Tuesday, October 2, 2012

FOXNews.com: Baby births in US down for fourth year

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Baby births in US down for fourth year
Oct 3rd 2012, 05:30

NEW YORK –  U.S. births fell for the fourth year in a row, the government reported Wednesday, with experts calling it more proof that the weak economy has continued to dampen enthusiasm for having children.

But there may be a silver lining: The decline in 2011 was just 1 percent -- not as sharp a fall-off as the 2 to 3 percent drop seen in other recent years.

"It may be that the effect of the recession is slowly coming to an end," said Carl Haub, a senior demographer with the Population Reference Bureau, a Washington, D.C.-based research organization.

Most striking in the new report were steep declines in Hispanic birth rates and a new low in teen births. Hispanics have been disproportionately affected by the flagging economy, experts say, and teen birth rates have been falling for 20 years.

Falling births is a relatively new phenomenon in this country. Births had been on the rise since the late 1990s and hit an all-time high of more than 4.3 million in 2007.

But fewer than 4 million births were counted last year -- the lowest number since 1998.

Among the people who study this sort of thing, the flagging economy has been seen as the primary explanation. The theory is that many women or couples who are out of work, underemployed or have other money problems feel they can't afford to start a family or add to it.

The economy officially was in a recession from December 2007 until June 2009. But well into 2011, polls show most Americans remained gloomy, citing anemic hiring, a depressed housing market and other factors.

The report by the Centers for Disease Control and Prevention is a first glimpse at 2011 birth certificate data from state health departments. More analysis comes later but officials don't expect the numbers to change much.

Early data for 2012 is not yet available, and it's too soon to guess whether the birth decline will change, said the CDC's Stephanie Ventura, one of the study's authors.

Highlights of the report include:

--The birth rate for single women fell for the third straight year, dropping by 3 percent from 2010 to 2011. The birth rate for married women, however, rose 1 percent. In most cases, married women are older and more financially secure.

--The birth rate for Hispanic women dropped a whopping 6 percent. But it declined only 2 percent for black women, stayed the same for whites and actually rose a bit for Asian-American and Pacific Islanders.

--Birth rates fell again for women in their early 20s, down 5 percent from 2010 -- the lowest mark for women in that age group since 1940, when comprehensive national birth records were first compiled. For women in their late 20s, birth rates fell 1 percent.

--But birth rates held steady for women in their early 30s, and rose for moms ages 35 and older. Experts say that's not surprising: Older women generally have better jobs or financial security, and are more sensitive to the ticking away of their biological clocks.

--Birth rates for teen moms have been falling since 1991 and hit another historic low. The number of teen births last year -- about 330,000 -- was the fewest in one year since 1946. The teen birth rate fell 8 percent, and at 31 per 1,000 girls ages 15 through 19 was the lowest recorded in more than seven decades.

"The continued decline in the teen birth rates is astounding," said John Santelli, a Columbia University professor of population and family health.

Did the economy have anything to do with a drop in teen births?

Yes, indirectly, Santelli said. Teenagers watch the struggles and decisions that older sisters and older girlfriends are making, and what they see influences their thinking about sex and birth control, he said.

"Teens tend to emulate young adults," Santelli said. "They are less influenced directly by the economy than by people."

Studies show that since 2007, larger percentages of sexually active teenage girls are using the pill and other effective birth control. Studies also show a small decline in the proportion of girls ages 15 through 17 who say they've had sex, Santelli noted.

The new birth report also noted a fourth straight decline in a calculation of how many children women have over their lifetimes, based on the birth rates of a given year.

A rate of a little more than 2 children per woman means each couple is helping keep the population stable. The U.S. rate last year was slightly below 1.9.

Countries with rates close to 1 -- such as Japan and Italy -- face future labor shortages and eroding tax bases as they fail to reproduce enough to take care of their aging elders.

Officials here aren't as worried.

The U.S. replacement rate is still close to 2. And it has dropped in the past and then bounced back up again, said Ventura, an official at the CDC's National Center for Health Statistics.

"And we haven't seen any studies that show couples want to have fewer children or no children," she added.

One more report highlight: The U.S. C-section rate may have finally peaked at just under 33 percent, the same level as last year.

Cesarean deliveries are sometimes medically necessary. But health officials have worried that many C-sections are done out of convenience or unwarranted caution, and in the 1980s set a goal of keeping the national rate at 15 percent.

The C-section rate had been rising steadily since 1996, until it dropped slightly in 2010.

"It does suggest the upward trend may be halted," said Joyce Martin, a CDC epidemiologist who co-authored the new report. But CDC officials want a few more years of data before declaring victory, she added.

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FOXNews.com: Elizabeth Hurley dresses in pink every October

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Elizabeth Hurley dresses in pink every October
Oct 2nd 2012, 20:19

After nearly two decades, Elizabeth Hurley still finds herself dressed in pink in October to mark Breast Cancer Awareness Month.

She's been the face of the Estee Lauder Cos.' breast-cancer awareness and fundraising efforts for 18 years.

"This is a part of my life. I look forward to the month. Over the years, my commitment has become more significant," Hurley says.

The calendar is marked off for the entire month, the actress says, and she makes no other plans, although she's hoping to squeeze in a diner breakfast on this trip to New York City.

"If you open up my suitcase, you'll see a lot of pink dresses, nude-colored shoes and a lot of pink handbags, too."

- Actress Elizabeth Hurley

Hurley, 47, was at the Empire State Building on Monday wearing a plunge V-neck, gathered-waist Issa jersey dress to flip the switch to turn the lights pink. She did it two years ago with Evelyn Lauder, who died last November.

Lauder co-founded the Pink Ribbon Campaign 20 years ago, and since then, more than 122 million free pink ribbons have been handed out at department-store cosmetic counters as a reminder about breast health and the research being done for a cure, Hurley says.

"We were a great double act. This is bittersweet. ... She was a wonderful person, and I hope a little bit rubbed off on me."

Without Lauder, Hurley finds herself busier this month, with planned stops in Toronto, London and Paris, among others. The campaign reaches 70 countries.

"If you open up my suitcase, you'll see a lot of pink dresses, nude-colored shoes and a lot of pink handbags, too," she says.

The campaign has found much success raising money for research: $35 million so far, Hurley says, though, it's with each mammogram made by a woman who might otherwise have forgotten or resisted to make that call for her appointment that she feels a greater sense of accomplishment.

William Lauder, Evelyn's son and executive chairman of the cosmetics company, says he gets a little thrill — and a giant burst of pride — every time an NFL football player puts on a pair of hot pink gloves or uses a pink towel to support the breast cancer campaign.

He remembers his mother establishing the Breast Cancer Research Foundation in 1993 and making it her life's work.

It now seems hard to imagine an October not washed in pink, Hurley and William Lauder agree.

There's also a perk in all the pink lip gloss that goes along with the campaign, adds Hurley. There's one this year named for her called Pink Innocence.

"I love it when I get the new gloss, and when I see other people wearing it."

An interactive exhibition looking back at the 20 years of the Breast Cancer Awareness campaign is open to the public Tuesday and Wednesday outside the GM Building on Fifth Avenue.

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FOXNews.com: Natural remedies to combat diarrhea

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Natural remedies to combat diarrhea
Oct 2nd 2012, 20:00

The human intestinal tract is a marvelous creation, in which our food is digested, water is absorbed, and waste is collected and eliminated. When our digestive system works well, we feel good. But when it works poorly, we can feel really lousy.

A common digestive problem is diarrhea, which can be caused by bacteria, excessive intake of oily and greasy foods, stress, inadequate friendly bacteria in the intestines, poor diet, excess alcohol, and many different types of pharmaceutical drugs. Diarrhea is uncomfortable, inconvenient, and often quite embarrassing.

Many Americans experience diarrhea due to the drugs they take. According to the National Institutes of Health, drugs that typically cause diarrhea include antibiotics, all laxatives, magnesium-based antacids, chemotherapy drugs, heartburn and stomach ulcer drugs (Tagamet, Zantac, Axid), and the common pain-reliving agents ibuprofen and naproxen. According to the FDA, the heartburn drugs called proton pump inhibitors (PPIs) (Dexilant, Nexium, Prilosec, Zegerid, Protonix) can cause severe enough diarrhea and gastric distress to eventually require surgical removal of part of the colon in some cases. If you are taking any of these and are experiencing diarrhea, speak with a holistic physician who can help you to get off these drugs and recommend something safer.

If you suffer from regular or chronic diarrhea, then the first thing to do is revisit what you are eating. Inadequate dietary fiber, high intake of fatty and fried foods, and insufficient intake of highly nutritious foods – such as whole grains and leafy green vegetables – can weaken your digestion and tend you toward diarrhea. Going to the bathroom too much, loose stools and watery elimination can occur. So first off, change your diet. Easy-to-digest grains like oatmeal and millet can help to re-stabilize digestion and elimination. Steamed leafy green vegetables can supply the minerals your bowels need for healthier function. Reducing or eliminating greasy and fried foods can also make your digestive tracts less slippery.

Probiotics, which are friendly bacteria necessary for proper digestion and elimination, can help to reduce or completely eradicate diarrhea. Live, active yogurts and live, probiotic supplements can help to colonize your digestive tract with bacteria that enhance digestion, improve overall intestinal health, form healthier stools, and control elimination. Take them regularly until you are back in balance. I recommend the Pearls IC probiotic by Enzymatic Therapy.

When you are experiencing diarrhea, charcoal capsules can help to stop the problem, and give you relief. Charcoal absorbs toxins and helps to slow down elimination. It's safe and non-toxic, while working relatively quickly. Look for the the Activated Charcoal capsules from Nature's Way.

Fresh ginger root tea, which is useful for a very broad range of health problems, can also help to reduce the discomfort of diarrhea. Tazo Teas makes a good organic ginger root tea. Eating green bananas can help as well, slowing down elimination. White rice – eaten plain – can slow down excessive elimination, and is filling.

Regular or chronic diarrhea means that something is wrong. If you are taking medications, find out if any of them can cause diarrhea. If you are eating greasy foods and little fresh produce, then a diet change is in order.  Better food and a few natural remedies can help you to enjoy better digestion – and get you away from the bathroom – so you can enjoy life.

Chris Kilham is a medicine hunter who researches natural remedies all over the world, from the Amazon to Siberia. He teaches ethnobotany at the University of Massachusetts Amherst, where he is Explorer In Residence. Chris advises herbal, cosmetic and pharmaceutical companies and is a regular guest on radio and TV programs worldwide.  His field research is largely sponsored by Naturex of Avignon, France. Read more at www.MedicineHunter.com.

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FOXNews.com: Recalled peanut butter at major retailers, including Whole Foods, Target

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Recalled peanut butter at major retailers, including Whole Foods, Target
Oct 2nd 2012, 17:16

A New Mexico company has expanded its recall of peanut butter and almond butter to include cashew butters, tahini and blanched and roasted peanut products.

Sunland Inc. sells its nuts and nut butters to large groceries and other food distributors around the country. The company recalled products under multiple brand names after salmonella illnesses were linked to Trader Joe's Creamy Salted Valencia Peanut Butter, one of the brands manufactured by Sunland.

FDA's full list of recalled peanut butter 

The federal Center for Disease Control and Prevention said there are now 30 illnesses in 19 states that can be traced to the Trader Joe's peanut butter. No other foods have been linked to the illnesses, but Sunland recalled other products manufactured on the same equipment as the Trader Joe's product.

In addition to Trader Joe's, the recall includes nut products sold at Whole Foods Market, Target, Fresh & Easy, Giant Food, Harry and David, Stop & Shop Supermarket Company and several other stores. Some of the stores used Sunland ingredients in items they prepared and packaged themselves.

Brand names recalled include Archer Farms, Earth Balance, Fresh & Easy, Late July, Heinen's, Joseph's, Natural Value, Naturally More, Open Nature, Peanut Power Butter, Serious Food, Snaclite Power, Sprouts Farmers Market, Sprout's, Sunland and Dogsbutter, among others.

Sunland's recall includes 101 products, and several retailers have issued additional recalls including items made with Sunland ingredients.

Those sickened reported becoming ill between June 11 and Sept. 11, according to the CDC. Almost two-thirds of those who became ill were children under the age of 10. No deaths have been reported.

Salmonella can cause diarrhea, fever and abdominal cramps 12 hours to 72 hours after infection. It is most dangerous to children, the elderly and others with weak immune systems.

"Once FDA became involved in this fast-moving outbreak investigation, we began coordinating and working closely with the CDC and several state health departments, which have been leading their own investigations," according to the Food and Drug Administration's website. 

Consumers who have purchased any of the affected products should dispose of it or return it to the store where they purchased it. 

The FDA said it will continue to keep the public informed on this matter. 

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FOXNews.com: CDC: Teen drinking and driving down 54 percent

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CDC: Teen drinking and driving down 54 percent
Oct 2nd 2012, 17:47

Drinking and driving among U.S. teens is down 54 percent since 1991, according to a new study by the Centers for Disease Control and Prevention (CDC).

"Nine out of 10 high school teens are not drinking and driving," said CDC Director Thomas Frieden, "but it's really important we keep up the momentum."

Frieden attributed the decrease to a combination of improved social awareness about the dangers of drinking and driving, as well as safety laws enacted over the past two decades. In particular, Frieden mentioned a minimum drinking age of 21 in every state, zero tolerance laws for teens caught with alcohol in their systems while driving and graduated licenses that phase in privileges for new drivers as they gain experience.

Frieden said parents can add to their children's safety by establishing safe driving agreements with them, encouraging teens to call home if they're with a driver who's been drinking and providing them with an alternative ride home.

Despite overall reductions, the study shows 85 percent of high school students who admitted to drinking and driving also reported binge drinking – defined as consuming five or more alcoholic beverages during a short period of time.

The CDC based its findings on data from national Youth Risk Behavior Surveys of high school students, aged 16 and older, that were conducted from 1991 to 2011. The CDC also factored in blood alcohol test results from teen victims in fatal automobile accidents during the same time period.

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FOXNews.com: Could new psychiatric guidelines mean some people diagnosed with autism don't have disorder after all?

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Could new psychiatric guidelines mean some people diagnosed with autism don't have disorder after all?
Oct 2nd 2012, 16:52

A new study published in The Journal of American Psychiatry has found that a new definition of autism, slated for inclusion in the next official Diagnostic and Statistical Manual of Psychiatry from the American Psychiatric Association (APA), will exclude about 10 percent of patients who have been diagnosed with autism in the past.  

This contradicts previous studies that have found 45 percent or more of the patients now considered autistic would no longer be diagnosed as such.

Here, we have at least three problems.

First, well-meaning psychiatric researchers apparently differ by more than 400 percent in their estimates of how many patients will no longer be considered autistic (who once were considered autistic).  

Millions of Americans who receive needed health care services because they are suffering with what had been described as autism by the APA could lose those services because a committee has decided to rewrite the definition of the condition

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This is not reassuring to members of the public, who look to psychiatric authorities for some level of accuracy and consistency—especially where conditions as severe as autism are concerned.

Second, a shift in the criteria for the diagnosis of autism in a way that jettisons between 10 and 45 percent of those currently with the diagnosis potentially means that millions of American children were told they had the condition when they did not — because they or the condition itself were not well understood. This ought to give every patient seeing any psychiatrist very significant pause about whether to accept any diagnosis he or she receives.

Third, medical specialties—psychiatry included—should not be in the habit of shifting their diagnoses every time a new diagnostic manual is published by its trade guild (here, the APA).  It seems impossible to believe the pace of psychiatric knowledge is so far outstripping every other medical specialty that its diagnostic manual must be constantly revamped (resulting, by the way, in millions of dollars in revenue to the APA), with new conditions added every few years and others dispensed with.  

Rather than the pace of discovery, it could be argued that what is shifting is the way organized psychiatry eyes third-party reimbursement or keys its diagnoses to match up with available medications.  

The stakes are very high, indeed.  Millions of Americans who receive needed health care services because they are suffering with what had been described as autism by the APA could lose those services because a committee (at the APA) has decided to rewrite the definition of the condition.  

And this, of course, brings up an interesting fourth problem:  If 10 to 45 percent of those Americans diagnosed with autism based on the criteria in the Diagnostic and Statistical Manual actually do not have the disorder — but received treatment meant for those who do have it — do those individuals have a legal claim against the APA for promulgating inaccurate information upon which clinicians across the country relied?

Just think about the implications if the criteria for depression are revised and millions of Americans learn they were treated for that illness when they should have been treated for something else.

See, like every medical specialty, psychiatry relies for its credibility on it staying close to the facts—to truth. And if the official diagnostic manual can be rewritten with every new edition having new disorders and canceling old ones, then something is just plain wrong with that manual and the perspective of the folks creating it.  

Now, more than ever, people seeking care from psychiatrists are going to have to seek out the ones who have a very firm vision of how to expertly and determinedly deploy psychotherapy, medication and other treatment modalities to conquer the particular symptoms they suffer, and to advocate for them as individuals, not to satisfy the APA's official diagnosis and treatment recipe book—which keeps changing, anyhow.

Dr. Keith Ablow is a psychiatrist and member of the Fox News Medical A-Team. Dr. Ablow can be reached at info@keithablow.com.

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FOXNews.com: Why it's important to get your yearly flu shot

FOXNews.com
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Why it's important to get your yearly flu shot
Oct 2nd 2012, 16:40

Flu season is just around the corner: It typically begins in October or November, peaks in January or February and can continue through May.  Given that it takes about two weeks for the vaccination to build the antibodies necessary for protection, what better time than now to get vaccinated?

The influenza virus(es) changes every season, so it is very important to get vaccinated each and every year.  For example, this year, the main strain of the virus is completely different than last year, so the antibodies you acquired from last year's vaccination may not be effective against this year's strain.  Research has shown that resistance (either via natural methods or vaccination) to influenza decreases each year, further supporting yearly vaccinations.

Certain populations of people are more susceptible to the flu and should be sure to obtain a vaccination each and every year.  On the other hand, there are some groups who should not receive a vaccination.  

Keep in mind that an influenza infection affects everyone differently; for one person it could just be a fever and achy body, bur for another, it could mean hospitalization or even death.  As a general rule, anyone over 6 months of age should get vaccinated.  

If you have certain medical conditions (e.g. asthma, lung disease, diabetes), are pregnant, are 65 years or older or live with/care for others who are at a high risk of contracting influenza, you should especially get an influenza vaccination.  

If, however, you are allergic to eggs, have had a severe reaction to a previous influenza vaccination, are younger than 6 months, have a history of Guillain-Barre Syndrome or currently have an illness which includes fever, you should not get vaccinated without first consulting your physician.

There are a few different types of flu vaccines, with each type designed for certain populations.  The flu shot, an inactivated vaccine, which contains the killed virus, is given with a needle and is approved for those aged 6 months and older.  

The high-dose flu shot is also given with a needle, but contains a higher dose than the original flu shot; for this reason, this vaccine is designed for people aged 65 and older.  

The intradermal flu shot is given with a much shorter needle, thus injecting into the skin rather than the muscle, and is approved for people aged 18-64 years old.  

Finally, there is a nasal-spray vaccine that is composed of live, weakened flu viruses.  These viruses will not cause the flu, however, this vaccine should only be used in healthy people, aged 2 to 49 years, who are not pregnant.

While getting a flu vaccination is likely to help prevent you from getting the flu, it is not completely foolproof; there is a small chance that the viruses contained in the vaccination will not match the circulating strains.  

However, regardless of how well the vaccine corresponds with the circulating strains, it is still important to get vaccinated to help protect yourself and to prevent any flu-related complications.  As always, speak with your physician before obtaining a vaccination to ensure it is a safe option for you.

Dr. David B. Samadi is the Vice Chairman of the Department of Urology and Chief of Robotics and Minimally Invasive Surgery at the Mount Sinai School of Medicine in New York City. He is a board-certified urologist, specializing in the diagnosis and treatment of urological disease, with a focus on robotic prostate cancer treatments. To learn more please visit his websites RoboticOncology.com and SMART-surgery.com. Find Dr. Samadi on Facebook.

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