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Economist Examines 'Snail-Fever' In China
The Economist examines schistosomiasis in China. The disease, which is also called snail-fever, is the "world"s second-most prevalent tropical disease after malaria, affecting 207 million people of whom 726,000 are Chinese, according to the most recent official figures, from 2004," the Economist reports.
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A-B-C-D-E Spells Fitter Future For Nation's Obese Children
The fitness mantra - Activity, Belief, Confidence, Diet and Exercise.
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Fate Of Tiller's Clinic Expected To Be Decided This Week
The family of murdered Kansas abortion provider George Tiller is expected to decide this week whether his Wichita clinic will reopen, NPR"s "Morning Edition" reports. Tiller"s clinic is one of the few in the U.S. that performs abortions later in pregnancy, and many abortion-rights advocates are concerned whether women in need of abortions in the second and third trimester would be able to obtain care if it were not reopened. LeRoy Carhart, a Nebraska abortion provider who worked with Tiller at his clinic for four years, said that although it is a difficult time for abortion providers, he hopes that the family will reopen the clinic. "This is a job that we took, and we were well-aware of the risks when we started, as was Dr. Tiller," he said. Providing abortion services in the second and third trimester is "a service that"s so needed that it"s worth the risks," he added (Lohr, "Morning Edition," NPR, 6/9). Carhart also said that although no decision on Tiller"s clinic has been made, he "want[s] to assure the press and the women of America ... that we will somehow, somewhere continue to provide abortions later in gestation" (Duin, Washington Times, 6/9).According to Carhart, there are only about 10 providers in the U.S. who perform abortions in the second and third trimesters, including a few hospitals that do not advertise the services. "Morning Edition" reports that most women"s health care providers either are not trained or do not want to receive training to perform the procedure later in pregnancy. Providers who do tend to be older and face extreme pressure from antiabortion-rights advocates. Data from the Guttmacher Institute show that about 1% of all abortions performed in the U.S. occur after 21 weeks" gestation. Elizabeth Nash of Guttmacher said that 37 states have laws that limit access to abortion after a certain point in pregnancy, "usually around 24 weeks, which is at the end of the second trimester." She added that most of those states only allow abortions to save the life of the woman or if her physical health is in jeopardy. Pratima Gupta, an ob-gyn in California, said that she is concerned about what will happen to Tiller"s patients. Gupta said Tiller "had patients that were scheduled for Monday morning. What happened to those patients for the rest of the week, the rest of the month? Those patients are the ones who need us" ("Morning Edition," NPR, 6/9).
Diagnostics

When Is It Time For Cataract Surgery?

Almost everyone who lives a long life will develop cataracts at some point. As more Americans live into their 70s and beyond, we all need to know a few cataract basics: risks and symptoms, tips that may delay onset, and how to decide when it is time for surgery, so good vision can be restored. August is Cataract Awareness Month, and the American Academy of Ophthalmology encourages Americans to know their risks, especially people who have diabetes, smoke, or have a family history of cataract. "Cataract surgery is a very common procedure, with a success rate of more than 95 percent," says Jeffrey Whitman, MD, of the Key-Whitman Eye Center in Dallas, TX, and an Academy clinical correspondent. "The eye"s natural lens with cataract is removed and replaced by an intraocular lens (IOL), selected to meet each patient"s vision correction needs. Talk with your Eye M.D. about IOL options and related use of eyeglasses, so together you can select the best IOL for you." A few simple tips will help you maintain healthy vision and make the right choices if you develop a cataract. Get a baseline exam if you"re over 40. As part of the EyeSmart campaign, the Academy and EyeCare America, a public service program of the Foundation of the American Academy of Ophthalmology, recommend that adults with no signs or risk factors for eye disease get a baseline screening exam at age 40-the time when early signs of disease and vision changes may start to occur. During this visit your Eye M.D. (ophthalmologist) will advise you on how often to have follow-up exams. People of any age with symptoms or risks for eye disease, such as a family history, should see their Eye M.D. to determine a care and follow-up plan. Know your risk factors. In addition to having a family history of cataract, having diabetes, or being a smoker, other factors can increase your risk of developing a cataract. These include extensive exposure to sunlight, serious eye injury or inflammation, and prolonged use of steroids, especially combined use of oral and inhaled steroids. Reduce your risks. Use UV-rated sunglasses when outdoors and add a wide-brimmed hat when spending long hours in the midday sun. One of the best things anyone can do for their eyes and overall health is to quit smoking or never start. People with diabetes can reduce cataract risk by carefully controlling their blood sugar through diet, exercise and medications if needed. Be informed about when to consider surgery. This decision is really up to each person based on his or her daily activities and related vision needs. The concept that the cataract is "ripe," or ready, is no longer considered a valid reason for surgery. After age 65, most people will see their Eye M.D. at least once a year, where they will have their vision tested and learn whether cataracts are growing. But only an individual can determine whether symptoms like glare, halos, blurriness, dimmed colors or other cataract-related problems are making activities like driving and reading difficult or impossible. The Academy"s consumer guide to cataract surgery offers more information. Talk to your Eye M.D. When preparing for surgery you will need to give your doctor your complete medical and eye health history, including especially whether you are or have taken Flomax®, Hytrin®, Uroxatral® or Cadura®. These medications can cause the iris to move out of its normal position, which can lead to complications during cataract surgery. You can still have successful surgery if your surgeon knows you have taken these drugs and adjusts his or her surgical technique. If you have had LASIK or other laser refractive surgery, it"s important to provide your pre-surgery vision correction prescription to your Eye M.D., if possible (the record of this prescription is also called the "K card"). About Cataract: As we age, the eye"s lens slowly becomes less flexible, less transparent and thicker. Then areas of the lens become cloudy; if left in place until the "overripe" stage, the cataract would be completely white and block vision. Cataracts often develop in both eyes at about the same time. By age 75 about 70 percent of people have cataracts. For more information on cataract and IOLs, visit http://www.geteyesmart.org EyeCare America is a public service program of the Foundation of the American Academy of Ophthalmology. Its award-winning Seniors EyeCare Program promotes annual eye exams for people 65 and older, raises awareness on age-related eye diseases, and facilitates access to eye exams and up to one year of care at no out-of-pocket cost for those who qualify. EyeCare America"s Seniors EyeCare Program is designed for people who: - Are age 65 and older; - Are US citizens or legal residents; - Have not seen an ophthalmologist in three or more years; and, - Do not belong to an HMO or the VA. For more on EyeCare America visit http://www.eyecareamerica.org American Academy of Ophthalmology


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