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Larger Hospital Units Have Lower Miscarriage Rates After Invasive Pregnancy Tests
A study of more than 64,000 pregnant women has found that miscarriage rates
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HCL Anticipates Increasing Demand For Locums As NHS Funding Is Squeezed, UK
HCL, the UK"s largest health and social care recruiter, said today that it anticipates increasing demand for its temporary and locum staff as the NHS seeks to increase efficiencies in healthcare provision.
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Centrist Dems Say Abortion Issues Must Not Delay Health Reform; Conservatives Step Up Criticism
Five centrist House Democrats, led by antiabortion-rights Rep. Tim Ryan (Ohio), on Tuesday issued a proposal that would neither require nor ban private insurers from covering abortion services as long as federal dollars are not used, the Washington Post"s "Capitol Briefing" reports. In a letter sent to House Speaker Nancy Pelosi (D-Calif.), Ryan and Reps. Dale Kildee (Mich.), James Langevin (R.I.), Artur Davis (Ala.) and Kendrick Meek (Fla.) said that their proposal "maintains the current status quo in the private market" and would not "preempt constitutionally permissible" state restrictions related to abortion, such as parental notification laws. The representatives called their proposal a "common ground solution." Current federal law prohibits the use of federal Medicaid funds for abortion services in nearly all circumstances. The lawmakers said that they are "increasingly concerned about potential roadblocks around the issue of abortion" in the health reform debate in Congress. According to "Capitol Briefing," antiabortion-rights Democrats are concerned that health reform legislation could lead to indirect federal funding of abortion services through private insurers participating in a proposed health insurance exchange (Eggen, "Capitol Briefing," Washington Post, 7/21). In the letter, the representatives said that they would like to include language in the final health reform bill "that makes clear that no insurance company will be required to pay for an abortion except in extraordinary circumstances." In addition, insurance providers would not be prohibited from paying for abortion services "so long as health insurance plans offered in the exchange that choose to provide abortion coverage pay for those services with funds that are separate and distinct from any federal subsidies," the letter said. Ryan said he hopes the proposal will be introduced in committee on Wednesday as an amendment (Smith, Politico, 7/21).House Members Step Up Efforts To Exclude Abortion CoverageMeanwhile, antiabortion-rights House members are intensifying their efforts to exclude abortion coverage from the chamber"s health reform bill (HR 3200), which they said includes a "hidden mandate" that would allow federal money to cover the procedure, the AP/Houston Chronicle reports. Rep. Bart Stupak (D-Mich.) said that he plans to join other antiabortion-rights House members at a news conference on Wednesday to criticize the legislation. Stupak helped draft a June 25 letter to Pelosi saying that he and 19 other Democrats would not support any health reform bill "unless it explicitly excludes abortion from the scope of any government-defined or subsidized health insurance plan." The bill does not mention abortion, which supporters say means that the legislation is neutral on the issue (Alonso-Zaldivar, AP/Houston Chronicle, 7/22).Antiabortion-Rights Coalition Launches CampaignA coalition of antiabortion-rights groups this week is launching a three-week campaign aimed at excluding abortion coverage from health reform legislation, Politico reports. The coalition includes James Dobson, founder of Focus on the Family; Tony Perkins, president of the Family Research Council; Richard Land of the Southern Baptist Convention; David Bereit of 40 Days for Life; and Charmaine Yoest, president of Americans United for Life. Yoest said AUL intends to send a letter to President Obama on Thursday citing its "belief that the bills are intended to include abortion."Laurie Rubiner, vice president for public policy and advocacy at the Planned Parenthood Federation of America, said that abortion is "not mandated any more than any other service or procedure in health reform." She added that excluding abortion coverage could result in women losing the coverage they currently have under private plans. The abortion-rights opponents" demand to exclude abortion coverage "violates the first principle of health care reform, which is: Don"t make people worse off under health care reform than they are today," Rubiner said (Smith, Politico, 7/22).
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Study Highlights Poor Egg Hygiene In UK Restaurants And Takeaways

Poor egg handling practices in restaurants and takeaways could be putting UK consumers at risk, reveals a new report from the Health Protection Agency and LACORS (Local Authorities Coordinators of Regulatory Services). Councils across the UK collected hundreds of egg mix samples from restaurants, takeaways, bakeries, cafçİs and sandwich bars, along with information on hygiene practices. Although the study revealed low levels of Salmonella contamination in egg mix samples (0.13%), 14% of takeaways were not aware of key food safety practices for the use of egg mixes. Worryingly, 43% of staff did not wash and dry hands after handling eggs and egg mixes and 41% did not refrigerate egg mixes properly. Dr Jim McLauchlin Director of the Food, Water and Environmental Microbiology Service of the Health Protection Agency, said: "While it is encouraging that low levels of Salmonella were found by our researchers, the study shows poor storage and handling practices of egg mixes by catering businesses. There are numerous risk factors involved in mixing and pooling large volumes of eggs by the catering industry which can lead to food poisoning. Just one egg contaminated with Salmonella can contaminate a whole batch and the risk of infection is increased if it is stored in a warm kitchen environment. Therefore it is extremely important that caterers establish and maintain a food safety management system." This study, carried out by the Health Protection Agency, LACORS (the Local Authorities Co-ordinators of Regulatory Services) and council Environmental Health Departments, aimed to investigate the incidence of Salmonella contamination in egg mixes and evaluate hygiene practices. The study involved taking samples from samples from 934 catering establishments including restaurants, takeaways, bakeries, cafçİs, and sandwich bars between May and October 2008 in England, Wales, Scotland and Northern Ireland. Salmonella was detected in 0.13% (1/764) of egg mixes, 0.3% (2/726) of environmental swabs, and 1.3% (7/550) of cleaning cloths. The study showed that 40% of caterers did not use designated utensils when handling egg mixes; 17% did not clean surfaces and utensils thoroughly after they had been used with egg mixes. Notes 1. Often caterers shell and crack eggs and pool them in a batch, sometimes for days before cooking. These eggs are known as pooled raw shelled egg mix (PRSEM). Even though these eggs may be refrigerated they are often not cooled at a temperature low enough to prevent Salmonella from spreading throughout the eggs. The eggs are then often not cooked properly. 2. Other findings from the study: - The researchers found that 45% of caterers did not use separate cleaning cloths for designated food preparation areas. - One fifth of caterers did not have an adequate documented food safety management system. - Up to 17% of caterers did not clean surfaces and utensils thoroughly after they had been used with egg mix and before preparing other foods. - Eight per cent of caterers added raw or uncooked egg mix to cooked rice. 3. Outbreaks of salmonellosis have been attributed to the use of raw shell eggs and their preparation as pooled mixes, their consumption in uncooked or lightly cooked dishes, and as a means for cross-contamination. 4. Practical advice for caterers handling eggs is available in the Food Standards Agency Leaflet "Eggs - What Caterers Need to Know" http://www.food.gov.uk/multimedia/pdfs/eggleaflet.pdf 5. 5. The full report is available at the following kink. Health Protection Agency


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