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Large-Scale Analysis Finds Bariatric Surgery Relatively Safe
Advances in weight-loss surgery have made it as safe as any routine surgical procedure, according to a Duke University Medical Center researcher who reviewed data from nearly 60,000 patients and found it resulted in low complication and mortality rates.

Centrist Dems Say Abortion Issues Must Not Delay Health Reform; Conservatives Step Up Criticism
Five centrist House Democrats, led by antiabortion-rights Rep. Tim Ryan (Ohio), on Tuesday issued a proposal that would neither require nor ban private insurers from covering abortion services as long as federal dollars are not used, the Washington Post"s "Capitol Briefing" reports. In a letter sent to House Speaker Nancy Pelosi (D-Calif.), Ryan and Reps. Dale Kildee (Mich.), James Langevin (R.I.), Artur Davis (Ala.) and Kendrick Meek (Fla.) said that their proposal "maintains the current status quo in the private market" and would not "preempt constitutionally permissible" state restrictions related to abortion, such as parental notification laws. The representatives called their proposal a "common ground solution." Current federal law prohibits the use of federal Medicaid funds for abortion services in nearly all circumstances. The lawmakers said that they are "increasingly concerned about potential roadblocks around the issue of abortion" in the health reform debate in Congress. According to "Capitol Briefing," antiabortion-rights Democrats are concerned that health reform legislation could lead to indirect federal funding of abortion services through private insurers participating in a proposed health insurance exchange (Eggen, "Capitol Briefing," Washington Post, 7/21). In the letter, the representatives said that they would like to include language in the final health reform bill "that makes clear that no insurance company will be required to pay for an abortion except in extraordinary circumstances." In addition, insurance providers would not be prohibited from paying for abortion services "so long as health insurance plans offered in the exchange that choose to provide abortion coverage pay for those services with funds that are separate and distinct from any federal subsidies," the letter said. Ryan said he hopes the proposal will be introduced in committee on Wednesday as an amendment (Smith, Politico, 7/21).House Members Step Up Efforts To Exclude Abortion CoverageMeanwhile, antiabortion-rights House members are intensifying their efforts to exclude abortion coverage from the chamber"s health reform bill (HR 3200), which they said includes a "hidden mandate" that would allow federal money to cover the procedure, the AP/Houston Chronicle reports. Rep. Bart Stupak (D-Mich.) said that he plans to join other antiabortion-rights House members at a news conference on Wednesday to criticize the legislation. Stupak helped draft a June 25 letter to Pelosi saying that he and 19 other Democrats would not support any health reform bill "unless it explicitly excludes abortion from the scope of any government-defined or subsidized health insurance plan." The bill does not mention abortion, which supporters say means that the legislation is neutral on the issue (Alonso-Zaldivar, AP/Houston Chronicle, 7/22).Antiabortion-Rights Coalition Launches CampaignA coalition of antiabortion-rights groups this week is launching a three-week campaign aimed at excluding abortion coverage from health reform legislation, Politico reports. The coalition includes James Dobson, founder of Focus on the Family; Tony Perkins, president of the Family Research Council; Richard Land of the Southern Baptist Convention; David Bereit of 40 Days for Life; and Charmaine Yoest, president of Americans United for Life. Yoest said AUL intends to send a letter to President Obama on Thursday citing its "belief that the bills are intended to include abortion."Laurie Rubiner, vice president for public policy and advocacy at the Planned Parenthood Federation of America, said that abortion is "not mandated any more than any other service or procedure in health reform." She added that excluding abortion coverage could result in women losing the coverage they currently have under private plans. The abortion-rights opponents" demand to exclude abortion coverage "violates the first principle of health care reform, which is: Don"t make people worse off under health care reform than they are today," Rubiner said (Smith, Politico, 7/22).
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Physicians Offer Practical Tips On Preventing Strokes And Their Lasting Effects
It takes less than a minute for a stroke to change a person"s life forever, but taking the time to make a few simple lifestyle adjustments and finding out how to recognize an attack when it happens can save thousands of lives.
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First Confirmed Case Of H1N1 (Swine) Flu In Coconino County

Coconino County Health Department (CCHD) officials announced today the first case of H1N1 (swine) flu in Coconino County. The Arizona Department of Health Services Lab confirmed that a 24 year-old male from the Navajo Nation has tested positive for the illness. The man went to the Tuba City Regional Health Care Corporation Emergency Department with flu-like symptoms and was tested. He is now recovering from the illness. As of May 20, the Arizona Department of Health Services (ADHS) reported 452 confirmed cases and three H1N1 (swine) flu related deaths in Arizona. There are no other confirmed H1N1 (swine) flu cases in Coconino County. The Coconino County Health Department is closely monitoring the H1N1 (swine) flu situation in coordination with the Navajo Nation Division of Health, Arizona Department for Health Services (ADHS) and the Centers for Disease Control and Prevention (CDC). The CCHD is also working with Coconino County schools to monitor absences and respiratory illness and to promote good health habits among students and staff members. There are things that everyone can do to help them stay healthy. The Coconino County Health Department and the Navajo Nation Division of Health recommend the following preventative measures: - Sneeze or cough into your sleeve; this is the preferred method of covering your cough. If you can"t do this, cover your mouth with a tissue when coughing or sneezing, and wash your hands afterwards. - Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. - Avoid touching your eyes, nose or mouth. - Try to avoid close contact with sick people. - If you get sick, stay home from work or school and limit contact with others to keep from infecting them. The symptoms of H1N1 (swine) flu are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting in addition to the respiratory symptoms associated with swine flu. Like seasonal flu, swine flu may cause a worsening of underlying chronic medical conditions. Health officials advise individuals who develop mild influenza-like-illness (ILI) (fever with either cough or sore throat) to stay at home, to get lots of rest and drink plenty of fluids. Persons who experience more serious symptoms and need to seek medical care should contact their health care providers to report illness (by telephone or other remote means) before seeking care at a clinic, physician"s office, or hospital. Those with severe symptoms (see below) who have difficulty breathing or shortness of breath or are believed to be severely ill should seek immediate medical attention. In children emergency warning signs that need urgent medical attention include: - Fast breathing or trouble breathing - Bluish skin color - Not drinking enough fluids - Not waking up or not interacting - Being so irritable that the child does not want to be held - Flu-like symptoms improve but then return with fever and worse cough - Fever with a rash In adults, emergency warning signs that need urgent medical attention include: - Difficulty breathing or shortness of breath - Pain or pressure in the chest or abdomen - Sudden dizziness - Confusion - Severe or persistent vomiting The Centers for Disease Control (CDC) has created a webpage with information and updates. Visit http://www.cdc.gov/flu/swine. Information is also available on the CCHD website at http://www.coconino.az.gov/health. Arizona Department of Health Services


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