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Too Many Ways To Say 'It Hurts'
There are at least 100 ways to say, "It hurts!" And that is the problem.
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State News: Overrides, Cuts And Fraud
The Connecticut legislature used its override in both chambers to undo seven vetoes by the governor, including one to cover most Connecticut residents, called SustiNet, The Hartford Courant reports: "Senate Majority Leader Martin Looney said that healthcare, "in many ways, has become a cloud of worry"" over much of society. SustiNet"s nine-member board of directors will study the issue (covering people and cost) for 17 months before giving its recommendations to the legislature in January 2011" (Keating, 7/20).
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Advocates Express Concern About Embryonic Stem Cell Research Guidelines As Comment Period Closes
Supporters of embryonic stem cell research have expressed concern about the impact on existing research efforts under the Obama administration"s draft guidelines outlining criteria for federal funding of stem cell research, the Washington Post reports. The public comment period for the guidelines ends Tuesday and has generated more than 20,000 comments addressing nearly every element of the proposal. The guidelines, which NIH issued in April, propose limiting federal funding for the research to stem cells derived from unused embryos created for fertility treatments and willingly donated by patients who have given written consent. Former President George W. Bush in August 2001 enacted restrictions limiting federal funding for the research to the 21 stem cell lines existing at the time. Although President Obama in March signed an executive order lifting Bush"s restrictions, some proponents of embryonic stem cell research have suggested that Obama"s plan could actually jeopardize many existing research efforts. The Obama administration is expected to issue its final version of the guidelines by July 7, the Post reports.After Bush restricted federal funding to the embryonic stem cell lines already in existence, many researchers turned to private donors and state governments for the financial support to create hundreds of new lines. Although supporters of the research initially were pleased that the Obama administration"s guidelines would allow federal funding for research on these new existing lines, some are now concerned that certain stipulations in the new guidelines could actually disqualify these research efforts from receiving federal funding. For example, NIH"s proposal requires that couples who wish to donate unused embryos for research sign a consent form indicating that they were fully informed of their alternatives. Although many fertility clinics provide information for couples about their other options, few clinics note these details in written consent forms, according to the Post. Therefore, existing stem cell lines derived from embryos donated by couples who did not sign the required consent forms could be ineligible under NIH"s draft proposal, the Post reports. In addition, many stem cell research supporters also expressed disappointment that only unused embryos created for fertility treatments would be eligible for federal funding.George Daley of the Harvard Stem Cell Institute said that the Obama administration"s guidelines "take 2009 standards and attempt to apply them retroactively, which isn"t really a standard that would allow most of the pre-existing lines to be acceptable for NIH funding." Lawrence Goldstein, director of the University of California-San Diego"s stem cell program, said, "It"s not that past practices were shoddy. But they don"t necessarily meet every letter of the new guidelines moving forward." Goldstein added that researchers would "have to throw everything out and start all over again" under the new proposed guidelines. Amy Comstock Rick, CEO of the Coalition for the Advancement of Medical Research, said that her group is "very concerned" about the funding prospects for existing research efforts, adding that if NIH officials do not modify the guidelines, "very little current research would be eligible" to receive federal funds. However, Raynard Kington, acting NIH director, said the agency is aware of the concerns and "will take them into consideration." He added that "it"s unambiguous that the intent of the president was to expand opportunities and research in this area," as long as such research is "scientifically worthy" and "ethically responsible" (Stein, Washington Post, 5/25).
Oncology

Despite Decreases In Appetite And Consumption, Sleep Restriction Results In Weight Gain

According to a research abstract presented on June 8 at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies, in the presence of free access to food, sleep restricted subjects reported decrease in appetite, food cravings and food consumption; however, they gained weight over the course of the study. Thus, the finding suggests that energy intake exceeded energy expenditure during the sleep restriction Results indicate that people whose sleep was restricted experienced an average weight gain of 1.31 kilograms over the 11 days of the study. Of the subjects with restricted sleep who reported a change in their appetite and food consumption, more than 70 percent said that it decreased by day 5 of the study. A group of well rested control subjects did not experience the weight gain. According to lead investigator Siobhan Banks, PhD, a research fellow at the University of South Australia and former assistant research professor at the University of Pennsylvania School of Medicine, it was surprising that participants did not crave foods rich in carbohydrates after sleep restriction, as previous research suggested they might. Results indicate that even though physiologically the desire to eat was not increased by sleep loss in participants, other factors such as the sedentary environment of the laboratory and the ability to snack for longer due to reduction in time spent asleep might have influenced the weight gain. "During real-world periods of sleep restriction (say during shift work), people should plan their calorie intake over the time they will be awake, eating small, healthy meals," said Banks. "Additionally, healthy low fat/sugar snacks should be available so the temptation to eat comfort foods is reduced. Finally, keeping up regular exercise is just as important as what food you eat, so even though people may feel tried, exercising will help regulate energy intake balance." The study involved 92 healthy individuals (52 male) between the ages of 22 and 45 years who participated in laboratory controlled sleep restriction. Subjects underwent two nights of baseline sleep (10 hours in bed per night), five nights of sleep restriction and varying recovery for four nights. Nine well rested participants served as controls. Food consumption was ad libitum (subjects had three regular meals per day and access to healthy snacks, and during nights of sleep restriction subjects were given a small sandwich at one a.m.). Abstract Title: Sustained Sleep Restriction in Healthy Adults with Ad libitum Access to Food Results in Weight Gain without Increased Appetite or Food Cravings Presentation Date: Monday, June 8 Category: Sleep Deprivation Abstract ID: 0385 Kelly Wagner American Academy of Sleep Medicine


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