This week’s new events [ BeritaTerkini ]

Lumiere

Lumiere. Photograph: Matthew Andrews

Lumiere, Durham

Come, light-starved people, and gather like moths around the illuminated delights of the third Lumiere festival. With nearly 30 installations dotted around the city, magical transformations can be found around every corner. Telephone boxes become aquariums, a 3D elephant lumbers across the ancient Framwellgate Bridge and the frowning exterior of the Home Office’s Millburngate House is reborn as an interactive jukebox. Durham Cathedral, meanwhile, will be illuminated in both old and modern senses with the return of Crown Of Light, a son-et-lumière piece featuring the jewel-like Lindisfarne gospels.

Various venues, Thu to 17 Nov

AB

The Wroth Silver Ceremony, nr Leamington Spa

The Wroth Silver Ceremony will be held on Martinmas Eve before sun-rising. That’s 11 November at approximately 6.45am for your smartphones. Britain’s oldest recorded ceremony, dating back to 1086, upholds the fine English traditions of class and old money reverence we Brits hold so dear. Steel yourself against frost with a rum and hot milk in the local pub before the ceremony begins (you’ll need a ticket). Then make your way to the Wroth Silver stone to witness each local parish pay the landowner, The Duke Of Buccleuch, for the right to drive cattle over his land. Then return to the pub for a full English, speeches and a toke on the churchwarden’s pipe.

Knightlow Hill, Mon

CC

Vintage Bollywood Memorabilia, London

Marking 100 years of Bollywood cinema, this display and auction of vintage memorabilia highlights the quality and breadth of Indian film, as well as its growing popularity in the UK. The posters, lobby cards and vinyl LPs on show and on sale were used to promote films like 1960 classic Mughal-e-Azam and 1975′s epic Sholay, suitable starting points for any Bollywood novice. Viewings start Thursday, but those wanting something special should book for a tour of the exhibits, available on Friday and again on 28 November.

Westbury Gallery, W1, Thu and Fri, then 28 & 29 Nov

IA

Out & about

London Kieron Bryan Benefit

A night of music and comedy (with Claudia O’Doherty, Sheeps and Kevin Eldon) to raise funds for the detained journalist.

The Windmill, SW2

Cake International, Birmingham, Sat & Sun

Bake-off obsessives gather for workshops and demonstrations in the art of sugarcrafting, etc.

NEC

Skate At Somerset House, London, Thu to 5 Jan

The capital’s coolest rink. Kids can practise their skills at Penguin Club – or arrive late for the DJs.

Somerset House, WC2

An Evening In Wonderland, Manchester, Thu

The festive season kicks off, with decorations, music and other Chrimble-themed entertainment,

Trafford Centre

Punk 45, London, Fri

Soul Jazz launches its new book of punk single artwork. Editors Jon Savage and Stuart Baker chat to the Guardian’s own Alexis Petridis.

Rough Trade East, E1

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The Rest of the Story on Arizona Anecdote [ BeritaTerkini ]


Conservative groups are highlighting the case of an Arizona man with leukemia whose insurance plan was canceled because it didn’t comply with the Affordable Care Act. A news report quoted the man as saying he would need to pay $ 26,000 to keep the same doctor. It turns out, he was able to get a new plan, which has his doctor in its network, for a lower premium and a lower out-of-pocket maximum than his old plan.

Michael Cerpok, from Fountain Hills, Ariz., was featured in a local TV news segment on Oct. 3. The ABC15 report said that Cerpok, who was diagnosed with leukemia in 2006 and requires ongoing treatment, had received a letter from his insurer, Celtic Insurance Company, saying that his policy wasn’t “fully compliant” with the Affordable Care Act and would be canceled. Cerpok, a self-employed businessman, was paying $ 855 per month for the policy for himself.

The report said his out-of-pocket costs in 2012 were only $ 4,500, even though his treatment for leukemia totaled more than $ 350,000. Cerpok wanted to keep the same doctor he had at the Mayo Clinic. He told ABC15: “Now it doesn’t mean I can’t go see my current doctor, but my $ 4,500 out-of-pocket, is going to turn into a minimum of $ 26,000 out-of-pocket to see the doctor that I’ve been seeing the last seven years.”

That local Phoenix news segment has gone viral. Cerpok’s plight now has been highlighted by the Heritage Foundation, a conservative think tank; cited in an ad from Americans for Prosperity, as the announcer says “Arizonans are losing the health care plans they love, the doctors they know”; and featured on many other conservative websites. Heritage Foundation President Jim DeMint wrote a letter in early October to President Obama that said: “We are fighting for people like Michael Cerpok, a leukemia patient in Arizona, who recently learned he will lose his current health insurance due to this misguided law. He notes that ‘my $ 4,500 out-of-pocket [expense] is going to turn into a minimum of $ 26,000 out-of-pocket to see the doctor that I’ve been seeing the last seven years,’ and he worries that he and his wife might need to take second jobs to stay afloat.”

But this story has a happy ending. We spoke with Cerpok a month after the TV report aired, and things have changed. Cerpok told us he was able to sign up for a new plan that has his current oncologist and hospital in its network. He said the policy was less expensive, but didn’t have some of the same benefits — such as a specialty prescription drug benefit for cancer drugs. “I will say that my premiums went down, as did my yearly total out of pocket maximum, commensurate with the benefits I lost,” he said in an email to FactCheck.org. “My policy contains MANY things that I will never use.” He didn’t want to reveal how much money he was saving with the new policy or other details on the coverage, saying that he had received a lot of criticism after the ABC15 report aired.

That report, however, is what led him to a new plan. Cerpok had a career as a martial artist, and one of his former student’s parent, who owns an insurance agency, contacted him after seeing the news report, Cerpok said, and helped him find comparable insurance. “He did a lot of research,” Cerpok said, and “found a plan for me which I have now signed up for.”

It’s an individual market plan, but it is not through the federal exchange. “I didn’t want my new plan to be a part of a subsidized government-mandated health care,” he told us. He said he had no problem with Americans getting subsidies to help them buy insurance, but he was opposed to the individual mandate, requiring everyone to buy coverage. “This is about freedom to choose,” Cerpok said.

He said he did not look at health plans on the federal exchange, HealthCare.gov. Estimates available on the exchange website show significantly lower rates than the $ 855 Cerpok had been paying. Coverage for a single person over 50 — Cerpok is 52 — starts at $ 237.04 per month for a bronze plan. The highest-priced plan was an estimated $ 576.62 in Maricopa County, Ariz.

His old insurer, Celtic, did not offer him a new plan and is no longer selling individual market plans in Arizona, according to its website. We contacted Celtic’s parent company, Centene, but haven’t received a response to our questions. The $ 26,000 figure Cerpok cited in the news report comes from him looking into joining his wife’s employer-based plan, which is through Blue Cross Blue Shield and doesn’t include Cerpok’s doctor and the Mayo Clinic in its network. He said Blue Cross Blue Shield told his wife he could continue to see his doctor on that plan, but the out-of-network costs would total $ 26,000 for the year.

The $ 855 Cerpok is paying for the soon-to-be-canceled Celtic policy is a high price, but he said he was happy it covered the bulk of his leukemia treatment. Individual market premiums vary — and as his premium shows, can vary greatly. The average price for Arizona, as calculated by the conservative Manhattan Institute, adjusting for preexisting conditions, was $ 127 per month for a 40-year-old and $ 386 for a 64-year-old male before the Affordable Care Act. The Kaiser Family Foundation found an average individual market premium of $ 241 per person per month in 2010 in Arizona, noting that was an average for all adults and children.

The cost estimates aren’t what’s important to Cerpok, however. It’s about the right to choose to buy whatever you want. “The health insurance industry certainly needed to be put in check, and we certainly needed to provide affordable care for low income earners,” he told us in an email. “But, I should not have had a product that I was willing to pay for, and that I had been very happy with, taken away from me by a government mandate and then taxed…er, I mean fined…if I chose not to replace it with a product I don’t like.”

The cost of insurance has been the focus of political claims, and it was the focus of the local Arizona news report, which said the insurance switch could cost Cerpok “tens of thousands of dollars.”

In the end, Cerpok isn’t facing such an increase, and instead lowered his monthly payments. He wasn’t able to keep his plan, but he was able to keep his doctor.

– Lori Robertson

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Court bars some statements by accused Colorado theater gunman [ BeritaTerkini ]


By Keith Coffman

DENVER (Reuters) – Some statements accused Colorado theater gunman James Holmes made to detectives in the hours after a deadly rampage that killed 12 moviegoers in a Denver suburb last year will be excluded as evidence in his upcoming trial, a judge ruled on Friday.

Arapahoe County District Court Judge Carlos Samour ruled that prosecutors in the death penalty case could not introduce the statements as evidence at trial because they were made after Holmes had asked for a lawyer.

But because Holmes made the statements to detectives Chuck Mehl and Craig Appel voluntarily, they could still be used to cross-examine witnesses who provide contradictory testimony, should defense lawyers open the door to such questioning.

Holmes, a former neuroscience graduate student, is charged with multiple counts of first-degree murder and attempted murder for the shooting during a midnight screening of a Batman movie in July 2012. Holmes, 25, has pleaded not guilty by reason of insanity.

“The statements made by the defendant to Detectives Mehl and Appel after he invoked his right to counsel are suppressed and may not be admitted to the prosecution’s case-in-chief,” Samour said in a written ruling.

It remained unclear what Holmes told the detectives as the statements are redacted in the ruling.

But the 48-page opinion mentions that in the early hours after the shooting, police were questioning Holmes about whether any other shooters might have taken part in the rampage.

The fact that the judge suppressed the statements is not surprising given that Holmes clearly had requested an attorney, said defense lawyer and legal analyst Wil Smith, who is not involved in the case.

“It is well-established case law that after a suspect invokes his right to a lawyer, any further statements are inadmissible,” said Smith, who has practiced criminal law for 30 years.

Samour rejected prosecution arguments that the interrogating officers were unsure if Holmes had accomplices, and could thus question him under a public safety exception. The judge said that by the time the detectives spoke to Holmes, he had already been questioned about that issue on two separate occasions.

Samour had already ruled that Holmes’ responses to those questions asked by arresting officers are admissible. Holmes told police he acted alone, had four firearms and had booby-trapped his apartment, according to the officers’ testimony at earlier hearings.

Public defenders claim that police prevented them from seeing their client for 13 hours after he asked for a lawyer and coerced him into providing information about the explosives in his apartment.

Separately, Samour denied a defense motion that sought to have evidence seized from Holmes’ car suppressed because police lacked a search warrant, ruling that police were dealing with an emergency situation.

(Reporting by Keith Coffman in Denver, Writing by Alex Dobuzinskis; Editing by Cynthia Johnston, Richard Chang and Lisa Shumaker)

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Celeb Haircut Rundown: See the Latest in Bobs, Bangs, Pixies and More [ BeritaTerkini ]


von






Nicole Adlman






| Übersetzt von Nicole Adlman

8. November 2013 – 16:36

Rita Ora, Natalie Portman, Pamela AndersonDavid M. Benett/Getty Images; Dave Kotinsky/Getty Images; Splash

It’s been a busy month in the world of celeb hair!

Some of our favorite leading ladies have stepped out with new haircuts, debuting different versions of short styles, bombshell bangs and close-cropped cuts. Here’s a quick rundown of all the recent changes:

Pixie Clique: Jennifer Lawrence debuted a cute pixie style featuring her signature sideswept bangs. Meanwhile, blond babes Pamela Anderson and Kristin Chenoweth went for closer cropped cuts, showing off their demure pixies. Jennifer Hudson revealed a short and sweet ‘do at the Black Girls Rock! event in New Jersey.

Bob Beauties: Natalie Portman took to the red carpet for the Thor: The Dark World premiere with her bob darkened to a rich brunette hue. Bryce Dallas Howard also showcased a chestnut bob (with super trendy blunt bangs) in September. Jennifer Aniston went for an asymmetrical look, sporting a shorter style while out and about in Los Angeles.

NEWS: Hairstylist Chris McMillan explains Jennifer Aniston’s new cut

Heidi Klum and Hayden Panettiere are experimenting with brow-skimming blunt bangs. Both stepped out with the looks in New York City.

Shaved Maven: Jada Pinkett Smith is one of many celebs to try out the sheared look, but upped the ante by shaving both sides of her head—showcasing the daring ‘do at an event in Beverly Hills on Nov. 5. 

Play our Hairdo Déjà vu game to decide which new celeb haircut is your favorite!

PHOTOS: Celebs with pixie cuts

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U.S. popcorn makers could face long, expensive road to lose trans fats [ BeritaTerkini ]


By Curtis Skinner

NEW YORK (Reuters) – Microwave popcorn makers could face a long and difficult task ridding their snacks of trans fats, if a U.S. Food and Drug Administration proposal to ban the additives goes into effect. Just ask Orville Redenbacher.

Redenbacher’s, a division of ConAgra Foods Inc, spent six years changing its leading line of popcorn, company scientists said on Friday, a day after the FDA made its proposal, which the government said would save 7,000 lives a year.

The Popcorn Board, an industry trade group, said Americans munch 16 billion quarts of popped popcorn a year, and more than two-thirds of that is eaten in the home. $ 985.7 million worth of unpopped kernels were sold in 2010, down 2.2 percent from five years earlier. Popcorn also is the source of a substantial amount of the trans fats consumed by Americans.

Diamond Foods Inc – owner of Pop Secret – and American Pop Corn Company – owner of Jolly Time – still use the suspect fat in some products. Diamond Foods fell 4.6 percent from its open on the news Thursday, but pared losses before Friday’s close. American Pop Corn Company is not publicly traded.

Redenbacher’s ditched the fats in all of their products starting in 2006, because of the health concerns.

Initial research and development of switching to a trans fat free oil was four years. It took two years more to change the entire product line.

“We’ve mastered it, and I’m not going to tell you how we did it,” laughed Pamela Newell, a senior director of product development at ConAgra. It took “a lot of money,” she added, since many replacement oil blends limited or reduced the flavor of the popcorn.

Partially hydrogenated oils, the primary source of the fats in foods, have long been prized by microwavable popcorn companies for their high melting point. The fat keeps oil solid until the package is heated, so unpopped bags don’t ooze.

It also provides a taste and texture in the mouth which isn’t easy to replicate, popcorn makers say. But when consumed, trans fats increase bad cholesterol, a leading cause coronary artery disease.

Since 2005, trans fat usage has fallen precipitously – the Grocery Manufacturers Association said manufacturers have voluntarily lowered the amounts of trans fats in their food products by more than 73 percent. But further reduction could prevent 20,000 heart attacks as well as the 7,000 deaths from heart disease a year, the FDA said.

Sales from ConAgra’s consumer food segments rose 8 percent in fiscal 2013, due in part to Redenbacher’s, according to the company’s most recent annual report.

Diamond Foods’ Pop Secret still produces a half-dozen products – including the Movie Theatre Butter and Homestyle varieties – that carry between 4.5 and 5 grams of the harmful fat per serving.

The brand, which was purchased from General Mills in 2008, has been central to the company’s 3.3 percent growth in its core snack sales segment, said Diamond CEO Brian Driscoll during the most recent quarterly conference call.

Diamond Foods said it was reviewing the FDA plan and declined to make executives available for interview on Friday.

American Pop Corn Company, which owns the Jolly Time brand also has trans fats in some of its products.

The company works closely with Boulder Brands Inc’s Smart Balance, an early developer of trans fat-free food products, including microwavable popcorn.

Smart Balance executive vice president, John Becker, said that he hadn’t talked with the American Pop Corn Company about the FDA’s proposal, and American could not be reached for comment on Friday.

The ban would follow more limited restrictions across the country. New York City banned the use of trans fats in restaurants, including their use for deep-frying foods, and many restaurants and fast food chains, including McDonald’s Corp, have eliminated their use.

(Reporting by Curtis Skinner; Editing by Peter Henderson and Lisa Shumaker)

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Herbal Supplements: Are You Getting What You Pay For? – Care2.com [ BeritaTerkini ]

A controversial new study published in the journal BMC Medicine found that one-third of 44 herbal supplements tested showed no detectable amounts of the plant advertised on the bottle. The researchers used DNA barcoding, a type of genetic fingerprinting, to determine the contents of the herbal supplements manufactured from 12 companies representing 30 herb species and selected from Canadian and American stores. Big newspapers like The New York Times immediately published an article based on the study’s results called “Herbal Supplements are Often Not What They Seem.” But perhaps the article’s title should have been “14 Out of 44 Herbal Supplements Tested in One Study are Not What They Seem.”

According to the researchers they were able to authenticate almost half of the products—meaning the products contained exactly what was listed on the label in 48 percent of the product samples. In one-third of the products, ingredients not listed on the label were found in the product. The researchers refer to these ingredients as “contaminants and/or fillers.”

After reading the study I was surprised that the sample size was so small and that the New York Times made rather broad statements based on such a small sample. They even indicated that “many” of the products were adulterated with ingredients not listed on the label. Now, I’m not impressed by companies adding fillers to their products in any way but I don’t even think “many” herbal products were tested in this study so it would be impossible to state that “many” were adulterated.

When I tracked down the original study I was also surprised to discover it read more like a promotion for the DNA barcoding technology used and even went as far as to conclude that this technology should be used in herbal products regulation. I was curious because I read a lot of studies and rarely come across ones that read like product placements or advertisements for the technology used. When I checked the patents database on DNA barcoding technology I noticed that the University of Guelph is a co-applicant for the patent on “DNA barcode sequence classification”—the technology being promoted in this study.

The following statement constitutes part of the study’s “scientific” conclusions:

“We suggest that the herbal industry should embrace DNA barcoding for authenticating herbal products through testing of raw materials used in manufacturing products. The use of an SRM DNA herbal barcode library for testing bulk materials could provide a method for ‘best practices? in the manufacturing of herbal products.”

Apparently I’m not the only one worried about the study’s results.  According to Stefan Gafner, Chief Science Officer at the American Botanical Council, an independent non-profit organization that provides science-based and traditional information to promote the responsible use of herbal medicine, the study was flawed.  In the same New York Times article he indicated that it was flawed because the bar-coding technology could not always identify herbs that have been purified and processed.

As some background when specific extracts are derived from plants (as in the case of curcumin extracted from the herb turmeric), the herb may undergo processing to allow the extraction process.

He added that “Over all, I would agree that quality control is an issue in the herbal industry. But I think that what’s represented here is overblown. I don’t think it’s as bad as it looks according to this study.”

What You Can Do to Ensure Quality Herbal Products:

Remember that herbs were the primary medicine of humans for thousands of years. A study of 44 products from 12 companies is too small to rely on for valuable herbal recommendations.

Choose high quality products or raw herbal materials from a reputable company. These products can safely and easily be made into teas or other natural medicines.

Work with a qualified health practitioner knowledgeable in the field of herbal medicine.

Grow your own herbal medicines. While it is not possible with all herbs, many common herbs can be grown on a windowsill and used whenever needed, especially for herbal teas.  It is much easier to identify the herb when it is still a full plant than when it has been dried, crushed, and added to capsules.

Subscribe to my free e-magazine Worlds Healthiest News to receive monthly health news, tips, recipes and more. Follow me on my site HealthySurvivalist.com, Twitter @mschoffrocook and Facebook.

Related:
9 Healing Herbs to Cook With
30 Foods & Herbs with Natural Antibiotic Properties

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White House tech expert gets subpoena to testify on HealthCare.gov [ BeritaTerkini ]


By Roberta Rampton

WASHINGTON (Reuters) – The House Oversight and Government Reform Committee issued a subpoena on Friday to compel Todd Park, the chief technology officer at the White House, to testify at a hearing next week about what went wrong with the Obamacare website.

The White House called the subpoena “unfortunate and unnecessary” and said that Park was busy fixing the website. The White House earlier had said he was willing to appear voluntarily in December.

“We had hoped the committee would work with us to find an alternative date to give Todd time to focus on the immediate task at hand: getting the website fixed,” said Rick Weiss, a spokesman for the White House Office of Science and Technology.

“We are reviewing the subpoena and will respond as appropriate,” Weiss said.

Darrell Issa, the California Republican who chairs the committee, told Park that he was the only administration witness at the November 13 hearing who was “unwilling to appear voluntarily” and noted that he had taken time out to give an interview to the New York Times in early October.

“Millions of Americans have lost their health insurance,” Issa wrote in a letter to Park.

“They deserve your sworn testimony before their elected representatives about what went wrong – not simply the media outlets that White House officials have deemed an appropriate use of your time,” he said.

PARK: ‘NOT GOING ANYWHERE’

The HealthCare.gov website, which launched October 1, was meant to be an easy way for Americans to shop for health insurance and see whether they were eligible for subsidies under President Barack Obama’s signature healthcare program.

But it has been plagued by myriad technical woes, and contractors and outside experts have been working around the clock to try to make it work by the end of November so that Americans have enough time to sign up for insurance before deadlines in the law.

On Friday, Jeffrey Zients, the White House official charged to oversee the fixes, said the website is improving but is still “a long way from where it needs to be.

A successful healthcare IT developer before joining the Obama administration, Park has been part of the scramble to repair the website.

Earlier on Friday, the White House had scolded Issa for failing to justify why the hearing with Park could not be slated for December.

“There will be ample time to analyze why the technology behind the website did not perform well initially, and whether there are any lessons learned for federal IT acquisition policy that Congress may want to address,” said Donna Pignatelli, assistant director for legislative affairs for the Office of Science and Technology Policy in a letter to Issa.

“Mr. Park is not going anywhere,” Pigantelli had said.

(Additional reporting By Karey Van Hall; Editing by Ken Wills)

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Google mystery barge to be ‘artistic’ high tech exhibition venue [ BeritaTerkini ]

By Alexei Oreskovic

SAN FRANCISCO (Reuters) – Able-bodied seamen, decorative sails meant to evoke fish fins and dozens of security cameras will eventually make up the on-board complement of a mysterious four-story barge being built by Internet company Google Inc.

The barge is actually a “technology exhibition space,” that Google will move between several piers in the San Francisco Bay area and other West coast locations over the next two years, according to a 36-page information packet submitted in August to the Port of San Francisco.

“We believe this curious and visually stunning structure will be a welcome addition to the waterfront; an experience unlike any other that celebrates community, local organizations and the history of San Francisco,” reads the document, which lists the project as being spearheaded by By and Large LLC.

The floating structure built of stacked shipping containers, and a twin vessel in Portland, Maine, have stirred intense speculation about their purpose ever since reports of their existence surfaced last month. Reports have theorized that the barges could be anything from floating water-cooled data centres to retail stores to luxury party venues.

Google has gone to great lengths to keep the details of the barges secret, requiring at least one U.S. Coast Guard employee to sign a non-disclosure agreement.

On Wednesday, Google finally acknowledged that it was involved in the barges, saying it was, “exploring using the barge as an interactive space where people can learn about new technology,” but noting that plans could change.

Among the issues still to be ironed out are whether the structure will require permits from the San Francisco Bay Conservation and Development Commission.

The hulking steel structure, still under construction and currently moored on a pier in San Francisco’s Treasure Island, is somewhat unsightly at the moment. But Google envisions it as an “unprecedented artistic structure” that will have a dash of “nautical whimsy,” according to the information packet, which Reuters obtained through a request under the city’s sunshine act.

The shipping containers will house a 13,276 square foot studio space, along with a rooftop deck and catwalks.

The vessel, which will be open from 10am to 10pm, will hold technology demonstrations on the second and third floors.

“The structure will stand out but at the same time will complement its surroundings with decorative sails that provide shade and shelter to the guests,” the document states. “The sails are reminiscent of fish fins which will remind visitors that they are on a seaworthy vessel.”

The barge will navigate the bay with the aid of tugboats, with plans to moor at San Francisco’s Fort Mason, Pier 48 and Angle Island. A power generator and a 5,000 gallon diesel fuel tank will be stored on the pier.

A crew of 50 will tend to the vessel and studio, including a full-time Barge Master, “two able-bodied seamen and one ordinary seaman,” as well as 37 “technology demonstration associates” and seven security guards.

More than 50 security cameras throughout the vessel will also provide “on-site monitoring.”

(Reporting by Alexei Oreskovic. Editing by Andre Grenon)

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New U.S. rules require equal insurance coverage for mental ills [ BeritaTerkini ]


By Sharon Begley

NEW YORK (Reuters) – Most Americans with health insurance will be guaranteed access to mental health services, including for depression and alcoholism, equal to medical and surgical treatment under long-delayed rules issued on Friday by the Obama administration. But the protections do not apply to tens of millions of people, including the elderly.

The rules implement the 2008 Mental Health Parity and Addiction Equity Act, which took on greater urgency with the administration’s vow to address gun violence after a series of mass shootings across the United States in the past few years.

Health and Human Services Secretary Kathleen Sebelius estimated that 90 percent of Americans with substance-use disorders do not receive the care they need.

“For way too long, health plans openly discriminated against” Americans with mental illness, she said in a call with reporters on Friday. Labor Secretary Thomas Perez said mental illnesses “the stepchildren of the healthcare system.”

In any given year, about one-quarter of American adults have a mental illness that meets diagnostic criteria, says the National Institute of Mental Health.

Under the final rules, health plans must not have different co-pays, deductibles or visit limits for mental disorders and substance abuse than they do for other illnesses.

If they allow people to receive treatment out-of-state for, say, heart disease, then they must do so for mental illness as well. If an insurance plan uses particular clinical guidelines in determining what medical conditions and treatments to cover, it must use comparable ones for mental disorders.

Covered health plans are also prohibited from imposing a separate deductible for mental health treatment. And they cannot limit patients to receiving mental health treatment only from, say, licensed social workers rather than physicians and psychologists, as some plans have in an effort to limit spending.

The rules had been so long in coming that, on Thursday, former Congressman Patrick Kennedy, who was instrumental in passing the 2008 law, told a Senate panel that it had “entered a kind of twilight zone.” The five-year wait was a “particularly bad example” of how laws can languish without being implemented, said Kennedy, who has discussed his battles with bipolar disorder and addiction to prescription drugs.

After passage of the 2008 mental health parity law, more than 30 states passed laws of their own implementing its requirements. But the largest plans, since they are regulated at the federal level, were not affected by state laws.

President Barack Obama’s healthcare reform law requires that all individual and employer-based health insurance policies, including those sold on the state-based insurance exchanges, cover mental health and substance abuse as one of 10 “essential health benefits.” The only exceptions are those few plans that have been unchanged since the law was signed in March 2010.

As a result, the final rules on mental health parity have already been largely incorporated into plans sold since October 1 on the online exchanges set up under the Patient Protection and Affordable Care Act, also known as Obamacare. They are also part of most employer-based plans, according to the administration, which estimates that mental health treatments make up 5 percent of the benefits that plans pay for.

There are still loopholes, however.

The parity rules do not apply to standard Medicaid plans, the joint federal-state program for poor Americans. If states require Medicaid beneficiaries to enroll in managed care plans, however, those plans must cover mental health treatment.

A bigger loophole is that the rules do not apply to Medicare, the government-run healthcare program for the elderly. The 2008 parity law had that exemption “because it was a cost issue,” said Andrew Sperling, director of legislative advocacy for the National Alliance on Mental Illness (NAMI). “They would have had to make up the additional costs elsewhere” by cutting other benefits, “and Congress didn’t want to do that.”

Depression alone affects more than 6.5 million of the 35 million Americans old enough for Medicare, NAMI estimates.

“Medicare,” said Kennedy, “still has a distance to cover in its journey to parity.”

Large employer-based plans also have an escape hatch. If mental-health parity causes their costs to increase at least 2 percent in the first year it’s in place, or 1 percent any subsequent year, the plan may apply for an exemption. NAMI’s Sperling believes the exemption will be onerous enough to apply and qualify for that few employers will request it, however.

The mental-health parity law does not apply at all to group insurance plans at private companies that cover 50 or fewer employees.

(Reporting by Sharon Begley; Editing by Grant McCool)

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Maggie Pulls a Gun on ‘The Walking Dead’ [ BeritaTerkini ]

See three exclusive photos from this Sunday’s episode

What’s causing Maggie (Lauren Cohan) to pull a piece on The Walking Dead? We won’t know until Sunday, but these three photographs all exclusive to Rolling Stone – give us plenty to think about. In “Isolation,” Season Four’s third episode, it was Maggie’s job to keep everyone safe when the brigade left for the veterinary hospital. Is Glenn’s flu keeping his lady on edge? Cohan, 31, is no stranger to stress, having witnessed the not-at-all-amicable dismissal of The Walking Dead‘s first showrunner, Frank Darabont. “It was a tumultuous time,” she told the magazinelast month. “There were feelings of not knowing what was going on. It was like the kid that doesn’t know if their parents are getting a divorce.”

Relive the Biggest Surprises from The Walking Dead‘s Third Season

Gene Page/AMC

And who’s this new Walker on the left? While reporting his Rolling Stone cover story Blood, Sweat & Zombies: The Tortured History and Unstoppable Rise of The Walking Dead, author David Peisner got some intel from makeup maestro Greg Nicotero, who learned the zombification process from legendary Night of the Living Dead director George Romero. “Most every zombie on the show has been designed or conceptualized by me,” he says. “On a busy day, we’ll have eight makeup artists. They’ll be gluing prosthetics and doing makeups, dentures, custom contact lenses and sometimes wigs. Every year we continue to push the envelope in terms of stuff that you haven’t seen before.”

See Peter Travers’ List of the 10 Scariest Zombie Movies of All Time

Something else we’ve never seen – a kid staring down an un-dead medical patient. All signs point to this little girl being Ryan’s daughter Lizzie, who offered to kill her zombie-bitten father because “that’s what her father taught her.” Carol, her mother-surrogate, was charged with making sure she survives the zombpocalypse. But Carol tells her she’s weak, and by last week’s episode, she was quarantined in Cellblock A with Glenn, Sasha and Doc S. Could this Walker mean the end of the road for this angelically blonde girl? Leave your thoughts in the comments section below.

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Obama spars with Louisiana governor over healthcare law [ BeritaTerkini ]


By Mark Felsenthal

NEW ORLEANS (Reuters) – President Barack Obama made a pitch on Friday to create jobs by fixing roads, dredging ports and modernizing the air traffic control system, urging Congress to focus on these investments as it tries to work out a budget deal by a January deadline.

The visit the Port of New Orleans was an opportunity for Obama to focus on the economy and take attention away from the controversy around the launch of his signature healthcare insurance program, widely known as Obamacare.

Obama pledged, however, to fix the malfunctioning Healthcare.gov website, and took a veiled jab at Louisiana’s Republican Governor Bobby Jindal, who was in the audience, for failing to support a key plank of Obamacare.

Louisiana is one of 24 states that has refused federal funds to expand Medicaid to more low-income people, money that Obama said would help 265,000 people in the state gain access to health insurance.

“Even if you don’t support the overall plan, let’s at least go ahead and make sure that the folks who don’t have health insurance right now and can get it through an expanded Medicaid, let’s make sure we do that,” Obama told a crowd of about 650 people on a wharf on the Mississippi River.

Obama’s visit to New Orleans followed a television interview aired on Thursday, in which he apologized to Americans who were dropped by their health plans because of changes mandated by the Affordable Care Act.

The U.S. government said on Friday that employers added 204,000 jobs in October despite a 16-day government shutdown, although the jobless rate ticked up to 7.3 percent.

Despite the surprisingly strong report, the White House estimated that there would have been 120,000 more jobs created in the month had it not been for the government shutdown.

“There is no question that the shutdown harmed our jobs market. The unemployment rate still ticked up,” Obama said.

He urged Congress to include an infrastructure spending plan in a budget deal.

“I know if there’s one thing that members of Congress from both parties want, it’s smart infrastructure projects that create good jobs in their districts,” he said.

After his speech, Obama was to speak at two fundraisers for the Democratic Senatorial Campaign Committee in Miami, and another for the Democratic National Committee.

Democratic Senator Mary Landrieu of Louisiana, who faces a tough re-election race next year, traveled with Obama from Washington, but did not attend his event. Obama said she was busy traveling within the state.

(Additional reporting by Roberta Rampton; Editing by Philip Barbara and Christopher Wilson)

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Diving into the wilds around Cape Town [ BeritaTerkini ]

Sitting in a forest holding on to a tree, I wait for the big beasts to arrive. All I can hear is the sound of my own breathing, but there is plenty to see: bright orange and blue creatures crawling around the forest floor, or tucked in rocky crevices waving their metre-long antennae at me. The trees are uniformly bronze, as thick as my wrist, rising to a mop of flattened fronds that move in a dream-like manner. My buddy, Matt van der Venter, has settled down too. A few small animals hover in front of us, but we are hoping for something much bigger.

Why do people want to fly to Mars, I find myself wondering, when several metres under the sea, you can be in a totally alien environment? At that moment, a 3m-long grey shape rises behind the kelp stems and eases itself gently, but powerfully, in my direction.

When asked to name our top three natural wonders, how many of us would consider an underwater option? Compared with dry land, the sub-marine world usually fails to get a mention. The place where I am diving, False Bay, takes a 30km-wide bite out of the rump of South Africa, right on Cape Town’s doorstep, next to land that is a Unesco biosphere reserve. But few people consider the extraordinary diversity beneath the waves: so far 11,500 species of creature have been found in this one relatively small bay. Contrast that with the global total of 7,500 species of bird.

Local wildlife expert Chris Fallows, one of the first to realise the potential of this place, calls it the “Serengeti of the seas”. And just like that particular star of the natural landscape, with its lions and elephants, False Bay has its own cast of actors. Some are mere bit-part players, like my blue and orange starfish, but some are big box office: the whales, the dolphins and, of course, the great white shark.


Quagga book shop
Quagga book shop in Kalk Bay. Photograph: Kevin Rushby

The long grey shape effortlessly approaches. A few seconds later and the creature is drifting past me, taking a long look. But there is no sense of alarm or danger: this specimen, a seven-gilled cow shark, has every appearance of a toothless old man out for a constitutional. My main fear is that the current will shove me on to him, because he does enjoy getting too close. Maybe he’s short-sighted? Matt had warned me not to touch: “They do bite if they get frightened.”

As we sit there I’m reminded how like being in the African bush this is. By simply being still and non-threatening, we are tuning in to the environment, observing more closely and noticing things we might have missed. In a rocky cleft right next to me is an extremely large crayfish and Matt is signalling “octopus” to me and pointing to an overhang.

Eventually, our air running low, we surface and climb back on the boat. A stiff wind is clipping the tops off the waves and, as we bounce back to the rocky inlet where we started, I spot a dark shape in the water. A huge stingray is following us in, hoping we might be fishermen with some by-catch to share. Then another appears, over 2m across, as big as a flying carpet. And next there’s a fur seal, weaving in and out between the rays. Matt and I don masks and slip overboard to take a closer look. Once again I’m struck by the proximity and the imperturbable sang-froid of the big beasts.

That evening I walk along the well-known Boulder’s Beach on the outskirts of Simon’s Town, on the western edge of the bay, a spot where penguins are gathering for the onset of the breeding season. From here there are great views right around the bay, past the small resorts of Kalk Bay, St James and Muizenberg, to the larger town of Somerset West and on to the huge uninhabited peaks of the Hottentots-Holland mountains. With such fabulous panoramas, False Bay is a place that deserves a far more illustrious title. The origin of the name is obscure, but one story is that the first European visitors had rounded the Cape of Good Hope expecting warm seas and a high road to the riches of India, only to discover the true southern tip of Africa, Cape Agulhas, lay a further 80 miles south-east. In their disappointment, they dubbed the place “False” – and it stuck. Had it been dubbed Bay of Plenty, I’d guess world heritage status would have extended below the waves by now.


Brown fur seal
Brown fur seal, False Bay. Photograph: Alamy

Simon’s Town is a pretty resort of Victorian vintage with colonnaded shops along the main street and The Salty Sea Dog, surely one of the best fish-and-chip shops in the southern hemisphere. I sit eating snoek and chips, while watching the wind get up.

By morning I discover the wind has blasted away my chances of another dive, so I set off to explore the coast by car. First stop is Kalk Bay, a small seaside town packed with alternative shops and great little cafes, perfect for storm watching. The cake display at Tribeca Bakery proves impossible to walk past, especially when the heavens open, so I spend a delicious hour in the window seat, watching giant waves and catching glimpses of two nutters on surfboards out in the water.

When the rain stops, I wander on down the street and find Quagga , an antiquarian bookshop with an impressive collection of Africana. Across the road is a secondhand store with, among other curios, a display of right whale vertebrae. The animal was so named for being the right one to kill and it nearly got wiped out, but fortunately numbers are now increasing and they can be spotted from the shore in False Bay between July and October.


Muizenberg Beach
Muizenberg Beach. Photograph: Kevin Rushby

Moving on, I pull in at Muizenberg as the bad weather starts to clear and the wide beach fills with people. The seafront here has been through some bad times but is now on a resurgence, powered by surfing: shops and schools are opening up in abundance. Not that it’s a new thing: Agatha Christie surfed here in the 1920s, the town’s previous heyday. Now the lovely seafront buildings are being renovated and there’s a real buzz about the place. I park and wander past brightly painted beach huts then on to the sands, enjoying the cheerful vibe of a young and sporty crowd.

Further round the bay, I pull off the coast road into Khayelitsha, Cape Town’s largest and some would say, most notorious, township. It’s certainly not on most tourist routes, but I want to meet up with two friends from the local cycling club, Luthando and Sean, who introduce me to the favourite local lunch: meat. Under tin roofs we sit down and order a huge plate of sausages and cuts, which are then grilled and served with some pretty dynamic chilli sauces.

The coast road out of Khayelitsha leads past the leafy groves of upmarket Somerset West. I am aiming for the eastern shore of False Bay, a Unesco world heritage site because of its unique vegetation. The simplest way to see it is to visit the Harold Porter botanical gardens round the coast on Betty’s Bay, where I wander very happily for a couple of hours. The storm has dropped and the late afternoon sun is out.

Next morning I am back on Simon’s Town quayside and boarding the Apex Predator, a boat belonging to Chris Fallows, who came to Cape Town in 1991 from Johannesburg, hoping to volunteer on a shark conservation project. It proved to be the start of a lifelong passion and some amazing discoveries, all in False Bay.

“In 1996, I took a little inflatable boat out to Seal Island,” he tells me, “We towed an old lifejacket behind us. Within 30 seconds it happened.”

“What happened?”

“You’ll see.”

We motor out past the Simon’s Town naval base, taking a small diversion to watch a pod of more than 400 dolphins galloping through the waves at breakneck speed. Pods of up to a thousand are not uncommon and divers occasionally witness gangs of dolphins weaving funnels of bubbles around huge shoals of fish, the prelude to a feeding frenzy.

“What False Bay has is lots of nutrient-rich upwellings,” says Chris. “Then there’s a big variation of water temperatures, so we get everything from butterfly fish to cold water species. They’re all here.”

Now we can see Seal Island ahead of us, and smell it too. With around 60,000 animals on this tiny rocky outcrop, the stench is incredible. But despite the overcrowding, the seals seem loth to stray far from the shore, playing and bathing in the breakers, but never far from land. One of the deckhands, Owen, spots a baby seal that has died and drifted away from the island. The gulls take an interest, then there’s a swirl of water and a black dorsal fin appears followed by, for an instant, a 4m-long toothy shark. It’s a great white.

“When we came here,” says Chris, “Nobody knew about the great whites – it was just a hunch I had. We spent a long time working out how we could bring people here without disturbing the sharks.”

With only an estimated 3,000 individuals left and a slow reproduction cycle (a female reaches sexual maturity at 15 years), every single living great white is now a key component in the species’ survival.

A cage is manoeuvred into position and two bait balls go out, attached to ropes: one on the surface and one a few metres below. I pull on a wetsuit and climb down inside the cage. The water is cold but bearable. I wait, face submerged, seeing nothing. Visibility is not good after the storm. A long time seems to go by, marked only by the slap of Owen throwing and rethrowing the decoy. Then, suddenly, he’s yelling: “Bottom bait! Bottom bait!”

I shove myself under water in time to see a huge shark sweep past. It’s gone in a second, but then another noses in, this time in a leisurely manner, sniffing the bait and diving under the cage. They don’t jump out of the water – that’s a behaviour seen only in July and August – but the thrill of being so close to one of nature’s most impressive predators is massive. When I climb out, I’m a convert to cage diving – at least Chris’s style: no dramas or forced behaviour. Anything that increases awareness of these creatures must be good for their survival.


Cape to Cuba
Cape to Cuba restaurant. Photograph: Kevin Rushby

That night I know where I want to be: Kalk Bay. There’s a great choice of places to eat: locals swear by the Olympia Café (134 Main Road) and the Café Matisse (76 Main Road), while a friend had recommended the fish at Harbour House. But I head for a little restaurant on the seafront, Cape to Cuba, for a platter of seafood with spicy salsa. From there it’s a short stroll to the Brass Bell pub, which sits right on top of some tidal pools. In summer these are wonderful paddling pools for children but, at this time of year, it’s about watching big swells whomping into the sea walls and drinking a glass of sauvignon blanc from one of the many vineyards that are stacked up on the hillsides across the bay.

On my last day, I drive to Cape Point and walk up to the lighthouse. On the beaches below, ostriches and baboons are picking through the washed-up kelp, the cliffs are sporting ragged pennants of sea spume and the wind is snatching at tourists’ hats. From the lighthouse I can see the entire span of False Bay, surely one of the greatest marine environments on earth – and a place still waiting for recognition.

Flights were provided by South African Airways (0844 375 9680, flysaa.com), which flies to Cape Town from Heathrow from £860 return

Accommodation was provided by the Grosvenor Guest House and Self-Catering (+27 21 786 4052, thegrosvenor.co.za) in Simon’s Town which has doubles from £61 a night B&B

Great white shark trips on the Apex Predator (+27 79 051 8558, apexpredators.com) cost from £86pp, plus dive gear, other dives from £36pp. Khayelitsha Travel (khayelitshatravel.com) does walking tours of Khayelitsha township from £17pp khayelitshatravel.com

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Lebanon starts to vaccinate 750, 000 against polio after Syria outbreak [ BeritaTerkini ]


By Stephen Kalin

ZAHLE, Lebanon (Reuters) – Lebanon launched a massive public health initiative on Friday to vaccinate all children under five against polio, following a confirmed outbreak of the crippling disease last month in neighboring war-torn Syria.

The task is a daunting one in Lebanon, where more than 800,000 refugees are spread across the country in nearly 1,600 locations, including 400 informal tented settlements.

Unlike Jordan and Turkey, which each host more than half a million Syrians, Lebanon has avoided establishing large-scale camps and many of the refugees are living among Lebanese.

The vaccination plan in Lebanon is to go “house by house, tent by tent,” said Annamaria Laurini, the UNICEF representative in Lebanon.

The campaign, which is a joint effort between the government, UNICEF, the World Health Organization and a local NGO, aims to vaccinate children of all nationalities living in Lebanon, not only Syrian refugees. Lebanon has not had any cases of polio since 2001, according to UNICEF.

The initiative is scheduled to run through December and is estimated to cost about $ 3 million.

Caretaker Health Minister Ali Hassan Khalil kicked off the nationwide campaign at Tel Chicha Hospital in the eastern town of Zahle, calling inoculation “an extraordinary national duty that cannot be neglected”.

At Al Omariya settlement in Lebanon’s Bekaa Valley, more than 300 children had already been vaccinated, their fingers stained with purple ink as an indicator.

In a bid to raise awareness for the campaign, the children held colorful neon signs and chanted slogans encouraging parents to vaccinate their children.

Lebanon has dispatched mobile medical units to reach Syrian refugee children across the country in settlements like Al Omariya, where refugees have constructed tents from wooden planks and plastic tarpaulins on vacant farmland.

As the vaccination teams went door to door on Friday, it started to rain – a reminder of another challenge that the refugees are facing as Lebanon’s cold winter and harsh rains threaten their flimsy shelters.

Syrians entering Lebanon with young children at the Masnaa border crossing on Friday were ushered into a small wooden office in the parking lot of the customs area where health ministry workers in white lab coats administered the vaccine.

Polio, which is caused by a virus transmitted via contaminated food and water, can cause irreversible paralysis within hours and cannot be cured.

The campaign is part of a regional effort to vaccinate 20 million children, prompted by ten confirmed cases of polio last month in Syria’s eastern Deir al-Zor province. They were the first incidents of the disease in that country since 1999.

It has been eradicated in most of the world, but could spread fast in Syria, where a civil war in its third year has led to falling vaccination rates, as well as in unsanitary conditions in the crowded refugee camps abroad.

(Editing by Tom Pfeiffer)

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Family of victim in Navy Yard shooting sues U.S. for negligence [ BeritaTerkini ]


By Kevin Gray

MIAMI (Reuters) – The family of a victim in the shooting at the Washington Navy Yard accused two federal government agencies of negligence on Friday in a wrongful death claim seeking $ 37.5 million in damages.

Mary Delorenzo Knight, a 51-year-old computer scientist, was among 12 people killed in the September shooting spree when a gunman with security clearance entered the military installation and opened fire on civilian workers.

Knight’s family alleges in the claim that the Department of the Navy and the Department of Veterans Affairs failed to revoke the access of Aaron Alexis after a series of red flags about his mental health. Alexis was killed by police in a gun battle.

Justin Givens, a lawyer for the family in Tallahasse, Florida, cited Alexis’ run-ins with police and his history of mental illness to argue the government agencies should have acted on the information.

“It’s a colossal failure on the part of multiple agencies that led to a national tragedy,” he said.

“Mr. Alexis not only had a history of mental illness but was involved in gun crimes, and here you have an individual who is given clearance to be on U.S. military facilities.”

In a 33-page administrative claim, the filing details three occasions when Alexis, a former Navy reservist who worked as an information technology contractor, was arrested.

The claim also criticizes the handling of his clearance by the government and the defense contractor who employed him.

Alexis was a contract employee for the Defense Department and received a “secret” clearance in 2008 despite several violent incidents, including a 2004 arrest in Seattle for shooting out a car’s tires. The case was never prosecuted, and in a 2010 shooting incident was ruled accidental.

A “secret” clearance is a mid-level security classification that allows the holder access to classified information which could be damaging to national security if released. It falls below the “top-secret” clearance, which requires more frequent background examinations.

In the wake of the shooting, the security clearance process has come under scrutiny on Capitol Hill, where senators are examining the government’s procedures for conducting background checks.

The Pentagon said it would review security at military installations around the world and the White House promised to review standards for federal government contractors.

The administrative claim was filed on behalf of Knights two daughters and her sister, who lives in Florida. Each is seeking $ 12.5 million in damages. The claim is the initial step to a formal lawsuit being filed in federal court.

(Editing by Jackie Frank)

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Family of victim in Navy Yard shooting sues U.S. for negligence [ BeritaTerkini ]


By Kevin Gray

MIAMI (Reuters) – The family of a victim in the shooting at the Washington Navy Yard accused two federal government agencies of negligence on Friday in a wrongful death claim seeking $ 37.5 million in damages.

Mary Delorenzo Knight, a 51-year-old computer scientist, was among 12 people killed in the September shooting spree when a gunman with security clearance entered the military installation and opened fire on civilian workers.

Knight’s family alleges in the claim that the Department of the Navy and the Department of Veterans Affairs failed to revoke the access of Aaron Alexis after a series of red flags about his mental health. Alexis was killed by police in a gun battle.

Justin Givens, a lawyer for the family in Tallahasse, Florida, cited Alexis’ run-ins with police and his history of mental illness to argue the government agencies should have acted on the information.

“It’s a colossal failure on the part of multiple agencies that led to a national tragedy,” he said.

“Mr. Alexis not only had a history of mental illness but was involved in gun crimes, and here you have an individual who is given clearance to be on U.S. military facilities.”

In a 33-page administrative claim, the filing details three occasions when Alexis, a former Navy reservist who worked as an information technology contractor, was arrested.

The claim also criticizes the handling of his clearance by the government and the defense contractor who employed him.

Alexis was a contract employee for the Defense Department and received a “secret” clearance in 2008 despite several violent incidents, including a 2004 arrest in Seattle for shooting out a car’s tires. The case was never prosecuted, and in a 2010 shooting incident was ruled accidental.

A “secret” clearance is a mid-level security classification that allows the holder access to classified information which could be damaging to national security if released. It falls below the “top-secret” clearance, which requires more frequent background examinations.

In the wake of the shooting, the security clearance process has come under scrutiny on Capitol Hill, where senators are examining the government’s procedures for conducting background checks.

The Pentagon said it would review security at military installations around the world and the White House promised to review standards for federal government contractors.

The administrative claim was filed on behalf of Knights two daughters and her sister, who lives in Florida. Each is seeking $ 12.5 million in damages. The claim is the initial step to a formal lawsuit being filed in federal court.

(Editing by Jackie Frank)

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Mixing caffeine, alcohol common for underage drinkers [ BeritaTerkini ]


By Shereen Jegtvig

NEW YORK (Reuters Health) – College-age drinkers who mix caffeine and alcohol are more likely to make risky decisions and require medical care, research has shown. A new study suggests younger drinkers often combine caffeine and alcohol as well.

“Although there have been several articles about alcohol and caffeine use among college students, little was known about this phenomenon among younger adolescents,” Dr. Michael Siegel told Reuters Health in an email.

He worked on the study at the Boston University School of Public Health.

Siegel and his colleagues analyzed information from Internet surveys of 1,031 youths aged 13 to 20 years old who’d had at least one alcoholic drink in the past month.

The surveys asked participants whether they consumed energy drinks that contained alcohol and if they mixed caffeine and alcoholic drinks on their own.

The researchers considered traditional caffeinated alcoholic beverages to be alcohol mixed with soda, coffee and tea. Non-traditional beverages were pre-mixed alcoholic energy drinks and alcohol mixed with energy drinks or shots.

“Most of the previous studies have focused on the combination of energy drinks and alcohol, but have not studied more traditional combinations such as alcohol and soda,” Siegel said.

Just over half of the participants reported drinking caffeine and alcohol together in the previous month. Than included 48 percent of 13- to 15-year-old drinkers, 45 percent of 16- to 18-year-olds and 58 percent of 19- and 20-year-olds.

More teens drank traditional caffeinated alcoholic beverages than non-traditional beverages – 46 percent compared to 20 percent.

The researchers found teens who had started drinking between age 11 and 13 were more likely to report recently drinking caffeinated alcoholic beverages than those who started later.

The findings suggest mixing caffeine and alcohol is more common among underage drinkers and starts at a much earlier age than previously thought, Siegel and his team wrote in the journal Addictive Behaviors.

They found young people who consumed energy drinks and shots mixed with alcohol were several times more likely to binge drink, get in fights and sustain alcohol-related injuries than those who did not.

The same link existed among those who mixed alcohol with soda, coffee and tea, but to a lesser extent.

“This may be due to the fact that energy drinks provide more caffeine than soda or coffee. There appears to be a gradation of effect, with higher amounts of caffeine associated with even higher risks of adverse outcomes,” Siegel said.

“Ultimately what’s probably happening is that kids who are driven to seek out new experiences push the limits in various ways. Energy drinks fit into that,” Aaron White told Reuters Health.

He is with the Division of Epidemiology and Prevention Research at the National Institute on Alcohol Abuse and Alcoholism and was not involved in the new study.

“Energy drinks are a way to be edgy, literally and culturally edgy, and a way to take some chances,” White said.

Mixing alcohol and caffeine can mask some of the feelings of intoxication, making teens think they can drink more.

“Caffeine can make you feel like you’re less intoxicated. It doesn’t reduce your level of intoxication,” White said.

Many products containing caffeine and alcohol such as Four Loko have been taken off the market or reformulated without caffeine, the researchers noted. But that doesn’t seem to be stopping young people from mixing their own.

“We believe that efforts to educate youth about the adverse outcomes associated with the consumption of alcohol and caffeine are warranted,” Siegel said.

“Parents should be aware that underage youth are often adding alcohol to non-alcoholic beverages like soda and energy drinks,” he added.

“While the dangers of pre-mixed beverages containing caffeine and alcohol have received widespread media attention, we found that the main source of (caffeinated alcoholic beverage) use among youth is self-mixing of caffeine and alcohol,” Siegel said. “These results should become a part of health education programs for teens.”

SOURCE: http://bit.ly/HBgh9r Addictive Behaviors, online October 8, 2013.

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Selena Gomez Flashes Cleavage in Provocative, Plunging LBD [ BeritaTerkini ]


von






Cinya Burton






| Übersetzt von Cinya Burton

8. November 2013 – 10:26

Judging by what celebs are wearing on the red carpet recently: Skin is in.

It’s certainly not a new trend in Hollywood, by any means, but it is surprisingly given the season.

The latest star to don a skimpy ensemble? Selena Gomez. The singer wore one of her most risqué looks to date last night at a Flaunt magazine party at Hakkasan in Beverly Hills.

Clad in a little black dress by Cushnie et Ochs, the “Come and Get It” singer sported a plunging neckline that would have reached her belly button if not for a tiny connecting piece slightly above her midriff. Calling this a cutout or a keyhole doesn’t feel quite right, considering the amount of skin showing. The star paired the provocative frock with a deep mulberry lipstick and a messy side braid.

NEWS: Is Kate Hudson’s Gucci gown the sexiest look of the year?

At the event she told E! News that she’s single and loving it: “I’m having fun. This has been the best year for me: I just turned 21, my record, the tour. I have a really good thing good.”

It shows, Selena!

What do you think of her latest look?

PHOTOS: Selena Gomez’s best red carpet moments

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Q&A: More lenient lice policies bug some parents [ BeritaTerkini ]


WASHINGTON (AP) — Some schools are letting kids with live lice in their hair back in the classroom, a less restrictive policy that has parents scratching their heads.

“Lice is icky, but it’s not dangerous,” says Deborah Pontius, the school nurse for the Pershing County School District in Lovelock, Nev. “It’s not infectious, and it’s fairly easy to treat.”

Previously, most schools have required children with lice to be sent home, in an attempt to prevent the spread to other children. Children haven’t been allowed to return to the classroom until all the lice and nits, or lice eggs, are removed.

Also, schools customarily send notes home to let parents know that a child in class had lice so that they could be on the lookout for lice on their own children. Pontius has stopped doing that, as well.

The policy shift is designed to help keep children from missing class, shield children with lice from embarrassment and protect their privacy.

Schools in Tennessee, California, Florida, Nebraska, New Mexico and South Carolina also are adopting the more lenient lice policy.

Some questions and answers about head lice and the new policies.

Q: WHAT ARE LICE AND WHO GETS THEM?

A: Lice are tiny grayish-white bugs that infest a scalp, sucking bits of blood every few hours. Lice don’t jump or fly. They crawl. They are not a sign of poor hygiene.

The Centers for Disease Control and Prevention estimate that there are 6 million to 12 million head lice infestations each year in the United States among children 3 to 11 years old. While itchy and unpleasant, health experts say lice don’t spread disease and are not a health hazard.

Q: IF THEY’RE NOT A HEALTH HAZARD, WHY ARE KIDS SENT HOME?

A: Schools and parents feared that children in close quarters would spread lice to one another.

Q: WHY THE CHANGE IN POLICY?

A: Itchy children probably had lice for three weeks to two months by the time they’re sent to the nurse, Pontius says.

Classmates already would have been exposed. There’s little additional risk of transmission, she says, if the student returns to class for a few hours until the end of the day, when a parent would pick up the child and treat for lice at home.

Pontius also doesn’t send lice notes. “It gets out who had lice,” she says, and there’s no need to panic parents. Parents with elementary school-aged kids should check their children’s hair for lice once a week anyway, she says. If they are doing that, then there’s really no need for the notes.

Q: WHAT DO THE EXPERTS SAY?

A: The American Academy of Pediatrics updated its guidelines in 2010 to adopt a “do not exclude” infested students recommendation for schools dealing with head lice. It has long encouraged schools to discontinue “no-nit” policies. The itty-bitty nits — which can often be confused with dandruff — cement themselves to the hair shaft, making removal difficult.

The National Association of School Nurses revised its position the following year. In its guidance, the association said children found with live head lice should remain in class but be discouraged from close direct head contact with others and said the school nurse should contact the parent to discuss treatment.

The association doesn’t have figures on how many schools have adopted less restrictive policies. Policies vary by state and often by school district.

Q: HOW DO PARENTS FEEL?

A: Letting kids with untreated lice remain in class doesn’t sit well with some parents.

“I’m appalled. I am just so disgusted,” says Theresa Rice, whose 8-year-old daughter, Jenna, has come home from her Hamilton County, Tenn., school with lice three times since August.

“It’s just a terrible headache to have to deal with lice,” says Rice. To pick out the tiny nits and lice from Jenna’s long blond hair is a four-hour process. Add to that all the laundry and cleaning — it’s exhausting, she says. Rice had to bag up her daughter’s treasured stuffed animals, which remained sealed for weeks even after Jenna was lice-free.

Jenna’s school implemented a new policy in the past year that allows children with untreated lice to go home at the end of the day, be treated and then return to school. The policy, the district said, complies with the guidelines of both the Tennessee Department of Education and the CDC.

Q: WHAT DO OTHERS THINK?

A: The National Pediculosis Association in Massachusetts opposes relaxing bans on lice and says the updated policies spread the bugs. Pediculosis means infestation of lice.

“The new lice policy throws parental values for wellness and children’s health under the bus,” says Deborah Altschuler, head of the Newton-based group. “It fosters complacency about head lice by minimizing its importance as a communicable parasitic disease.”

The association says lice treatment shampoos are pesticides that are not safe for children and not 100 percent effective. The group instead urges parents to screen regularly and use a special comb to manually remove lice and nits from a child’s hair.

The CDC says the nits are “very unlikely to be transferred successfully to other people” — and many schools have dropped their no-nit policies. But supporters of no-nit rules, such as the National Pediculosis Association, say the eggs will hatch new lice and need to be removed before a child is considered lice-free.

___

Online

Centers for Disease Control: http://www.cdc.gov/parasites/lice/head/index.html

National Pediculosis Association: http://www.headlice.org/

National Association of School Nurses: http://bit.ly/y8IUdg

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White House looking at administrative fixes for Obamacare ” gaps” [ BeritaTerkini ]

Message-ID: <1383929497.2888333181526594@filter-184.sjc1.sendgrid.net>
Date: Fri, 08 Nov 2013 16:51:37 +0000 (GMT)
X-SG-EID: kTzRKEokq2uTTRw+1e3Sh3L/xeaYw2xchNujA6cqNKgZouxcWOkxxa7RXNiqdt40PlfXDnjW1KeLW36q4XO54Tu0irG2iT1rYB4Kb8vny/Wl6hItEr2sQCKFmtXdB/JC+KSZ4XdI3iHW50JJChRmsjh7l6BWoCYlCuLD/n7Zr7kX-Feedback-ID: 138307:z/6AmqFQdFwIuKeqVYuyelvpJDIiyEpF48rjQzDnnfU

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Priceline Promotes Huston to President & CEO, Boyd Remains Chairman [ BeritaTerkini ]

Priceline Promotes Huston to President & CEO, Boyd Remains Chairman


 


The Priceline Group has promoted Darren Huston, 47, to president and CEO, succeeding Jeffery Boyd, who will remain as chairman after serving 14 years in the CEO role. Boyd is credited with turning Priceline around during his tenure and boosting the company’s stock price to new highs. Huston’s promotion and his appointment to Priceline’s board of directors will become effective on Jan. 1, 2014.  will also join Priceline’s board of directors.


Huston has been serving as CEO of Booking.com B.V. (Netherlands), a wholly owned subsidiary of Priceline, and will continue to hold that post.  Since January 2013, he also has also been responsible for overseeing certain parts of Priceline’s international business, including inter-brand relations, distribution and geographic expansion.


Huston has been a member of the company’s Group Management Board since joining in September 2011.  He came to Priceline from Microsoft Corporation, where he served as corporate vice president, consumer on online from 2008 and president and CEO of Microsoft Japan from 2005.  Prior to joining Microsoft in 2003, he was senior vice president at Starbucks Corporation responsible for acquisitions and new product development.


“Darren has done a great job leading Booking.com, the Group’s largest business, delivering impressive growth and share gains,” said Boyd. “Darren is the right choice to lead the group and I look forward to working with him closely as chairman of the board.”

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Drowners Tear Up the Town in ‘Luv, Hold Me Down’ – Premiere [ BeritaTerkini ]

Drowners Tear Up the Town in ‘Luv, Hold Me Down’ – Premiere

New York City rockers chronicle life on the road this summer

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In the video for Drowners’ “Luv, Hold Me Down,” the New York City rockers tear up the towns they pass through on tour by skateboarding indoors, lighting shirts on fire, jumping into pools from rooftops and giving themselves stick-and-poke tattoos. “I could never have self-control,” Welsh singer and model Matt Hitt seems to explain over the chorus’ jangly guitar riffs, which borrow as much from the Smiths as U.K. post-punk revivalists the Vaccines. 

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The mini-tour documentary, which vividly captures the close-knit spontaneity of a band on the road, chronicles Drowners’ cross-country jaunt this past summer (including opening for Arctic Monkeys). “The video was made by our friend [photographer and director] Pete Voelker,” Hitt tells Rolling Stone. “Pete came across America and down to Brazil with us. When we weren’t playing shows or sleeping in the van, we spent our time drinking, skateboarding and eating terrible food at truck stops.” 

“Luv, Hold Me Down” is the first taste of the album Drowners, due January 28th, 2014 on Frenchkiss Records. The album also includes all three songs from the band’s Between Us Girls EP, which arrived last February.

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Roman Remains Find Why ‘This Stone Is Starting to Bleed’ – Premiere [ BeritaTerkini ]

Liela Moss and Toby Butler have played together in the British rock outfit the Duke Spirit for the past decade, and the two recently branched out with a side project, Roman Remains. The duo’s debut EP, Energy You, was just released on H.O.T. Records, and you can pick it up now over at iTunes; a full-length is also on the way for 2014 release.

Now you can take an exclusive first look at the video for “This Stone Is Starting to Bleed,” a glitchy, blistering synth-punk cut that soundtracks a shaman’s peculiar ritual as the members of Roman Remains watch from the shadows.

Watch the Duke Spirit Take Over the ‘Rolling Stone’ Office

“Directed by our close friend Marcus McSweeney and filmed on the Southeast English coast, our psychedelic shaman weaves his magic in the fire, whilst we lurk, waiting,” Butler tells Rolling Stone of the clip. “We were really interested in making a video that didn’t spell everything out for you and was open-ended. He’s an outsider, and we don’t know what he’s doing, but he’s not to be afraid of or suspicious of. I’ve said too much.”

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Would you be willing to merge with machinery? [ BeritaTerkini ]

A British boy has become the first individual in Britain to receive a special implant which allows the young child to walk unaided. The boy in question, Eddy Parry, was diagnosed with a rare form of bone cancer at a very young age, and was sadly forced to have his leg amputated. This unique surgery has resurrected his physical ability, though, and now Eddy is able to walk thanks to what he calls his ‘robot leg’.

Such an expression makes one think of science-fiction, with its predictions that we will incorporate all sorts of mechanical and electronic implements within our bodies at some point in the near future, and that this will become normal practice. Indeed, with the technology already available to implant microchips into the human body, and technologies such as Google Glass blurring the distinction between man and machine, such concepts as trans-humanism are not merely the preserve of science-fiction novels.

One of the foremost writers on futurism, Ray Kurzweil, has already predicted that once the technological singularity is reached, human-beings will willingly merge with artificial intelligence to create a race of essentially super beings. The singularity refers to the point at which artificial intelligence exceeds that of human intelligence, and Kurzweil believes that such a time is not far away at all.

Others have dismissed this view and such concerns, though. The infamous linguist and political commentator, Noam Chomsky, has suggested that the singularity is absolutely science-fiction, at least for the time being. Chomsky believes that the creation of a super-intelligent form of artificial intelligence, which even comes close to human intelligence, is inconceivable at present, due to how little we know about how human intelligence actually works. After all, it is human intelligence that will have to build artificial intelligence, no matter how far it develops once this initial process has been completed.

Whichever one of these prognostications is correct, the concept of merging human and machine, particularly with regard to something so fundamental to our identity as our thought processes, is very scary for some. And understandably so. While the future direction of artificial intelligence has yet to be decided, what can be demonstrated by this transplant is that the merging of the human and the artificial need not be viewed as something threatening, as in the right context it can certainly enhance our existence and quality of life. This must be borne in mind as much as we consider the potential dangers of such technology.

Christopher Morris is a regular contributor to Yahoo on television, cinema, video games, technology and politics.

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Syria, neighbors to vaccinate 20 million children against polio [ BeritaTerkini ]


By Stephanie Nebehay and Kate Kelland

GENEVA/LONDON (Reuters) – More than 20 million children are to be vaccinated in Syria and neighboring countries against polio to try to stop the spread of the crippling infectious disease following its re-emergence there after 14 years, United Nations agencies said on Friday.

The mass vaccination against polio, which can spread rapidly among children, is already under way in the Middle East a week after the region declared a polio emergency, the World Health Organization (WHO) and the UN children fund UNICEF said.

Aiming to repeatedly vaccinate about 20 million children in seven countries and territories, it will be the largest-ever consolidated immunization response in the Middle East.

“The polio outbreak in Syria is not just a tragedy for children, it is an urgent alarm – and a crucial opportunity to reach all under-immunized children wherever they are,” Peter Crowley, UNICEF’s Chief of Polio, said in a statement.

He said the recent outbreak in Syria, confirmed by the WHO last week, should “serve as a stark reminder to countries and communities that polio anywhere is a threat to children everywhere.

WHO spokeswoman Sona Bari said it would take six months of repeated campaigns to reach 22 million children.

“It is going to need quite an intense period of activity to raise the immunity in a region that has really been ravaged both by conflict in some parts, but also by large population movements,” she told a briefing in Geneva.

The first polio outbreak in Syria since 1999, it has so far paralyzed 10 children and poses a risk of paralysis to hundreds of thousands of children across the region, the WHO said.

Syria’s immunization rates have plummeted from more than 90 percent before the conflict to currently around 68 percent.

Preliminary evidence has indicated the virus is of Pakistani origin, but results of genetic sequencing are still awaited. Polio is still endemic in Pakistan, along with Nigeria and Afghanistan.

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“We’re never going to know how exactly how it arrived in Syria,” Bari said.

“We also know that adults tend to have much higher level of immunity already developed, so it is unlikely that adults brought this it. It is more likely some other route.”

Children in unsanitary conditions are particularly vulnerable to infection with the polio virus, which spreads trough faecal-oral transmission and contaminated food and water.

It attacks the nerves and can kill or paralyze, often spreading widely and unnoticed before it starts crippling children. For every case of polio, 200 children can be infected. There is no cure, but it can be prevented though vaccination

Emergency immunization campaigns in and around Syria to prevent transmission of polio and other preventable diseases have vaccinated more than 650,000 children in Syria, including 116,000 in the northeast Deir-ez-Zor province where the polio outbreak was confirmed.

The WHO said the vaccinations were vital in a region that had not seen polio for nearly a decade, but which in the last 12 months has detected the polio virus in sewage samples from Egypt, Israel, the West Bank and Gaza Strip.

Dr. Ala Alwan, the World Health Organization regional director for the Eastern Mediterranean, said what was needed was “a consolidated and sustained assault” on the disease.

UNICEF said it had procured 1.35 billion doses of oral polio vaccine (OPV) to date in 2013 and by the end of the year will have procured up to 1.7 billion doses to meet increased demand.

Global supply of OPV was under pressure with vaccine manufacturers producing at full capacity, the WHO said, and the new outbreak in Syria is adding further pressure. But the WHO, UNICEF and manufacturers said they were are working to secure sufficient quantities to reach all children.

The WHO said the vaccination campaign inside Syria would target 1.6 million children with vaccines against polio, measles, mumps and rubella.

In Jordan more than 18,800 children under the age of five were vaccinated against polio in a campaign in the past few days targeting all children at Za’atari camp, and a nationwide campaign is under way to reach 3.5 million people with polio, measles and rubella.

In Iraq, a vaccination campaign has started in the west of the country, with another campaign planned in the Kurdistan Region in the coming days. Lebanon’s nationwide campaign begins this week and Turkey and Egypt by mid-November, the WHO said.

(Writing by Kate Kelland, editing by Elizabeth Piper)

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