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BOHEME: In this file picture taken on August 7, 2007 nine-week-old baby<br />

gorilla Tatu lays in the arms of her mother Kijivu at the gorilla enclosure<br />

of the Zoo in Prague. A gorilla accidentally hanged himself at the Prague<br />

zoo, five years after gaining the spotlight when his birth was broadcast<br />

live on the internet. Tatu died in the morning while playing in a rope<br />

structure in the gorilla wing, the zoo director said. —AFP<br />

Zoo moves orangutan<br />

to stop her smoking<br />

JAKARTA: Indonesian zookeepers<br />

have moved an orangutan out of visitors’<br />

sight so she’ll no longer smoke lit<br />

cigarettes people regularly throw into<br />

her cage. Taru Jurug Zoo spokesman<br />

Daniek Hendarto said Thursday that<br />

Tori and her male companion, Didik,<br />

were moved Wednesday to a small<br />

island within the zoo. There are four<br />

endangered orangutans at the zoo in<br />

the Central Java town of Solo.<br />

NEW YORK: If you’re having chest pains,<br />

an advanced type of CT scan can quickly<br />

rule out a heart attack. New research<br />

suggests this might be good for hospitals,<br />

but not necessarily for you. These<br />

heart scans cut time spent in the hospital<br />

but didn’t save money, the study<br />

found. They also prompted more tests<br />

and questionable treatments and gave<br />

relatively large doses of radiation to<br />

people at such low risk of a heart attack<br />

that they probably didn’t need a major<br />

test at all.<br />

There is no evidence that adding<br />

these tests saved lives or found more<br />

heart attacks, wrote Dr. Rita Redberg, a<br />

cardiologist at the University of<br />

California, San Francisco in an editorial.<br />

Her commentary accompanied the<br />

study in Thursday’s New England Journal<br />

of Medicine. And since radiation from<br />

the scans can raise the long-term risk of<br />

developing cancer, doctors “may legitimately<br />

ask whether the tests did more<br />

harm than good,” she wrote.<br />

Let’s be clear: None of this changes<br />

the advice to seek help quickly if you’re<br />

having chest pain or other signs of a<br />

heart attack. Any delay raises the risk of<br />

permanent heart damage. But more<br />

than 90 percent of the 6 million people<br />

who go to hospitals each year in the U.S.<br />

with chest pain have indigestion, stress,<br />

muscle strain or some other problem -<br />

not heart disease. Doctors are afraid of<br />

missing the ones who do have it, and<br />

increasingly are using CT scans - a type<br />

of X-ray - with an injected dye to get<br />

detailed views of arteries.<br />

More than 50,000 of these scans were<br />

done in Medicare patients in 2010, and<br />

their use is growing. Far more than that<br />

were done in younger patients like the<br />

ones in this study, who were 54 years<br />

old, on average.<br />

The test requires a substantial dose of<br />

radiation, which can raise the risk of cancer<br />

years down the road. In some cases,<br />

patients might just be told that a doctor<br />

wants the test. They may be too frightened<br />

to question it or unaware they can<br />

refuse or ask about other testing options<br />

without jeopardizing their care.<br />

The aim of the study was to see<br />

whether these heart scans, called coronary<br />

CT angiography, were faster, better<br />

or less expensive than usual care, such<br />

as simpler tests or being kept a while for<br />

observation. Researchers led by Dr. Udo<br />

Hoffmann at Massachusetts General<br />

Hospital enrolled 1,000 patients who<br />

went to one of nine hospitals around the<br />

country during regular daytime, weekday<br />

hours with chest pain or other possible<br />

heart attack symptoms. All showed<br />

no clear sign of a heart attack on initial<br />

tests - an electrocardiogram and blood<br />

work. They were randomly assigned to<br />

further evaluation either with a CT<br />

angiography scan or whatever is standard<br />

at that hospital, such as a treadmill<br />

or other heart tests. Those given the CT<br />

scans spent an average of 23 hours in<br />

the hospital versus 30 hours for the others.<br />

More patients given the scans were<br />

sent home directly from the emergency<br />

room rather than being admitted - 47<br />

percent versus 12 percent.<br />

“Identifying the underlying cause of<br />

The 15-year-old Tori has been<br />

smoking for a decade. She mimics<br />

humans by holding cigarettes casually<br />

between her fingers while visitors<br />

watch and photograph her puffing<br />

away and flicking ashes on the<br />

ground. Hendarto said recent medical<br />

tests show the four primates are in<br />

good condition. The two other orangutans<br />

will be moved later to another<br />

island.— AP<br />

Study questions CT scans<br />

to rule out heart attacks<br />

chest pain more quickly with CT scans<br />

could allow medical care providers to<br />

better allocate limited resources to the<br />

patients who are most in need of treatment”<br />

while letting others go home<br />

faster, said a statement by Dr. Susan<br />

Shurin, acting director of the National<br />

Heart, Lung, and Blood Institute, which<br />

sponsored the study. However, the average<br />

cost of care was $4,289 for patients<br />

given the CT scans versus $4,060 for the<br />

others, despite spending seven hours<br />

less in the hospital. That’s because CT<br />

scans led to more follow-up tests and<br />

treatments, even though the burden of<br />

disease was about the same; 8 percent<br />

of both groups turned out to have heart<br />

disease and only 5 of the 1,000 had had<br />

a heart attack.<br />

In the CT group, 29 patients wound<br />

up getting a heart bypass or arteryopening<br />

angioplasty and stent procedures<br />

versus 18 patients in the usual<br />

care group. That suggests overtreatment,<br />

said Dr. W. Douglas Weaver, a former<br />

American College of Cardiology<br />

president from Henry Ford Hospital in<br />

Detroit. “If you look more, you’ll find<br />

more, and the more you’ll do” to treat<br />

whatever is found, said Weaver, who had<br />

no role in the study. He also said time in<br />

the hospital seemed unusually long for<br />

both groups - most hospitals have protocols<br />

to evaluate such cases within 12<br />

hours.<br />

Furthermore, patients fared the same<br />

in the month after their ER visit regardless<br />

of how the hospital evaluated them<br />

for chest pain.<br />

No heart attacks were missed, and no<br />

one died. Those given CT scans had<br />

nearly triple the amount of radiation -<br />

about 14 millisieverts (a measure of<br />

dose) versus less than 5 millisieverts for<br />

the others, some of whom received tests<br />

requiring less radiation. “Exposures of 10<br />

millisieverts have been projected to lead<br />

to 1 death from cancer per 2,000 persons,”<br />

Redberg wrote in her editorial.<br />

“Equally alarming, the testing may<br />

lead to an increased risk of breast cancer<br />

among these patients, many of whom<br />

are middle-aged women.” Radiation risks<br />

are a growing concern - Medicare’s<br />

HospitalCompare website recently started<br />

adding information on inappropriate<br />

radiation exposure rates at the hospitals<br />

it tracks. Many study authors have consulted<br />

for imaging device makers and<br />

radiology groups.<br />

A much larger study comparing CT<br />

scans and other tests for evaluating<br />

heart risks in 10,000 patients is under<br />

way now, but it won’t provide answers<br />

for several years. In the meantime, a<br />

patient’s gender, age, and history of<br />

chest pain or other illnesses such as diabetes<br />

go a long way toward predicting<br />

risk as long as the initial EKG and blood<br />

work suggest no problem, Redberg contends.<br />

“With no evidence of benefit and<br />

definite risks, routine testing in the<br />

emergency department of patients with<br />

a low-to-intermediate risk...should be<br />

avoided,” she wrote.<br />

“The question is not which test leads<br />

to faster discharge of patients from the<br />

emergency department, but whether a<br />

test is needed at all.” —Reuters<br />

HEALTH&SCIENCE<br />

PISA: Once the preserve of science fiction,<br />

increasingly sophisticated robotic devices are<br />

vying for a place side by side with humans in<br />

the real world. At Italy’s Sant’Anna university,<br />

a bionic arm commanded by the human brain<br />

or a limb extension that allows rescuers to lift<br />

rubble after earthquakes are just some of the<br />

futuristic innovations in the pipeline.<br />

“The idea is to get robots out of factories<br />

where they have shown their worth and to<br />

transform them into household machines<br />

which can live together with humans,” says<br />

Professor Paolo Dario, director of the college’s<br />

bio-robotics department. The university in the<br />

historic town of Pisa in Tuscany is a veritable<br />

factory of ideas. Researchers here are working<br />

on projects ranging from a robot that can<br />

come to your door to collect your recycling to<br />

tomatoes that slow the effects of ageing and<br />

plants that survive underwater to help floodprone<br />

regions of the world.<br />

“You can innovate here. Whoever has a<br />

project gets help, ideas are not blocked. We<br />

are investing in individuals,” the rector of<br />

Sant’Anna, Maria Chiara Carrozza, a professor<br />

of bio-robotics said in an interview. The dustcart<br />

looks like the famous R2-D2 from Star<br />

Wars with its laser scanner and location sensors.<br />

The idea is that it can work through<br />

phone bookings to come to your street at a<br />

fixed time to collect your waste.<br />

“We tested it for two months with 15 fami-<br />

MONDAY, JULY 30, 2012<br />

Science fiction comes<br />

to life in Italian lab<br />

Bionic arm commanded by human brain<br />

PISA: A picture taken on July 17, 2012<br />

shows Researcher Paolo Dario, director<br />

of the BioRobotic Institute of the St.<br />

Anna School University in Pisa. —AFP<br />

Aging AIDS epidemic<br />

raises new questions<br />

WASHINGTON: AIDS is graying. By the end<br />

of the decade, the government estimates,<br />

more than half of Americans living with HIV<br />

will be over 50. Even in developing countries,<br />

more people with the AIDS virus are surviving<br />

to middle age and beyond. That’s good<br />

news - but it’s also a challenge. There’s growing<br />

evidence that people who have spent<br />

decades battling the virus may be aging prematurely.<br />

At the International AIDS<br />

Conference this week, numerous studies are<br />

examining how heart disease, thinning bones<br />

and a list of other health problems typically<br />

seen in the senior years seem to hit many<br />

people with HIV when they’re only in their<br />

50s. “I’m 54, but I feel older,” said Carolyn<br />

Massey of Laurel, Md., who has lived with HIV<br />

for nearly 20 years. “When I hear young people<br />

talk about, ‘Well you get HIV and you take<br />

your drugs and you’ll be all right’ - that’s just<br />

not the truth,” she said. “This is a lifelong thing<br />

we’re talking about, and it unfolds every day<br />

on you.” The graying isn’t just because people<br />

like Massey are surviving longer. Some of it<br />

comes from older adults being newly diagnosed,<br />

a trend U.S. health officials say is small<br />

but slowly growing. Yes, grandparents still<br />

have sex - and that’s an age group missed by<br />

all those hip safe-sex messages aimed at<br />

teens and 20-somethings.<br />

“They let down their guard,” is how Dr.<br />

Kevin Fenton of the Centers for Disease<br />

Control and Prevention puts it. Already, a<br />

third of the nearly 1.2 million people living<br />

with HIV in the U.S. are over 50, and by 2020<br />

half will be, Fenton said at one of numerous<br />

sessions on aging at the world’s largest AIDS<br />

meeting.<br />

People 50 or older accounted for 17 percent<br />

of new HIV diagnoses in 2009, according<br />

to the CDC’s latest data. That’s up from 13<br />

percent in 2001. There aren’t as good counts<br />

in poor regions of the world, where access to<br />

life-saving medications came years later than<br />

in developed countries.<br />

But even in hard-hit sub-Saharan Africa,<br />

home to most of world’s HIV-infected population,<br />

studies suggest 3 million people living<br />

with HIV are 50-plus, said Dr. Joel Negin of the<br />

University of Sydney in Australia. By 2040, he<br />

said, that could reach 9 million. There, challenges<br />

are different. Ruth Waryaro of Kenya,<br />

addressing the conference on her 65th birthday,<br />

said clinic workers hassle her when she<br />

goes to pick up her monthly supply of medication<br />

- not believing a grandmother really<br />

needs it.<br />

“If you’re not strong enough, you just<br />

leave the medication and go home,” said<br />

Waryaro, who raised four children of her own<br />

and now is raising four AIDS orphans. She<br />

also has diabetes and high blood pressure. As<br />

Negin pointedly told the conference, “50 is<br />

not old.” But for years, world health authorities<br />

didn’t even measure HIV in people<br />

beyond age 49. Today, people who are diag-<br />

MADRID: Spain’s conservative government has provoked<br />

a storm among women’s groups with plans to<br />

tighten the country’s abortion laws to make the<br />

procedure illegal in cases where the foetus is<br />

deformed. The government announced Friday it<br />

would alter an abortion law introduced by its<br />

Socialist predecessors in 2010 which gave women<br />

the legal right to abortion on demand for up to 14<br />

weeks of pregnancy.<br />

The 2010 law also allowed women the legal right<br />

to abort up to the 22nd week of pregnancy in cases<br />

where the mother’s health is at risk or the foetus<br />

shows serious deformities. In cases of an extremely<br />

severe serious malformation of a foetus, an abortion<br />

could be carried out at any time if approved by an<br />

ethics committee. But last week Justice Minister<br />

Alberto Ruiz-Gallardon came out strongly against<br />

allowing abortion in cases of a deformed foetus.<br />

“I don’t understand why we should deprive a foetus<br />

of life by allowing abortion for the simple reason<br />

that it suffers a handicap or a deformity,” he said in<br />

nosed and treated early can expect a nearnormal<br />

life-span, Dr. Anthony Fauci, infectious<br />

disease chief at the National Institutes of<br />

Health, told The Associated Press. The new<br />

focus is on what these pioneering survivors<br />

can expect as they reach their 50s, 60s and<br />

beyond. They’re now getting chronic illnesses<br />

such as heart disease, diabetes, kidney disease<br />

and osteoporosis - some of the common<br />

ailments when anyone gets old. But studies<br />

suggest people with HIV may be at higher risk<br />

for some of those illnesses, or get them earlier<br />

than usual.<br />

“It’s almost created a new subspecialty of<br />

medicine,” Fauci said. Perhaps the strongest<br />

evidence links HIV and an increased risk of<br />

heart disease. Some AIDS medications raise<br />

that risk. But in research published for the<br />

AIDS meeting, scientists at Massachusetts<br />

General Hospital uncovered another reason.<br />

They scanned the arteries of people with and<br />

without HIV, and found the HIV patients had<br />

more inflammation inside their arteries, putting<br />

them at risk for the kind of clots that trigger<br />

heart attacks. That’s even though the HIV<br />

patients had their virus well-controlled and<br />

weren’t that old - their average age was 52,<br />

the researchers reported in the Journal of the<br />

American Medical Association.<br />

HIV triggers body-wide inflammation as a<br />

person’s immune system tries to fight the<br />

virus, a process that persists and can quietly<br />

damage organs even with good medications,<br />

CDC’s Fenton said. HIV is not acting in a vacuum,<br />

said Dr. Amy Justice of Yale University,<br />

noting that people’s histories of smoking, for<br />

example, also contribute to inflammation. But<br />

she pointed to data from a Veterans Affairs<br />

study that said older people with HIV use<br />

more medications for other diseases than<br />

HIV-free patients the same age. At the conference,<br />

some older people with HIV lined up to<br />

have their photographs made and their personal<br />

histories recorded, part of a Web project<br />

called “The Graying of AIDS.”<br />

It’s a chance to be counted, and share<br />

knowledge. “We’re so concerned about the<br />

youth factor, we forget about the people<br />

who’ve brought us thus far,” said Massey, the<br />

Maryland woman, who leads an HIV group<br />

called Older Women Embracing Life and<br />

works with churches to raise HIV awareness.<br />

CDC’s Fenton noted that those voices can<br />

help other older adults realize they’re at risk,<br />

when they’re getting back onto the dating<br />

scene after years of monogamous relationships.<br />

Older people don’t use condoms as<br />

much as younger people. “We still have this<br />

huge issue with stigma so thick you can cut it<br />

with a knife,” says Massey, who also wants HIV<br />

testing to become a routine part of health<br />

check-ups. “We have to normalize the conversation.”<br />

The latest installment of Aging<br />

America, the joint AP-APME project examining<br />

the aging of the baby boomers and the<br />

impact that will have on society.— AP<br />

an interview published in conservative daily La<br />

Razon on July 22. On Friday the minister justified his<br />

plans on the grounds that the United Nations’<br />

Convention on the Rights of Persons with<br />

Disabilities urges nations to “adopt all necessary<br />

measures to guarantee the rights of disabled people”.<br />

A collective of women’s rights groups has<br />

planned a protest in Madrid yesterday against the<br />

planned abortion law reform that will get under way<br />

at noon (1000 GMT).<br />

“The reform will send the law back to an era close<br />

to the Franco dictatorship and it distances Spain<br />

from the vast majority of European nations in terms<br />

of women’s rights,” the collective said in a statement.<br />

Santiago Barambio, the head of the Spanish association<br />

of abortion clinics, Acai, and one of the authors<br />

of the 2010 abortion law, accuses the Popular Party<br />

government, in power since December, of hypocrisy.<br />

“It is the peak of cynicism. At every international<br />

conference, all UN health agencies, the World Health<br />

Organisation, the Council of Europe, they all say not<br />

lies living in one of the towns near here.<br />

Everything worked well but there are still<br />

some problems to sort out,” said Pericle<br />

Salvini, a member of the team behind the<br />

project. “First of all it is slow for security reasons<br />

and it sometimes blocks the traffic. Also<br />

it cannot legally be on the road since there is<br />

no type of insurance for this type of robot in<br />

case of an accident,” he said.<br />

Professor Dario also heads up a project<br />

entitled “The Robot Companions for Citizens”<br />

which is one of six contestants for a European<br />

Union prize of one billion euros ($1.2 billion)<br />

in funding spread out over a decade. Marco<br />

Controzzi, who is working on a bionic arm,<br />

says it will operate by using electrodes<br />

attached to the skin or implanted in your<br />

head. “It will move only according to your<br />

intentions,” he said, adding that powering it<br />

would be easy as it can run on just two mobile<br />

phone batteries.<br />

The exoskeleton or “body extender”, a prototype<br />

costing a million euros, meanwhile, is a<br />

kind of armour weighing 160 kilos (353<br />

pounds) which multiplies the strength of its<br />

human user by 20. “The idea is to use this type<br />

of instrument for emergency workers in disasters<br />

like an earthquake,” said engineer Marco<br />

Fontana.—AFP<br />

Humans would be<br />

also-rans in all<br />

species Olympics<br />

PARIS: Human beings would be made to look decidedly<br />

unimpressive were animals allowed to compete in<br />

the Olympics-outperformed by the likes of kangaroos,<br />

gorillas and ostriches, a science paper said Saturday.<br />

Usain Bolt, currently the world’s fastest man, may just<br />

be able to outrun a Dromedary camel but would trail<br />

the cheetah, greyhound and ostrich in a sprint race, said<br />

a feature in the Veterinary Record journal.<br />

“‘Citius, Altius, Fortius’ (faster, higher, stronger) is the<br />

Olympic motto, but if we allowed the rest of the animal<br />

kingdom into the Games ... we could not offer much<br />

competition!” wrote author Craig Sharp. Jamaican track<br />

star Bolt holds the 100m-record of 9.58 seconds, which<br />

translates into a speed of 37.6 kilometres per hour.<br />

The world’s fastest land animal, the cheetah, can<br />

reach speeds of 104 kph, a thoroughbred racehorse 70<br />

kph, a greyhound 69 kph and an ostrich 64 kph, said<br />

Sharp of the Centre for Sports Medicine and Human<br />

Performance at Brunel University in London. The camel<br />

comes in just behind Bolt at 35.3 kph. The 2012<br />

Olympics were officially opened in London on Friday<br />

evening. When it comes to marathon running, the<br />

human athlete could not hold a candle to endurance<br />

animals like camels or sled dogs, and he would also be<br />

beaten in the long jump by the kangaroo (12.8 meters<br />

compared to the human record of 8.95 m). The high<br />

jump record of 2.45 m would be smashed by the springbok<br />

gazelle, which can bound over three metres into<br />

the air, and the snakehead fish which can leap over four<br />

metres out of water.— AFP<br />

FRIEDRICHSKOOG: Two seals swim in the water<br />

at the seal nursery in Friedrichskoog, northern<br />

Germany yesterday. A young seal “Fips” was<br />

found at a shipyard in Hamburg at the beginning<br />

of July and was brought to the nursery in<br />

Friedrichskoog. —AFP<br />

Spain angers feminists with<br />

plan to tighten abortion law<br />

to restrict abortion,” he told AFP. “The minister represents<br />

the extreme right and the ultra-Catholics,<br />

which are perhaps a minority but are very powerful<br />

economically, such as Opus Dei for example,” he<br />

added in a reference to the conservative Roman<br />

Catholic organisation whose name in Latin means<br />

“Work of God”. Trinidad Jimenez, a health minister in<br />

the previous Socialist government who now acts as<br />

the party’s secretary for social policy, called the<br />

planned abortion law changes a “counter-reform”.<br />

“It sets us back 35 years,” she said. Before the<br />

2010 abortion reform, women could have an abortion<br />

only in cases of rape, serious deformity or<br />

when the mother’s mental or physical health was<br />

threatened. The vast majority of the 115,000 abortions<br />

carried out in 2009, the year before the<br />

reform, were performed at private clinics and were<br />

justified on the grounds that the pregnancy posed<br />

a “psychological risk” to the woman. Anti-abortion<br />

groups welcomed the planned abortion law<br />

reform. —AFP

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