on Tuesday night. Although weakening as it goes, the storm will continue to bring heavy rain and flooding, said Daniel Brown of the National Hurricane Center in Miami.

Atlantic City's fabled Boardwalk, the first in the nation, lost several blocks when Sandy came through, though the majority of it remained intact even as other Jersey Shore boardwalks were dismantled. What damage could be seen on the coastline Tuesday was, in some locations, staggering — "unthinkable," New Jersey Gov. Chris Christie said of what unfolded along the Jersey Shore, where houses were swept from their foundations and amusement park rides were washed into the ocean. "Beyond anything I thought I would ever see."

Resident Carol Mason returned to her bayfront home to carpets that squished as she stepped on them. She made her final mortgage payment just last week. Facing a mandatory evacuation order, she had tried to ride out the storm at first but then saw the waters rising outside her bathroom window and quickly reconsidered.

"I looked at the bay and saw the fury in it," she said. "I knew it was time to go."

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Contributing to this report were Katie Zezima in Atlantic City, N.J.; Alicia Caldwell and Martin Crutsinger in Washington; Colleen Long, Jennifer Peltz, Tom Hays, Larry Neumeister, Ralph Russo and Scott Mayerowitz in New York; Meghan Barr in Mastic Beach, N.Y.; Christopher S. Rugaber in Arlington, Va.; Marc Levy in Harrisburg, Pa.: John Christoffersen in Bridgeport, Conn.; Vicki Smith in Elkins, W.Va.; David Porter in Newark, N.J.; Joe Mandak in Pittsburgh; and Dave Collins in Hartford, Conn.

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Follow Ted Anthony on Twitter at http://twitter.com/anthonyted

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