Judge allows R&B singer Chris Brown to do European tour

























LOS ANGELES (Reuters) – R&B singer Chris Brown was given the go-ahead to carry out his European tour after a Los Angeles judge said on Thursday that the entertainer was “in compliance” with probation imposed for his 2009 assault on former girlfriend Rihanna.


Los Angeles Superior Court Judge Patricia Schnegg had the authority to jail the “Kiss Kiss” singer if she had found that Brown had not kept up with the terms of his probation, which includes community service and an already-completed domestic violence program.





















Brown, 23, is half way through his five-year probation sentence after pleading guilty to assaulting his fellow R&B star Rihanna on the eve of the 2009 Grammy awards.


Brown’s European tour begins on November 14 in Copenhagen and will finish in Paris on December 7. He will perform in Germany and Norway, among other countries.


The singer’s next progress hearing was set for January 17.


Brown and Rihanna have reconciled in recent months. Brown Tweeted a photograph of himself at Rihanna’s Halloween party in West Hollywood on Wednesday, dressed in Arab robes and brandishing a fake assault rifle.


(Reporting By Eric Kelsey; Editing by Jill Serjeant and Paul Simao)


Music News Headlines – Yahoo! News



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Floods render NYC hospitals powerless

























NEW YORK (AP) — There are few places in the U.S. where hospitals have put as much thought and money into disaster planning as New York. And yet two of the city’s busiest, most important medical centers failed a fundamental test of readiness during Superstorm Sandy this week: They lost power.


Their backup generators failed, or proved inadequate. Nearly 1,000 patients had to be evacuated.





















The closures led to dramatic scenes of doctors carrying patients down dark stairwells, nurses operating respirators by hand, and a bucket brigade of National Guard troops hauling fuel to rooftop generators in a vain attempt to keep the electricity on.


Both hospitals, NYU Langone Medical Center and Bellevue Hospital Center, were still trying to figure out exactly what led to the power failures Thursday, but the culprit appeared to be the most common type of flood damage there is: water in the basement.


While both hospitals put their generators on high floors where they could be protected in a flood, other critical components of the backup power system, such as fuel pumps and tanks, remained in basements just a block from the East River.


Both hospitals had fortified that equipment against floods within the past few years, but the water — which rushed with tremendous force — found a way in.


“This reveals to me that we have to be much more imaginative and detail-oriented in our planning to make sure hospitals are as resilient as they need to be,” said Irwin Redlener, director of the National Center for Disaster Preparedness at Columbia University’s Mailman School of Public Health.


The problem of unreliable backup electricity at hospitals is nothing new.


Over the first six months of the year, 23 percent of the hospitals inspected by the Joint Commission, a health care facility accreditation group, were found to be out of compliance with standards for backup power and lighting, according to a spokesman.


Power failures crippled New Orleans hospitals after Hurricane Katrina. The backup generator failed at a hospital in Stafford Springs, Conn., after the remnants of Hurricane Irene blew through the state in 2011. Hospitals in Houston were crippled when Tropical Storm Allison flooded their basements and knocked out electrical equipment in 2001.


When the Northeast was hit with a crippling blackout in 2003, the backup power at several of New York City’s hospitals failed or performed poorly. Generators malfunctioned or overheated. Fuel ran out too quickly. Even where the backup systems worked, they provided electricity to only some parts of the hospital and left others in the dark.


Afterward, a mayoral task force recommended upgrading testing standards for generators and requiring backup plans for blood banks and health care facilities that provide dialysis treatment.


Alan Aviles, president of New York City’s Health and Hospitals Corp., which operates Bellevue, said that after a scare last summer when Hurricane Irene threatened to cause flooding, Bellevue put its basement-level fuel pumps in flood-resistant chambers.


It still isn’t clear whether water breached those defenses, but when an estimated 17 million gallons of water rushed through loading docks and into the hospital’s 1-million-square-foot basement, the fuel feed to the generators stopped working. The floodwaters also knocked out the hospital’s elevators.


For two days, National Guardsmen carried fuel to the generators, but conditions inside the hospital for patients and staff deteriorated anyway. The generators were designed to supply only 30 percent of the usual electrical load at the hospital, leaving a lot of equipment and labs hobbled. The hospital also lost all water pressure on Tuesday. Nearly 700 patients had been evacuated by Thursday afternoon.


“The precautions we had taken to date had served us well,” Aviles said. “But Mother Nature can always up the stakes.”


NYU Langone Medical Center had also tried to armor itself against floods.


All seven of the generators providing backup power to the parts of the hospital involved in patient care are only a few years old and are on higher floors. The fuel tank is in a watertight vault. New fuel pumps were installed just this year in a pump house upgraded to withstand a high flood, said the hospital’s vice president of facilities operation, Richard Cohen.


“The medical center invested quite a bit of money to upgrade the facility,” he said.


The pump house remained “bone dry,” Cohen said. But water shoved aside plastic and plywood defenses and infiltrated the fuel vault, where sensors detected the potentially damaging liquid and shut the generators down. “The force of the surge that came in was unbelievable. It dislodged our additional protection and caused a breach of the vault as well,” Cohen said.


The power at NYU went out in a flash, leaving the staff scrambling to evacuate 300 patients with no notice.


Dr. Robert Berg, an obstetrician, said that when he lost power in his apartment, he went to the hospital to charge his cellphone and was stunned to find it in chaos.


“It didn’t really occur to me that the hospital was going to be in trouble,” he said. Even after finding the lobby dark, “I thought, ‘We’ll have power upstairs. We’re an operating room.’”


He wound up carrying two patients down flights of stairs on a “med sled.”


“There was a Category 1 outside and a Category 4 inside,” he said. “I can’t say that they were very well prepared for it.”


That has left only one hospital, Beth Israel Medical Center, functioning in the southern third of Manhattan. It is also on backup power, but brought in two huge new generators Thursday, just in case.


Aviles said Bellevue might be out of commission for at least two more weeks. NYU Langone’s generators are operating again, but the hospital is waiting for Consolidated Edison to restore its power before it starts taking patients again. That could happen in a matter of days.


Flooding may pose less of a danger to the hospital’s power supply in the future. Construction is under way on a new power plant, at a cost of more than $ 200 million, that will run on natural gas and supply all the hospital’s power needs.


“It’s a tremendous facility, with a lot of hardening built into it,” Cohen said.


___


AP Medical Writer Mike Stobbe contributed to this report.


Health News Headlines – Yahoo! News



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Gas stations scramble in Sandy's aftermath

NEW YORK (AP) — There's plenty of gasoline in the Northeast — just not at gas stations.

In parts of New York and New Jersey, drivers lined up Thursday for hours at gas stations that were struggling to stay supplied. The power outages and flooding caused by Superstorm Sandy have forced many gas stations to close and disrupted the flow of fuel from refineries to those stations that are open.

At the same time, millions of gallons of gasoline are sitting at the ready in storage tanks, pipelines and tankers that can't unload their cargoes.

"It's like a stopped up drain," said Tom Kloza, Chief Oil Analyst at the Oil Price Information Service.

For people staying home or trying to restart a business, the scene wasn't much brighter: Millions were in the dark and many will remain so for days. As of Thursday, 4.5 million homes were without power, down from a peak of 8.5 million. The New Jersey utility Public Service Electric & Gas said it will restore power to most people in 7 to 10 days. Consolidated Edison, which serves New York City and Westchester County, said most customers will have power by Nov. 11, but some might have to wait an additional week or longer.

Superstorm Sandy found a host of ways to cripple the region's energy infrastructure. Its winds knocked down power lines and its floods swamped electrical substations that send power to entire neighborhoods. It also mangled ports that accept fuel tankers and flooded underground equipment that sends fuel through pipelines. Without power, fuel terminals can't pump gasoline onto tanker trucks, and gas stations can't pump fuel into customers' cars.

The Energy Department reported Thursday that 13 of the region's 33 fuel terminals were closed. Sections of two major pipelines that serve the area — the Colonial Pipeline and the Buckeye Pipeline — were also closed.

Thousands of gas stations in New Jersey and Long Island were closed because of a lack of power. AAA estimates that 60 percent of the stations in New Jersey are shut along with up to 70 percent of the stations in Long Island.

Thursday morning the traffic to a Hess station on 9th Avenue in New York City filled two lanes of the avenue for two city blocks. Four police officers were directing the slow parade of cars into the station.

A few blocks away, a Mobil station sat empty behind orange barricades, with a sign explaining it was out of gas.

Taxi and car service drivers were running dry — and giving up, even though demand for rides was high because of the crippled public transit system. Northside Car Service in Williamsburg, Brooklyn has 250 drivers available on a typical Thursday evening. Today they had just 20. "The gas lines are too long," said Thomas Miranda, an operator at Northside.

Betty Bethea, 59, waited nearly three hours to get to the front of the line at a Gulf station in Newark, but she brought reinforcements: Her kids were there with gas cans, and her husband was behind her in his truck.

Bethea had tried to drive to her job at a northern New Jersey Kohl's store on Thursday morning, only to find her low-fuel light on. She and her husband crisscrossed the region in search of gas and were shooed away by police at every closed station she encountered.

"It is crazy out here — people scrambling everywhere, cutting in front of people. I have never seen New Jersey like this," Bethea said.

But relief appeared to be on the way, even as the lines grew Thursday. The Environmental Protection Agency lifted requirements for low-smog gasoline, allowing deliveries of gasoline from other regions. Tanker trucks sped north from terminals in Baltimore and other points south with fuel.

A big delivery of fuel was on its way south to Boston from a Canadian refinery. Ports and terminals remained open in Connecticut, Rhode Island, and Pennsylvania, and portions of the Colonial and Buckeye pipelines are expected to re-open on Friday. Kinder Morgan Energy Partners expects to open its three terminals in New Jersey and New York over the next two days after bringing in backup generators.

And the U.S. Coast Guard opened the Port of New York and New Jersey to tankers Thursday.

Logistical problems will remain, though, for days. Barges can now visit terminals up the Hudson River and into Long Island Sound, but many of the major fuel hubs and terminals near the New York and New Jersey ports still can't offload fuel. They need to get electricity back, pump water out of flooded areas, and inspect equipment before starting operations again.

And gas stations won't be able to open up until they have power, either.

That means tanker trucks will have to travel further to deliver fuel to stations, and customers will have to drive further to find open stations.

It does not mean, however, that the region will run out of gasoline. OPIS's Kloza suspects the long lines are partly a result of panic-buying.

"This is not the Arab Oil Embargo again," he said. "There are moments when hysteria is warranted, and moments it's not. Right now, it's not."

Prices shouldn't spike like they did in the 1970s — or even as they did before Hurricane Isaac slammed the Gulf Coast this summer. There may be a short-term increase, but gas prices should resume what has been a 6-week slide. Gasoline demand is very low at this time of year, and there's enough fuel to go around — as soon as it can get around.

The national average gasoline price fell a penny to $3.51 per gallon Thursday, according to AAA, OPIS and Wright Express. Six weeks ago the price was $3.87.

Patrick DeHaan of GasBuddy.com, which collects gasoline prices from thousands of drivers, said prices weren't spiking in New York and New Jersey on Thursday. It was just a matter of finding stations that were open and had fuel.

___

Samantha Henry and Michael Rubinkam contributed to this story from Newark, N.J.

___

Follow Jonathan Fahey on Twitter at http://twitter.com/JonathanFahey .

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Apple's Cook fields his A-team before a wary Wall Street

SAN FRANCISCO (Reuters) - Apple Inc Chief Executive Tim Cook's new go-to management team of mostly familiar faces failed to drum up much excitement on Wall Street, driving its shares to a three-month low on Wednesday.


The world's most valuable technology company, which had faced questions about a visionary-leadership vacuum following the death of Steve Jobs, on Monday stunned investors by announcing the ouster of chief mobile software architect Scott Forstall and retail chief John Browett -- the latter after six months on the job.


Cook gave most of Forstall's responsibilities to Macintosh software chief Craig Federighi, while some parts of the job went to Internet chief Eddy Cue and celebrated designer Jony Ive.


But the loss of the 15-year veteran and Jobs's confidant Forstall, and resurgent talk about internal conflicts, exacerbated uncertainty over whether Cook and his lieutenants have what it takes to devise and market the next ground-breaking, industry-disrupting product.


Apple shares ended the day down 1.4 percent at 595.32. They have shed a tenth of their value this month -- the biggest monthly loss since late 2008, and have headed south since touching an all-time high of $705 in September.


For investors, the management upheaval from a company that usually excels at delivering positive surprises represents the latest reason for unease about the future of a company now more valuable than almost any other company in the world.


Apple undershot analysts targets in its fiscal third quarter, the second straight disappointment. Its latest Maps software was met with widespread frustration and ridicule over glaring mistakes. Sources told Reuters that Forstall and Cook disagreed over the need to publicly apologize for its maps service embarrassment.


And this month, Apple entered the small-tablet market with its iPad mini, lagging Amazon.com Inc and Google Inc despite pioneering the tablet market in 2010.


Investor concerns now center around the demand, availability and profitability of new products, including the iPad mini set to hit stores on Friday.


"The sudden departure of Scott Forstall doesn't help," said Shaw Wu, an analyst with Sterne Agee. "Now there's some uncertainty in the management."


"There appears to be some infighting, post-Steve Jobs, and looks like Cook is putting his foot down and unifying the troops."


Apple declined to comment beyond Monday's announcement.


Against that backdrop, Cook's inner circle has some convincing to do. In the wake of Forstall's exit, iTunes maestro Eddy Cue -- dubbed "Mr Fixit", the sources say -- gets his second promotion in a year, taking on an expanded portfolio of all online services, including Siri and Maps.


The affable executive with a tough negotiating streak who, according to documents revealed in court, lobbied Jobs aggressively and finally convinced the late visionary about the need for a smaller-sized tablet, has become a central figure: a versatile problem-solver for the company.


Ive, the British-born award-winning designer credited with pushing the boundaries of engineering with the iPod and iPhone, now extends his skills into the software realm with the lead on user interface.


Marketing guru Schiller continues in his role, while career engineer Mansfield canceled his retirement to stay on and lead wireless and semiconductor teams. Then there's Federighi, the self-effacing software engineer who a source told Reuters joined Apple over Forstall's initial objections, and has the nickname "Hair Force One" on Game Center.


"With a large base of approximately 60,400 full-time employees, it would be easy to conclude that the departures are not important," said Keith Bachman, analyst with BMO Capital Markets. "However, we do believe the departures are a negative, since we think Mr. Forstall in particular added value to Apple."


TEAM COOK


Few would argue with Forstall's success in leading mobile software iOS and that he deserves a lot of credit for the sale of millions of iPhones and iPads.


But despite the success, his style and direction on the software were not without critics, inside and outside.


Forstall often clashed with other executives, said a person familiar with him, adding he sometimes tended to over-promise and under-deliver on features. Now, Federighi, Ive and Cue have the opportunity to develop the look, feel and engineering of the all-important software that runs iPhones and iPads.


Cue, who rose to prominence by building and fostering iTunes and the app store, has the tough job of fixing and improving Maps, unveiled with much fanfare by Forstall in June, but it was found full of missing information and wrongly marked sites.


The Duke University alum and Blue Devils basketball fan -- he has been seen courtside with players -- is deemed the right person to accomplish this, given his track record on fixing services and products that initially don't do well.


The 23-year veteran turned around the short-lived MobileMe storage service after revamping and wrapping it into the reasonably well-received iCloud offering.


"Eddy is certainly a person who gets thrown a lot of stuff to ‘go make it work' as he's very used to dealing with partners," said a person familiar with Cue. The person said Cue was suited to fixing Maps given the need to work with partners such as TomTom and business listings provider Yelp.


Cue's affable charm and years of dealing with entertainment companies may come in handy as he also tries to improve voice-enabled digital assistant Siri. He has climbed the ladder rapidly in the past five years and was promoted to senior vice president last September, shortly after Cook took over as CEO.


Both Cue and Cook will work more closely with Federighi, who spent a decade in enterprise software before rejoining Apple in 2009, taking over Mac software after the legendary Bertrand Serlet left the company in March last year


Federighi was instrumental in bringing popular mobile features such as notifications and Facebook integration onto the latest Mac operating system Mountain Lion, which was downloaded on 3 million machines in four days.


The former CTO of business software company Ariba, now part of SAP, worked with Jobs at NeXT Computer. Federighi is a visionary in software engineering and can be as good as Jobs in strategic decisions for the product he oversees, a person who has worked with him said.


His presentation skills have been called on of late, most recently at Apple annual developers' gathering in the summer.


Then there's Ive, deemed Apple's inspirational force. Among the iconic products he has worked on are multi-hued iMac computers, the iPod music player, the iPhone and the iPad.


Forstall's departure may free Ive of certain constraints, the sources said. His exit brought to the fore a fundamental design issue -- to do or not to do digital skeuomorphic designs. Skeuomorphic designs stay true to and mimic real-life objects, such as the bookshelf in the iBooks icon, green felt in its Game Center app icon, and an analog clock depicting the time.


Forstall, who will stay on as adviser to Cook for another year, strongly believed in these designs, but his philosophy was not shared by all. His chief dissenter was Ive, who is said to prefer a more open approach, which could mean a slightly different design direction on the icons.


"There is no one else who has that kind of (design) focus on the team," the person said of Ive. "He is critical for them."


(Additional reporting by Alistair Barr; Editing by Edwin Chan and Ken Wills)

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Clinton calls for overhaul of Syrian opposition

























ZAGREB (Reuters) – The United States called on Wednesday for an overhaul of Syria‘s opposition leadership, saying it was time to move beyond the Syrian National Council and bring in those “in the front lines fighting and dying”.


Secretary of State Hillary Clinton, signaling a more active stance by Washington in attempts to form a credible political opposition to Syrian President Bashar al-Assad, said a meeting next week in Qatar would be an opportunity to broaden the coalition against him.





















“This cannot be an opposition represented by people who have many good attributes but who, in many instances, have not been inside Syria for 20, 30, 40 years,” she said during a visit to Croatia.


“There has to be a representation of those who are in the front lines fighting and dying today to obtain their freedom.”


Clinton’s comments represented a clear break with the Syrian National Council (SNC), a largely foreign-based group which has been among the most vocal proponents of international intervention in the Syrian conflict.


U.S. officials have privately expressed frustration with the SNC’s inability to come together with a coherent plan and with its lack of traction with the disparate internal groups which have waged the 19-month uprising against Assad’s government.


Senior members of the SNC, Free Syrian Army (FSA) and other rebel groups ended a meeting in Turkey on Wednesday and pledged to unite behind a transitional government in coming months.


“It’s been our divisions that have allowed the Assad forces to reach this point,” Ammar al-Wawi, a rebel commander, told Reuters after the talks outside Istanbul.


“We are united on toppling Assad. Everyone, including all the rebels, will gather under the transitional government.”


Mohammad Al-Haj Ali, a senior Syrian military defector, told a news conference after the meeting: “We are still facing some difficulties between the politicians and different opposition groups and the leaders of the Free Syrian Army on the ground.”


Clinton said it was important that the next rulers of Syria were both inclusive and committed to rejecting extremism.


“There needs to be an opposition that can speak to every segment and every geographic part of Syria. And we also need an opposition that will be on record strongly resisting the efforts by extremists to hijack the Syrian revolution,” she said.


Syria’s revolt has killed an estimated 32,000. A bomb near a Shi’ite shrine in a suburb of Damascus killed at least six more people on Wednesday, state media and opposition activists said.


NEW LEADERSHIP


The meeting next week in Qatar’s capital Doha represents a chance to forge a new leadership, Clinton said, adding the United States had helped to “smuggle out” representatives of internal Syrian opposition groups to a meeting in New York last month to argue their case for inclusion.


“We have recommended names and organizations that we believe should be included in any leadership structure,” she told a news conference.


“We’ve made it clear that the SNC can no longer be viewed as the visible leader of the opposition. They can be part of a larger opposition, but that opposition must include people from inside Syria and others who have a legitimate voice which must be heard.”


The United States and its allies have struggled for months to craft a credible opposition coalition.


U.S. President Barack Obama’s administration has said it is not providing arms to internal opponents of Assad and is limiting its aid to non-lethal humanitarian assistance.


It concedes, however, that some of its allies are providing lethal assistance – a fact that Assad’s chief backer Russia says shows western powers are intent on determining Syria’s future.


Russia and China have blocked three U.N. Security Council resolutions aimed at increasing pressure on the Assad government, leading the United States and its allies to say they could move beyond U.N. structures for their next steps.


Clinton said she regretted but was not surprised by the failure of the latest attempted ceasefire, called by international mediator Lakhdar Brahimi last Friday. Each side blamed the other for breaking the truce.


“The Assad regime did not suspend its use of advanced weaponry against the Syrian people for even one day,” she said.


“While we urge Special Envoy Brahimi to do whatever he can in Moscow and Beijing to convince them to change course and support a stronger U.N. action we cannot and will not wait for that.”


Clinton said the United States would continue to work with partners to increase sanctions on the Assad government and provide humanitarian assistance to those hit by the conflict.


(Additional reporting by Ayla Jean Yackley; editing by Andrew Roche)


World News Headlines – Yahoo! News



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“A Late Quartet” Review: classical-music drama gets soapy but actors avoid the false notes

























LOS ANGELES (TheWrap.com) – “A Late Quartet,” as it turns out, has more than one meaning: The film’s musicians spend most of the movie grappling with Beethoven’s Opus 131, the String Quartet No. 14 in C# Minor, which was one of the composer’s “late quartets,” completed the year before his death.


But the title also refers to a foursome of players whose relationship as a performing entity could very well reach its demise at any moment. When cellist Peter (Christopher Walken) is diagnosed with Parkinson’s, he announces his intention to leave the Fugue String Quartet, which has just celebrated its 25th anniversary. The news rocks Peter’s colleagues, all of whom are decades younger, and the impending seismic shift exposes unspoken rivalries and frustrations among the rest of the group.





















For second violinist Robert (Philip Seymour Hoffman), the shake-up in the roster inspires him to demand that he take first chair on some pieces. The idea that Robert wants to be less Pip and more Gladys Knight completely rankles the quartet’s precise and arrogant first violinist, Daniel (Mark Ivanir). Robert‘s wife Juliette (Catherine Keener), who plays viola, can barely process her grief over the illness of her mentor Peter before finding herself stuck between the conflicting demands of Daniel (her former lover) and Robert.


Complicating matters further is the fact that Robert and Juliette’s daughter Alexandra (Imogen Poots), a talented violinist in her own right, is currently studying under both Peter and Daniel – and possibly nurturing feelings of her own for the latter while also nursing resentment toward her globe-trotting parents for being absent during so much of her childhood.


So yes, “A Late Quartet” may ensconce itself in the elite and heady world of classical music – down to the cameos by cellist Nina Lee and mezzo-soprano Anne Sofie von Otter – but the character dynamics could easily find a home on The CW. Nonetheless, if you’re in the mood to mix highbrow trappings with some bitter arguments, infidelity and face-slapping, screenwriters Yaron Zilberman (who also directs) and Seth Grossman keep things allegro con brio throughout.


Hoffman and Keener, who are pretty much the William Powell and Myrna Loy of indie movies at this point, bring their shared screen experience to their portrayal of a married couple who seem perfectly matched but whose longstanding relationship is patched together with compromises and unspoken desires. The moment where Robert seeks Juliette’s assurance that he’s skilled enough to play first violin, and she hesitates to agree, is a powerfully devastating marital moment.


Ivanir makes his character convincing as both a cold taskmaster and a hot-blooded romantic, and Poots explodes with youthful passion and indecision, all the while rocking a deadly accurate privileged-New-Yorker accent that many of her fellow U.K. thespians would envy.


Christopher Walken manages to be as compelling here as in “Seven Psychopaths” while playing an altogether different character. Walken may have reached the point in his career where he inspires impersonators, but both of his current films remind audiences that he still has a deep well of emotion that make him more than just the sum of his trademark delivery.


“A Late Quartet” may be better suited for the back-balcony crowd who wears jeans and comfortable shoes to the symphony rather than the folks who know their Kochel listings by heart, but sometimes it’s worth sitting through forgettable music just to watch a great group of players plying their trade.


Movies News Headlines – Yahoo! News



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Ivermectin hair lotion found effective against lice

























NEW YORK (Reuters Health) – A single 10-minute hair application of a drug used in oral form since the 1980s to control river blindness and other parasitic diseases eliminated head lice in nearly three of four children in a new study.


The lotion contains ivermectin and is sold under the brand name Sklice by Sanofi Pasteur, which paid for the study. The U.S. Food and Drug Administration used the results to approve topical ivermectin lotion in February.





















“The advantage of it is, it’s a one-application, one-shot treatment,” lead author Dr. David Pariser of Eastern Virginia Medical School, in Norfolk, told Reuters Health.


The treatment “sounds like it has promise in a population itching to get rid of lice,” said Dr. Hannah Chow of Loyola University Health System in Illinois, who was not connected with the study.


“Knowing how difficult it is to completely remove all lice despite due diligence with treatment and nit picking, ivermectin has potential to reduce the spread of lice, thus reducing parental anxiety, missed school and work, and social embarrassment,” she said.


Hundreds of people worldwide suffer from head lice, which feed off blood and lay up to 300 eggs, which are the nits, during a month-long lifespan.


The cost of treating infestations – including the value of lost school days and parents forced to be out of work – is estimated at $ 1 billion a year in the United States. There’s also been concern about resistance to other insecticide treatments.


Using a lotion with 0.5 percent ivermectin, the researchers found that after 14 days it had worked in 73.8 percent of 141 volunteers – most of whom were children younger than 12. In comparison, 17.6 percent of the 148 kids (and a handful of adults) whose hair was treated with a drug-free form of the lotion were louse-free after two weeks.


Lotions were applied to dry hair and then rinsed out after 10 minutes. The immediate success rate, judged the day after the lotion application, was 94.9 percent in the test group and 31.5 percent in the control group.


“It gets the kids back to school and the parents back to work,” said Pariser.


The study, involving children in 11 states, did not compare the ivermectin to any other treatment.


However, in a previous study that did test other drugs as well, Pariser and his colleagues note that ivermectin showed a similar one-day success rate of 92.4 percent while malathion, an insecticide sometimes used to treat lice, cleared 82.4 percent of patients after one day.


“A topical drug formulation is indeed welcome and is expected to have less risk of systemic adverse events,” Dr. Oliver Chosidow of Henri-Mondor Hospital in Creteil, France, and Bruno Giraudeau of University Francois-Rabelais in Tours, France, said in an editorial published with the new study in the New England Journal of Medicine.


But they advised that more-established techniques, such as treatments with permethrin or pyrethrin, or even malathion in cases of resistance, should be tried before using ivermectin.


“Ivermectin should be the last choice, whether topical (for still-infested persons) or oral (especially for mass treatment),” they said.


Interviewed by Reuters Health by phone and e-mail, Chow speculated that more than one application of ivermectin lotion might be necessary because the treatment didn’t work in all cases.


“Knowing that new lice could re-hatch in seven to 10 days if ivermectin didn’t completely kill all nymphs, live lice and newly laid nits, I wonder if a second application will be recommended,” she said. “I would still advocate nit picking at this point.”


“If you do this, think about retreating and continue to be very vigilant,” she said.


SOURCE: http://bit.ly/Yor2zt New England Journal of Medicine, online October 31, 2012.


Medications/Drugs News Headlines – Yahoo! News



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Thousands still trapped in homes after Sandy

NEW YORK, N.Y. - People along the battered U.S. East Coast slowly began reclaiming their daily routines Thursday, even as crews searched for victims and tens of thousands remained without power after superstorm Sandy claimed more than 70 lives.


The New York Stock Exchange came back to life, and two major New York airports reopened to begin the long process of moving stranded travellers around the world.


New York's three major airports were expected to be open Thursday morning with limited flights. Limited service on the subway, which suffered the worst damage in its 108-year history, would resume Thursday.


President Barack Obama landed in New Jersey on Wednesday, which was hardest hit by Monday's hurricane-driven storm, and he took a helicopter tour of the devastation with Gov. Chris Christie. "We're going to be here for the long haul," Obama told people at one emergency shelter.


For the first time since the storm pummeled the heavily populated Northeast, doing billions of dollars in damage, brilliant sunshine washed over New York City, for a while.


At the stock exchange, running on generator power, Mayor Michael Bloomberg gave a thumbs-up and rang the opening bell to whoops from traders. Trading resumed after the first two-day weather shutdown since a blizzard in 1888.


It was clear that restoring the region to its ordinarily frenetic pace could take days — and that rebuilding the hardest-hit communities and the transportation networks could take considerably longer.


There were still only hints of the economic impact of the storm.


Forecasting firm IHS Global Insight predicted it would cause $20 billion in damage and $10 billion to $30 billion in lost business. Another firm, AIR Worldwide, estimated losses up to $15 billion.


About 6 million homes and businesses were still without power, mostly in New York and New Jersey. Electricity was out as far west as Wisconsin in the Midwest and as far south as the Carolinas.


In New Jersey, National Guard troops arrived in the heavily flooded city of Hoboken, just across the river from New York City, to help evacuate about 20,000 people still stuck in their homes and deliver ready-to-eat meals. Live wires dangled in floodwaters that Mayor Dawn Zimmer said were rapidly mixing with sewage.


Tempers flared. A man screamed at emergency officials in Hoboken about why food and water had not been delivered to residents just a few blocks away. The man, who would not give his name, said he blew up an air mattress to float over to a staging area.


As New York crept toward a semi-normal business day, morning rush-hour traffic was heavy as buses returned to the streets and bridges linking Manhattan to the rest of the world were open.


A huge line formed at the Empire State Building as the observation deck reopened.


Tourism returned, but the city's vast and aging infrastructure remained a huge challenge.


Power company Consolidated Edison said it could be the weekend before power is restored to Manhattan and Brooklyn, perhaps longer for other New York boroughs and the New York suburbs.


Amtrak said the amount of water in train tunnels under the Hudson and East rivers was unprecedented, but it said it planned to restore some service on Friday to and from New York City — its busiest corridor — and would give details Thursday.


In Connecticut, some residents of Fairfield returned home in kayaks and canoes to inspect widespread damage left by retreating floodwaters that kept other homeowners at bay.


"The uncertainty is the worst," said Jessica Levitt, who was told it could be a week before she can enter her house. "Even if we had damage, you just want to be able to do something. We can't even get started."


In New York, residents of the flooded beachfront neighbourhood of Breezy Point returned home to find fire had taken everything the water had not. A huge blaze destroyed perhaps 100 homes in the close-knit community where many had stayed behind despite being told to evacuate.


John Frawley, who lived about five houses from the fire's edge, said he spent the night terrified "not knowing if the fire was going to jump the boulevard and come up to my house."


"I stayed up all night," he said. "The screams. The fire. It was horrifying."


___


Contributors to this report included Associated Press writers Angela Delli Santi in Belmar, New Jersey; Geoff Mulvihill and Larry Rosenthal in Trenton, New Jersey; Katie Zezima in Atlantic City, New Jersey; Samantha Henry in Jersey City, New Jersey; Pat Eaton-Robb and Michael Melia in Hartford, Connecticut; Susan Haigh in New London, Connecticut; John Christoffersen in Bridgeport, Connecticut; Alicia Caldwell and Martin Crutsinger in Washington; David Klepper in South Kingstown, Rhode Island; David B. Caruso, Colleen Long, Jennifer Peltz, Tom Hays, Larry Neumeister, Ralph Russo and Scott Mayerowitz in New York.

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In hurricane, Twitter proves a lifeline despite pranksters

SAN FRANCISCO (Reuters) - As Hurricane Sandy pounded the U.S. Atlantic coast on Monday night, knocking out electricity and Internet connections, millions of residents turned to Twitter as a part-newswire, part-911 hotline that hummed through the night even as some websites failed and swathes of Manhattan fell dark.


But the social network also became a fertile ground for pranksters who seized the moment to disseminate rumors and Photoshopped images, including a false tweet Monday night that the trading floor at the New York Stock Exchange was submerged under several feet of water.


The exchange issued a denial, but not before the tweet was circulated by countless users and reported on-air by CNN, illustrating how Twitter had become the essential - but deeply fallible - spine of information coursing through real-time, major media events.


But a year after Twitter gained attention for its role in the rescue efforts in tsunami-stricken Japan, the network seemed to solidify its mainstream foothold as government agencies, news outlets and residents in need turned to it at the most critical hour.


Beginning late Sunday, government agencies and officials, from New York Governor Andrew Cuomo(@NYGovCuomo) to the Federal Emergency Management Agency (@FEMA) to @NotifyNYC, an account handled by New York City's emergency management officials, issued evacuation orders and updates.


As the storm battered New York Monday night, residents encountering clogged 9-1-1 dispatch lines flooded the Fire Department's @fdny Twitter account with appeals for information and help for trapped relatives and friends.


One elderly resident needed rescue in a building in Manhattan Beach. Another user sent @fdny an Instagram photo of four insulin shots that she needed refrigerated immediately. Yet another sought a portable generator for a friend on a ventilator living downtown.


Emily Rahimi, who manages the @fdny account by herself, according to a department spokesman, coolly fielded dozens of requests, while answering questions about whether to call 311, New York's non-emergency help line, or Consolidated Edison.


At the Red Cross of America's Washington D.C. headquarters, in a small room called the Digital Operations Center, six wall-mounted monitors display a stream of updates from Twitter and Facebook and a visual "heat map" of where posts seeking help are coming from.


The heat map informed how the Red Cross's aid workers deployed their resources, said Wendy Harman, the Red Cross director of social strategy.


The Red Cross was also using Radian6, a social media monitoring tool sold by Salesforce.com, to spot people seeking help and answer their questions.


"We found out we can carry out the mission of the Red Cross from the social Web," said Harman, who hosted a brief visit from President Barack Obama on Tuesday.


SPREADING INFORMATION


Twitter, which in the past year has heavily ramped up its advertising offerings and features to suit large brand marketers like Pepsico Inc and Procter & Gamble, suddenly found itself offering its tools to new kind of client on Monday: public agencies that wanted help spreading information.


For the first time, the company created a "#Sandy" event page - a format once reserved for large ad-friendly media events like the Olympics or Nascar races - that served as a hub where visitors could see aggregated information. The page displayed manually- and algorithmically-selected tweets plucked from official accounts like those of New York Mayor Michael Bloomberg and Governor Chris Christie of New Jersey, who was particularly active on the network.


Agencies like the Maryland Emergency Management Agency and the New York Mayor's Office also used Twitter's promoted tweets - an ad product used by advertisers to reach a broader consumer base - to get out the word.


The company said offering such services for free to government agencies was one of several initiatives, including a service that broadcasts location-specific alerts and public announcements based on a Twitter user's postal code.


"We learned from the storm and tsunami in Japan that Twitter can often be a lifeline," said Rachael Horwitz, a Twitter spokeswoman.


Jeannette Sutton, a sociologist at the University of Colorado who has received funding from the National Science Foundation and the Department of Homeland Security to study social media uses in disaster management, said government agencies have been skeptical until recently about using social media during natural disasters.


"There's a big problem with whether it's valid, accurate information out there," Sutton said. "But if you're not part of the conversation, you're going to be missing out."


As the hurricane hit one of the most wired regions in the country, news outlets also took advantage of the smartphone users who chronicled rising tides on every flooded block. On Instagram, the photo-sharing website, witnesses shared color-filtered snapshots of floating cars, submerged gas stations and a building shorn of its facade at a rate of more than 10 pictures per second, Instagram founder Kevin Systrom told Poynter.org on Tuesday.


Many of the images were republished in the live coverage by news websites and aired on television broadcasts.


LIES SLAPPED DOWN


But by late Monday, fake images began to circulate widely, including a picture of a storm cloud gathering dramatically over the Statue of Liberty and a photoshopped job of a shark lurking in a submerged residential neighborhood. The latter image even surfaced on social networks in China.


Then there was the slew of fabricated message from @comfortablysmug, the Twitter account that claimed the NYSE was underwater. The account is owned by Shashank Tripathi, the hedge fund investor and campaign manager for Christopher Wight, the Republican candidate to represent New York's 12th District in the U.S. House of Representatives.


Tripathi, who did not return emails by Reuters seeking comment, apologized Tuesday night for making a "series of irresponsible and inaccurate tweets" and resigned from Wight's campaign.


His identity was first reported by Jack Stuef of BuzzFeed.


Around 3:30 p.m. on Tuesday, Tripathi began deleting many of his Hurricane Sandy tweets. Tripathi's friend, @theAshok, defended Tripathi, telling Reuters on Twitter: "People shouldn't be taking "news" from an anonymous twitter account seriously."


Tripathi's @comfortablysmug's Twitter stream, which is followed by business journalists, bloggers and various New York personalities, had been a well-known voice in digital circles, but mostly for his 140-character-or-less criticisms of the Obama administration, often accompanied by the hashtag, #ObamaIsn'tWorking.


On Tuesday, New York City Councilman Peter F. Vallone Jr. appeared to threaten Tripathi with prosecution when he tweeted that he hoped Tripathi was "less smug and comfortable cuz I'm talking to Cy," presumably referring to Manhattan District Attorney Cyrus Vance Jr.


For its part, Twitter said that it would not have considered suspending the account unless it received a request from a law enforcement agency.


"We don't moderate content, and we certainly don't want to be in a position of deciding what speech is OK and what speech is not," said Horwitz, Twitter's spokeswoman.


But Ben Smith, the editor at Buzzfeed, which outed Tripathi, said Twitter's credibility would not be affected by rumormongers because netizens often self-correct and identify falsehoods.


"They used to say a lie will travel halfway around the world before the truth puts its shoes on, but in the Twitter world, that's not true anymore," Smith said. "The lies get slapped down really fast."


For Smith, the ability to disseminate information via Twitter and Facebook on Monday night became perhaps even more important than his Web publication, which enjoyed one of its better nights in readership but went dark when the blackout crippled the site's servers in downtown Manhattan.


Buzzfeed's staff quickly began publishing on Tumblr instead, and Smith personally took over Buzzfeed's Twitter account to stay in the thick of the conversation.


"Our view of the world is that social distribution is the key thing," Smith said. "We're in the business of creating content that people want to share, more than the business of maintaining a website."


(Reporting By Gerry Shih in San Francisco and Jennifer Ablan and Felix Salmon in New York; Editing by Robert Birsel)


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Hurricane’s death toll rises to 65 in Caribbean

























PORT-AU-PRINCE, Haiti (AP) — As Americans braced Sunday for Hurricane Sandy, Haiti was still suffering.


Officials raised the storm-related death toll across the Caribbean to 65, with 51 of those coming in Haiti, which was pelted by three days of constant rains that ended only on Friday.





















As the rains stopped and rivers began to recede, authorities were getting a fuller idea of how much damage Sandy brought on Haiti. Bridges collapsed. Banana crops were ruined. Homes were underwater. Officials said the death toll might still rise.


“This is a disaster of major proportions,” Prime Minister Laurent Lamothe told The Associated Press, adding with a touch of hyperbole, “The whole south is under water.”


The country’s ramshackle housing and denuded hillsides are especially vulnerable to flooding. The bulk of the deaths were in the southern part of the country and the area around Port-au-Prince, the capital, which holds most of the 370,000 Haitians who are still living in flimsy shelters as a result of the devastating 2010 earthquake.


Santos Alexis, mayor of the southern city of Leogane, said Sunday that the rivers were receding and that people were beginning to dry their belongings in the sun.


“Things are back to being a little quiet,” Alexis said by telephone. “We have seen the end.”


Sandy also killed 11 in Cuba, where officials said it destroyed or damaged tens of thousands of houses. Deaths were also reported in Jamaica, the Bahamas and Puerto Rico. Authorities in the Dominican Republic said the storm destroyed several bridges and isolated at least 130 communities while damaging an estimated 3,500 homes.


Jamaica’s emergency management office on Sunday was airlifting supplies to marooned communities in remote areas of four badly impacted parishes.


In the Bahamas, Wolf Seyfert, operations director at local airline Western Air, said the domestic terminal of Grand Bahamas‘ airport received “substantial damage” from Sandy’s battering storm surge and would need to be rebuilt.


Latin America News Headlines – Yahoo! News



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