Family Sues Upper St. Clair School

By Jason Cato, The Pittsburgh Tribune-Review

Jul. 1–A former Upper St. Clair High School student and her parents sued the school district and several officials in federal court Monday, claiming they failed to protect her from being raped by a fellow student despite previous reports of attacks by the boy.

The family claims a school video camera captured images Feb. 4 of the 14-year-old girl being dragged out of a restroom, down a hallway and into a stairwell, where her lawyer said she was “brutally and violently” raped near a bloody handprint.

The unnamed girl was the second person to be raped in the stairwell within an hour, said attorney David J. Barton. The handprint, Barton said, was left by the assailant during the sexual assault of another girl three days earlier.

Police arrested the unnamed boy mentioned in the lawsuit in February on charges of rape, indecent assault, aggravated indecent assault and involuntary deviate sexual intercourse. Neither the Allegheny County District Attorney’s Office nor the boy’s attorney, Caroline Roberto, would comment, citing a gag order in the criminal case.

Barton said the gag order restricts him from revealing identities or divulging where he obtained details of the attacks.

None of the defendants could be reached for comment.

“Not only did they fail to protect our daughter, but they also disregarded school district disciplinary and safety policies and, as a result, created a greater risk to our daughter,” the girl’s father wrote in a statement provided by Barton.

The lawsuit states the boy sexually assaulted five girls — at least three of whom had reported the incidents to school officials prior to the February attacks. After the plaintiff, now 15, and two other girls reported inappropriate behavior by the boy, the lawsuit states he was placed on three days’ in-school suspension.

The lawsuit accuses the district and some staff of failing to comply with state and federal laws, which required police to be contacted after reports of sexual assaults. The girl and her parents claim the defendants violated her state and federal Constitutional rights to bodily integrity, of using a reckless policy of concealing sexual assaults, and failing to correct severe, pervasive student-on-student harassment and a sexually hostile environment.

Named as defendants in addition to the district are Superintendent Patrick O’Toole, Assistant Superintendent Terrence Kushner, Principal Michael Ghilani, assistant principals Jace Palmer and Lou Angelo, and teachers Esther VonWaldow and Jennifer Wagner.

The lawsuit claims the plaintiff met the boy in the sixth grade and that he forced her at knife-point to perform sex acts off campus last fall. He again assaulted her off-campus in December, the lawsuit states. VonWaldow, formerly known as Esther Haguel, asked the girl about a bruise and was told the boy was responsible, the family claims.

In January, according to the lawsuit, the boy again attacked the girl after class in the school’s lower level. Following this attack, the girl told VonWaldow that the boy was forcing her to perform sexual acts, the lawsuit states.

Police weren’t contacted until after the three February rapes, the lawsuit states.

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To see more of The Pittsburgh Tribune-Review or to subscribe to the newspaper, go to http://www.pittsburghlive.com/x/pittsburghtrib/.

Copyright (c) 2008, The Pittsburgh Tribune-Review

Distributed by McClatchy-Tribune Information Services.

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False Positives Are Common in Drug Tests on New Moms Screening: Up to 70 Percent of Initial Checks Can Be Wrong.

By Troy Anderson

Hospitals’ initial urine- screening drug tests on pregnant women can produce a high rate of false positives — particularly for methamphetamine and opiates — because they are technically complex and interpretation of the results can be difficult, some experts say.

Tests for methamphetamine are wrong an average of 26 percent — and possibly up to 70 percent — of the time, according to studies by the University of Kansas Medical Center, U.S. Substance Abuse and Mental Health Services Administration and the American Association for Clinical Chemistry.

And even the gold standard of maternal drug testing — meconium, a baby’s first stool that is analyzed to assess a mother’s drug usage over the past four or five months — can produce false positives for methamphetamine up to 70 percent of the time, said Dr. Barry Lester, a national expert on drug-exposed babies and a professor of pediatrics and psychiatry at Brown University in Providence, R.I.

False positives can be triggered by everything from cold medicines and diet pills to poppy seeds, according to a January study by the University of Kansas published in Mayo Clinic Proceedings.

The study found cold remedy compounds, herbal medications and doctor-prescribed medicines for anxiety or depression often produce false positives for methamphetamines.

On average, the study found initial urine screens for methamphetamines produced false positives 26 percent of the time. For opiates, the percentage rose to 29 percent. Less than 8 percent of tests for cocaine and marijuana resulted in false positives.

“There is a relatively good chance that there will be a false positive for those particular drugs (methamphetamine and opiates),” said Dr. Donald Frederick, chairman of the toxicology division at the American Association of Chemistry in Washington, D.C.

“I always recommend they go to confirmatory or forensic testing if they are going to use any clinical immunoassays for legal purposes.”

Hospital doctors have the discretion whether to request an initial urine screen and usually do so only if the mother exhibits signs of drug use, the baby is born premature or underweight, or other reasons occur.

If a test is positive, many hospitals perform confirmatory tests to ensure the results are accurate — but some don’t.

The U.S. Substance Abuse and Mental Health Services Administration said the federal government has required confirmatory tests for its employees since 1988 to help eliminate false positives. Confirmatory tests usually involve gas chromatography and mass spectrometry.

But James Lott, executive vice president of the Hospital Association of Southern California, said it’s not the hospital’s responsibility to conduct confirmatory drug tests.

“It’s not the hospital’s burden to do a confirmatory test,” Lott said. “It’s up to the agency that investigates child abuse whether a confirmatory test needs to be done.

“The hospital can choose to do it if it wants to, but it’s not obligated to do it.”

[email protected]

213-974-8985

(c) 2008 Daily News; Los Angeles, Calif.. Provided by ProQuest Information and Learning. All rights Reserved.

Oil Refinery Health Fears Spark Probe

By Richard Ault

Health inspectors are investigating complaints made by residents living near an oil refinery.

Families in Burslem fear the nearby Whelan Oil Refinery could be causing sore throats, respiratory problems and itchy eyes.

They have also complained of a noxious smell which they believe is coming from the plant at Sneyd Hill’s industrial estate.

Now, the Health Protection Agency – an independent body which assesses the health effects of exposure to hazardous chemicals in the air – is carrying out a survey in the area to get to the bottom of the health concerns.

It is working with Stoke-on-Trent Primary Care Trust (PCT) and the Environment Agency.

James Chipwete, of the Health Protection Agency, said: “The survey is being carried out together with the PCT.

“We have had people complaining about problems in the area, of a smog and smells, as well as irritations of eyes and respiratory symptoms.

“It is to find out to what extent this is affecting the community.” Dr Chipwete says it is too early to say if there are any real health concerns caused by the oil refining process. The Health Protection Agency will be canvassing opinion, speaking to residents around the plant, over the next few weeks.

At the same time Environment Agency inspectors are going into the oil refinery itself to carry out a review of equipment and processing. An Environment Agency spokesman said: “We are working with the company to ensure they are complying with their permit.

“We are also doing an audit over the next few weeks. We will be examining the results of that audit along with the PCT.”

The former Petrus Oils factory was closed by the Environment Agency in 2000, after years of complaints from residents.

Last June, the agency agreed to grant an operating permit to Whelan Refining Limited, paving the way for the firm to begin recycling 50,000 tons of waste oil a year.

In October, the plant was temporarily shut after a gas leak led to the evacuation of part of the Burslem campus of Stoke-on-Trent College.

Residents claim they have been forced to endure bad smells since the plant reopened, but say they have intensified over the last few weeks. Roger Bradshaw, aged 59, lives with his wife Olwen, aged 52, at nearby Moorland Road. He said: “The smell has been horrific. It seems to get worse in the evening. We have had two weeks of very bad smells. It seems to be in pockets. You can walk out the door and be hit by the smell, then walk around the corner and it’s not there.

“The worry is what it may be doing to our health. Both me and the wife get dry eyes in the evening, We’ve taken to putting eye drops in at night. We have both had sore throats. My wife has asthma and it has got much worse just lately.”

Neighbour Doreen White, aged 79, said: “You can see yellow markings on the windows, which I have to clean off. The smell is very pungent; it’s not very nice.”

John Steventon, aged 70, also of Moorland Road, pictured left, said: “I suffer with asthma, but it seems to be getting worse.

“The smell is bad enough, but I’m more worried about my health, and my children and grandchildren.”

John Whelan, managing director of Whelan Oil Refinery, declined to comment.

(c) 2008 Sentinel, The (Stoke-on-Trent UK). Provided by ProQuest Information and Learning. All rights Reserved.

Nurses to Get Say in Staffing

By Suzanne Hoholik, The Columbus Dispatch, Ohio

Jun. 30–A new Ohio law requires that nurses have a say on how they’re staffed at hospitals, but labor unions say the measure doesn’t go far enough to protect patients.

The law, which takes effect in September, requires hospitals to create a committee to recommend how many registered nurses should be in every unit, including emergency departments and intensive-care and surgical units.

The law also requires that nurses who provide direct patient care make up half of the committee and that hospital staffing plans be available to the public.

State Rep. Jim Hughes, a Columbus Republican who sponsored the bill, said the law will improve patient care. The measure is similar to legislation enacted in other states, including Illinois, Oregon and Texas.

Nurse administrators at area hospitals say these committees will include outspoken nurses.

“You want your informal leaders to participate and have a voice,” said Marcy Conti, chief nursing officer at Doctors Hospital.

The Ohio Nurses Association and the Ohio Hospital Association backed the bill.

Others, however, spoke against the legislation.

The Ohio chapter of the National Nurses Organizing Committee, part of the California Nurses Association, says the law doesn’t require hospital administrators to follow the nurses’ recommendations.

“Hospitals will still be able to staff within their budgets, and there lies the problem,” said Katrina Howard, a nurse and organizer of the National Nurses Organizing Committee. “It’s a joke.”& amp; lt; /p>

Howard’s association wants a law that sets nurse-to-patient ratios.

California law requires that each nurse have no more than five patients on general medical floors and in surgical units.

There’s debate on whether the law has improved patient care, particularly since some hospitals say they have cut support staff to maintain nursing ratios.

Ohio hospital leaders say set ratios are a bad idea.

“I think hospitals need the flexibility to adjust staffing based on patient volume and patient acuity,” said Jackie Watercutter, chief nursing officer at Mount Carmel West hospital.

Mary Nash, chief nursing executive at Ohio State University Medical Center, agrees.

“The last thing we all need is more mandates,” Nash said. “It increases costs, and people have to count things.”

Howard, a Cleveland nurse, said that, without set limits, patient safety is at risk.

“I’ve talked to nurses who work at Ohio hospitals where they take care of 13-14 patients at a time,” she said.

The Service Employees International Union District 1199, which represents 2,000 registered nurses in Ohio, supports ratios. But the union also wants a law that would prohibit hospitals from laying off support staff.

Mary Yost, an Ohio Hospital Association spokeswoman, said her organization would fight any bill that pushes set ratios.

The Ohio Nurses Association said the new law will help staffing issues.

“It is a great first step, and we hope it’s a last step,” said Terry Tran, director of health policy at the Ohio Nurses Association. “You can’t foretell the future, but we want to make this a success.”

[email protected]

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To see more of The Columbus Dispatch, or to subscribe to the newspaper, go to http://www.columbusdispatch.com.

Copyright (c) 2008, The Columbus Dispatch, Ohio

Distributed by McClatchy-Tribune Information Services.

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Minsk Wants Long-Term Transit Supplement Before Paying Higher Gas Price

MINSK. June 30 (Interfax) – Belarus will purchase natural gas from Russia at the first quarter price – $119 per 1,000 cubic meters – pending conclusion of a long-term supplementary agreement on gas transit with Gazprom (RTS: GAZP), which would revise the basic agreement on gas deliveries and transit, a source in the Belarusian state apparatus told Interfax.

“We are currently paying at the first-quarter price, $119 per 1,000 cubic meters, because no long-term agreement on gas transit has been signed. We link all these issues to revisions in the pricing formula,” the source said.

As for the price of $128 per 1,000 cubic meters Russia announced effective April 1, the source said: “Before posing the issue of a gas price increase, a transit agreement must be signed.”

“We will pay for gas in the second quarter at the first-quarter price of $119 per 1,000 cubic meters,” First Deputy Energy Minister Eduard Tovpenets told Interfax earlier, adding that the decision came at a meeting of the supervisory board at Beltransgaz.

Beltransgaz’s debt to Gazprom for imported gas amounted to $211 million as of June 1, 2008, including $184 million for the gas and $27.9 million in penalties and interest. The Belarusian concern paid $184 million by June 23, in accordance with the terms of the contract.

Belarus is initiating revision of the pricing formula for 2007- 2010 that was approved in 2006, due to the steep rises in oil prices and Russia’s decision to hold off switching to netback parity pricing for domestic consumers, which was to have begun from 2011.

Beltransgaz and Gazprom signed a four-year agreement on December 31, 2006 on deliveries and transit of Russian gas in 2007-2010. The price for Belarus in 2008, 2009 and 2010 is to be 67%, 80% and 90% respectively of the European price less transportation and export duties.

The agreement also covered tariffs on transit of Russian gas through Beltransgaz pipelines ($1.45 per 1,000 cubic meters per 100 kilometers in 2007) and payment for services for managing the Yamal- Europe gas pipeline (determined by a formula). The transit tariff is to rise depending on increases in the gas price.

Since January 1, 2008 the charge for Russian gas transit through Belarus has increased by an average of 10.2%, while the price of gas has increased 19%. The charge for transit on Beltransgaz’s network has risen 9.7% to $1.59 per 1,000 cu m per 100 km, while transit on Yamal-Europe has rising 10.7% to $1.66 per 1,000 cu m per 100 km.

The Belarusian Energy Ministry forecasts that natural gas transit through Belarus will decline 1.2% to 48.9 billion cubic meters (bcm) in 2008. Transit on the Beltransgaz network is expected to decline 12.5% to 16.1 bcm in 2008, but will increase 5.5% to 32.8 bcm on Yamal-Europe.

Transit in 2007 increased 11.9% to 49.5 bcm compared to forecast of 45.8 bcm.

Belarus imported 21.6 bcm of gas in 2008. Gazprom’s stake in Beltransgaz, currently 25%, is slated to rise to 50% in 2010.

(c) 2008 Daily News Bulletin; Moscow – English. Provided by ProQuest Information and Learning. All rights Reserved.

Chinese Corporation to Build Water Mains in Uzbekistan

TASHKENT. June 30 (Interfax) – The government of Uzbekistan and China National Chemical Engineering Group Corp. have signed a $45 million contract for building water mains in the Fergana and Andizhan regions, a government source told Interfax.

He said that would be a turnkey project.

The new water mains will have the yearly capacity of 38 million cubic meters, and the project will cost $48.3 million.

The Export-Import Bank of China will issue a $44.97 million loan refinanced by the National Bank for Foreign Economic Activity of the Republic of Uzbekistan, and the Suvokava (Vodokanal) Company based in Fergana will also contribute to the project.

The loan agreement will be signed in the near future.

The water mains will be part of the project, which aims at the drastic improvement of water supplies in Fergana, Margilan and adjoining townships. Uzbek President Islam Karimov approved the project.

Uzbekistan is implementing another three investment projects in water supplies, including the one in Buhara and Samarkand funded with a $40 million loan of the International Bank for Reconstruction and Development, the projects in Gulistan, Jizak and Karshi, and villages in the Navoi and Kashkadarya regions funded with $36 million and $25 million loans of the Asian development Bank.

The Export-Import Bank of China opened a $300 million credit line for Uzbekistan in 2004. The National Bank for Foreign Economic Activity of the Republic of Uzbekistan has received $212 million from the credit line and funded six projects in the areas of telecom, land reclamation, electric power, oil and gas.

(c) 2008 Daily News Bulletin; Moscow – English. Provided by ProQuest Information and Learning. All rights Reserved.

Natural Health Trends Corp. Pursues Legal Actions Against Company Founder

Natural Health Trends Corp. (NASDAQ: BHIP) announced today that it has filed a lawsuit against Terry LaCore, the Company’s founder and a former director and executive officer. The lawsuit charges Mr. LaCore and his company, bHIP Global, Inc., with numerous unlawful acts, including employee raiding, theft of confidential information and trade secrets, tortious interference and unfair competition. The legal action was filed in a state court in Dallas, Texas.

Among other things, the lawsuit alleges attempts by Mr. LaCore and his company to induce employees, distributors and vendors to breach contractual agreements and to disclose confidential information. It also accuses Mr. LaCore of deliberately naming his latest network marketing project and product using Natural Health Trend’s stock ticker symbol for the purpose of confusing the marketplace and investors.

Natural Health Trends also sought and obtained a temporary restraining order to immediately halt the unlawful use of its confidential information and interference with its contracts with employees, distributors and vendors pending further action of the court.

Chris Sharng, President of Natural Health Trends Corp., said, “Our lawsuit describes dishonest and unethical conduct that is increasingly blatant. It seeks to stop that conduct and end an illegal assault on our relationships with our distributors, employees and vendors. We intend to use all legal means in any and all jurisdictions to prevent further attempts to undermine our business.”

About Natural Health Trends Corp.

Natural Health Trends Corp. is an international direct-selling and e-commerce company operating through its subsidiaries in Asia, North America, Europe and Latin America. The company markets premium quality personal care products under the NHT Global brand. Additional information can be found on the company’s website, and management encourages interested parties to register for updated corporate information via email on the company’s home page, www.naturalhealthtrendscorp.com.

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995 — Forward-looking statements in this release do not constitute guarantees of future performance. Such forward-looking statements are subject to risks and uncertainties that could cause our actual results to differ materially from those anticipated. Such risks and uncertainties include the risks and uncertainties detailed under the caption “Risk Factors” in our Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 31, 2008. We assume no obligation to update any forward-looking information contained in this press release or with respect to the announcements described herein.

 Contact:  Jean Bono Natural Health Trends Corp. Email Contact

SOURCE: Natural Health Trends Corp.

China Wants 100 Westinghouse Reactors

By Bonnie Pfister, The Pittsburgh Tribune-Review

Jun. 28–China wants to have 100 of Westinghouse Electric Co.’s nuclear reactors in operation or under construction by 2020 — more than double what was anticipated, according to the company’s incoming CEO.

Aris Candris, who will lead the Monroeville-based firm beginning Tuesday, said Chinese officials shared those plans with Westinghouse during a mid-May meeting.

“It is huge,” Candris said in an interview Thursday with the Tribune-Review. “Originally we were thinking somewhere around 40.”

“This is the beginning of the nuclear renaissance,” he said. “Growth is good, but it’s also a management challenge.”

He succeeds Steve Tritch, who is retiring after 37 years with the company, the past six as CEO. Tritch remains chairman of the board of Westinghouse, a global leader in reactor engineering, construction and maintenance. Westinghouse’s technology is the basis for nearly half of the world’s 440 nuclear power plants, including 62 of the 104 in the United States.

Candris, 57, who joined the company in 1975 and most recently ran the fuel business, takes over as the industry enjoys renewed support and federal subsidies meant to promote a cleaner alternative to coal-burning plants.

Its AP1000 reactor, which can generate enough power to electrify 700,000 homes, is the technology of choice for half of the 30 reactors planned for the United States. This spring Westinghouse signed deals for four domestic reactors, the first such contracts to be signed in this country in 30 years.

Last year the company beat out French rival Areva to win a $5.3 billion contract to build four AP1000s in China. Although Westinghouse will transfer the technology to Chinese licensees over the next few years, Candris said, it will build several additional plants with partner The Shaw Group, of Baton Rouge, La.

Westinghouse books higher revenue from plants it actually builds, but the licensing strategy frees the company to pursue research and development.

“There are a number of entities over the years that we have licensed — Areva, Mitsubishi in Japan, Doosan in Korea. In all cases, those became long-term relationships, with long-term benefits for both,” Candris said.

Design will begin this year on a 1,700-megawatt reactor, he said, that could be targeted to energy-hungry China and eventually India.

Plans for domestic reactor construction are moving briskly. Candris said contracts for two AP1000s each at three Southeastern U.S. utilities will be signed in the next nine months; the first deal is likely by summer’s end. He said he was not worried that soaring costs of steel, copper and cement would hurt his industry, because those costs equally affect construction of other kinds of power plants.

Growth has prompted Westinghouse to hire nearly 3,000 people worldwide over the past three years, he said, and the Monroeville office is at capacity. About 350 instrumentation and control staffers last month moved to rented space in Cranberry, adjacent to a Westinghouse headquarters under construction. The 2,000 or so Monroeville staffers are to relocate next June.

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To see more of The Pittsburgh Tribune-Review, or to subscribe to the newspaper, go to http://www.pittsburghlive.com/x/pittsburghtrib/.

Copyright (c) 2008, The Pittsburgh Tribune-Review

Distributed by McClatchy-Tribune Information Services.

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TOSBF, 6502,

‘No-Option’ Cardiac Patients Have Significantly Reduced Angina and Improved Exercise Tolerance With Ivivi Technologies tPEMF Therapy in Cleveland Clinic Florida Trial; Future Studies Planned

MONTVALE, N.J., June 30, 2008 (PRIME NEWSWIRE) — Ivivi Technologies, Inc. (Nasdaq:IVVI), a leader in non-invasive, electroceutical(r) therapy systems designed to enhance the body’s natural anti-inflammatory response, today announced that the Cleveland Clinic, in Westin, Florida, has released the results of its double-blind, randomized, placebo-controlled and prospective clinical trial (EFFECT trial) utilizing the Company’s proprietary targeted pulsed electromagnetic field (tPEMF(tm)) technology. In the study of 30 patients with cardiomyopathies and no other treatment options, the patients in the active treatment arm demonstrated significant reductions in anginal pain and frequency, with an accompanying reduction in nitroglycerine use. These results began emerging at one month after commencement of treatment, with increasing significance at three and five month intervals. The changes in clinical outcomes were consistent with those seen in angina patients who can and do undergo successful angioplasty.

Dr. Michael Shen, a cardiologist at the Cleveland Clinic and Principal Investigator of the EFFECT trial, stated, “The aims of the study were to evaluate the safety, efficacy and sustainability of tPEMF(tm) in patients with ischemic cardiomyopathy. I am pleased to be able to report that the results have fulfilled all three goals of this pilot clinical trial. This is the first study to demonstrate that tPEMF(tm) is safe to use in a patient population with ischemic cardiomyopathy. Secondly, the active group demonstrated significant reduction in angina severity and frequency with parallel improvement in physical capacity. In some of these patients we saw meaningful increases in perfusion. Finally, these results were sustained two months after completion of the three month treatment phase. The positive results from this pilot trial with 30 patients shall be examined in more detail and we expect to confirm these results in a larger patient population with varying stages of ischemic heart diseases.

“These patients have active angina and/or cardiomyopathy and are diagnosed with severe coronary disease by catheterization that cannot be revascularized using conventional therapy of angioplasty/stent or bypass surgery. The longevity and quality of life of these patients is in significant jeopardy based on current clinical data and experience if their condition cannot be improved. The current options in patients with angina and ischemic cardiomyopathy who cannot be revascularized with standard care are limited to medication, transmyocardial laser revascularization (TMR) and/or enhanced external counterpulsation (EECP). Many patients with ischemic cardiomyopathy, including our patient population in the study, have active symptoms of angina and poor quality of life, despite maximized medical therapy with medications. TMR is an invasive procedure requiring physically drilling holes with lasers in the myocardium, with risks of complications. The procedure has rarely been used since FDA clearance in 1998. Although EECP has been used in outpatient settings, it has yet to be widely accepted because performing the procedure requires professional supervision in an experienced physician’s office, at relatively high cost and inconvenience to patients, as well as contra-indications in patients with aortic insufficiency, peripheral vascular diseases, atrial fibrillation, and other conditions.

“In my experience, clearly, PEMF has significant potential to change clinical cardiology. This technology can provide new hope to patients with angina and ischemic cardiomyopathy who, otherwise, have no further option from current standard care. The advantages of a non-invasive, non-pharmacological, self-operated therapy applied by patients at home are unique. The mechanism of action and applications in routine clinical practice will be further investigated with animal studies and larger, multi-center trials to demonstrate clinical outcomes. Currently, we are preparing the next phase of investigations.”

Steven Gluckstern, Chairman of Ivivi Technologies, stated, “These results provide compelling evidence for increased research in this area. In particular, we plan to use standard cardiovascular models to establish clear dose/response relationships for tPEMF(tm) for this application. We also intend to design and implement a larger, multi-center human clinical trial to confirm the important clinical outcomes and the perfusion benefits seen here, with the aim of making tPEMF(tm) therapy available to this patient population.”

The device used in this trial was not the device currently marketed by the Company for treatment of postoperative edema and pain. There would be no expectation of getting similar results with the currently marketed device. FDA approval for the device used in the Cleveland Clinic trial would be necessary to secure an appropriate indication for Ivivi to market such device.

Co-investigator of the EFFECT trial and inventor of the tPEMF(tm) signals used in this study, Dr. Arthur Pilla, Professor of Biomedical Engineering at Columbia University, noted, “After nearly 40 years of working to elucidate PEMF’s mechanism of action, we now have strong evidence that tPEMF(tm) modulates the nitric oxide signaling pathway, which modulates the cellular processes involved in tissue repair, and is the same pathway by which nitroglycerine provides its clinical benefits. I always believed that once the biological transduction mechanisms were known, the use of tPEMF(tm) therapy could expand beyond its initial successful application for healing recalcitrant bone fractures. The very meaningful results from this pilot study show the promise of PEMF therapies: real clinical improvements, without side-effects, delivered with relatively inexpensive and disposable devices.”

“It has been well-established in a number of models that tPEMF(tm) can accelerate the endogenous anti-inflammatory pathways, which are mediated by nitric oxide,” said Nobel Laureate Dr. Louis Ignarro, PhD, co-investigator on the EFFECT trial. “The anti-inflammatory, pro-vascular benefits of nitric oxide are very well-established and not debatable. That we are now seeing that the natural regenerative physiology can be vastly enhanced through targeted pulsed electromagnetic fields suggests that a new era of therapeutics may be upon us.”

About the EFFECT Trial

The objectives of this trial with our tPEMF(tm) technology in this patient population were to evaluate safety: measure tPEMF(tm) effects on myocardial perfusion, ventricular function, clinical symptoms of angina, physical limitations; and lastly, the sustainability of any effects 2 months after treatment was completed. The patients administered treatment to themselves for 30 minutes, twice a day for 3 months. This consisted of placing a lightweight vest over the chest, which held a circular applicator over the left breast. Patients were evaluated at baseline, 1, 3 and 5 month intervals, with patients receiving the active treatment showing significant reductions in anginal pain and frequency. As the improvements at the 5 month point demonstrated the highest significance, these improvements persisted even after the therapy had been stopped for 2 months. While there were dramatic findings in cardiac perfusion for some patients, the short study duration and limited number of subjects did not allow statistical significance to be seen at this time. FDA approval for this indication is necessary in order for Ivivi to commercialize its product.

About Coronary Artery Disease

According to the American Heart Association, the estimated cost of coronary heart disease was expected to reach $154.8 billion in 2008. Of those with heart disease, an estimated 5.3 million heart failure patients are not candidates for existing interventions and currently lack options for improving their cardiac function.

About Ivivi Technologies, Inc.

Based in Montvale, NJ, Ivivi Technologies, Inc. is a medical technology company focusing on designing, developing and commercializing its proprietary electrotherapeutic technology platform. Ivivi’s research and development activities are focused specifically on pulsed electromagnetic field, or tPEMF(tm), technology, which, by creating a therapeutic electrical current in injured soft tissue, modulates biochemical and physiological healing processes which reduce pain and inflammation and enhance the repair of injured tissue. The Company’s Electroceuticals(r) have been used in non-invasive treatments for a wide array of conditions, including chronic wounds, pain and edema following plastic and reconstructive surgery and chronic inflammatory disorders. Dr. Michael Shen, cardiologist at the Cleveland Clinic and Principal Investigator of the EFFECT trial, has received compensation from Ivivi Technologies in regard to his research on Ivivi’s tPEMF. Dr. Arthur Pilla, Professor of Biomedical Engineering at Columbia University, is Chair of the Ivivi Scientific Advisory Board. Nobel Laureate Dr. Louis Ignarro, PhD, co-investigator on the EFFECT trial, is a member of the board of directors of Ivivi Technologies.

Forward-Looking Statements

This release contains “forward-looking statements” made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including those related to future cardiac studies. Forward-looking statements reflect management’s current knowledge, assumptions, judgment and expectations regarding future performance or events. Although management believes that the expectations reflected in such statements are reasonable, they give no assurance that such expectations will prove to be correct and you should be aware that actual results could differ materially from those contained in the forward-looking statements. Forward-looking statements are subject to a number of risks and uncertainties, including, but not limited to, the Company’s limited operating history, history of significant and continued operating losses and substantial accumulated earnings deficit, difficulties with its financial accounting controls, the failure of the market for the Company’s products to continue to develop, the inability for customers to receive third party reimbursement, the inability to obtain additional capital, the inability to protect the Company’s intellectual property, the loss of any executive officers or key personnel or consultants, competition, changes in the regulatory landscape or the imposition of regulations that affect the Company’s products and other risks detailed from time to time in the Company’s filings with the Securities and Exchange Commission, including the Company’s Form 10-KSB for the fiscal year ended March 31, 2008. The Company assumes no obligation to update the information contained in this press release.

This news release was distributed by PrimeNewswire, www.primenewswire.com

 CONTACT:  Cameron Associates           Investor Relations:           Alison Ziegler           Lester Rosenkrantz             212-554-5469             [email protected]           Media:           Deanne Eagle             212-554-5463             [email protected] 

Medicare Fee Cuts Frozen By Bush Administration

A scheduled 10 percent fee cut for doctors who treat Medicare patients is being frozen by the Bush administration, according to announcement made on Monday.

This will give Congress time to act to prevent the cuts when lawmakers return from a July 4 recess.

Some physician’s say the cuts may make doctors less willing to treat patients. The administration’s delay in implementing the cuts spares lawmakers from having to use the recess to explain to seniors why they didn’t do the job before leaving town.

The Centers for Medicare and Medicaid Services will hold doctors’ Medicare claims for services delivered on or after July 1. Claims for services received on or before June 30 will be processed as usual, according to Kevin Schweers, a spokesman for the Department of Health and Human Services.

Congress will almost certainly act quickly when it returns to Washington the week of July 7 to prevent the cuts in payments for some 600,000 doctors who treat Medicare patients. They could otherwise face millions of angry seniors at the polls in November. The cuts were scheduled because of a formula that requires fee cuts when spending exceeds established goals.

“The Department of Health and Human Services will take all steps available to the department under the law to minimize the impact on providers and beneficiaries,” said HHS Secretary Mike Leavitt.

“By holding claims for health care services that are delivered on or after July 1, CMS will not be making any payments on the 10.6 percent reduction until July 15 at the earliest,” Schweers said.

Congress finds a way to block such cuts nearly every year. But last week the Senate fell just one vote short of the 60 needed to proceed to legislation that would have stopped the cut.

Physicians have been running ads hinting that patients may find doctors less willing to treat them.

Dr. Nancy H. Nielsen, president of the American Medical Association, said the country is “at the brink of a Medicare meltdown.” So far, Democrats and Republicans are blaming each other.

The AMA took out several ads in Capitol Hill newspapers read by members of Congress and their aids saying: “Seniors need continued access to the doctors they trust. It’s urgent that Congress make that happen.”

For years Doctors have complained that Medicare payments have failed to cover rising costs.

Majority Democrats homed in on cutting the Medicare Advantage program this year, which is an ideological issue for both parties.

The Bush administration and Republicans like Medicare Advantage because it lets the elderly and disabled choose to get their health benefits through private insurers rather than through traditional Medicare. Democrats argued that government payments to the insurers are too generous.

The Whitehouse issued a warning that President Bush would be urged to veto a bill that contained cuts to Medicare Advantage.

But last Tuesday the House approved the legislation 355-59, well above the margin needed to override a veto.

Every Democrat supported it, and Republicans, bucking their president, voted 129-59 for it.

On the Net:

Medicare

Shorter Cycles Can Indicate Initial Phases Of Menopause

A new study from researchers at the University of Iowa has found that shortened times between menstrual periods may be an initial sign of menopause, while heavy bleeding seems to have other causes. 

The researchers found that a shortened interval between periods, fewer than 21 days, in women aged 42 to 52 indicated the women were in the early stages of menopause. These periods were often “anovulatory”, meaning the women did not ovulate even though they experienced bleeding. The researchers, led by Dr. Bradley Van Voorhis of the University of Iowa College of Medicine in Iowa City, also found that longer intervals between periods, in excess of 36 days, were more common later in menopause.  

Heavy bleeding appeared to be unrelated to ovulation, according to the study, and was often seen in women who were obese or had uterine fibroids, non-cancerous growths that can cause pain and heavy menstrual bleeding.

The study examined 804 women in the United States over a three year time period. The women gave periodic urine samples to determine whether they were ovulating, and also kept track of their monthly menstrual patterns.

The women were then separated into two groups: those with unpredictable periods during the past three months, a sign of early menopause, and those who’d skipped two or more periods, a sign of the later phases of menopause.

The researchers found that short intervals between periods were more common among women in early menopause, with 44 percent of their periods anovulatory. Longer intervals were more common in late menopause, with two-thirds of those periods being anovulatory. Women with short or long periods, either fewer than four days or more than seven days, also commonly had anovulatory cycles.

However, the study found that women with heavy periods had relatively few anovulatory cycles, which suggested the heavy bleeding was not typically related to hormonal changes.

The researchers said the study suggests that a woman in early menopause with abnormal timing in her periods, either short or long intervals, or a short or long duration, is likely having anovulatory cycles.

“In contract, if the complaint is only heavy bleeding, anovulation is less likely and careful evaluation for structural lesions including polyps and fibroids is warranted,” the researchers wrote in a report about the study, published in the journal Obstetrics & Gynecology.

On the Net:

University of Iowa

Obstetrics & Gynecology

Pharmacy Technician Certification Board (PTCB) Supports Florida’s New Patient Safety Solution

To: LEGAL AFFAIRS EDITORS

Contact: Mark Franco, of PTCB, +1-202-429-7508, or Claire Sheahan of Fleishman-Hillard, +1-202-828-9767, for PTCB

WASHINGTON, June 30 /PRNewswire/ — The Pharmacy Technician Certification Board (PTCB), the leading national program that has certified more than 300,000 pharmacy technicians, is pleased to support and congratulate the Florida Legislature for passing SB 1360 and Governor Charlie Crist for signing it into law, requiring new standards for pharmacy technicians. Tireless advocacy efforts for the passage of this critical patient safety legislation and its final approval by Governor Crist were spearheaded by the Florida Society of Health-System Pharmacists (FSHP) and the Florida Pharmacy Association (FPA).

The new Florida legislation takes a progressive step toward increasing patient safety for consumers. By passing this legislation without amendment, and signing it into law, the Florida state legislature and governor will ensure pharmacy technicians meet key requirements for training, certification and registration. PTCB is proud to have certified 15,000 pharmacy technicians in Florida to date and looks forward to working with more pharmacy technicians and their employers.

“Florida’s new pharmacy technician standards are an important patient safety solution for consumers in the Sunshine State and Governor Crist and the state’s legislators should be applauded,” said PTCB Executive Director and CEO Melissa Murer Corrigan. “To meet these new state standards, PTCB is looking forward to continued work with pharmacy technicians and significant employers of Florida’s pharmacy technicians such as Walgreen’s, CVS, Publix, Target, the U.S. military, multiple health-systems and independent pharmacists in communities across the state. Several of these employers presently support and endorse PTCB across the United States.”

The landmark piece of Florida legislation (SB 1360) contributes to raising the bar for states across the country by providing an example of the high standards needed for pharmacy technicians. The more than 40,000 pharmacy technicians currently working in Florida will be required to register with the Florida Board of Pharmacy by 2010. In 2011, they will need to either complete a board-approved training program with 1,500 hours of work as a technician under a Florida licensed pharmacist, or be certified by a program accredited by the National Commission for Certifying Agencies (NCCA). PTCB is the pioneer in certifying pharmacy technicians and is accredited by the NCCA. PTCB’s certification program has been included in regulations by more than 30 state boards of pharmacy. Through its strategic partnership with Pearson VUE, PTCB is able to offer highly scalable computer-based testing through the world’s largest network of testing centers.

Studies show without a doubt that Americans support a standard of excellence for pharmacy technicians. A recent poll commissioned by PTCB confirms that 91 percent of American consumers support strong regulations across the country to protect patient safety by requiring that pharmacy technicians are trained and certified. While states like Florida reflect this growing need for action, almost twenty other states still have no requirement for certification. Clearly, consumers are relying on state boards of pharmacy to protect them and enact strong requirements such as Florida’s for pharmacy technicians.

About the Pharmacy Technician Certification Board (PTCB)

PTCB was established in January 1995 and is governed by five pharmacy organizations — the American Pharmacists Association (APhA), the American Society of Health-System Pharmacists (ASHP), the Illinois Council of Health-System Pharmacists (ICHP), the Michigan Pharmacists Association (MPA) and the National Association of Boards of Pharmacy (NABP). Since PTCB’s inception, PTCB has certified over 300,000 pharmacy technicians through the examination and transfer process. PTCB’s certification program is accredited by the National Commission for Certifying Agencies (NCCA). The goal of the PTCB national certification program is to enable pharmacy technicians to work more effectively with pharmacists to offer safe and effective patient care and service. PTCB contracts with Pearson VUE, the industry’s technology leader, as its computer-based testing vendor. PTCB draws upon the experience and expertise of its 13-year partner, Professional Examination Service (PES) for test development.

About Pearson VUE

Pearson VUE (http://www.pearsonvue.com) is the global leader in electronic testing for regulatory and certification boards, providing a full suite of services from test development to test delivery to data management. Pearson VUE offers exams through the world’s largest network of test centers in 162 countries, providing testing services for information technology, academic, government and professional clients. Pearson VUE acquired the former Promissor in 2006, thereby extending its leadership in the certification market. The company’s innovative technology offers the highest levels of security and program control, while its commitment to service provides clients and individual test takers with an unmatched testing experience.

Pearson VUE is a business of Pearson (NYSE: PSO; LSE: PSON), the international media company, whose businesses include the Financial Times Group, Pearson Education and the Penguin Group.

SOURCE PTCB

(c) 2008 U.S. Newswire. Provided by ProQuest Information and Learning. All rights Reserved.

Colorado Confirmed As Top Bioscience State By National Rankings

“According to recently released national rankings, Colorado is a fertile state for bioscience and technology initiatives, and we’re incredibly thrilled,” says Chris Shapard, Deputy Director of the Colorado BioScience Association (CBSA). “It’s nice to see other non-biased sources confirm what we’ve always known. Denver/Boulder was included in Genome Technology’s 20 Best Places For Biotech plus concurrently we were ranked fourth by the Families USA’s Global Health Initiative among states that generated the most economic activity per dollar of funding for the National Institutes of Health (NIH) and to top it off, we placed third ahead of California in the Milken Institute’s State Technology and Science Index.”

Genome Technology’s June article about the top 20 Biotech locations in the world includes Colorado’s Denver/Boulder market: “With some 10,000 people employed in biotech, the Denver/ Boulder corridor in Colorado got a major boost recently with the reassignment of the Fitzsimons Army Medical Center as a bioscience park. Located in the Denver metro area, the park teams research facilities for the University of Colorado Health Sciences Center and Hospital Complex with the Children’s Hospital as well as dedicated incubator and office space. By 2010, planners expect employment at the Fitzsimons site to reach 19,000 people. In 2006, Amgen said it would fund a $150 million expansion of its manufacturing plant in Boulder.” The article is available by subscription at http://www.genome-technology.com/issues/.

According to a Families USA’s Global Health Initiative report, Colorado ranked fourth among states that generated the most economic activity per dollar of funding from the NIH. For every dollar of NIH funding, Colorado generated $2.34 in business activity; only Texas, California and Georgia ranked higher. In 2007 Colorado received approximately $336 million in NIH funding generating a total of $787 million, the report said.

The 10 states that generated the most economic activity per dollar of NIH funding were Texas ($2.49), Illinois ($2.43), California ($2.40), Georgia ($2.36), Colorado ($2.34), Pennsylvania ($2.32), Tennessee ($2.32), Utah ($2.30) Ohio ($2.29), and New Jersey ($2.26). The full report is available at http://www.familiesusa.org/issues/ global-health/publications/in-your-own-backyard.html. (Due to its length, this URL may need to be copied/pasted into your Internet browser’s address field. Remove the extra space if one exists.)

Colorado placed in the top five of all five categories of the Milken Institute’s State Technology and Science Index, moving ahead of California in the new overall rankings. Milken ranked Colorado second in the concentration of scientists and engineers.

Milken’s 2008 State Technology and Science Index looks at 77 unique indicators that are categorized into five major components: Research and Development Inputs, Risk Capital and Entrepreneurial Infrastructure, Human Capital Investment, Technology and Science Work Force, and Technology Concentration and Dynamism. It is one of the most comprehensive examinations of state technology and science assets ever compiled. The full report is available at: http://www.milkeninstitute.org/pdf/StateTechScienceIndex.pdf.

About Genome Technology

The Genome Technology Online website, and a monthly magazine with print and digital editions, reaches a global community of active scientists working in pharmaceutical and biotech companies, universities, and biomedical research institutions. Genome Technology Online is a free Web service supported by advertising. Genome Technology Magazine is a free journal for qualified subscribers and is supported by advertising. For more information visit http://www.genome-technology.com.

About Families USA

Families USA is the national organization for health care consumers. It is nonprofit and nonpartisan and advocates for high-quality, affordable health care for all Americans. For more information visit http://www.familiesusa.org.

About the Milken Institute

The Milken Institute is a nonprofit, independent economic think tank whose mission is to improve the lives and economic conditions of diverse populations around the world by helping business and public policy leaders identify and implement innovative ideas for creating broad-based prosperity. It is based in Santa Monica, CA. For more information visit www.milkeninstitute.org.

About Colorado BioScience Association

CBSA is a not-for-profit corporation providing services and support for Colorado’s growing biosciences industry. With more than 400 members, CBSA actively works to promote the growth of the industry by working for a better business environment, grow the state’s biotech workforce, fight for policies that support a strong bioscience industry in the state and speak with a single voice on behalf of the industry. For more information, visit http://www.cobioscience.com.

Self-Help Medical Book Written at 3rd Grade Reading Level Reaches 2 Million Sold Mark

“What To Do When Your Child Gets Sick,” written by two registered nurses frustrated with the typical 11th grade reading level of most patient education materials, recently reached a 2 million copies sold mark since the book’s initial publication in 2000. This milestone was made possible in part because of the ongoing search for a solution to rising healthcare costs. It’s estimated that low health literacy adds $73 billion annually to U.S. health care costs in unnecessary medical expenses.

Employers and health plans are paying an ever increasing price for healthcare, and “What To Do When Your Child Gets Sick” is emerging as a viable solution to reduce unwarranted Emergency Room and doctor/clinic visits. Health plans have also recognized the value of providing their members with an in-home self-help healthcare book that helps maintain the good health of their member’s children.

A big customer has been the First 5 California program which includes the book in its “Kit For New Parents,” made available to every new parent in the state. “‘What To Do When Your Child Gets Sick’ is a valuable addition to our ‘Kit For New Parents,'” said Kris Perry, Executive Director of First 5 California. “From sore throats to nose bleeds, this guide provides solutions to common health problems in an easy-to-understand manner that parents will appreciate.”

“The continued success of this book shows it is really making a difference out there for the consumer and as well as those who deliver health care,” said Gloria Mayer, R.N., Ed.D., who co-authored the book with Ann Kuklierus, R.N. The book is available in English, Spanish, Vietnamese, Chinese (Mandarin) and Korean.

Copies of “What To Do When Your Child Gets Sick,” published by the La Habra-based not-for-profit Institute for Healthcare Advancement, have been sold or distributed nationally and internationally. The book has been hailed by clinicians as the “Holy Grail” of health care reference books and has been used in multiple studies to measure how emergency room overuse can be reduced with simple self-help tools that are written in easy-to-understand language. The most recent results from the UCLA/Johnson & Johnson Healthcare Institute’s four year outcome study have shown parents and caregivers who use “What To Do When Your Child Gets Sick” have reduced their Emergency Room visits by 58% and doctor/clinic visits by 41%. The book has also won numerous awards for its trailblazing efforts in improving health literacy.

Studies have shown 90 million American adults (approximately one in two) cannot read above a fifth grade level. To help these low level readers, the books presents more than 50 common health problems, from childhood ailments such as earaches, vomiting and colic, to how to handle more serious problems such as burns, choking, and broken bones. Each medical problem is presented in a logical, step-by-step-format, i.e., “What is it?, What do I see?, What can I do at home?, When do I call the doctor or nurse?, and What else should I know?” The narrative is supported with over 150 lifelike illustrations allowing readers, and even non-readers, to quickly understand the information and take action. Instead of medical jargon the book uses simple language such as “yellow” newborn rather than “jaundiced” newborn and words like “broken bone” instead of “fracture” in describing medical conditions.

“People with limited healthcare knowledge struggle every day to understand doctors and nurses who talk in medical jargon, and they generally avoid reading medical reference books because they are too difficult to understand,” explained Mayer. “This book empowers parents to take charge of their children’s health by giving them practical information and delivering it in a way that is easy for them to read, understand and apply.”

The Institute for Healthcare Advancement is a La Habra-based not-for-profit organization dedicated to empowering people to better health. The Institute is nationally recognized for its efforts in health literacy and provides healthcare information through its various publishing efforts, the Internet, and its renowned local and national education programs. For more information, please go to www.iha4health.org, or call toll-free (800) 434-4633.

 Editorial Contacts: Marilyn Haese or Daryn Teague Haese & Wood Marketing (310) 556-9612 Email Contact

SOURCE: Institute for Healthcare Advancement

Par Pharmaceutical Receives Final Approval to Market Generic Marinol(R) CIII (Dronabinol) Capsules

WOODCLIFF LAKE, N.J., June 30 /PRNewswire-FirstCall/ — Par Pharmaceutical Companies, Inc. today announced that it has received final approval from the U.S. Food and Drug Administration for its Abbreviated New Drug Application for dronabinol, a generic version of Solvay Pharmaceutical’s Marinol(R), a CIII controlled substance. This product is approved to treat nausea and vomiting associated with cancer chemotherapy in patients who have failed to respond adequately to conventional antiemetic treatments and is available in 2.5mg, 5 mg and 10 mg strengths. Annual U.S. sales of Marinol are approximately $190 million, according to IMS Health data. Par will begin shipping all strengths of dronabinol soft gel capsules to the trade immediately.

Under the terms of a license and distribution agreement with SVC Pharma LP, an affiliate of Rhodes Technologies, Par has the right to market, sell and distribute dronabinol in the U.S. Par and SVC Pharma LP will share profits equally from the sales of the product.

Important information about dronabinol soft gel capsules

Dronabinol is contraindicated in any patient who has a history of hypersensitivity to any cannabinoid, sesame oil or any ingredients in dronabinol capsules. Warn patients not to drive, operate machinery, or engage in hazardous activity until they establish they can tolerate dronabinol and perform such tasks.

Dronabinol should be used with caution in patients with a history of seizure disorder; patients with cardiac disorders; patients with a history of substance abuse (including alcohol abuse or dependence); patients with mania, depression, or schizophrenia (along with careful psychiatric monitoring); patients taking sedatives, hypnotics, or other psychoactive drugs; and in elderly patients, pregnant patients, nursing mothers, or pediatric patients.

The most common adverse effects probably related to dronabinol are dizziness, euphoria, paranoid reaction, somnolence, abnormal thinking, abdominal pain, nausea and vomiting.

Please read full prescribing information available at http://www.parpharm.com/products.

About Par Pharmaceutical

Par Pharmaceutical, Inc. develops, manufactures and markets generic drugs and innovative branded pharmaceuticals for specialty markets. For press release and other company information, visit http://www.parpharm.com/.

Safe Harbor Statement

Certain statements in this press release constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. To the extent any statements made in this news release contain information that is not historical, these statements are essentially forward- looking and, as such, are subject to risks and uncertainties, including the extent and impact of litigation arising out of the accounting issues described in the Company’s filings with the Securities and Exchange Commission (SEC), the difficulty of predicting FDA filings and approvals, acceptance and demand for new pharmaceutical products, the impact of competitive products and pricing, new product development and launch, reliance on key strategic alliances, uncertainty of patent litigation filed against the Company, availability of raw materials, the regulatory environment, fluctuations in operating results and other risks and uncertainties detailed from time to time in the Company’s filings with the SEC, such as the Company’s reports on Form 10-K, Form 10-Q and Form 8-K, and amendments thereto. Any forward-looking statements included in this press release are made as of the date hereof only, based on information available to the Company as of the date hereof, and, subject to any applicable law to the contrary, the Company assumes no obligation to update any forward-looking statements.

Par Pharmaceutical Companies, Inc.

CONTACT: Allison Wey, Senior Director, Investor Relations of ParPharmaceutical Companies, Inc., +1-201-802-4000

Web site: http://www.parpharm.com/

Meal Of Fortified Cassava Could Provide Day’s Worth Of Nutrition

Scientists have determined how to fortify the cassava plant, a staple root crop in many developing countries, with enough vitamins, minerals and protein to provide the poor and malnourished with a day’s worth of nutrition in a single meal.

The researchers have further engineered the cassava plant so it can resist the crop’s most damaging viral threats and are refining methods to reduce cyanogens, substances that yield poisonous cyanide if they are not properly removed from the food before consumption. The reduction of cyanogens also can shorten the time it takes to process the plant into food, which typically requires three to six days to complete.

Studies also are under way to extend the plant’s shelf life so it can be stored or shipped.

The international team of scientists hopes to translate the greenhouse research into a product that can be field tested in at least two African nations by 2010. Funded by more than $12.1 million in grants from the Bill & Melinda Gates Foundation, the group of researchers is led by Richard Sayre, a professor of plant cellular and molecular biology at Ohio State University.

Sayre presented an update on the BioCassava Plus project June 30 at the American Society of Plant Biologists meeting in M©rida, Mexico.

“This is the most ambitious plant genetic engineering project ever attempted,” Sayre said. “Some biofortification strategies have the objective of providing only a third of the daily adult nutrition requirements since consumers typically get the rest of their nutritional requirements from other foods in their diet. But global food prices have recently gone sky high, meaning that many of the poorest people are now eating just one meal a day, primarily their staple food.

“So what we’re working on has become even more important in the last year than it was when we started, not just in regions where people are malnourished, but across developing countries where food has gotten so expensive that people can’t afford the diverse diet that they’re used to.”

Cassava (Manihot esculenta) is the primary source of calories for an estimated 800 million people worldwide, including 250 million people in sub-Saharan Africa, the current focus of the Gates-funded project. But the plentiful crop has several drawbacks. It is composed almost entirely of carbohydrates so it does not provide complete nutrition.

“So what we’re working on has become even more important in the last year than it was when we started, not just in regions where people are malnourished, but across developing countries where food has gotten so expensive that people can’t afford the diverse diet that they’re used to.”

The roots can be banked in the ground for up to three years, providing food security, but the plant must undergo time-consuming processing immediately after harvest to remove compounds that generate cyanide. Unprocessed roots also deteriorate within 48 hours after harvest, limiting the food’s shelf life. And a plant disease caused by the geminivirus reduces yields by 30 percent to 50 percent in many areas in sub-Saharan Africa, a major blow to farm productivity.

Sayre and colleagues from multiple institutions set out to tackle virtually all of cassava’s problems to make the plant more nutritious and to increase the crop’s revenue-producing potential for farmers.

Sayre reported that the research team has been able to address each of the plant’s deficiencies in individual transgenic plants. The next step will be to combine some or all of the bioengineered traits into a single, farmer-preferred cultivar, with the goal of eventually developing cassava varieties that carry all of the improvements developed by the researchers.

“We’ve begun field trials in Puerto Rico to make sure the plants perform as well outside as they do in greenhouses, and we hope to start field trials in the target countries of Nigeria and Kenya by 2009,” Sayre said.

The labs in the project have used a variety of techniques to improve on the model cassava plant used for the research. They used genes that facilitate mineral transport to produce a cassava root that accumulates more iron and zinc from the soil. To fortify the plants with a form of vitamin E and beta-carotene (also called pro-vitamin A because it converts to vitamin A in the body), the scientists introduced genes into the plant that increase terpenoid and carotenoid production, the precursors for pro-vitamin A and vitamin E. They achieved a 30-fold increase in pro-vitamin A, which is critical for human vision, bone and skin health, metabolism and immune function.

Adding protein to the cassava plant has posed a challenge, Sayre said. The scientists discovered that most of the nitrogen required to make the amino acids used for protein synthesis in roots is derived from the cyanogens that also cause cyanide toxicity. So their strategy for increasing protein levels in roots focuses on accelerating the conversion of cyanide-containing compounds into protein rather than completely eliminating cyanogen production, which would hinder the efforts to increase protein production, Sayre explained. To further address the cyanide problem, the scientists have also developed a way to accelerate the processing methods required to remove cyanide ““ a days-long combination of peeling, soaking and drying the roots before they are eaten.

To strengthen the cassava plant’s resistance to viruses, the scientists introduced a protein and small interfering RNA molecules that interfere with the viruses’ ability to reproduce.

Prolonging cassava’s shelf life has involved the development of a hybrid species that crosses two related plants native to Texas and Brazil. The strategy, still in development, will combine the properties of these plants and additional genes that function as antioxidants, slowing the rotting process that has been traced to the production of free radicals that damage and kill cells in newly harvested cassava roots.

The first cassava product the team plans to develop for investigations in the field will likely include the virus resistance, elevated protein, elevated beta-carotene (pro-vitamin A) and elevated minerals (iron and zinc), Sayre said.

“These traits have been working the best in the greenhouse, and the virus resistance is critical to success in the field,” he said. “The thinking behind starting with these four traits is driven by science and by the impact they can have.”

The BioCassava Plus project was launched with a $7.5 million grant from the Gates Foundation and recently received an additional $4.6 million in supplemental funding from the foundation to accelerate the application of this research in Africa by African scientists. The supplemental funding will support the training of African scientists so they can produce the transgenic plants in African institutions for use on African farms.

“It will not only be an improved staple crop eaten as a main source of nutrition, but we’re also looking at the transformation of cassava from a staple crop to an income-generating crop,” Sayre said. “That lifts people out of poverty, allows families to send kids to school and build infrastructure in their villages, so this is an important way to cross cultural barriers. There are many different cultures and languages in Africa, but higher crop yield, productivity, longer shelf life and making money are things that everyone understands.”

The BioCassava Plus research team includes Claude Fauquet, Nigel Taylor, Dan Shachtman, Ed Cahoon and Paul Anderson of the Donald Danforth Plant Science Center in St. Louis; Willi Gruissem and Peng Zhang of the Swiss Federal Institute of Technology in Zurich; John Beeching of the University of Bath in England; John Fellman of Washington State University; Martin Fregene and Hernan Ceballos of the International Center for Tropical Agriculture in Colombia; Ivan Ingelbrecht, Alfred Dixon and Bussie Maziya-Dixon of IITA-Nigeria (an African research organization); Caroline Herron of IITA-Kenya; Simon Gichuki of the Kenya Agricultural Research Institute; Ada Mbanaso of the National Root Crops Research Institute in Nigeria; Dimuth Siritunga of the University of Puerto Rico; Mark Manary of Washington University; and independent consultant Jeff Stein. Mary Ann Abiado and Kristen Mosier of Ohio State provide administrative oversight.

Image Copyright 2005 David Monniaux (Wikipedia)

On the Net:

Ohio State University

American Society of Plant Biologists

BioCassava Plus

NCQA Updates Physician and Hospital Quality Program

The National Committee for Quality Assurance today released standards that updated its voluntary Physician and Hospital Quality (PHQ) program, an assessment of how health plans measure and report on the quality and cost of physicians and hospitals.

NCQA launched PHQ in 2006 as a voluntary program to impartially evaluate the measures and methods of physician measurement programs–the first independent effort to do so. Since then, 64 NCQA-Accredited health plans have met the PHQ standards. The revisions issued today reflect demand from employers, consumers, regulators and physicians around the country and changes in the market.

“Patients should expect to have information about quality when choosing physicians and hospitals,” said NCQA President Margaret E. O’Kane. “But any effort to compare physicians and hospitals is only as good as its methods and its data. The Physician and Hospital Quality program sets meaningful standards for organizations that develop information about the quality of physicians and hospitals in terms of relevance, validity, transparency and fairness. The updates to this program raise the bar.”

In recent years, initiatives to measure physician and hospital performance have proliferated. Health plans, purchasers, consumers and regulators have all sought to sift through data in an effort to identify excelling providers for the purposes of informing patient choice. In some cases, provider quality data is used to actively steer patients to high-performing providers through tiering or other forms of benefit design. Additionally, organizations ranging from community measurement collaboratives to information providers such as Web sites have entered the provider measurement arena; the updated program allows these types of organizations to come forward for PHQ certification as well.

Consumers applauded the update. “We encourage our members to pay attention to cost and quality when they select their health care providers,” said John Rother, AARP’s Group Executive Officer for Policy and Strategy. “Consumers need to be confident that the information they use to make their decisions in choosing doctors and hospitals is objective, reliable, and fair. The standards that NCQA is releasing should reassure the public that the information offered by certified health plans is based on appropriate methodology and is fully transparent.”

Concerns about the validity of such measurement efforts have grown, as well. Physicians and consumer groups have raised concerns about the transparency of measurement efforts, the accuracy of the data being used, and the use of cost measures alone. Regulators around the country are also scrutinizing physician measurement programs; some have cited the need for independent organizations such as NCQA to impartially assess such programs.

Plans supported the changes. “Our members need and deserve reliable information on the quality and cost of their care to make informed, confident decisions to improve their health,” said Jeffrey Kang, M.D., Chief Medical Officer, CIGNA. “The Physician and Hospital Quality seal demonstrates our commitment to developing that information fairly, equitably, and in a way that’s meaningful to the individuals we serve. CIGNA is proud to have been among the first plans in the nation to earn that distinction from NCQA and we look forward to continuing our efforts under the updated standards.”

The new requirements require the use of standardized, third-party measures endorsed by the National Quality Forum (NQF) when measuring physician performance. Where not available, standardized measures from other nationally recognized entities may be used instead. PHQ also emphasizes transparency on key methodological issues, including how patient results are assigned to physicians for measurement purposes, risk adjustment of quality data and the statistical reliability of comparisons among physicians, practices or medical groups.

The update also lays out explicit requirements for provider involvement during the program development process and their right to request corrections or changes to their results, and mandates the use of quality measures when acting on measurement results, as opposed to acting on cost alone.

The first surveys under the new standards will occur in October. For more information, visit www.ncqa.org.

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and recognizes physicians in key clinical areas. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS(R)) is the most widely used performance measurement tool in health care. NCQA is committed to providing health care quality information through the Web, media and data licensing agreements in order to help consumers, employers and others make more informed health care choices. For more information, visit http://www.ncqa.org/.

eLifeCare Solutions Successfully Demonstrates Interoperability of Patient Medical Data for Healthcare Providers

ATLANTA, June 30 /PRNewswire/ — eLifeCare Solutions, a developer of healthcare technologies, announced today the successful implementation of an interoperable solution to give healthcare providers access to comprehensive patient data. The Phase I pilot is being deployed in the community of Beaufort, SC, with multiple healthcare providers who are sharing patient data via eLifeCare’s consolidated medical record.

Since many patients receive medical care from several different healthcare providers, the ability to aggregate the dispersed data and provide a central location for HIPAA-compliant access will greatly improve patient care. In contrast to Personal Health Records (PHRs) on the market today, eLifeCare’s consolidated medical record contains medical data collected from each provider’s Electronic Medical Record (EMR) system, making the information available the most accurate and complete. This ensures the provider is receiving data entered by a medical professional, rather than information offered by the patient. As the patient sees a new healthcare provider, receives treatment from a hospital or requires emergency medical attention, providers in the eLifeCare network can view accurate and current medical information, including diagnosis, treatments, allergies, medications, procedures and lab orders.

“Giving multiple healthcare providers access to the most current medical information about a patient will greatly improve the overall quality of care for that individual,” said Rick Toomey, CEO of Beaufort Memorial Hospital, the first hospital to be testing the solution. “Additionally, the likelihood of a misdiagnosis or conflicting treatment is dramatically reduced if we know the patient’s most recent medical history.”

Access to a patient’s consolidated medical record is secured through several measures. Patients are accurately identified through a biometric system when they become members, and each time they receive treatment at a participating healthcare provider. Providers gain a view of a record only after securing the patient’s consent.

Mark Kolbush, CEO of Lowcountry Medical Group commented, “Not only does this new capability offer significant benefit to the physicians in a single geographic community like Beaufort, it also can be available to healthcare providers anywhere the patient may travel. As long as a provider has the ability to biometrically identify the patient, the patient can grant access to their medical history.”

“eLifeCare’s solution allows us to spend more time with our patients,” added Dr. Vinnie Rhodes, a family practice physician at Lowcountry Medical Group. “With this consolidated medical record in place, we can spend our time on treatment rather than collecting or validating patient medical history.”

The next two phases of the pilot will be deployed in July and early August, offering additional functional enhancements. However, as soon as Phase I capability testing is complete, the solution will move into production with an increase in the number of patient consolidated medical records and participating healthcare providers.

“We anticipate this technology to accelerate the integration of PHRs as more healthcare providers and patients become participating members of the system,” said Kent LaRoque, CEO of eLifeCare Solutions. “The fact that individuals will be able to receive a higher quality of medical care regardless of where they are is a tremendous benefit.”

ABOUT eLifeCare Solutions

eLifeCare Solutions, headquartered in Atlanta Georgia, is a developer and marketer of technology solutions and services for the healthcare industry that automate and improve patient billing and collections, and provide comprehensive and current patient data for health benefit sponsors, patients, healthcare providers and payers. The innovative eON(TM) suite of products and services work together to improve the overall quality of patient care, lower costs and improve operational efficiency. For more information about eLifeCare visit http://www.elifecare.us/ .

ABOUT Beaufort Memorial Hospital

Beaufort Memorial Hospital, a non-profit, acute-care hospital licensed for 197 beds, is the largest hospital in Beaufort County, SC. It is fully accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and boasts a quality medical staff of more than 150 board-certified physicians and a full range of specialties in Beaufort and select specialties in a satellite office in Bluffton, SC. In 2000, Beaufort Memorial signed an agreement with Duke University Medicine to develop comprehensive heart and cancer programs. Beaufort Memorial is the only Duke-affiliated hospital in South Carolina. For more information about Beaufort Memorial Hospital visit http://www.bmhsc.org/ .

ABOUT Lowcountry Medical Group Lowcountry Medical Group (LMG) is a multi-specialty practice located in Beaufort, SC. LMG offers primary care including both family practice and internal medicine. LMG offers a variety of specialists including GYN, GI, Nephrology, Oncology, Orthopedics, and Cardiology. LMG also has a full laboratory and imaging center including MRI, CT, Ultrasound, and Nuclear Medicine. For more information about Lowcountry Medical Group visit http://www.lcmedicalgroup.com/ .

eLifeCare Solutions

CONTACT: Kent LaRoque, eLifeCare Solutions, President & CEO,+1-678-336-1307, [email protected]

Web site: http://www.elifecare.us/http://www.bmhsc.org/http://www.lcmedicalgroup.com/

Kmart Pharmacy Expands Generic Prescription Drug Savings Program

HOFFMAN ESTATES, Ill., June 30 /PRNewswire/ — With a bigger formulary than any other retailer, Kmart Pharmacy has lowered prices and expanded its generic prescription drug program to include more than 500 commonly prescribed generic medications for the whole family. The program launched on Sunday, June 22, at all 1,100 Kmart pharmacies nationwide.

In addition to offering more than 100 generic antibiotic, pain and cold/cough treatments for only $5 per prescription, the Kmart Pharmacy has lowered the cost of a three-month supply of many common maintenance medications to just $10. The Kmart Pharmacy Generic Prescription Drug Savings Program also provides substantial savings on selected generic drugs for mom, including medications for oral contraception, pre-natal wellness, cancer, osteoporosis and female health priced at $10 and $25. [See your Kmart Pharmacist for details.]

“At Kmart Pharmacy, we’re committed to provide the most value and quality to our customers – especially when healthcare costs are generally on the rise,” said Mark Doerr, RPh, vice president of Kmart Pharmacy. “By expanding the Kmart Pharmacy Generic Prescription Drug Savings Program, we want to help moms – who, by and large, are making most of the family’s healthcare decisions – save money and do their best to protect their family’s health.”

The expanded Kmart Pharmacy Generic Prescription Drug Savings Program augments many special values Kmart Pharmacy already offers its customers. These include:

— On Time Guarantee, only Kmart guarantees prescriptions will be ready on time or the customer receives a $20 gift card.

— $1 Rewards Program, which offers Kmart Pharmacy customers a choice of 10 over-the-counter (OTC) medications from Kmart’s proprietary American Fare brand for only $1 with every prescription purchase. Popular OTC medications in the program include aspirin, ibuprofen, children’s pain reliever, baby aspirin, nasal decongestant, cough suppressant, anti-diarrhea medication and cold & allergy tablets.

— The GoldK Program offers discounts of up to 20% on every prescription for uninsured customers over the age of 50.

— The Caregiver’s Marketplace provides special savings on many products that family caregivers need to purchase regularly.

— PetK is an exclusive pet medication discount program for pet owners.

In addition, the pharmacy offers various free screenings throughout the year to help customers become more aware of health issues they may be facing. For more information on the special values offered by Kmart Pharmacy, visit http://www.kmart.com/.

About Kmart

Kmart, a wholly owned subsidiary of Sears Holdings Corporation , is a mass merchandising company that offers customers quality products through a portfolio of exclusive brands that include Jaclyn Smith, Joe Boxer, Martha Stewart Everyday and Route 66. For more information visit the company’s website at http://www.kmart.com/ or the Sears Holdings Corporation website at http://www.searsholdings.com/.

Kmart

CONTACT: Chelsea Moreno, Euro RSCG Worldwide PR, +1-212-367-6825,[email protected]; or Kirsten Whipple, Sears Holdings,+1-847-286-3037, [email protected]

Web site: http://www.kmart.com/http://www.searsholdings.com/

Summa Acquires Wadsworth Hospital

By Cheryl Powell, The Akron Beacon Journal, Ohio

Jun. 30–Wadsworth-Rittman Hospital is now officially part of Summa Health System.

Summa announced this morning that it has completed a previously announced deal to acquire the community hospital.

The 113-bed facility in Wadsworth already has been affiliated with Summa since November.

As part of the deal, Summa has pledged to spend $7.8 million on construction projects at the hospital in Medina County, the health system said in a release.

Planned improvements include upgrades to the intensive-care unit and operating suites, emergency department and special procedure/cardiology lab.

The renovated emergency department will increase from 12 beds to 20 beds and include a fast-track urgent care program, according to Summa. Likewise, the ICU will triple its capacity from four beds to 12.

The plan also calls for construction of two new surgical suites and a new cardiac special procedures lab.

“Summa’s interest in the hospital has always been driven by the desire to work with Wadsworth-Rittman’s medical staff and hospital leadership to evolve the outstanding care that is already provided to the community,” Summa President and Chief Executive Thomas J. Strauss said in a prepared statement. “As part of the Summa family, we will continue to invest in the hospital, whether it’s in the form of upgrades to the facility itself, or investments in new technology and services.”

Wadsworth-Rittman Hospital President James W. Pope is retaining his position and taking on additional responsibilities as president of Summa Barberton Hospital, Summa announced this morning.

Pope succeeds Willard Roderick, who recently retired as president and chief executive of the former Barberton Citizens Hospital. Summa acquired the community hospital in Barberton late last year.

In his expanded role, Pope will be responsible for overseeing Summa’s southwest region initiatives, which includes the communities of Barberton, Wadsworth, Rittman and Green.

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To see more of the Akron Beacon Journal, or to subscribe to the newspaper, go to http://www.ohio.com.

Copyright (c) 2008, The Akron Beacon Journal, Ohio

Distributed by McClatchy-Tribune Information Services.

For reprints, email [email protected], call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

Medline Announces Advanced Line of Therapeutic Mattresses, Operating Room Table Pads and Stretcher Pads

MUNDELEIN, Ill., June 30 /PRNewswire/ — Medline Industries, Inc. announced today an advanced line of therapeutic pressure redistribution mattresses, operating room table pads and stretcher pads aimed at helping hospitals and long-term care providers prevent avoidable, painful pressure ulcers in their facilities. Designed with state-of-the-art materials, the products provide outstanding pressure redistribution, greatly reduced shearing effects and a cool, comfortable therapeutic surface for patients. They are also part of the product bundle included in Medline’s comprehensive Pressure Ulcer Prevention Program to assist in reducing and preventing pressure ulcers, incontinence-associated dermatitis and skin tears.

“It is critical that healthcare providers have a comprehensive pressure ulcer prevention program — and prevention starts with the surface,” said Alecia Cooper, R.N., C.N.O.R., vice president of clinical services marketing for Medline. “Patients are often placed on stretchers upon admission and for transport. They can also be on operating room tables for lengthy surgical procedures and for extended recovery periods. Since pressure-related forces can damage tissue in as little as 20 minutes, a key prevention component is a support surface that is effective in redistributing pressure away from areas of peak pressure on the body.”

Pressure ulcers — which are frequently preventable and often occur in patients who are immobile or bedridden — result from lack of blood flow to certain parts of the body, often the tailbone, hips, elbows or shoulders. This causes the skin tissue to break down, creating an open sore that can become a portal for infection. Treating one of these sores can cost between $38,000 and $55,000. The federal Medicare program recently announced that beginning in October 2008 it will no longer assign a higher diagnosis-related group (DRG) for facility-acquired pressure ulcers, giving hospitals and healthcare facilities even more incentive to implement prevention measures such as Medline’s Pressure Ulcer Prevention Program.

About TheraTech Pressure Redistribution Mattresses

Medline has more than 35 years of experience manufacturing healthcare mattresses, and the TheraTech Modular Pressure Redistribution Mattress line represents some of the most exciting technological advancements in therapeutic support surfaces:

— Independent load-bearing cells – These cells allow the mattress to completely conform to the contours of the body, greatly reducing the physical interaction between the body and surface. Additionally, they act independently from each surrounding cell, virtually eliminating the natural shear forces created by traditional foam surfaces.

— Built-in air channels – The channels between independent load-bearing cells create horizontal and vertical airflow just beneath the patient to lower surface temperature, reducing heat and moisture build up.

— Anatomically designed zones – Medline’s exclusive zoned sleep surface has different sized cells with varying densities to conform to the specific shape of the patient. These different zones produce incredibly low interface pressures while creating an exceptionally comfortable sleep surface.

About Pressure Redistribution Operating Room Table Pads and Stretcher Pads

Medline’s pressure redistribution stretcher pads and operating room table pads can help redistribute pressure that may occur before surgery while lying on stretchers, during surgery while lying on the table and after surgery while being transported to the post-operative unit.

— Visco & Gel Operating Room Table Pads – Features a viscoelastic memory foam top layer that completely conforms to the body. The middle die-cut layer further helps to redistribute pressure and the firm base layer adds support and stability. The most advanced model contains gel packs that are strategically placed in the high-risk torso and heel sections to further protect these sensitive areas during surgery.

— Visco & Hi-Res Pressure Redistribution Stretcher Pads – Just like the therapeutic operating room pads, these three layer replacement pads offer an advanced level of pressure redistribution. Two designs offer different levels of pressure redistribution and can be customized in any size or thickness to fit any stretcher or gurney.

About Medline

Medline, headquartered in Mundelein, IL, manufactures and distributes more than 100,000 products to hospitals, extended care facilities, surgery centers, home care dealers and agencies and other markets. Medline has more than 800 dedicated sales representatives nationwide to support its broad product line and cost management services.

Meeting the highest level of national and international quality standards, Medline is FDA QSR compliant and ISO 13485 registered. Medline serves on major industry quality committees to develop guidelines and standards for medical product use, including the FDA Midwest Steering Committee, AAMI Sterilization and Packaging Committee, and various ASTM committees. For more information on Medline, visit our website, http://www.medline.com/.

Medline Industries, Inc.

CONTACT: Jerreau Beaudoin of Medline Industries, Inc., +1-847-643-3011

Web site: http://www.medline.com/

New Speak Up Report Shows Hands-on Activities Integral to Science Education

SAN ANTONIO, June 30 /PRNewswire/ — PASCO scientific and Project Tomorrow today announced a new report on science education that is based upon the authentic, unfiltered views and ideas of over 367,000 K-12 students, teachers, parents and school administrators collected through the annual Speak Up online surveys. This report documents for the first time the disconnection between how students in kindergarten through 12th grade want to learn science, what tools they want to use to explore science, and what is actually happening in their science classrooms.

Julie Evans, CEO of Project Tomorrow, a national education nonprofit group, will present the findings from “Inspiring the Next Generation of Innovators: Students, Parents and Educators Speak Up about Science Education” to educators attending the National Educational Computing Conference here. The presentation will take place at 10 a.m. Tuesday at PASCO booth 9190 at the Henry B. Gonzalez Convention Center. The report provides insight from parents and educators, and discusses students’ experiences with science education and how they might be improved so that they will be successful in the 21st century.

“The report shows that hands-on science activities are integral to science teaching and learning from the elementary grades through high school,” says Evans. “The importance of hands-on learning activities was echoed by teachers and students throughout the study, with most teachers agreeing that animations, simulations and using hands-on lab tools hold the greatest potential for increasing student achievement in science.”

On the subject of the importance of science education, two-thirds of parents, teachers and school and district administrators agree that improving science education should be a top national priority; and over 55% of middle and high school students say that learning science is important for success in high school and college.

“It’s evident that most people recognize that science education must be elevated to a level of national importance so that students can participate successfully in a global economy,” says Wayne Grant, Ph.D., chief education officer for PASCO. “This research gives us insight into what educators and students need and what they value. The results of this project validate PASCO’s long-held belief that hands-on, inquiry-based learning not only engages students, but also gives them a deeper level of understanding of science and makes it more relevant in their lives. From parents to educators to students, this study shows great awareness of the value of high-quality science education.”

In the report, students share their ideas about the relevance of science education to their future, experiences with science education, recommendations for the ultimate science classroom, and strategies for recruiting them to science, technology, engineering and math (STEM) careers. In addition, educators share their views about teaching science in a 21st century classroom and the barriers they face in developing scientifically literate students.

Highlights cover what tools are used in K-12 schools, and to what degree.

— In kindergarten through fifth grade, teachers primarily use hands-on activities, followed by inquiry-based demonstrations and the use of kit-based materials. Lectures are not one of the top five instructional strategies for these grades.

— Hands-on activities also top the list of instructional strategies for middle school teachers, followed by lectures, inquiry-based investigations and demonstrations.

— However, high school science teachers are more likely to use a lecture format in the classroom than hands-on activities.

Students also give voice to what science means to their education.

— 40% say that it helps develop problem solving and critical thinking skills.

— 46% acknowledge that they may want a job someday in science and learning science is important for that goal.

— The study shows that 20% of students in grades 3-5, 17% of students in grades 6-8, and 21% in grades 9-12 are very interested in a job in science, math, technology or engineering.

— Additionally, 34% of students in grades 3-12 say they may be interested in a career in a STEM field if they knew more about those jobs.

Other highlights include the views of middle and high school students and parents on how to improve science education.

— A teacher who is excited about science was the number one response from parents and students.

— In grades 6-12, 48% of students say they want to use animations to visualize difficult concepts, or interactive simulations to practice what they have learned.

— 46% say conducting real research on interesting topics is important.

— 45% put using technology based tools to conduct scientific investigations at the top of the list.

— Only 20% of the students say, “reading the textbook” would improve science education for them.

The complete report will be available July 1 on the PASCO website: http://www.pasco.com/SpeakUp and on the Project Tomorrow website: http://www.tomorrow.org/speakup/scienceReport.html.

About PASCO scientific

PASCO scientific is a leading developer of innovative, technology-based solutions for hands-on science. PASCO’s team of over 165 includes former and current teachers, educational researchers, engineers and many more. Throughout its more than 40-year history, PASCO has focused exclusively on science education–designing, developing and supporting better ways of teaching and learning science. Teachers and students in more than 100 countries throughout the world use PASCO solutions.

About Project Tomorrow and the Speak Up Project

Project Tomorrow (formerly known as NetDay) is a national education nonprofit organization committed to insuring that every student is well prepared to become tomorrow’s innovators, leaders and engaged citizens of the world. Project Tomorrow’s mission is to support and promote the effective and appropriate use of science, math and technology resources in K-12 education so that every student has the opportunity to fully participate in today’s global economy and community. Since 2003, the Speak Up Project has collected the authentic views of over 1.2 million K-12 students, parents and educators about science, technology and 21st century education and the annual data informs national, state and local policies and programs to improve education for all children.

    PASCO Contact:    Kathleen Dixon    Dixon Communications    408-871-7765    [email protected]     Project Tomorrow Contact:    Laurie Smith    949-609-4660    [email protected]  

PASCO scientific

CONTACT: Kathleen Dixon of Dixon Communications, +1-408-871-7765,[email protected], for PASCO scientific; or Laurie Smith of ProjectTomorrow, +1-949-609-4660, [email protected]

Web site: http://www.pasco.com/SpeakUphttp://www.tomorrow.org/speakup/scienceReport.html

IBM Research Partners With EU Consortium to Speed Up Mobile Web Design Time

IBM (NYSE: IBM) is announcing a collaboration with European Union partners at the GNU Compiler Collection (GCC) Summit to develop new software that will improve performance and drastically cut down time-to-market of mobile web applications. Specifically, partners of the Milepost project — (MachIne Learning for Embedded PrOgramS opTimization) — are developing advanced artificial intelligence technology that automatically learns how to best optimize newly developed programs for embedded processors in mobile devices.

This May, IBM released a study which revealed 80 percent of consumers would prefer a service provider that gave them more choice in the applications and services available on their mobile device. For developers, the study points to how consumer demand for customization and personalization will drive the need for projects like Milepost to enable a faster path to market for new mobile applications.

Today’s mobile hardware designs are rapidly changing and current hand-crafted approaches to mobile software development are no longer sustainable. The project’s partners have released a prototype version of their software at the GCC Summit showcasing successful preliminary results. Within one month, Milepost was able to improve the performance of a state-of-the-art complier by 10 percent — something that would normally take several years to accomplish.

“The Milepost solution uses artificial intelligence and machine learning to understand what kind of compiler optimizations are optimal for use with each new hardware design,” explained Mike O’Boyle, Professor of Computer Science at the University of Edinburgh and Project Coordinator for Milepost. “This will help completely automate compiler construction and enable more rapid code design of hardware and software — dramatically reducing time to market in these systems.”

With each generation of reconfigurable architecture, the compiler development time increases and the performance improvement achieved is at risk. As high performance embedded systems move from application specific ASICs to programmable heterogeneous processors, this problem is becoming critical. Compiler designs simply can’t keep up with so many different kinds of new processors.

“Milepost is realizing the vision of customized hardware with tailor fit software,” noted Dr. Bilha Mendelson, Manager of Code Optimization Technologies at the IBM Haifa Research Lab. “Aside from shorter design cycles, Milepost opens new opportunities by enabling engineers to leap ahead and work with more experimental hardware. Opening the compiler infrastructure and combining it with machine learning techniques enables us to generate several sets of optimizations sequences for each hardware application area.”

As part of the project, IBM Research is working to take advantage of new architectural improvements. “There is something very rewarding in accomplishing significant optimizations through cooperation with the EU community,” continued Mendelson. “This collaboration between industry, academia, and the research community has enabled us to embark on bold and adventurous research projects that are producing real measurable results.”

Milepost partners are in the midst of a three-year program, at the end of which, they expect to release a fully robust version of their compiler optimization software into the GCC main product. The Milepost GCC version will be available to everyone in the open source community and is scheduled for release in June 2009. The project consortium includes the IBM Haifa Research Lab, Israel; the University of Edinburgh, UK; ARC International Ltd., UK; CAPS Enterprise, France; and INRIA, France.

 For additional information contact: Steven Tomasco IBM Media Relations Office: 914.945.1655 Cell: 917.687.4588 [email protected]  Chani Sacharen IBM Media Relations, Israel Tel: 972-4-8296166 Fax: 972-4-8296117 [email protected]

SOURCE: IBM

Phase II Results for Low-Dose Oral Immune Tolerance Therapy (ARG201) in Systemic Scleroderma Published

arGentis Pharmaceuticals, LLC announced today that the Phase II results using highly purified type 1 bovine collagen orally (now known as ARG201) in the treatment of diffuse cutaneous systemic sclerosis (scleroderma – SSc) have been published in the June issue of Arthritis & Rheumatism, a major peer-reviewed rheumatology research journal. Systemic sclerosis is an autoimmune disease causing widespread fibrosis of the skin and internal organs. ARG201 is an immunotherapy that induces low dose oral immune tolerance in SSc patients causing downregulation of the body’s autoimmune response. There are no approved treatments for the underlying cause of SSc, which has a median survival of eleven years (Mayes 2004).

The article entitled, “A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Oral Type I Collagen Treatment in Patients With Diffuse Cutaneous Systemic Sclerosis,” reviews the results of the 168-patient, twelve center trial in which patients were administered a precise dose of highly purified type 1 collagen or placebo for 12 months with follow up at 15 months. Two prospectively subpopulations, Early Phase SSc patients (diagnosed for less than or equal to 3 years) and Late Phase SSc patients (diagnosed from 3 to 10 years) were included in the trial due to differences in immunologic function of the two groups. The differences were borne out in the trial results. Late Phase patients had a statistically and clinically significant decrease from baseline in modified-Rodnan Skin Scores (-7.9 units) in the collagen treated patients versus the placebo group (-2.9 units). There was no difference in skin scores in Early Phase patients; although subsequent analysis demonstrated that patients who have been diagnosed as early as 1.75 years diagnosis may benefit from type 1 collagen therapy. The trial also demonstrated a high correlation between Late Phase patients who had significant changes in skin scores and that of other clinical outcomes. There were no adverse events in the trial attributed to the therapy.

Additionally, whether patients had at least 25% improvement in MRSS depended on whether they were Early or Late Phase patients at 12 months (p=0.014) and 15 months (p=0.031). A statistically significant upregulation of IL-10 (p=0.01), a marker for tolerance induction and a potent antifibrotic cytokine, was also seen in treated Late Phase SSc patients at 12 and 15 months.

“This trial delineated both clinically and immunologically the differences between Early Phase and Late Phase diffuse SSc patients,” said Arnold E. Postlethwaite, principal investigator. “The reduction in skin scores among the Late Phase patients also demonstrates clinically meaningful improvement for the first time in a large, randomized trial in systemic sclerosis.”

ARG201 has been granted orphan status by the U.S. Food and Drug Administration. Phase III trials will begin in the first half of 2009.

About Systemic Sclerosis

Systemic sclerosis (SSc or systemic scleroderma), a type of Scleroderma, is an autoimmune disease causing widespread fibrosis of the skin, lungs and other organs. As SSc progresses, patients suffer increasing difficulties with digestion, breathing, joint pain and often develop pulmonary hypertension. Median survival from diagnosis is eleven years (Mayes, 2004). There are approximately 80,000 SSc patients in the U.S. with similar numbers in the European Union. No therapies are presently available to treat the underlying cause of the disease.

About arGentis

arGentis Pharmaceuticals, LLC is a diversified specialty biopharmaceutical company seeking to license and commercialize therapies with demonstrated proof of concept for chronic diseases. Our pipeline consists of mid- and late-stage platform technologies in both autoimmunity and ophthalmology. ARG201, the company’s lead compound for the treatment of systemic sclerosis, will enter Phase III trials in 2009. The ophthalmology pipeline includes three therapies for dry eye syndrome which are uniquely applied to the outer upper and lower eyelids for transdermal delivery to the affected glands.

Stay Fit is Back in Shape: Gym Reopens in New Location With Members’ Help

By RYAN McCARTHY and KYLE TEAL, Florida Keys Keynoter, Marathon

Jun. 28–Stay Fit Studio in Key West has reopened just blocks from the site of the June 8 fire that destroyed the gym along with two other businesses.

How did they get set up so fast in the new space? “Determination,” says co-owner Amy Spielberg. That, and a little help from friends. Spielberg says members, who wanted the gym to re-open as badly as the owners, helped clean and paint the new space, a former Tiki Hut Treasures nick nack store at 804 White St.

“It’s been great,” she says. “We learned about ourselves and our community. That’s really the good to come out of a bad situation.”

“I love the new place,” said Key West retiree Jane Moshel, pedaling on a stationary bike on Wednesday. She’s been a member since she moved to the island about six months ago. “This place had a good feel about it,” said Shane Dimando, a gym member who runs a guesthouse and bar on Duval Street. “That’s why people came in the first place.”

Nothing was salvageable from the June 8 fire, and all new equipment had to be ordered. It arrived on Monday.

Spielberg says the goal was to reopen within two weeks of the fire. They almost hit it. A grand re-opening and “free day” was held on Tuesday and the gym resumed normal hours on Wednesday.

The new building is almost twice as big as the space 1100 White St., where Stay Fit first opened Dec. 1. “We had looked at it before and thought it was too big for us,” Spielberg said of the new space. But now, they have room to spread out. Instead of just one area, the gym has one big area for its 20 StarTrac stationary bikes, used for the spinning classes, and another area for Pilates and yoga classes, and personal training with free weights. There are smaller rooms used for massage, facials and waxing.

Spielberg says she does miss the charm of the old location, across from the busy Sandy’s Cafe: “It seems a little quieter here because it’s in a residential neighborhood…I do miss my corner.” Spielberg gives massages for $85 an hour and leads spinning classes. She is an equal partner in the gym with Leah and Charlie Renier, Douglas Bradshaw and Warren Benjamin.

Bradshaw, who just 16 days before was grimacing at the sight of his destroyed business, smiled as he pedaled his stationary bike Wednesday. “This place gives us something extra,” he said.

Stay Fit Studio is open 6:15 a.m. to 8 p.m. Monday through Saturday (closed Sundays). Summer special membership is $99 per month, or non-members can pay $15 per class. For more information, or for a schedule of classes offered, go to www.stay fitstudiokeywest.com or call 294-0693.

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To see more of the Keynoter, or to subscribe to the newspaper, go to http://www.keynoter.com.

Copyright (c) 2008, Florida Keys Keynoter, Marathon

Distributed by McClatchy-Tribune Information Services.

For reprints, email [email protected], call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

Indevus Receives Approvable Letter From FDA for NEBIDO(R)

LEXINGTON, Mass., June 30 /PRNewswire-FirstCall/ — Indevus Pharmaceuticals, Inc. today announced that it has received an approvable letter from the U.S. Food and Drug Administration (FDA) for NEBIDO(R) related to a New Drug Application (NDA) submitted to the FDA in August 2007. The letter, received on June 27, 2008, indicated that the application may be approved if the Company is able to adequately respond to certain clinical deficiencies related to the product. The letter generally confirmed the Company’s previously-announced indications from the FDA based on telephone discussions.

The FDA has expressed a concern about a relatively small number of patients in European post-marketing use who have experienced respiratory symptoms immediately following the intramuscular injection of NEBIDO 1000 mg, 4 cc injection volume, (versus the 750 mg, 3 cc injection volume used in the United States). The Company believes and the FDA concurs that the reaction is likely the result of a small amount of the oily solution immediately entering the vascular system from the injection site, a known, rare complication of oil-based depot injections.

The phenomenon is characterized by short-term reactions involving an urge to cough, coughing episodes or a shortness of breath. In rare cases the reaction has been classified as serious or the patient experiences other symptoms such as dizziness, flushing or fainting. In the Company’s U.S. clinical trials of NEBIDO 750 mg (3 cc injection volume), the proposed dose in the U.S., there was a single, mild, non-serious case of oil-based cough observed. In addition, the FDA believes that four cases in the European post-marketing experience may have an allergic, anaphylactoid component, although the Company believes these cases were improperly classified and represent the same oil-based phenomenon.

The FDA has requested the Company address these clinical deficiencies by providing detailed safety information from clinical studies to determine the precise incidence of serious post-injection oil-based reactions and allergic reactions. Specifically, the FDA has requested follow-up data from the on-going U.S. and European studies in which patients are being treated with NEBIDO on an extended basis. A majority of these trials are scheduled to be completed within twelve months. The FDA stated that depending on the findings, the number of subjects and the number of injections of testosterone undecanoate from the studies listed above, the safety database may need to include data from additional clinical studies. They have requested that the Company propose the size of the safety database (i.e., total number of subjects exposed to testosterone undecanoate intramuscular injection and total number of injections) and the rationale for the size of the proposed safety database.

FDA has also requested the Company provide a plan to minimize the risks associated with the clinical use of testosterone undecanoate intramuscular injection, namely, to reduce the incidence and/or severity of the serious oil-based reactions and has requested certain in vitro and skin-testing data to exclude an allergic component to the drug or some of its excipients.

Glenn L. Cooper, M.D., chairman and chief executive officer of Indevus stated, “We believe that NEBIDO is a safe and effective drug for its intended use and continue to be disappointed that the FDA was not willing to approve the drug at this time with adequate labeling of the oil-based reactions and how to minimize them with proper injection technique. However, we are encouraged that this approvable letter provides a road map for the product’s eventual approval. We will work with the FDA and our partner, Bayer Schering Pharma AG, to respond to the approvable letter and devise a plan to address the deficiencies. While the FDA has not specifically requested additional clinical studies, we believe that an additional study will likely be required to demonstrate that NEBIDO 750 mg (3 cc volume) administered with careful and proper intramuscular injection technique, has an acceptably low incidence of oil-based reactions to gain approval. In addition, we are pleased that FDA has provided guidance on how we can demonstrate that the product does not cause allergic reactions. We hope to be able to articulate a development plan to address FDA concerns within the next few months, and for now are maintaining our previous guidance that it may take the Company approximately 18 months to re-submit the revised NDA. We will communicate specific guidance on clinical plans and timelines when they are available.”

Revised Operating Plan

In view of the NEBIDO regulatory delay, the Company’s Board of Directors has approved a revised operating plan that more appropriately aligns the cost structure to the Company’s revenue projections and development opportunities. The new operating plan provides for 1) aggressive support and top-line growth of marketed products, VANTAS(R) and SUPPRELIN(R) LA, 2) aggressive support for the launch of VALSTAR(TM) for bladder cancer later this year, 3) continued co-promotion with Allergan of SANCTURA(R) and SANCTURA XR(TM) with the urology sales force through March 2009, 4) initiation of Phase III trials for the six-month octreotide implant for acromegaly, and 5) significant reduction in operating expenses through a combination of headcount reductions of approximately 12 percent of employees, primarily at the corporate and administrative levels at the Lexington, Massachusetts headquarters, and reduction of other operating expenses.

Dr. Cooper said, “We have made the difficult but necessary decision to reduce the operating expenses and cash burn of the Company and intend to be vigilant in managing expenses through this difficult period. Under our revised plan, in fiscal 2009 we expect that our operating cash burn will fall to approximately $10 million per quarter on total revenues for the year of approximately $88 to $95 million. This is a significant improvement compared to our recent average operating cash burn of approximately $18 to $20 million per quarter and our expected revenues for fiscal 2008 of approximately $70 million. Our current revised plan does not give effect to additional NEBIDO studies as their size, duration and expense are not yet final. In conjunction with implementation of this revised operating plan, the Company anticipates recording an aggregate restructuring charge of approximately $3 to $4 million in the third fiscal quarter.

“While the NEBIDO delay is unfortunate, the Company remains strong and is committed to the patients and physicians who use and prescribe our products for urological and endocrine disorders. We are highly focused on driving revenue growth for our marketed products SANCTURA XR, VANTAS and SUPPRELIN LA and our organization is also preparing to launch VALSTAR, another important urology product, subject to FDA approval. In addition to NEBIDO, we are focused on our octreotide implant, a high-value Phase 3 product which we believe can reach the market, assuming approval, by the end of 2010. Also, we are actively exploring the acquisition of late-stage or marketed products which can further leverage our experienced urology and endocrinology field sales force.

“The Company is also moving forward to strengthen its balance sheet,” continued Dr. Cooper. “In addition to potential out-licensing transactions for the Company’s partnerable products, we are also exploring opportunities for the monetization of the royalties we receive from sales of SANCTURA and SANCTURA XR. Our financial goals are to secure adequate non-dilutive capital to fund the Company’s operations for the foreseeable future and to retire the Company’s outstanding convertible debt which matures in July 2009.”

About Indevus

Indevus Pharmaceuticals, Inc. is a specialty pharmaceutical company engaged in the acquisition, development and commercialization of products to treat conditions in urology and endocrinology. The Company’s approved products include SANCTURA(R) and SANCTURA XR(TM) for overactive bladder, VANTAS(R) for advanced prostate cancer, SUPPRELIN(R) LA for central precocious puberty, and DELATESTRYL(R) to treat male hypogonadism. The Indevus development pipeline contains multiple compounds within the Company’s core therapeutic areas in addition to several partnered or partnerable programs. The most advanced compounds in development include, VALSTAR(TM) for bladder cancer, NEBIDO(R) for male hypogonadism, PRO 2000 for the prevention of infection by HIV and other sexually-transmitted pathogens, and the octreotide implant for acromegaly.

About NEBIDO

NEBIDO(R) is a long-acting depot preparation of testosterone undecanoate under development for the treatment of male hypogonadism. NEBIDO is expected to be the first long-acting testosterone preparation available in the U.S. in the growing market for testosterone replacement therapies. Indevus acquired U.S. rights to NEBIDO from Bayer Schering Pharma AG, Germany in July 2005.

About VANTAS

VANTAS(R) is a soft and flexible 12-month hydrogel implant that provides histrelin, a luteinizing hormone-releasing hormone (LHRH) agonist, for the palliative treatment of advanced prostate cancer. VANTAS is contraindicated in patients with hypersensitivity to GnRH, GnRH agonist analogs, or any components in VANTAS.

About SUPPRELIN LA

SUPPRELIN(R) LA is a subcutaneous implant indicated for the treatment of central precocious puberty (CPP), the premature onset of puberty in children. It utilizes the HYDRON(R) Polymer Technology and is specifically designed to provide a continuous release over 12 months of the gonadotropin releasing hormone (GnRH) agonist, histrelin. SUPPRELIN LA is contraindicated in patients with hypersensitivity to GnRH or GnRH analogs.

About SANCTURA and SANCTURA XR

SANCTURA(R) and SANCTURA XR(TM) belong to a class of anticholinergic compounds known as muscarinic receptor antagonists. These compounds relax detrusor smooth muscle tissue found in the bladder, thus decreasing bladder contractions. Overactive or unstable detrusor muscle function is believed to be the cause of overactive bladder.

SANCTURA and SANCTURA XR possess a quaternary ammonium structure that may be instrumental in the low incidence of CNS side-effects. At therapeutic concentrations in vitro, SANCTURA does not interact with drugs metabolized by the Cytochrome P-450 system, a metabolic pathway commonly associated with drug-drug interactions, and the majority of the absorbed dose is excreted largely unchanged into the urine.

Patients who have urinary retention, gastric retention, uncontrolled narrow-angle glaucoma or hypersensitivity to SANCTURA should not use SANCTURA.

Forward Looking Statements

Except for the descriptions of historical facts contained herein, this press release contains forward-looking statements that involve risks and uncertainties that could cause the Company’s actual results and financial condition to differ materially from those anticipated by the forward-looking statements. These risks and uncertainties are set forth in the Company’s filings under the Securities Act of 1933 and the Securities Exchange Act of 1934 under “Risk Factors” and elsewhere, and include, but are not limited to: dependence on the success of SANCTURA, SANCTURA XR, NEBIDO, VANTAS and SUPPRELIN LA; effectiveness of our sales force; competition and its effect on pricing, spending, third-party relationships and revenues; dependence on third parties for supplies, particularly for histrelin, manufacturing, marketing, and clinical trials; risks associated with being a manufacturer of some of our products; risks associated with contractual agreements, particularly for the manufacture and co-promotion of SANCTURA and SANCTURA XR and the manufacture of NEBIDO, VANTAS, SUPPRELIN LA and VALSTAR; reliance on intellectual property and having limited patents and proprietary rights; dependence on market exclusivity, changes in reimbursement policies and/or rates for SANCTURA, SANCTURA XR, VANTAS, SUPPRELIN LA, DELATESTRYL and any future products; acceptance by the healthcare community of our approved products and product candidates; uncertainties relating to clinical trials, regulatory approval and commercialization of our products, particularly SANCTURA XR, NEBIDO, and VALSTAR; product liability and insurance uncertainties; risks relating to the Redux-related litigation; need for additional funds and corporate partners, including for the development of our products; history of operating losses and expectation of future losses; uncertainties relating to controls over financial reporting; difficulties in managing our growth; valuation of our Common Stock; risks related to repayment of debts; risks related to increased leverage; general worldwide economic conditions and related uncertainties; and other risks. Indevus undertakes no obligation to publicly update any forward- looking statement, whether as a result of new information, future events or otherwise.

   Contact:   For Indevus   Michael W. Rogers                        Brooke D. Wagner   Executive Vice President and CFO         VP, Corporate Communications   (781) 861-8444                           (781) 402-3410  

Indevus Pharmaceuticals, Inc.

CONTACT: Michael W. Rogers, Executive Vice President and CFO,+1-781-861-8444, or Brooke D. Wagner, VP, Corporate Communications,+1-781-402-3410, both of Indevus Pharmaceuticals, Inc.

Web site: http://www.indevus.com/

Hypnotherapy Finding Its Place in Alternative Care

By Christine Phelan, The Sun, Lowell, Mass.

Jun. 30–CONCORD — Just a day after Virginia Lieblein’s open-heart surgery, recovery ward nurses were aghast to find her leaned over the bathroom sink, hair frothy with shampoo. Feeling fine despite the ordeal, she was determined “not to have bed head.”

Weeks prior, however, Lieblein had been a nervous wreck. She was only 49. Felt out of control. And experienced the kind of pre-op terror that sent her heart racing.

What made the difference, explained Lieblein, now 53, was a kind of self-hypnosis — based on the work of Peggy Huddleston’s Prepare for Surgery, Heal Faster — and the realization that harnessing the power of her mind had everything to do with her health — and recovery.

“Doctors used to be the ones that fixed you, healed you,” said Lieblein, director of Emerson Hospital’s Community Education programs. “Nowadays, though, you see more people who believe in the mind-body connection. They’re responsible for their own healing. I think the time has come that this isn’t strange anymore.”

Later this fall, Emerson will offer a three-part hypnotherapy-based smoking cessation class, the first area hospital to do so. And if hypnosis isn’t a mainstream solution to what ails us yet, said Lieblein, it’s gained considerable acceptance as public interest in alternative therapies — from acupuncture to Reiki to hypno-birthing — grows increasingly common at major hospitals.

A lot of the interest, experts say, has to do with consumer-driven health care and

a culture that’s fast embracing alternatives to traditional medical care. Those changes, in turn, have compelled physicians to work closely with those trained in everything from pain management to yoga, something that a generation ago was unheard of.

At Emerson, visualization and hypnosis courses based on Huddleston’s work are offered routinely to all patients scheduled for surgery. Elsewhere, alternative therapies are even used to stave off disease. At Lowell General Hospital, those with risk factors for heart disease are referred to the hospital’s Yoga for Heart class. LGH now requires Huddleston’s course for all its gastric bypass patients.

“They found that they were calmer before and after the surgery,” said Huddleston, a Lexington-based psychotherapist, “and they recovered so much faster that they’re convinced it just makes for a happier and easier patient to take care of.”

Patients who use Huddleston’s visualization require less pain medication, have less anxiety, spend less time in the hospital and ultimately, she said, cost less.

While research on hypnosis has been mixed, some say it may soon become just as routine. Until then, however, hypnotist Joe Packard — who will teach Emerson’s smoking cessation class this fall — is used to being a “last resort.”

“These are people who’ve tried everything else — the gum, the patch, the drugs — the things that mask the issue,” explained Packard. “But what they have is a feeling. And when you change the feeling that’s causing the behavior, then you don’t do it. You’ll be successful for the long-term.”

Packard said he directly addresses clients’ subconscious so that the feeling that elicits the bad habit — reaching for a cigarette, cookie or drink — changes. He likens a trance to daydreaming but said hypnosis is never something that’s done to a client but with them.

“It’s exciting,” said Lieblein. “It’s a big change from the normal offerings, but for those who’ve tried other methods and want it badly enough, it can really work.

“Hypnosis isn’t just the thing they do out in Las Vegas anymore,” she added. “Why not offer a variety of ways? Then smokers can see what works for them.”

—–

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Copyright (c) 2008, The Sun, Lowell, Mass.

Distributed by McClatchy-Tribune Information Services.

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Promising Cancer Drug Developed From Accidental Fungus

According to a group of U.S. researchers, a drug created from both a fungus that contaminated a lab experiment, and nanotechnology could be effective in fighting a broad range of cancers.

The drug, called lodamin was improved in one of the final experiments overseen by recently deceased Dr. Judah Folkman, a pioneer of angiogenesis therapy ““ a process that starves tumors by keeping them from growing blood supplies.

Folkman’s team has been working to perfect the angiogenesis drug for 20 years. According to the journal Nature Biotechnology, his associates developed a formula that works as a pill, without side effects.

SynDevRx, Inc, a privately held Cambridge, Massachusetts biotechnology company, has licensed lodamin.

The drug worked against a variety of tumors, including neuroblastoma, ovarian cancer, brain tumors known as glioblastomas, uterine tumors, and breast cancer when tested in mice.

Ofra Benny of Children’s Hospital Boston and Harvard Medical School reported that lodamin helped stop primary tumors and also prevented their spread.

“Using the oral route of administration, it first reaches the liver, making it especially efficient in preventing the development of liver metastasis in mice,” colleges reported. “Liver metastasis is very common in many tumor types and is often associated with a poor prognosis and survival rate,” they added.

“When I looked at the livers of the mice, the treated group was almost clean,” Benny said in a statement. “In the control group you couldn’t recognize the livers — they were a mass of tumors.”

The drug was originally isolated from a fungus called Aspergillus fumigatus fresenius and was known experimentally as TNP-470.

The fungus was discovered by Harvard’s Donald Ingber by accident while trying to grow cells that line blood vessels, or endothelial cells.  The cells were affected by the mold in a way that prevented the growth of small blood vessels called capillaries.

TNP-470 was developed by Ingber and Folkman with the help of Takeda Chemical Industries in Japan in 1990.

But the drug would not stay in the body for very long and required continual infusions.  It also affected the patients’ brain causing dizziness, depression, and other side-effects.  Takeda Chemical Industries dropped it.

Efforts to improve the drug were unsuccessful until Benny tried using nanotechnology and attached two polymers to TNP-470 to protect it from stomach acid.

The altered drug, now called lodamin, went straight to tumor cells and suppressed lung cancer and melanoma in mice, without side effects, Benny said.

According to researchers, untreated mice had tumor covered livers, while mice treated with lodamin had normal livers and spleens.

Benny’s team reported that after twenty days, four out of seven untreated mice died, while all the mice treated with lodamin were still alive.

“I had never expected such a strong effect on these aggressive tumor models,” Benny said.

Researchers believe lodamin may also be useful in age-related macular degeneration and other diseases marked by abnormal blood vessel growth.

On the Net:

Nature Biotechnology

SynDevRx, Inc

East Jefferson General Hospital Selects Allscripts Electronic Health Record, Offers Free Electronic Prescribing for Affiliated New Orleans-Area Physicians

CHICAGO and METAIRIE, La., June 30 /PRNewswire-FirstCall/ — Allscripts, the leading provider of clinical software and information solutions that physicians use to improve healthcare, announced today that East Jefferson General Hospital (EJGH) has selected the Allscripts Electronic Health Record (EHR) for 138 of its employed and affiliated physicians, in the first phase of an anticipated deployment to all of the hospital’s affiliated physicians. The New Orleans-area hospital also will offer Allscripts electronic prescribing technology at no charge to other medical staff who are not using the Electronic Health Record at this time.

(Logo: http://www.newscom.com/cgi-bin/prnh/20061005/ALLSCRIPTSLOGO-b)

In deploying the Allscripts Electronic Health Record for physicians in its owned medical group as well as affiliated physicians, EJGH is leveraging recent changes to the federal Stark regulations which allow hospitals to subsidize the purchase of healthcare information technology for non-employed physicians.

“By offering physicians in the East Bank of Jefferson Parish the Allscripts electronic health record, we hope to provide a seamless connection to critical patient information throughout the entire continuum of care, anytime and anywhere,” said Mark J. Peters, MD, President and Chief Executive Officer of East Jefferson General Hospital. “Our goal is to help all of the region’s physicians to connect electronically to East Jefferson for truly integrated patient care.”

Opened in 1971 as a non-profit hospital in Metairie, adjacent to New Orleans, EJGH today has 450 beds and 3,000 employees. In 2002 the hospital was named Louisiana’s first Nurse Magnet Hospital by the American Nurses Credentialing Center, a status that places it among the nation’s top hospitals. It is one of only eight facilities nationwide to hold affiliate status with M.D. Anderson Physicians Network, the nation’s leader in cancer care, and was recently ranked the No. 1 cardiac care hospital in Louisiana by HealthGrades.

The Allscripts Electronic Health Record automates everyday clinical tasks such as documenting patient care, ordering and reviewing tests, and prescribing and refilling medications. EJGH will integrate the Allscripts solution with its inpatient information systems, enabling physicians outside the hospital to view the charts, schedules, lab results and radiology results of their hospitalized patients. The Electronic Health Record will be provided for EJGH physicians using secure Internet connections leveraging the Software as a Service (SaaS) model, a simple, affordable means of delivering vital patient information to caregivers without the upfront costs of purchasing new equipment to host the solution themselves. The SaaS model also speeds deployment and is becoming an increasingly important option for mid-size and independent practices.

“Physicians want to focus their time, effort, and money on caring for patients, not managing technology, and we think the Software as a Service model will make it easier for East Jefferson’s affiliated physicians to enter the electronic healthcare highway,” said Glen Tullman, Chief Executive Officer of Allscripts. “Thanks to East Jefferson’s leadership, more physicians in Jefferson Parish will be able to improve the quality of care they deliver and more effectively manage the costs of their own medical practices.”

As part of its communitywide information strategy, EJGH will encourage affiliated physicians who do not implement the Allscripts EHR to adopt the Allscripts ePrescribe solution, a Web-based electronic prescribing application.

“Study after study has shown that electronic prescribing can help prevent needless medical errors, so for those physicians who choose not to implement the electronic health record, we want to make it as easy as possible for them to still prescribe electronically,” said EJGH Chief Medical Information Officer Chris Barrilleaux, MD. “We think electronic prescribing is a natural first step towards implementation of a full electronic health record.”

Designed to appeal to physicians in solo practice or small groups, the Allscripts ePrescribe solution requires no download, no new hardware, and minimal training. All prescriptions are instantly checked for drug-to-drug, drug-allergy and other potentially harmful interactions, and users receive real-time notification of insurance formulary status from leading payers, plans and pharmacy benefit managers.

In addition to the Allscripts solutions for physicians, EJGH’s vision includes providing patients with a secure, online Personal Health Record and patient-provider communications from Allscripts.

About East Jefferson General Hospital

East Jefferson General Hospital, Louisiana’s first Nurse Magnet hospital, is a publicly owned, not-for-profit, community hospital providing high quality care to the residents of the East Bank of Jefferson Parish and surrounding communities. East Jefferson General Hospital opened in 1971.

About Allscripts

Allscripts is the leading provider of clinical software, connectivity and information solutions that physicians use to improve healthcare. The company’s unique solutions inform, connect and transform healthcare, delivering improved care at lower cost. More than 40,000 physicians and thousands of other healthcare professionals in clinics, hospitals and extended care facilities nationwide utilize Allscripts to automate everyday tasks such as writing prescriptions, documenting patient care, managing billing and scheduling, and safely discharging patients, as well as to connect with key information and stakeholders in the healthcare system. To learn more, visit Allscripts at http://www.allscripts.com/.

This announcement may contain forward-looking statements about Allscripts Healthcare Solutions that involve risks and uncertainties. These statements are developed by combining currently available information with Allscripts beliefs and assumptions. Forward-looking statements do not guarantee future performance. Because Allscripts cannot predict all of the risks and uncertainties that may affect it, or control the ones it does predict, Allscripts’ actual results may be materially different from the results expressed in its forward-looking statements. For a more complete discussion of the risks, uncertainties and assumptions that may affect Allscripts, see the Company’s 2007 Annual Report on Form 10-K, available through the Web site maintained by the Securities and Exchange Commission at http://www.sec.gov/.

Photo: http://www.newscom.com/cgi-bin/prnh/20061005/ALLSCRIPTSLOGO-bAP Archive: http://photoarchive.ap.org/PRN Photo Desk, [email protected]

Allscripts

CONTACT: Dan Michelson, Chief Marketing Officer,+1-312-506-1217, [email protected], or Todd Stein, SeniorManager|Public Relations, +1-312-506-1216, [email protected], both ofAllscripts; or Keith Darcey, Public and Media Relations of East JeffersonGeneral Hospital, +1-504-889-7110, [email protected]

Web site: http://www.allscripts.com/

Akesis Pharmaceuticals Names Carl LeBel As President and Chief Operating Officer

Akesis Pharmaceuticals, Inc. (OTCBB:AKES), an emerging diabetes drug-development company, today announced it has named Carl LeBel, Ph.D., as president and chief operating officer. Dr. LeBel has served on Akesis’ board of directors since December 2007. The company stated that current president, Jay Lichter, Ph.D., will retain the position of chief executive officer and add the title of chairman of the board of directors.

“The current level of Company activity around our AKP-020 program for the treatment of Type 2 diabetes requires additional management resources, and we are very pleased that Carl LeBel will now be directly involved in the day-to-day progress of our research studies and trials, along with other business development initiatives,” said Lichter.

Dr. LeBel has more than 18 years of experience as a biopharmaceutical industry executive, including 14 years at Amgen Inc. where he was an executive director for program management and strategic operations. Most recently his responsibilities at Amgen included overseeing global cross-functional program activities for a late-stage development candidate in osteoporosis. He has an extensive background in the area of metabolic diseases, including direct experience in the conduct of clinical trials in diabetes and obesity. Prior to joining Amgen, Dr. LeBel held preclinical development positions at Arthur D. Little Inc. and Alkermes Inc. from 1990 to 1993. He holds a B.S. in Chemistry from the University of Detroit, a Ph.D. in Biomedical Sciences/Toxicology from Northeastern University, and was a National Institute of Environmental Health Sciences postdoctoral fellow in Community and Environmental Medicine at the University of California, Irvine. He is also a director at Ash Stevens Inc., a privately held pharmaceutical contract manufacturer.

About Akesis Pharmaceuticals

Akesis Pharmaceuticals has a pipeline of innovative oral product candidates for the treatment of diabetes and related metabolic disorders. These product candidates are supported by issued and filed U.S. patents for both prescription and over-the-counter treatments that combine anti-diabetic trace minerals with certain classes of diabetes oral agents. Akesis’ product candidates have demonstrated preliminary evidence of efficacy in lowering and controlling blood glucose levels in patients with Type 2 diabetes. Blood sugar control via oral drugs represents a market opportunity in the billions of dollars, as reports indicate that approximately 20 million people suffer from diabetes in the United States alone. More information can be found at www.akesis.com.

Forward-Looking Statements

This press release contains certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These forward-looking statements can generally be identified as such because the context of the statement will include words such as “will,””expects,””should,””believes,””anticipates,” or words or phrases of similar meaning. Examples of such statements include statements relating to the Company’s plans regarding the development of AKP-020. Stockholders, potential investors and other readers are cautioned that these forward-looking statements are predictions based only on current information and expectations that are inherently subject to risks and uncertainties that could cause future events or results to differ materially from those set forth or implied by the forward-looking statements. Certain of those risks and uncertainties are discussed in Akesis’ filings with the Securities and Exchange Commission, including Akesis’ most recent annual report on Form 10-KSB and quarterly reports on Form 10-Q. These forward-looking statements are only made as of the date of this press release, and Akesis does not undertake any obligation to publicly update such forward-looking statements to reflect subsequent events or circumstances.

A Bravia New World: Sony Steps Out on Movie Delivery

By Tim Arango

The very future of how we consume media rests on the movie star shoulders of Will Smith. That is Hollywood hyperbole, but it contains a speck of truth.

Sony Pictures’ “Hancock,” starring Smith as a bungling superhero, will be available over the Internet, direct to U.S. viewers’ television sets, before its release on DVD. That is, if those televisions are Sony Bravias that are enabled with a Web connection.

The significance of Sony’s plans for “Hancock,” which is set for release in U.S. theaters this week, touches on two fronts: the future of movie watching and the future of the company itself.

Last week in Tokyo, Howard Stringer, chief executive of Sony, mentioned the “Hancock” experiment as he ticked off the company’s growth strategy for analysts. In doing so, Stringer gave the movie- watching public a rudimentary glimpse of the future: movies streamed over the Internet, directly to the television set, bypassing the traditional purveyors of content to the living room, the cable and satellite companies.

It also provided a vivid example of how the Sony founder Akio Morita’s vision of content and hardware co-mingling in profitable ways might be possible, despite many past failures.

“In some ways it vanishes the memory of the failures of the Sony Walkman,” Stringer said during a telephone interview from Tokyo on Thursday. Since he ascended to the top job at Sony in 2005, Stringer has focused on getting Sony’s disparate, siloed business units to work together.

“This is something that would have been unheard of five to six years ago,” he said of Sony’s movie studio and electronics division cooperating on “Hancock.”

Sony lost to Apple and its iPod in the drive to create the digital music device for the masses, despite the predigital-age dominance of the Walkman and Sony’s ownership of one of the largest music companies in the world.

With its Internet-connected televisions and content from its Hollywood studio, Sony is aiming to avenge its loss to Apple in music by being a dominant player in delivering video to living rooms of the future. Apple is gunning for the same thing with its Apple TV device.

“One of the most interesting things about this is putting the television front and center in the living room,” Stringer said, as opposed to the computer or a handheld device being the center for watching Web-streamed video.

Robert Wiesenthal, who is executive vice president and chief financial officer of Sony Corp. of America but also oversees corporate development for Sony, put it this way: “The Internet is a great place to get Web sites, but it’s also a great way to deliver conventional content. And at the end of the day, it has to get back to the living room.”

Now, consumers can download movies to their computers – an often cumbersome process but one that should improve as broadband speeds increase – and to the Sony Playstation 2, and the “Hancock” deal is a starting point to a future in which these all work together seamlessly in the home.

“Ultimately, when all these devices are connected you’ll be able to quite easily manage how you watch movies,” Stringer said.

Sony executives are adamant that the “Hancock” experiment is just that – an experiment that is as much about showcasing the potential of the Internet-enabled Bravia as it is about the future possibilities of movie-watching. It is not, they insist, a push to change Hollywood’s carefully calibrated timetables, or “windows,” governing the release of films in different formats: for cinemas, DVDs and pay-television.

In November, after “Hancock” has its run in theaters, it will be available for $7.50 with the click of the remote control for U.S. consumers who own Internet-equipped Sony Bravia televisions. Today the Bravia Internet link costs an extra $299 in the United States when purchasing a television, and only enables streaming, rather than downloading.

In a note last week, Rich Greenfield, an analyst at Pali research, noted, “While the content offered is only from Sony today, we expect other studios to follow if consumer interest becomes apparent.”

The experiment with “Hancock” suggests an obvious threat to the pay television industry’s own offerings, like video on demand. But cable companies, far from blind to the possibilities of other media companies leapfrogging them and accessing consumers directly, are working on their own devices that would allow Internet video to be streamed to the television.

In May, for instance, Glenn Britt, chief executive of Time Warner Cable, said at an industry conference that his company was close to offering equipment that would allow consumers to get Web content on their television through their cable box.

And Michael Lynton, the chairman of Sony Pictures, assured the studio’s distribution and retail partners – cable companies like Comcast, and Wal-Mart, which want to protect DVD sales – that they need not fear the experiment with “Hancock.”

“More than anything else, what this demonstrates is how the electronics company and the movie studio are working together in the ways they were meant to,” Lynton said.

Sony recently came out the winner of Hollywood’s war over the format for high-definition DVD – as its Blu-ray format became the standard. Studios have long relied on DVD sales as an important profit engine, and the sale of Blu-ray discs is still an early, unproven business. So the challenge every studio faces is how to be innovative without killing off existing businesses, and for Hollywood that means DVD sales.

“No one knows what the business model will be,” said Stephen Prough, founder of Salem Partners, an investment bank based in Los Angeles with a focus on media and entertainment.

“You do have to start with the premise that studios make the most money in the DVD window. And if they get enhanced pricing with Blu- ray they will make even more money.”

Stringer said that when creating a new service, Sony is careful to evaluate whether the digital delivery of content will have an impact on DVD sales.

“We don’t do anything without understanding the consequences for that,” Stringer said. “We don’t want to do anything to hinder Blu- ray.”

Originally published by The New York Times Media Group.

(c) 2008 International Herald Tribune. Provided by ProQuest Information and Learning. All rights Reserved.

Modern Fix for the Age-Old Fix

By Kahn, Kathy

Even in today’s “anything goes” society, some things still remain a stigma.

Addiction is one of them. Whether it’s alcohol or drugs, your own neighbors, friends, relatives or co-workers could be battling some form of the disease. Dr. Adrianne Marcus, co-founder of the Lexington Center for Recovery, has been trying to help people take it “one day at a time” for the past 25 years.

“There were just four of us in the beginning,” said Marcus, sitting at the center’s newest Rockland county location in Suffern on Route 59. “Originally, it was me and three other nurses who began the program, which traces its roots back to Westchester Medical Center.

“We started out as ‘The Weekend Center’ in 1976 and originally kept our focus on alcoholism. We opened a center in Mt. Kisco that was probably no bigger than a bread box, but we weren’t lonely. There were always people in there who needed someone to talk to. Addiction doesn’t end at 6 p.m.; it goes on 24 hours a day, seven days a week.”

By 1982, Marcus and her three original partners were licensed by the state and continued their mission, eventually including those addicted to drugs. But being licensed by the state didn’t help pay the bills, said Marcus. “We received no funding from anyone – just an official blessing,” said Marcus.

How do you stay in business with no money coming in? The founder kept the center going with her typing business, “which was portable. I could bring my work to work at the center, and I worked many nights to keep our doors open, as did my colleagues.”

The center received nonprofit status in 1983.

Lexington Center for Recovery (LCR) has now grown from its first tiny office in Westchester, expanding into Dutchess and now into Rockland counties with new offices offering services for people with addiction problems – and now programs include people of all ages.

“Our oldest client was over 90,” said Marcus. “She was addicted to pain medication, and she wanted to get off it. It isn’t just young people. It affects every age group from every walk of life. Our youngest clients are in high school.”

LCR took over St. Francis Hospital’s methadone treatment program in Poughkeepsie in 2004, where approximately 200 people are served. “We have the capacity to serve at least 250 people,” said Marcus. “We hope to open another satellite in Beacon this month so people will not have to travel all the way to Poughkeepsie. For many receiving services, carfare is a burden and many don’t drive. It will help us work with clients right in the community.”

While half the people who attend the various programs offered by Lexington are mandated into it by the court system, many come in on their own. Marcus said addictions seem to escalate in a recession economy.

Smoking is the next addiction LCR is getting ready to tackle, “although most people don’t like to think of it as a drug addiction,” said Marcus. “It’s truly the first addiction most people embrace. They do it as young teens, and think nothing of it. They don’t see it as a stepping-stone drug. We see many of our patients recover from drug or alcohol abuse, but they do not want to let go of the nicotine addiction or even admit it is an addiction. I know it is going to be a tough sell, but the fact that it is part of the addiction picture has to become a reality for everyone.”

On July 24, said Marcus, the state is going to mandate treatment of nicotine addiction and offer help to those trying to kick the habit. “That’s how serious a problem it is. They can make it more expensive, but it isn’t going to make people stop. Once people start accepting the fact that nicotine is a drug they are addicted to, perhaps they will be more open to receiving treatment and trying to overcome it. The health consequences are enormous, but the mental addiction can be even more overwhelming for them – it is a very important component of it. Smoking may be widely accepted in society, but it is a gateway drug.”

The Lexington Center for Recovery is still headquartered in Mt. Kisco, where Dr. Marcus no longer runs the operation out of a tiny office space, but a full treatment center. She is still “on the go and retirement is a dirty word to me,” said the founder.

With 13 locations and a variety of services including day rehabilitation, children’s services and a PINS (persons in need of supervison) Diversion program, Marcus estimates LCR’s offices treat about 1,000 clients each week in its various locations, either in groups or in individual counseling. She’s looking forward to opening a new “Generations” program in Poughkeepsie this June and to continue to grow her organization,’ which is geared toward mothers and their children.

“Yes, addiction is a problem most people do not want to face until they see it has affected their ability to hold a job, to keep their marriage together, or it starts to affect their children,” said Marcus. “We also want to help the children of addicts not repeat the mistakes parents made. The hardest part is acknowledging the fact that you have a problem. The next part is dealing with it and the hardest part: staying sober. That’s why we are here.”

Times are tough, and recession is looming in the air. Is LCR worried about losing funding? “It’s an election year,” said Marcus, “so we’ve been fortunate and not seen any budget cuts. These services are desperately needed, so I hope whatever happens after the election, we are going to receive the same level of funding and support that we have in the past. Recessions and the inability to find a job only contribute to the problem. We actually see a spike in our services when things are going badly in the economy.”

Lexington Center for Recovery has an operating budget of $13 million a year, which is funded by state and federal funds, grants, health insurance and self-paying clients “The main goal is to keep services available for the public.”

Marcus said LCR got its name from its original street address and has no relation to like-named centers based in Kentucky.

With 180 workers who work with clients on a daily basis, Marcus said she hopes one day there won’t be a need for a Lexington Center for Recovery. “Wouldn’t it be wonderful if there were no addiction problems?” she wondered aloud. “But the sad fact is, addiction has been with us since the beginning of time. It’s our goal to see the people who come through our doors become our success stories and go on to lead productive lives. That’s what we hope for and that’s what we strive for.”

Copyright Westfair Communications Jun 9, 2008

(c) 2008 Westchester County Business Journal. Provided by ProQuest Information and Learning. All rights Reserved.

Breast Cancer Gene Removed From Baby

Britain’s first baby guaranteed to be genetically free from hereditary breast cancer has been conceived, medical officials say.

The mother’s embryos were screened to remove an inherited gene from her husband, whose sister, mother, grandmother and cousin were all stricken with breast cancer, The Sunday Times of London reported.

The pregnant woman had produced 11 embryos, of which five were found to be free from the gene. Two were implanted in the 27-year-old woman’s womb.

The screening of embryos carrying the cancer-causing gene, called BRCA-1, means the London couple will eliminate the hereditary disease from their lineage.

Doctors say thousands of cases of breast cancer could be avoided by pre-implantation diagnosis of embryos.

An Israeli mother-to-be is thought to be the only other woman in the world to have become pregnant after undergoing the embryo screening, The Times said.

Taiwan Donates 2.6m US Dollars to Help Panama Build Hospital

Text of report in English by Taiwanese Central News Agency website

[By Ramon Huang and Y.L. Kao]

Panama City, Panama, June 28 (CNA) – Republic of China Ambassador to Panama Tomas Ping-fu Hou donated US$2.6 million to the Panamanian government Friday to help the Central American country build a hospital in an impoverished area of Panama City.

After accepting the donation, Panamanian Minister of Health Rosario Turner expressed gratitude to Hou, saying that establishing the Hospital de Panama Este in an eastern suburb of the city is one of the ministry’s main construction projects.

“So far, about 24.6 per cent of the hospital has been completed,” Turner noted, adding that once it is inaugurated, the hospital, equipped with advanced facilities, is expected to provide some 342,000 local residents with a wide range of medical services, including hospital care, operations, outpatient treatment and emergency care, as well as women’s and children’s health care.

She said the establishment of the hospital will help assuage a chronic shortage of medical care for residents in the area.

Hou said the donation is aimed at helping Panama improve its medical care and further enhancing bilateral relations.

Originally published by Central News Agency website, Taipei, in English 0926 29 Jun 08.

(c) 2008 BBC Monitoring Asia Pacific. Provided by ProQuest Information and Learning. All rights Reserved.

Redefining the Role of Hospitalist

ST. LOUIS _ Dr. Philip Vaidyan used to spend a big chunk of his day, often an hour or more, in the halls and stairwells of SSM St. Mary’s Health Center in Richmond Heights, Mo. The busy physician didn’t see all this running around as a good use of his time.

As a hospitalist _ a doctor who cares for patients while they are in the hospital _ Vaidyan typically sees patients on nearly every floor, in a variety of units, each with its own nursing staff. He found he was spending too much time moving among patients or answering pages from another area of the hospital.

“The struggle for hospitalists is (that) patients are scattered,” Vaidyan said.

Then Vaidyan learned about a growing number of hospitals that were able to reduce these frustrations by assigning hospitalists to specific units of the hospital.

Most of these hospitals _ including St. Mary’s _ say the move has nearly eliminated wasted travel time, giving physicians more time with patients, families and staff. The hospitals hope better access to physicians will lead to better communication, treatments will begin sooner, fewer complications will occur and patients will go home more quickly.

One example: With the same physicians covering the same patients with the same staff, it’s easier for them to “round” together in the morning.

These bedside discussions about the patient’s condition and treatment allow all members of the care team _ from the social worker to the nurse’s aide to the physician _ to share observations and suggestions. Patients and families are brought in to share information and learn about follow-up care.

At St. Mary’s, the hospital worked with IPC The Hospitalist Company Inc. to create a pilot dedicated 20-bed hospitalist unit. Five physicians and two nurse practitioners work in the unit.

Other patients are under the care of another contracted hospitalist company or of their primary care doctor.

Similar units are popping up at hospitals around the country. Though all are structured slightly differently, the goal is the same: improve patient care by giving physicians’ better proximity to their patients and staff.

“You’re right there in the unit all the time,” said Dr. Mark V. Sheffield, assistant physician-in-chief at Kaiser Permanente, which has introduced the concept in two of its hospitals in northern California. The units will celebrate their two-year anniversary this summer.

“Nobody would go back to the previous system,” said Sheffield. “I think that’s a pretty good sign that we’re going in the right direction.”

Sheffield points out that back in the day when family physicians cared for most hospitalized patients, proximity wasn’t as critical. Most only had a couple of patients in the hospital at a time.

Dr. Amy Boutwell, a director at the Institute for Health Care Improvement, a nonprofit health care think tank in Cambridge, Mass., supports the transition to dedicated hospitalist units. A hospitalist by training, Boutwell sees the benefits of improved proximity to patients and thinks the change supports the institute’s objectives for safer care.

Still, there have been some challenges.

For example, when patients come into the emergency room, they can’t simply be sent to any room. Patients have to be spread evenly among units without compromising patient flow.

This problem and others caused Staten Island University Hospital in New York to dump the program after 1 { years.

The hospital often was too busy to give each unit a fair share of the workload, said Dr. Aaron Gottesman, director of hospitalist services at Staten Island.

When a bed opened it had to be filled immediately, even if that meant one hospitalist cared for many very sick patients while another treated less critically ill patients, Gottesman said.

As part of the pilot at St. Mary’s, the hospital is measuring how nearly every aspect of patient care functions in the new unit. Those results will help determine whether the unit is kept long term and implemented at other SSM-St. Louis hospitals.

___

(c) 2008, St. Louis Post-Dispatch.

Visit the Post-Dispatch on the World Wide Web at http://www.stltoday.com/

Distributed by McClatchy-Tribune Information Services.

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Rethinking Retirement

By Tremblay, Monique

It’s official: the no-work, all-play concept of retirement is on the verge of extinction. According to Desjardins Financial security’s latest retirement study, many baby boomers’ golden years will probably include part- or full-time work, consulting or entrepreneurship. The study, Rethink Retirement: 2007 Survey of Canadians’ Preparedness for Life After Work, shows many Canadians are currently redefining many of their life Stages as they live longer and healthier lives. Half of those aged 40 and older are planning a gradual retirement. University-educated workers are more likely to envision doing some work past age 65.

The study also shows many Canadians are not prepared for the challenges retirement can bring. Since many are delaying the start of work and family life, they are supporting dependent children into their 50s and 60s. As these delays take place, they are failing to consider a variety of factors and risks that can have an impact on the yield and longevity of their savings, such as inflation, rising life expectancies and healthcare costs. Nearly 60% of those surveyed are not concerned about having a large enough nest egg to sustain their standard of living in retirement. More than 80% have not eliminated their consumer debt in retirement and even more are not concerned about paying off their mortgages (88%). And more than half are not worried that inflation will erode their savings.

In its survey, Desjardms identified several pre- and post- retirement profiles, each with its own challenges and characteristics, in order to help workers figure out their own positioning on the retirement timeline:

* Dreamers (16 or more years to go before retirement): only half of this group has created a retirement savings plan, even though they expect to live to an average age of 83. Many dreamers have not considered or planned for the risks that come with living longer.

* Sprinters (15 to six years before retirement) and count downers (five years or less to retirement): these groups are taking a more active approach to planning, yet many still do not have a plan in place and are not concerned about the possibility of requiring long- term care or becoming seriously ill. Many have not saved enough to maintain their standard of living into retirement and are concerned they will outlive their savings.

* Exiters (just retired): these people often realize within a year that their retirement might not be as expected, mostly because of a lack of planning and saving.

* Second lifers (retired for two to 15 years): in their early retirement years, people in this group often continue to enjoy good health, but 49% are somewhat or very concerned they may need extended care at home or in a longterm care facility, and 44% worry they may not have enough savings to pay these expenses.

* Extended lifers (retired for 16 years or more): a full 83% of these retirees rate their physical health as good, very good or excellent. But that is not necessarily the case for their financial health: 27% of respondents who have been retired for more than 15 years indicate their personal savings have dwindled to less than $1,000.

Canadians at the different stages of pre- and post-retirement aren’t clear on just how much they’ll need to maintain their standard of living in retirement. A little education about the risks that affect financial well-being – which can have an impact on personal health – can go a long way. Also, careful planning in each life stage is essential. Some tips include:

* Go back to basics. Take the time early on to figure out what you want out of your retirement and plan for it.

* Take inventory. When planning, know the total value of your assets and liabilities. Make a plan to eliminate liabilities.

* Do a reality check. Take your plan to a knowledgeable financial adviser to find out if your dream is achievable. Be sure to address retirement risks.

Advisers can be very helpful when planning for retirement, as many Canadians may not be aware of the financial solutions available to lessen the impact of changes during retirement caused by longevity, health and economic risks. But it’s important that those ready to contemplate their future ask their adviser the right questions.

This is a summary. For an extended version of this article, please visit www.CAmagazine.com/desjardinso8.

University-educated workers are more likely than others to envision doing some work past age 65

Monique Tremblay, FCIA, FSA, MBA, is senior vicepresident of savings and segregated funds at Desjardins Financial Security

Copyright CANADIAN INSTITUTE OF CHARTERED ACCOUNTANTS Jun/Jul 2008

(c) 2008 CA Magazine. Provided by ProQuest Information and Learning. All rights Reserved.

Upper House of Belarusian Parliament Adopts Controversial Media Law

Text of report in English by Belarusian privately-owned news agency Belapan

Minsk, 28 June: The Council of the Republic (upper house of the Belarusian parliament) on June 28 voted 48 to one to approve a new version of the Belarusian media law, which has been criticized by journalists and opposition politicians for restricting the constitutional right to disseminate and receive information.

The law was submitted to the National Assembly [parliament] on 10 June and was adopted by the House of Representatives [lower house] on 24 June.

The bill has been severely criticized by the Belarusian Association of Journalists (BAJ). The draft law defines the media as a mean of distributing information in print, online and in electronic formats, which, the BAJ says, means that online media outlets may become subject to procedures applied to print and broadcasting media outlets.

Under the law, regulations governing the state registration of online media outlets and the distribution of online media products would be within the remit of the Council of Ministers [government]. According to the BAJ, the bill would thereby allow the government to demand that online media outlets obtain state registration and all non-registered online news services can be blocked regardless of their origin.

Natallya Pyatkevich, deputy head of the Presidential Administration, insisted earlier this month that the law does not mean that a government resolution demanding the compulsory state registration of online media outlets should necessarily follow. However, Deputy Information Minister Liliya Ananich said in May that the information ministry unambiguously advocates the registration requirement for online media outlets, as “there is a problem of misinformation flows” from websites abroad, which she said are aimed at destructively influencing processes in Belarus. “But there is the experience of China, which has cut off access to its territory for such sites.”

The bill would also ban professional activities of non- accredited journalists working for foreign media outlets. “This means that if you write for a foreign publication, you will be regarded as a correspondent of this publication and will be punished if you have no accreditation,” explains BAJ legal expert Yuryy Taparashaw.

The bill would also prohibit Belarusian media outlets from receiving financial and technical support from foreign individuals and organizations unless they are co-founders.

Media outlets would be held responsible for “distributing false information that can damage state or public interests.”

Originally published by Belapan news agency, Minsk, in English 1529 28 Jun 08.

(c) 2008 BBC Monitoring Former Soviet Union. Provided by ProQuest Information and Learning. All rights Reserved.

Knocking Down Galectin 1 in Human Hs683 Glioblastoma Cells Impairs Both Angiogenesis and Endoplasmic Reticulum Stress Responses

By Mercier, Marie Le Mathieu, Veronique; Haibe-Kains, Benjamin; Bontempi, Gianluca; Mijatovic, Tatjana; Decaestecker, Christine; Kiss, Robert; Lefranc, Florence

Abstract Galectin (Gal) 1 is a hypoxia-regulated proangiogenic factor that also directly participates in glioblastoma cell migration. To determine how Gal-1 exerts its proangiogenic effects, we investigated Gal-1 signaling in the human Hs683 glioblastoma cell line. Galectin 1 signals through the endoplasmic reticulum transmembrane kinase/ribonuclease inositol-requiring 1alpha, which regulates the expression of oxygen-regulated protein 150. Oxygen- regulated protein 150 controls vascular endothelial growth factor maturation. Galectin 1 also modulates the expression of 7 other hypoxia-related genes (i.e. CTGF, ATF3, PPP1R15A, HSPA5, TRA1, and CYR61) that are implicated in angiogenesis. Decreasing Gal-1 expression in Hs683 orthotopic xenografts in mouse brains by siRNA administration impaired endoplasmic reticulum stress and enhanced the therapeutic benefits of the proautophagic drug temozolomide. These results suggest that decreasing Gal-1 expression (e.g. through brain delivery of nonviral infusions of anti-Gal-1 siRNA in patients) can represent an additional therapeutic strategy for glioblastoma.

Key Words: Angiogenesis, Endoplasmic reticulum stress, Galectin 1, Glioblastoma, Hypoxia.

INTRODUCTION

Malignant gliomas, particularly glioblastoma multiforme (GBM), diffusely invade brain tissue as single migrating cells with reduced levels of apoptosis and consequent resistance to the cytotoxic effects of proapoptotic drugs (1). Current treatments of GBM patients include maximum surgical resection, followed by radiation and chemotherapy with the proautophagic drug temozolomide (2). Despite aggressive treatment regimens, the prognosis for GBM remains poor. Glioblastoma multiformes are distinguished pathologically from lower-grade tumors by the presence of necrosis and endothelial cell proliferation (3). Necrotic foci in malignant gliomas are typically surrounded by the distinct configuration of “pseudopalisading” tumor cells. These cells are severely hypoxic, overexpress hypoxia- inducible factor, and secrete proangiogenic factors such as vascular endothelial growth factor (VEGF) and interleukin 8 (3). An emerging model suggests that pseudopalisades represent a wave of tumor cells that are actively migrating away from the central hypoxic foci that arise as a consequence of a vascular insult (3).

Galectin (Gal) 1 belongs to a family of mammalian lectins with specificity for beta-galactosides (4, 5). It influences glioma cell migration both in vitro and in vivo (6, 7). Galectin 1 is expressed by tumor endothelial cells (8-10), and it contributes to different stages in tumor progression such as immune escape and metastasis (11, 12). Its expression is increased under hypoxic conditions (13), and it exerts potent proangiogenic effects (9). In addition to increasing Gal-1 expression, hypoxia itself influences angiogenesis (14, 15), and deficiencies in the oxygenation of solid tumors, including GBMs (3), are associated with a poor patient prognosis due to changes in cell metabolism, angiogenesis, invasiveness, and resistance to therapy (16). Endothelial cell Gal-1 is therefore a potential target for anti-cancer therapeutics (9, 10).

Recently, hypoxia has been shown to suppress protein synthesis through the regulation of the initiation step of mRNA translation (17). This seems to be a common feature of cell responses to hypoxia and is mediated by 2 distinct pathways. The first occurs rapidly, is transient, and is associated with activation of the unfolded protein response (UPR) that occurs in response to endoplasmic reticulum (ER) stress (17). Translation inhibition during this initial phase is due to phosphorylation of eukaryotic initiation factor 2alpha in a protein kinase-like ER kinase (PERK)-dependent manner (17-19). Although this effect is transient, the overall levels of translation remain low during hypoxia due to the inhibition of a second eukaryotic initiation complex (eIF4F) (17, 19). This second mechanism is multifactorial but in part results from inhibition of mammalian target of rapamycin kinase (17, 19). Inactivation of PERK or eukaryotic initiation factor 2alpha phosphorylation impairs cell survival in hypoxia (18, 19).

In this study, we investigated whether transiently impairing Gal- 1 expression in human Hs683 GBM cells can modify the pattern of ER stress and/or the UPR profile and how such modifications impact tumor angiogenesis. Our data provide insight into glioblastoma pathogenesis and suggest new approaches for treating GBMs.

MATERIALS AND METHODS

Cell Cultures and Compounds

The Hs683 human glioblastoma cell line (American Type Culture Collection code HTB-138) was obtained from the American Type Culture Collection (Manassas, VA) and maintained in our laboratory as detailed previously (20). Primary human umbilical vein endothelial cells (HUVECs) were obtained from umbilical cords at the Erasmus Academic Hospital. The cells were isolated by collagenase treatment and were grown in endothelial cell growth media EGM-2 MV bulletkit from Lonza (Verviers, Belgium). Human umbilical vein endothelial cell cultures were used between Passages 5 and 10. Temozolomide was purchased from Schering Plough (Brussels, Belgium).

Hs683 Human GBM Orthotopic Xenografts in Nude Mice

In vivo orthotopic xenografts of human Hs683 glioblastoma cells to nude mice were performed as previously described (20). In each experiment, 8-week-old female nu/nu mice (21-23 g; Iffa Credo, Charles River Laboratories, L’Arbresle, France) had Hs683 tumor cells stereotactically implanted on the same day. Each experimental group contained 11 mice. All of the in vivo experiments described in the present study were performed on the basis of Authorization No. LA1230509 of the Animal Ethics Committee of the Federal Department of Health, Nutritional Safety and the Environment (Belgium).

Anti-Gal-1 siRNA

The sense sequence of the anti-Gal-1 siRNA (Eurogentec; Seraing, Belgium) used in the current work was 5′-GCUGCCAGAUGGAUACGAADTDT- 3′, and the anti-sense sequence was 5′-UUCGUAUCCAUCUGGCAGCDTDT-3′. A corresponding scrambled siRNA was used as a control (sense, 5′- CUACGAUGCUGCUUAGCUCDTDT-3′; anti-sense, 5′-GAGCUAAGCAGCAUCGUAGDTDT- 3′). The same short strands of siRNA coupled with fluorescein were used to detect the in vivo distribution of the anti-Gal-1 siRNA in the brains of nude mice. The anti-sense and sense strands of the siRNA were annealed by the manufacturer in 50 mmol/L of Tris, pH 7.5 to 8.0, 100 mmol/L of NaCl in diethylpyrocarbonate-treated water. The final concentration of siRNA duplex was 100 [mu]mol/L. The anti- sense and sense strands of the scrambled control were annealed in the same way.

Human umbilical vein endothelial cells were transfected with INTERFERin(R) siRNA transfection reagent (Polyplus Transfection, Willemdorp, Belgium) according to the instructions provided by the manufacturer. The expression levels of Gal-1 in the transfected cells were evaluated at Day 5 posttransfection using computer- assisted fluorescence microscopy (Olympus AX70; Omnilabo, Antwerp, Belgium) equipped with a MegaView 2 digital camera and Analysis software (Soft Imaging System, Munster, Germany) as detailed previously (21).

Anti-Gal-1 siRNA Administration into Mouse Brains

Osmotic minipumps (Alzet, Charles River Laboratories) were used to infuse at a rate of 0.25 [mu]l/hour vehicle (0.9% NaCl) or nonviral siRNA. Either 0.3 mg of scrambled siRNA (control) or 0.3 mg of anti-Gal-1 siRNA were infused during a period of 2 weeks, as detailed elsewhere (22). Infusions were effected via the ventricular system of the brains of adult mice as described by Thakker et al (23). In addition to the continuous delivery of vehicle, control siRNA, or anti-Gal-1, siRNA were delivered by minipumps; vehicle, control siRNA, and siRNA were also directly injected into the same groups of Hs683 orthotopic xenografts on 3 occasions according to the schedule described in Figure 1A.

Each mouse bearing an Hs683 GBM in its brain underwent euthanasia in a carbon dioxide chamber for ethical reasons when it lost 15% of its weight compared with the first day of tumor grafting. The brain was removed from the skull, fixed in buffered formalin for 5 days, embedded in paraffin, and cut into 5-[mu]m-thick sections; histologic slides were stained with hematoxylin and eosin for vessel counts. To quantify angiogenesis, a grid was used to count numbers of blood vessels as illustrated previously (21). The types of vessels counted are illustrated in Figure 2A. Five fields at a Gx200 magnification were analyzed in each of 5 slides of each tumor; thus, counts were from 25 fields per tumor.

Genomic and Proteomic Analyses

Hs683 cells were transfected twice with control or siRNA directed against Gal-1, as we recently detailed with respect to mouse B16F10 melanoma cells (21). Briefly, Hs683 cells were either left untreated or were transfected during 16 hours with anti-Gal-1 siRNA or control siRNA (Day 0). On Day 1, the transfection procedure was repeated. On Day 2, the cells were washed with phosphate-buffered saline (PBS) and incubated under normal cell culture conditions. On Day 3, each group of cells was pooled and replated for subsequent experiments. On Days 5, 7, and 9, cells were either scraped into cold PBS buffer (for RNA extraction) or lysed directly in boiling lysis buffer (10 mmol/L of Tris, pH 7.4; 1 mmol/L of Na^sub 3^O^sub 4^V, 1% sodium dodecyl sulfate, pH: 7.4) for Western blot (WB) analyses with an anti-Gal-1 antibody (Preprotech TebuBio, Boechout, Belgium); this was performed for each experiment to confirm the effectiveness of the anti-Gal-1 siRNA treatment. RNA extraction and the determination of the quality and the integrity of the extracted RNA were assessed as detailed elsewhere (21). Full genome analyses were performed on Day 5 of transfection at the VIB MicroArray Facility (UZ Gasthuisberg, Catholic University of Leuven, Leuven, Belgium) using the Affymetrix Human Genome U133 set Plus 2.0 (High Wycome, UK).

Microarray Data Analyses

In addition to R, an open-source software environment for statistical computing (24), a set of functions called BioConductor (25) was used for the analysis and interpretation of the genomic data. The quality controls in the Affymetrix microarray experiments were performed with the Simpleaffy package (26) and agreed with the Affymetrix guidelines (Affymetrix, GeneChip Expression Analysis, 2002). The background correction, expression quantification, and normalization were performed using Robust Multichip Analysis (27). To select differentially expressed genes between 2 experimental conditions, probes were first identified for which no overlap occurred between intervals in the expression values obtained for each condition. The fold change between 2 experimental conditions was computed for each of these probes (without any value overlap) as the ratio between the 2 nearest unlog expression values observed for the 2 different conditions (i.e. the ratio closest to 1 between any 2 values from the 2 different conditions). Probes for which these ratios were more than 2.0 or less than 0.5 were then selected. The annotations of candidate genes were retrieved from the Affymetrix website through the BioConductor package “hgu133plus2”. The Expression Analysis Systematic Explorer software package (version 2.0; 28) was used to gather biologic information on the genes detected as overexpressed or downregulated according to the microarray analyses. This software package was then used to rank functional gene clusters by means of the statistical overrepresentation of individual genes in specific categories relative to all the genes in the same category on the microarray.

FIGURE 1. (A, B) Experimental protocol. Wild-type Hs683 cells were grafted orthotopically on Day 0 (DO) (A). Osmotic minipumps delivered vehicle (B; solid blue line), control siRNA (0.3 mg; B; solid pink line), or anti-Gal-1 siRNA (0.3 mg; B; solid green line) for 2 weeks into the third ventricle. Vehicle, control siRNA, and anti-Gal-1 siRNA were also directly injected into the same groups on Day 12 (D12), Day 19 (D19), and Day 26 (D26) posttumor grafting (A; orange arrows). Half of the mice in each WT, control siRNA- and SI- transfected group received 12 intravenous (tail vein) injections of either 50 [mu]l saline (solid color lines; 11 mice per group) or 50 [mu]l of a solution containing temozolomide to result in dosing at 40 mg/kg (B; hatched lines in; 11 mice per group), with the first temozolomide injection administered on D5 postgrafting (A; blue arrows). (C) Typical Hs683 orthotopic xenograft in the brain. (Ca) Conventional immunohistochemistry for Gal-1. (Cb-Cd) Immunofluorescence immunohistochemistry for Gal-1 (Cb, 5 mm from the field shown in Ca) and SI (Cc) in the same Hs683 orthotopic xenograft. (Cc) There is penetration of the SI-fluorescein isothiocyanate into the tumor (green fluorescence). The hatched white area delineates high siRNA concentrations; the 2 white arrows indicate areas of low SI concentration. (Cd) Galectin 1 expression (red fluorescence) in the same slide as in (Cc) indicates specific decreased expression in the area of siRNA penetration but higher levels in the areas of low SI concentration. (D) Western blotting analyses for Gal-1 expression in WT, SCR-, and SI-transfected Hs683 cells. D, day; SCR, scrambled siRNA; SI, anti-Gal-1 siRNA; WT, wild type.

Protein Expression Measurements

Western blot and immunofluorescence (IF) analyses were performed as detailed previously (6, 21, 22). Control experiments, including the omission of the incubation step with the primary antibodies (negative control), were performed. Equal loading was verified by the bright Ponceau red coloration of the membranes. The integrity and quantity of the extracts were assessed by means of alpha-actin or tubulin immunoblotting. The proteins submitted as blots to WB and/ or entire cells to IF analyses were detected using the following primary antibodies: anti-microvascular differentiation gene (MDG1; dilution, 1/1000; AbCam, Cambridge, UK), anti-oxygen-regulated protein 150 (ORP150; dilution, 1/100; IBL, Minneapolis, MN), anti- VEGF (dilution, 1/50; SantaCruz Tebu-Bio, Boechout, Belgium), anti- activating transcription factor (ATF) 6 (dilution, 1/500 WB; 1/100 IF; Imgenex; Bio-Connect BV, Huissen, The Netherlands), anti-ER transmembrane kinase/ribonuclease inositol-requiring (IRE) 1alpha (dilution, 1/500 WB; 1/50 IF; Cell Signaling; Bioke, Leiden, The Netherlands), anti-PERK (dilution, 1/500 WB; 1/50 IF; Cell Signaling; Bioke), anti-X-box-binding protein 1 (XBP1; dilution, 1/ 500 WB; 1/100 IF, Biolegend; Sanbio BV, Uden, The Netherlands), upstream binding factor (dilution, 1/200; SantaCruz TebuBio), anti- Gal-3 (dilution, 1/100; Novocastra; Newcastle, UK); anti-Gal-2 (dilution, 1/100), and anti-Gal-9 (dilution, 1/100) were purchased from R&D Systems (Abingdon, UK). Secondary antibodies were purchased from Pierce (PerbioScience, Erembodegem, Belgium) for the WBs and from Molecular Probes (Invitrogen, Merelbeke, Belgium) for fluorescent detection (Alexafluor conjugated antibodies). Western blots were developed using the Pierce Supersignal Chemiluminescence system.

FIGURE 2. (A) Blood vessels in Hs683 orthotopic xenographs. (Aa) Typical morphology of the blood vessels (white arrows; hematoxylin and eosin staining: x 200). (Ab) Vessel counts in SI-transfected, SCR-transfected, and WT Hs683 orthotopic xenografts (Fig. 1B). (B) Wild-type (Ba) and SCR-transfected (Bb) Hs683 cells developed vasculogenic capillary networks when cultured on Matrigel, whereas SI-transfected cells did not (Bc). The SI that decreased Gal-1 expression in Hs683 glioblastoma multiforme cells (Fig. 1D) also decreased Gal-1 expression in human umbilical vein endothelial cells (HUVECs) (Cd, with Cc as bright field control) when compared with SCR-transfected HUVECs (Cb, with Ca as bright field control). (D) Although the SI decreased Gal-1 expression in HUVEC cells (Cd) compared with WT (not shown) and SCR-transfected cells (Cb), it did not prevent HUVECs from forming capillary networks (Dc) when compared with WT (Da) and SCR-transfected HUVECs (Db). SI, anti-Gal- 1 siRNA; SCR, control siRNA; WT, wild type.

TABLE 1. Gene Categories Overrepresented in the Set of Genes Detected as Differentially Expressed After Decreasing Gal-1 Expression in Human Hs683 GBM Cells

The staining patterns of PERX and IRE-1alpha in Hs683 cells cultured in vitro were analyzed by means of a computer-assisted fluorescent Olympus AX70 microscope (Omnilabo) equipped with a MegaView2 digital camera and analysis software (Soft Imaging System), as detailed previously (21). For immunohistochemical detection of ORP150 in Hs683 orthotopic xenografts, the tumors were fixed for 24 hours in 4% formaldehyde, dehydrated, and routinely embedded in paraffin. Immunohistochemistry was performed on 5-[mu]m- thick sections on silane-coated glass slides. The sections were incubated with 0.4% hydrogen peroxide for 5 minutes to block endogenous peroxidase activity, rinsed in PBS (0.04 mol/L Na^sub 2^HPO^sub 4^, 0.1 mol/L KH^sub 2^PO, and 0.12 mol/L NaCl; pH 7.4), and exposed successively for 20 minutes to avidin (0.1 mg/ml in PBS) and biotin (0.1 mg/ml in PBS) to inactivate endogenous biotin. After rinsing in PBS, the sections were incubated for 20 minutes with 0.5% casein in PBS and exposed sequentially at room temperature to 1) the primary specific anti-ORP150 antibody (see previous discussion), 2) the biotinylated secondary antibody (DakoCytomation, Glostrup, Denmark), and 3) the avidin-biotin-peroxidase complex (ABC kit; DakoCytomation). The presence of labeled peroxidase on the sections was visualized by incubation with a chromogen substrate containing diaminobenzidine and H^sub 2^O^sub 2^. For controls, the primary specific antibody was omitted or replaced by nonimmune antisera. In all cases, these controls were negative.

The presence of labeled peroxidase was quantitatively determined using a KS400 imaging system (Carl Zeiss Vision, Hallbergmoos, Germany). For each Hs683 tumor, 15 fields corresponding to a total surface ranging from 60,000 to 120,000 [mu]m^sup 2^ were scanned. The analysis of the immunohistochemical expression of ORP150 by computer-assisted morphometry was quantitatively expressed by the labeling index, that is, the percentage of cells positively stained with the ORP150 antibody.

Transcription Factor Activity Analyses

Hs683 cells were transfected twice with anti-Gal-1 siRNA or control siRNA, and 1 group of cells was incubated with recombinant Gal-1 (0.1 ng/ml) for 24 hours. On Day 4, cells were scraped into cold PBS buffer, and nuclear extracts were isolated from these cells using the nuclear extraction kit from Active Motif (Rixensart, Belgium; catalog no. 40010).

Arrays were performed using TranSignal protein/DNA arrays according to the manufacturer’s instructions. In brief, biotin- labeled DNA-binding oligonucleotides (TranSignal probe mix; Panomics) were incubated with 15 [mu]g of nuclear extract to allow the formation of protein/DNA (or TF/DNA) complexes. The protein/DNA complexes were then separated from the free probes using the provided spin columns. The probes were hybridized to the TranSignal array membrane overnight at 42[degrees]C. Each membrane was then incubated with streptavidin-horseradish peroxidase conjugate, developed with a substrate solution containing luminol enhancer and peroxide solution, and then exposed using Hyperfilm enhanced chemiluminescence (Amersham). FIGURE 3. (A, B) Immunofluorescence analyses (with bright field controls) of ORP150 in scrambled siRNA treated (SCR) (A) and anti-galactin 1 siRNA treated (SI) (B) transfected Hs683 cells 5 days after transaction. (C) Western blot analyses of ORP150 expression in wild-type (WT), SCR-, or SI- transfected Hs683 cells (after 5, 7, or 9 days). (D) Immunohistochemical expression of ORP150 in an SCR (Da)- and SI (Db)- transfected Hs683 GBM (black arrows). (Dc) Quantitative determination by computer-assisted microscopy of ORP150 expression. (E, F) Immunofluorescence staining with bright field controls of vascular endothelial growth factor in SCR (E)- and SI (F)- transfected Hs683 cells after 5 days. Greater staining in (F) indicates vascular endothelial growth factor retention within the cells.

Statistical Analyses

Survival analyses were carried out by means of Kaplan-Meier curves and Gehan generalized Wilcoxon test. Statistical comparisons between control and treated groups were established by carrying out the Kruskal-Wallis test (a nonparametric 1-way analysis of variance) or the Mann-Whitney test (in the case of 2 groups). All of the statistical analyses were undertaken using Statistica (Statsoft, Tulsa, OK).

RESULTS

Delivering Anti-Gal-1 siRNA into Hs683 CBM Orthotopic Xenografts Increases the Beneficial Effects of Temozolomide

Wild-type Hs683 glioblastoma cells (not transfected with either scrambled or anti-Gal-1 siRNA) were grafted into the brains of nude mice. From Day 5 postgrafting of the cells, osmotic minipumps infused either vehicle alone, control siRNA, or anti-Gal-1 siRNA into the mice as indicated in Figure 1A. Vehicle, control siRNA, and anti-Gal-1 siRNA were also directly injected at 3 time points into Hs683 orthotopic xenografts (Fig. 1A). The mice also received 12 injections (3 per week for 4 weeks, i.v.) of either 50 [mu]l saline (control) or 50 [mu]l of a solution containing temozolomide equivalent to a dose of 40 mg/kg; the first injection started on Day 5 postgrafting (Fig. 1A). Temozolomide significantly increased the survival of Hs683 GBM-bearing mice in all experimental groups (i.e. wild type + vehicle vs wild type + temozolomide [p

FIGURE 4. Immunofluorescence staining with bright field controls of microvascular differentiation gene (MDG1) in control siRNA- and anti-galectin 1 siRNA-transfected Hs683 cells after 5 days. The UBF is a specific nucleolar marker. MDG1 colocalizes with UBF in the nucleoli along with decreased Gal-1 expression. UBF, upstream binding factor.

Well-established Hs683 orthotopic xenografts were present in the brains 30 days postimplantation, and Gal-1 expression was detected in the xenografts (Fig. 1Ca, Cb). Anti-Gal-1 siRNA-fluorescein isothiocyanate (delivered by micro-pump and indicated by the green fluorescence) penetrated into the tumors (Fig. 1Cc). Double immunostaining demonstrated that Gal-1 expression was decreased in areas with high anti-Gal-1 siRNA concentrations, whereas Gal-1 expression remained high in areas where the concentration of the anti-Gal-1 siRNA was lower (Fig. 1Cd). The decrease in Gal-1 expression in Hs683 GBM cells lasted for at least 6 days after the cells were transfected in vitro with the anti-Gal-1 siRNA (Fig. 1D). The anti-Gal-1 siRNA did not modify levels of expression of Gal-2, Gal-3, or Gal-9 (data not shown).

Decreasing Gal-1 Expression in Hs683 GBM Cells Impairs In Vivo Angiogenesis and In Vitro Vasculogenic Mimicry

Tumors were collected from the brains of xenograft-bearing mice from the experiment detailed in Figure 1. Figure 2Aa illustrates the typical blood vessels seen in these tumors. In vivo delivery of the anti-Gal-1 siRNA significantly (p

FIGURE 5. Immunofluorescence analyses (with bright field controls) of XBP-1, ATF6, P-PERK, and of inositol-requiring (IRE) 1alpha in SCR (A, C, E, G)- or SI (B, D, F, H)-transfected (after 5 days) Hs683 cells. Phospho-PERK (I) and IRE-1alpha (I) immunofluorescence staining expression was quantitatively determined by means of computer-assisted microscopy. (J) Western blotting analyses of IRE-1alpha expression in wild-type (Wt), SCR, or SI transfected after 4 or 5 days in Hs683 cells (loading control; tubulin). ATF, activating transcription factor; P-PERK, phospho- protein kinase-like endoplasmic reticulum kinase; SCR, control siRNA; SI, anti-galectin 1 siRNA XBP-1, X-box-binding protein.

Aggressive tumors, including malignant melanomas and gliomas, may generate tumor cells that form vascular channels that facilitate tumor perfusion independent of tumor angiogenesis (29, 30). Because hypoxia influences angiogenesis, vasculogenic mimicry channel formation (i.e. generation of capillary-like networks in vitro), and tumor-invasion-related protein expression in melanoma (31), we investigated whether Hs683 GBM cells are able to perform vasculogenic mimicry-like processes in vitro. When wild-type (Fig. 2Ba) and control-transfected (Fig. 2Bb) Hs683 GBM cells were cultured on Matrigel, they generated networking processes of vasculogenic mimicry, whereas anti-Gal-1 siRNA-transfected Hs683 cells did not (Fig. 2Bc). In contrast, normal HUVECs express high levels of Gal-1 (Fig. 2Ca, Cb), significantly decreasing the Gal-1 expression in approximately 70% of these cells (Figs. 2Cc, Cd), did not impair their ability to form capillary networks (Fig. 2Dc) when compared with wild-type (Fig. 2Da) or control-transfected HUVECs (Fig. 2Db). These results were reproduced in 3 distinct batches of HUVECs (data not shown). Thus, the anti-angiogenic effects obtained on reducing Gal-1 expression in Hs683 tumors seem to be relatively specific to tumor angiogenesis.

FIGURE 6. Endoplasmic reticulum (ER) stress-related control of UPRE- and/or ER stress element (ERSE) sequence-dependent gene expression depicted according to the references cited (Table 2). ATF, activating transcription factor; Bip/CRP78: immunoglobulin heavy chain-binding protein/glucose-regulated protein, 78 kd; elF2, eukaryotic initiation factor 2; GADD, growth arrest and DNA damage; HERP, homocysteine-inducible ER stress-inducible protein; Hsp70, 70- kDa heat shock protein; IRE, inositol requiring; NF-Y, nuclear transcription factor Y; ORP150, 150-kDa oxygen-related protein; PDIA4, protein disuifide isomerase associated 4; PERK, protein kinase-like ER kinase; U-Pr, unfolded protein; UPRE, unfolded protein response element; XBP-1, X-box-binding protein.

Decreasing Gal-1 Expression in Hs683 GBM Cells Impairs the ER Stress Response

Hs683 cells in which Gal-1 expression was reduced by anti-Gal-1 siRNA transfection were subjected to a microarray analysis. One hundred thirty-three genes were found to be overexpressed by greater than 200% (“expression level”>2.0 in Table 1) or decreased by greater than 50% (“expression level”

Transient Cal-1 Reduction in Hs683 GBM Cells Reduces MDG1 and ORP150 Expression and Impairs Angiogenesis Via Retention of VEGF

Among the list of genes in Table 1, ORP150 and the MDG1 are known to have major roles in angiogenesis. Oxygen-regulated protein 150 is an inducible ER chaperone that plays a major role in tumor-mediated angiogenesis via the processing of VEGF (32). Oxygen-regulated protein 150 was first identified and cloned from cultured astrocytes on the basis of their ability to withstand and even produce neurotrophic factors in response to severe hypoxia (33). We first validated the gene expression profiling results for ORP150 by IF (Figs. 3A, B) and WB (Fig. 3C). We further validated our in vitro (Figs. 3A-C) data by immunohistochemical staining of the tumor samples. The in vivo delivery of anti-Gal-1 siRNA significantly (p

TABLE 2. Identification of the Transcription Factors Targeting the Genes*

The expression of angiogenic factors such as VEGF under conditions of cell stress involves both transcriptional and translational events and an important role for inducible ER chaperones (32, 33). The in vivo reduction of ORP150 expression in C6 rat gliomas induces a decrease in angiogenesis in C6 gliomas, whereas the in vitro inhibition of ORP150 expression decreases the release of VEGF into the supernatant of C6 cultured tumor cells (32). In ORP150 anti-sense transfected C6 rat glioma cells, VEGF accumulates within the ER (32). Increased levels of ORP150 promote VEGF processing with subsequent transport from the ER to the Golgi, followed by secretion from the cell (34). The cell death mechanism in tumors arising from ORP150 anti-sense C6 transfectants results largely from the inhibition of angiogenesis, which is caused by the retention of VEGF in the ER (32). In the present study, the decrease in Gal-1 expression in Hs683 GBM cells resulted in a reduction in VEGF secretion into the culture media (data not shown) and marked accumulation in anti-Gal-1 siRNA-transfected (Fig. 3F) compared with control siRNA-transfected (Fig. 3E) Hs683 cells. This likely resulted in impairment of angiogenesis in vivo (Fig. 2Ab). Both the mRNA (Table 1) and cellular expression (Fig. 4) of MDG1 (DNAJB9; Erdj4) were markedly decreased in Hs683 GBM cells with reduced Gal- 1 expression. High levels of MDG1 gene expression reflect the activation state of endothelial cells (35), and its upregulation in endothelial cells is induced by ER stress (36). Use being made of the upstream binding factor (UBF) as a marker of nucleoli (37). Microvascular differentiation gene may also play a number of roles in stabilizing 78-kd glucose-regulated protein (GRP78) binding to unfolded substrate proteins in a J domain-dependent manner, thus preventing the accumulation of unfolded proteins in the ER, thereby protecting cells from ER stress (36). The mRNA levels of GRP78 were decreased more than 4-fold when Gal-1 expression was reduced in Hs683 cells (Table 1). Microvascular differentiation gene was originally isolated from differentiating microvascular endothelial cells cultured in collagen Type I gels (3D culture) and is known to be upregulated in primary endothelial and mesangial cells when subjected to various stress stimuli (36). Microvascular differentiation gene proteins are located in the cytoplasm under control conditions, but stress induces their translocation into the nucleus where they accumulate in the nucleoli (36). Similarly, the transient reduction of Gal-1 in Hs683 GBM cells caused decreases in cytoplasmic MDG1 expression with concomitant accumulation in nucleoli (Fig. 4).

Gal-1 May Modulate ORP150 Expression Through IRE-1alpha

Galectin 1 expression in Hs683 cells did not modify the expression levels of XBP-1 (Figs. 5A, B), ATF6 (Figs. 5C, D) or RNA- dependent PERK (Figs. 5E, F). In contrast, decreasing Gal-1 expression was accompanied by a marked decrease in IRE-1alpha expression (Figs. 5G, I; p

Clear relationships have been identified for the targets analyzed in Figure 5 and the signaling pathways in which they are involved (Fig. 6). Inositol-requiring 1alpha has a major role in mRNA splicing processes, that is, cellular processes in which Gal-1 participates (see Discussion section).

TABLE 3. Hypoxia-Related Genes (in Addition to ORP150 and MDG1) Involved in Angiogenesis, the mRNA Expression Levels of Which Were Modified in Anti-Galactin 1 siRNA-Treated Hs683 GBM Cells

The ER stress response element (ERSE) sequence evidenced in the ORP150 gene is also present in the promoters of other genes, including, for example, GRP78 and homocysteine-inducible ER stress- inducible protein (Fig. 6). The expression of each of the genes for these proteins is also downregulated in anti-Gal-1 siRNA- transfected Hs683 cells (Table 1). Table 2 gives an overview of potential Gal-1-targeted genes (Table 1), the promoters of which contain sequences that are targeted by transcription factors involved in ER stress and/or the UPR (Fig. 6). In brief, the data in Table 2 suggest that decreasing Gal-1 expression in Hs683 GBM cells induces a decrease in the mRNA levels of a cluster of genes that are directly implicated in ER stress and/or the UPR and the promoters of which are activated by ERSE or ERSE-related targeting transcription factors.

Decreasing Gal-1 Expression Decreases mRNA of Hypoxia-Related Genes that are Implicated in Angiogenesis

Knowing that hypoxia stimulates Gal-1 expression (13) and that Gal-1 is a potent proangiogenic factor (9) that exerts a major influence on MDG1 and ORP150 at both gene expression (Table 1) and protein (Figs. 3, 4) levels, the list of 133 genes whose expression was modified on Gal-1 knockdown was investigated for those known to be hypoxia regulated and implicated in angiogenesis. Table 3 reveals that 6 hypoxia-related genes (CTGF, ATF3, PPP1R15A, HSPA5, TRA1, and CYR61) implicated in angiogenesis (in addition to ORP150 and MDG1) had their mRNA levels decreased in Hs683 cells when Gal-1 expression was reduced. Galectin 1 thus seems to be a key effector of hypoxia- mediated modification in the expression of several genes that are implicated in angiogenesis.

DISCUSSION

Hypoxia stimulates Gal-1 expression (13) and activates the UPR (54, 55). Hypoxia also suppresses protein synthesis through the regulation of the initiation step of mRNA translation (17). The present study suggests that Gal-1 can be a key mediator in these processes by modulating a general mechanism of tumor cell defense. Because Gal-1 is itself stimulated by hypoxia, this would seem to be the case at least in the human Hs683 GBM and the mouse B16F10 melanoma (23) models. The protective effects of Gal-1 in cancer cells seem to relate at least in part to the control of the expression of a cluster of hypoxia-related genes that are known to be involved in angiogenesis and include ORP150. Galectin 1 may thus control ORP150 expression, and therefore VEGF maturation, through activation of IRE-1alpha (Figs. 5, 6). Both Gal-1 and IRE-1alpha are implicated in mRNA splicing.

Cultured astrocytes that are exposed to hypoxic stress overexpress GRP78/Bip, GRP94, and ORP150 (56). Furthermore, the localization of these 3 proteins to the ER (57) suggests that hypoxia induces a stress response the focal point of which may be in this organelle (56). Decreasing Gal-1 expression, even transiently, markedly decreased the levels of expression of GRP78/Bip, GRP94, and ORP150 and numerous other hypoxia-related genes (Tables 1-3) in Hs683 cells. Oxygen-regulated protein 150 may be cytoprotective against ischemia/reperfusion injury in the human (58) and rodent brain (59) and in renal tubular epithelium (60) via reduction of ER stress and probably also in the inhibition of apoptosis (60). As in the present study, inhibition of ORP150 expression in cultured macrophages causes retention of VEGF within the ER, whereas overexpression of ORP150 promotes the secretion of VEGF into hypoxic culture supernatants (32, 34). Increased levels of ORP150 promote VEGF processing with subsequent transport from the ER to the Golgi, followed by export out of the cell (32, 34). Decreasing Gal-1 expression in Hs683 cells markedly decreased ORP150 expression and resulted in accumulation of VEGF in Hs683 cells (Fig. 3).

In mammalian cells, there are 4 sensors that respond to ER stress: IRE-1alpha, IRE-1beta, PERK, and ATF6 (34, 61) (Fig. 6). Protein kinase-like ER kinase plays an important role in the attenuation of translation and apoptosis during ER stress by activating a pathway controlled by ATF4, GADD 153 and the CCAAT/ enhancer-binding protein homologous protein (61). The present study shows that decreasing Gal-1 transiently in Hs683 cells did not modify the expression of PERK (either at the genomic or proteomic levels) or of ATF4 at the genomic level (data not shown). It also did not induce apoptosis in these cells (data not shown).

Inositol-requiring 1beta is reported to be involved in the ER stress-dependent degradation of rRNA (61, 62). The present study reveals that decreasing Gal-1 transiently did not modify IRE-1beta expression at either the genomic or proteomic level (data not shown) in HS683 cells. Inositol-requiring 1alpha and ATF6 play essential roles in the induction of ER chaperones. Activating transcription factor 6 is a 90-kd Type II ER transmembrane protein containing a DNA-binding domain in the N-terminal cytoplasmic region, whereas its C-terminal domain resides in the ER lumen (61). Upon stimulation by ER stress, ATF6 is cleaved by Site 1 and Site 2 proteases, the same enzymes that cleave the sterolresponse-element binding protein (44). The 50-kd N-terminal half of the protein is transported to the nucleus and recognizes the ERSE (consensus sequence CCAATN^sub 9^C- CACG) in the promoters of ER chaperone genes, including GRP78, GRP94, ORP150, homocysteine-inducible ER stress-inducible protein, and PDIA4/ERP70 (Fig. 6; Table 2). These expression levels of all of these genes were modified by transiently decreasing Gal-1 expression. Activating transcription factor 6 binds ERSE only in the presence of nuclear factor Y, which recognizes the CCAAT box (61) (Fig. 6). Endoplasmic reticulum stress-activated ATF6 induces the transcription of XBP1 mRNA through the ERSE element of the XBP1 gene (61). Decreasing Gal-1 transiently in Hs683 cells did not modify XBP1 expression either at genomic or proteomic levels, nor its activity at the transcriptomic level (data not shown).

X-box-binding protein 1 mRNA is spliced by the IRE-1alpha protein under conditions of ER stress (61). The XBP1 protein translated from the spliced mRNA is active for transcription, whereas those translated from the unspliced mRNA is inactive and rapidly degraded (61). Active XBP1 recognizes ERSE in the presence of nuclear factor Y and activates the transcription of the XBP1 gene itself and of ER chaperones (44). The current data revealed that decreasing Gal-1 transiently in Hs683 cells markedly modified the level of expression of IRE-1alpha (Fig. 5) in these cells, thus preventing XBP1 splicing.

The initial hint that Gal-1 might play a role in premRNA splicing came from the fact that nuclear extracts from HeLa cells contain both Gal-1 and Gal-3, and that the depletion of both Gals from these nuclear extracts either by lactose affinity adsorption or by double- antibody adsorption results in a loss of splicing activity (63, 64). Moreover, Gal-1 and Gal-3 were shown by double-IF experiments to be colocalized in nuclear speckles, with known splicing factors such as the core polypeptides of small nuclear ribonucleoproteins bearing the Sm epitope and the small nuclear ribonucleoprotein splicing factor SC35. Furthermore, it was shown in a 2-hybrid screen that Gal- 1 directly binds to Gemin4, a component of nuclear complexes containing survival of motor neuron proteins (63). It was also shown that antisera to Gal-1 and Gal-3 coimmunoprecipitate with protein factors, including HnRNP C1/C2 and Slu7, which are components of the spliceosomal complexes (65). The novel aspects of Gal-1-related function in the ER stress response that are highlighted in the present study may be amenable to therapeutic manipulation either by the in vivo delivery of anti-Gal-1 siRNA as demonstrated here or through chemicals that suppress Gal-1 expression and/or biologic activity (7, 8, 66, 67). The in vivo delivery of antiGal-1 siRNA can be performed directly in cases of GBMs using Ommaya reservoirs, thus minimizing/avoiding systemic release/exposure and potential hepatotoxicity. Decreasing the levels of Gal-1 expression in gliomas may thus i) contribute to decreasing the migration levels of individual GBM cells diffusely invading the brain parenchyma (6, 7; Fig. 2Bc); ii) weaken glioma cell defenses by reducing their ability to respond to ER stress and/or the UPR; and iii) impair angiogenesis. These effects were collectively seen in the present study to reinforce the therapeutic benefits of the proautophagic drug temozolomide, the current standard chemotherapeutic treatment for GBM patients, in a glioblastoma model in vivo.

The present study does not show direct cause and effect of the apparent improvement in response to temozolomide on Gal-1 knockdown. Our observations may be consistent with the Gal-1 knockdown- mediated effects on hypoxia/angiogenesis and stress genes, or with the fact that these genes are implicated in pathways that may account for the improved response to temozolomide. We are currently performing experiments to further elucidate the mechanism for the Gal-1 knockdown enhancement of the therapeutic benefits of temozolomide in experimental glioma models.

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48. Blais JD, Filipenko V, Bi M, et al. Activating transcription factor 4 is translationally regulated by hypoxic stress. Mol Cell Biol 2004;24: 7469-82

49. Kaufman RJ. Stress signaling from the lumen of the endoplasmic reticulum: Coordination of gene transcriptional and translational controls. Genes Dev 1999;13:1211-33

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Marie Le Mercier, MSc, Veronique Mathieu, MD, PhD, Benjamin Haibe- Kains, MSc, Gianluca Bontempi, PhD, Tatjana Mijatovic, PhD, Christine Decaestecker, PhD, Robert Kiss, PhD, and Florence Lefranc, MD, PhD

From the Laboratory of Toxicology (MLM, VM, TM, CD, RK, FL), Institute of Pharmacy, Free University of Brussels (ULB); MicroArray Unit (BHK), Jules Bordet Institute; Machine Learning Group (BHK., GB), Department of Computer Science, ULB; and Department of Neurosurgery (FL), Erasmus University Hospital, ULB, Brussels, Belgium.

Send correspondence and reprint request to: Robert Kiss, PhD, Laboratory of Toxicology, Institute of Pharmacy, Free University of Brussels, Campus de la Plaine CP205/1-Boulevard du Triomphe, 1050 Brussels, Belgium; E-mail: [email protected]

F.L. is a Clinical Research Fellow; C.D. is a Senior Research Associate; and R.K. is Director of Research with the Belgian National Fund for Scientific Research, FNRS, Belgium. V.M. and M.L.M. are holders of a “Grant Televie” from the FNRS.

This study was supported by grants awarded by the Fonds de la Recherche Scientifique Medicale (FRSM, Belgium) and by the Fonds Yvonne Boel (Brussels, Belgium).

Copyright Lippincott Williams & Wilkins May 2008

(c) 2008 Journal of Neuropathology and Experimental Neurology. Provided by ProQuest Information and Learning. All rights Reserved.

Cancer Cure in Mice to Get Human Trials

By Zoe Elizabeth Buck, The News & Observer, Raleigh, N.C.

Jun. 29–Clinical trials begin this week at Wake Forest University on a cancer therapy that has completely cured the disease in every mouse tested over the past few years.

The therapy involves the transfusion of white blood cells from cancer-resistant donors into cancer patients, letting loose a uniquely qualified army of disease fighters to attack the invading tumor.

Some scientists are skeptical about the move from mice to humans, but others are excited about the possibility of success.

Dr. Zheng Cui, the lead investigator, and his team at the Wake Forest University School of Medicine announced the move to human clinical trials Saturday at the Understanding Aging Conference in Los Angeles. The team recently won approval for human trials from the Food and Drug Administration.

“This is the first time that such aggressive cancer in mice has been eradicated like this,” Cui said. “This is a very dramatic result.”

The result is especially dramatic considering its discovery stemmed from a series of accidents, starting with one extraordinary mouse.

In the late 1990s, Cui and his team were using mice as experimental cancer patients for their research, injecting them with malignant cells. Within three to four weeks, as expected, all the injected mice developed tumors and died.

But in 1999, for some reason, one mouse didn’t develop tumors and didn’t die.

Dr. Lloyd Old of the Ludwig Institute for Cancer Research, who was collaborating in the research, later said that if Cui had been trained as an immunologist, he would have thrown out the mouse right then. But Cui was trained as a medical doctor, and his curiosity led him to continue testing the oddball mouse, injecting it with higher and higher lethal doses of carcinogens.

No matter how many times the researchers tried to give the mouse cancer, it didn’t develop a tumor, and it didn’t die.

The mouse was immune to cancer.

Making sure

As cautious scientists, Cui and his team decided to breed the mouse and test its offspring for cancer immunity.

“We knew that if we hadn’t made a mistake, something very dramatic was happening, but we had to know we weren’t making a mistake,” he said.

It wasn’t a mistake. Three of the mouse’s seven grandchildren didn’t get cancer, either. Whatever was causing the cancer resistance was built into the mouse’s family genes. News of the finding created a stir.

“Our lives were suddenly overtaken by an unexpected media frenzy,” Cui wrote in 2003. Headlines proclaimed a cure for cancer — albeit in mice.

“People got very excited for a reason,” he said. “It was exciting. We had direct evidence for cancer immunity that we could reproduce at will. It was a very profound result, and it was not subtle. I don’t think people could have overreacted.”

The next step was to figure out how to transfer that cancer immunity from the special mice to mice that were dying of cancer. The solution is apparently hidden in the mice’s white blood cells, which are like a tiny biological army. They are carried in the bloodstream to fight infection and disease throughout the body.

For some reason — Cui and his team don’t know why — the white blood cells from the immune mice could defeat the cancer every time, while the other mice’s white blood cells were unable to stave off the infection.

The majority of contemporary cancer research focuses on these cellular soldiers. But most research seeks to isolate certain parts of the cells and stimulate them in test tubes, a complex process.

Cui’s procedure is simple.

“We don’t have to do anything to manipulate the white blood cells,” Cui said. All he and his team did was transfuse the immune mouse cells into the sick mice, and the tumors melted away.

“It’s like we discovered aspirin, only instead of curing headaches it’s curing cancer,” Cui said. “We don’t know how it works exactly, but it doesn’t really matter.”

A leap forward

Rather than spend years determining the mechanisms behind the miracle, Cui thought it was more important to press forward toward clinical trials in humans.

But Cui’s eagerness to move forward could lead to problems.

“Anything that seems like a miracle always runs into roadblocks in the future,” said Vivek Rangnekar, a cancer researcher at the University of Kentucky. “If you don’t know the mechanism behind what is going on, you will not be equipped to deal with those roadblocks. For example, they could find that the cancer builds up a resistance, and if they don’t know what’s going on they will not be equipped to deal with that.”

As Cui moves forward, he must first find a source for the cancer-fighting white blood cells — the human equivalent of that miraculous mouse.

Next week, Cui’s team will begin a search for cancer-resistant humans.

Next step: humans

Whether people are immune to cancer is probably rooted in their genetic background.

“Some families just don’t have any cancer for generations, even among heavy smokers,” he said. “Chances are it is probably not because they are lucky.”

These cancer-resistant people are identified by examining how well their white blood cells fight off cancer cells in a test tube. Once a set of donors is selected, the clinical trial will move into the treatment stage, harvesting white blood cells from immune people and transfusing them into cancer patients. The process will be relatively painless by contrast with current cancer treatments such as chemotherapy or radiation therapy, which often have debilitating side effects.

“It’s basically a blood transfusion — a safe procedure that goes on all the time,” Cui said.

Doubts and pessimism

Other researchers remain cautious. Dr. Len Lichtenfeld, deputy chief medical officer of the American Cancer Society, said it was important to note that we simply won’t know anything about the viability of the therapy for humans until the clinical trial begins.

“We’re always hopeful,” he said, “but we have to temper our enthusiasm.”

Some scientists expressed pessimism about the clinical trials. Lab mice have such close genetics that any two members of the same strain are essentially identical twins. This is not true in humans. Some experts worry that the cancer patients’ bodies will reject the donated cells from the blood transfusion, or worse, that the white blood cells, designed to identify and attack anything foreign to them, will attack the body of the patient from the inside.

Cui said he is aware that the procedure comes with risks. But, he said, the white blood cell transfusions have been used in other fields of medicine for years.

“We’ve minimized all the risk, especially for these first few rounds of trials,” he said. “We don’t know what will happen, but we hope this will cure several types of cancer and help a few people in the next months. This could be another arrow in the cancer treatment quiver.”

[email protected] or (919) 829-4753

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Copyright (c) 2008, The News & Observer, Raleigh, N.C.

Distributed by McClatchy-Tribune Information Services.

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Exercises to Try That Spare the Knees

DEAR DR. DONOHUE: I am a former athlete with 25 years of soccer playing, eight years of ballet, six years of field hockey, 12 high- school varsity letters and a four-year, full-ride athletic scholarship to college. When I was 32, a hockey injury dislocated my knee and caused anterior cruciate ligament damage. At age 40, I injured the other knee. Arthroscopic surgery showed the knee joint is basically shot, and I am not able to run or do any impact exercises involving the knee. They say athletes have two deaths: one that is final and one that forces them to give up athletics. It’s a fact. What can I do? I am 46 now. – L.M.

ANSWER: You have to experiment to find an exercise your knees can tolerate. If you can’t find such an exercise, then you can confine your workouts to upper-body workouts. A stationary bike puts little stress on the knee if the seat is adjusted so that there is only a slight knee bend when the pedal is in the downmost position. Low- impact aerobics is another possible choice. During this kind of exercise one foot is always on the ground, so there is no jumping and no full body weight squashing the knee.

Water aerobics might work. Exercising in chest-to waist-high water gives the knees the protection of water buoyancy. Water shoes are available. They permit you to move about. Manufacturers include Ryka, Avia and H2O Wear.

Deep-water exercise removes all knee stress. You have to wear a flotation device to keep your body vertical in the water. A water- buoyancy belt works well.

As a last resort, exclusive upper-body exercise puts no strain on the knees. It helps if you belong to a gym where you can move from one exercise station to the next. You do arm curls at one station, arm extensions at the next, then bench presses and on and on with little pause between each station so you keep your heart beating somewhat fast. This gives you the benefit of both muscle-building and aerobic exercise.

DEAR DR. DONOHUE: Can I exercise while recovering from postherpetic neuralgia (shingles)? I am 79. I do three hours of weightlifting, three hours of aerobics and four hours of yoga a week. I had shingles five weeks ago and am now recovering from postherpetic neuralgia. I have not exercised for five weeks and am going crazy. – V.P.

ANSWER: You can exercise if exercise doesn’t make the pain worse. I’d resume with a lighter schedule and gradually increase the time spent in exercise until you’re back where you were before shingles struck.

DEAR DR. DONOHUE: I am in my early 70s and have always led an active life. Arthritis of the knees has put a limit to my exercise. I have been told that running or even brisk walking might aggravate the occasional pain of my arthritis.

I enjoy brisk walking on a treadmill three times a week. I have slight pain infrequently. I can work up a sweat. I also do calisthenics and lift light weights. Those exercises don’t make me sweat at all. What is the comparative benefit of brisk walking to calisthenics and light weightlifting? – E.B.

ANSWER: Treadmill brisk walking is said to be one of the easiest exercises on the knees. If it’s not making your knee pain worse, it’s not hurting you. Sweating doesn’t always equate with exercise intensity. However, in the two cases you site, brisk walking is burning more calories than are calisthenics and weightlifting. I’m not making that a general statement. I’m making it a statement applicable only to you. Sweating means you are increasing body heat. Sweating is the body’s way of returning body temperature to normal. Evaporation of sweat cools the body. Body heat increases when you burn more calories. For you, brisk walking is burning more calories.

DEAR DR. DONOHUE: My wife has wet macular degeneration. Should she take the newly approved Macugen treatment for this condition? – P.C.

ANSWER: The macula is a circular area of the retina smaller than a very small shirt button. It’s responsible for the perception of the most detailed sight, the kind involved in reading, sewing and watching TV. Macular degeneration, a common cause of vision loss in older ages, comes in two varieties – dry and wet. Dry macular degeneration – the more common variety, accounting for 85 percent to 90 percent of all cases – comes about from a crumbling of the macula’s cells. The more unusual form, wet macular degeneration, results from a proliferation of blood vessels that sprout beneath the retina. These vessels are fragile. They leak fluid and break, hence the name “wet.” As a consequence, scar tissue forms and can cause rapid and severe vision loss.

Researchers have looked for the reasons why these blood vessels should suddenly spring up, and they finally discovered it was due to VEGF – vascular endothelial growth factor. VEGF is found in the eyes of people with wet macular degeneration, and it is the substance that spurs vessel growth. Armed with that information, other scientists found a medicine that can counteract VEGF – pegaptanib (Macugen). Eye doctors inject Macugen into the eye, a procedure that sounds awful but is not. The medicine reduces vision loss, slows progression of wet macular degeneration and, in a few, improves vision.

Macugen is new, but it is not the only treatment for this condition. Photodynamic inactivation is another good treatment. A drug is injected into an arm vein. This drug makes it to the newly formed, fragile blood vessels lying beneath the retina and lodges in them. An infrared laser, shined in the eye, coagulates the blood vessels that have the drug in them and seals them off. I can’t say what procedure is better or more suitable for your wife. Her eye doctor has to guide her in the choice.

Readers who would like more information on both kinds of macular degeneration can order the booklet on that topic by writing: Dr. Donohue – No. 701, Box 536475, Orlando, Fl 32853-6475. Enclose a check or money order (no cash) for $4.75 U.S./$6.75 Can. with the recipient’s printed name and address. Please allow four weeks for delivery.

Dr. Donohue regrets that he is unable to answer individual letters, but he will incorporate them in his column whenever possible. Readers may write him or request an order form of available health newsletters at P.O. Box 536475, Orlando, FL 32853- 6475. Readers may also order health newsletters from www.rbmamall.com

(c) 2008 Sun-Journal Lewiston, Me.. Provided by ProQuest Information and Learning. All rights Reserved.

Yakima Man to Receive ‘Livestrong’ Award From Lance Armstrong

By Pat Muir, Yakima Herald-Republic, Wash.

Jun. 28–Barry James is 39 and has no illusions about the rare form of cancer that returned to his liver in February; he knows it’s likely to kill him.

But that’s not going to keep him from running and biking and lifting weights. It won’t keep him from teaching second grade. It won’t keep him from spending time with his wife and playing with his son.

“Realistically this stuff may catch up to me at some point,” James said. “But I’ve always said, ‘It’s not going to happen today.'”

That is the attitude that made James the winner of the Livestrong Challenge Award to be presented to him by cyclist Lance Armstrong in Portland on Sunday.

The presentation will come during the annual Livestrong Challenge, a road race and cancer fundraiser sponsored by the Lance Armstrong Foundation.

James, who has run in the event’s 5-kilometer footrace the past two years and plans to bike its 10-mile cycling race this year with his son, Aaron, was nominated for the honor by his wife, Sarah James.

A runner all his life and president of the Hard Core Run-ners Club in Yakima, James was first diagnosed with epithelioid hemangioendothelioma in October 2005.

Surgeons removed a 6-cent-imeter tumor along with his gall bladder and half of his liver. The cancer recurred the next year; two more tumors were removed. Then came the recurrence this year — eight new tumors on his liver and spots of cancer on both of his lungs.

It was a shock. He had been clean at every checkup since his last operation. He had another setback about a week ago when doctors told him the presence of cancer in his lungs ruled him out as a liver transplant candidate. Instead he will have to rely on drugs, hoping they can stunt the cancer’s growth.

But after a “grieving process,” the second-grade teacher at Apple Valley Elementary School committed himself to living life as well as he could.

“I always kind of remind myself that I really have no control over that stuff,” James said of the tumors’ recurrence. “But the other aspects of my life, I do.”

Sarah saw her husband and how he “just wouldn’t let it negatively impact his life,” and was inspired.

“Barry’s most impressive commitment to the fight against cancer is personal,” she wrote in her essay nominating him for the award. “Barry doesn’t consider himself to be someone who ‘has’ cancer. He believes he’s an individual ‘living strong’ who happens to have rare tumors on his liver and lungs.”

That perspective comes through in the speech James plans to give after Armstrong presents the award Sunday. In it, he describes how cancer has changed his life “for the better in a lot of ways.” It concludes, in typical James fashion, with a forward-looking prediction.

“I definitely plan to be back at Livestrong 2009.”

–Pat Muir can be reached at 577-7693 or [email protected].

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To see more of the Yakima Herald-Republic or to subscribe to the newspaper, go to http://www.yakima-herald.com/.

Copyright (c) 2008, Yakima Herald-Republic, Wash.

Distributed by McClatchy-Tribune Information Services.

For reprints, email [email protected], call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

No Massage Without a License, State Says

By Christie Smythe, The Arizona Daily Star, Tucson

Jun. 28–Chair massage business Oriental Chi has been told by a state board that it can no longer give massages until its therapists have state licenses.

The Arizona State Board of Massage Therapy and the state Attorney General’s Office are negotiating an agreement with Oriental Chi to make sure the business operates according to state law, said Robert Wilson, the board’s deputy director.

Previously, Oriental Chi’s workers performed quick chair massages without massage licenses in local malls. In a Star story published in November, Oriental Chi owner Steven Chen said his workers were not technically performing massages but less intensive “energy work,” which does not require a license in Arizona.

Now, Chen said he is paying to have his massage workers licensed. About a dozen work for Oriental Chi, he said.

“We just want to comply with the state board,” he said in a phone interview. He added that he didn’t think the process would be difficult for them.

“They already have so much experience and so much knowledge,” he said.

Chen said Oriental Chi will stop doing chair massages in places where it does not have licensed massage therapists “in the next day or two.” Oriental Chi operates in four locations: Park Place, Tucson Mall, Foothills Mall and the Mall at Sierra Vista.

A local massage trainer said she thinks the state board is being too soft on Oriental Chi.

“They should have been fined. They should have been closed down until they can show proof of license,” said Denise Caywood, who trains therapists at the Westin La Paloma’s Elizabeth Arden Red Door Spa. “No one is going to have respect for this field and its requirements unless the requirements are enforced.”

People who perform massage without a license could lack proper training and may not know how to handle special cases, such as clients who are pregnant or who have diabetes or cancer, Caywood said. She said she also worried that Oriental Chi’s Chinese therapists, who appear to speak limited English, might not be able to communicate with clients about possible health problems.

Under state law, people found to be practicing massage without a license can be charged with a misdemeanor and possibly fined. The state massage board can also seek an injunction to stop the business from operating.

State law defines massage as “the manual application of compression, stretch, vibration or mobilization of the organs and tissues beneath the dermis” for all parts of the body except the head, hands and feet. Massage therapists need at least 700 hours of training to be eligible for a license in Arizona.

But Wilson said the board’s enforcement powers are usually limited to therapists who are already licensed. Otherwise, the massage board has to rely on the help of law enforcement and other agencies, he said. So far, the board has notified Tucson police about Oriental Chi but has not yet pursued fines or an injunction, he said.

Oriental Chi workers’ English skills are irrelevant, however, Wilson said. While immigrant workers do have to be legally allowed to work in the U.S. to obtain a state massage license, they do not have to speak English fluently, he said.

In the meantime, Oriental Chi will be permitted to practice reflexology, which involves pressure areas on the hands and feet, Wilson said. Chen said workers will practice reflexology while he works to get them licensed or hires licensed massage therapists.

“We have a very loyal customer base, a very strong clientele,” Chen said. “That’s why we want to spend so much money to make sure we can do this type of service in Tucson for long term.”

Find local consumer news daily at www.AzStarBiz.com.

–Contact reporter Christie Smythe at 434-4083 or [email protected].

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To see more of The Arizona Daily Star, or to subscribe to the newspaper, go to http://www.azstarnet.com.

Copyright (c) 2008, The Arizona Daily Star, Tucson

Distributed by McClatchy-Tribune Information Services.

For reprints, email [email protected], call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

Roche Begins Tamiflu Stockpile Program

Swiss drugmaker Roche has announced a program that allows U.S. companies to stockpile their own supplies of Tamiflu to be delivered should a flu pandemic occur.

State, federal and foreign governments already have been stockpiling Tamiflu, an anti-viral drug used to prevent and treat influenza, USA Today reported.

The new program would allow corporations to do the same.

To participate in Roche’s program, a company would have to commit to a minimum order of 2,500 courses of the drug at $6 each, for an annual fee of $15,000, said Roche President and Chief Eexecutive Officer George Abercrombie.

Under the agreement, Roche stores the medication, making sure it is up-to-date and secure.

The newspaper reported that once a year, companies can decide to opt out or continue the Tamiflu program.

If a company wants to take possession of its Tamiflu stockpile, the medication can be bought at the wholesale price and delivered within 48 hours, Abercrombie said.

Belarusian Law Clamps Down on Media, Watchdog Says

Lawyers from the Belarusian Association of Journalists say a new law on mass media clamps down on freedom of speech, a website has reported. The author said the new law strengthens control over mass media by redefining regulations for re-registration and financing. The author said accreditation will be more strict under the new law especially as it allows bureaucrats to decide whom to accredit and to whom to deny accreditation and added it will be easier to close media for “disseminating untrue information which could harm state or public interests”. The following is the text of the unattributed article, entitled “The new law on mass media is far more severe than the previous one”, posted on the Belarusian human rights group Charter-97 website on 23 June, subheadings have been inserted editorially:

Financing and re-registration

The law “On mass media”, passed in the first reading of the House of Representatives [lower house], makes the conditions under which independent media operate far more strict.

Lawyers from the Belarusian Association of Journalists, Mikhail Pastukhov and Yuryy Toporashev, say that in this case we are not talking about changes to the law on the press, but about a completely new law regulating the activity of mass media.

While mostly keeping the construction of the current law on the press, this bill introduces significant new ideas in the legal regulation of press activity, which, should they be passed, could be lethal to the development of independent journalism in the Republic of Belarus.

The first and most important new idea is the legal framework of the global computer network, the Internet, as mass media. The regulations here will not only be carried out on the level of the law, but in by-laws and regulations.

The bill includes Article 8 – Financing mass media. Pursuant to it, some media may be financed from the republican or local budgets or other sources, while others will be banned from receiving monetary funds or other property from foreign legal entities or anonymous sources.

The bill retains the request-permission order for registering media. It fully covers internet media as well, with the addition that this will be determined by the government.

One must keep in mind that the bill makes the order of re- registering media more strict. Specifically, if a media has not been published for more than six months (not a year, as is now the case), then re-registration is obligatory.

Article 17 of the bill reads that media products may only be distributed by legal entities holding the function of editorial boards at media, or which have contracts with them to distribute media. This article also notes that distribution of internet media will be regulated by government acts.

Another new addition to the bill is setting up a Public Coordinating Council in the sphere of mass information. Its composition and manner of acting will be determined by the Information Ministry.

Accreditation and accountability

Significant changes are made to accreditation. Article 1 of the bill defines accreditation as “presenting a journalist from the mass media the right to report on events organized by state entities…[ellipsis as published]”. Article 35 specifies the rules of accreditation. Part 2 reads that the manner of accrediting journalists is determined by state bodies. That is, the issue of whom to accredit and whom not to accredit will not be decided by the law, but by a bureaucrat. Clause 4 of the article contains the categorical remark that journalists from foreign media may not carry out their professional functions in the Republic of Belarus without accreditation.

Article 37, Information of limited access, may be considered one of the bill’s odious articles. It provides a list of information which ends with an allusion to other information which may be reviewed in “legal acts of the Republic of Belarus.

In addition to this, Article 38 of the bill defines a list of information items which the media is not allowed to disseminate.

The pinnacle of the bill is in Chapter 9, which envisions accountability for violating the law on mass media. Pursuant to it, a written warning to the media’s editorial board is the initial form of accountability and it can be given for various reasons including for “disseminating untrue information which could harm state or public interests”, “disseminating information which is not true and which discredits the honour, dignity or business reputation of natural persons or the business reputation of legal entities or individual entrepreneurs” (Article 49). Written warnings are given either by the Information Ministry or a prosecutor on any level.

The second measure of accountability is stopping the activities of mass media for a period of up to three months, based on a decision from the Information Ministry covering a wide range of violations (Article 50).

And finally, the most severe measure is to stop publication of the media. A decision on this is taken by a court based on a suit filed by the Information Ministry or a prosecutor under the condition that the media outlet or its founder (founders) received two or more written warnings in the course of a year.

Significant amendments were made to Article 47 of the current law on the press which envisions freeing media of accountability if they have reprinted information and in other cases. In the bill (Article 52), mass media and journalists are deprived of this “privilege” in cases when information is distributed which discredits the Republic of Belarus and also information which is untrue or which discredits the honour, dignity or business reputation of natural persons or the business reputation of legal entities or individual entrepreneurs.

Originally published by Charter-97 website, Minsk, in Russian 23 Jun 08.

(c) 2008 BBC Monitoring Former Soviet Union. Provided by ProQuest Information and Learning. All rights Reserved.

Company Profile for Alter-G, Inc.

Alter-G Inc., a Silicon Valley company founded in 2005, sets the standard for results-oriented, body weight support equipment, enabling individuals to improve mobility and health, recover more rapidly from injury and surgery, overcome medical challenges, and enhance physical performance. The company’s patented gravity differential technology was developed at NASA and prototype-tested by Nike’s Oregon Project for distance runners. Health and medical clinics, rehabilitation and training facilities, professional athletes, and top collegiate programs across the U.S. use the company’s G-Trainer anti-gravity treadmill to provide the unique benefits of walking and running at reduced body weight for their patients. Find out more at www.alter-g.com.

 Company:                   Alter-G, Inc.  Headquarters Address:      1090A O'Brien Dr. Menlo Park, CA 94025  Main Telephone:            1-650-289-9444  Website:                   http://www.alter-g.com  Type of Organization:      Private  Industry:                  Fitness & Nutrition  Key Executives:            CEO: Lars Barfod  Public Relations Contact:                   Helen Kennedy Phone:                     1-510-693-2217 Email:                     [email protected]  Investor Relations Contact:                   Lars Barfod Phone:                     1-650-289-9444 Email:                     [email protected] 

Medicare Fraud Convictions Result in Prison Terms for Mother and Two Daughters

WASHINGTON, June 27 /PRNewswire-USNewswire/ — The owners of four Miami-based healthcare corporations were sentenced and remanded to prison yesterday for their roles in schemes to defraud the Medicare program, Acting Assistant Attorney General Matthew Friedrich of the Criminal Division and U.S. Attorney R. Alexander Acosta of the Southern District of Florida announced today. Collectively, the three defendants through their companies collected more than $14 million from the Medicare program for unnecessary medicine, durable medical equipment (DME) and home health care services.

U.S. District Judge Cecilia M. Altonaga sentenced Maria T. Hernandez (Mayte), 50, to 51 months in prison; Marta F. Jimenez, 67, to 31 months in prison; and Maivi Rodriguez, 34, to 51 months in prison. All three were remanded into federal custody at the conclusion of the sentencing. Hernandez and Rodriguez are the daughters of Jimenez. On March 7, 2008, after a five week trial, a jury convicted Hernandez, Jimenez and Rodriguez on all charged counts, including conspiracy to defraud the U.S. government, to cause the submission of false claims to Medicare, and to solicit and receive kickbacks; and conspiracy to commit health care fraud. Additionally, the defendants were found guilty of multiple counts of receiving kickbacks in exchange for referring Medicare patients.

At trial, the jury heard testimony that Hernandez, Jimenez and Rodriguez controlled more than 60 Medicare beneficiaries for the sole purpose of defrauding Medicare through the businesses they owned. Hernandez owned Action Best Medical Supplies Inc., a DME company. Jimenez and Rodriguez owned Esmar Medical Equipment Inc., a DME company; A & A Medical Services Inc., a home health care company; and M & M Comprehensive Inc., an assisted living facility.

Patients testified at trial that they were paid cash kickbacks in exchange for use of their Medicare cards. Several of the patients lived in the assisted living facility owned by Jimenez and Rodriguez. Patients testified that they knowingly took cash kickbacks, were falsely diagnosed with chronic obstructive pulmonary disease and prescribed unnecessary aerosol medications, including commercially unavailable compounds. Compounding refers to the process of a pharmacist mixing the medication in the pharmacy, instead of purchasing it from a pharmaceutical manufacturer. Trial testimony revealed that one of the men making the medicine was trained as an auto mechanic without any education, training or experience manufacturing medicine. In total, the co-conspirator pharmacies associated with Hernandez, Jimenez and Rodriguez were paid more than $14 million between 2000 and 2003 based on the submission of claims for medically unnecessary aerosols.

The case was prosecuted by Deputy Chief Kirk Ogrosky and Senior Trial Attorney John S. Darden of the Criminal Division’s Fraud Section in Washington, D.C., with the investigative assistance of the Department of Health and Human Services, Office of Inspector General and the FBI. The case was brought as part of the Medicare Fraud Strike Force, supervised by the Fraud Section of the Criminal Division and U.S. Attorney Acosta of the Southern District of Florida. From investigations opened during the period of strike force operations between March and October of 2007, federal prosecutors have indicted 82 cases with 142 defendants in South Florida. Collectively, these defendants billed the Medicare program for more than $492 million.

U.S. Department of Justice

CONTACT: U.S. Department of Justice, +1-202-514-2007, +1-202-514-1888(TDD)

Web Site: http://www.usdoj.gov/

Liver Phase I Results Presented at WCIO 2008 & Best of ASCO(R)

CELSION CORPORATION (NASDAQ: CLN) announced today that the interim results from its second Phase I liver cancer confirmation study of ThermoDox in combination with Radio Frequency Ablation (RFA) treating patients with primary and metastatic liver cancer were presented at both Oral and Poster presentation at the WCIO 2008 and Best of ASCO(R) conference. The presentation provided Phase I interim results including safety, dosing and pharmacokinetic summaries supporting the company’s global pivotal trial in Hepatocellular Carcinoma, which is currently enrolling patients.

This annual WCIO (World Congress of Interventional Oncology) conference partnered with the Best of ASCO to present novel therapies in the emerging field of interventional oncology in a unique multidisciplinary meeting. This conference was held from June 22 – 25, 2008 at the Hyatt Regency Century Plaza in Los Angeles, CA. http://www.wcio2008.com/

The abstract presentation, titled “Phase I Dose Escalation Study of Thermally Sensitive Liposomal Doxorubicin (ThermoDox(R)) in combination with Radiofrequency Ablation (RFA) of Primary and Metastatic tumors to the liver: Interim Report” was delivered by Dr. Thanjavur S. Ravikumar, MD, Professor and Chairman, Department of Surgery, North Shore Hospital, Albert Einstein Medical School. Dr. Ravikumar commented, “These phase I findings are encouraging in terms of safety, drug distribution and cancer activity. I am pleased to observe impressive early responses in a variety of liver tumors.” Local return of cancer was seen in only 2 of 44 tumors treated with RFA plus ThermoDox, resulting in an impressive 4.5% local recurrence rate. In addition, 5 of the 10 evaluable patients demonstrated a complete response (CR), along with a single partial response (PR). The progressive disease (PD) patients were largely a result of extra-hepatic or distal hepatic recurrence, both from not treated lesions. The majority of the patients were metastatic liver cancer patients, presenting with extrahepatic disease.

Additionally, Celsion’s newly initiated phase III study of ThermoDox in patients with hepatocellular carcinoma (HEAT Study) was presented during the Clinical Trials Update Session. The presentation was given by HEAT European Lead Principal Investigator Dr. Riccardo Lencioni who reviewed the study objectives, design and patient criteria with the audience.

Michael H. Tardugno, Celsion’s President and Chief Executive Officer, commented, “The results presented by Dr. Ravikumar re-validate our proof of concept in liver cancer and further confirm our single vial formulation with which we plan to enter the market. The selection for Oral and Poster presentation demonstrates the medical interest in the unique role that ThermoDox can play in the treatment of liver cancer.”

The WCIO 2008, Best of ASCO presentation was the fourth time this year that Phase I results from ThermoDox trials have been presented at a major medical conference. In February, Dr. Ronnie T. Poon, Professor of Surgery at the Queen Mary Hospital, Hong Kong, presented our Phase I liver study results at the IHBPA conference in Mumbai, India, at the Oral Paper Awards Session. In March, Dr. Bradford J. Wood’s abstract titled “Imaging Features in Patients undergoing Liver RFA plus Heat Deployed Nanoparticles” was selected for Oral presentation at Society for Interventional Radiology. Also in March, Dr. Zeljko Vujaskovic, Associate Clinical Professor at Duke University, on behalf of Dr. Ellen Jones, presented interim progress and evidence of safety and suggested efficacy from our second indication under study, Recurrent Chest Wall breast cancer, at ICHO Conference in Munich, Germany.

Mr. Tardugno concluded, “It’s clear that the excitement for our Phase III HCC trial announced by Dr. Lencioni is supported by the promise of clinical activity – as reported in Phase I studies – and is consistent with the potential for ThermoDox to provide an effective treatment for these two difficult-to-treat cancers.”

About ThermoDox(R): ThermoDox(R) is Celsion’s proprietary heat-sensitive liposomal encapsulation of doxorubicin, an approved and frequently used anti-cancer drug used in the treatment of various cancers. Localized heat (at 40-42 degrees Celsius and above) releases the entrapped doxorubicin from the liposome. This delivery technology enables high concentrations of doxorubicin to be deposited preferentially in a targeted tumor.

About Celsion: Celsion is dedicated to the development and commercialization of oncology drugs including tumor-targeting treatments using focused heat energy in combination with heat-activated drug delivery systems. Celsion has research, license or commercialization agreements with leading institutions such as the National Institutes of Health, Duke University Medical Center, University of Hong Kong, Cleveland Clinic, North Shore Long Island Jewish Health System. (CLN-W)

For more information on Celsion, visit our website: http://www.celsion.com.

Celsion wishes to inform readers that forward-looking statements in this release are made pursuant to the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. Readers are cautioned that such forward-looking statements involve risks and uncertainties including, without limitation, unforeseen changes in the course of research and development activities and in clinical trials by others; possible acquisitions of other technologies, assets or businesses; possible actions by customers, suppliers, competitors, regulatory authorities; and other risks detailed from time to time in the Company’s periodic reports filed with the Securities and Exchange Commission.

Stroke Survivors Help Other Survivors: Hospitals Recruit Volunteers to Ease Patients’ Fears

By Jeremy Olson, Pioneer Press, St. Paul, Minn.

Jun. 27–For better or worse, Todd Goodier decided to recover from his stroke by measuring himself against the people around him.

When he saw a stroke victim who couldn’t comprehend speech, he took solace that his own attack back home in Red Wing, Minn., hadn’t been worse. When he saw someone doing better, he resolved to work harder during therapy and recover movement in his left arm and leg.

So imagine the value of a bedside visit from Jim Lincoln, a 78-year-old volunteer at Fairview Southdale Hospital in Edina who loves to ride his bike and shows few outward signs of the two strokes he suffered in the 1990s.

Goodier enjoyed Lincoln’s dry wit. But what the 50-year-old really felt was a competitive instinct to one day look and feel better than this white-haired visitor at his bedside.

“I’ve got 20 years on this gentleman,” he thought.

Hospitals such as Fairview Southdale are turning to volunteer stroke survivors to give hope to patients who have long and difficult recoveries ahead. While doctors can provide the facts — that most stroke patients recover some lost mobility or thinking skills if they work at it — the message is more convincing when it comes from someone who has experienced it.

“It’s something none of us can do,” said Marnee Shepard, director of Southdale’s stroke program. “We can say we’ve seen people with stroke before, but we can’t say that we’ve been there.”

The need for post-stroke support has increased over the past decade

as advances in emergency medical care have reduced the odds of death or severe disability. At least 50 stroke support groups exist in the Twin Cities, according to the American Stroke Association, which also provides a magazine, hot line and pen pals to let stroke survivors know they’re not alone.

Hospital officials said the survivor visits are uniquely important, because they reach out to stroke survivors at the height of their confusion and fear.

“It’s a very frightening thing” after a stroke, Lincoln said. “It’s just scary because you don’t know what is going on. Until you’ve been there a day or two, it’s just panic city.”

Southdale’s visitor program was a first for Fairview Health Services, which is now expanding the concept to other hospitals and clinics. Other hospitals in the metro area have similar programs.

Stroke is a sudden loss of brain function due to a rupture or blockage in an artery that supplies oxygen to the brain. The disruption can have numerous consequences — including a loss of sensation, limb function, speech or memory.

Volunteer survivors said they have to size up the hospital patients fairly quickly. Some stroke victims are scared they will never get their old lives back. Some show signs of poststroke depression, a problem that is often missed or undiagnosed. Others such as Goodier just need a seed of motivation to begin their recovery.

Goodier suffered a stroke while sleeping April 24, and his symptoms worsened once he reached Fairview Red Wing Medical Center. Doctors gave Goodier a clot-busting medication to clear out the blockage causing the stroke, and then sent him via helicopter to Southdale for further evaluation.

He remembered everything — the sudden collapse, the cramped helicopter ride, the fear.

“A lot of things go through your mind,” he said. ” ‘Will it ever come back?’ is the first thing you want to know.”

When Lincoln walked into his room, Goodier couldn’t move his left side at all. As with all visits, Lincoln tried to use humor to break the ice and offer honesty about his own condition. Lincoln has recovered considerable balance and strength since his strokes, but lacks vision to the right side of his body and can’t hear out of his left ear.

At least it gives him a good punch line: “When I sit down with my wife, I ask her if she wants me to see her or hear her.”

While visitors must give encouragement and hope, they are trained not to give medical advice or make promises that may not come true, said John Mastell, who has voluntarily coordinated the peer visitor program at Bethesda Hospital in St. Paul for more than 20 years.

“I don’t tell people, ‘If you do therapy for a year, you’re going to be dancing,’ ” Mastell said. “I don’t make a promise like that. If it doesn’t come to pass, then you’re the big liar.”

Mastell has learned since the two strokes he suffered 27 years ago how to cope with lingering deficits. The strokes took away his ability to control laughter or crying once they have started. He also can’t taste food, so now he starts the cooking and his wife or children add the seasoning.

“Let’s not focus on the fact you can’t run a 4:40,” he said. “Let’s focus on taking one step. You celebrate the small victories and don’t look to win the entire Super Bowl.”

Goodier left Fairview Southdale with determination. He even golfed — “I putt better with one hand,” he joked — after several weeks of rehabilitation.

The progress has leveled off, though, and his left side still isn’t back to full strength. It’s a sensitive time in stroke recovery, when depression is a risk because patients haven’t reached all of their goals.

Goodier said he draws back on the advice he received from Lincoln and others he met.

“I’ve learned to measure improvements now week to week instead of day to day,” he said. “It comes a little slower.”

Jeremy Olson can be reached at 651-228-5583.

Stroke Recovery

There are 4 million U.S. stroke survivors. The number is expected to rise as stroke treatment improves and public awareness spreads.

Recognizing Stroke

The American Stroke Association encourages immediate medical attention for the following sudden symptoms:

Numbness or weakness of the face, arm or leg, especially on one side of the body

Confusion, trouble speaking or understanding

Trouble seeing with one or both eyes

Trouble walking, dizziness, loss of balance or coordination

Severe headache with no known cause

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To see more of the Pioneer Press, or to subscribe to the newspaper, go to http://www.twincities.com.

Copyright (c) 2008, Pioneer Press, St. Paul, Minn.

Distributed by McClatchy-Tribune Information Services.

For reprints, email [email protected], call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

Merck’s Investigational Migraine Treatment Telcagepant Improved Pain and Migraine-Associated Symptoms in Phase III Study

Merck & Co., Inc. today announced that, in a Phase III clinical trial, telcagepant (formerly MK-0974), its investigational oral calcitonin gene-related peptide (CGRP) receptor antagonist, significantly improved relief of migraine pain and migraine-associated symptoms two hours after dosing compared to placebo. In addition, the efficacy results for telcagepant 300 mg were similar to the highest recommended dose of zolmitriptan,(1) an approved migraine therapy, with a lower incidence of adverse events associated with telcagepant in this study. The new data were presented here at the American Headache Society (AHS) annual meeting.

This trial is part of an ongoing Phase III program evaluating telcagepant. While Phase II and Phase III trials have used a liquid-fill capsule (including the study presented here), telcagepant has been successfully reformulated into a solid tablet that is being evaluated in ongoing trials. Merck continues to anticipate filing a New Drug Application (NDA) for telcagepant with the U.S. Food and Drug Administration in 2009.

“These findings provide further support for the development of telcagepant as a potential new acute migraine treatment based on its novel mechanism of action targeting CGRP,” said Paul Winner, D.O., F.A.A.N., clinical study investigator and director of both Premiere Research Institute and Palm Beach Headache Center, West Palm Beach, Florida. “Based on this initial large study, the investigational compound telcagepant relieved migraine pain and migraine associated symptoms comparable to a triptan medication but with fewer side effects.”

Nearly 1,400 patients treated for migraine attack in this trial

The reported findings are from a randomized, double-blind, placebo- and active-controlled Phase III study in patients with migraine. A total of 1,380 adult patients who experienced a single moderate or severe migraine attack, as defined by the International Headache Society criteria, were treated with either telcagepant (as a liquid-filled soft gel capsule) at doses of either 150 mg (n=333) or 300 mg (n=354) or zolmitriptan 5 mg (n=345) or placebo (348). Patients enrolled were primarily women (85 percent) with an average age of 43 years.

Overall treatment effect was assessed by analyzing five primary endpoints at two hours post-dose: pain relief (reduction to mild or none); pain freedom (reduction to no pain); absence of sensitivity to sound (phonophobia); absence of sensitivity to light (photophobia); and absence of nausea. Sustained pain freedom from two to 24 hours (defined as those with no pain at two hours who remain free of pain during the two-24 hour period with no use of optional second study dose or rescue medication); total migraine freedom (TMF) (defined as no pain and absence of nausea, photophobia and phonophobia) at two hours post-dose; and TMF from two-24 hours were secondary endpoints of the study. The study was not designed to show equivalence or non-inferiority of telcagepant versus zolmitriptan.

Telcagepant relieved migraine pain and migraine associated symptoms in study

The treatment effect of the 300 mg dose of telcagepant was significantly greater than placebo for all five primary endpoints in the study (p=

— Two-hour pain relief: 55 percent of patients who received telcagepant reported their pain had been reduced at two hours compared to 56 percent for zolmitriptan and 28 percent for placebo;

— Two-hour pain freedom: 27 percent of patients who received telcagepant reported being pain free at two hours compared to 31 percent for zolmitriptan and 10 percent for placebo;

— Absence of phonophobia: 58 percent of patients who received telcagepant reported they were not experiencing sensitivity to noise at two hours compared to 55 percent for zolmitriptan and 37 percent for placebo;

— Absence of photophobia: 51 percent of patients who received telcagepant reported they were not experiencing sensitivity to light compared to 50 percent for zolmitriptan and 29 percent for placebo; and

— Absence of nausea: 65 percent of patients who received telcagepant reported they were not experiencing nausea compared to 71 percent for zolmitriptan and 55 percent for placebo.

Secondary endpoints also evaluated

For the endpoint sustained pain freedom from two to 24 hours post-dose, the response rate was greater in patients who received telcagepant compared to those receiving placebo and was comparable to those receiving zolmitriptan. A similar pattern was observed for the measures of TMF at two hours and TMF at two-24 hours post-dose. Responses to sustained pain freedom at two-48 hours, an exploratory endpoint, also were reported and showed that more patients who received telcagepant reported being free of migraine pain up to 48 hours compared to those receiving zolmitriptan or placebo.

Telcagepant adverse event rates

In this large trial, rates of overall adverse events observed in patients treated with telcagepant 300 mg (37 percent) were similar to placebo (32 percent) and lower than those treated with zolmitriptan (51 percent). The most common side effects occurring in patients treated with telcagepant were dry mouth (6 percent), dizziness (5 percent), somnolence (5 percent), nausea (5 percent) and fatigue (4 percent). There were no reports of serious adverse events in the telcagepant or zolmitriptan treatment arms.

Additional efficacy and safety data for telcagepant also presented

In addition to the large Phase III study, three additional posters with telcagepant will be presented during the AHS meeting, including:

— a post-hoc analysis of the reported Phase III study evaluating patient-level data using the exploratory endpoint sustained pain freedom and no adverse events (SPFNAE) (Poster #S6);

— a double-blind, randomized, placebo-controlled cross-over study evaluating the effects of telcagepant in patients with stable coronary artery disease (Poster #S1); and

— a preclinical study evaluating the pharmacologic effects of telcagepant administered with nitroglycerin (Poster #S58).

The safety data presentations (Posters #S1 and S58) are part of a comprehensive evaluation underway to further evaluate the cardiovascular safety profile of telcagepant.

Telcagepant is a CGRP blocker, potentially a new mechanism to treat migraines

Telcagepant is a novel, oral CGRP receptor antagonist without direct vasoconstriction in development for treatment of acute migraine. It is an antagonist of the receptor for CGRP, a potent neuropeptide thought to play a central role in the underlying pathophysiology of migraine. CGRP and its receptors are found in many areas of the brain that are important for the transmission of migraine pain. During migraine attacks, CGRP binds to and activates CGRP receptors, which helps transmit pain impulses. Telcagepant blocks CGRP from binding to its receptors within the nervous system and thereby is believed to inhibit the transmission of the pain signals that lead to migraine headaches.

Migraines affect 1 in 10 Americans

Migraine is a disabling disorder of the brain that affects 35 million Americans, primarily women. Unlike a bad headache, migraines are characterized by attacks of intense, usually one-sided, throbbing head pain that can last from four to 72 hours. The pain associated with migraine is frequently accompanied by other symptoms, including nausea, vomiting and increased sensitivity to light and sound.

About Merck

Merck & Co., Inc. is a global research-driven pharmaceutical company dedicated to putting patients first. Established in 1891, Merck currently discovers, develops, manufactures and markets vaccines and medicines to address unmet medical needs. The Company devotes extensive efforts to increase access to medicines through far-reaching programs that not only donate Merck medicines but help deliver them to the people who need them. Merck also publishes unbiased health information as a not-for-profit service. For more information, visit www.merck.com.

Forward-Looking Statement

This press release contains “forward-looking statements” as that term is defined in the Private Securities Litigation Reform Act of 1995. These statements are based on management’s current expectations and involve risks and uncertainties, which may cause results to differ materially from those set forth in the statements. The forward-looking statements may include statements regarding product development, product potential or financial performance. No forward-looking statement can be guaranteed, and actual results may differ materially from those projected. Merck undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise. Forward-looking statements in this press release should be evaluated together with the many uncertainties that affect Merck’s business, particularly those mentioned in the risk factors and cautionary statements in Item 1A of Merck’s Form 10-K for the year ended Dec. 31, 2007 and in any risk factors or cautionary statements contained in the Company’s periodic reports on Form 10-Q or current reports on Form 8-K, which the Company incorporates by reference.

(1) ZOMIG is the registered trade name for zolmitriptan, which is marketed by AstraZeneca.

Behind the Burning Battle: Burning Trash Can Create Irritants but Probably Doesn’t Cause Disease

By Mark Newman, Ottumwa Courier, Iowa

Jun. 27–OTTUMWA — Burning some leaves may not give you asthma, but it could hurt your neighbor.

“In somebody with pre-existing lung disease — chronic bronchitis, emphysema, asthma — any dust or smoke can irritate the lungs and cause progression of the underlying condition. They are best spared exposure to [that] smoke,” said Dr. Kenneth Wayne, a pulmonary specialist in Ottumwa. “That’s not to say anyone with healthy lungs, in a well-ventilated area, is going to get a lung disease from burning leaves — I’m not saying that.”

The fire department and the city health inspector said they get calls from people bothered by smoke drifting in their window. Some residents in Ottumwa have been recommending “burn barrels” be done away with inside city limits; others say a burn ban is unnecessary.

Dr. Ron Graeff, an Oskaloosa allergy and lung doctor, agreed those with healthy lungs conducting proper burning could be spared health problems. It’s those in the surrounding area who need to be worried when someone is burning debris.

“Those people who do have airway problems are much more likely to have attacks requiring rescue-inhaler use, and/or steroids,” said Dr. Graeff.

However, both doctors said they would judge risk via some specific factors, like what is being burned, the intensity of the smoke and the duration of exposure.

But what’s “too much smoke” is different for everybody, Graeff said.

“For the person with underlying lung disease, it can trigger chest tightness, congestion, wheezing, shortness of breath … on either an allergic basis, an irritant basis, or both,” Wayne explained.

“Most people with allergies have an irritant component to their rhinitis (nasal breathing difficulty), whether it’s strong perfume, cigarette smoke or burning waste,” added Graeff. “The reaction can be similar to [having had] a virus that caused airway inflammation.”

There’s an overlap for patients with allergies or asthma.

“Eighty-five percent of people with asthma [also] have an allergic component,” said Graeff. “So people with both allergies and asthma are going to have a double hit, to both their nose and their lungs.”

Wayne explained airborne particles cause different disturbances based on what’s burning. Some substances are worse than others.

For example, burning plastic, which Wayne grouped under the heading “inorganic” material, can be toxic to healthy body tissue as various chemicals are released, then breathed into the body. In fact, even those with healthy lungs, such as firefighters, would be better to avoid exposure to those toxins, he said.

Though plastic is not supposed to be burned in Ottumwa, city inspectors say they often find melted plastic at the bottom of burn barrels. But Wayne said it’s important to distinguish inorganic from organic matter; yard waste in most cases is not toxic.

“Leaves are more likely to [cause] an irritant or an allergic reaction,” Wayne said.

“In the best of all possible worlds, it would be good to reduce irritant exposure whether you had asthma or not,” Graeff said.

His family lives in the country and has bins for recyclables.

“We have found that recycling decreases toxic waste and burning on our acreage with once weekly drop-offs at the Wapello County recycling plant.”

And while inorganics like plastic can release toxins, people who have respiratory illnesses should avoid concentrated exposure even to burning “organics” like yard waste.

“You still don’t want to expose them to [this type of] smoke,” said Wayne. “It could land them in the emergency room.”

Mark Newman can be reached at 683-5358 or by e-mail at [email protected].

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To see more of Ottumwa Courier or to subscribe to the newspaper, go to http://www.ottumwacourier.com/.

Copyright (c) 2008, Ottumwa Courier, Iowa

Distributed by McClatchy-Tribune Information Services.

For reprints, email [email protected], call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.