U.N. says an end to AIDS in sight
















LONDON (Reuters) – A United Nations report said on Tuesday that eradicating AIDS was in sight, owing to better access to drugs that can both treat and prevent the incurable human immunodeficiency virus (HIV) that causes the disease.


An aim to eventually end the worldwide AIDS epidemic is not “merely visionary” but “entirely feasible”, the report said.













Success in fighting the disease in the past decade has allowed the “foundation to be laid for the eventual end of AIDS” by cutting the death toll and helping stabilize the number of people infected in the pandemic, UNAIDS said its annual report.


Some 34 million people had HIV at the end of 2011.


Worldwide, the number of people newly infected with the disease, which can be transmitted via blood and by semen during sex, is falling. At 2.5 million, the number of new infections in 2011 was 20 percent lower than in 2001.


Deaths from AIDS fell to 1.7 million in 2011, down from a peak of 2.3 million in 2005 and from 1.8 million in 2010.


Sub-Saharan Africa is the most severely affected region with almost one in every 20 adults infected, nearly 25 times the rate in Asia, there are also almost 5 million people with HIV in South, South-East and East Asia combined.


“Although AIDS remains one of the world’s most serious health challenges, global solidarity in the AIDS response during the past decade continues to generate extraordinary health gains,” the report said.


It said this was due to “historic success” in bringing HIV programs to scale, combined with the emergence of new combination drugs to prevent people from becoming HIV infected and from dying from AIDS.


Since 1995, AIDS drug treatment – known as antiretroviral therapy – has saved 14 million life-years in poorer countries, including 9 million in sub-Saharan Africa, the report said.


Some 8 million people were being treated with AIDS drugs by the end of 2011, a 20-fold increase since 2003. The U.N. has set a target to raise that to 15 million people by 2015.


Scientific studies published in recent years have shown that getting timely treatment to those with HIV can also cut the number of people who become newly infected with the virus.


UNAIDS said the sharpest declines in new HIV infections since 2001 were in the Caribbean and in sub-Saharan Africa – where new infections were down 25 percent in a decade.


Despite this, sub-Saharan Africa still accounted for 71 percent of people newly infected in 2011, underscoring the need to boost HIV prevention efforts in the region, UNAIDS said.


HIV trends are a concern in other regions also, it said.


Since 2001, the number of new HIV infections in the Middle East and North Africa was up more than 35 percent from 27,000 to 37,000, it said, and evidence suggests HIV infections in Eastern Europe and Central Asia began increasing in the late 2000s after being relatively stable for several years.


(Editing by Louise Ireland)


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Canada pledges again to balance budget by 2015
















OTTAWA/NEW YORK (Reuters) – The Canadian government on Friday reiterated its intention to balance its budget by 2015, three days after projecting there would be deficits until 2016-17.


In separate appearances in Quebec City and New York, Prime Minister Stephen Harper and Finance Minister Jim Flaherty were at pains to say they still intended to end the red ink by 2015.













“It remains the government’s plan, intention, to balance the budget prior to the next federal election. The recent economic and fiscal update by the minister indicates we are actually very close to that objective,” Harper told reporters in Quebec City. The next election is in October 2015.


Flaherty’s fall fiscal update on Tuesday had pushed back the target date for eliminating the deficit by a year, to 2016-17, citing a weak global economy.


But the minister said in a speech in New York that the government was on track to balance the budget in the next two to three years, barring major external events, and he later clarified that he intended a balanced budget by 2015.


“The prime minister’s always correct,” he chuckled.


He sought to explain the discrepancy by saying the fiscal update had built in a C$ 3 billion ($ 3 billion) contingency cushion, meaning there was an underlying surplus of C$ 1.2 billion for 2015-16. He said the projection of a C$ 1.8 billion deficit amounted to about half a percent of the C$ 275 billion federal budget.


“There’s lots of water to go under the bridge between now and then,” he said.


The opposition New Democratic Party noted the discrepancy in a release headlined: “Stephen Harper makes stuff up about balancing the budget.”


It pointed out that balancing the budget by the next election was not the same as balancing it by 2016-17.


As it is, even the 2015-16 timetable is a year later than offered in the Conservative campaign for reelection in May 2011. They had promised a balanced budget by 2014-15, followed by major personal income tax relief before the 2015 election.


Flaherty’s timetable drew criticism this week from the Canadian Taxpayers Federation, which said the minister had become expert at kicking the can down the road.


The projections could be thrown out of whack if the United States goes off the fiscal cliff, a set of automatic tax hikes and spending cuts that are to be triggered on January 2 if legislators and the White House cannot agree on a more nuanced budget deal.


Flaherty said U.S. failure to avert the fiscal cliff would cause a significant and immediate decline in Canada’s gross domestic product, and he would counter it.


Referring to a possible economic shock from Europe or the United States, he said: “If that were to happen and if the Canadian economy were to be pushed back into recession with the resulting danger for higher unemployment and the danger always of a prolonged recession, then we would act.”


He added: “We would not stand by and let that happen. The kinds of measure we can take: there are various tax measures we can take, there are measures with respect to stimulus we can take, these are things that we have done before and we can do again.”


On Tuesday, Flaherty spoke of having prepared various contingency plans.


(Additional reporting by Louse Egan; Editing by David Gregorio)


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Metal singer Aaron Lewis finds second home in country music
















NASHVILLE, Tennessee (Reuters) – Aaron Lewis stands as one of the more unusual crossovers into country music, but the singer of the metal band Staind believes it was a fit made in the cradle.


“It’s been quite the pleasant eclectic mix of tattoos and black eyeliner, and Stetsons, cowboy boots and big shiny buckles,” Lewis said in an interview after the release of his first full-length country studio album, “The Road,” this week.













Lewis, 40, was raised on what he terms his grandfather’s country music: Johnny Cash, Waylon Jennings, Charlie Daniels and George Jones. He collaborated with Daniels and Jones on his country EP, “Town Line,” released last year.


This made the transition from the angst-ridden world of metal to the laid-back country scene an easy step for him, but perhaps not so much for his head-banging fans.


“A few fans are really having a hard time with it,” Lewis said. “I can’t make everyone happy. Music is about making me happy first. For those who wish I would stick with Staind, they’ll get what they want, too.”


Lewis, who sold seven studio albums over a 17-year career with Staind, says he has two musical careers because he is “creatively bipolar” and suffers from attention deficit disorder.


“I need to switch it up a little bit,” he said. “It’s kind of nice to write a song about taking my daughters to the beach instead (of) about something that’s tearing me apart from the inside.”


For Lewis, each song on “The Road” is the opportunity to explore his creativity in music, while winding down a road filled with new country listeners and taking Staind fans along for the ride.


“The Road” includes “Forever,” a thoughtful song of life on the road, and “Endless Summer,” a simple track about digging up clams and casting for striped bass with his daughters.


“If we catch a keeper we throw it on the grill,” he says. “The beauty of the adventure that I’m on now is I can write songs about stuff like that. I could never bring a song like that to the table for Staind.”


He describes writing “Endless Summer” as a “refreshing and a nice change” from his metal past.


“I remember having a big smile on my face the whole time I was writing it,” he said. “In the past, what’s usually coming up for lyrics is not smiley material. The song wrote itself in 10 minutes.”


In contrast, “Party in Hell,” which has fans up and dancing, was the last song Lewis wrote for the album and was inspired by a stint in Las Vegas.


“Las Vegas really is, in a metaphorical sense, a party in hell; you can get into anything you want to,” he said. “It was like well, ‘OK, I’m going to hell, who else is going to be there? We might as well have a party with it.’”


SAME PROCESS


His previous country EP, “Town Line,” featured the gold-selling single “Country Boy,” a collaboration with Daniels and Jones that hit the top of the “Billboard” album charts and topped off at No. 7 on the Top 200.


“That’s crazy, right?” Lewis asks, shaking his head. “It was pretty amazing for me, pretty surreal. I was actually in the studio with Charlie, which was a lot of fun. We have become good friends.”


The writing process for country or rock is the same, according to Lewis.


“The music is always first, then the melody, and the lyrics third,” he said. “I need the music to know what the landscape is that I’m singing over, and I need the melody to fit the words in, and then the words come last.”


But the lyrics do not come while he is writing on a piece of paper. “They come with me standing in front of a microphone with the song playing in the background and singing,” he said. “It’s total improv, right off the cuff.”


As with recording, Lewis does not approach a rock performance differently from a country performance.


“I go out on stage and perform those songs I recorded to the best of my ability to sound just like the recording,” he said. “I have always tried to approach every show like it’s the only show that I have. That’s kind of how I’ve gone about this crazy career I’ve had now coming up on 15 years.”


(Reporting by Vernell Hackett; Editing by Christine Kearney and Lisa Von Ahn)


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Teens Turn to Protein Shakes to Pump Up
















Teens may be chugging protein shakes and taking other muscle-enhancing supplements more often than previously thought, a new study found.


According to a self-reported survey conducted among adolescent males and females, nearly 35 percent said they used protein powders and shakes, while almost 6 percent reported using steroids, according to study author Maria Eisenberg of the University of Minnesota in Minneapolis, and colleagues. Both both behaviors were more common among boys versus girls.













Read this story on www.medpagetoday.com.


In comparison, recent studies with population-based samples of U.S. youth have indicated that 8 percent of females and 10.2 percent of males reported the use of protein supplements.


Use of muscle-enhancing products or behaviors to bulk up, such as different eating habits or exercising more, were significantly associated with grade level, Asian race, body mass index, and sports team participation, the current authors wrote in Pediatrics online.


Women and how media images impact thinness and body image has been the subject of a great deal of research, but images of men depicted in the popular media show people who are increasingly large, lean, and muscular, the authors pointed out.


“Boys’ body dissatisfaction has simultaneously increased, and research has demonstrated that exposure to images of extremely muscular models contributes to body dissatisfaction and muscle dysmorphia in young men,” they wrote.


For the current study, they gathered data through the Eating and Activity in Teens (EAT 2010) study, a large, population-based study of weight status, dietary intake, physical activity, weight control behaviors, and related factors for adolescents from the Minneapolis and St. Paul metropolitan area during the 2009 to 2010 school year.


The study included a 235-question self-report survey and physical measurements of participants height and weight.


The authors focused on participant response to questions related to frequency of participation in any of five muscle-enhancing behaviors over the year prior to the survey, including altered eating behaviors and exercising more — considered “healthy” behaviors as well as use of protein powder or shakes, use of steroids, or use of other muscle-building substances, such as creatine, amino acids, or growth hormones, considered “unhealthy” behaviors.


Participants also reported their school level, gender, race, socioeconomic status based on parental educational attainment, body mass index (BMI), sports team participation, and weight status.


The study population consisted of 2,793 students with a mean age of 14.4 and almost equally divided among females (53.2 percent) and males (46.8 percent). Nearly 30 percent of the participants were black and about 20 percent were white or Asian.


Almost 60 percent of the study population played at least one after-school sport.


Among boys, the authors found that more than two-thirds reported changing their eating to increase their muscle size or tone, and 90 percent exercised more to increase their muscle mass or tone. In terms of the prevalence of “unhealthy” behaviors:


5b88a  img bullet bluedot Teens Turn to Protein Shakes to Pump Up34.7 percent reported using protein powders or shakes


5b88a  img bullet bluedot Teens Turn to Protein Shakes to Pump Up5.9 percent reported using steroids


5b88a  img bullet bluedot Teens Turn to Protein Shakes to Pump Up10.5 percent reported using some other muscle-enhancing substance


Among the girls, 21.2 percent reported using protein powders, while 4.6 percent said they used steroids, and 5.5 percent used other muscle-enhancing substances.


The authors also found that overweight and obese girls had significantly greater odds of using protein powders or shakes than girls of average BMI.


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Militant group says attack on Gaza media center killed top fighter

GAZA CITY, Gaza Strip (AP) — Palestinian militant group Islamic Jihad says an Israeli strike on a Gaza media center has killed one of its top militant leaders.


Monday's strike in downtown Gaza City was part of a widening 6-day-old offensive meant to quell Hamas rocket fire.


It's the second strike on the building in two days. The Hamas TV station, Al Aqsa, is located on the top floor.


Islamic Jihad has sent a text message to reporters saying that Ramez Harb was killed in the strike Monday. Harb is a leading figure in their militant wing, the Al Quds Brigades.

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Amazon’s larger Kindle Fire HD ships early
















NEW YORK (AP) — Amazon has started shipping the larger version of its Kindle Fire HD tablet computer on Thursday, five days ahead of schedule.


Amazon is short on stock, though, so new orders won’t ship until Dec. 3. Amazon.com Inc. had been taking orders for shipment on Nov. 20.













The Kindle Fire is one of several tablets challenging Apple’s iPad.


The tablet, which has an 8.9-inch screen measured diagonally, is available on Amazon’s website for $ 299. The tablet will be available at Best Buy stores beginning Friday and at more retailers in the coming weeks.


A version with cellular access is available for $ 499 and will start shipping next week as planned, though new orders won’t ship until Dec. 3.


The smaller version, which has a 7-inch screen, has been available since September.


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Militant group says attack on Gaza media center killed top fighter

GAZA CITY, Gaza Strip (AP) — Palestinian militant group Islamic Jihad says an Israeli strike on a Gaza media center has killed one of its top militant leaders.


Monday's strike in downtown Gaza City was part of a widening 6-day-old offensive meant to quell Hamas rocket fire.


It's the second strike on the building in two days. The Hamas TV station, Al Aqsa, is located on the top floor.


Islamic Jihad has sent a text message to reporters saying that Ramez Harb was killed in the strike Monday. Harb is a leading figure in their militant wing, the Al Quds Brigades.

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Celtic sparkle catches rapper Snoop Dogg’s eye
















(Reuters) – U.S. rapper Snoop Dogg says he would be ready to splash his cash and invest in Scottish soccer champions Celtic.


The 41-year-old, who is as well known for his love of sport as he is his music and drugs busts, fell further in love with the Glasgow club after watching highlights of Celtic‘s heroic 2-1 victory over Barcelona in the Champions League this month.













“I got a lot of interest in soccer. It’s not a new thing for hip hop stars to invest in sports teams but it is a new thing for hip hop stars to invest in soccer teams,” Snoop Dogg was quoted as saying in the Scottish Daily Record newspaper on Sunday.


“I didn’t catch the whole Barcelona game but I watched the highlights. I know Barcelona are a big deal and it shows Celtic are a big deal as well.


“I see how passionate Celtic fans are about their team and I could see myself making an investment if any of the board wanted to sell.


“I haven’t really thought how much. I don’t need to run a soccer club but enough of a percentage to get me on the board so I can be heard.


“I want to bring a bit of Snoop to things.”


Former England captain David Beckham was consulted by Snoop, who said he had even thought about courting the Los Angeles Galaxy player for a stint at ‘the Hoops’.


Out of the current crop of Neil Lennon’s side, the rapper’s favorite player is Greece international Giorgios Samaras, whom he described as a “proper athlete” that could take modest Celtic far in Europe.


(Reporting by Mark Pangallo, editing by Mark Meadows)


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Canada pledges again to balance budget by 2015
















OTTAWA/NEW YORK (Reuters) – The Canadian government on Friday reiterated its intention to balance its budget by 2015, three days after projecting there would be deficits until 2016-17.


In separate appearances in Quebec City and New York, Prime Minister Stephen Harper and Finance Minister Jim Flaherty were at pains to say they still intended to end the red ink by 2015.













“It remains the government’s plan, intention, to balance the budget prior to the next federal election. The recent economic and fiscal update by the minister indicates we are actually very close to that objective,” Harper told reporters in Quebec City. The next election is in October 2015.


Flaherty’s fall fiscal update on Tuesday had pushed back the target date for eliminating the deficit by a year, to 2016-17, citing a weak global economy.


But the minister said in a speech in New York that the government was on track to balance the budget in the next two to three years, barring major external events, and he later clarified that he intended a balanced budget by 2015.


“The prime minister’s always correct,” he chuckled.


He sought to explain the discrepancy by saying the fiscal update had built in a C$ 3 billion ($ 3 billion) contingency cushion, meaning there was an underlying surplus of C$ 1.2 billion for 2015-16. He said the projection of a C$ 1.8 billion deficit amounted to about half a percent of the C$ 275 billion federal budget.


“There’s lots of water to go under the bridge between now and then,” he said.


The opposition New Democratic Party noted the discrepancy in a release headlined: “Stephen Harper makes stuff up about balancing the budget.”


It pointed out that balancing the budget by the next election was not the same as balancing it by 2016-17.


As it is, even the 2015-16 timetable is a year later than offered in the Conservative campaign for reelection in May 2011. They had promised a balanced budget by 2014-15, followed by major personal income tax relief before the 2015 election.


Flaherty’s timetable drew criticism this week from the Canadian Taxpayers Federation, which said the minister had become expert at kicking the can down the road.


The projections could be thrown out of whack if the United States goes off the fiscal cliff, a set of automatic tax hikes and spending cuts that are to be triggered on January 2 if legislators and the White House cannot agree on a more nuanced budget deal.


Flaherty said U.S. failure to avert the fiscal cliff would cause a significant and immediate decline in Canada’s gross domestic product, and he would counter it.


Referring to a possible economic shock from Europe or the United States, he said: “If that were to happen and if the Canadian economy were to be pushed back into recession with the resulting danger for higher unemployment and the danger always of a prolonged recession, then we would act.”


He added: “We would not stand by and let that happen. The kinds of measure we can take: there are various tax measures we can take, there are measures with respect to stimulus we can take, these are things that we have done before and we can do again.”


On Tuesday, Flaherty spoke of having prepared various contingency plans.


(Additional reporting by Louse Egan; Editing by David Gregorio)


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One in 20 youth has used steroids to bulk up: study
















NEW YORK (Reuters Health) – About five percent of middle and high school students have used anabolic steroids to put on muscle, according to a new study from Minnesota.


In addition to steroid use, more than one-third of boys and one-fifth of girls in the study said they had used protein powder or shakes to gain muscle mass, and between five and 10 percent used non-steroid muscle-enhancing substances, such as creatine.













Researchers said a more muscular body ideal in the media may be one factor driving teens to do anything possible to get toned, as well as pressure to perform in sports.


“Really the pressure to start using (steroids) is in high school,” said Dr. Linn Goldberg, from Oregon Health & Science University in Portland.


“You get the influence of older teens in high school, so when you’re a 14-year-old that comes in, you have 17-year-olds who are the seniors, and they can have great influence as you progress into the next stage of your athletic career.”


The new data came from close to 2,800 kids and teens at 20 different middle and high schools in the Minneapolis/St. Paul area. During the 2009-2010 school year, those students completed a survey on food and weight-related behaviors, including activities tied to muscle gain.


The majority of kids surveyed were poor or middle-class.


Almost all of them had engaged in at least one muscle-building activity in the past year, most often working out more to get stronger. But up to one-third of kids and teens used what the researchers deemed to be unhealthy means to gain muscle mass, including taking steroids and other muscle-building substances or overdoing it on protein shakes, dieting and weight-lifting.


Student-athletes were more likely than their peers to use most methods of muscle-building. Steroid use, however, was equally common among athletes and non-athletes.


According to findings published Monday in the journal Pediatrics, Asian students were three to four times more likely to have used steroids in the past year than white students. Most Asians in the study were Hmong, lead researcher Marla Eisenberg from the University of Minnesota in Minneapolis and her colleagues noted.


Their study shows higher adolescent use of steroids and other muscle-boosting substances than most other recent research and “is cause for concern,” according to the researchers. But it’s not clear whether the findings would apply to an area outside of the Twin Cities, or among wealthier students, they noted.


ROID RAGE?


Anabolic steroids are synthetic versions of testosterone, the male sex hormone. Steroids are prescribed legally to treat conditions involving hormone deficiency or muscle loss, but when they’re used for non-medical purposes, it’s typically at much higher doses, according to the National Institute on Drug Abuse.


In those cases, steroids can cause mood swings – sometimes known as roid rage – and for adolescents, stunted growth and accelerated puberty.


Anabolic steroids have become pervasive in professional sports, including baseball, football and boxing. (Another example of performance-enhancing drug use is “blood doping” with erythropoietin or EPO, which is behind the Lance Armstrong cycling controversy that caused him to be stripped of his Tour de France titles last month.)


Experts have worried that the drive to get ahead of competitors at any cost could trickle down to college and high school athletes, as well.


Goldberg, co-developer of the ATLAS and ATHENA programs to prevent steroid and other substance use on high school teams, said it’s important to give teens healthier alternatives to build muscle.


“I would stay away from all supplements, because you don’t know what’s in them,” Goldberg, who wasn’t involved in the new study, told Reuters Health.


“What’s important is to teach kids how to eat correctly,” he said. Goldberg said getting enough protein through food, eating breakfast and avoiding muscle toxins like alcohol and marijuana can all help young athletes get stronger without shakes or supplements.


Eisenberg’s team did not find clustering of steroid use and other muscle-enhancing behaviors within particular schools.


“Rather than being driven by a particular school sports team coach or other features of a school’s social landscape, this diffusion suggests that muscle-enhancing behaviors are widespread and influenced by factors beyond school, likely encompassing social and cultural variables such as media messages and social norms of behavior more broadly,” the researchers wrote.


SOURCE: http://bit.ly/jsoh2P Pediatrics, online November 19, 2012.


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