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AARP Ramps Up Effort To Close Medicare Doughnut Hole One In Five Fall Into The Gap, But Few Climb Out
WASHINGTON-AARP"s Health Action Now campaign turns its

GAO Report Finds Veterans Affairs Facilities Do Not Comply With Privacy Standards For Women
All Department of Veterans Affairs outpatient clinics and hospitals are failing to fully comply with federal privacy standards for women, according to a Government Accountability Office report, the AP/Boston Globe reports. The report comes as thousands of female veterans are entering the VA health system after returning from Iraq and Afghanistan.GAO auditors said that many VA facilities had gynecological tables that faced the door. In one instance, a gynecological table faced a door opening to a waiting room. The investigation also found cases where women had to walk through waiting rooms to use the restroom -- a violation of VA policy requiring adjoining restrooms. Four VA hospitals did not guarantee women access to private bathing facilities. In two of those cases, the facilities did not have locks.Nearly 20% of female veterans have been diagnosed with post-traumatic stress disorder, and many of them have experienced sexual trauma while serving, according to the report. The report also said that most female veterans at VA facilities are ages 20 to 29. On average, female veterans using VA facilities are much younger than male VA patients, it noted.Randall Williamson, director of health care issues at GAO, said that although top VA officials are committed to improving care for female veterans, facilities are not always taking simple steps, such as repositioning exam tables. Patricia Hayes, chief consultant for VA"s veterans strategic health care group, said that the agency recognizes issues and is making changes to address disparities in care. She noted that VA is creating a long-term plan for construction improvements to address space and building layout challenges (AP/Boston Globe, 7/15).
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Tamiflu-Resistant H1N1 Identified Along Texas-Mexico Border
PAHO on Monday announced it had found Tamiflu-resistant H1N1 (swine) flu along the Texas-Mexico border, Agence-France Press reports. The discovery of several cases in El Paso and McAllen, Texas, adds the U.S. to a growing list of countries with antiviral-resistant H1N1, such as Canada, Denmark, Hong Kong and Japan. "Experts had gathered in La Jolla on Monday to discuss the response to the outbreak, and warned that resistant strains were likely emerging because of overuse of antivirals like Tamiflu," the news service writes (8/3).
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$500,000 Gruber Neuroscience Prize Awarded To Hall, Rosbash And Young

The 2009 Neuroscience Prize of The Peter and Patricia Gruber Foundation is being awarded to Jeffrey Hall, professor of neurogenetics at the University of Maine; Michael Rosbash, professor and director of the National Center for Behavioral Genomics at Brandeis University; and Michael Young, professor and head of the Laboratory of Genetics at Rockefeller University. On October 18, at the annual meeting of the Society for Neuroscience in Chicago, Illinois, these three distinguished scientists will receive this prestigious international award for their groundbreaking discoveries of the molecular mechanisms that control circadian (daily) rhythms in the nervous system. Their research was the first to establish a simple relationship between single genes and a complex behavior. "The combined discoveries of Jeffrey Hall, Michael Rosbash and Michael Young are stunning in their creativity, breadth and significance. These researchers began with a complicated animal behavior, established that single genes can define specific aspects of this behavior and determined mechanistically how such genes act," says H. Robert Horvitz, David H. Koch Professor of Biology at MIT. "Hall, Rosbash and Young have not only defined the genetic, molecular and biochemical bases of a complex animal behavior but have also established a paradigm for how such analyses should be done." Before Hall, Rosbash, and Young published their seminal studies on the molecular underpinnings of the circadian rhythms of the fruit fly, Drosophila melanogaster, many people questioned whether a compelling relationship between genes and behavior could be established. By the early 1970s, the first fruit fly mutants with altered circadian rest/active cycles had been identified - making a case for the genetic control of behavior - but the mechanism behind the phenomenon remained unknown. What was running the internal biological clock in Drosophila? In 1984 came the first breakthrough. That year Hall and Rosbash, working at Brandeis University, and Young, working at Rockefeller University, simultaneously cloned the period (per) gene of Drosophila. That pivotal discovery led to subsequent studies from all three labs that eventually unmasked the general molecular mechanism for circadian clocks: a transcriptional feedback loop that oscillates during the 24-hour cycle. Hall and Rosbash demonstrated, for example, that per gene products exhibit oscillations for their concentrations and that during a daily cycle the per protein represses transcription of the very gene that specifies that "final" product. (Transcription is a gene"s ability to copy its DNA sequence into messenger RNA, a necessary step for translating the gene into a protein that performs a specialized function in the cell). Young identified per"s partner gene, timeless (tim), and then showed that when these two genes" protein products (PER and TIM) reach certain levels, they bind together in the cell"s cytoplasm and are transported back into the nucleus, where primarily PER shuts down the genes that made them. After a few hours, the proteins degrade, the genes start up again - and the cycle begins anew. As Hall, Rosbash, and Young continued their research, the fundamental workings of this complex feedback system came into even sharper focus. They discovered other genes and protein products that play critical roles in regulating the loop. They found that mutations affecting any of these genes had effects on Drosophila"s molecular rhythms - and on its behavior. They also identified how certain stimuli, most notably the light-dark cycle, help regulate the feedback loop in order to reset the clock everyday to operate in synch with natural environmental cycles (a key and universal feature of daily rhythms). When other researchers investigated the clock mechanisms in mammals, they found them to be strongly analogous to what Hall, Rosbash, and Young had found in Drosophila. Thus, the uncovering of the mechanism in the fruit fly - a tour de force of genetics and molecular biology - has paved the way for the study of human circadian genetics. "Practically all biological creatures thus display a circadian rhythm, whether fruit fly or man, as some species are active during night and others during daytime. This astounding ability depends on an intricate molecular mechanism that, once developed, has been conserved throughout evolution," says Sten Grillner, Director of the Nobel Institute for Neurophysiology at the Karolinska Institutet. "To reset the biological clock takes many days, as all intercontinental travelers are forced to experience - for shift-workers it is more serious, it creates stress and fatigue that over many years can lead to harmful medical conditions." Alyson O"Mahoney Robin Leedy & Associates, Inc.


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