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Mayo Clinic Proceedings: A Comprehensive Review Of Addiction To Prescription Painkillers Among Patients And Physicians
Chemical dependency and recovery in patients and physicians are closely examined in a series of articles and editorials in the July 2009 issue of Mayo Clinic Proceedings. The subject is especially timely. As the immense challenges, including potential tragedies, of prescription chemical addiction and abuse are being discussed, these articles offer crucial overview, direction and optimism.
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Celera Presents Data Replicating Its Immunodiagnostic Assay To Detect Lung Cancer From Blood Serum
Celera Corporation (NASDAQ:CRA) announced yesterday the presentation of data replicating its novel mass spectrometry-based approach to identify and validate circulating protein biomarkers that detect non-small cell lung cancer (NSCLC) in an independent cohort of individuals with lung cancer. This study was performed in collaboration with scientists at NYU Langone Medical Center, NY. A key outcome of the study was the validation of a 9 biomarker immunoassay on a cohort of samples that is enriched for stage I disease, important for screening of early stage disease. The assay detected lung cancer with 92% sensitivity at 93% specificity. The panel also accurately distinguished malignant cases from benign lung disease. The data is being presented at the 13th World Conference on Lung Cancer as part of the International Association for the Study of Lung Cancer (IASLC) in San Francisco, CA.
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Obama Highlights U.S. Commitment To Reducing Maternal Mortality, HIV/AIDS In Address To Africa
In a speech before the Ghanaian Parliament, President Obama on Saturday reiterated U.S. support for public health programs that will reduce maternal mortality and the spread of HIV/AIDS in Africa, the New York Times reports. The speech, which was televised across the continent, focused on international relations with Africa and empowering African nations to address problems (Baker, New York Times, 7/12).In a portion of the speech about strengthening public health, Obama said that there has been "enormous progress ... in parts of Africa" in recent years. He continued, "Far more people are living productively with HIV/AIDS, and getting the drugs they need. But too many still die from diseases that shouldn"t kill them." He added, "When children are being killed because of a mosquito bite, and mothers are dying in childbirth, then we know that more progress must be made." Obama said that "incentives often provided by donor nations" often compel doctors and nurses to "go overseas, or work for programs that focus on a single disease," which "creates gaps in primary care and basic prevention." He also said that Africans must "make responsible choices that prevent the spread of disease, while promoting public health in their communities and countries."Obama noted that the U.S. has committed $63 billion "to meet these challenges." He added that the U.S. will not "confront illnesses in isolation" but instead "invest in public health systems that promote wellness and focus on the health of mothers and children" (AP/USA Today, 7/11). Obama also visited a women"s clinic to highlight U.S-backed programs to fight infant and maternal mortality (New York Times, 7/12).
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Can A Society With Smokers Be Profitable?

The latest rise in the indirect taxation on tobacco and alcohol took place in June. The most popular brand of cigarettes went up in price from 3.10 euros to 3.30 euros per packet. Are these taxes a form of dissuasion or a way of compensating the rest of society for the harm generated by those who smoke? A study by the Polytechnic University of Cartagena has looked into the most significant questions concerning the tobacco economy. The research, carried out by ngel L關pez and Ar獺ntzazu Viudes, reviews the main economic arguments for the analysis of the policies to control tobacco addiction and describes the market failures from different paradigms. As L關pez declared to SINC, "we have not attempted to verify a specific hypothesis but rather carried out an appraisal of the studies on tobacco consumption from the economic point of view, including both the traditional vision and the more recent progress". It can be seen from this review, for example, that smoking is a personal choice which can generate net losses of welfare for other members of society and for the family of the smoker but, above all, for the person in question. "Upon this basis there exists an economic justification for corrective interventions by the State", the researchers explained. The article, which has recently been published in the Revista Espa簽ola de Salud P鏗blica (Spanish Magazine of Public Health), also discusses two of the most significant preventive measures nowadays: the ban on smoking in bars and restaurants and the taxes on payment in tobacco. The economists put forward the following argument: "the measures depend on the mechanisms which generate losses of welfare. The taxes have traditionally been justified as corrections for the costs imposed on the rest of society, due either to a supposed imbalance between taxes and payments from the public sector or to the harm caused by secondhand tobacco". The advantages of raising taxes The question which then arises is whether the taxes are sufficient for the costs generated by tobacco. For L關pez, "if we bear in mind all the significant costs, the evidence available indicates that this is not so". In their work, and according to the evidence collated, the financial externalities are partly compensated for by the level of taxation applied in many industrialized countries. Nevertheless, the most solid justification for increases in taxes lies "in the existence of failures in the sovereignty of the consumer, both when starting to smoke and when attempting to give it up and sticking to such a decision. These failures generate a demand for self-control mechanisms, and the high price is one of the most effective mechanisms", the economist explained. Under no circumstances can it be said that a society with smokers is per se economically ineffective. According to L關pez, it depends on whether the smokers are fully aware of the harm they cause to themselves and smoke because they want to (not because they cannot overcome the addiction) and whether they compensate the rest of society for the external costs they generate. "It is quite difficult for these premises to be fulfilled", the researchers asserted. The taxes on tobacco, the study says, can also be justified by the existence of externalities arising from the social use of tobacco and by the possible inappropriateness of regarding the costs imposed by secondhand tobacco affecting the rest of the family as private costs. The restrictions on consumption in closed public places is another powerful self-control mechanism and represents "a second solution to the problem of the externalities arising from secondhand tobacco". According to L關pez, "both taxes and the restrictions on consumption are measures which impose losses of welfare on the people who smoke with full sovereignty, in other words, those who value the pleasure of smoking more than the present and future costs of the habit. Nevertheless, in view of the estimates of the private costs and the evidence that most smokers want to stop give up, the hypothesis that taxes and restrictions on consumption increase net welfare gains plausibility. In any case, the researchers argue that "measures of prevention and control which increase the options of individuals without interfering in the decisions of those who wish to smoke with full sovereignty are desirable". The policies in the study which are regarded as being inspired in the principles of liberal paternalism "may produce positive results in the future, although there is still much to be done as regards their potential implementation and evaluation", the experts concluded. References: ngel L關pez Nicol獺s; Ar獺ntzazu Viudes de Velasco. "El control del tabaquismo desde la perspectiva de la econom穩a". Revista Espa簽ola de Salud P鏗blica. N鏗mero 83(1), p獺ginas 9-23. Enero-febrero de 2009. SINC FECYT - Spanish Foundation for Science and Technology


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