Thursday, May 23, 2013

Laws to lower alcohol limits mean lower fatalities says trauma expert

May 22, 2013 ? The National Highway Traffic Safety Administration (NHTSA) is proposing that the legal limit for a driver's blood-alcohol content be reduced from 0.08 to 0.05, but and that may not be far enough says Thomas Esposito, MD, MPH, chief of the Division of Trauma, Surgical Critical Care and Burns in the Department of Surgery at Loyola University Medical Center.

"The rationalization by critics that it penalizes the person who only occasionally has "one too many" or who only drinks "socially" makes no sense," Esposito says. "One too many is just that; it's about impairment, not the number of drinks."

In 2011, 9,858 people were killed, 350,000 injured and $132 billion spent as a result of drunk driving.

The odds of crashing increase exponentially when blood alcohol content is above 0.05, as many studies document, says Esposito, who heads Loyola's Level 1 Trauma Center located just outside Chicago. "Some states even have zero alcohol tolerance for teen drivers which seems to be effective in reducing injury."

Loyola is the only Level 1 Trauma Center in Illinois certified by the American College of Surgeons.

A Level 1 Trauma Center is equipped to provide comprehensive emergency medical services to patients suffering traumatic injuries -- car and motorcycle crashes, stabbings, athletic injuries, falls -- using multidisciplinary treatment and specialized resources, Esposito says.

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Source: http://feeds.sciencedaily.com/~r/sciencedaily/top_news/~3/R-EaY57pVj0/130522160259.htm

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Source: http://www.detroitnews.com/article/20130522/METRO/305220439/1409/rss36

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Wednesday, May 22, 2013

H. pylori, smoking trends, and gastric cancer in US men

H. pylori, smoking trends, and gastric cancer in US men [ Back to EurekAlert! ] Public release date: 21-May-2013
[ | E-mail | Share Share ]

Contact: Fiona Godwin
fgodwin@plos.org
01-223-442-834
Public Library of Science

The contribution of H. pylori and smoking trends to the decline in gastric cancer in US men.

Trends in Helicobacter pylori (H. pylori) and smoking explain a significant proportion of the decline of intestinal-type noncardia gastric adenocarcinoma (NCGA) incidence in US men between 1978 and 2008, and are estimated to continue to contribute to further declines between 2008 and 2040.

These are the conclusions of a study by Jennifer M. Yeh of the Center for Health Decision Science at the Harvard School of Public Health in Boston and colleagues, published in this week's PLOS Medicine, that suggest H. pylori and smoking trends together accounted for almost half of the observed decline in intestinal-type NCGA between 1978 and 2008. Understanding the combined effects of underlying risk factor trends on health outcomes for intestinal-type NCGA at the population level can help to predict future cancer trends and burden in the US.

The researchers developed a population-based microsimulation model using risk factor data from two national databases, the National Health and Nutrition Examination Survey (NHANES) and National Health Interview Survey (NHIS), and cancer data from the Surveillance, Epidemiology and End Results (SEER) Program. They estimated that the incidence of intestinal-type NCGA in men fell by 60% between 1978 and 2008. Further analysis suggested that H. pylori and smoking trends are responsible for 47% of the observed decline, and that H. pylori trends alone were responsible for 43% of the decrease in cancer but smoking trends were responsible for only a 3% drop. Finally, the researchers projected the incidence of intestinal-type NCGA to decline an additional 47% between 2008 and 2040, with H. pylori and smoking trends accounting for more than 81% of the observed fall. Key limitations to this study include the assumptions made in the model and that the study only examined one type of gastric cancer (GC) and focused only on men.

The authors say: "In conclusion, trends in modifiable risk factors explain a significant proportion of the decline of intestinal-type NCGA incidence in the US, and will contribute to future decline."

They add: "Although past tobacco control efforts have hastened the decline, the full benefits will take several decades to be realized, and further discouragement of smoking and reduction of H. pylori infection should be priorities for GC control efforts."

###

Funding: JMY was funded by the National Institutes of Health's National Cancer Institute (K07 CA143044). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Competing Interests: The authors have declared that no competing interests exist.

Citation: Yeh JM, Hur C, Schrag D, Kuntz KM, Ezzati M, et al. (2013) Contribution of H. pylori and Smoking Trends to US Incidence of Intestinal-Type Noncardia Gastric Adenocarcinoma: A Microsimulation Model. PLoS Med 10(5): e1001451. doi:10.1371/journal.pmed.1001451

IN YOUR COVERAGE PLEASE USE THIS URL TO PROVIDE ACCESS TO THE FREELY AVAILABLE PAPER:

http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001451

Contact:

Jennifer M Yeh
Harvard School of Public Health
Center for Health Decision Science
718 Huntington Avenue, 2nd floor
Boston, MA 2115
UNITED STATES
617-432-2013
FAX: 617-432-0190
jyeh@hsph.harvard.edu


[ 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.


H. pylori, smoking trends, and gastric cancer in US men [ Back to EurekAlert! ] Public release date: 21-May-2013
[ | E-mail | Share Share ]

Contact: Fiona Godwin
fgodwin@plos.org
01-223-442-834
Public Library of Science

The contribution of H. pylori and smoking trends to the decline in gastric cancer in US men.

Trends in Helicobacter pylori (H. pylori) and smoking explain a significant proportion of the decline of intestinal-type noncardia gastric adenocarcinoma (NCGA) incidence in US men between 1978 and 2008, and are estimated to continue to contribute to further declines between 2008 and 2040.

These are the conclusions of a study by Jennifer M. Yeh of the Center for Health Decision Science at the Harvard School of Public Health in Boston and colleagues, published in this week's PLOS Medicine, that suggest H. pylori and smoking trends together accounted for almost half of the observed decline in intestinal-type NCGA between 1978 and 2008. Understanding the combined effects of underlying risk factor trends on health outcomes for intestinal-type NCGA at the population level can help to predict future cancer trends and burden in the US.

The researchers developed a population-based microsimulation model using risk factor data from two national databases, the National Health and Nutrition Examination Survey (NHANES) and National Health Interview Survey (NHIS), and cancer data from the Surveillance, Epidemiology and End Results (SEER) Program. They estimated that the incidence of intestinal-type NCGA in men fell by 60% between 1978 and 2008. Further analysis suggested that H. pylori and smoking trends are responsible for 47% of the observed decline, and that H. pylori trends alone were responsible for 43% of the decrease in cancer but smoking trends were responsible for only a 3% drop. Finally, the researchers projected the incidence of intestinal-type NCGA to decline an additional 47% between 2008 and 2040, with H. pylori and smoking trends accounting for more than 81% of the observed fall. Key limitations to this study include the assumptions made in the model and that the study only examined one type of gastric cancer (GC) and focused only on men.

The authors say: "In conclusion, trends in modifiable risk factors explain a significant proportion of the decline of intestinal-type NCGA incidence in the US, and will contribute to future decline."

They add: "Although past tobacco control efforts have hastened the decline, the full benefits will take several decades to be realized, and further discouragement of smoking and reduction of H. pylori infection should be priorities for GC control efforts."

###

Funding: JMY was funded by the National Institutes of Health's National Cancer Institute (K07 CA143044). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Competing Interests: The authors have declared that no competing interests exist.

Citation: Yeh JM, Hur C, Schrag D, Kuntz KM, Ezzati M, et al. (2013) Contribution of H. pylori and Smoking Trends to US Incidence of Intestinal-Type Noncardia Gastric Adenocarcinoma: A Microsimulation Model. PLoS Med 10(5): e1001451. doi:10.1371/journal.pmed.1001451

IN YOUR COVERAGE PLEASE USE THIS URL TO PROVIDE ACCESS TO THE FREELY AVAILABLE PAPER:

http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001451

Contact:

Jennifer M Yeh
Harvard School of Public Health
Center for Health Decision Science
718 Huntington Avenue, 2nd floor
Boston, MA 2115
UNITED STATES
617-432-2013
FAX: 617-432-0190
jyeh@hsph.harvard.edu


[ 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/2013-05/plos-hps051613.php

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Advertise Your Business Through Online Means | Internet and ...

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Source: http://marketing-guide.blogspot.com/2013/05/advertise-your-business-through-online_20.html

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Sunday, May 5, 2013

Will Downey suit up again after $175M 'IM3' haul?

LOS ANGELES (AP) ? Iron Man reigns as the standard-bearer of Hollywood superheroes with a $175.3 million domestic opening weekend for his latest sequel and an overseas haul of a half-billion dollars in less than two weeks.

According to studio estimates Sunday, "Iron Man 3" has raced to a worldwide total of $680.1 million. That includes $175.9 million in its second weekend overseas, where the film has rung up $504.8 million so far.

No other solo superhero ? not even Batman or Spider-Man ? has managed this kind of business.

Yet the future of Marvel Studios' flagship franchise is in the hands of a mortal man with no metal armor, gadgets or special powers, other than his ability to rebound from Hollywood pariah to hottest star on the planet.

"Iron Man 3" hints that Robert Downey Jr.'s Tony Stark might hang up his high-tech suits and live a normal life from now on. As the centerpiece behind not only the "Iron Man" flicks but also Marvel's superhero ensemble "The Avengers," Downey seems crucial to this comic-book world.

Could Disney's Marvel Studios conjure anywhere near the same magic if it relaunched "Iron Man" with another actor? Without Downey, would the upcoming "Avengers" sequel have quite the same appeal as last year's record-grossing first installment?

"Your guess is as good as mine," said Dave Hollis, head of distribution for Disney. "Marvel has found a way to tell interesting stories with a variety of characters over time, and it will continue to do so."

"Iron Man 3" had the second-biggest domestic debut ever, behind the $207.4 million start over the same weekend last year for "The Avengers," which teamed Downey's Stark with other Marvel Comics heroes. The new sequel surpassed the $169.2 million opening for 2011's "Harry Potter" finale, the previous second-place debut.

In just nine days, the film shot past the $312 million international total for "Iron Man 2" in its entire theatrical run.

Among the overseas totals so far: $63.5 million in China, $42.6 million in South Korea, $38.3 million in Great Britain and $35.8 million in Mexico.

Domestically, "Iron Man 3" far outpaced the franchise's first two movies. "Iron Man" launched the series with a $98.6 million domestic debut in 2008, while 2010's "Iron Man 2" opened with $128.1 million.

The film also opened higher than last year's Batman finale "The Dark Knight Rises" ($160.9 million) and the biggest of the Spider-Man movies ($151.1 million for "Spider-Man 3").

If Downey doesn't sign on for more, it would leave a gaping hole in the expanding superhero universe Marvel is taking to the big-screen.

"I honestly don't know how you can go on with that character without Downey," said Paul Dergarabedian, an analyst with box-office tracker Hollywood.com. "I think he's as important to this franchise and to Marvel as any actor is to any character."

Downey seems just as vital to "The Avengers." That ensemble probably could thrive without him, given how the first film and previous solo superhero adventures have established a team that includes Chris Hemsworth's Thor, Chris Evans' Captain America, Scarlett Johansson's Black Widow and Mark Ruffalo's Hulk.

But without Downey, Marvel might have to settle for something less than the colossal $1.5 billion worldwide results for "The Avengers."

"He's the spark that ignites all those characters, it seems," Dergarabedian said. "He's the lead guitarist, and they're just all kind of following him."

Before convincing reluctant Marvel executives that he was the man to put on the metal suit, Downey still was trying to live down drug addiction and jail time in his 20s and 30s that nearly ruined his career.

The success of "Iron Man" led to another blockbuster franchise in "Sherlock Holmes," and Downey's professional choices now look limitless.

In an interview before the release of "Iron Man 3," Downey said that "Avengers" director Joss Whedon had been editing a first cut of that film and told him the movie didn't really start until Stark and girlfriend Pepper Potts (Gwyneth Paltrow) appeared together on screen.

Downey said that was a testament to the groundwork laid years earlier in "Iron Man," which "when we were shooting it, this kind of became the heart of several franchises."

"So you know we're having a nice time," Downey said, sidestepping comment on whether he might return for more "Iron Man" and "Avengers" sequels.

"Iron Man 3" did four times the domestic business of every other movie out there; the combined total of all other releases was $43.7 million, according to Hollywood.com.

While it was a huge weekend for Marvel and Disney, the overall industry continued to slump, thanks to the record start for "The Avengers" over the same weekend a year ago. Domestic revenues this weekend totaled $219 million, down 15 percent from the $258.1 million during that "Avengers" weekend last year.

Hollywood's domestic revenue this year is at $3.14 billion, off 11 percent from 2012's pace, according to Hollywood.com.

Estimated ticket sales for Friday through Sunday at U.S. and Canadian theaters, according to Hollywood.com. Where available, latest international numbers are also included. Final domestic figures will be released Monday.

1. "Iron Man 3," $175.3 million ($175.9 million international).

2. "Pain & Gain," $7.6 million.

3. "42," $6.2 million.

4. "Oblivion," $5.8 million ($6.5 million international).

5. "The Croods," $4.2 million ($9 million international).

6. "The Big Wedding," $3.9 million.

7. "Mud," $2.2 million.

8. "Oz the Great and Powerful," $1.8 million.

9. "Scary Movie 5," $1.4 million.

10. "The Place Beyond the Pines," $1.3 million.

___

Online:

http://www.hollywood.com

http://www.rentrak.com

___

Universal and Focus are owned by NBC Universal, a unit of Comcast Corp.; Sony, Columbia, Sony Screen Gems and Sony Pictures Classics are units of Sony Corp.; Paramount is owned by Viacom Inc.; Disney, Pixar and Marvel are owned by The Walt Disney Co.; Miramax is owned by Filmyard Holdings LLC; 20th Century Fox and Fox Searchlight are owned by News Corp.; Warner Bros. and New Line are units of Time Warner Inc.; MGM is owned by a group of former creditors including Highland Capital, Anchorage Advisors and Carl Icahn; Lionsgate is owned by Lions Gate Entertainment Corp.; IFC is owned by AMC Networks Inc.; Rogue is owned by Relativity Media LLC.

Source: http://news.yahoo.com/downey-suit-again-175m-im3-haul-172452508.html

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Malaysia's long-ruling coalition hangs on to power

Malaysian Prime Minister Najib Razak, center, arrives at his ruling National Front coalition's headquarters in Kuala Lumpur, Malaysia, Sunday, May 5, 2013. Malaysia's ruling coalition took an early lead in results for national elections Sunday after a record number of voters cast ballots, with some choosing to extend the coalition's 56-year rule and others pressing for an unprecedented victory by an opposition that pledges cleaner government. (AP Photo/Lai Seng Sin)

Malaysian Prime Minister Najib Razak, center, arrives at his ruling National Front coalition's headquarters in Kuala Lumpur, Malaysia, Sunday, May 5, 2013. Malaysia's ruling coalition took an early lead in results for national elections Sunday after a record number of voters cast ballots, with some choosing to extend the coalition's 56-year rule and others pressing for an unprecedented victory by an opposition that pledges cleaner government. (AP Photo/Lai Seng Sin)

Malaysia opposition leader Anwar Ibrahim, left, and his wife Wan Azizah speak during a press conference at a hotel in Kuala Lumpur , Monday, May 6, 2013. Malaysia's governing coalition fends off tough election challenge, extending its 56-year rule. (AP Photo/Vincent Thian)

Malaysian voters wait in a line to cast their ballots in the general elections at a polling station in Pekan, Pahang state, Malaysia, Sunday, May 5, 2013. Malaysians have begun voting in emotionally charged national elections that could see the long-ruling coalition ousted after nearly 56 years in power. (AP Photo/Lai Seng Sin)

A Malaysian voter shows her finger marked with indelible ink after casting her ballot in the general elections at a polling station in Pekan, Pahang state, Malaysia, Sunday, May 5, 2013. Malaysians have begun voting in emotionally charged national elections that could see the long-ruling coalition ousted after nearly 56 years in power. (AP Photo/Lai Seng Sin)

Malaysian opposition leader Anwar Ibrahim votes with his wife Wan Azizah at a polling station at Penanti in Penang state in northern Malaysia, Sunday, May 5, 2013. Malaysian's go to the polls Sundy in what could be the toughest test of the ruling coalition's 56-year grip on power in Southeast Asia's third-largest economy. (AP Photo/Mark Baker)

(AP) ? Malaysia's long-governing coalition won national elections Sunday to extend its 56 years of unbroken rule, fending off the strongest opposition it has ever faced but exposing vulnerabilities in the process.

The Election Commission reported that Prime Minister Najib Razak's National Front coalition captured 127 of Malaysia's 222 parliamentary seats to win a majority Sunday. Opposition leader Anwar Ibrahim's three-party alliance seized 77 seats, and other races were too close to call.

It was the National Front's 13th consecutive victory in general elections since independence from Britain in 1957. It faced its most unified challenge ever from an opposition that hoped to capitalize on allegations of arrogance, abuse of public funds and racial discrimination against the government.

Najib urged all Malaysians to accept his coalition's victory. "We have to show to the world that we are a mature democracy," he said.

"Despite the extent of the swing against us, (the National Front) did not fall," he said in a nationally televised news conference.

Anwar signaled the opposition might dispute the results, saying "irregularities" cost his alliance numerous seats with narrow margins. Within minutes of the National Front's declaration of victory, thousands of Malaysian opposition supporters replaced their Facebook profile photos with black boxes in a coordinated sign of dismay.

The Election Commission estimated more than 10 million voted for a record turnout of 80 percent of 13 million registered voters. They were also voting to fill vacancies in 12 of Malaysia's 13 state legislatures.

Though it retained power, the National Front is weaker than it was at its peak in 2004, when it won 90 percent of Parliament's seats, and about the same as it was a month before the vote, when it held 135 seats. Its hopes were dashed of regaining the two-thirds legislative majority that it held for years but lost in 2008.

Three well-known Cabinet ministers and at least one state chief minister were likely to lose their parliamentary seats. The Malaysian Chinese Association, the second-biggest party in the ruling coalition, saw many of its candidates defeated as Malaysia's ethnic Chinese minority community continued to abandon the National Front.

Among the major differences between the National Front and Anwar's alliance are coalition affirmative-action policies that benefit the majority but often poor Malay population. Malay leaders in the National Front say those policies are still needed to help poorer Malays, but opposition critics say they've been abused to benefit mainly well-connected Malays, and that all underprivileged Malaysians should get help regardless of race.

"I am really fed up," said Andrew Charles, a Malaysian businessman working in Australia who flew home to vote for the opposition in a suburb outside Kuala Lumpur. "There are more abuses in the system and there is no equality among the races. After 56 years, it is time to give others a chance to change this country."

Others saw the National Front as the path of stability.

"The government has made some mistakes but the prime minister has made changes and I believe they (the National Front) will do their best to take care of the people's welfare," said Mohamed Rafiq Idris, a car business owner who waited in a long line at a central Selangor state voting center with his wife and son.

Some voters lined up for more than an hour at schools and other polling places, showing off fingers marked with ink to prevent multiple voting after they had finished.

Najib said one of his priorities would be a "national reconciliation" plan to ease what he called a worrying trend of political polarization. He did not give details, but noted that ethnic Chinese, who comprise about a quarter of Malaysia's population, turned away from the National Front in what he called a "Chinese tsunami."

An opposition win would have represented a remarkable comeback for Anwar, a former deputy prime minister who was fired in 1998 and subsequently jailed on corruption and sodomy charges that he says were fabricated by his political enemies. He was released from jail in 2004.

Anwar and other opposition leaders voiced suspicions Sunday about electoral fraud. Claims of bogus ballots and an apparent ease in which some voters cleaned the ink stains off their fingers dominated social media.

Opposition leaders said the National Front used foreign migrants from Bangladesh, the Philippines and Indonesia to vote unlawfully. Government and electoral authorities denied the allegations, saying private donors had paid for legitimate voters to fly home.

The opposition stayed in control of northern Penang state, one of Malaysia's wealthiest territories, and remained strong in Kuala Lumpur, where middle-class voters have clamored for national change.

The National Front's held firm in many traditional rural strongholds, especially in Borneo, where Anwar's alliance had been hoping to make major inroads to bolster its chances of victory.

The National Front's aura of invincibility has been under threat since three of Malaysia's main opposition parties combined forces five years ago. In recent years the National Front has been increasingly accused of complacency and heavy-handed rule.

Najib, who took office in 2009, embarked on a major campaign to restore his coalition's luster. In recent months, authorities have provided cash handouts to low-income families and used government-linked newspapers and TV stations to criticize the opposition's ability to rule.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/cae69a7523db45408eeb2b3a98c0c9c5/Article_2013-05-05-Malaysia-Elections/id-872fb21fbf364011a430597b9d39ef87

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