ER visits tied to energy drinks double since 2007


SAN FRANCISCO (AP) — The young man stumbled into the emergency room late one night after a house party, saying his heart wouldn't stop pounding and he could barely breathe after downing liquor mixed with energy drinks.


Emergency physician Steve Sun soon found the patient was so dehydrated he was going into kidney failure — one of many troubling cases Sun says he has treated in recent years tied to energy drink consumption.


Sun's changing caseload appears in line with a new government survey that suggests the number of people seeking emergency treatment after consuming energy drinks has doubled nationwide during the past four years, the same period in which the supercharged drink industry has surged in popularity in convenience stores, bars and on college campuses.


"Five years ago, perhaps I would see one or two cases every three months or so. Now we're consistently seeing about two cases per month," said Sun, assistant medical director of the emergency department at St. Mary's Medical Center, on the edge of San Francisco's Golden Gate Park.


From 2007 to 2011, the government estimates the number of emergency room visits involving the neon-labeled beverages shot up from about 10,000 to more than 20,000. Most of the cases involved teens or young adults, according to the survey of the nation's hospitals released late last week by the Substance Abuse and Mental Health Services Administration.


More than half of the patients considered in the survey told doctors they had consumed only energy drinks. In 2011, about 42 percent of the cases involved energy drinks in combination with alcohol or drugs, such as the stimulants Adderall or Ritalin.


The beverage industry says energy drinks are safe and there is no proof linking the products to adverse reactions.


The report doesn't specify which symptoms brought people to the emergency room, but it calls energy drink consumption a "rising public health problem" that can cause insomnia, nervousness, headache, fast heartbeat and seizures that are severe enough to require emergency care.


Several emergency physicians said they had seen a clear uptick in the number of patients suffering from irregular heartbeats, anxiety and heart attacks who said they had recently downed an energy drink.


"A lot of people don't realize the strength of these things. I had someone come in recently who had drunk three energy drinks in an hour, which is the equivalent of 15 cups of coffee," said Howard Mell, an emergency physician in the suburbs of Cleveland, who serves as a spokesman for the American College of Emergency Physicians. "Essentially he gave himself a stress test and thankfully he passed. But if he had a weak heart or suffered from coronary disease and didn't know it, this could have precipitated very bad things."


The findings came as concerns over energy drinks have intensified following reports last fall of 18 deaths possibly tied to the drinks and so-called energy shots — including a 14-year-old Maryland girl whose family filed a lawsuit after she drank two large cans of Monster Energy drinks and died. Monster says its products were not responsible for the death.


Two senators are calling for the Food and Drug Administration to investigate safety concerns about energy drinks and their ingredients.


Late last year, the FDA asked the U.S. Health and Human Services to update the figures its substance abuse research arm compiles about emergency room visits tied to energy drinks.


The Substance Abuse and Mental Health Services Administration's survey was based on responses it receives from about 230 hospitals each year, a representative sample of about 5 percent of emergency departments nationwide. The agency then uses those responses to estimate the number of energy drink-related emergency department visits nationwide.


The more than 20,000 cases estimated for 2011 represent a small portion of the annual 136 million emergency room visits tracked by Centers for Disease Control and Prevention.


The FDA said it was considering the findings and pressing for more details as it undertakes a broad review of the safety of energy drinks and related ingredients this spring.


"We will examine this additional information ... as a part of our ongoing investigation into potential safety issues surrounding the use of energy-drink products," FDA spokeswoman Shelly Burgess said in a statement.


Beverage manufacturers fired back at the survey, saying the statistics were misleading and taken out of context.


"This report does not share information about the overall health of those who may have consumed energy drinks, or what symptoms brought them to the ER in the first place," the American Beverage Association said in a statement. "There is no basis by which to understand the overall caffeine intake of any of these individuals — from all sources."


Energy drinks remain a small part of the carbonated soft drinks market, representing only 3.3 percent of sales volume, according to the industry tracker Beverage Digest. Even as soda consumption has flagged in recent years, energy drinks sales are growing rapidly.


In 2011, sales volume for energy drinks rose by almost 17 percent, with the top three companies — Monster, Red Bull and Rockstar — each logging double-digit gains, Beverage Digest found. The drinks are often marketed at sporting events that are popular among younger people such as surfing and skateboarding.


From 2007 to 2011, the most recent year for which data was available, people from 18 to 25 were the most common age group seeking emergency treatment for energy drink-related reactions, the report found.


"We were really concerned to find that in four years the number of emergency department visits almost doubled, and these drinks are largely marketed to younger people," said Al Woodward, a senior statistical analyst with the Substance Abuse and Mental Health Services Administration who worked on the report.


___


Follow Garance Burke on Twitter at http://twitter.com/garanceburke


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S&P 500 ends flat as bank profits temper growth concerns

NEW YORK (Reuters) - The S&P 500 ended nearly flat on Wednesday as solid earnings from two major banks and a bounceback in Apple shares offset concerns about a lower forecast for global growth in 2013.


Shares of Goldman Sachs hit their highest since May 2011 as earnings nearly tripled on increased revenue from dealmaking and lower compensation expenses. JPMorgan Chase said fourth-quarter net income jumped 53 percent and earnings for 2012 set a record.


JPMorgan shares rose 1 percent to $46.82, while Goldman climbed 4.1 percent to $141.09.


They were among the first big banks to report results and helped to lift estimates for S&P 500 corporate earnings slightly, to a 2.2 percent gain, Thomson Reuters data showed.


"Pretty solid numbers from both JPMorgan and Goldman Sachs are putting a lot of momentum behind the financials, with a lot more names to report this week. But I think that's helping to put a better bid to the market overall," said Michael James, senior trader at Wedbush Morgan in Los Angeles.


Apple rebounded after three days of losses, helping the Nasdaq outperform the S&P 500 and Dow. Apple rose 4.2 percent to $506.09. It closed below $500 on Tuesday for the first time since February.


"There could not have been more negativity around Apple going into today. So was it due for an oversold bounce on a trading basis? Absolutely," James said.


A slow economic recovery in developed nations is holding back the global economy, the World Bank said on Tuesday, as it sharply scaled back its forecast for world growth in 2013 to 2.4 percent from an earlier forecast of 3.0 percent.


The Dow Jones industrial average <.dji> was down 23.66 points, or 0.17 percent, at 13,511.23. The Standard & Poor's 500 Index <.spx> was up 0.29 points, or 0.02 percent, at 1,472.63. The Nasdaq Composite Index <.ixic> was up 6.77 points, or 0.22 percent, at 3,117.54.


The biggest drag on the Dow was Boeing , whose shares fell 3.4 percent to $74.34 on concerns about its new Dreamliner passenger jets. Japan's two leading airlines grounded their fleets of 787s after an emergency landing, adding to safety concerns triggered by a series of recent incidents.


After the bell, shares of eBay were trading up 0.7 at $53.28, reversing an initial decline following the release of its results. Also after the close, shares of CBS rose 8.3 percent to $41.10 after it said it will convert its Outdoor Americas division into a real estate investment trust. [ID:nL4N0AL98X]


Earlier in the day, U.S. economic data showed consumer prices were flat in December, pointing to muted inflation pressures that should give the Federal Reserve room to prop up the economy by staying on its ultra-easy monetary policy path.


Other data showed U.S. homebuilder confidence in the market for single family homes held steady near seven year highs in January, suggesting the outlook for the housing market remained upbeat.


Volume was roughly 5.6 billion shares traded on the New York Stock Exchange, the Nasdaq and the NYSE MKT, compared with the 2012 average daily closing volume of about 6.45 billion.


Decliners outpaced advancers on the NYSE by nearly 8 to 7 and on the Nasdaq by almost 7 to 5.


(Additional reporting by Chuck Mikolajczak; Editing by Nick Zieminski and Kenneth Barry)



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China Arrests 7 in New Effort to Stop Tibetan Self-Immolations





BEIJING — The authorities in northwest China have detained seven people they claim organized the fatal self-immolation of a Tibetan villager in October, photographed his burning body and then sent the images abroad.




The arrests, announced Tuesday by Xinhua, the official news agency, suggest that the Chinese government is increasing the use of its newest strategy against the politically motivated suicides in Tibetan areas of China: punishing friends and relatives of those who self-immolate.


The Xinhua report blamed a Tibetan advocacy group in India for convincing the villager, Sangye Gyatso, a 27-year-old father of two, that self-immolation was a “heroic deed” and that it would improve his family’s standing.


A spokesman for the group, the Tibetan Youth Congress, rejected the accusations, calling them “ridiculous.”


With the accumulated toll of self-immolations approaching 100, Beijing has been scrambling to find effective deterrents to such acts, which began in 2009 as a desperate attempt to publicize what many Tibetans consider heavy-handed Chinese policies. In the early months of the crisis, officials sought to demonize self-immolators as terrorists or mentally deranged people. The authorities also locked down the most restive towns and monasteries, preventing monks from leaving or foreign journalists from entering.


Such measures appear to have done little to quell the protests, prompting officials to try new tactics. In Tongren County, in Qinghai Province, the authorities recently issued new regulations that permanently revoke public benefits for the families of self-immolators and cancel government-financed projects in their hometowns. If a monk or nun visits the home of a self-immolator, their monastery is to be shut down as punishment, according to the rules.


In recent weeks, more than a dozen people across the region have been charged with inciting self-immolations or accused of spreading information about the incidents via text message or e-mail. Last month, eight people were detained on accusations of trying to publicize a self-immolation near a government office in Luchu County in Gansu Province. Among those arrested, exile groups say, was a relative of the deceased.


In October, four young Tibetans in Sichuan Province were given sentences ranging from 7 to 11 years; two were convicted of encouraging their friend to self-immolate, and the other two for leaking news of the incident to “outside contacts.”


In the most recent case in Gansu Province, Xinhua said one of the seven detained men, a Buddhist monk named Khyi Gyatso, had joined the Tibetan Youth Congress in Dharamsala, India, after escaping in 2000. But the monk, Xinhua said, stayed in touch with his boyhood friend, Sangye Gyatso, and persuaded him through phone calls and e-mails to “contribute to the cause of Tibetans” by setting himself on fire.


Xinhua said Sangye Gyatso — whom it described as a convicted thief, perennially unemployed and a chronic womanizer — fell under the monk’s sway. He later told three friends about the time and place of his self-immolation so they could take photographs and share them with overseas groups, including representatives of the Dalai Lama, the exiled spiritual leader regarded by China as a subversive. “Shortly thereafter,” Xinhua said, “the Dalai clique launched a high-profile ‘propaganda’ campaign on the well-orchestrated incident, claiming there was a ‘humanitarian crisis’ in China and calling for the international community to interfere.”


Tenzin Norsang, joint secretary of Tibetan of Youth Congress in Dharamsala, said the group had no connection to Sangye Gyatso’s death, adding that the intense government restrictions and monitoring limited communication between Tibetans in China and abroad.


“Those who are self-immolating have been living under Chinese rule for more than 50 years — they don’t need anyone to tell them what to do,” he said. “Instead of blaming outsiders, the Chinese government could end the self-immolations by re-examining and changing their own repressive policies.”


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$149 Android Tablet from Asus Coming in April






By the end of this month, Amazon‘s Kindle Fire may no longer be the cheapest “real” tablet out there. PC hardware manufacturer Asus, the brand name behind Google‘s Nexus 7 device, is coming out with another 7-inch tablet called the Asus MeMO Pad, which will start at $ 149. The MeMO Pad will launch in “selected markets” this January, and will make it to the United States sometime in April, according to Phandroid’s Kevin Krause.


Here’s a look at the features the MeMO Pad has that the Kindle Fire and Nexus 7 don’t, and what got cut to bring it in under the $ 150 mark.






A look at the hardware


About the same size and shape as other 7-inch tablets, the MeMO Pad is powered by an underwhelming 1 GHz single-core processor from VIA, putting it roughly in line with a budget smartphone performance-wise. It has 1 GB of RAM, 8 GB of internal storage, and basic features like a front-facing webcam and a microSD card slot for expandable storage. The MeMO Pad will come in gray, white, and pink.


Jelly Bean under the hood


While the Kindle Fire runs Amazon’s proprietary version of Android (which is so heavily modified as to basically be a “Kindle OS”), the MeMO Pad runs the same up-to-date version of Android as the Nexus 7, Android 4.1 Jelly Bean. Unlike with the Nexus device, however, which is loaded exclusively with Google apps to start with, Asus saw fit to bundle about a half-dozen of its own apps as well, like “SuperNote Lite” and “ASUS Studio.”


Unlike the Kindle Fire, which can only buy apps from Amazon’s store, the MeMO Pad will have the Google Play store (the former Android Market) preinstalled. It will be able to install the Amazon Appstore and Kindle app as well, just like other Android devices can.


Compared to other tablets


The device which compares closest, price-wise, to the MeMO Pad is Amazon’s $ 159 Kindle Fire. For the price, you get half the RAM but a dual-core 1.2 GHz processor, as well as another hour or so of battery life. The Kindle lacks the MeMO Pad’s webcam or expandable memory, but the biggest tradeoff may be the Kindle’s pure Amazon experience — complete with ads on your homescreen — versus the MeMO Pad’s almost-pure Android.


Asus’ own Nexus 7 starts at $ 199 and lacks expandable memory, but for the price you get 16 GB of storage instead of 8. (That’s more than double when you consider that Android and Asus’ apps take up part of it.) It has a much sharper screen than the MeMO Pad, and a much more powerful Tegra 3 processor, which is capable of playing “THD” enhanced games. Finally, it has (more expensive) 3G options, and is available now instead of in April.


Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.


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Lance's Doping Drama Explained in 5 Clicks





Before the cyclist tells all to Oprah Winfrey, see how multiple allegations got his Tour de France titles revoked








Credit: AP



Updated: Friday Aug 24, 2012 | 02:30 PM EDT
By: Kiran Hefa




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Risk to all ages: 100 kids die of flu each year


NEW YORK (AP) — Twenty flu-related deaths have been reported in children so far this winter — one of the worst tolls this early in the year since health officials began keeping track.


Still, experts say that doesn't mean this year will turn out to be unusually deadly. Roughly 100 children die in an average flu season, and it's not clear that will happen this year.


The deaths have included a 6-year-old girl in Maine, a 15-year-old Michigan boy who loved robotics and a tall high school senior from Texas who got sick in Wisconsin while visiting his grandparents for the holidays.


On average, an estimated 24,000 Americans die each flu season. Elderly people with chronic health conditions are at greatest risk.


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Dow, S&P 500 inch up with retailers but Apple drags again

NEW YORK (Reuters) - The Dow and S&P 500 edged higher on Tuesday after stronger-than-expected retail data, though tech heavyweight Apple dragged on the market for a third day.


Apple was the biggest weight on both the S&P 500 and Nasdaq 100 <.ndx> after reports on Monday of cuts to orders for iPhone parts. Shares declined 3.2 percent to $485.92 and closed below $500 for the first time since February.


Retail stocks advanced after a government report showing retail sales rose more than expected in December was seen as a favorable sign for fourth-quarter growth. A separate report showed manufacturing activity in New York state contracted for the sixth month in a row in January.


"A little better-than-expected news on retail sales once again reinforces that the consumer remains alive and reasonably well," said Mark Luschini, chief investment strategist at Janney Montgomery Scott in Philadelphia, which manages about $54 billion in assets.


Among retailers, American Eagle Outfitters Inc gained 4.8 percent to $20.58 and Gap Inc rose 3.4 percent to $32.46. The Morgan Stanley retail index <.mvr> advanced 1.5 percent.


Express Inc surged 23.8 percent to $17.40 after the apparel retailer raised its fourth-quarter and full year 2012 outlook.


The Dow Jones industrial average <.dji> was up 27.57 points, or 0.20 percent, at 13,534.89. The Standard & Poor's 500 Index <.spx> was up 1.66 points, or 0.11 percent, at 1,472.34. The Nasdaq Composite Index <.ixic> was down 6.72 points, or 0.22 percent, at 3,110.78.


Apple's stock has lost about 7 percent in the last three sessions and is down 8.7 percent since the start of the year.


"It's tough to discern exactly what's putting the pressure on it. But at the end of the day, its influence, considering it's still 3 1/2 to 4 percent of the S&P 500 index, is being felt," Luschini said.


"I attribute (it) to just some of the bloom coming off of the rose. They haven't necessarily done anything wrong, as much as others have caught up."


Also keeping investors on edge is the looming debt ceiling debate. On Monday, President Barack Obama rejected any negotiations with Republicans over raising the U.S. debt ceiling. The United States could default on its debt if Congress does not increase the borrowing limit.


Resolving the debt ceiling is more a question of how than if. Investors don't expect a U.S. default, but they are also wary of another eleventh-hour agreement like the one in August 2011.


An expected lackluster earnings season, too, kept investors from taking aggressive bets. Analyst estimates for the quarter have fallen sharply since October. S&P 500 earnings growth is now seen up just 1.8 percent from a year ago, Thomson Reuters data showed.


Homebuilder Lennar reported a sharp rise in quarterly profit, but the stock declined 0.8 percent to $40.68 on worries that growth in orders was slowing.


Dell Inc shares added to Monday's gains, ending up 7.2 percent to $13.17 after sources said talks to take the computer maker private are in an advanced stage.


On the down side, shares of Facebook dropped 2.7 percent to $30.10. The company unveiled a "graph search" feature that CEO Mark Zuckerberg said would help its billion-plus users sort through content within the social network and its content feeds.


Volume was roughly 5.8 billion shares traded on the New York Stock Exchange, the Nasdaq and the NYSE MKT, compared with the 2012 average daily closing volume of about 6.45 billion.


Advancers outpaced decliners on the NYSE by about 17 to 12 and on the Nasdaq by about 13 to 11.


(Additional reporting by Chuck Mikolajczak; Editing by Kenneth Barry and Nick Zieminski)



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The Lede Blog: Video of Aleppo University Bombing

Last Updated, 4:47 p.m. Video posted online by Syrian opposition activists appeared to show the moment one in a series of deadly explosions struck the campus of Aleppo University on Tuesday.

Video said to capture an explosion on the campus of Aleppo University in Syria on Tuesday, uploaded to the Web by opposition activists.

The brief clip, uploaded to the YouTube channel of the ANA New Media Association (formerly the Syrian Activists News Association), begins with a view of smoke rising from a university building as students mill about. Moments later, following a very loud explosion close to the camera, students run for cover and a much larger plume can be seen above the building.

A description of the video posted on YouTube by ANA, which is run from Cairo by the British-Syrian activist Rami Jarrah, said that the video was filmed by an activist just after the university was hit by a missile fired from a Syrian Air Force MIG fighter jet, and captured the impact of a second airstrike.

Another video clip, uploaded to the Web earlier in the day, appeared to offer a more distant view of the plumes of smoke above the campus. Mr. Jarrah, who blogs as Alexander Page, suggested that one part of the video showed the fighter jet’s contrail in the sky over the damaged buildings.

While opposition activists insisted that the blasts, which killed at least 50 people, were the result of airstrikes by the government of President Bashar al-Assad, state-controlled television channels claimed that “terrorists” had fired rockets at the campus.

The pro-Assad satellite channel al-Ikhbaria broadcast video of the aftermath, showing extensive damage to the campus and victims being rushed from the scene as on-screen text blamed the attack on rebel forces.

Video from the pro-government Syrian satellite channel al-Ikhbaria showed the aftermath of bombings at Aleppo University on Tuesday

A blogger in Aleppo who supported peaceful protests against the Assad government but has been fiercely critical of the armed rebellion, Edward Dark, described the carnage as a result of an air attack that was “probably a mistake, not an intentional bombing.”

Restrictions on independent reporting in Syria make it hard to confirm who was responsible for the explosions, but the university is in a government-controlled area of the city and large anti-Assad demonstrations there last May were harshly dealt with by the security forces, despite the presence of United Nations observers.

A pair of video clips posted on YouTube shortly after the bombings showed extensive damage to what was described as the university’s architecture school. In one of the clips, dazed students made their way through shattered glass, carrying a wounded man on a table, in the entrance hall to the architecture faculty pictured on the university’s Web site.

Video said to show the badly damaged school of architecture at Aleppo University on Tuesday.

Video of a wounded man being evacuated from Aleppo University’s school of architecture on Tuesday.

Another pro-Assad satellite channel, Addounia, broadcast a report blaming “a terrorist group” for the bombings — which was uploaded, with English subtitles, to YouTube.

A video report on bombings at Aleppo University from Addounia, a pro-Assad satellite channel.

Writing on Twitter, a Syrian-American from Aleppo who uses the pen name Amal Hanano posted links to photographs of three people identified as victims of the bombings by activists on social networks.

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Study Shows Gender Bias in Wikipedia, Linux






Today in the age of the “brogrammer,” whose frat boy tendencies are glorified and sought after by cutting-edge online startups, women in tech often find themselves objectified and excluded — especially in communities like Wikipedia and open-source software, where women make up even less of the population (around 13 percent and 1 percent, respectively) than in more mainstream technical fields.


That was one of the facts Joseph Reagle, an assistant professor at Northeastern University, drew on for his study about “Free culture and the gender gap.” He discovered that just because a community (like Wikipedia) says that it’s open doesn’t mean that it isn’t hostile to women.






Free for all?


The “Free Encyclopedia” Wikipedia’s claim to fame is that anyone can edit and contribute to it. To keep errors from cropping up, it has policies that let anyone flag part of an article for review, and allow trusted editors to decide how to present something.


The process by which those editors decide, however, is often highly combative and alienating to women, who “are socialized to not be competitive and avoid conflict” according to Reagle. Sue Gardner, the Executive Director of the Wikimedia Foundation (the project behind Wikipedia), wrote a list of “Nine Reasons Women Don’t Edit Wikipedia,” in which she noted Wikipedia’s “fighty” and “contentious” culture, where loud and assertive people drive others out regardless of their competence.


“Otherwise commendable features”


Reagle found that Wikipedia’s values of radical freedom and openness actually led to a culture that is more closed off to women. He noted that “implicit” power structures existed, even in the absence of formal ones; and that imposing few restrictions on how people treat each other can lead to “a chaotic culture of undisciplined vandals,” which disenfranchises women from participation just as surely as if there were rules against women participating.


Similar dynamics exist in popular open-source software projects like the Linux kernel. Open-source luminaries like Eric Raymond are legendarily combative and hostile to “idiots,” even while they they tolerate abusive personalities who drive female contributors away. Reagle’s study quoted numerous female writers with experience working in Linux and open-source software, who called its community “cliquish and exclusionary” as well as “more competitive and fierce than most areas of programming.”


How to achieve equality


Wikipedia’s new Teahouse page is “a friendly place to help new editors,” which is designed especially to encourage women to participate. Meanwhile, women like Denise Paolucci are creating their own startups like Dreamwidth, which are based on existing open-source programming code. Unlike most “proprietary” code, it’s still free for women to do what they want with it — if they can overcome the obstacles in their way.


Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.


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Britney Spears Steps Out in 'Love' Sweatshirt after Split















01/14/2013 at 03:50 PM EST



Britney Spears still believes in "love" – at least when it comes to wearing it.

The pop star, 31 – whose failed engagement to Jason Trawick, 41, was announced on Friday – grabbed coffee in L.A. on Monday, sporting a black and white sweatshirt with the four-letter word displayed in large letters across the front.

The former X Factor judge looked casual, wearing shades and her hair in a ponytail.

Once the split was official, a source told PEOPLE, "Britney had a lot of issues with Jason doing his own thing – in business and seeing his friends. In her perfect world he would have been home with her twenty-four/seven, so that was a point of contention; something they were always working on."

But she didn't seem too bent out of shape when she made her outing and grabbed two drinks to go, as she wore a happy grin the whole time.

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