Analysis: Republicans start new Congress bruised and divided

WASHINGTON (Reuters) – In the wake of bruising fights in their own ranks over the “fiscal cliff” and aid for victims of superstorm Sandy – Republicans in the U.S. House of Representatives open a new Congress on Thursday more divided than ever.

While their leader, Speaker John Boehner, seems in no danger of losing his position because of the divisions, his ability to speak for his membership in the House appears greatly diminished.

That could not come at a worse time for Republicans as they prepare for their next attempt to get more spending cuts out of President Barack Obama. They will try to use the debt ceiling – and Obama’s request to raise it – as leverage, as they did in 2011.

But if the final days of this Congress were indicative of things to come, Republicans will have a rough time effectively using their majority in the House against Obama, who even Republicans acknowledge is at the top of his game following the Democrat’s re-election in November.

The fiscal cliff battle to avert steep tax hikes and spending cuts that were due to kick in at the start of this year proved gut-wrenching for Republicans.

Obama’s demand for a tax hike on the rich challenged a core principle that has guided Republicans for decades: No new taxes. Ever.

Yet, late on New Year’s night, 85 Republicans in the House did just that, voting to raise income taxes on household income of more than $ 450,000 a year.

Some of the Republican Party’s biggest stars were among the 85 – including Boehner and Paul Ryan, the 2012 Republican vice presidential candidate, who is seen as a conservative anchor.

But 151 House Republicans stood in defiance, leaving Boehner in the unenviable position of having to rely on opposition Democrats to pass major legislation.

Earlier in the fiscal cliff fight, Boehner suffered a humiliating defeat when his “Plan B” solution – which would have limited the tax hikes to income of $ 1 million a year or more, got so little support he had to cancel the vote.

No sooner had the fiscal cliff battle ended than Boehner found himself in trouble with other Republicans over aid for victims of Sandy, the second costliest storm in U.S. history, which smashed New York and New Jersey coastal communities in late October.

Legislation providing disaster relief to New York, New Jersey and other East Coast states was delayed. A House Republican aide said that given Republicans’ frustration with the fiscal cliff bill and its lack of significant spending cuts, “it was not a good time to immediately vote on $ 60 billion in new spending.”

“I don’t enjoy saying this. I consider myself a personal friend of John Boehner’s,” said Republican Representative Peter King of New York. “It pains me to say this, but the fact is that the dismissive attitude that was shown … toward New York, New Jersey and Connecticut typifies, I believe, a strain in the Republican Party.”

Earlier, King had condemned House inaction on Sandy as a “knife in the back.”

Republican Representative Michael Grimm, also of New York, said of Boehner’s refusal to bring the disaster bill to a vote: “There was a betrayal. There was an arrogant judgment that is going to cost I think the trust of the American people.”

Ironically, Grimm first won his seat in Congress in 2010 with the help of conservative Tea Party activists who sometimes show displeasure with disaster aid spending.

By midday on Wednesday, Boehner had changed course, promising a House vote by week’s end on a $ 9 billion down payment in storm assistance, with a second bill providing $ 51 billion to be voted on January 15.

TEA PARTY EFFECT

Paul Light, a New York University professor and a specialist on Congress, said the vote on the fiscal cliff bill could mark the start of a “major realignment” in the run-up to the 2014 congressional elections and the 2016 presidential race.

Republicans who voted for the legislation “are going to have to find a home. They’re not going to find it with the Tea Party,” Light said.

He said that Republicans who were uncomfortable with the Tea Party could begin aligning themselves more closely with a dwindling band of centrist Democrats.

Congressional Republicans, especially in the House, have been buffeted for two years by the Tea Party, which helped them win control of the House in 2010.

Boehner had to navigate Tea Party demands throughout the 2011 fight over raising U.S. borrowing authority or risking a historic government default.

In rapid succession, Tea Party-fueled battles were waged over infrastructure investments, farm subsidies, payroll tax cuts and the fiscal cliff.

At the core of the disputes was whether the government should be made smaller, forcing Boehner to balance that demand with the need to govern and keep the federal government operating in an orderly way.

For all the heartache over the past several weeks as Republicans fought with one another over whether to let taxes on the rich go up, many see better days ahead.

“By and large, people are probably happy to have it behind them. This was obviously the worst part of the fiscal debate,” said one House Republican staffer, referring to the tax hikes.

The staffer added, “Republicans get to point out that we still have a $ 1 trillion deficit and ask Democrats what kind of spending cuts, entitlement reforms they are willing to do to fix it.”

Republicans feel that will be an easier lift for them – one that they can sell to the American public as they move on to the fight over the debt ceiling.

(Editing by Fred Barbash and Peter Cooney)

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“Fiscal cliff” crisis heads to resolution in Congress

WASHINGTON (Reuters) – A months-long battle over the U.S. “fiscal cliff” headed to a close on Tuesday as the House of Representatives moved toward final approval of a bipartisan deal meant to prevent Washington from pushing the world’s biggest economy into recession.

The Republican-controlled House was expected to back a tax hike on the top U.S. earners shortly before midnight on Tuesday, ending weeks of high-stakes budget brinkmanship that threatened to spook consumers and throw financial markets into turmoil.

Approval of the bill would be a victory for President Barack Obama, who campaigned for re-election last November on a promise to raise taxes on the wealthiest but faced stiff opposition from congressional Republicans.

Republicans had earlier considered adding hundreds of billions of dollars in spending cuts after the bill had already passed the Senate with strong bipartisan support. That would have triggered further partisan warfare and pushed the crisis well past a self-imposed January 1 deadline.

But party leaders abandoned the effort after determining they lacked the votes.

“We’ve gone as far as we can go and I think people are ready to bring it to a conclusion,” Republican Representative Jack Kingston of Georgia said. “We fought the fight.”

Rules Committee Chairman David Dreier, a Republican, predicted the House would back the Senate bill, which also postpones for two months $ 109 billion in spending cuts on military and domestic programs set for 2013.

The bill easily cleared a procedural hurdle by a bipartisan vote of 408 to 10.

Lawmakers have struggled to find a way to head off across-the-board tax hikes and spending cuts that began to take effect at midnight, a legacy of earlier failed budget deals that is known as the fiscal cliff.

Strictly speaking, the United States went over the cliff in the first minutes of the New Year because Congress failed to produce legislation to halt $ 600 billion of tax hikes and spending cuts scheduled for this year.

TAX HIKES FOR WEALTHIEST

While many Republicans were uneasy with the tax hikes and wanted more spending cuts in the bill, they seemed to realize that the fiscal cliff would begin to damage the economy once financial markets and federal government offices returned to work on Wednesday. Opinion polls show the public would blame Republicans if a deal were to fall apart.

House Republicans had earlier considered adding $ 330 billion in spending cuts over 10 years to the Senate bill, which raises taxes on the wealthiest U.S. households by $ 620 billion over the same period.

But Senate Democrats refused to consider any changes to their bill, which passed 89 to 8 in a rare display of unity early Tuesday.

That measure, which passed the Senate at around 2 a.m., would raise income taxes on families earning more than $ 450,000 per year and limit the amount of deductions they can take to lower their tax bill.

Low temporary rates that have been in place for the past decade would be made permanent for less-affluent taxpayers, along with a range of targeted tax breaks put in place to fight the 2009 economic downturn.

However, workers would see up to $ 2,000 more taken out of their paychecks annually with the expiration of a temporary payroll tax cut.

The non-partisan Congressional Budget Office said the Senate bill would increase budget deficits by nearly $ 4 trillion over the coming 10 years, compared to the budget savings that would occur if the extreme measures of the cliff were to kick in.

But the bill would actually save $ 650 billion during that time period when measured against the tax and spending policies that were in effect on Monday, according to the Committee for a Responsible Federal Budget, an independent group that has pushed for more aggressive deficit savings.

(Additional reporting by Rachelle Younglai, Thomas Ferraro and David Lawder; Writing by Andy Sullivan; Editing by Alistair Bell and Eric Beech)

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Illinois Sen. Kirk to return a year after stroke

CHICAGO (AP) — Nearly a year after a stroke left him barely able to move the left side of his body, U.S. Sen. Mark Kirk is expected to climb the 45 steps to the Senate‘s front door this week — a walk that’s significant not just for Illinois‘ junior senator, but also for medical researchers and hundreds of thousands of stroke patients.

It’s estimated only one-third of patients return to work after a stroke, said Dr. Elliot Roth, medical director of the Rehabilitation Institute of Chicago‘s New Patient Recovery Unit and AbilityLab, where Kirk recovered.

The 53-year-old Republican will return to the high-profile, demanding life of a Washington lawmaker after an experimental rehabilitation so intense it’s often compared to boot camp, Roth said. Patients keep grueling schedules, often spending eight hours a day or more re-learning how to walk, talk and do other tasks.

Because there are risks to going back to work unprepared, patients do “practice runs” of what it will be like to be back on the job. If and when they successfully return to work, Roth added, “It’s like having a great symphony play and recognizing it’s all the practice beforehand that went into it.”

Kirk will walk back into a Congress that has grappled for weeks over how to avoid going over the “fiscal cliff,” a series of across-the-board tax increases and spending cuts due to take effect Tuesday. President Barack Obama indicated Monday afternoon that a deal was in sight, but not yet finalized. But House Republicans said they will not vote on the issue Monday night, and it remained unclear whether the Senate would vote Monday.

The Illinois senator’s return will be inspiring to fellow stroke patients, said Frank Watson, the former Republican leader of the Illinois Senate who resigned from office after his 2008 stroke.

“For us in the stroke fraternity, we’re very happy to see this occur, to see somebody taking their life back,” Watson said. “There are so many people who don’t make it back.”

Kirk, who won President Barack Obama’s former Senate seat in 2010, checked himself into a hospital in January 2012 after feeling dizzy. Tests revealed that the avid swimmer had suffered a major stroke. Surgeons had to remove two small pieces of destroyed brain tissue, and temporarily removed a 4-inch by 8-inch portion of his skull to allow for swelling.

Doctors said movement in Kirk’s left side was severely limited. He was in intensive care and would need speech therapy, but they expected he would make a full mental recovery.

Within days, they said Kirk was asking for his Blackberry. In May, Kirk released a video updating his progress and showing footage of him walking with the help of a harness, a cane and Rehabilitation Institute of Chicago staff. It also included clips of Kirk speaking while sitting in a chair, his left shoulder lower than his right and the left side of his face still largely paralyzed.

Kirk said in the video that his staff had counted the steps from the parking lot to the front door of the Senate. It was his hope to climb all 45 of them someday, “to fight for the people of Illinois.”

In a separate video released three months later, Kirk was shown climbing stairs at the RIC and working in his home office. He said he had moved back to his home in the north Chicago suburbs, and that he was talking to his staff several times a day and keeping up with business in Washington via email. He also touted the experimental therapy, through which he had logged almost 15 miles and 145 flights of stairs.

Roth said the study represents a new approach to stroke rehabilitation, which has traditionally been slower and more cautious. In the study, one group — which included Kirk — was pushed harder and walked more, in an effort to see if it led to a quicker recovery.

In November, Kirk climbed 37 floors of stairs inside Chicago’s Willis Tower as part of an RIC fundraiser. One of his therapists called it “remarkable progress.”

Kirk has said little to the media throughout his rehabilitation. Through his staff, he declined to comment about his return to Washington. They have said he’ll walk the steps Jan. 3, when the new Congress convenes.

Watson, who was in a wheelchair for months after his stroke, said it will be important for Kirk to take it slow and make time for continued rehabilitation, noting “it’s not over.”

Watson’s stroke affected his emotions, prompting him to break down in tears at times he previously would not have. It’s something that still happens a little, he said.

Moments later, talking about the significance of Kirk’s return, Watson began to cry.

“We need success stories,” he said, “and Mark’s one of them.”

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A blood clot’s danger depends on where it is

Blood clots like the one that Secretary of State Hillary Rodham Clinton is being treated for following her recent concussion can occur for a host of reasons. How serious a clot is depends on where it is and why it formed, doctors say. A Clinton aide would not say where hers is located.

WHAT THEY ARE: Blood pools and thickens into a clot after an injury or because of a heart problem, clogged arteries or other condition. Clots also can break off and travel to another part of the body.

WHERE THEY OCCUR: In leg veins (called deep vein thrombosis) or in blood vessels in the neck, brain or lungs. Leg clots are a common risk after someone has been bedridden. Clots are most dangerous when they travel to the lungs, a potentially life-threatening situation, or to the brain, where they can cause a stroke.

RISK FACTORS: High blood pressure, diabetes, birth control pills, pregnancy, stroke, recent surgery, prolonged sitting, circulation problems and heart problems — especially an irregular heartbeat called atrial fibrillation — raise the chances of developing a blood clot.

TREATMENT: Sometimes a blood thinner such as warfarin (Coumadin) is prescribed to allow the clot to dissolve by itself over time and prevent new ones from forming.

___

Online:

Concussion information: http://www.cdc.gov/concussion/

Blood clots: http://www.mayoclinic.com/health/blood-clots/MY00109/DSECTION=causes

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Analysis: After “fiscal cliff” dive, more battles, new cliffs

WASHINGTON (Reuters) – Whether or not the “fiscal cliff” impasse is broken before the New Year’s Eve deadline, there will be no post-cliff peace in Washington.

With the political climate toxic in Congress as the cliff’s steep tax hikes and spending cuts approach, other partisan fights loom, all over the issue that has paralyzed the capital for the past two years: federal spending.

The first will come in late February when the Treasury Department runs out of borrowing authority and has to come to Congress to get the debt ceiling raised.

The next is likely in late March, when a temporary bill to fund the government runs out, confronting Congress with a deadline to act or face a government shutdown. The third will possibly be whenever the temporary bill replacing the temporary bill expires.

While Congress is supposed to pass annual spending bills before the start of each fiscal year, it has failed to complete that process since 1996, resorting to stopgap funding ever since.

Influential anti-tax activist Grover Norquist predicted in an interview with Reuters that conservatives would wage repeated battles with President Barack Obama to demand budget savings every time the government needs a temporary funding bill or more borrowing capacity.

The so-called “continuing resolutions” to which a divided Congress has increasingly resorted to keep the government operating, provide a “very powerful tool” to pry out spending cuts, said Norquist, president of Americans for Tax Reform.

Republican Senator Bob Corker of Tennessee said he will not be satisfied until there are substantial cuts to federal retirement and healthcare benefits known as entitlements, producing savings in the $ 4.5 trillion to $ 5 trillion range.

“Unfortunately for America,” said Corker, “the next line in the sand will be the debt ceiling.”

Most observers see the $ 16.4 trillion debt limit as the true fiscal cliff in the new year because if not increased, it would eventually lead to a default on U.S. Treasury debt, an event that could prove cataclysmic for financial markets.

The Treasury Department said on Wednesday it would start taking extraordinary measures by December 31 to extend its borrowing capacity for about two more months.

‘POISONOUS CLIMATE’

It was a deadlock over raising the debt ceiling in August 2011 that prompted a deficit reduction deal that led to a key fiscal cliff component, the $ 109 billion in automatic spending cuts on military and domestic programs.

If the fiscal cliff’s spending cuts or tax increases are left even partly unresolved on December 31, the political combat over them will carry over into the new Congress, possibly simultaneously with the debt ceiling debate.

“We would be pessimistic of a quick fix” if the deadline is missed, Sean West, head U.S. analyst at Eurasia Group, a political risk consultancy, said in a note to clients. “The political climate will be poisoned. The new Congress will need time to settle in.”

“We are concluding one of the most unsuccessful Congresses in history,” Democratic Representative John Dingell of Michigan declared in a statement on Saturday, “noteworthy not only for its failure to accomplish anything of importance, but also for the poisonous climate of the institution.”

Dingell, 86, is the longest serving member of the House, elected first in 1955.

Historically, bitter struggles in Congress like that over the fiscal cliff lead to further resentment and strife in a cycle of cumulative grudges that now spans nearly 30 years.

Many analysts and lobbyists in Washington believe the strife could get even worse because the new Congress convening on January 3 will include fewer members from moderate or swing districts and more from districts tilted heavily to the left or the right.

Republicans in particular are likely to face their most serious re-election challenges in 2014 not from Democrats but from conservative Republicans challenging them in primary elections.

“Ironically,” said a post-election analysis published by the law firm Patton Boggs, “the voters have elected a 113th Congress that may be even more partisan than the 112th.”

(Reporting by David Lawder and Fred Barbash; Editing by Eric Beech)

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India gang rape victim dies in Singapore hospital

SINGAPORE/NEW DELHI (Reuters) – An Indian woman whose gang rape in New Delhi triggered violent protests died of her injuries on Saturday in a Singapore hospital, bringing a security lockdown in Delhi and recognition from India‘s prime minister that social change is needed.

The Indian capital braced for a new wave of protests, closing metro stations and banning vehicles from the city centre district where young activists had converged to demand improved women’s rights. The news came in the early hours of the morning in India and there were no signs of protests as morning broke.

The 23-year-old medical student, severely beaten, raped and thrown out of a moving bus in New Delhi two weeks ago, had been flown to Singapore in a critical condition by the Indian government on Thursday for specialist treatment.

“We are very sad to report that the patient passed away peacefully at 4:45 a.m. on Dec 29, 2012 (2045 GMT Friday). Her family and officials from the High Commission (embassy) of India were by her side,” Mount Elizabeth Hospital Chief Executive Officer Kelvin Loh said in a statement.

Indian Prime Minister Manmohan Singh said in a statement he was deeply saddened by the death and described the emotions associated with her case as “perfectly understandable reactions from a young India and an India that genuinely desires change.

“It would be a true homage to her memory if we are able to channelize these emotions and energies into a constructive course of action.”

Delhi‘s Chief Minister, Sheila Dikshit, expressed revulsion.

“It is a shameful moment for me not just as a chief minister but also as a citizen of this country,” she said.

The woman, who has not been identified, and a male friend were returning home from the cinema by bus on the evening of December 16 when, media reports say, six men on the bus beat them with metal rods and repeatedly raped the woman. The reports say a rod was used in the rape, causing internal injuries. Both were thrown from the bus. The male friend survived the attack.

Singh’s government has been battling criticism that it was tone-deaf to the outcry that followed the attack and was heavy handed in its response to the protests in the Indian capital.

Most rapes and other sex crimes in India go unreported and offenders are rarely punished, women’s rights activists say. But the brutality of the December 16 assault sparked public outrage and calls for better policing and harsher punishment for rapists.

VEHICLES BARRED FROM DELHI CITY CENTRE

T.C.A. Raghavan, the Indian High Commissioner to Singapore, told reporters hours after the woman’s death that a chartered aircraft would fly her body back to India on Saturday, along with members of her family. The woman’s body had earlier been loaded into a van at the hospital and driven away.

In New Delhi, the Joint Commissioner of Traffic Police, Satyendra Garg, told NDTV news channel that residents and commuters were advised to avoid the city centre.

The case has received blanket coverage on cable television news channels. Some Indian media have called the woman “Amanat”, an Urdu word meaning “treasure”.

Talking to reporters earlier on Saturday, Raghavan declined to comment on Indian media reports accusing the government of sending her to Singapore to minimize the possible backlash in the event of her death.

Some Indian medical experts had questioned the decision to airlift the woman to Singapore, calling it a risky maneuver given the seriousness of her injuries. They had said she was already receiving the best possible care in India.

But Dr B.D. Athani, medical superintendent of the New Delhi hospital where she had initially been treated, told Indian television the intention was to give the victim the best chance of surviving in what he described as “an extreme case”.

“Her condition was very critical from day one. We had managed what best we could do at our end … she had to be shifted to a centre with much better facilities.”

On Friday, the Singapore hospital had said the woman’s condition had taken a turn for the worse. It said she had suffered “significant brain injury”. She had already undergone three abdominal operations before arriving in Singapore.

The suspects in the rape – five men aged between 20 and 40, and a juvenile – were arrested within hours of the attack and are in custody. Media reports say they are likely to be formally charged with murder next week.

Commentators and sociologists say the rape tapped into a deep well of frustration many Indians feel over what they see as weak governance and poor leadership on social and economic issues.

Many protesters have complained that Singh’s government has done little to curb the abuse of women in the country of 1.2 billion. A global poll by the Thomson Reuters Foundation in June found that India was the worst place to be a woman because of high rates of infanticide, child marriage and slavery.

New Delhi has the highest number of sex crimes among India’s major cities, with a rape reported on average every 18 hours, according to police figures. Government data show the number of reported rape cases in the country rose by nearly 17 percent between 2007 and 2011.

(Additional reporting by Ross Colvin and Devidutta Tripathy in New Delhi; Saeed Azhar, Edgar Su and Sanjeev Miglani in Singapore; Editing by Michael Roddy, Ron Popeski and Mark Bendeich)

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Former President George H.W. Bush remains in intensive care

AUSTIN, Texas (Reuters) – Former President George H.W. Bush remained in the intensive care unit of a Houston hospital on Thursday, but his longtime chief of staff issued a reassuring message, urging the media and the public to “put the harps back in the closet.”

Bush, 88, a Republican who during his one term in office led a coalition of nations that ejected Iraqi forces from Kuwait in 1991, was admitted to Methodist Hospital November 23 for bronchitis.

He was transferred to intensive care on Sunday after setbacks including a persistent fever, family spokesman Jim McGrath has said.

“I don’t have any guidance so far today except to say no news is good news,” McGrath said on Thursday. Hospital spokesman George Kovacik added that the former president remained in intensive care on Thursday.

But in a statement addressed to the “national media” on Bush’s condition on Thursday, chief of staff Jean Becker sought to strike an upbeat tone.

“Yes, President Bush is in ICU where he is getting the best medical care in the world,” she wrote. “Is he sick? Yes. Does he plan on going anywhere soon? No. He has every intention of staying put.

“He would ask me to tell you to please ‘put the harps back in the closet,’” she said.

On a more serious note, Becker said her boss was expected to remain in the hospital for “a while,” adding, “He is 88 years old, he had a terrible case of bronchitis which then triggered a series of complications.” She did not elaborate.

McGrath on Wednesday described Bush as alert and talking to medical staff.

On Thursday evening, McGrath released a statement from Bush mourning the death of retired Army General Norman Schwarzkopf, commander of the U.S. and allied forces that routed Iraqi ruler Saddam Hussein’s military from Kuwait during a six-week war in 1991.

He said the four-star general, who died at age 78, “epitomized the ‘duty, service, country’ creed that has defended our freedom and seen this great nation through our most trying international crises.”

Bush has lower-body parkinsonism, which causes a loss of balance, and has used wheelchairs for more than a year.

The 41st U.S. president and father of former President George W. Bush, he served as a congressman, ambassador to the United Nations, envoy to China, CIA director and vice president for two terms under Ronald Reagan during a political career spanning four decades.

(Reporting by Corrie MacLaggan; Writing by Steve Gorman; Editing by Paul Thomasch, Phil Berlowitz and Paul Simao)

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Meningitis, West Nile occupy U.S. health officials in 2012

NEW YORK (Reuters) – The year started in the United States with a mild flu season but ended up being marked by deadly outbreaks of fungal meningitis, West Nile virus and Hantavirus.

Tainted steroid medication has been cited as the cause of the meningitis outbreak that killed 39 people.

Weather contributed to the worst outbreak of West Nile virus since 2003 and an unusual outbreak of Hantavirus in California’s Yosemite National Park.

Transmitted by infected mice, Hantavirus is a severe, sometimes fatal syndrome that affects the lungs. West Nile can cause encephalitis or meningitis, infection of the brain and spinal cord or their protective covering.

As of December 11, 5,387 cases of West Nile virus had been reported in 48 states, resulting in 243 deaths, the CDC said in its final 2012 update on the outbreak. The 2003 outbreak left 264 dead from among nearly 10,000 reported cases.

A large number of cases this year occurred in Texas, Louisiana and Mississippi where there are large mosquito populations.

CDC and state officials have said that rainfall in the spring and record high summer temperatures contributed to the severity of the outbreak by affecting mosquito populations, which transmit the disease by biting humans and animals.

Health officials said that only a small percentage of cases of West Nile virus are reported because most people have no symptoms and about 20 percent have mild symptoms such as aches and fever. One in 150 people with West Nile virus develop other illnesses such as meningitis and encephalitis.

The biggest outbreak in nearly two decades of Hantavirus, which emerges in dry and dusty environments, cropped up during the summer in 1,200-square-mile (3,100-square-km) Yosemite National Park, killing three of 10 infected visitors.

The National Park issued warnings to 22,000 people who may have been exposed to the rare disease, and 91 Curry Village cabins in the park were closed in late August.

In early September, a 78-year-old judge named Eddie Lovelace was rushed to a hospital in Nashville, Tennessee. Thought to have had a stroke, he died a few days later.

After a large outbreak of fungal meningitis was linked to tainted steroid injections, Lovelace’s cause of death was revised. He became the first documented death in a meningitis outbreak that has infected 620 people and killed 39 in 19 states.

The New England Compounding Center in Framingham, Massachusetts, was closed after investigators found that it had shipped thousands of fungus-tainted vials of methylprednisolone acetate to medical facilities around the United States. The steroid was typically used to ease back pain.

More than 14,000 people were warned that they may have had an injection of the tainted steroid. Doctors continue to see new cases of spinal infections related to the steroid, and cases of achnoiditis, an inflammation of nerve roots in the spine.

The outbreak led two Democratic lawmakers in the U.S. House of representatives to introduce legislation to increase government oversight of compounded drugs.

And what lies ahead in 2013?

“While there are some trends we can predict, the most reliable trend is that the next threat will be unpredictable,” said Centers for Disease Control and Prevention (CDC) Director Thomas Frieden.

(This refile corrects paragraph two to 39 instead of 243)

(Reporting by Adam Kerlin; Editing by Paul Thomasch)

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Early Childhood Obesity Rates Might Be Slowing Nation-Wide

About one in three children in the U.S. are now overweight, and since the 1980s the number of children who are obese has more than tripled. But a new study of 26.7 million young children from low-income families shows that in this group of kids, the tidal wave of obesity might finally be receding.Being obese as a child not only increases the risk of early-life health problems, such as joint problems, pre-diabetes and social stigmatization, but it also dramatically increases the likelihood of being obese later in life, which can lead to chronic diseases, including cancer, type 2 diabetes and heart disease. Children as young as 2 years of age can be obese–and even extremely obese. Early childhood obesity rates, which bring higher health care costs throughout a kid’s life, have been especially high among lower-income families.”This is the first national study to show that the prevalence of obesity and extreme obesity among young U.S. children may have begun to decline,” the researchers noted in a brief report published online December 25 in JAMA, The Journal of the American Medical Association. (Reports earlier this year suggested that childhood obesity rates were dropping in several U.S. cities.)The study examined rates of obesity (body mass index calculated by age and gender to be in the 95th percentile or higher–for example, a BMI above 20 for a 2-year-old male–compared with reference growth charts) and extreme obesity (BMI of more than 120 percent above that of the 95th percentile of the reference populations) in children ages 2 to 4 in 30 states and the District of Columbia. The researchers, led by Liping Pan, of the Division of Nutrition, Physical Activity and Obesity at the U.S. Centers for Disease Control and Prevention, combed through 12 years of data (1998 to 2010) from the Pediatric Nutritional Surveillance System, which includes information on roughly half of all children on the U.S. who are eligible for federal health care and nutrition assistance.A subtle but important shift in early childhood obesity rates in this low-income population seems to have begun in 2003. Obesity rates increased from 13.05 percent in 1998 to 15.21 percent in 2003. Soon, however, obesity rates began decreasing, reaching 14.94 percent by 2010. Extreme obesity followed a similar pattern, increasing from 1.75 percent to 2.22 percent from 1998 to 2003, but declining to 2.07 percent by 2010.Although these changes might seem small, the number of children involved makes for huge health implications. For example, each drop of just one tenth of a percentage point represents some 26,700 children in the study population alone who are no longer obese or extremely obese. And if these trends are occurring in the rest of the population, the long-term health and cost implications are massive.Public health agencies and the Obama Administration have made battling childhood obesity a priority, although these findings suggest that early childhood obesity rates, at least, were already beginning to decline nearly a decade ago. Some popular prevention strategies include encouraging healthier eating (by reducing intake of highly processed and high-sugar foods and increasing fruit and vegetable consumption) and increased physical activity (both at school and at home).The newly revealed trends “indicate modest recent progress of obesity prevention among young children,” the authors noted. “These finding may have important health implications because of the lifelong health risks of obesity and extreme obesity in early childhood.”

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Few tests done at toxic sites after superstorm

OLD BRIDGE, N.J. (AP) — For more than a month, the U.S. Environmental Protection Agency has said that the recent superstorm didn’t cause significant problems at any of the 247 Superfund toxic waste sites it’s monitoring in New York and New Jersey.

But in many cases, no actual tests of soil or water are being conducted, just visual inspections.

The EPA conducted a handful of tests right after the storm, but couldn’t provide details or locations of any recent testing when asked last week. New Jersey officials point out that federally designated Superfund sites are EPA’s responsibility.

The 1980 Superfund law gave EPA the power to order cleanups of abandoned, spilled and illegally dumped hazardous wastes that threaten human health or the environment. The sites can involve long-term or short-term cleanups.

Jeff Tittel, executive director of the Sierra Club in New Jersey, says officials haven’t done enough to ensure there is no contamination from Superfund sites. He’s worried toxins could leach into groundwater and the ocean.

“It’s really serious and I think the EPA and the state of New Jersey have not done due diligence to make sure these sites have not created problems,” Tittel said.

The EPA said last month that none of the Superfund sites it monitors in New York or New Jersey sustained significant damage, but that it has done follow-up sampling at the Gowanus Canal site in Brooklyn, the Newtown Creek site on the border of Queens and Brooklyn, and the Raritan Bay Slag site, all of which flooded during the storm.

But last week, EPA spokeswoman Stacy Kika didn’t respond to questions about whether any soil or water tests have been done at the other 243 Superfund sites. The agency hasn’t said exactly how many of the sites flooded.

“Currently, we do not believe that any sites were impacted in ways that would pose a threat to nearby communities,” EPA said in a statement.

Politicians have been asking similar questions, too. On Nov. 29, U.S. Sen. Frank Lautenberg, D-N.J., wrote to the EPA to ask for “an additional assessment” of Sandy’s impact on Superfund sites in the state.

Elevated levels of lead, antimony, arsenic and copper have been found at the Raritan Bay Slag site, a Superfund site since 2009. Blast furnaces dumped lead at the site in the late 1960s and early 1970s, and lead slag was also used there to construct a seawall and jetty.

The EPA found lead levels as high as 142,000 parts per million were found at Raritan Bay in 2007. Natural soil levels for lead range from 50 to 400 parts per million.

The EPA took four samples from the site after Superstorm Sandy: two from a fenced-off beach area and two from a nearby public playground. One of the beach samples tested above the recreational limit for lead. In early November, the EPA said it was taking additional samples “to get a more detailed picture of how the material might have shifted” and will “take appropriate steps to prevent public exposure” at the site, according to a bulletin posted on its website. But six weeks later, the agency couldn’t provide more details of what has been found.

The Newtown Creek site, with pesticides, metals, PCBs and volatile organic compounds, and the Gowanus Canal site, heavily contaminated with PCBs, heavy metals, volatile organics and coal tar wastes, were added to the Superfund list in 2010.

Some say the lead at the Raritan Bay site can disperse easily.

Gabriel Fillippeli, director of the Center for Urban Health at Indiana University-Purdue University Indianapolis, said lead tends to stay in the soil once it is deposited but can be moved around by stormwaters or winds. Arsenic, which has been found in the surface water at the site, can leach into the water table, Fillippeli said.

“My concern is twofold. One is, a storm like that surely moved some of that material physically to other places, I would think,” Fillippeli said. “If they don’t cap that or seal it or clean it up, arsenic will continue to make its way slowly into groundwater and lead will be distributed around the neighborhood.”

The lack of testing has left some residents with lingering worries.

The Raritan Bay Slag site sits on the beach overlooking a placid harbor with a view of Staten Island. On a recent foggy morning, workers were hauling out debris, and some nearby residents wondered whether the superstorm increased or spread the amount of pollution at the site.

“I think it brought a lot of crud in from what’s out there,” said Elise Pelletier, whose small bungalow sits on a hill overlooking the Raritan Bay Slag site. “You don’t know what came in from the water.” Her street did not flood because it is up high, but she worries about a park below where people go fishing and walk their dogs. She would like to see more testing done.

Thomas Burke, an associate dean at the Johns Hopkins School of Public Health, says both federal and state officials generally have a good handle on the major Superfund sites, which often use caps and walls to contain pollution.

“They are designed to hold up,” Burke said of such structures, but added that “you always have to be concerned that an unusual event can spread things around in the environment.” Burke noted that the storm brought in a “tremendous amount” of water, raising the possibility that groundwater plumes could have changed.

“There really have to be evaluations” of communities near the Superfund sites, he said. “It’s important to take a look.”

Officials in both New York and New Jersey note they’ve also been monitoring less toxic sites known as brownfields and haven’t found major problems. The New York DEC said in a statement that brownfields in that state “were not significantly impacted” and that they don’t plan further tests for storm impacts.

Larry Ragonese, a spokesman for the New Jersey Department of Environmental Protection, said the agency has done visual inspections of major brownfield sites and also alerted towns and cities to be on the lookout for problems. Ragonese said they just aren’t getting calls voicing such concerns.

Back at the Raritan Bay slag site, some residents want more information. And they want the toxic soil, which has sat here for years, out.

Pat Churchill, who was walking her dog in the park along the water, said she’s still worried.

“There are unanswered questions. You can’t tell me this is all contained. It has to move around,” Churchill said.

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Violence, fear & suspicion imperil Pakistan’s war on polio

ISLAMABAD, Pakistan (Reuters) – Pakistani health worker Bushra Bibi spent eight years trekking to remote villages, carefully dripping polio vaccine into toddlers’ pursed mouths to protect them from the crippling disease.

Now the 35-year-old mother is too scared to go to work after masked men on motorbikes gunned down nine of her fellow health workers in a string of attacks this week.

“I have seen so much pain in the eyes of mothers whose children have been infected. So I have never seen this as just a job. It is my passion,” she said. “But I also have a family to look after … Things have never been this bad.”

After the deaths, the United Nations put its workers on lockdown. Immunizations by the Pakistani government continued in parts of the country. But the violence raised fresh questions over stability in the South Asian nation.

Pakistan’s Taliban insurgency, convinced that the anti-polio drive is just another Western plot against Muslims, has long threatened action against anyone taking part in it.

The militant group’s hostility deepened after it emerged that the CIA – with the help of a Pakistani doctor – had used a vaccination campaign to spy on Osama bin Laden’s compound before he was killed by U.S. special forces in a Pakistan town last year.

Critics say the attacks on the health workers are a prime example of the government’s failure to formulate a decisive policy on tackling militancy, despite pressure from key ally the United States, the source of billions of dollars in aid.

For years, authorities were aware that Taliban commanders had broadcast claims that the vaccination drive was actually a plot to sterilize Muslims.

That may seem absurd to the West, but in Pakistan such assertions are plausible to some. Years of secrecy during military dictatorships, frequent political upheaval during civilian rule and a poor public education system mean conspiracy theories run wild.

“Ever since they began to give these polio drops, children are reaching maturity a lot earlier, especially girls. Now 12 to 13-year-old girls are becoming women. This causes indecency in society,” said 45-year-old Mir Alam Khan, a carpet seller in the northern town of Dera Ismail Khan.

The father of four didn’t allow any of his children to receive vaccinations.

“Why doesn’t the United States give free cures for other illnesses? Why only polio? There has to be an agenda,” he said.

While health workers risk attacks by militants, growing suspicions from ordinary Pakistanis are lowering their morale. Fatima, a health worker in the northwestern city of Peshawar, said that reaction to news of the CIA polio campaign was so severe that many of her colleagues quit.

“People’s attitudes have changed. You will not believe how even the most educated and well-to-do people will turn us away, calling us U.S. spies and un-Islamic,” said the 25-year-old who did not give her last name for fear of reprisals.

“Boys call us names, they say we are ‘indecent women’.”

Pakistan’s government has tried to shatter the myths that can undermine even the best-intentioned health projects by turning to moderate clerics and urging them to issue religious rulings supporting the anti-polio efforts.

Tahir Ashrafi, head of the All Pakistan Ulema Council, said the alliance of clerics had done its part, and it was up to the government to come to the rescue of aid workers.

“Clerics can only give fatwas and will continue to come together and condemn such acts,” he said. “What good are fatwas if the government doesn’t provide security?”

RISK OF POLIO RETURNING

That may be a tall order in Pakistan, where critics allege government officials are too busy lining their pockets or locked in power struggles to protect its citizens, even children vulnerable to diseases that can cripple or disfigure them.

Pakistani leaders deny such accusations.

Politicians also have a questionable track record when it comes to dealing with all the other troubles afflicting nuclear-armed Pakistan.

The villages where health workers once spent time tending to children often lack basic services, clinics, clean water and jobs. Industries that could strengthen the fragile economy are hobbled by chronic power cuts.

Deepening frustrations with those issues often encourage Pakistanis to give up on the state and join the Taliban.

So far it’s unclear who is behind the shootings. The main Taliban spokesman said they were opposed to the vaccination scheme but the group distanced itself from the attacks.

But another Taliban spokesman in South Waziristan said their fighters were behind an attack on a polio team in the northwestern town of Lakki Marwat on Monday. “The vaccinations were part of “a secret Jewish-American agenda to poison Pakistanis”, he said.

What is clear is the stakes are high.

Any gaps in the program endanger hard-won gains against a disease that can cause death or paralysis within hours.

A global effort costing billions of dollars eradicated polio from every country except Nigeria, Afghanistan and Pakistan.

Vaccinations cut Pakistan‘s polio cases from 20,000 in 1994 to 56 in 2012 and the disease seemed isolated in a pocket in the north. But polio is spread person-to-person, so any outbreak risks re-infecting communities cleared of the disease.

Last year, a strain from Pakistan spread northeast and caused the first outbreak in neighboring China since 1999.

Oliver Rosenbauer, a spokesman for the World Health Organization, said the group had been coming closer to eradicating the disease.

“For the first time, the virus had been geographically cornered,” he said. “We don’t want to lose the gains that had been made … Any suspension of activities gives the virus a new foothold and the potential to come roaring back and paralyze more children.”

MOURNING FAMILIES

Condemnation of the killings has been nearly universal. Clerics called for demonstrations to support health workers, the government has promised compensation for the deaths and police have vowed to provide more protection.

For women like Fehmida Shah, it’s already too late. The 44-year-old health worker lived with her family in a two-room house before gunmen shot her on Tuesday.

Her husband, Syed Riaz Shah, said she spent her tiny salary – the equivalent of just $ 2 a day – on presents for their four daughters. Even though the family was struggling, she always found some spare money for any neighbor in need.

“She was very kind and big hearted. All the women in our lane knew her,” he said.

“The entire neighborhood is in shock. Pray for my daughters. I will get through this. But I don’t know how they will.”

(Additional reporting by Imtiaz Shah in Karachi, Jibran Ahmad in Peshawar, Saud Mehsud in Dera Ismail Khan and Katharine Houreld in Islamabad; Editing by Michael Georgy and Sanjeev Miglani)

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Ky. court upholds decision in penis removal case

LOUISVILLE, Ky. (AP) — A Kentucky man lost his bid Friday to force a doctor to pay damages for removing a cancer-riddled section of his penis during what was scheduled to be a simple circumcision.

The Kentucky Court of Appeals found that a jury correctly concluded that 66-year-old Phillip Seaton of Waddy consented to allow Dr. John Patterson to perform any procedure deemed necessary during the Oct. 19, 2007, surgery.

Patterson, a Kentucky-based urologist, maintains he found cancer in the man’s penis during surgery and that it had to be removed. The patient claims the surgery was supposed to be a circumcision and he never authorized the amputation, nor was he given a chance to seek a second opinion.

“Additionally, there is uncontroverted testimony in the record that if Mr. Seaton were not treated for the penile cancer, it would prove fatal in the future,” Judge Janet Stumbo wrote for the court.

Judge Michael Caperton dissented, but did not issue a written opinion.

Clay Robinson, a Lexington-based attorney for Patterson, said the opinion was “very well-reasoned” and fact-based.

“You always appreciate when you see judges at any level go into that amount of detail,” Robinson said.

Seaton and his wife, Deborah, sued Patterson, a Kentucky-based urologist, in Shelby County Circuit Court in 2008. Seaton, now in his 60s, was having the procedure to better treat inflammation. The Seatons also sued Jewish Hospital, where the surgery took place. The hospital settled with the couple for an undisclosed amount.

Both sides agree that Seaton had squamous cell carcinoma, a type of skin cancer, in his penis. Patterson concluded that a tumor had overtaken much of the top of the organ, which made it impossible to insert a catheter.

“He also opined that serious complications and additional surgery could result if he did not insert the catheter,” Stumbo wrote.

The main point of contention is whether Patterson acted reasonably in removing the organ immediately or if amputation could have been delayed to let Seaton seek other medical options.

Stumbo and Judge Donna Dixon concluded that, even though Seaton had limited ability to read and write, he never informed the doctor of that fact and signed the consent form in the presence of a witness. The Seatons claimed that the waiver didn’t give Patterson authority to conduct an amputation without further consent.

“They maintain that no harm would have resulted if Dr. Patterson has consulted with either of them before proceeding, or if he had allowed them to consult with another physician to get a second opinion or other treatment options,” Stumbo wrote.

Stumbo wrote that Patterson acted properly because the tumor had consumed such a large section of the organ.

“For this reason alone, the resection of the tumor was ‘necessary and proper’ in the context of inserting a catheter,” Stumbo wrote.

Kevin George of Louisville, the attorney for Seaton, did not immediately return messages seeking comment.

______

Follow Associated Press reporter Brett Barrouquere on Twitter: http://twitter.com/BBarrouquereAP

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New Whole Plant Therapy Shows Promise as an Effective and Economical Treatment for Malaria in Research Led by Worcester Polytechnic Institute

Research Published Today in PLOS ONE May Point the Way Toward a New Model for Malaria Treatment That Could Also Be a Socioeconomic Stimulus for Developing Nations.

Worcester, Mass. (PRWEB) December 20, 2012

In the worldwide battle to curtail malaria, one of the most prevalent and deadly infectious diseases of the developing world, drug after drug has fallen by the wayside as the malaria parasite has become resistant to it. Only artemisinin, derived from the sweet wormwood plant, Artemisia annua, remains as an effective treatment, but it is expensive to produce (particularly when combined with other antimalarial medications to make it less prone to resistance) and is frequently in short supply.

A new study by scientists at Worcester Polytechnic Institute (WPI) and the University of Massachusetts has shown that the powdered dried leaves from the Artemisia annua plant may be a far more effective antimalarial treatment than purified artemisinin, delivering 40 times more artemisinin to the blood and reducing the level of parasite infection more completely in mice. The effectiveness of the whole plant, versus the purified drug, may be due, in part, to the presence in Artemisia annua leaves of other compounds, including flavonoids also known to have antimalarial abilities, which may create a combination therapy that works synergistically to combat the parasite and ward off resistance.

These are some of the conclusions of a paper titled “Dried whole plant Artemisia annua as an antimalarial therapy,” published online today by the journal PLOS ONE (http://dx.plos.org/10.1371/journal.pone.0052746).

Using the dried whole plant, instead of purified artemisinin, could significantly lower the cost of treating malaria, since it would eliminate the need to extract the drug from the plant and purify it, and could greatly expand access to antimalarial therapy, according to Pamela Weathers, professor of biology and biotechnology at WPI and a co-author of the new study. “Artemisia can be grown readily in most climates,” she says. “It is a relatively simple process to harvest the leaves, pulverize them, test samples for their potency, measure out doses, and put them in capsules. This could become the basis for local businesses and be a wonderful socioeconomic stimulus in developing countries.”

Weathers has been studying the antimalarial abilities of Artemisia annua for more than two decades. She first described the efficacy of using of the whole plant as an antimalarial treatment in a 2011 paper published in Photochemistry Reviews. In the latest study, a high-yield cultivar of the plant developed in her lab was administered to mice by her team, led by Stephen Rich, a molecular parasitologist at the University of Massachusetts Amherst. The effects of the whole plant therapy were compared to the effects of comparable doses of pure artemisinin.

The researchers found that mice receiving a dose of the dried leaves containing a low level of artemisinin showed a significantly greater reduction in blood-borne parasites over the course of 12 to 72 hours than mice receiving the same dose of the pure artemisinin drug. When plant material containing a high level of artemisinin was given to mice, the whole plant was as effective as a high dose of the drug in clearing parasites from the blood. Interestingly, plant material with a low level of artemisinin was as effective in killing parasites as a high dose of the drug, although its effects seemed to wane after 72 hours, suggesting that multiple doses would be necessary to fully treat a malarial infection.

Weathers says the effectiveness of the whole plant treatment seems to be due, in part, to the fact that artemisinin from the dried leaves enters the bloodstream far more readily than the pure drug. “In our 2011 study, we showed that it takes about 40 times less artemisinin to achieve a comparable blood serum level when the compound is administered in the form of the whole plant,” she says. “This is consistent with the results of earlier studies in which people consumed teas made from whole leaves from Artemisia annua.”

Weathers says the effectiveness of using the whole plant as a therapy is likely a product of the plant’s complex biochemistry. “The leaves of Artemisia contain a host of compounds that are of interest for their apparent but lesser antimalarial abilities,” she says. “These include at least six flavonoids that have been shown to work synergistically with artemisinin to kill malaria parasites. This makes the artemisia leaves a combination therapy all by themselves. In fact, we have referred to the whole plant as pACT (plant Artemisinin Combination Therapy), to distinguish it from the Artemisinin Combination Therapies (ACT) that are now recommended for malaria treatment by the World Health Organization.

Artemisia annua is classified as a “generally regarded as safe” (GRAS) herb that has been consumed by humans and used as an herbal therapy for thousands of years. Weathers says she has been actively working for several years to establish the foundation for a new model for using whole plant therapy to combat malaria. She said she envisions local operations where farmers would grow the high-producing cultivars of Artemisia she and others have developed as a supplemental crop and deliver the leaves to processing stations, where they would be dried, pulverized, and homogenized, and where the powder would be placed in capsules or compacted into tablets.

“By decentralizing the production of pACT, and giving local farmers and business people the opportunity to earn a living from producing it, we will not only make an effective therapy broadly available at an affordable price, we will help stimulate the economies of developing nations. It is exciting to be involved with a project that can be beneficial in so many ways.

“When you consider that artemisinin and some of the flavonoids in Artemisia annua have been to have a therapeutic effect against host of other diseases, including Leishmania, schistosomiasis, and other ailments that are serious health hazards in the developing world, the long-term possibilities of this research grow exponentially.”

This work was funded by the UMass Medical School Center for Clinical and Translational Science and Worcester Polytechnic Institute.

About Worcester Polytechnic Institute

Founded in 1865 in Worcester, Mass., WPI was one of the nation’s first engineering and technology universities. Its 14 academic departments offer more than 50 undergraduate and graduate degree programs in science, engineering, technology, business, the social sciences, and the humanities and arts, leading to bachelor’s, master’s and doctoral degrees. WPI’s talented faculty work with students on interdisciplinary research that seeks solutions to important and socially relevant problems in fields as diverse as the life sciences and bioengineering, energy, information security, materials processing, and robotics. Students also have the opportunity to make a difference to communities and organizations around the world through the university’s innovative Global Perspective Program. There are more than 30 WPI project centers throughout North America and Central America, Africa, Australia, Asia, and Europe.

Contact:

Michael Dorsey, Director of Research Communications

Worcester Polytechnic Institute

Worcester, Massachusetts

508-831-5609, mwdorsey(at)wpi(dot)edu

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Dr. Robbin Alston’s ‘The Art of Feeling Good’ Offers Something more to Women than the Usual Yoga Guides

New yoga guide offers healing to African American women

PHILADELPHIA (PRWEB) December 20, 2012

With the publication of her new book “The Art of Feeling Good: The Power of Àse Yoga” (published by iUniverse), Dr. Robbin Alston extends her yoga instruction beyond the studio and targets female African American readers.

As master of a yoga studio and a longtime practitioner, Alston’s experience with yoga is compelling and aids her mission to bring yoga to those who might otherwise bypass it. “The perception becomes I can’t do the poses, so I can’t do yoga,” she says. “The Art of Feeling Good” dispels that myth with emphasis on thought, communication, relating and activating readers’ vital energy centers.

Also of note is Alston’s emphasis on the uniquely African American and specifically female aspects of her book. “Women have endured a history of subjugation and limitation,” she says, “but African-American women endured a history of enslavement, rape, torture, lynching and dehumanization. It continues to affect how we see ourselves.” Alston’s intent is to introduce a “… healing practice that respects and responds to our diverse direct experiences in this world.”

Alston hopes that readers will discover in her book “… a feeling of authenticity, awareness and inner power to overcome their challenges in life through a daily practice of Àse Yoga. I want people to realize that yoga is just not about poses, but indeed a practice in healthy living. I want them to see that my personal life speaks to the power of Àse.”

“The Art of Feeling Good”

By Dr. Robbin Alston

Hardcover | 5.5 x 8.5 in | 156 pages | ISBN 9781475962956

Softcover | 5.5 x 8.5 in | 156 pages | ISBN 9781475958775

E-Book | 156 pages | ISBN 9781475958799

Available at Amazon and Barnes & Noble

About the Author

Dr. Robbin Alston earned a bachelor’s degree in psychology from LaSalle University and a master’s degree and Ph.D. from Temple University. She is an adjunct professor at Lincoln University in Lincoln, Pa. With advanced training in classical yoga, her yoga practice extends well beyond the mat. She is the founder and owner of Àse Yoga Studios and Tea Room in Philadelphia. Alston teaches and lectures about Àse Yoga throughout the United States.

iUniverse, an Author Solutions, Inc. self-publishing imprint, is the leading book marketing, editorial services, and supported self-publishing provider. iUniverse has a strategic alliance with Indigo Books & Music, Inc. in Canada, and titles accepted into the iUniverse Rising Star program are featured in a special collection on BarnesandNoble.com. iUniverse recognizes excellence in book publishing through the Star, Reader’s Choice, Rising Star and Editor’s Choice designations – self-publishing’s only such awards program. Headquartered in Bloomington, Ind., iUniverse also operates offices in Indianapolis. For more information or to publish a book, please visit iuniverse.com or call 1-800-AUTHORS. For the latest, follow @iuniversebooks on Twitter.

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Vanda’s drug for rare disorder meets main trial goal

(Reuters) – Vanda Pharmaceuticals Inc said a late-stage trial of its drug to treat a rare disorder affecting blind people met the main goal of showing improvement over a placebo, sending its shares up as much as 37 percent.

The drug tasimelteon is being tested for non-24-hour disorder, a rare and chronic circadian rhythm disorder for which there is no approved treatment, Vanda said in a statement.

The disorder, in which a person’s body clock does not automatically set to the 24-hour day thereby affecting sleep cycles, affects a majority of blind people.

The main goal of the trial was to reset the rhythm of the hormone melatonin, which controls sleep and wake cycles, to a 24 hour day-night cycle.

The goal also included measuring patients’ clinical response to the drug compared with a placebo.

The study, which enrolled 84 patients, was the first of four studies that form Vanda’s late-stage program for the drug. The drug was well tolerated in the study.

Vanda said it expects results from the second study in the first quarter of 2013, and plans to submit a marketing approval application to the U.S. health regulator in mid 2013.

Shares of the company were up 28 percent at $ 4.12 in heavy volume trade on Tuesday morning on the Nasdaq. Around 2.2 million shares had changed hands by 1007 ET – more than eight times the stock’s average moving volumes.

Tasimelteon received orphan drug status from the U.S. Food and Drug Administration in 2010 and from the European Commission in 2011.

The FDA grants orphan drug status to drugs or biologics that treat a condition affecting less than 200,000 Americans, giving the drugmaker marketing exclusivity for seven years in the United States.

In Europe, the status is granted to drugs treating a condition affecting no more than 5 in 10,000 people in the European Union, and carries a 10-year marketing exclusivity.

Tasimelteon is also being developed as a treatment for Major Depressive Disorder.

Vanda’s schizophrenia drug Fanapt, which is marketed and sold in the United States by Novartis AG, received a negative opinion earlier this month from the European Medicines Agency.

(Reporting by Esha Dey and Vrinda Manocha in Bangalore; Editing by Roshni Menon)

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Bird flu kills 4-year-old boy in Indonesia

JAKARTA, Indonesia (AP) — A 4-year-old Indonesian boy has died from bird flu, bringing the death toll to 160 in the world’s hardest-hit country.

Health Ministry official Rita Kusriastuti said Tuesday that the boy died Dec. 6 in Tangerang city, just west of Jakarta, the capital. He developed symptoms of a cold and fever on Nov. 30 and was treated at a public health center before being hospitalized the same day he died.

Kusriastuti said the boy, from the West Java district of Bogor, was believed to have been infected with the H5N1 virus after having direct contact with dead fowl around his house.

Bird flu has killed at least 360 people worldwide since 2003. It remains hard for people to catch, but experts fear it could mutate into a more deadly form.

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White House won’t accept new tax offer from Republican leader

WASHINGTON (Reuters) – President Barack Obama is not ready to accept a new offer from the Republican leader of the U.S. the House of Representatives to raise taxes on top earners in exchange for major cuts in entitlement programs, a source said late Saturday.

The shape and details of Boehner‘s offer were uncertain Saturday night, as was the exact reason the president was prepared to reject it.

The source said Obama sees the offer made on Friday by U.S. House Speaker John Boehner as a sign of progress, but simply believes it is not enough and there is much more to be worked out before Obama can reciprocate.

Tax rates and entitlements are the two most difficult issues in the so-far unproductive negotiations to avert the “fiscal cliff” of steep tax hikes and spending cuts set for the new year unless Congress and the president reach a deal to avoid them.

The Boehner offer is the first significant sign of a shift in the Republican insistence that low tax rates set to expire on December 31 be extended for all taxpayers, and comes at some risk to the speaker.

Conservatives, particularly Tea Party-supported Republicans, see opposition to tax increases for anyone as an abandonment of party principles, and of the Republican base.

Obama wants high earners – those earning roughly $ 250,000 a year or more – to pay higher taxes in order to put the burden of deficit reduction on those he says can best afford it.

Republicans have privately spoken of coming back at Obama with a threshold of $ 1 million. Obama has previously called that unacceptable because it would not raise enough money on its own to cut the deficit significantly or provide enough money to avert across-the-board spending cuts.

On entitlements, the president faces pressures of his own from Democrats, who see protecting Medicare, the government health insurance program for seniors, as a bedrock principle.

A major bloc of congressional Democrats has already signaled they will not accept major cutbacks in Medicare as part of any deal.

It was unclear on Saturday if the president had communicated his response to Boehner.

NOT A COMPLETE SURPRISE

Boehner’s shift did not come as a complete surprise. Recent polls have suggested little public support for his position and he has been getting pressure from Senate Republicans to be more flexible.

The massacre in Connecticut silenced fiscal cliff talk in public on Saturday as the both sides got ready for a final scramble, with sessions of the House now scheduled just days before Christmas.

Obama canceled a trip he had planned to make next Wednesday to Portland, Maine, to press his case for tax hikes for the wealthy. He is heading on Sunday to Newtown, the site of Friday’s school shootings, in which a gunman killed 20 children and six adults before taking his own life. The gunman also killed his mother, according to police.

Boehner of Ohio canceled the standard Republican radio response on Saturday to Obama “so that President Obama can speak for the entire nation at this time of mourning,” he said in a statement issued late on Friday.

The moratorium on cliff pronouncements masked a growing recognition the two sides could remain deadlocked at the end of the year on the key sticking points – taxes and entitlements.

Senate Republicans prodded their counterparts in the House to beat a retreat on tax hikes, in a fashion that would allow Obama’s proposal to pass the Republican-controlled House while allowing Republicans to cast a face-saving vote against it.

Republicans could then shift the debate onto territory they consider more favorable to them, cutting government spending to reduce the deficit.

“Just about everyone is throwing stuff on the wall to see if anything sticks,” one Republican aide said in reference to various proposals being discussed on how to proceed.

Alluding to public opinion polls, the aide added: “We know if there is no deal, we will get blamed.”

“We could win the argument on spending cuts,” said a Republican senator who asked not to be identified. “We aren’t winning the argument on taxes.”

However, Republican leaders in both chambers are leery about seeming to cave on taxes. “There’s concern that if we did that, Obama would simply declare victory and walk away and not address spending,” said one aide. “We don’t trust these guys.”

‘A BALANCED PLAN’

Some of the prodding was coming from Senate Minority Leader Mitch McConnell of Kentucky.

Don Stewart, a McConnell spokesman, said the minority leader in the Democratic-controlled Senate hasn’t embraced any single plan, but has discussed and circulated measures offered by fellow Senate Republicans.

“Senator McConnell does not advocate raising taxes on anybody or anything,” Stewart said.

“We’re focused on getting a balanced plan from the White House that will begin to solve the problem of our debt and deficit to improve the economy and create American jobs,” said Boehner spokesman Michael Steel.

“Right now, all the president is offering is massive tax hikes with little or no spending cuts and reforms,” Steel said.

House Majority Leader Eric Cantor scheduled “possible legislation related to expiring provisions of law,” a reference to the expiring tax cuts, for the end of the week, portending a weekend session.

Cantor has said the House would meet through the Christmas holidays and beyond.

Hopes expressed after the November 6 general election of some “grand bargain” on deficit reduction have all but disappeared, at least for this year.

This is partly because time is running out and partly the result of growing warnings from Democrats in Congress that they would not support big changes in the Medicare program, the government-run health insurance program for seniors that is a major contributor to the government’s debt.

House Democratic Minority Leader Nancy Pelosi of California ruled out one frequently mentioned proposal – raising the age of eligibility for Medicare, in a December 12 CBS television interview.

Asked if she was drawing a “red line” around that idea, Pelosi said her comments were “something that says, ‘don’t go there,’ because it doesn’t produce money.

(Reporting by Thomas Ferraro, Richard Cowan and Kim Dixon; Editing by Fred Barbash and Todd Eastham)

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How to talk to your children about a school shooting

(Reuters) – When parents ask how they can comfort and reassure their children after a tragedy that receives extensive news coverage, the usual advice is to be supportive and reassuring but don’t offer false assurance, experts say.

“Children want to know they’re safe and will stay safe. Parents can convey that by what they say and how they behave,” said Dr. Victor Fornari, director of child and adolescent psychiatry at North Shore-LIJ Health System in New Hyde Park, New York.

But after a school shooting – especially one as horrific as that in Newtown, Connecticut, on Friday – the challenge of helping kids cope is enormously greater than after, say, a tornado wipes out a distant town. It also poses a much greater risk that children who hear about it will suffer a traumatic reaction.

“Schools are supposed to be safe and nurturing environments for children,” said Fornari. “This shatters that belief. Restoring the sense of security in school will take time.”

The way to do that isn’t to offer false assurances, experts say.

“I wouldn’t lie, because your credibility is very, very important,” said Dr. Michael Brody, a child psychiatrist and chairman of the Television and Media Committee of the American Academy of Child and Adolescent Psychiatry. “To say this would never happen to you, I don’t think that is reasonable.”

But while parents need to be honest, they should also make clear that such tragedies are exceedingly rare.

“Parents can say emphatically, ‘your school is a very safe place,’” said David Finkelhor, professor of sociology and director of the Crimes Against Children Research Center at the University of New Hampshire in Durham. “It’s a vanishingly rare occurrence, and schools are still the safest places kids can hang out in terms of violence.”

Parents should not let young children watch news coverage of the shootings, and might warn older children and teenagers away from looking for news and disturbing video of the tragedy on Twitter, Facebook and other sites they can access via smartphones.

AVOID UPSETTING DETAILS

As parents talk to their children about Newtown, they should avoid dwelling on upsetting details, such as exactly what the gunman did where and to whom. Younger children should be reassured that the shooting is over. With older children, parents might talk about their school’s safety protocols and emergency plans.

If a teenager argues that school wasn’t safe for Newtown’s children, parents can offer statistics. U.S. Centers for Disease Control and Prevention data show that school homicides have fallen in the last 20 years from about 30 a year in the 1990s to 17 in 2010, the last year with complete data.

If the child has questions, parents should answer directly and in a straightforward way, said Dr. Joshua Kellman, clinical associate of psychiatry at the University of Chicago Medicine, matching the level of the response to the level of the child. If an 8 year old asks how someone could open fire on little kids sitting at their school desks, simply explaining that “sometimes something goes wrong with people and they are not thinking right,” should suffice, he said.

It can also be helpful to show children that normalcy prevails. The best way to do that is by sticking to standard weekend activities, said child psychologist Dr. Harold Koplewicz, president of Child Mind Institute, a nonprofit treatment, research and education organization in New York City. “Go Christmas shopping, go to church or synagogue, play a game, watch a video.”

Parents should keep in mind that grief, distress, anxiety and worse are normal human reactions to news that little children have been gunned down in their classroom, not signs of psychological illness. In other words, don’t assume that children who become clingy or withdrawn, who demand more parental attention, stop doing schoolwork, have trouble sleeping or regress (parents can expect young children to ask to sleep in their beds, said Fornari) need counseling.

“If their reactions do not seriously interfere with their lives, you shouldn’t necessarily seek out professional help,” said Fornari. “Children are resilient. Most will be able to cope with this traumatic event and be fine.”

The children who will have the hardest time coping are the 10 percent or so who already suffer from anxiety, typically as a result of an earlier trauma such as witnessing violence or losing a close relative, said Fornari. “Parents know if this describes their child, and should expect stronger reactions.”

That, of course, holds especially true for the survivors of the shooting. These children — and adults — are more likely to be psychologically traumatized, suffering flashbacks, nightmares and intrusive thoughts, re-living the sounds of gunshots and the chaos of being rushed out of their classrooms by police officers.

For them, said Fornari, “their lives will forever be marked as before and after December 14.”

(Reporting by Julie Steenhuysen and Sharon Begley; Editing by Julian Mincer and Lisa Shumaker)

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