Saturday, October 29, 2011

Retirement revised: Jerry Brown proposes pension reform in California

Other states, also struggling with budget problems, will be watching closely to see how California handles this key issue with its 1.6 million public employees and retirees.

California Gov. Jerry Brown (D) has laid out a tough public-employee retirement plan that guarantees a fight with labor unions and will be closely watched by other states struggling with budget problems.

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Sorting out California?s budget mess has been Job 1 for Governor Brown since the day he took office in January following the failure to find fiscal stability under previous governors, including most recently Arnold Schwarzenegger. The state and local governments face billions of dollars in unfunded liabilities due to what critics say are overly generous public-employee pension benefits accumulated over the years.

Announced Thursday, Brown?s 12-point plan includes several dramatic changes to California?s public-employee system, most of which would apply to new hires. Among the proposals:

? The retirement age for new, non-public-safety employees would be raised from 55 to 67. The retirement age for newly hired public-safety employees would be raised beyond the current 50 years to an age based on their ability to perform the job and maintain public safety.

? For new employees, pension benefits would be based on the highest average annual compensation for three years, rather than the current one-year system.

? All employees would be required to pay more toward their retirement and health care, and retirement pay for new employees would become a hybrid of traditional pensions and a 401(k)-type savings plan.

? Employees would be barred from buying service credits known as ?air time? in order to boost retirement service credit for time not actually worked. Also banned would be ?spiking? ? giving an employee a raise shortly before retiring to boost their pension.

? New state employees would be required to work for 15 years to become eligible for any state-funded health-care premiums in retirement and 25 years to qualify for the maximum state contribution to those premiums.

? Brown also wants to add two independent, public members with financial expertise to the board of the California Public Employees' Retirement System (CalPERS), as well as make similar changes to other public retirement boards.

The Brown administration estimates its proposal, which would apply to all state, local, school, and other public employees, would save California some $900 million annually.

?It?s time to fix our pension systems so that they are fair and sustainable over a long time horizon,? Brown said Thursday. ?My plan raises the retirement age and bans abusive practices like ?spiking? and ?air time? while mandating that public employees pay an equal share of pension costs.?

He added, ?It is going to run into opposition, and it?s up to the Legislature to rise above that.?

Brown's plan would require consent of the Legislature, and several elements would require voter approval, including extending its provisions to employees at California's public university system.

As he did in trying to craft a cost-saving budget plan earlier this year, Brown will need the support of minority Republican lawmakers, as well as union-allied Democrats in the majority.

Republican state Sen. Mimi Walters, a member of a recently formed Senate-Assembly committee on pensions, said Brown was "moving in the right direction" with his plan to raise the retirement age and institute a mandatory hybrid system for paying retirees.

"Until we actually review the plan and can crunch the numbers, I will remain cautiously optimistic," Senator Walters said in a statement.

Polls show that most Californians favor reforming the state's public retirement system.

Union leaders, who had been briefed in advance of Brown?s announcement, were quick to indicate that they mean to fight any cuts to retirement benefits.

?It is unfortunate that he has proposed to increase the retirement age, shift greater costs to workers and impose a hybrid plan on new employees, when public employees already have agreed to hundreds of millions of dollars in pension concessions at the state and local level,? said Dave Low, chairman of the union coalition Californians for Retirement Security.

?Workers across California have negotiated contributing more to their pensions and two-tier benefits,? Low said in a statement. ?We simply cannot stand for imposing additional retirement rollbacks on millions of workers without bargaining.?

According to CalPERS, California has 1.6 million public employees and retirees.

Source: http://rss.csmonitor.com/~r/feeds/csm/~3/Rll5tjHTy4U/Retirement-revised-Jerry-Brown-proposes-pension-reform-in-California

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Friday, October 28, 2011

E. coli cases in and around St. Louis up to 22 (Providence Journal)

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Source: http://news.feedzilla.com/en_us/stories/politics/top-stories/154702371?client_source=feed&format=rss

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BMC selected spinal cord injury model system site by NIDRR

BMC selected spinal cord injury model system site by NIDRR [ Back to EurekAlert! ] Public release date: 27-Oct-2011
[ | E-mail | Share Share ]

Contact: Gina Orlando
gina.orlando@bmc.org
617-638-8490
Boston University Medical Center

(Boston) - The New England Regional Spinal Cord Injury Center at Boston Medical Center (BMC) has been selected as a Spinal Cord Injury Model System (SCIMS) by the National Institute on Disability and Rehabilitation Research (NIDRR). The grants are awarded in five-year cycles by the NIDRR through an extremely selective process with only 14 national sites.

NIDRR supports innovative research in the delivery, demonstration and assessment of medical rehabilitation to meet the needs of individuals with spinal cord injuries. The 14 SCIMS centers in the U.S. are recognized as national leaders in research, spinal cord injury care, and provide the highest level of specialty services from the point of injury through rehabilitation and outpatient care.

"With this grant the center will be able to continue as the leading center in New England for patient care, education and research in spinal cord injury," said Steve Williams, MD, chief of rehabilitation medicine at BMC and professor and chairman of rehabilitation medicine at Boston University School of Medicine. "We are the only model spinal cord injury center to form a network of hospitals including Gaylord Hospital in Wallingford, Connecticut and Hospital for Special Care in Hartford, Connecticut, allowing people throughout New England to receive the same standard of SCI care.

Committed to staying on the cutting edge of spinal cord research and treatment, the center is currently working on developing a measurement tool for people with spinal cord injuries spanning from childhood to the geriatric patient. This will allow physicians and researchers to see how function changes in a patient with spinal cord injury as they age.

###

About NERSCIS at Boston Medical Center

Known as the oldest civilian spinal cord rehabilitation facility in the country, the center was founded in 1955 by Dr. Donald Munroe and was the first SCIMS center in New England to be awarded this prestigious grant continuously since 1973. The BMC's acute rehabilitation unit accreditation by the Commission on Accreditation of Rehabilitation Facilities, and continued SCIMS designation demonstrates the center's dedication to providing the highest quality rehabilitation care across a variety of rehabilitation diagnoses to people throughout New England.

About Boston Medical Center

Boston Medical Center is a private, not-for-profit, 508-bed, academic medical center that is the primary teaching affiliate of Boston University School of Medicine. Committed to providing high-quality health care to all, the hospital offers a full spectrum of pediatric and adult care services including primary and family medicine and advanced specialty care with an emphasis on community-based care. Boston Medical Center offers specialized care for complex health problems and is a leading research institution. Boston Medical Center and Boston University School of Medicine are partners in the Boston HealthNet15 community health centers focused on providing exceptional health care to residents of Boston. For more information, please visit http://www.bmc.org .



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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


BMC selected spinal cord injury model system site by NIDRR [ Back to EurekAlert! ] Public release date: 27-Oct-2011
[ | E-mail | Share Share ]

Contact: Gina Orlando
gina.orlando@bmc.org
617-638-8490
Boston University Medical Center

(Boston) - The New England Regional Spinal Cord Injury Center at Boston Medical Center (BMC) has been selected as a Spinal Cord Injury Model System (SCIMS) by the National Institute on Disability and Rehabilitation Research (NIDRR). The grants are awarded in five-year cycles by the NIDRR through an extremely selective process with only 14 national sites.

NIDRR supports innovative research in the delivery, demonstration and assessment of medical rehabilitation to meet the needs of individuals with spinal cord injuries. The 14 SCIMS centers in the U.S. are recognized as national leaders in research, spinal cord injury care, and provide the highest level of specialty services from the point of injury through rehabilitation and outpatient care.

"With this grant the center will be able to continue as the leading center in New England for patient care, education and research in spinal cord injury," said Steve Williams, MD, chief of rehabilitation medicine at BMC and professor and chairman of rehabilitation medicine at Boston University School of Medicine. "We are the only model spinal cord injury center to form a network of hospitals including Gaylord Hospital in Wallingford, Connecticut and Hospital for Special Care in Hartford, Connecticut, allowing people throughout New England to receive the same standard of SCI care.

Committed to staying on the cutting edge of spinal cord research and treatment, the center is currently working on developing a measurement tool for people with spinal cord injuries spanning from childhood to the geriatric patient. This will allow physicians and researchers to see how function changes in a patient with spinal cord injury as they age.

###

About NERSCIS at Boston Medical Center

Known as the oldest civilian spinal cord rehabilitation facility in the country, the center was founded in 1955 by Dr. Donald Munroe and was the first SCIMS center in New England to be awarded this prestigious grant continuously since 1973. The BMC's acute rehabilitation unit accreditation by the Commission on Accreditation of Rehabilitation Facilities, and continued SCIMS designation demonstrates the center's dedication to providing the highest quality rehabilitation care across a variety of rehabilitation diagnoses to people throughout New England.

About Boston Medical Center

Boston Medical Center is a private, not-for-profit, 508-bed, academic medical center that is the primary teaching affiliate of Boston University School of Medicine. Committed to providing high-quality health care to all, the hospital offers a full spectrum of pediatric and adult care services including primary and family medicine and advanced specialty care with an emphasis on community-based care. Boston Medical Center offers specialized care for complex health problems and is a leading research institution. Boston Medical Center and Boston University School of Medicine are partners in the Boston HealthNet15 community health centers focused on providing exceptional health care to residents of Boston. For more information, please visit http://www.bmc.org .



[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2011-10/bumc-bss102711.php

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Perry says 'no doubt' Obama is an American citizen (AP)

WASHINGTON ? Republican presidential candidate Rick Perry said Wednesday that he has "no doubt" that President Barack Obama is an American citizen, staking out a definitive position on the matter after spending several days stoking widely debunked claims that the Democrat was born overseas.

Perry's comments come as he's struggling to right his troubled campaign, and as some Republicans question whether he's done irreparable damage to his run by dabbling in the so-called "birther" controversy in recent days.

Some Republicans privately worry that his comments about Obama's birth certificate may have endeared him to the party's conservative wing that questions the legitimacy of Obama's presidency but also may have started to marginalize the Texas governor from the larger electorate. That could put the general election at risk should Perry win the GOP nomination.

His comments certainly irked several GOP luminaries, like former Florida Gov. Jeb Bush, who in recent days have urged Republican presidential candidates to stop raising the issue. Others, like Mississippi Gov. Haley Barbour and campaign rival Jon Huntsman say it's bad for the GOP.

"If we take our eye off the ball called debt, if we take our eye off the ball called our position in the world ? continue going with you know, two wars simultaneously ? of course we can lose it," Utah's former governor said, speaking on ABC news' political webcast "Top Line" on Wednesday. "And if we kind of begin wasting time on the nonsensical and the silly issues like birtherism."

Karl Rove, George W. Bush's political strategist, said Perry may be hurting his campaign. "You associate yourself with a nutty view like that, and you damage yourself," Rove said on Fox News.

Perhaps for that reason, Perry seemed to try to put the issue to rest in an interview with two Florida news organizations, Bay News 9's "Political Connections" in Tampa and the St. Petersburg Times.

Asked whether he had any doubt that Obama was an American citizen, Perry said: "I have no doubt about it." But he also suggested that raising the issue is "fun" and that people should "lighten up a little bit."

"I don't think I was expressing doubts," Perry said of his comments in recent days that raised questions about Obama's birthplace. "I was having some fun with Donald Trump," the real estate mogul who this summer flirted with a presidential run and stoked the "birther" talk.

Speculation about Obama's birthplace ? a way to question whether his presidency is legitimate_ has swirled among conservatives for years. As Trump fanned the issue earlier this year, Obama held a news conference to release his long-form birth certificate and try to put the issue to rest.

While other Republican presidential candidates have kept their distance on the issue, Perry deeply waded into the topic in an interview published over the weekend in Parade magazine. He was quoted as saying that he has "no reason to believe" that Obama was not born in the United States. He also said he still wasn't sure if Obama's birth certificate is legit.

"I don't have a definitive answer," Perry said in that interview. And when it was suggested that Perry ? and the world ? had seen Obama's birth certificate, Perry said: "I don't know. Have I?"

Then, in an interview with CNBC and The New York Times, Perry said the birth certificate question was "a good issue to keep alive."

"It's fun to poke him a little bit," Perry said.

And by Tuesday, Perry refused in South Carolina to answer a reporter's direct question about whether he believed Obama when he offered proof ? in the form of a birth certificate ? that he was born in Hawaii.

"I'll cut you off right there," Perry said when asked about Obama's birth certificate. "That is one of the biggest distractions that there is going. We need to be talking about jobs."

Perry also offered to release his own birth certificate, saying: "If somebody wants to see my birth certificate, I'd be happy to show it to them," Perry said. "But the fact is that this is a distraction, and Americans really don't care about that, if you want to know the truth of the matter."

`

Source: http://us.rd.yahoo.com/dailynews/rss/politics/*http%3A//news.yahoo.com/s/ap/20111027/ap_on_el_pr/us_perry_obama_birthplace

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Thursday, October 27, 2011

You are what you eat: Low fat diet with fish oil slows growth of human prostate cancer cells, study suggests

ScienceDaily (Oct. 25, 2011) ? Men who ate a low-fat diet with fish oil supplements for four to six weeks before having their prostate removed had slower cancer-cell growth in their prostate tissue than men who ate a traditional, high-fat Western diet, according to a study by researchers at UCLA's Jonsson Comprehensive Cancer Center.

The researchers also found a change in the composition of cell membranes in both healthy cells and cancer cells in the prostates of men on the low-fat, fish oil-supplement diet. The membranes had heightened levels of omega-3 fatty acids from fish oil and decreased levels of omega-6 fatty acids from corn oil, which may directly affect the biology of the cells, though further studies are needed, said Dr. William Aronson, the study's first author and a researcher with the Jonsson Cancer Center.

The short-term study also found that blood obtained from patients after the low-fat, fish oil diet slowed the growth of prostate cancer cells in a test tube, while blood from men on the Western diet did not slow cancer growth.

"The finding that the low-fat, fish oil diet reduced the number of rapidly dividing cells in the prostate cancer tissue is important because the rate at which the cells are dividing can be predictive of future cancer progression," Aronson said. "The lower the rate of proliferation, the lesser the chances that the cancer will spread outside the prostate, where it is much harder to treat."

The findings are published Oct. 25 in Cancer Prevention Research, a peer-reviewed journal of the American Association for Cancer Research.

The study, which evaluated blood samples before and after the diet began and examined tissue from removed prostates, validated previous studies Aronson and others had done on cell lines and in animal models. Aronson said using human blood and tissue in this study proved that the changes prompted by what the men were eating were clearly evident in their prostate tissue -- that the "treatment" was indeed reaching the targeted organ because of the changes in the prostate cell membranes' fatty acid composition.

"You truly are what you eat," said Aronson, a clinical professor of urology who also serves as chief of urologic oncology at the West Los Angeles Veterans Affairs Medical Center. "Based on our animal studies, we were hopeful that we would see the same effects in humans. We are extremely pleased about our findings, which suggest that by altering the diet, we may favorably affect the biology of prostate cancer."

Aronson measured proliferation -- the rate of prostate cancer cell division -- by staining tissue obtained from the radical prostatectomy specimens with an antibody against Ki-67, a protein involved in the cell-cycle progression and growth.

"The percentage of prostate cancer cells that stained for Ki-67 was determined by the pathologist, and this gave us an objective measurement of the percentage of cells that were actively dividing and therefore more aggressive," Aronson said. "Previous studies found that patients with higher levels of Ki-67 in their prostate cancer tissue were more likely to have their prostate cancer progress to advanced stages and were more likely to die from their prostate cancer. Thus, we are extremely encouraged by our findings that a low-fat diet with fish oil lowered Ki-67 levels and may have the potential to slow the progression of prostate cancer."

Diet studies often are difficult to evaluate because getting patients to comply with dietary changes can be challenging. However, the food eaten by men in both arms of this study was precisely controlled, Aronson said. The meals were prepared by chefs at the UCLA Clinical Translational Research Center and delivered in bulk to study participants several times a week. Participants also met with a dietician, kept food diaries and were required to return uneaten food.

"The key to this study was having the meals prepared and delivered to the study participants," Aronson said. "This resulted in a very high rate of compliance, making the study very well controlled."

With the study's Western diet, 40 percent of the calories came from fat, which is generally equivalent to what many Americans consume today. The fat sources also were typical of the American diet and included high levels of omega-6 fatty acids from corn oil and low levels of fish oil that provides omega-3 fatty acids.

With the low-fat diet, 15 percent of the calories from fat. Additionally, the men on this diet took five grams of fish oil per day in five capsules, three with breakfast and two with dinner, to provide omega-3 fatty acids. Omega-3 fatty acids have been found to reduce the incidence of heart disease and to fight inflammation, which has been associated with certain cancers.

"Preclinical studies suggest that lowering dietary omega-6 fatty acids from corn oil and increasing omega-3 fatty acids from fish oil decreases the risk of prostate cancer development and progression," the study states. "We found this diet intervention resulted in a decrease in omega-6 vs. omega-3 fatty acid ratios in benign and malignant prostate tissue and a decrease in malignant cell proliferation."

Aronson cautioned that he could not recommend dietary changes based on this study, which included 48 men, because of its short duration and small sample size. However, based on these results, he is organizing a much larger study of 100 men with prostate cancers who have elected active surveillance, meaning they're not getting any treatment for their disease but are getting regular biopsies and check-ups.

The future study will randomly divide the men into a low-fat, fish oil-supplement group and a traditional Western diet group and follow them for a year to evaluate the diets' effects on prostate cancer proliferation.

This study was funded in part by the National Cancer Institute, the Department of Veterans Affairs and the Ruby Family Foundation.

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The above story is reprinted from materials provided by University of California - Los Angeles Health Sciences.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


Journal Reference:

  1. William J. Aronson, Naoko Kobayashi, R. James Barnard, Susanne Henning, Min Huang, Patricia M. Jardack, Bingrong Liu, Ashley Gray, Junxiang Wan, Ramdev Konijeti, Stephen J. Freedland, Brandon Castor, David Heber, David Elashoff, Jonathan Said, Pinchas Cohen, Colette Galet. Phase II Prospective Randomized Trial of a Low-Fat Diet with Fish Oil Supplementation in Men Undergoing Radical Prostatectomy. Cancer Prevention Research, Published online Oct. 25, 2011; DOI: 10.1158/1940-6207.CAPR-11-0298

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.

Source: http://www.sciencedaily.com/releases/2011/10/111025135931.htm

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Health Tip: Alcohol Can Interact With Medications (HealthDay)

(HealthDay News) -- Over-the-counter medications may seem safer because they don't require a prescription. But they can still interact badly when alcohol enters the mix.

The American Academy of Family Physicians mentions these popular medications that may have adverse effects if mixed with alcohol:

  • NSAID pain relievers, which may lead to gastrointestinal bleeding if taken while consuming as few as two alcoholic drink per week.
  • Acetaminophen, which may cause liver damage when taken with alcohol.
  • Some OTC antihistamines can make you drowsy when taken with alcohol.
  • Decongestants and cough medications that contain the cough suppressant dextromethorphan can increase drowsiness when taken with alcohol.
  • Herbal supplements, such as kava kava, St. John's wort or valerian root, may increase drowsiness if taken with alcohol.

Source: http://us.rd.yahoo.com/dailynews/rss/health/*http%3A//news.yahoo.com/s/hsn/20111026/hl_hsn/healthtipalcoholcaninteractwithmedications

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Wednesday, October 26, 2011

Equinix business exchange plays proximity card ? Cloud ...

It may seem counterintuitive, but in the cloud computing era, location does matter, at least when it comes to where data is stored and processed.

Data centers are becoming the market exchanges of the new digital economy so the?closer a business can put its data?and compute power?to its users and partners, the better.

That?s the thinking behind the new Equinix International Business Exchange (IBX). Equinix, the big data center services provider, built the online marketplace to help its data center ?customers?which include SaaS companies, managed service providers and financial services outfits?expand into new markets and tap into an existing battery of potential partners that already use those data centers, according to Jarrett Appleby, chief marketing officer.

Equinix fields 99 data centers in 38 countries and claims 4,000 business customers.

Partnering with partners that use the same data center is not new and Equinix even helped match-make some customers in the past, but in an ad hoc way. IBX should give these customers easy click through menus to find potential partners based on geography and type of services needed, Appleby said.

?You can say, look, I?m a Rackspace OpenStack customer in Singapore and I want to add this sort of service. Who can I work with that?s already in my data center?? he said.

The Equinix effort follows other work big data center hosters have done to cut latency times and boost throughput for business customers. In August, Amazon Web Services a Direct Connect program that gave large data center services companies, including Equinix?a fat, fast direct pipe into AWS.

Equinix sees an opportunity given the demographics of its customer base. ?Now more than half of our business is with customers who use us in multiple regions and 60 percent are businesses who use us in multiple countries, up about 10 percent from last year,? Appleby said.

If a business wants to expand into new geographies, it can do so faster if its data center provider is already local to the new venue and the business can utilize connections already in place, Appleby said.

He cited an example of Bloomberg L.P, big financial services firm ?which initially wanted to launch a new service in Chicago and New York. ?But then they figured, why not do that globally? We helped them get into ten markets in less than a year.?

Photo courtesy of?Flickr user DeclanTM.

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Source: http://gigaom.com/cloud/equinix-business-exchange-plays-proximity-card/

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