Friday, December 23, 2011

Better tests needed to detect, treat prostate cancer, doctors say

A blood screening result that suggests prostate cancer is bound to provoke high anxiety -- even though up to 80 percent of those findings turn out to be false positives. Anxiety deepens, of course, if a biopsy confirms a cancer diagnosis -- to the extent that many men demand surgery or radiation even when they don?t need it.

Now, two national health panels have made startling recommendations that call into question the way doctors have been handling prostate cancer testing and treatment. One panel said men should skip standard prostate-specific antigen (PSA) testing unless they have symptoms such as urinary blockage or pain. A second panel urged many men with low-risk prostate tumors to turn to ?active surveillance? rather than immediate surgery or radiation.

The recommendations -- the first is part of a draft report by the U.S. Preventive Services task force in October, the second came from a panel convened by the National Institutes of Health this month -- have generated controversy, even as researchers in South Florida and elsewhere work to develop better methods.

?Skipping the PSA is the wrong way to approach it. It?s an extreme viewpoint that will have terrible ramifications on public health if it goes forward,? says Dr. Bruce Kava, interim chair of urology at the University of Miami Miller School of Medicine. ?I?ve had patients whose cancer was discovered by a PSA test,? adds Dr. Rakesh Singal, a urologist and prostate cancer researcher at the UM medical school.

The Preventive Services task force recommendation came after a months-long study of clinical trials around the world. ?The common perception that PSA-based early detection of prostate cancer prolongs lives is not supported by the scientific evidence,? the draft report said. The task force is a congressionally mandated panel of doctors, nurses and other specialists that develops recommendations for doctors and hospitals.

The second recommendation, from a ?consensus panel? of 14 researchers and clinicians convened this month by the National Institutes of Health, tackled the treatment side: ?Treatment of low-risk prostate cancer with radical prostatectomy or radiation therapy leads to side effects such as impotence and incontinence. Active surveillance has emerged as a viable option.?

Responding to those concerns, researchers in South Florida and around the world are working on better screening tests to replace or at least supplement the PSA test, which has been use since 1986. Such improved tests could make the screening controversy ?moot,? the U.S. Cancer Foundation says. It says studies also are underway to better guide how aggressive treatment should be when cancer is confirmed.

The prostate, a small-plum-sized gland that sits above the base of the penis and helps produce semen, becomes enlarged in half of all men by age 60, and half of those will have symptoms such as frequent urination, weak stream or inability to completely empty the bladder.

Source: http://www.bradenton.com/2011/12/23/3746200/better-tests-needed-to-detect.html

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Sportsgraphic: Highlights Of Ben Roethlisberger?s Wedding

Steelers quarterback Big Ben Roethlisberger will marry Ashley Harlan this Saturday in what is already being touted as Pittsburgh's royal wedding. Here's what to expect:

  • Roethlisberger reads his vows off his wristband
  • Bride's family gives witness statements to police outside the church
  • All 500 guests are truly touched by the bride and groom and maid of honor?s first triple-kiss
  • Speech from the maid of honor basically a last-ditch plea for rational thought
  • First extramarital affair occurs two hours into the reception under table 17
  • Best man speech bombs, as it is just a horrifying account of groom's previous assaults
  • After the cake-cutting, everyone overhears Roethlisberger telling his new wife, ?I want to smear this all over your tits?
  • An extremely awkward silence occurs when Steelers owner Dan Rooney insists there be at least one African-American woman in the crowd waiting to catch the bouquet

Source: http://feedproxy.google.com/~r/theonion/warforthewhitehouse/~3/52UscNZe91Q/

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Monday, December 19, 2011

Man United to face Ajax in Europa League

By GRAHAM DUNBAR

updated 7:53 a.m. ET Dec. 16, 2011

NYON, Switzerland - Former European champions Manchester United and Ajax will meet in the last 32 of the Europa League.

The two were drawn to face each other Friday.

Defending champion FC Porto will take on Manchester City, while 2010 Europa League champion Atletico Madrid will face Lazio.

In other matches, it's: Stoke vs. Valencia; Udinese vs. PAOK; and Locomotiv Moscow vs. Athletic Bilbao.

The first legs will be played Feb. 16, with the return matches scheduled for Feb. 23.

Copyright 2011 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Man City stays in front

??Manchester City's expensively assembled squad showed Sunday that it may have the character as well as the talent necessary to win the Premier League, beating Arsenal 1-0 to stay on top.

Chelsea slips

Euro roundup: Chelsea missed a chance to put pressure on the two Manchester clubs at the top of the Premier League on Saturday, yielding a goal with two minutes left in a 1-1 draw at relegation-threatened Wigan.

Source: http://nbcsports.msnbc.com/id/45695539/ns/sports-soccer/

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Judge hears 'Sister Wives' challenge of Utah law (AP)

SALT LAKE CITY ? Attorneys for a polygamous family made famous on a reality television show on Friday asked a Utah federal judge not to block their challenge of the state's bigamy law.

Kody Brown and wives Meri, Janelle, Christine and Robyn filed a lawsuit in Salt Lake City's U.S. District Court in July.

The stars of the TLC show "Sister Wives" contend the law is unconstitutional because it violates their right to privacy ? prohibiting them from living together and criminalizing their private sexual relationships.

Under Utah law, people are guilty of bigamy if they have multiple marriage licenses, or if they cohabitate with another consenting adult in a marriage-like relationship. Any couple of any sex living together in an intimate relationship is considered marriage-like under the law, and such a living arrangement would be considered a felony. Any couple of any sex living together in an intimate relationship could be considered guilty of a felony under the law.

Formerly of Lehi, the Browns and their 17 children moved to Nevada in January after police launched a bigamy investigation. The Browns practice polygamy as part of their religious beliefs.

U.S. District Court Judge Clark Waddoups heard oral arguments in the case on Friday in Salt Lake City and took the matter under advisement. It's not clear when he will rule.

For the case to go forward, the judge must decide the Browns have been harmed by the bigamy law.

In court, the Browns' Washington-based attorney, Jonathan Turley, said the family has suffered losses of income and been forced to move out of state because they were under investigation for bigamy.

They've also suffered "reputational harm" because the law labels the Browns' family a "criminal association," and because some Utah County prosecutors have said publicly that it would be easy for authorities bring charges because the Browns have already acknowledged felonies on national TV.

"This family was fearful of arrest ... they still are," Turley said. "It's why they are not here (in court) today."

Assistant Utah Attorney General Jerrold Jensen called the Browns' lawsuit "great TV drama" but said there's no real threat to the family, which has neither been arrested or charged with any crime.

Jensen said it's more likely the Browns were harmed by publicizing their lifestyle on television, not by actions taken by the state.

"The Browns have perceived that they will be prosecuted," Jensen said. "That is a misperception, at least at this point."

Jenson also said the Browns assume that an ongoing investigation by Utah County authorities is related to allegations of bigamy.

"It's over something else," Jensen said.

Utah County Attorney Jeff Buhman has not disclosed the nature of their investigation publicly and a message left for him Friday was not immediately returned.

Buhman's office has no stated policy related to the prosecution of polygamists.

On Friday, Jensen said the attorney general's office policy is to only file bigamy charges against a polygamist in connection with other crimes, such as underage marriages, child abuse or welfare fraud. A straight bigamy prosecution hasn't been filed in Utah for more than 50 years, Jensen said.

A check of state court records by The Associated Press, however, found at least two cases.

Bob Foster had three wives when he was arrested and charged with bigamy in 1974. He pleaded no contest and was sentenced to six months in jail. He was released after 21 days and ordered to serve five years of probation. A judge also said Foster was not allowed to live with his families. Foster died from cancer in 2008. He was still married to all three women.

Mark Easterday was arrested and charged with bigamy in 1999. Authorities were alerted to Easterday's multiple marriage as part of a custody battle during his divorce from his first wife. He ultimately pleaded no contest to adultery because the divorce was finalized before the bigamy case went to trial. Easterday was sentenced to probation.

Easterday, who left Utah and is currently married to two women, told The Associated Press he believes the Browns are right to fear a bigamy prosecution.

"I know from experience that they do prosecute," Easterday said. I think they should change the law over the entire country. Why it is that in some places a woman and a woman can be married, but a man can't have another wife?"

Polygamy in Utah and across much of the Intermountain West is a legacy of 19th century Church of Jesus Christ of Latter-day Saints. Mormons abandoned the practice of plural marriage in the 1890s as a condition of Utah's statehood and now excommunicates members found engaging in polygamy.

An estimated 38,000 self-described Mormon fundamentalists continue the practice, believing it brings exaltation in heaven. Most keep their way of life a secret.

Typically, polygamous men are legally married to their first wives and wed subsequent brides only in religious ceremonies. The couples consider themselves "spiritually married."

Source: http://us.rd.yahoo.com/dailynews/rss/tv/*http%3A//news.yahoo.com/s/ap/20111217/ap_en_tv/us_sister_wives_lawsuit

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Sunday, December 18, 2011

Smith scores 24 as No. 4 Louisville tops Memphis

Louisville's Adonis Thomas (35) blocks the shot of Louisville's Kevin Ware during the first half of their NCAA college basketball game on Saturday, Dec. 17, 2011, in Louisville, Ky. (AP Photo/Timothy D. Easley)

Louisville's Adonis Thomas (35) blocks the shot of Louisville's Kevin Ware during the first half of their NCAA college basketball game on Saturday, Dec. 17, 2011, in Louisville, Ky. (AP Photo/Timothy D. Easley)

Memphis coach Josh Pastner reacts to a call against his team during the first half of their NCAA college basketball game against Louisville on Saturday, Dec. 17, 2011, in Louisville, Ky. (AP Photo/Timothy D. Easley)

Memphis' Tarik Black, right, shoots against Louisville's Gorgui Dieng (10) and Jared Swopshire during the first half of their NCAA college basketball game Saturday, Dec. 17, 2011, in Louisville, Ky. (AP Photo/Timothy D. Easley)

Louisville's Gorgui Dieng, left, and Memphis' Tarik Black go up for a rebound during the first half of their NCAA college basketball game on Saturday, Dec. 17, 2011, in Louisville, Ky. (AP Photo/Timothy D. Easley)

Louisville coach Rick Pitino shouts instructions to his players during the first half of their NCAA college basketball game against Memphis on Saturday, Dec. 17, 2011, in Louisville, Ky. (AP Photo/Timothy D. Easley)

(AP) ? Russ Smith can always provide an offensive boost for Louisville. His defensive contributions will keep him on the court even longer.

Smith set personal bests with 24 points and seven steals as No. 4 Louisville survived a rough-and-tumble matchup with former conference foe Memphis 95-87 on Saturday to extend the Cardinals' home winning streak to 18 games.

"Seven steals is just a great accomplishment," said Smith, who made the most of a rare start. "Anybody can get 24 points, but seven steals is really special."

Coach Rick Pitino almost passed on Smith despite shining as a youngster at their basketball camps. But Smith grew from 5-foot-9 to a 6-foot frame and kept impressing Ralph Willard, who stepped down as the school's director of basketball operations earlier this year.

"Ralph just kept saying, Russ is the guy we need," Pitino said. "Russ was terrific. He's got great hands. He has no fear. ... I'm real proud of him."

Gorgui Dieng added 14 points and 14 rebounds in the schools' first meeting since the Cardinals (10-0) beat the Tigers (5-4) by a point to win the Conference USA tournament in 2005 before departing for the Big East.

Will Barton set career highs with 28 points and 16 rebounds for Memphis, which rallied from a 13-point second-half deficit to take the lead before the Cardinals overwhelmed the Tigers down the stretch in a game that featured 54 fouls.

"It was like a war we ended up winning," Dieng said. "It was physical."

Louisville is off to its best start since the 1996-97 season and on its longest winning streak at home in 27 years. It took almost everything the Cardinals had to extend it.

After Memphis rallied from a 13-point deficit to take a 58-55 lead, the two sides traded baskets for 6 minutes until Louisville took control.

"They withstood our runs, and they made the last one that counted," Barton said.

With the game tied, Chane Behanan hit two free throws, Rakeem Buckles finished a layup on a fast break, Dieng grabbed an offensive rebound and hit a shot in traffic, and Kyle Kuric finished an alley-oop slam from Smith to give the Cardinals a 78-70 lead with 4:49 to play.

Chris Smith's 3-pointer gave Louisville an 83-73 lead and Tigers never got back within a possession as the Cardinals finished with seven players in double figures. Peyton Siva finished with 13 points, Buckles 12, Kuric and Smith 11 apiece and Behanan 10 for Louisville.

Joe Jackson scored 22 points for Memphis and Chris Crawford added 12.

This game harkened back to the two schools' time together in the Missouri Valley Conference, the Metro Conference and Conference USA with Memphis wearing throwback uniforms from their days under coach Gene Bartow in the early '70s. Pitino has advocated that Memphis be added to the expanded Big East conference, and games like this could bolster the Tigers' chances.

"It was exciting to have Memphis back. We've had some great games with them. I'm just hoping the Big East gets smart and does something about that and allows them to come into the league," Pitino said. "I keep getting on the pulpit and saying this: We got hurt big time and we need Memphis. Memphis doesn't need us, we need Memphis. We need Temple. We need to build up basketball again."

Kuric hit a 3-pointer to give Louisville a 47-34 lead with 18 1/2 minutes left, but Memphis rallied with a 13-3 run. Jackson hit a jumper and gave Memphis its first lead in nearly 20 minutes when he scored with a floater off the backboard and was fouled.

Jackson pumped his fist, yelling "That's right!" then sank the free throw that gave Memphis a 58-55 lead. But Buckles answered with a free throw and a 3-pointer to keep the game close until Louisville's decisive 8-0 spurt.

Memphis gave up 24 points off turnovers and missed 14 free throws, the two reasons Memphis coach Josh Pastner cited in the loss.

"It's pretty black and white," Pastner said.

The Cardinals have big games looming later this month with No. 16 Georgetown on Dec. 28 and a Dec. 31 trip to No. 3 Kentucky, but this was a win to savor against their former rival.

"We definitely still got work to do. It's still early and we've still got conference play," Russ Smith said. "That's what's important.

The Tigers began the season ranked 11th in the poll after returning all five starters and 10 letter-winners, but dropped games to Michigan and Georgetown in the Maui Invitational before losing at home to Murray State on Sunday.

Russ Smith scored 13 of Louisville's first 17 points, while Dieng started slow with five straight misses before making four of his next five shots to record his third straight double-double and give Louisville some breathing room. The lead would grow to 13 before Memphis finally rallied.

"We cannot just start out slow. I don't know what it is but we've got to fix that immediately if we're going to be the team we want to be," Barton said. "I think we'll fix it. It's not too late. But we've just got to do it. I'm sick of talking about it, we've just got to do it."

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/347875155d53465d95cec892aeb06419/Article_2011-12-17-T25-Memphis-Louisville/id-de536b144e454adcbc7f62a2e3ebb0d2

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