Source: http://news.feedzilla.com/en_us/stories/politics/top-stories/306754041?client_source=feed&format=rss
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রবিবার, ১৯ মে, ২০১৩
Couture's OT goal gives Sharks 2-1 win over Kings
SAN JOSE, Calif. (AP) ? The Los Angeles Kings are now the team bemoaning a late penalty while the San Jose Sharks celebrate a dramatic win.
With the script being flipped from Game 2 in Los Angeles, the Sharks have played their way back into this second-round series against their Southern California rivals.
Logan Couture returned from a second-period injury to score a power-play goal 1:29 into overtime that helped the Sharks bounce back from two losses in Los Angeles to beat the Kings 2-1 in Game 3 on Saturday night.
The second loss was particularly crushing as San Jose led 3-2 late in regulation before a pair of penalties ? including a questionable delay-of-game call ? led to two power-play goals that gave Los Angeles a 2-0 series lead. Instead of moping around, the Sharks responded with a big win.
"I thought the transition from being down to, 'Let's get ready to go,' was exceptional," coach Todd McLellan said. "The leaders did a great job. But you always have to take that test. You find out a lot about your team. We obviously showed up to play tonight."
This time, the Sharks were the beneficiaries of some late game calls.
Tommy Wingels drew a hooking penalty on Robyn Regehr with 41.7 seconds left in regulation. But the call that really had the Kings steaming came when Trevor Lewis was called for goaltender interference when he crashed into Antti Niemi with 4.5 seconds remaining.
Los Angeles argued that Patrick Marleau pushed Lewis, and goalie Jonathan Quick got a game misconduct for arguing with the officials after the game.
"I find it very tough to believe that a player as intelligent as Trevor Lewis, that he'd run the goalie," Kings forward Dustin Penner said. "I asked him and he said he got pushed from behind. I believe him. I'm disappointed that the refs had enough confidence to make a gutsy call like that in the last 30 seconds of the period.
"It's pretty impressive when you have enough gall to guess because I'm going to look at the tape and I'm going to see if he got pushed because I know what it's like to drive the net."
That gave San Jose a 5-on-3 advantage for the first 1:19 of overtime. The Sharks couldn't convert with two extra men, but got the winner after Regehr came back when Marleau set up Couture in front, who beat Quick for the game-winner.
"They said we got a break last game, so now they got a break," Kings coach Darryl Sutter said.
Dan Boyle scored a power-play goal early in the first period, and Niemi made 26 saves for the Sharks, who have dominated on home ice all season.
Rookie Tyler Toffoli scored the lone goal for the defending Stanley Cup champion Kings, who had won six straight games since dropping the first two in the opening round in St. Louis. Quick made 38 saves.
Game 4 is Tuesday night in San Jose.
Couture's first career playoff overtime goal came after he missed most of the second period when he limped off the ice favoring his left leg. He returned to an ovation in the final minute of the second and then got the Sharks back into the series in overtime.
"When you see someone leave after stepping on a puck like that, you don't know if he's going to come back or not," Marleau said. "And now he has his stick back in the game. And he scores the overtime winner. It's huge. It's to see him be able to push through that kind of pain."
The Sharks survived a scoreless second period in which they played with a short bench for much of it. Marty Havlat, back for the first time since being knocked out of Game 1 in the first round because of a lower-body injury, left after the first period and didn't return.
Defenseman Scott Hannan missed time early in the period after sliding face first into the boards, and Couture was also out.
Despite having just 10 forwards for most of the period, the Sharks got the better chances with only a sterling pad save by Quick against Andrew Desjardins keeping the game tied at 1 heading into the third.
"Guys really stepped up," Pavelski said. "The fourth line played a lot. Guys stepped up with short shifts. We had good game management. We did a good job."
The sold-out crowd was in a frenzy from the start, hoping to help the Sharks rebound from the late-game collapse in Game 2 in Los Angeles that put them in the 0-2 hole.
This time, the Sharks were on the positive end of a puck being played into the seats, getting a power play 90 seconds into the game when Jake Muzzin's clearing attempt went over the glass for a delay of game. It took just 4 seconds for San Jose to get its first power-play goal of the series as Joe Pavelski won the faceoff against Anze Kopitar back to Marleau, who fed Boyle for the blast from inside the blue line.
The Kings withstood that early storm, getting the equalizer shortly after killing a second power play midway through the period. Brad Stuart turned the puck over, trying to come out of the defensive zone, right to Toffoli, who skated in and beat Niemi with a backhand to make it 1-1.
NOTES: The Kings made a couple of lineup switches with F Tanner Pearson playing in place of Jordan Nolan, and Keaton Ellerby replacing Alec Martinez, who was on the ice for all three San Jose goals in Game 2. Pearson is the third Kings player ever to make his NHL debut in the postseason. ... The Sharks were fined $100,000 before the game for general manager Doug Wilson's comments Friday criticizing the suspension of F Raffi Torres for the rest of the series for his Game 1 hit that knocked out Jarret Stoll.
Source: http://news.yahoo.com/coutures-ot-goal-gives-sharks-2-1-win-052917322.html
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Tumblr May Reject Yahoo's $1.1B Acquisition Offer For Being ?Too Low?
Sources close to to acquisition talks between Yahoo and Tumblr say the blogging platform feels that Yahoo's $1.1 billion offer as "too low" and view it as "only a first offer". Yahoo may have to significantly increase the offer to close the deal. An acquisition by some tech giant is likely in the cards for Tumblr, though, as sources say the company only has a couple of months of cash runway left.Source: http://feedproxy.google.com/~r/Techcrunch/~3/pEP2DvjAtKw/
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শনিবার, ১৮ মে, ২০১৩
New colonoscope provides ground-breaking view of colon
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Public release date: 18-May-2013[ | E-mail |
Share ] Contact: Aimee Frank
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Digestive Disease Week
Colonoscopy withdrawal time, polyp removal technique also examined at DDW 2013
Orlando, FL (May 18, 2013) A ground-breaking advance in colonoscopy technology signals the future of colorectal care, according to research presented today at Digestive Disease Week (DDW). Additional research focuses on optimizing the minimal withdrawal time for colonoscopies and exploring safer methods for removing polyps.
During colonoscopy, doctors use a device called a colonoscope to examine the colon. This screening test for colorectal cancer allows a doctor to look for precancerous polyps called adenomas in the colon and rectum. A study featuring a new colonoscope that allows doctors to see more of the colon shows promise that could revolutionize colorectal cancer screening.
Researchers compared both the adenoma miss rate using the new colonoscope with the miss rate of a traditional colonoscope. The miss rate for the new colonoscope was only 7.6 percent as compared to 41.7 percent for the traditional colonoscope, in this study.
"It's always our goal to minimize miss rates in colonoscopy," said Professor Ian M. Gralnek of the Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology and senior physician at the department of gastroenterology, Rambam Health Care Campus and Elisha Hospital in Haifa, Israel. "These results show us a way to achieve that and improve the efficacy of colorectal cancer screening and surveillance colonoscopy."
Developed by EndoChoice, the Full Spectrum Endoscopy (FUSE) colonoscope maintains the identical technical features of the standard colonoscope, but allows the endoscopist to view 330 degrees, compared to the 170 degree viewing angle of the traditional colonoscope.
The study randomly assigned 197 patients for tandem colonoscopies using either the standard or the FUSE colonoscope first. In addition to a significantly lower adenoma miss rate, results showed a significantly higher adenoma detection rate favoring FUSE. Professor Gralnek credits FUSE's improved imaging technology with these findings as adenomas can be difficult to detect with only forward-viewing capabilities.
"Adenomas often hide behind folds in the colon and can be very difficult to find with a forward-viewing scope," Professor Gralnek said.
"Lower adenoma miss rates have important implications for patient surveillance," he added. The additional information FUSE provides to doctors may allow them to adjust patients' surveillance intervals according to risk level, ultimately helping to prevent incremental colorectal cancers. The FUSE scope could be available as early as this summer.
Colonoscopy withdrawal time makes a big difference for diagnosis
DDW also features other advances in colonoscopy relating not to what doctors see, but to how long they look. Researchers at Stanford University compared a three-minute versus six-minute withdrawal time during colonoscopy. The polyp miss rate was almost twice as high during the shorter procedure.
"The de facto standard of care for colonoscopy withdrawal time, which is six minutes, was based on a single observational study," said Sheila Kumar, research fellow in Stanford's division of gastroenterology and hepatology. "More data were needed to ensure that we are providing the best care possible. Our findings provide evidence-based support that prolonging withdrawal time significantly decreases polyp miss rates at colonoscopy."
Dr. Kumar's research represents the first randomized controlled trial examining the effect of colonoscopy withdrawal times on polyp miss rates. The study was conducted with patients undergoing colonoscopies at Stanford and the Palo Alto Veterans Administration Hospital. Patients were randomized to an initial three-minute or six-minute colonoscopy withdrawal time. Patients then underwent a "second look" six-minute withdrawal to determine if polyps were missed with the first look.
"The study design also allowed for data collection for screenings up to 12 minutes long, by combining data for the first and second withdrawal," Dr. Kumar said. "Future comparisons could help to confirm the optimal time parameters of a colonoscopy."
A safer polypectomy option for high-risk patients
In another study, researchers at Showa Inan General Hospital in Komagane, Japan, found that a particular method of polypectomy called a "cold snare" technique is safer for patients on anticoagulants.
When a colon or rectal polyp is detected during colonoscopy, a polypectomy is often recommended to remove the growth. But for patients who use anticoagulants, or blood thinners, polypectomies carry higher risk because of bleeding that occurs during excision of the polyp and recovery.
"The results of our study represent an important opportunity for patients whose options have been severely limited up to this point," said Akira Horiuchi, chief of the hospital's Digestive Disease Center.
The study compared the bleeding associated with the conventional polypectomy technique and the cold snare technique. With the first, the polyp is snared with a wire and then cut using electrocautery. The cold snare technique mechanically cuts off the polyp without electrocautery.
With the latter method, bleeding was seen in only about 5 percent of cases compared to 23 percent of cases using the conventional technique. No delayed bleeding was associated with the cold snare technique, whereas 14 percent of the conventional patients required hemostasis afterward. Polyp removal rates were identical for both approaches.
"These differences are exciting and encouraging," Dr. Horiuchi said. "We think the study paves the way for future research to validate a safer option for many patients."
Professor Gralnek will present data from the study "Comparing traditional forward-viewing colonoscopy with 'full spectrum endoscopy': a randomized, multicenter tandem colonoscopy study - the Fuse study," abstract 9a, on Saturday, May 18, at 9:44 a.m. ET in Room 415 Valencia of the Orange County Convention Center.
Dr. Kumar will present data from the study "Evaluating the optimal time for colonoscopy withdrawal: a prospective randomized comparison of three minute versus six minute withdrawal," abstract Mo1559, on Monday, May 20, at 8 a.m. ET in Hall West A1of the Orange County Convention Center.
Dr. Horiuchi will present data from the study "Prospective randomized comparison of cold snare polypectomy and conventional polypectomy for small colorectal polys in patients receiving anticoagulation therapy," abstract 852, on Monday, May 20, at 4 p.m. ET in Room 314B of the Orange County Convention Center.
###
Digestive Disease Week (DDW) is the largest international gathering of physicians, researchers and academics in the fields of gastroenterology, hepatology, endoscopy and gastrointestinal surgery. Jointly sponsored by the American Association for the Study of Liver Diseases (AASLD), the American Gastroenterological Association (AGA) Institute, the American Society for Gastrointestinal Endoscopy (ASGE) and the Society for Surgery of the Alimentary Tract (SSAT), DDW takes place May 18 to 21, 2013, at the Orange County Convention Center, Orlando, FL. The meeting showcases more than 5,000 abstracts and hundreds of lectures on the latest advances in GI research, medicine and technology. More information can be found at http://www.ddw.org.
Follow us on Twitter @DDWMeeting; hashtag #DDW13. Become a fan of DDW on Facebook (https://www.facebook.com/DDWMeeting?fref=ts).
[ | E-mail | Share ] ?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
Public release date: 18-May-2013[ | E-mail |
Share ] Contact: Aimee Frank
newsroom@gastro.org
301-941-2620
Digestive Disease Week
Colonoscopy withdrawal time, polyp removal technique also examined at DDW 2013
Orlando, FL (May 18, 2013) A ground-breaking advance in colonoscopy technology signals the future of colorectal care, according to research presented today at Digestive Disease Week (DDW). Additional research focuses on optimizing the minimal withdrawal time for colonoscopies and exploring safer methods for removing polyps.
During colonoscopy, doctors use a device called a colonoscope to examine the colon. This screening test for colorectal cancer allows a doctor to look for precancerous polyps called adenomas in the colon and rectum. A study featuring a new colonoscope that allows doctors to see more of the colon shows promise that could revolutionize colorectal cancer screening.
Researchers compared both the adenoma miss rate using the new colonoscope with the miss rate of a traditional colonoscope. The miss rate for the new colonoscope was only 7.6 percent as compared to 41.7 percent for the traditional colonoscope, in this study.
"It's always our goal to minimize miss rates in colonoscopy," said Professor Ian M. Gralnek of the Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology and senior physician at the department of gastroenterology, Rambam Health Care Campus and Elisha Hospital in Haifa, Israel. "These results show us a way to achieve that and improve the efficacy of colorectal cancer screening and surveillance colonoscopy."
Developed by EndoChoice, the Full Spectrum Endoscopy (FUSE) colonoscope maintains the identical technical features of the standard colonoscope, but allows the endoscopist to view 330 degrees, compared to the 170 degree viewing angle of the traditional colonoscope.
The study randomly assigned 197 patients for tandem colonoscopies using either the standard or the FUSE colonoscope first. In addition to a significantly lower adenoma miss rate, results showed a significantly higher adenoma detection rate favoring FUSE. Professor Gralnek credits FUSE's improved imaging technology with these findings as adenomas can be difficult to detect with only forward-viewing capabilities.
"Adenomas often hide behind folds in the colon and can be very difficult to find with a forward-viewing scope," Professor Gralnek said.
"Lower adenoma miss rates have important implications for patient surveillance," he added. The additional information FUSE provides to doctors may allow them to adjust patients' surveillance intervals according to risk level, ultimately helping to prevent incremental colorectal cancers. The FUSE scope could be available as early as this summer.
Colonoscopy withdrawal time makes a big difference for diagnosis
DDW also features other advances in colonoscopy relating not to what doctors see, but to how long they look. Researchers at Stanford University compared a three-minute versus six-minute withdrawal time during colonoscopy. The polyp miss rate was almost twice as high during the shorter procedure.
"The de facto standard of care for colonoscopy withdrawal time, which is six minutes, was based on a single observational study," said Sheila Kumar, research fellow in Stanford's division of gastroenterology and hepatology. "More data were needed to ensure that we are providing the best care possible. Our findings provide evidence-based support that prolonging withdrawal time significantly decreases polyp miss rates at colonoscopy."
Dr. Kumar's research represents the first randomized controlled trial examining the effect of colonoscopy withdrawal times on polyp miss rates. The study was conducted with patients undergoing colonoscopies at Stanford and the Palo Alto Veterans Administration Hospital. Patients were randomized to an initial three-minute or six-minute colonoscopy withdrawal time. Patients then underwent a "second look" six-minute withdrawal to determine if polyps were missed with the first look.
"The study design also allowed for data collection for screenings up to 12 minutes long, by combining data for the first and second withdrawal," Dr. Kumar said. "Future comparisons could help to confirm the optimal time parameters of a colonoscopy."
A safer polypectomy option for high-risk patients
In another study, researchers at Showa Inan General Hospital in Komagane, Japan, found that a particular method of polypectomy called a "cold snare" technique is safer for patients on anticoagulants.
When a colon or rectal polyp is detected during colonoscopy, a polypectomy is often recommended to remove the growth. But for patients who use anticoagulants, or blood thinners, polypectomies carry higher risk because of bleeding that occurs during excision of the polyp and recovery.
"The results of our study represent an important opportunity for patients whose options have been severely limited up to this point," said Akira Horiuchi, chief of the hospital's Digestive Disease Center.
The study compared the bleeding associated with the conventional polypectomy technique and the cold snare technique. With the first, the polyp is snared with a wire and then cut using electrocautery. The cold snare technique mechanically cuts off the polyp without electrocautery.
With the latter method, bleeding was seen in only about 5 percent of cases compared to 23 percent of cases using the conventional technique. No delayed bleeding was associated with the cold snare technique, whereas 14 percent of the conventional patients required hemostasis afterward. Polyp removal rates were identical for both approaches.
"These differences are exciting and encouraging," Dr. Horiuchi said. "We think the study paves the way for future research to validate a safer option for many patients."
Professor Gralnek will present data from the study "Comparing traditional forward-viewing colonoscopy with 'full spectrum endoscopy': a randomized, multicenter tandem colonoscopy study - the Fuse study," abstract 9a, on Saturday, May 18, at 9:44 a.m. ET in Room 415 Valencia of the Orange County Convention Center.
Dr. Kumar will present data from the study "Evaluating the optimal time for colonoscopy withdrawal: a prospective randomized comparison of three minute versus six minute withdrawal," abstract Mo1559, on Monday, May 20, at 8 a.m. ET in Hall West A1of the Orange County Convention Center.
Dr. Horiuchi will present data from the study "Prospective randomized comparison of cold snare polypectomy and conventional polypectomy for small colorectal polys in patients receiving anticoagulation therapy," abstract 852, on Monday, May 20, at 4 p.m. ET in Room 314B of the Orange County Convention Center.
###
Digestive Disease Week (DDW) is the largest international gathering of physicians, researchers and academics in the fields of gastroenterology, hepatology, endoscopy and gastrointestinal surgery. Jointly sponsored by the American Association for the Study of Liver Diseases (AASLD), the American Gastroenterological Association (AGA) Institute, the American Society for Gastrointestinal Endoscopy (ASGE) and the Society for Surgery of the Alimentary Tract (SSAT), DDW takes place May 18 to 21, 2013, at the Orange County Convention Center, Orlando, FL. The meeting showcases more than 5,000 abstracts and hundreds of lectures on the latest advances in GI research, medicine and technology. More information can be found at http://www.ddw.org.
Follow us on Twitter @DDWMeeting; hashtag #DDW13. Become a fan of DDW on Facebook (https://www.facebook.com/DDWMeeting?fref=ts).
[ | E-mail | Share ] ?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
Source: http://www.eurekalert.org/pub_releases/2013-05/ddw-ncp051513.php
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Obama agenda seems to be weathering controversies
President Barack Obama gestures as he speaks at Ellicott Dredges in Baltimore, Froday, May 17, 2013, during his second "Middle Class Jobs and Opportunity Tour". (AP Photo/Jacquelyn Martin)
President Barack Obama gestures as he speaks at Ellicott Dredges in Baltimore, Froday, May 17, 2013, during his second "Middle Class Jobs and Opportunity Tour". (AP Photo/Jacquelyn Martin)
WASHINGTON (AP) ? Despite Democratic fears, predictions of the demise of President Barack Obama's agenda appear exaggerated after a week of cascading controversies, political triage by the administration and party leaders in Congress and lack of evidence to date of wrongdoing close to the Oval Office.
"Absolutely not," Steven Miller, the recently resigned acting head of the Internal Revenue Service, responded Friday when asked if he had any contact with the White House about targeting conservative groups seeking tax-exempt status for special treatment.
The president's re-election campaign?" persisted Rep. Devin Nunes, R-Calif.
"No," said Miller.
The hearing took place at the end of a week in which Republicans repeatedly assailed Obama and were attacked by Democrats in turn ? yet sweeping immigration legislation advanced methodically toward bipartisan approval in the Senate Judiciary Committee. The measure "has strong support of its own in the Senate," said Sen. Amy Klobuchar, D-Minn., a member of the panel.
Across the Capitol, a bipartisan House group reported agreement in principle toward a compromise on the issue, which looms as Obama's best chance for a signature second-term domestic achievement. "I continue to believe that the House needs to deal with this," said House Speaker John Boehner, R-Ohio, who is not directly involved in the talks.
The president's nominee to become energy secretary, Ernest Moniz, won Senate confirmation, 97-0. And there were signs that Republicans might allow confirmation of Sri Srinivasan to the U.S. Court of Appeals for the District of Columbia Circuit, sometimes a stepping stone to the Supreme Court.
Separately, a House committee approved legislation to prevent a spike in interest rates on student loans on July 1. It moves in the direction of a White House-backed proposal for future rate changes to be based on private markets.
Even so, Rep. Fred Upton, R-Mich., chairman of the Energy and Commerce Committee, said, "It's been a bad week for the administration."
Several Democratic lawmakers and aides agreed, and expressed concern about the impact on Obama's agenda ? even though much of it has been stymied by Republicans for months already.
At the same time, Rep. Dave Camp, R-Mich., voiced optimism that the IRS controversy would boost the push for an overhaul of the tax code, rather than derail it. "It may make a case for a simpler tax code, where the IRS has less discretion," he said.
Long-term budget issues, the main flash point of divided government since 2011, have receded as projected deficits fall in the wake of an improving economy and recently enacted spending cuts and tax increases.
Even before Obama began grappling with the IRS, the fallout from last year's deadly attack on the U.S. diplomatic mission in Benghazi, Libya, and from the Justice Department's secret seizure of Associated Press phone records, the two parties were at odds over steps to replace $85 billion in across-the-board spending cuts. In particular, Obama's call for higher taxes is a nonstarter with Republicans.
Other high-profile legislation and presidential appointees face difficulties that predate the current controversies.
Months ago, Obama scaled back requested gun safety legislation to center on expanded background checks for firearms purchasers. That was derailed in the Senate, has even less chance in the House and is unlikely to reach the president's desk.
Republicans oppose other recommendations from the president's State of the Union address, including automatic increases in the minimum wage, a pre-kindergarten program funded by higher cigarette taxes and more federal money for highways and bridge repair.
In a clash that long predates the IRS controversy, Senate Republicans seem intent on blocking Obama's nomination of Tom Perez as labor secretary. Gina McCarthy's nomination to head the Environmental Protection Agency is also on hold, at least temporarily, and Democrats expect Republican opposition awaits Penny Pritzger, Obama's choice for commerce secretary.
Rhetorically, the two parties fell into two camps when it came to the White House troubles. Democrats tended to describe them as controversies, Republicans often used less flattering terms.
Speaking on the Senate floor, Sen. Roger Wicker, R-Miss., accused the administration of fostering a "culture of intimidation." He referred to the IRS, the handling of the Benghazi attack and Health and Human Services Secretary Kathleen Sebelius' "fundraising among the industry people she regulates on behalf of the president's health care law."
Two days later, Camp, a 23-year veteran lawmaker, opened the IRS hearing by calling the agency's actions part of a "culture of cover-ups and intimidation in this administration." He offered no other examples.
Rep. Trey Radel, a first-term Florida Republican, said in an interview, "What we're looking at now is a breach of trust" from the White House.
House Democratic leader Nancy Pelosi of California offered a scathing response when asked if the controversies would hamper Obama's ability to win legislation from the Republican-controlled House. "Well, the last two years there was nothing that went through this Congress, and it was no AP, IRS or any other (thing) that we were dealing with."
"They just want to do nothing. And their timetable is never," she said of GOP lawmakers.
Similarly, Senate Majority Leader Harry Reid gave no ground on Benghazi, a dispute that increasingly centered on talking points written for administration officials to use on television after the attack last September in which U.S. Ambassador Chris Stevens and three other Americans were killed.
"It's obvious it's an attempt to embarrass President Obama and embarrass Hillary Clinton," he said of Republican criticism that first flared during last year's election campaign.
On a third front, Sen. Chuck Schumer, D-N.Y., resurrected legislation that would requiring a judge to approve subpoenas for news media communications records when investigating news leaks said to threaten the national security. It was a response to the FBI's secret, successful pursuit of Associated Press phone records in a current probe.
While Democrats counterattacked on Benghazi and parried on leaks, they bashed the IRS' treatment of conservative groups as improper if not illegal ? and warned Republicans not to overplay their hand.
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